Heart & Lungs Flashcards

1
Q

Where is the mediastinum located and what structures does it contain?

A

Located between the pleural cavities laterally.

Contains the heart and the pericardium.

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2
Q

What parts of the heart are outside of the pericardium?

A
  • Thymus
  • Veins (R and L brachiocephalic, superior vena cava, azygos veins)
  • Arteries
  • Nerves
  • Trachea
  • Esophagus
  • Thoracic Duct
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3
Q

Where is the thymus located and what is it’s purpose?

A

Located above the heart (thoracic inlet)

Develops T-cells for immune function

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4
Q

What do the right and left brachiocephalic veins come from and where do they go?

A

Stem from the superior vena cava

Go on to form the R and L subclavian VEINS

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5
Q

The azygos veins drain blood from the ______ and ______ into the ________.

A

Thorax and Abdomen

Into the Superior Vena Cava

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6
Q

Arteries include the following:

A
  • Aortic arch/ descending aorta/ branches to thoracic structures
  • Pulmonary artery (carrying deoxygenated blood to lungs)
  • Brachiocephalic Trunk
  • Left Carotid
  • Left Subclavian
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7
Q

What branches come off of the aortic arch?

A
  • Brachiocephalic
  • Left common carotid
  • Left subclavian
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8
Q

The brachiocephalic branches off into what?

A
  • Right common carotid

- Right subclavian

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9
Q

What are the nerves outside the pericardium?

A
  • Vagus and recurrent laryngeal branches- esophageal plexus
  • Phrenic
  • Cardiac plexus
  • Sympathetic chain ganglia
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10
Q

Recurrent laryngeal nerves (R & L) is a branch of the ______ nerve and has what function?

A
  • Vagus Nerve

- Supplies intrinsic muscles of the larynx except for the cricothyroid muscle

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11
Q

What nerves make up the esophageal plexus?

A
  • Branches of vagus nerve

- Branches of sympathetic chain ganglia

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12
Q

What does the phrenic nerve innervate and what ventral rami does it come from?

A

-Innervates the diaphragm (breathing)

Comes off of rami C3-C5

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13
Q

The cardiac plexus recieves innervation from both ______ and _______.

A
  • Sympathetic

- Parasympathetic (Vagus)

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14
Q

What is the length of the sympathetic chain ganglia?

A

Upper neck down to coccyx

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15
Q

The point where the trachea splits is called what?

A

Carina

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16
Q

T or F. The esophagus runs behind the trachea.

A

True, the esophagus runs behind the trachea and heart. Runs in front of the spine.

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17
Q

Thoracic duct function?

A

Transfer lymph back into circulatory system

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18
Q

What is the function of the pericardium?

A

Keep the heart from over inflating and providing protection.

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19
Q

What are the levels of the pericardium in order?

A
  • Fibrous pericardium
  • Serous pericardium divided into 2 layers seperated by a space
  • Parietal Pericardium Layer- forms inner lining of pericardium
  • Pericardial Space
  • Visceral Pericardium Layer- outer cover of heart
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20
Q

The epicardium is the same as the what?

A

Visceral pericardium

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21
Q

Every chamber of the heart and the flow of blood through them? Also list the valves that seperates them.

A
  • Right Atria- Recieves deoxygenated blood from the sup/inf vena cava and the coronary sinus
  • Right AV Valve (tricuspid)-prevents back flow during ventricular systole (when pressure in Vent is higher than pressure in Atria)
  • Right Ventricle- Pumps blood into pulmonary circuit via the pulmonary artery
  • Pulmonary Semilunar Valve- Prevents backflow during ventricle diastole (when pressure in trunk is higher than ventricle)
  • Left Atria- Recieves oxygenated blood from the pulmonary veins.
  • Left AV Valve (bicuspid)- Prevents backflow into atria during ventricular systole
  • Left Ventricle- Distributes blood throughout body to capillary beds
  • Aortic Semilunar Valve- Prevents backflow during ventricular diastole
22
Q

Superior vena cava recieves blood from the _______ while the inferior vena cava recieves blood from the ________.

A

Head, arms, thorax

Abdomen, pelvis, legs

23
Q

What does the base of the heart lay on?

24
Q

What holds the AV valves closed?

