GROSS ANATOMY OF THE HEART Flashcards

(50 cards)

1
Q

PERICARDIUM IS A ___ LAYER OF ___ SAC.

A

DOUBLE
FIBROSEROUS

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2
Q

PERICARDIUM COVERS THE ___ AND ___.

A

HEART
ROOT OF GREAT VESSELS

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3
Q

THE FUNCTION OF PERICARDIUM ARE (2)

A

RESTRICT THE EXCESSIVE MOVEMENT OF THE HEART
LUBRICATE CHAMBER WHEN DIFFERENT PART OF THE HEART CONTRACT

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4
Q

STATE THE 2 LAYERS OF PERICARDIUM

A

FIBROUS LAYER
SEROUS LAYER

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5
Q

FIBROUS LAYER IS THE ___ LAYER OF THE HEART.

A

OUTERMOST

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6
Q

FIBROUS LAYER COMPOSED OF ___ AND IT IS ANCHORED TO THE ___.

A

FIBROUS TISSUE
THORACIC CAVITY

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7
Q

THE BASE OF THE FIBROUS LAYER IS TIGHTLY BOUND TO THE ___.
THE NECK OF THE FIBROUS LAYER IS FUSED WITH THE ___.
THE FIBROUS LAYER IS ATTACHED TO THE ___.

A
  • CENTRAL TENDON OF THE DIAPHRAGM
  • ADVENTITIA OF THE GREAT VESSELS
  • STERNUM ANTERIORLY BY THE STERNOPERICARDIAL LIGAMENT
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8
Q

THE FUNCTION OF THE FIBROUS LAYER IS TO ___.

A

TO PROTECT THE HEART FROM OVERFILLING OF BLOOD AND INFECTIONS

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9
Q

SEROUS LAYER IS THE LAYER BETWEEN THE ___ AND ___.

A

FIBROUS PERICARDIUM AND THE HEART.

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10
Q

PARIETAL LAYER OF SEROUS PERICARDIUM LINES THE ___ ASPECT OF THE FIBROUS PERICARDIUM.

A

INNER

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11
Q

VISCERAL LAYER OF SEROUS PERICARDIUM IS THE ___ OF THE HEART

A

EPICARDIUM

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12
Q

BOTH PARIETAL LAYER AND FIBROUS LAYER OF THE SEROUS PERICARDIUM CONTINOUS AT THE ___.

A

ROOT OF THE GREAT VESSELS

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13
Q

INSIDE THE PERICARDIAL CAVITY, THERE IS ___.

A

PERICARDIAL FLUID

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14
Q

SEROUS LAYER IS SUBDIVIDED INTO ___ AND ___

A

VISCERAL LAYER
PARIETAL LAYER

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15
Q

PERICARDIAL SINUS IS A ___.

A

PASSAGE FROM THE REFLECTIONS OF SEROUS PERICARDIUM AT THE ROOT OF GREAT VESSELS.

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16
Q

STATE THE TYPES OF PERICARDIAL SINUS AND DESC IT.

A
  1. TRANSVERSE PERICARDIAL SINUS.
    - POSTERIOR TO ASCENDING AORTA AND PULMONARY TRUNK
    - ANTERIOR TO THE SVC
  2. OBLIQUE PERICARDIAL SINUS.
    - AN INVERTED U RECESS POSTERIOR TO THE BASE
    - REFLECTED AROUND THE IVC AND PULMONARY VEIN
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17
Q

STATE THE CLINICAL SIGNIFICANCE OF THE TRANSVERSE PERICARDIAL SINUS.

A

FOR CORONARY ARTERY BYPASS GRAFTING (CABG)

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18
Q

STATE THE INNERVATION OF THE PERICARDIUM.

A
  1. PHRENIC NERVE
    FIBROUS PERICARDIUM AND PARIETAL LAYER OF THE SEROUS PERICARDIUM
  2. VAGUS NERVE AND SYMPATHETIC TRUNK (VASOMOTOR)
    VISCERAL LAYER OF THE SEROUS PERICARDIUM
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19
Q

STATE THE SHAPE OF THE HEART AND ITS LOCATION

A

SHAPE: PYRAMIDAL IN SHAPE (THE SIZE OF A FIST)
LOCATION:
- IN THE MIDDLE MEDIASTINUM ENCOLSED IN A PERICARDIUM
- OBLIQUELY BEHIND THE STERNUM
- POSITION RELATIVE TO MIDLINE:
= 1/3 TO THE RIGHT
= 2/3 TO THE LEFT

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20
Q

STATE THE RELATIONS OF THE HEART.

