Development of the heart Flashcards

1
Q

What is a blastocyst? [1 mark]

A

A cell 5 days after fertilisation with around 100 cells

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2
Q

What does the ectoderm form? [3 marks]

A
  • Skin
  • CNS
  • Sensory organs
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3
Q

What will the mesoderm form? [5 marks]

A
  • Heart
  • Skeletal muscle
  • Kidneys
  • Urogenital tissue
  • Connective tissue
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4
Q

What will the endoderm form? [3 marks]

A
  • Lining of GI tract and lungs
  • Pancreas
  • Liver
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5
Q

What does the notochord give? [2 marks]

A
  • Gives stability to the embryos before the vertebrae form

- Source of signalling molecules

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6
Q

How is the heart tube developed? [3 marks]

A
  • From primitive streaks in blood islands
  • Tubes fuse together
  • Form truncus arteriosus and sinus venosus
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7
Q

Why is the truncus arteriosus bulgy on the left side? [1 marks]

A

The nortochord sending different signals to the left and right side of the body.

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8
Q

What happens in cardiac looping? [1 mark]

A

Tubes become longer and fold in on themselves to form ventricles and LA

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9
Q

What happens in dextrocardia? [2 marks]

A
  • Heart is on the wrong side of the heart

- Due to incorrect looping

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10
Q

How are the atria and ventricles divided? [1 mark]

A

From the fusion of the posterior and anterior endocardial cushions

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11
Q

What does the septum primum do? [1 mark]

A

Divides atria (except for hole for foramen primum)

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12
Q

What are the effects of a ventricular septal defect? [2 marks]

A
  • Systemic circulation doesn’t receive all the blood being pumped by the left ventricle.
  • Leakage of blood into the right ventricle elevates right ventricular pressure and volume, causing pulmonary hypertension.
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13
Q

What can cause a ventricular septal defect? [1 mark]

A

The failure of the endocardial cushions to provide an anchor point for the developing ventricular septum.

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14
Q

What does the foramen primum do? [1 mark]

A

It permits the right to left shunt of foetal blood, because there is no pulmonary circulation.

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15
Q

What does the foramen ovale do in the foetal heart? [1 mark]

A

Bypass pulmonary circulation during development (blood can go from left to right atrium)

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16
Q

How are the septums fused and how does the foramen ovale close? [2 marks]

A
  • Pressure in lungs at birth decreases so the veins and arteries in lungs open so blood flows through them.
  • Pressure in right atrium and ventricle decreases and pressure in left atrium increases.
17
Q

What results from the separation of the ventricles? [3 marks]

A

Union of:

  • Conotruncal septum (grows as a spiral)
  • Endocardial cushions (meets with CS and VS)
  • Ventricular septum (meets with CS and ECs)
18
Q

What happens if the conotruncal septum is misaligned? [1 mark]

A

Different sized aorta and pulmonary artery (causing tetralogy of Fallot)

19
Q

What are the signs in the tetralogy of Fallot? [4 marks]

A
  • Pulmonary stenosis
  • Overriding aorta
  • Ventricular septal defect
  • Right ventricular hypertrophy
20
Q

What does the ductus arteriosis do? [1 mark]

A

Bypass pulmonary circulation (closes at birth)