Heart and Lungs Flashcards

1
Q

mediastinum

A

area between pleural cavities

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2
Q

what is inside the mediastinum?

A

heart and pericardium

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3
Q

contents outside the pericardium

A

1) . thymus
2) . veins
3) . arteries
4) . nerves
5) . trachea and primary bronchi
6) . esophagus
7) . thoracic duct

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4
Q

which veins are found in the mediastinum outside the pericardium?

A

1) . R/L brachiocephalic
2) . superior vena cava
3) . azygos veins

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5
Q

which arteries are found in the mediastinum outside the pericardium?

A

1) . aortic arch/descending aorta/ branches to thoracic structures
2) . pulmonary truck with R/L pulmonary artery branches
3) . brachiocephalic trunk
4) . left carotid
5) . left subclavian

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6
Q

which nerves are found in the mediastinum outside the pericardium?

A

1) . vagus & recurrent laryngeal branches > esophageal plexus
2) . phrenic
3) . cardiac plexus (sympathetic & parasympathetic)
4) . sympathetic chain ganglia

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7
Q

layers of the pericardium

A

1) . fibrous pericardium
2) . serous pericardium
3) . visceral pericardium

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8
Q

what is the fibrous pericardium

A

outer layer of pericardium; suspends the heart in loose CT of mediastinum, protects it from over filling

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9
Q

what is the serous pericardium?

A

serous membrane forming the inner lining of pericardium (parietal pericardium)

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10
Q

what is the visceral pericardium?

A

serous membrane forming the outer covering of the heart (epicardium)

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11
Q

what is the orientation of the heart?

A

oblique, off center with 2/3 on L of mid-sagitall plane

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12
Q

venous supply to the right atria

A

1) . Superior vena cava - blood from head, arms and thorax
2) . inferior vena cava - blood from abdomen, pelvis, and legs
3) . coronary sinus - blood from heart myocardium

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13
Q

valve between R atria and ventricle

A

R atrioventricular (AV) valve = tricuspid valve

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14
Q

left AV valve

A

bicuspid/mitral valve

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15
Q

valve between R atria and pulmonary trunk

A

pulmonary semilunar valve

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16
Q

valve between L ventricle and aorta

A

aortic semilunar valve

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17
Q

layers of the heart wall

A

1) . epicardium
2) . myocardium
3) . endocardium

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18
Q

what is the endocardium?

A

simple squamous epithelial lining of the heart chambers

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19
Q

what attaches to AV valve flaps and close valves

A

chorde tendenae and papillary muscles

20
Q

what do the trabeculae carneae do?

A

muscular ridges found on the inner surface of both ventricles

21
Q

where are the pectinate muscles?

A

ridges found on the inner surface on both atria

22
Q

where are the auricles?

A

R/L pouches attached to the R/L atria

23
Q

what is the fibrous skeleton of the heart?

A

dense CT associated with the bases of the 4 valves. Acts as an insulator to electrically isolate atria from ventricles to create 2 heart pumps

24
Q

where does the right coronary artery branch to?

A

1) . SA node
2) . base of heart
3) . posterior R/L ventricles and IVC
4) . AV node

25
where does the left coronary artery branch to?
1) . SA node (40%) 2) . Ant R and L ventricles and IVS 3) . post surface 4) . left border 5) . post R and L ventricles and IVC (30%)
26
where do the R/L coronary arteries run?
in AV sulcus
27
how does the right coronary artery get to the Post R/L ventricles and IVC?
via posterior interventricular
28
how does the right coronary artery get to the base of the heart?
right marginal
29
how does the left coronary artery get to the Ant R/L ventricles and IVS?
via anterior interventricular artery = left anterior descending artery
30
how does the left coronary artery get to the posterior surface of the heart?
via circumflex artery
31
how does the left coronary artery get to the left border of the heart?
via marginal artery
32
where do the veins of the heart drain?
into great cardiac vein (left coronary sulcus) -\> coronary sinus -\> right atria
33
how does the left coronary artery run to the ant R/L ventricles and IVS?
via anterior inter ventricular artery and left anterior descending artery
34
how does the left coronary artery branch to the posterior surface of the heart?
via circumflex artery
35
how does the left coronary artery run to the left border of the heart?
via the marginal artery
36
how does the left coronary artery branch to the post R/L ventricles and IVC?
via posterior inter-ventricular artery
37
how does the R coronary artery branch to the base of the heart?
via right marginal artery
38
how does the R coronary artery branch to the posterior R/L ventricles and IVC?
via posterior inter-ventricular artery
39
T/F: the fibrous pericardium is continuous with the serous pericardium
TRUE
40
What is the intrinsic pathway for coronary innervation?
SA node (pacemaker) -\> internodal fibers -\> AV node (delay) -\> AV bundle of HIS -\> bundle branches -\> Purkinje fibers
41
what is found in the hilum of the lungs?
1. pulmonary arteries and veins 2. bronchial arteries and veins 3. primary (main) bronchus 4. lymphatics 5. nerves 6. pulmonary ligament
42
what is the pulmonary ligament?
fold of viseral and parietal pleura connecting lungs to mediastinum
43
what portion of the airway has thick walls with no gas exchange?
the conducting portion
44
name the structures in the conducting portion of the airway
1. Oral and nasal cavities 2. Pharynx 3. Larynx 4. Trachea 5. Primary bronchi 6. Secondary bronchi (to lobes) 7. Tertiary bonchi (segmental, ~10 per lung) 8. Bronchioles 9. Terminal bronchioles
45
what portion of the airway is responsible for gas exchange?
Respiratory portion
46
Name the structures in the respiratory portion of the airway
1. Respiratory bronchioles (lubulues) 2. Alveolar duct 3. Alveolar sac 4. Alveoli