A

ANTERIOR - BODY OF THE STERNUM, 3- 6 COSTAL CARTILAGE AND INTERCOSTAL SPACE
POSTERIOR - T5-T8 THORACIC VERTEBRAE, OESOPHAGUS AND THORACIC AORTA
LATERAL - MEDIASTINAL PLEURA, PHRENIC NERVE
INFERIOR - DIAPHRAGM, FUNDUS OF THE STOMACH, LIVER

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21
Q

STATE THE SURFACES OF THE HEART

A

ANTERIOR: STERNOCOSTAL SURFACE
- MAINLY THE RIGHT ATRIUM AND RIGHT VENTRICLE
- PARTLY THE LEFT VENTRICLE AND LEFT AURICLE
POSTERIOR: BASE OF THE HEART
- MAINLY THE LEFT ATRIUM
- PARTLY THE RIGHT ATRIUM
INFERIOR: DIAPHRAGMATIC SURFACE
- MAINLY LEFT VENTRICLE
- PARTLY RIGHT VENTRICLE
RIGHT
- RIGHT ATRIUM
- IN CONTACT WITH THE RIGHT LUNG
LEFT
- LEFT VENTRICLE
- IN CONTACT WITH THE LEFT LUNG

22
Q

APEX OF THE HEART IS ___ PART OF THE LEFT VENTRICLE

A

INFEROLATERAL

23
Q

LOCATION OF THE APEX

A

POSTERIOR TO LEFT 5TH INTERCOSTAL SPACE, AT LEFT MIDCLAVICULAR LINE

24
Q

STATE THE BORDERS OF THE HEART.

A

SUPERIOR BORDER
- RIGHT ATRIUM AND LEFT ATRIUM
- SLIGHTLY OBLIQUE, CONCEALED BY PULMONARY TRUNK AND ASCENDING AORTA
INFERIOR BORDER
- LEFT VENTRICLE AND RIGHT VENTRICLE
- NEARLY HORIZONTAL
RIGHT BORDER
- RIGHT ATRIUM
- VERTICAL
LEFT BORDER
- LEFT VENTRICLE AND LEFT AURICLE
- OBLIQUE AND CURVED

