block 2 lecture 9 Flashcards

1
Q

what are the 4 chambers of the heart?

A

left and right atrium and ventricles

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2
Q

what are the great vessels?

A

vessels which come of the heart

aorta, superior and inferior vena cava, pulmonary vessels

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3
Q

where do the pulmonary veins return blood to?

A

left atria

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4
Q

where does the vena cava supply blood to?

A

right atria

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5
Q

where does the heart sit?

A

middle mediastinum in the thoracic cavity

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6
Q

features of the right side of the heart?

A

straigh vertical

3rd-6th costal cartilages

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7
Q

how does the long axis of the heart travel?

A

infero laterally

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8
Q

features of the left side of the heart?

A

oblique

2nd costal cartilage - 5th costal cartilage

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9
Q

on the back where does the heart run?

A

5th-8th thoracic vertebra

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10
Q

what are the membranes that surround the heart?

A

pericardium

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11
Q

what is the outer most pericardium?

A

fibrous

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12
Q

what are the pericardium under the outer fibrous layer?

A

parietal and visceral

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13
Q

features of the parietal and visceral pericardium?

A

they are a continuous layer which reflects in on itself

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14
Q

what is the outermost layer of pericardium called?

A

epicardium (visceral)

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15
Q

what are the three layers of the heart?

A

epicardium
myocardium
endocardium

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16
Q

where is the pericardial cavity found?

A

between visceral and parietal pericardium

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17
Q

what is the pericardial cavity?

A

potential space

fluid to allow friction less movement

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18
Q

what are the different sinuses of the heart?

A

oblique pericardial sinus

transverse pericardial cavity

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19
Q

where is the oblique pericardial sinus?

A

on the back of the heart between pulmonary veins

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20
Q

where is the transverse pericardial sinus?

A

between the aorta and pulmonary trunk

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21
Q

what is the right border made up of?

A

right atrium

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22
Q

what is the left border made up of?

A

left ventricle

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23
Q

when are the borders of the heart important?

A

when looking at a radiograph

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24
Q

what is an auricle?

A

protrusion of the atria wall

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25
what is the aortic knuckle?
aortic arch on chest radiograph
26
what do the atria do?
set the cardiac pace | receive blood and pass it on to ventricles
27
what is the pace maker of the heart?
SAN
28
where is the SAN?
right atria
29
where is the AVN?
atria
30
where does the right atria receive blood?
superior vena cava inferior vena cava coronary sinus
31
where does the coronary sinus drain blood from?
coronary circulation
32
what is the smooth part of the atria?
sinus venarum
33
what is the sinus venarum derived from?
blood vessels embryonically
34
what is the rough part of the atria covered with?
pectinate muscle
35
what is the dividing line between smooth and rough atria walls?
cresta terminla
36
whats inside the cresta terminala?
sinoatrial node
37
what is the cresta terminala on the outside?
groove called sulcus terminalis
38
what is the oval depression in the smooth wall called?
fossa ovalis
39
what is the fossa ovalis?
depression in the smooth atria wall | derived from the connection between the atria in utero
40
what is the fossa ovalis derived from?
faramen ovalae
41
what is the left atrium supplied by?
the four pulmonary veins: | superior/inferior/left and right
42
what is the valve between the right atria and ventricle?
tricuspid valve
43
what is the valve between the left atria and ventricle?
bicuspid/mitral
44
in the right ventricle what route does the blood take?
U shaped direction as it enters the pulmonary artery through the pulmonary trunk
45
what is the pulmonary valve connected to?
cords tendonae
46
what controls the cords tendonae?
papillary muscles
47
what is below the papillary muscles?
rough area covered in trabculae carne
48
what does the trabecula carnae do?
stops walls of the heart sticking together during systole
49
what is the moderate band also known as?
septum marginal trabecular
50
where does the bundle of hiss run?
septum marginal trabecular
51
what funnels blood to the valve in the ventricles?
smooth funnel called infundibulum
52
where do you find semi lunar valves?
between ventricles and the great vessels
53
examples of semi lunar valves?
pulmonary and aortic
54
how many cusps does the semi lunar valves have?
3
55
what do the three cusps of the semi lunar valves form?
3 sinuses
56
how many semi lunar cusps have coronary vessels coming off them?
2
57
what are the 2 cusps of the semi lunar valve that give rise to coronary arteries?
``` right aortic (anterior) sinus - right coronary sinus left aortic (left posterior) sinus - left coronary artery ```
58
when do the coronary arteries fill?
during diastole (relaxation of the heart)
59
why cant the coronary arteries fill during systole?
the cusps of the vavles push against the wall of the aorta and close the opening
60
where does the right coronary artery run?
aorta down the antrioventricular groove at the bottom it gives off the marginal artery which runs along the inferior border
61
what shape does the right coronary artery and marginal artery form?
L shape
62
why is the left coronary artery much shorter than the right?
bifurcates almost immediately
63
what does the left coronary artery bifurcate into?
left circumflex and left anterior descending
64
what are the three cardiac veins?
great middle small