Mediastinum Flashcards

1
Q

What level does the sternal angle sit at?

A

T4

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2
Q

What structures lie at the sternal angle?

A

Aortic arch, carina of trachea, thymus, oesophagus

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3
Q

What are the levels of the pericardium?

A

Fibrous (Outer),

Serous (Inner)

  • parietal
  • visceral
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4
Q

The is the purpose of the transverse sinus?

A

Potential space which separates the outflow vessels from the inflow vessels of the heart.

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5
Q

What is the coronary sulcus?

A

Groove between the atria and the ventricles which holds the coronary arteries and veins

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6
Q

What percentage of the population has right dominance?

A

80%

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7
Q

What percentage of the population has left dominance?

A

10%

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8
Q

What are the anterior and posterior borders of the oblique sinus?

A

Ant: Left atrium
Pos: Pericardium/ oesophagus

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9
Q

What is the pair of the great cardiac vein?

A

Circumflex

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10
Q

What is the pair of the middle cardiac vein?

A

Posterior interventricular artery

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11
Q

What is the pair of the small cardiac vein?

A

Right marginal artery?

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12
Q

What is the name of the medial impression in the right atrium in adults?

A

Fossa ovalis

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13
Q

What is the name of the hole in the right foetuses

A

Foramen ovale

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14
Q

What is the moderator band (septomarginal trabecula)

A

It is a muscular band of heart tissue in the right ventricle which carries part of the right bundle branch (bundle of HIS)

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15
Q

What is the most common blood supply to the atrioventricular node?

A

Right coronary artery

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16
Q

Where does the thoracic duct drain?

A

Thoracic duct into the angle of the left subclavian and internal jugular vein

17
Q

Where does the external jugular vein drain?

A

Subclavian vein

18
Q

Where does the internal jugular vein drain?

A

Subclavian vein

19
Q

What is the origin of the thoracic duct?

A

Cisterna chyli

20
Q

What arises from the aortic sinus?

A

Coronary arteries

21
Q

In what percentage of people does the the SAN artery come off the left artery?

A

40%

22
Q

What is the limbus of the fossa ovalis?

A

Border

23
Q

What are trabecula carneae?

A

Muscles on the walls of the ventricle

24
Q

What is the conus arteriosus?

A

The area in the superior portion of the right ventricle, before the pulmonary trunk,

25
Q

How many thoracic sympathetic ganglia are there?

A

12

26
Q

What is the cervical ganglion called on the sympathetic chain?

A

Stellate ganglion

27
Q

What level does the sympathetic chain extent to?

A

T2-L1

28
Q

What is myelinated in the sympathetic chain?

A

White ramus (into ganglion)

29
Q

What is unmyelinated in the sympathetic chain?

A

Gray ramus (efferent)

30
Q

What are the 4 types of output from the sympathetic chain?

A

1) Ganglionic synapse and exit through same level in spinal nerve
2) Ganglionic synapse and ascend/ descend to another spinal nerve (cervical)
3) Ganglionic synapse and leave via own nerve (splanchnic)
4) No Ganglionic synapse, and travel to distal ganglion near effector organ

31
Q

What is the vertical ridge along the lateral half of the right atrium called?

A

Sulcus terminals

32
Q

What does the first intercostal nerve drain into on the right?

A

Right brachiocephalic vein

33
Q

What does the fifth intercostal nerve drain into on the left?

A

Right brachiocephalic vein

34
Q

What side is the thoracic duct located at?

A

Right

35
Q

What side is the lymphatic duct located?

A

Right

36
Q

What does the internal jugular vein drain into?

A

Brachiocephalic vein