25
STATE THE BORDERS OF THE HEART.
SUPERIOR BORDER - RIGHT ATRIUM AND LEFT ATRIUM - SLIGHTLY OBLIQUE, CONCEALED BY PULMONARY TRUNK AND ASCENDING AORTA INFERIOR BORDER - LEFT VENTRICLE AND RIGHT VENTRICLE - NEARLY HORIZONTAL RIGHT BORDER - RIGHT ATRIUM - VERTICAL LEFT BORDER - LEFT VENTRICLE AND LEFT AURICLE - OBLIQUE AND CURVED
26
STATE THE BORDERS OF THE HEART.
SUPERIOR BORDER - RIGHT ATRIUM AND LEFT ATRIUM - SLIGHTLY OBLIQUE, CONCEALED BY PULMONARY TRUNK AND ASCENDING AORTA INFERIOR BORDER - LEFT VENTRICLE AND RIGHT VENTRICLE - NEARLY HORIZONTAL RIGHT BORDER - RIGHT ATRIUM - VERTICAL LEFT BORDER - LEFT VENTRICLE AND LEFT AURICLE - OBLIQUE AND CURVED
27
STATE THE BORDERS OF THE HEART.
SUPERIOR BORDER - RIGHT ATRIUM AND LEFT ATRIUM - SLIGHTLY OBLIQUE, CONCEALED BY PULMONARY TRUNK AND ASCENDING AORTA INFERIOR BORDER - LEFT VENTRICLE AND RIGHT VENTRICLE - NEARLY HORIZONTAL RIGHT BORDER - RIGHT ATRIUM - VERTICAL LEFT BORDER - LEFT VENTRICLE AND LEFT AURICLE - OBLIQUE AND CURVED
28
STATE THE BORDERS OF THE HEART.
SUPERIOR BORDER - RIGHT ATRIUM AND LEFT ATRIUM - SLIGHTLY OBLIQUE, CONCEALED BY PULMONARY TRUNK AND ASCENDING AORTA INFERIOR BORDER - LEFT VENTRICLE AND RIGHT VENTRICLE - NEARLY HORIZONTAL RIGHT BORDER - RIGHT ATRIUM - VERTICAL LEFT BORDER - LEFT VENTRICLE AND LEFT AURICLE - OBLIQUE AND CURVED
29
STATE THE MAIN 2 SULCUS OF THE HEART.
- ATRIOVENTRICULAR (CORONARY) SULCUS - INTERVENTRICULAR SULCUS
30
STATE THE MAIN 2 SULCUS OF THE HEART.
- ATRIOVENTRICULAR (CORONARY) SULCUS - INTERVENTRICULAR SULCUS
31
STATE THE MAIN 2 SULCUS OF THE HEART.
- ATRIOVENTRICULAR (CORONARY) SULCUS - INTERVENTRICULAR SULCUS
32
STATE THE MAIN 2 SULCUS OF THE HEART.
- ATRIOVENTRICULAR (CORONARY) SULCUS - INTERVENTRICULAR SULCUS
33
STATE THE MAIN 2 SULCUS OF THE HEART.
- ATRIOVENTRICULAR (CORONARY) SULCUS - INTERVENTRICULAR SULCUS
34
STATE THE EXTERNAL FEATURES OF THE RIGHT ATRIUM
1. SULCUS TERMINALIS - VERTICAL SWALLOW GROOVE BETWEEN THE IVC AND SVC - CORRESPOND WITH CRISTA TERMINALIS - UPPER PART CONTAIN SA NODE 2. RECEIVES SVC, IVC 3. AURICLES
35
STATE THE ROUGH PART OF THE INTERNAL FEATURES OF THE RIGHT ATRIUM.
1. PECTINATE MUSCLE - A TRANSVERSE MUSCLAR RIDGE - FROM CRISTA TERMINALIS TOWARDS THE ATRIOVENTRICULAR ORIFICE 2. OCCUPY ANTERIOR PART OF THE RIGHT ATRIUM AND AURICLE
36
STATE THE SMOOTH PART OF THE INTERNAL FEATURES OF THE RIGHT ATRIUM.
1. CRISTA TERMINALIS 2. 4 OPENINGS - SVC - IVC - CORONARY SINUS - TRICUSPID ORIFICE 3. TRIANGLE OF KOCH - BOUNDARIES: TENDON OF TODARO, CORONARY SINUS ORIFICE, SEPTAL LEAFLET OF THE RIGHT ATRIOVENTRICULAR VALVE - SIGNIFICANCE: USED AS AN ANATOMICAL LANDMARK FOR THE LOCATION OF THE AV NODE 4. INTERATRIAL SEPTUM 5. FOSSA OVALIS 6. ANNULUS OVALIS
37
STATE THE OUTFLOWING PART OF THE RIGHT VENTRICLES.
RIGHT VENTRICLE OUTFLOWING - INFUNDIBULUM/ CONUS ARTERIOSUS - SMOOTH
38
STATE THE STRUCTURE THAT CAN BE FOUND IN THE INFLOWING PART OF THE RIGHT VENTRICLE.
