B4-101 Into to RC Anatomy Flashcards
(123 cards)
1
Q
ribs 1-7 attach to the
A
sternum
2
Q
ribs 8-10 attach to the
A
costal cartilages
3
Q
ribs 11 and 12 attach to
A
nothing; floating ribs
4
Q
how many costal cartilages are there?
A
12
5
Q
parts of the sternum [3]
A
manubrium
body
xiphoid process
6
Q
projects back in to the IV disc between T4 and T5
A
sternal angle (of louis)
7
Q
A
sternal angle
8
Q
vertical line through the middle of the clavicle anteriorly
A
midclavicular
9
Q
vertical line through the lateral side from the axilla
A
midaxillary
10
Q
vertical line through the inferior angle of the scapula posteriorly
A
infra-scapular
11
Q
weakest part of a rib is anterior to
A
the angle
12
Q
posteriorly articulates with its corresponding numbered vertebrae and the one above it
A
head of typical rib
13
Q
contains the intercostal vein and artery
A
costal groove
14
Q
contribute to thoracic outlet syndrome
A
cervical rib
loss of radial pulse/hand ischemia
15
Q
A
pectus carinatum
pigeon breast
16
Q
A
bilateral cervical ribs in patient with thoracic outlet syndrome
17
Q
A
pectus excavatum
funnel chest
18
Q
.
A
top: pectus carnitum
bottom: pectus excavatum
19
Q
the heart should not go past the
A
midclavicular line
20
Q
lies at marked angulation between the long axis of the body
A
heart
21
Q
typical position of heart within mediastinum
A
one -third to the right of midline
two-thirds to the left of midline
22
Q
the apex of the heart is located where?
A
5th intercostal space
23
Q
base of the heart is the
A
left atrium
24
Q
part of the heart located most posteriorly
A
left atrium
25
where is the right ventricle located?
anterior, sternocostal
26
the diaphragmatic surface of the heart includes
left ventricle and part of right ventricle
27
the right pulmonary surface of the heart includes
right atrium
28
left pulmonary surface of the heart includes
left ventricle
29
right borders on cardiac silhouette
SVC and right atrium
30
left borders on cardiace silhouette
aortic arch, pulmonary artery, left auricle, and left ventricle
31
inferior borders on cardiac silhouette
right ventricle and small portion of left ventricle
32
ratio of the diameter of heart to the diameter of a thoracic cavity
CTR
33
if CTR> 0.5,
heart is abnormally large
34
what X ray view should be used to assess for cardiomegaly?
PA
35
central compartment of thorax located between pleural cavities
mediastinum
36
contains all viscera except lungs
mediastinum
37
divisions of the mediastinum are created by the
sternal angle (of Louis)
38
the inferior middle section of the mediastinum contains
pericardium, heart, roots of great vessels
39
fibrous membrane that covers the heart and great vessels
pericardium
40
the fibrous layer of the pericardium is attached to
central tendon of the diaphragm
41
parietal pericarium is attached to which layer?
fibrous
42
visceral pericardium is attached to
heart
43
between parietal and visceral serous pericardium
pericardial cavity
44
nerve supply to pericardium
phrenic nerve
45
irritation of the pericardium can cause
referred pain to shoulder
46
symptoms of pericardial effusion on EKG
sinus tachycardia
low QRS voltage
electrical aternans
47
a large pericardial effusion on CXR would show
enlarged cardiac silhouette with clear lung fields
48
pericardial effusion
49
collection of blood, fluid, or air in pericardial sac
cardiac tamponade
50
symptoms of cardiac tamponade
anxiety
chest pain that worsens with deep breaths
dyspnea
discomfort
pale, gray, or blue skin
peripheral edema
51
physical exam findings:
tachycardia
hypotension
elevated jugular venous pressure
pulsus paradoxus
pericardial rub
diminshed heart sounds
cardiac tamponade
52
air in pericardial cavity
| cardiac tamponade
53
procedure done to relieve cardiac tamponade
pericardiocentesis
54
pericardiocentesis is possible due to
cardiac notch of lung
55
separates outflow tract from venous return
transverse pericardial sinus
56
posterior to base of heart
pericardial reflection along pulmonary veins and IVC
oblique pericardial sinus
57
oblique pericardial sinus
58
transverse pericardial sinus
59
most posterior chamber of heart and close proximity to esophagus
left atrium
## Footnote
d/t this, TEE and barium swallow studies can be done
60
deoxygenated blood returns to the [structure] via the SVC and IVC
right atrium
61
from the right atrium blood travels through [structure] into [structure]
tricuspid valve; right ventricle
62
from right ventricle, blood travels through [structure] into [structure]
