Cardiovascular Flashcards

(50 cards)

1
Q

What nerve crosses the lateral borders of the pericardium?

A

Phrenic nerve

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2
Q

What is the function of the epicardium on the surface of the heart>

A

To secrete pericardial fluid

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3
Q

What is cardiac tamponade

A

Where pressure around the heart builds due to the pericardial cavity filling with fluid which can prevent contraction

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4
Q

What is pericardiocentesis? How is the entry point for it indicated?

A

Where a needle is inserted via the infrasternal angle as indicated by the xiphoid process and drains fluid in the pericardial cavity

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5
Q

What manouvere is performed by surgeons allowing them to identify and isolate the great vessels of the heart for open heart surgery?

A

Transverse pericardial sinus

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6
Q

What groove of the heart does the right coronary artery lie in?

A

Coronary groove

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7
Q

What groove of the heart does the LAD artery lie in?

A

Anterior interventricular groove

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8
Q

What do all of the coronary veins drain into?

A

The coronary sinus

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9
Q

What are some of the features of the right atrium?

A

Opening for SVC and IVC
Opening for the coronary sinus
Oval fossa
Crista terminalis (smooth muscle ridge)

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10
Q

Describe the heart valves in terms of types of cusps

A

Pulmonary; semilunar with anterior right and left cusps

Aortic; semilunar with anterior right, left and posterior cusps

Tricuspid; leaflet, tendinous cords, papillary muscle, anterior, posterior and septal cusps

Mitral; leaflet, anterior and posterior cusps

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11
Q

Give some features of the interior left atrium

A

Openings for pulmonary veins

Remains of foramen ovale

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12
Q

Name the places to ausculate for the 4 valves?

A

Aortic; right 2nd intercostal sternal edge

Pulmonary; left 2nd intercostal sternal edge

Tricuspid; left 4th intercostal sternal edge

Mitral; apex beat 5th intercostal mid clavicular USUALLY

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13
Q

What valves make the 1st heart sound? Lub

A

Tricuspid and mitral closing

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14
Q

What valves make the second heart sound? Dub

A

Pulmonary and aortic closing

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15
Q

At what vertebral levels do the sympathetic nerves exit the spinal cord?

A

T1-L2/3

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16
Q

At what vertebral level are the cardiopulmonary splanchnic nerves exiting the spinal cord?

A

T1-T5

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17
Q

What cranial nerves are responsible for parasympathetic stimulation?

A

CN III occulomotor nerve

CN VII facial nerve

CN IX glossopharyngeal nerve

CN X vagus nerve

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18
Q

Define radiating central chest pain

A

Where pain is felt in the centre of patients chest and felt spreading to another location, commonly back, jaw, neck

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19
Q

What part of the brain is responsible for processing somatic sensations?

A

Postcentral gyrus of the parietal lobe (sensory strip )

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20
Q

What part of the brain is responsible for contractions of skeletal muscle?

A

Precentral gyrus of frontal lobe (Motor strip)

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21
Q

What structure does the right vagus nerve cross in the mediastinum? Moving posterior or anterior to root of the lung?

A

The trachea and oesophagus

Posterior

22
Q

What structure does the left vagus nerve cross in the mediastinum? Moving posterior or anterior to root of the lung?

A

Aorta

Posterior

23
Q

Does the phrenic nerve pass anterior or posterior to the root of the lung on the left and right side?

A

Anterior, also lying lateral to the pericardium

24
Q

Where does the thoracic duct lie?

A

The duck between two gooses

Between the azygous vein and the oesophagus

25
Describe visceral pain
Dull, aching, poorly localised
26
Describe somatic pain
Sharp localised
27
What are the common coronary vessels to be blocked
Right coronary artery LAD Circumflex Left coronary artery
28
What are the commonly used grafts in coronary artery. Bypass grafting? (CABG)
Saphenous vein Mammary artery (internal thoracic) Radial artery
29
What is the blood supply to the nodes and bundle branches of the heart
Posterior interventricular artery LAD/ anterior interventricular artery
30
What is the function of the left thoracic duct?
Carries lymph to left venous angle
31
Function of azygous vein/?
Carry venous blood from intercostal veins to SVC
32
What is the cisterna chyli
Swollen start of thoracic duct in the abdomen
33
What does the L. Reccurent laryngeal hook underneath?
Arch of aorta
34
What does the R. /Reccurent laryngeal hook underneath?
Left subclavian artery
35
What type of fibres pass through anterior rami
Sensory nerve fibres
36
What does the phrenic nerve supply?
* mediastinal parietal pleura * fibrous pericardium * diaphragmatic parietal pleura * diaphragmatic parietal peritoneum
37
How can pain be referred from the diaphragm to the shoulder?
As the supraclavicular nerves also exit the spinal cord at level C3,4 similar to the phrenic nerve (C3,4,5) this can cause the brain to refer the pain to the more superficial structure
38
Does the right or left venous angle drain the majority of the lymph from the body (3/4 including left upper, and lower parts)
Theleft venous angle as supplied by the thoracic duct
39
Nerve lies anterior to the hilum of trhe lung. What is it
Phrenic
40
Nerve lies posterior to the hilum of trhe lung. What is it
Vagus
41
What are the 4 most common places for coronary artery occlusion in descending order
1. LAD 2. Right coronary artery 3. Circumflex branch of LCA 4. Left coronary artery
42
What are the most common vessels used in CABG
Great saphenous vein Radial artery Internal thoracic artery
43
Define aortic dissection
Split of the artery 2cm above the AV valve causing blood to fill int eh vessel wall
44
What syndrome makes it more likely to get aortic dissections?
Marfans
45
Where is the azygous vein located?
On the right side passing posterior to the root of the lung Immediately superior the lung draining into the SVC
46
What areas of the body drain into the left venous angle?
The upper left quadrant | Lower limbs and abdomen
47
What areas of the body drain into the right lymphatic duct
Upper right quadrant
48
Where is the right bagus nerve found in the mediastinum
On the trachea posterior to the lung root
49
Where would you locate the left vagus nerve within the mediastimum
Crosses the arch of aorta anterior to the root of the lung
50
What lymph nodes when swollen may compress the recurrent laryngeal nerve
Tracheobronchial lymph nodes