Cardiac anatomy, USMLE Flashcards

(48 cards)

1
Q

Gives rise to: ascending aorta and pulmonary trunk

A

Truncus arteriosus

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2
Q

Gives rise to: smooth parts (outflow tract) of right and left ventricles

A

Bulbus cordis

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3
Q

Gives rise to: trabeculated left and right ventricles

A

Primitive ventricle

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4
Q

Gives rise to: trabeculated right and left atria

A

Primitive atria

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5
Q

Gives rise to: Coronary sinus

A

Left horn of sinus venosus

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6
Q

Gives rise to: Smooth part of right atrium

A

Right horn of sinus venosus

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7
Q

Failure of truncal and pulmonary ridges to spiral gives rise to

A

Transposition of great vessels

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8
Q

Skewed aorticopulmonary septum gives rise to

A

Tetralogy of Fallot

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9
Q

Partial aorticopulmonary septum development gives rise to

A

Persistent truncus arteriosus

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10
Q

Components of TOF

A

PROVe

1) Pulmonary stenosis
2) Right ventricular hypertrophy (boot-shape)
3) Overriding of aorta
4) VSD

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11
Q

Aorticopulmonary septum fuses with muscular ventricular septum to form

A

Membranous interventricular septum

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12
Q

Endocardial cushion contributes to (3)

A

1) Atrial separation
2) Membranous interventricular septum
3) Separation of atria from ventricles

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13
Q

Foramen secundum is seen in

A

Septum primum

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14
Q

Foramen ovale is seen in

A

Septum secundum

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15
Q

Forms the valve of foramen ovale

A

Septum primum

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16
Q

Foramen ovale closes at birth due to

A

Increased LA pressure

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17
Q

Patent foramen ovale is caused by

A

Failure of septum primum and septum secundum to fuse at birth

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18
Q

Order of sources of fetal erythropoiesis

A

Young Liver Synthesizes Blood

1) Yolk sac
2) Liver
3) Spleen
4) Bone marrow

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19
Q

Start of erythropoiesis

A

3 weeks AOG

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20
Q

Start of BM erythropoiesis

21
Q

3 shunts of the fetal circulation

A

1) Ductus venosus
2) Foramen ovale
3) Ductus arteriosus

22
Q

pO2 of blood in umbilical vein

23
Q

O2 sat of blood in umbilical vein

24
Q

Pulmonary vascular resistance at birth

25
Causes closure of foramen ovale at birth
Left atrial pressure > right atrial pressure
26
Causes closure of ductus arteriosus at birth
Increase in O2 leads to decrease in prostaglandins
27
Drug that helps close PDA
Indomethacin
28
Substances that keep PDA open (2)
1) PGE1 | 2) PGE2
29
Fetal-postnatal derivative: Umbilical vein
Ligamentum teres hepatis
30
Fetal-postnatal derivative: UmbilicaL artery
MediaL umbilical ligament
31
Fetal-postnatal derivative: Ductus arteriosus
Ligamentum arteriosum
32
Fetal-postnatal derivative: Ductus venosus
Ligamentum venosum
33
Fetal-postnatal derivative: Foramen ovale
Fossa ovalis
34
Fetal-postnatal derivative: AllaNtois
Urachus-mediaN umbilical ligament
35
Notochord
Nucleus pulposus of intervertebral disc
36
Major blood vessels of the heart
1) RCA 2) Acute marginal 3) PD/interventricular 4) Left main coronary 5) Left LAD 6) LCX 7) Left marginal
37
Blood vessel that supplies SA and AV nodes
RCA
38
Determines right-dominance or left-dominance
Origin of PD
39
Origin of PD: Right-dominant circulation
RCA
40
Origin of PD: Left-dominant circulation
LCX
41
%: Right-dominant circulation
85
42
%: Left-dominant circulation
8
43
%: Codominant
7
44
Most common site of coronary artery occlusion
LAD
45
Phase of cardiac cycle where coronary arteries fill
Diastole
46
Most posterior part of the heart
Left atrium
47
LA enlargement can cause (2)
1) Dysphagia (esophagus) | 2) Hoarseness (left recurrent laryngeal nerve)
48
Uses of transesophageal echo (3)
Diagnosis of 1) Left atrial enlargement 2) Aortic dissection 3) Thoracic aortic aneurysm