A

Chordae tendinae

25
The interatrial septum is also known as what?
oval fossa
26
Layers of the heart wall?
- Epicardium (visceral pericardium) - Myocardium- thickest part - Endocardium- simple squamos epithelial - chordae tendinae & papillary muscles - trabeculae careae - pectinate muscles - auricles
27
Purpose of the chordae tendinae and the papillary muscles?
Project from ventricular walls and attach to the AV valves to close them and prevent backflow
28
Purpose of the trabeculae careae?
Muscle ridges that help direct flow of blood
29
Pectinate muscles location?
Inner surfaces of both atria
30
Purpose of the auricles?
Pouches attached to R and L atria that handle increased volume.
31
What is the fibrous skeleton purpose?
Electrically isolates the atria from the ventricles so that there are 2 heart pumps. An atrial pump and a ventricular pump.
32
Where do the coronary arteries branch off of?
Branch from the aorta where it attaches to the semilunar valve
33
The right coronary artery runs in what and branches to what?
Runs in the AV sulcus Branches into: - SA node - Base of heart- right and left ventricles to the apex via right marginal - Posterior R and L ventricles and IVC via posterior interventricular
34
The left coronary artery runs in what and branches to what?
Runs in the AV sulcus Branches into: - SA Node (40%) - Anterior R and L ventricles and IVS (interventricular septum) via anterior interventricular artery - Posterior surface- left atria and ventricle via circumflex artery - Left Border- left ventricle via marginal artery - Posterior R and L ventricles and IVC (30%) via posterior interventricular artery
35
All coronary veins run with named arteries and drain into what?
Great cardiac vein→coronary sinus→right atria
36
Coronary innervation includes?
``` Intrinsic pathway: -SA node (pacemaker)→internodal fibers→AV node→AV bundle of His→bundle branches→Purkinje fibers Sympathetic: -Sympathetic trunk=cervical (superior,middle,inferior) and superior thoracic trunk ganglia Parasympathetic: -Vagus nerves Cardiac plexus: -both sympathetic and parasympathetic ```
37
The single plug in of the lungs is known as what?
Hilum
38
The pleural sac is divided into what parts? Put correct order.
- Parietal pleura - Pleural cavity- fluid filled space - Visceral pleura
39
What holds the accumulation of pleural fluid?
Costodiaphragmatic recess
40
What is the purpose of the costomediastinal recess?
Assists lung expansion
41
General lung locations
- Apex- extend through thoracic inlet into base of neck - Base- rests on diaphragm - 3 surfaces (costal, diaphragmatic, mediastinal) Hilum: - pulmonary a.- deox blood - pulmonary v.- ox blood - bronchial a.- ox blood - bronchial v.- deox blood - primary bronchus - lymphatics - nerves - pulmonary ligament- fold of visceral and parietal pleura connecting lung to mediastinum
42
Difference between the right and left lung?
The right lung has 3 lobes while the left only has 2
43
The airway conducting portion has thick walls meaning what?
No gas exchange
44
The conduction portion of the ariway consists of what?
- Oral and nasal cavities - Pharynx - Larynx - Trachea - Primary (main) bronchi → whole lung - Secondary bronchi (lobar) → lobes - Tertiary bronchi (segmental) → segments (10 per lung) - Bronchioles- more smooth muscle than cartilage for dilation/constriction - Terminal bronchioles- more smooth muscle than cartilage for dilation/constriction
45
The Bronchioles and terminal bronchioles function?
regulation of airflow
46
The respiratory portion has thin walls meaning what?
There is gas exchange at this point
47
The respiratory portion consists of what?
- Respiratory bronchioles → lubules - Alveolar duct - Alveolar sac - Alveoli
48
Blood vessels of the lungs?
- Pulmonary arteries - Pulmonary veins - Bronchial arteries - Bronchial veins
49
Flow of lymphatics
Lymph capillaries and vessels of lung and pleura→ nodes of lung, bronchi, and trachea→ trunks→ right lymphatic and thoracic ducts in predictable pattern
50
Nerves of the lung consist of ________ and ___________.
Sympathetic- from sympathetic chain ganglia Parasympathetic- from vagus nerves Both go to pulmonary plexus