Heart and Thorax Innervation Flashcards

1
Q

transport blood away from the heart

A

arteries

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2
Q

transport blood toward the heart

A

veins

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3
Q

connect the arteries and veins & are where oxygen, nutrients, and wastes are exchanged within the tissues

A

capillaries

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4
Q

sternopericardial ligaments

A

attach the pericardium to the posterior surface of the sternum

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5
Q

pericardiacophrenic ligaments

A

attach the pericardium to the central tendon of the diaphragm

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6
Q

what attachments help to retain the heart in its position in the thoracic cavity?

A

sternopericardial and pericardiacophrenic ligaments?

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7
Q

what are the functions of the fibrous pericardium?

A

-protection
-stabilizes and limits cardiac distension
-prevents heart from overdilating and over filling with blood

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8
Q

potential space between the layers of serous pericardium

A

pericardial cavity

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9
Q

at what point does the pulmonary trunk divide into the right and left pulmonary arteries

A

at the level of the intervertebral disc between thoracic vertebrae 5 and 6

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10
Q

which division of the aorta lies in the superior mediastinum?

A

the arch of the aorta

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11
Q

what do the right and left pulmonary arteries carry?

A

originate from the pulmonary trunk and carry deoxygenated blood to the lungs from the right ventricle

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12
Q

how many pulmonary veins are their and what do they carry?

A

4 total- 2 on each side
-they carry oxygenated blood from the lungs back to the left atrium

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13
Q

where does the upper limit of the heart reach

A

as high as the third costal cartilage on the right side of the sternum and the second intercostal space on the left side of the sternum

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14
Q

the right margin of the heart extends from…

A

the right third costal cartilage to near the right sixth costal cartilage

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15
Q

the left margin of the heart…

A

descends laterally from the second intercostal space to the apex located near the midclavicular line in the 5th intercostal space

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16
Q

the lower margin of the heart extends from ….

A

the sternal end of the right sixth costal cartilage to the apex in the fifth intercostal space near the midclavicular line

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17
Q

a thickened area of connective tissue between the aortic ring and right atrioventricular ring

A

right fibrous trigone

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18
Q

a thickened area of connective tissue between the aortic ring and the left atrioventricular ring

A

left fibrous trigone

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19
Q

circles the heart, separating the atria from the ventricles

A

coronary sulcus

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20
Q

what is found in the coronary sulcus?

A

right coronary artery
small cardiac vein
coronary sinus
circumflex branch of the left coronary artery

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21
Q

consists of three semilunar cusps with free edges projecting upward into the lumen of the pulmonary trunk

A

pulmonary valve

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22
Q

forms most of the base or posterior surface of the heart

A

left atrium

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23
Q

which chamber of the heart has the thickest layer of myocardium?

A

left ventricle

24
Q

the opening from the left ventricle into the aorta is closed by the ___________________

A

aortic valve

25
Q

what valves do you listen to for heart sounds with a stethoscope?

A

tricuspid
mitral
pulmonary
aortic

26
Q

heart sound is heard to the left of the lower part of the sternum near the 5th intercostal space

A

tricuspid valve

27
Q

heart sound is heard over the apex of heart in the left fifth intercostal space at the midclavicular line

A

mitral valve

28
Q

heart sound is heard over the medial end of the left second intercostal space

A

pulmonary valve

29
Q

heart sound is heard over the medial end of the right second intercostal space

A

aortic valve

30
Q

a potentially life-threatening condition resulting from accumulation of fluid in the intrapericardial space, leading to compromised diastolic filling and cardiac output

A

cardiac tamponade

31
Q

what is the first line treatment of confirmed cardiac tamponade

A

pericardiocentesis

31
Q

artery that descends vertically between the right atrium and right ventricle

A

right coronary artery

32
Q

where does the sinu-atrial nodal branch of the right coronary artery run?

A

in the groove between the right auricle and ascending aorta

33
Q

where would the right marginal branch of the coronary artery be found?

A

the inferior margin of the heart and continues along the border toward the apex of the heart

34
Q

as the right coronary artery continues on the diaphragmatic surface, it supplies a small branch to the atrioventricular node before giving off the _________________________ branch.

A

posterior interventricular branch

35
Q

where does the left coronary artery pass through before entering the coronary sulcus?

A

between the pulmonary trunk and left auricle

36
Q

where is the anterior interventricular branch of the left coronary artery found?

A

it descends obliquely toward the apex of the heart in the anterior interventricular sulcus

37
Q

what branch of the left coronary artery courses toward the left, in the coronary sulcus and onto the base/diaphragmatic surface of the heart

A

circumflex branch of the left coronary artery

38
Q

how would you determine if a heart is right dominant?

A

if the posterior interventricular branch arises from the right coronary artery

39
Q

how would you determine if a heart is left dominant?

A

the posterior interventricular branch arises from an enlarged circumflex branch

40
Q

where is the sinus (sinoatrial) node located?

A

between the superior vena cava and right atrium

41
Q

why is the sinoatrial node called the natural pacemaker of the heart?

A

it generates impulses automatically by spontaneous depolarization of its membrane at a rate quicker than any other cardiac cell type

42
Q

what are the 4 basic components of the conduction system that coordinates contraction of the atrial and ventricular muscles?

A

-sinoatrial node
-atrioventricular node
-atrioventricular bundle with its right and left bundle branches
-subendocardial plexus of conduction cells (Purkinje fibers)

43
Q

The autonomic division of the peripheral nervous system regulates….

A

heart rate, force of each contraction, and cardiac output

44
Q

stimulation of the parasympathetic system….

A

decreases heart rate, reduces force of contraction, and constricts the coronary arteries

45
Q

stimulation of the sympathetic system…

A

increases heart rate and increases the force of contraction

46
Q

senses alterations in blood pressure and blood chemistry and are therefore primarily concerned with cardiac reflexes

A

afferents associated with the vagal cardiac nerves

47
Q

defined as a PR interval exceeding 0.2 sec with preserved 1:1 AV conduction relationship

A

first-degree atrioventricular (AV) block

48
Q

characterized by a failure of one or more, but not all, atrial impulses to conduct the ventricles. sinus rate will continue at regular intervals

A

second-degree atrioventricular heart block

49
Q

the absence of electrical impulse transmission from the atria to the ventricles when AV junction is not physiologically refractory, due to a functional or anatomical impairment of the conduction system, resulting in a bradycardia characterized by AV dissociation

A

complete heart block (CHB)

50
Q

the sinus node and the AV node are supplied by the ____________ in about 60-90% of people

A

right coronary artery

51
Q

disease in the right coronary artery can cause?

A

sinus bradycardia and AV nodal block

52
Q

Sinus arrhythmia description

A

variable QRS cycle lengths without change in the P wave-QRS relationship

53
Q

describe normal sinus rhythm with sinus arrhythmia:

A

the P-P intervals vary by >0.16 sec

54
Q

caused by obstructive coronary atherosclerotic plaque which results in myocardial oxygen demand-supply mismatch

A

stable coronary heart disease

55
Q

what is the gold standard to definitively diagnose stable coronary heart disease

A

invasive coronary angiography

56
Q

how does a heart attack occur

A

when the perfusion to the myocardium is insufficient to meet the metabolic needs of the tissue, leading to irreversible tissue damage
-usually a total occlusion of a major coronary artery