GA1 - Heart Flashcards

1
Q

Pericardium located in the

A

middle mediastinum

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

pericardium is ___ to the body of the sternum, 2nd to 6th costal cartilages, and _____ to T5 to T8 vertebrae

A

posterior; anterior

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Pericardium is a double-walled ______ sace which encloses the _____ and the root of the _____ ____; _____ in shape

A

fibroserous; heart; great vessels; conical

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

pericardium is influenced by (4)

A

heart and great vessels, sternum and diaphragm

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

pericardium is bound by 2 ligaments

A

pericardiacophrenic and sternopericardial

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

fibrous pericardium

A

outer tough fibrous layer made up of dense irregular CT

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

serous pericardium

A

parietal layer and visceral layer

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

parietal layer and visceral layer =

A

epicardium

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

serous pericardium contains __-__ml of serous fluid

A

5-30

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

serous fluid used for

A

lubrication

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

arterial supply to the pericardium (5)

A

branches from the internal thoracic, pericariacophrenic, musculophrenic and inferior phrenic arteries and the thoracic aorta

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

nerve supply to the pericardium

A

phrenic and vagus nerves, sympathetic trunk

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

myocardium

A

muscle layer; thicker

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

endocardium

A

inner lining

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

visceral pericardium

A

invests the heart itself

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

pericarditis

A

inflammation of the pericardium

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

pericardial effusion

A

abnormal amount of pericardial fluid

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

cardiac tamponade

A

blood collects in the pericardial vacity and as it accumulates, it prevents it from expanding;

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

cardiac tamponade symptoms

A

prominent neck veins because of loss of venous return, weak pulse, lower BP, muffled sounds, engorged neck pains (dilated)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

pericardiocentesis

A

needle to aspirate

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

what can cause cardiac tamponade?

