Heart Flashcards

1
Q

Where is the point of maximal impulse of the heart?

A

Apex beat

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2
Q

Where can the apex beat be palpated?

A

Inferior and medial to left nipple
5th left intercostal space in midclavicular line, 9cm from median plane

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3
Q

What may cause an abnormal position of the apex beat?

A

Cardiac disease
Movement of mediastinum

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4
Q

What layers make up the pericardium?

A

Fibrous pericardium
Parietal serous pericardium
Visceral serous pericardium/epicardium

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5
Q

Where is the fibrous pericardium adherent to?

A

Central tendon of diaphragm

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6
Q

What is pericarditis?

A

Inflammation of the pericaridum

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7
Q

What is pericardial effusion?

A

Excess fluid in the pericardium

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8
Q

What is cardiac tamponade?

A

Compressed heart due to accumulation of fluid in the pericardial sac which impairs cardaic function

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9
Q

Where is the oblique pericardial sinus?

A

Reflection around veins

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10
Q

Where is the transverse pericardial sinus?

A

Reflection around arteries and veins
Used in surgery to allow for control of blood leaving the heart

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11
Q

If you were to insert your finger into the transverse pericardial sinus, what would lie anterior to your finger?

A

The arteries

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12
Q

What are the surfaces of the heart?

A

Anterior/sternocostal
Posterior/base
Inferior/Diaphragmatic
Left pulmonary
Right pulmonary

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13
Q

What is the infundibulum/conus arteriosis?

A

Funnel-shaped upper part of right ventricle leading to the pulmonary trunk

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14
Q

What is the main chamber that constitutes to the base of the heart?

A

Left atrium

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15
Q

What chambers make up the diaphragmatic surface of the heart?

A

2/3 wall of left ventricle
1/3 wall of right ventricle

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16
Q

Where does the coronary sulcus lie?

A

Between the atria and ventricles

17
Q

What do the interventricular sulci do?

A

Separate the ventricles from one another

18
Q

What is a cardiac valve?

A

Endocardium with connective tissue core

19
Q

What is the role of the cardiac skeleton?

A

Anchors valve cusps
Prevents overdilation of valve openings
Blocks direct spread of electrical impulses

20
Q

What name is given to the smooth muscular ridge inside of the right atrium?

A

Crista terminalis

21
Q

What name is given to the ridges in the wall of the right atrium?

A

Pectinate muscles

22
Q

What is the fossa ovalis?

A

Depression in interatrial septum
Remnant of foramen ovale from embryology

23
Q

What feature is present in the right atrium but not the left atrium?

A

Crista terminalis

24
Q

What is the muscular interventricular septum?

A

Thick major part of the interventricular septum

25
Q

What is the membranous interventricular septum?

A

Thin, upper part of the interventricular septum

26
Q

What is found in the internal wall of the ventricles?

A

Trabeculae carneae
Papillary muscles
Chordae tendinae

27
Q

What is found in the internal wall of the ventricles?

A

Trabeculae carneae
Papillary muscles
Chordae tendineae

28
Q

Name the atrioventricular valves.

A

Tricuspid valve
Bicuspid/mitral valve

29
Q

What is the structure of the atrioventricular valves?

A

Fibrous leaflets attached to fibrous ring which surrounds orifice

30
Q

What are the attachments of the chordeae tendineae?

A

Free margin and ventricular surface of leaflet
Papillary muscles

31
Q

When are the atrioventricular valves open and closed?

A

Open - diastole
Closed - systole

32
Q

How many cusps are in the semilunar valves?

A

3 pocket-shaped cusps

33
Q

What is valve stenosis?

A

Valve doesn’t open properly - narrow opening

34
Q

What is valve incompetence/regurgitation/insufficiency?

A

Valves does not close properly resulting in backflow