pulmonary valves; pulmonary trunk
63
oxygenated blood returns to the [structure] via [structure]
left atrium; pulmonary veins
64
from the left atrium, blood travels through [structure] into [structure]
mitral valve; left ventricle
65
from the left ventricle blood flows through [structure] into [structure]
aortic valves; aorta
66
ventricular elongation and filling
diastole
67
blood enters the coronary veins during
diastole
68
"dub" closure of the aortic and pulmonary valves
diastole
69
ventricular shortening and emptying
systole
70
"lub" closure of mitral and tricuspid valves
systole
71
right atrium
72
right ventricle
73
left ventricle
74
openings of SVC and IVC are found in the
right atrium
75
crista terminalis is found in the
right atrium
76
pectinate muscles are found in the
right atrium
| and auricle of left atrium (?) i think
77
the fossa ovalis and limbus are found in the
right atrium
78
the opening of the coronary sinus is found in the
right atrium
79
the auricles are found in the
left/right atrium
80
the four pulmonary veins are found in the
left atrium
81
the tricuspid valve is found in the
right ventricle
82
chordae tendinae are found in the
left/right ventricle
83
papillary muscles are found in the
left/right ventricle
84
the moderator band is found in the
right ventricle
85
the trabeculae carnae is found in the
left/right ventricle
86
the pulmonary valve and trunk are found in the
right ventricle
87
the mitral valve is found in the
left ventricle
88
aortic valves are found in the
left ventricle
89
muscular and membranous parts of the IV septum are found in the
left ventricle
90
1. SVC entering RA
2. R superior pulmonary veins
3. LA
4. descending aorta
5. left inferior pulmonary vein
91
1. RV
2. RA
3. IVC
4. azygous vein
5. descending aorta
6. LV
92
the heart narrows and shortens starting at the [blank] and wringing toward the [2 structures]
apex; aorta & pulmonary trunk
93
lies in atrioventricular sulcus
circumflex branch of left coronary
94
lies in anterior interventricular sulcus
LAD
95
branch of LAD or LC coursing toward left margin of heart
left diagonal
96
one or more vessels along the left obtuse margin
left marginal branches
97
supplies the SA node, anterior portion of right ventricle, anterior 2/3 of IV septum, left ventricle, and left atrium
left coronary artery
98
small branch that comes off just beyond the origin of the right coronary
| supplies RA and SA node
SA nodal branch of RCA
99
parallel to diaphragmatic border
marginal branch of RCA
100
lies in the posterior interventricular sulcus
posterior descending branch of RCA
101
given off in vicinity of the origin of the posterior IV branch
AV nodal branch of RCA
102
supples the SA node, RA, RV, posterior portion of left ventricle, posterior 1/3 of septum
RCA
103
.
1. LCA
2. circumflex
3. posterior interventricular
4. left marginal
5. anterior interventricular LAD
104
1. catheter
2. SA nodal a.
3. RCA
4. posterior interventricular
105
the artery that gives rise to the posterior interventricular a. is considered
dominant
106
the dominant artery crosses the "crux" of the heart and gives rise to
AV nodal artery
107
dominance influences
damaged region following MI
108
travels with the anterior interventricular artery in the IV groove and then travels with the circumflex in the AV groove
| vein
great cardiac vein
109
travels with the posterior interventricular artery
| vein
middle cardiac v.
110
travels with the right marginal artery
| vein
small cardiac vein
111
lies in the posterior part of the atrioventricular sulcus
coronary sinus
112
great, middles, and small cardiac veins are tributaries of
coronary sinus
113
cross over the RCA to drain directly into RA
anterior cardiac veins
114
a radiopaque catheter is inserted into a peripheral vein or artery and directed to heart
cardiac catheterization
115
pacemaker of heart
SA node
116
intiates and regulates impulse for contraction
SA node
117
located near junction of SVC and crista terminalis
SA node
118
distributes signal to ventricle via AV bundle
AV node
119
located near opening of coronary sinus and interatrial septum
AV node
120
located in membranous part of the interventricular system
bundle of HIS
121
located in the anterior part of the muscular part of the interventricular septum
right and left bundle branches
122
located in walls of the ventricle
purkinje fibers
123
fibers from the right bundle branch that go to the anterior papillary muscle in the RV
septomarginal trabecula