RIGHT VENTRICLE INFLOWING PART 1. ROUGH 2. PAPILLARY MUSCLE - ANTERIOR CUSP OF TRICUSPID VALVE IS CONNECTED TO THE ANTERIOR MUSCLE - POSTERIOR CUSP OF TRICUSPID VALVE IS CONNECTED TO THE POSTERIOR MUSCLE - SEPTAL CUSP OF TRICUSPID VALVE IS CONNECTED TO THE SEPTAL MUSCLE 3. CHORDAE TENDINAE 4. TRABECULAE CARNAE 5. SUPRAVENTRICULAR CREST 6. SEPTOMARGINAL TRABECULAE - ANTERIOR PAPILLARY MUSCLE THAT IS ATTACHED TO INTERVENTRICULAR SEPTUM - CONTAINS RIGHT BUNDLE BRANCH OF AV BUNDLE
39
STATE 2 ORIFICES THAT CAN BE FOUND IN THE INTERNAL STRUCTURE OF THE RIGHT VENTRICLE.
1. RIGHT ATRIOVENTRICULAR ORIFICE - GUARDED BY THE TRICUSPID VALVE - CONNECTS WITH THE RIGHT ATRIUM 2. PULMONARY ORIFICE - GUARDED BY THE PULMONARY VALVE - CONNECTS TO THE PULMONARY TRUNK
40
STATE THE 5 OPENINGS THAT CAN BE FOUND IN THE LEFT ATRIUM.
1. LEFT ATRIOVENTRICULAR (BICUSPID) ORIFICE - GUARDED BY THE BICUSPID VALVE 2. 4 OPENINGS OF PULMONARY VEIN - 2 SUPERIOR PULMONARY VEIN - 2 INFERIOR PULMONARY VEIN
41
STATE THE SMOOTH PART OF INTERNAL STRUCTURES OF LEFT VENTRICLE.
- HAVE AORTIC VESTIBULE - SMOOTH
42
STATE THE ROUGH PART OF INTERNAL STRUCTURE OF LEFT VENTRICLE.
- TRABECULAE CARNAE - NO MODERATOR BAND - 2 PAPILLARY MUSCLE (ANTERIOR AND POSTERIOR)
43
STATE THE ORIFICE THAT CAN BE FOUND IN THE LEFT VENTRICLE.
1. AORTIC ORIFICE - GUARDED BY THE AORTIC VALVE - CONNECTS WITH THE ASCENDING AORTA 2. BICUSPID ORIFICE - CONNECTED WITH LEFT ATRIUM - GUARDED BY THE BICUSPID VALVE
44
STATE THE 2 PARTS IN INTERVENTRICULAR SEPTUM AND DESC IT.
1. MUSCULAR PART - THICK LOWER 3/4 2. MEMBRANOUS PART - THIN UPPER PART - GIVES ATTACHMENT TO SEPTAL CUSP OF THE TRICUSPID ORIFICE.
45
STATE THE VALVES OF THE HEART.
ATRIOVENTRICULAR VALVE - BASE IS ATTACHED TI THE FIBROUS RING OF AV ORIFICE - FREE EDGES ARE ATTACHED TO PAPILLARY MUSCLE VIA CHORDAE TENDINAE 1. BICUSPID VALVE - HAVE 2 CUSP - LOCATED AT THE LEFT SIDE OF THE HEART 2. TRICUSPID VALVE - HAVE 3 CUSP - LOCATED AT THE RIGHT SIDE OF THE HEART SEMILUNAR VALVE - BASE IS ATTACHED TO THE FIBROUS RING - NOT ATTACHED TO THE CHORDAE TENDINAE 1. AORTIC VALVE - HAVE POSTERIOR, RIGHT AND LEFT CUSP 2. PULMONARY VALVE - HAVE ANTERIOR, RIGHT AND LEFT CUSP
46
STATE THE SURFACE ANATOMY OF THE HEART BORDERS.
SUPERIOR BORDER: RIGHT 3ICS TO LEFT 2ICS LEFT BORDER: LEFT 2ICS TO 5ICS RIGHT BORDER: RIGHT 3CC TO 6CC INFERIOR BORDER: LEFT 5ICS TO RIGHT 6CC
47
STATE THE SURFACE ANATOMY OF THE HEART VALVES.
PULMONARY 3CC, LEFT STERNAL BORDER AORTIC 3ICS, LEFT STERNAL BORDER MITRAL 4ICS, MIDSTERNAL BORDER TRICUSPID 4CC, LEFT STERNAL BODY
48
STATE THE SURFACE ANATOMY OF THE AUSCULATION POINT.
PULMONARY: LEFT 2 ICS LATERAL TO THE STERNUM AORTIC: RIGHT 2 ICS LATERAL TO THE STERNUM MITRAL: 5 ICS, MIDCLAVICULAR LINE TRICUSPID: LEFT 5 ICS LATERAL TO THE STERNUM
49
FIBROUS SKELETON OF THE HEART CONSIST OF:
- 4 FIBROUS RING THAT SURROUND THE ORIFICE OF THE HEART - FIBROUS TRIGONE IS THE CONNECTION BETWEEN RINGS
50
FUNCTIONS OF THE FIBROUS SKELETON
1. ATTACMENT OF CUSPS OF VALVE 2. KEEP ORIFICES PATENT, PREVENT FROM OVER DISTENDED 3. ATTACHMENT OF MYOCARDIUM 4. ELECTRICAL INSULATOR FOR ATRIA AND VENTRICLES