A

stab wounds, ruptured coronary

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

base of the heart is

A

posterior

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

apex

A

left anteriorly and inferiorly; 5th intercostal space within midclavicular line

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

heart is _____ in shape

A

pyramidal

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
external surface of the heart
sternocostal, diaphragmatic, and pulmonary; base and apex
26
anterior/sternocostal surface is formed mainly by the
right ventricle
27
left pulmonary surface faces the left lung and consists of the ____ ___ and part of the ___ __
left ventricle; left atrium
28
right pulmonary surface faces the right lung and consists of
right atrium
29
interior/diaphragmatic surface is formed mainly b the ____ ____ and part of ____ ___; it is closely related to the ____ ____ of the diaphragm
left ventricle; right ventricle; central tendon
30
base is the ____ aspect of the heart formed mainly by the ___ ___ faceing the bodies of ____ -______ vertebrae
posterior; left atrium; T6-T9
31
apex is located in the left ___th intercostal space at the midclavicular line and is formed by the inferolateral part of the ____ ____
5; left ventricle
32
inferior border made up of mostly _____ _____ and part of ____ ____
right ventricle and part of left ventricle
33
diahragmatic surface made mostly of _____ _____ and part of ____ _____
left ventricle and part of right ventricle
34
base/posterior surface made of
Left atrium
35
pulmonary veins entering the
left atrium
36
another name for the coronary sulcus
atrioventricular sulcus
37
coronary sulcus/atrioventricular sulcus occupied by the
coronary sinus
38
coronary sinus primarily found in the
posterior
39
marginal branch of the right coronary artery is accompanied by the ____ cardiac vein
small
40
middle cardiac vein drains into the
coronary sinus
41
superior border is formed by the _____ ____ and ____ ____ and _____
left atrium and right atrium and auricles
42
inferior border formed by the ____ ___ and slightly by the ____ ____
right ventricle; left ventricle
43
left border is formed by mainly the _____ ____ and partly by the ____ ____
left ventricle; left auricle
44
right border is formed by the _____ ____ and extends from the _____ to _____
right atrium; SVC to IVC
45
internal features of right atrium (6)
crista terminalis, sinus venarum, pectinate muscles, venous openings, fossa ovalis, tricuspid orifice
46
internal features of left atrium (2)
pulmonary veins openings, mitral orifice
47
internal features of right ventricle (6)
conus arteriosus (infundibulum), papillary trabeculae carneae, mderator band, chordae tendinae, tricuspid valve
48
sinus venarium
openings of the veins
49
"thumb print"
fossa ovales
50
in unborn child the fossa ovale
foramen ovale, if it doesnt close = patent foramen oval, blood from pulmonary trunk --> ductus arteriosum
51
moderator band
ONLY IN RIGHT VENTRICLE
52
wall is a lot thicker in ____ ventricle
left
53
right and left coronary artery arise from
ascending aorta
54
left coronary artery gives off
anterior interventricular and circumflex
55
the left coronary artery supplies the SA nodal branch ___%
40
56
right coronary artery supplies the SA nodal artery ___%
60
57
right coronary artery gives off
right marginal artery, posterior interventricular and marginal
58
anterior interventicular supplies
both ventricles and septum
59
circumflex supplies the
left atrium and left ventricle
60
posterior interventricular supplies
both ventricles
61
marginal supplies
right ventricle
62
right coronary artery supplies
right atrium, most of right ventricle, part of left ventricle and posterior third of AV septum
63
right coronary artery supplies the AV node ____%
80
64
left coronary artery supplies the
left atrium, most of left ventricle, part of right ventricle, most of the IV septum, including AV bundle
65
left coronary artery is behing
pulmonary trunk
66
2 main branches of left coronary artery
circumflex and anterior interventicular
67
marginal branch off of
right coronary artery
68
AV nodal artery off of
R coronary artery
69
poesterior interventricular off of
right coronary artery
70
dominence of coronary arterial system is defined by which artery gives rise to
posterior interventricular artery
71
dominence of the ___ ____ ___ is typical
right coronary artery
72
___ ___ ____ is dominent 10%
left coronary artery
73
codominance of coronary arteries happens ____%
15
74
great cardiac vein is accompanied by
anterior interventricular artery
75
middle cardiac vein accompanied by the
posterior interventricular artery
76
small cardiac vein accompanied by
right marginal artery
77
left marginal vein accompanied by
left marginal artery
78
left posterior ventricular vein accompanied by
left posterior ventricular artery
79
anterior cardiac veins drain directly to ___ ___
right atrium
80
vena cordis mini (smallest cardiac veins) drain directly in the
atria
81
skeleton of the heart is composed of
fibrous or fibrocartilaginous tissue
82
___ ____ that give circular form and rigidity ot the AV orifices and roots of pulmonary trunk and aorta
fibrous rings
83
if the outlets become too dilate =
valves wont be able to close properly
84
SA node found in
subepicardium
85
SA node near opening of
SVC
86
SA node at the upper end of the
crista terminales
87
SA node is the primary ____ - initiates impulses
pacemaker
88
AV node is stimulated by
SA Node
89
AV nodes lies in the ____ aspect of the interstitial wall near opening of the ____ ____
posterior; coronary sinus
90
AV bundle of his - right goes to
right bundle branch
91
AV bundle of his - left goes to
left bundle branch
92
purkinje fibers are
specialized cardiac muscles
93
__-__x larger than regular cardiac muscles
4-5
94
purkinje fibers attach to
cardiac muscles
95
purkinje fibers cause
contraction of the heart
96
a block between the SA-AV cause an
unsynchronized heart beat
97
contributions to the cardiac plexus
vagus, thoracic splanchnic and cervical cardiac
98
cardiac plexus of nerves contain
pre gg parasymp fibers, vagal afferent fibers, post gg symp fibers, symp afferent fibers
99
pre gg parasymp fibers of cardiac plexus come from
vagus
100
vagal afferent fibers concerned with
cardiac reflexes
101
cardiac reflexes detect (GVA)
chandes in blood pressure and chemical compositon of the blood
102
post gg symp fibers from
thoracic splanchnic and cervical cardiac
103
vagal afferent fibers from
vagus
104
symp afferent fibers detect
ischemic pain (GVA)
105
ischemic
pain from lack of blood flow