Heart I

Question 1

Pericardial sac

Answer 1

folds up and envelops phrenic nerve. Has fibrous and serous portion

Question 2

Fibrous portion of pericardial sac

Answer 2

fuses with central tendon of diaphragm

Question 3

serous portion of pericardial sac

Answer 3

prevents friction

Question 4

what does heart sit on

Answer 4

central tendon of diaphragm

Question 5

VIsceral pericardium

Answer 5

on heart and great vessels

Question 6

parietal pericardium

Answer 6

on heart wall

Question 7

percardiocentesis

Answer 7

fluid in pericardial cavity

Question 8

Where can you put a needle to deal with pericardiocentesis

Answer 8

subcostal/infrasternal area

lingual and cardiac notch

Question 9

Where is apex located

Answer 9

left ventrical

Question 10

what is the base of the heart

Answer 10

left atrium

Question 11

anterior/sternocostal surface

Answer 11

right ventrical

Question 12

inferior/diaphragmatic surface

Answer 12

left ventrical

Question 13

left/pulmonic surface

Answer 13

left ventrical

Question 14

borders of heart

Answer 14

• Left aurical
• RIght aurical
• Right atria
• Right ventrical

Question 15

Superior border of heart

Answer 15

left auricle

Question 16

right border of heart

Answer 16

all of right atria

Question 17

what is in between superior and inferior vena cava

Answer 17

right atrium

Question 18

inferior border of heart

Answer 18

edge of right ventricle and inferior edge of apex

Question 19

atrioventicular goove

Answer 19

between atria and ventricle

Question 20

coronory sulcus

Answer 20

crown of heart. coronary arteries sit in the middle

Question 21

anterior interventricular groove

Answer 21

groove between two ventricles

Question 22

interventricular septum

Answer 22

wall between two ventricles

Question 23

diaphramitc surface

Answer 23

sits on central tendon

Question 24

Posterior interventricular groove

Answer 24

on posterior side of heart. seperates right and left ventricle

Question 25

superior vena caba

Answer 25

drains everything above diaphram

Question 26

inferior vena caba

Answer 26

drains everything below diaphram

Question 27

sinus venaium

Answer 27

smooth surface of right atria

Question 28

crista terminalis

Answer 28

border between pectinate and smooth area in right atria

Question 29

pectinate muscles

Answer 29

in anterior wall of right atria and right and left auriceles

Question 30

left atrium

Answer 30

thick up high | thins at the fossa ovalis

Question 31

coronary sinus

Answer 31

main drain vein of heart | opens into right atria

Question 32

Atrioventricular opening

Answer 32

drops deoxygenated blood in right ventricle

Question 33

triscupid cablue

Answer 33

has anterior and posterior cusps | leaflet that guards AV value on right side

Question 34

papillary muscles

Answer 34

anchor the chordae tendinea

Question 35

What happens if you rip the chordae tendinal

Answer 35

causes fluttering during heart sound

Question 36

wall of ventricles

Answer 36

has trebachlae carnea

Question 37

Interventricular spetum

Answer 37

divides ventricles. Very thick at inferior border

Question 38

What pumps out the outflow

Answer 38

conus artenousis

Question 39

semilunar valves

Answer 39

guard the pumonary trunk

Question 40

Moderator band

Answer 40

carves off right side of interventricular spetum

Question 41

where do pulmonary veins drain

Answer 41

left artery

Question 42

interatrial septum

Answer 42

consistent color compared to right side | has thick and thin portions

Question 43

AV opening

Answer 43

guarded by 2 valves. Has anterior and posterior cusps

Question 44

What is thicker, left or right ventricle

Answer 44

left

Question 45

Outflow

Answer 45

from LV out the front of heart

Question 46

aortic vestibule

Answer 46

thinnest and most clinically significant.

Question 47

distole

Answer 47

relax

Question 48

systole

Answer 48

contract (squeeze)

Question 49

How is myocardium stabilized

Answer 49

cardiac skeleton

Question 50

aortic ring

Answer 50

attached to pumonic rings, mitral valves, both AV valvues.

Question 51

How does conous arteriosus attach to aortic ring

Answer 51

tendon of condus artenoussis

Question 52

cusps of aortic valve

Answer 52

right, left, posterior

Question 53

nodal branch of right coronary artery

Answer 53

heads to junction of superior vena cava with the right atria

Question 54

right marginal artery

Answer 54

branch on inferior border of heart. heads towards apex

Question 55

right dominant heart

Answer 55

posterior interventricular artery comes off of right coronary artery

Question 56

left dominant heart

Answer 56

posterior interventricular artery comes off of left coronary artery

Question 57

what does circumflex artery anatomose with

Answer 57

right coronary artery. happens in myocardium to give consistent blood supply

Question 58

left coronary artery

Answer 58

widow maker. gives blood supply to entire body

Question 59

great cardiac vein

Answer 59

in front. runs in anterior interventricular groove with anterior interventricular artery.

Question 60

middle cardiac vein

Answer 60

in the back. runs in the posterior interventicular groove

Question 61

small cardiac vein

Answer 61

runs with marginal artery

Question 62

anterior cardiac veins

Answer 62

drain right ventricle into right atria

Question 63

conductory system of heart

Answer 63

under control of autonomic nervous system | cardiac muscle conducts impulse.

Question 64

AV node

Answer 64

conducts impulses at 40-60 bpms

Question 65

sympathetics

Answer 65

increase stoke volume, increase heart rate

Question 66

cardiac plexus provides what type of innervation

Answer 66

sympathetics and parasympathetics

Question 67

vagus provides what type of innervation

Answer 67

parasympathetic

Question 68

what provides sympathetic innervation

Answer 68

cerivcal splanchines, lower C7/C8, T1-T56,

Question 69

visceral afferents

Answer 69

T1-T4 run with sympathetic causes referred pain

Question 70

does the heart feel pain

Answer 70

no

Question 71

what does the heart feel

Answer 71

ischemia and metabolites and stretch

Question 72

What do women feel during an MI

Answer 72

lower levels, T4-T5, presents like epigastric pain or GERD

Question 73

What do men feel in an MI

Answer 73

higher levels, T1, left medial arm pain

Question 74

heart sounds

Answer 74

caused by turbulence of blood glow as a result of closure of heart values

Question 75

lub

Answer 75

closure of AV value.

Question 76

Dub

Answer 76

closure of semilumar values

Question 77

where are your points of auscultation

Answer 77

pulmonic value, aortic semilunar value, mitral value, tricuspid value

Question 78

Pulmonic value

Answer 78

between right ventricle and pulmonary trunk/arteries stethoscope of left 2nd intercostal blood flows superiorly/laterally

Question 79

aortic semilunar value

Answer 79

between elft ventricle and ascending aorta stethoscope on 2nd intercostal blood flows from apex to third rib

Question 80

mitral valve

Answer 80

inflow value between left atrium and left ventricle stethoscope at apex of heart in 5th intercostal space blood flow from center of chest to apex

Question 81

tricupsid value

Answer 81

between right atrium and right ventricle | blood flows from lower right border to lower left sternum