Revision Quiz 2 Flashcards

0
Q

2 nodes which form conduction control system of heart

A

Sinoatrial

Atrioventricular

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1
Q

What % blood goes directly to coronary arteries

A

5

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2
Q

What effect does sympathetic NS have on heart

A

Increases rate

Contraction strength

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3
Q

Where do you palate the dorsalis pedis pulse

A

Foot

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4
Q

How do you calculate cardiac output

A

Stroke volume x heart rate

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5
Q

2 things aid blood return to heart

A

Body position - gravity assisted
Respiratory pump - vacuum/pressure
Skeletal muscle pump

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6
Q

What is normal blood pressure reading

A

120/80

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7
Q

Explain term portal circulation

A

Venous blood passes from digestive system, spleen, pancreas > liver.
Known as hepatic first pass

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8
Q

What does HDL stand for

Role in body

A

High density lipoprotein
Carries cholesterol from tissues to liver
‘Good cholesterol’

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9
Q

Definition of shock

A

Reduction in circulating volume, BP and cardiac output resulting in hypoxia of tissues

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10
Q

What is hypovolaemic shock

A

Blood volume reduced by 15-25%

Blood or liquid could have been lost

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11
Q

4 common symptoms of shock

A
Tachycardia 
Hypotension 
Faint/weak/nausea
Dizziness
Cold/clammy skin
Rapid shallow breathing
Cyanosis
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12
Q

What is atherona

A

Build up fatty deposits/ldl cholesterol
Oxidisation of cholesterol
Development of fibrous cap

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13
Q

2 complications atheroma

A

Thrombosis
Haemorrhage

Or angina, intermittent claudication

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14
Q

What is arteriosclerosis

A

Systemic stiffening/hardening arteries
Progressive degeneration arterial walls
Artery walls fibrous, calcified
Loss elasticity especially large/medium arteries increases systolic BP

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15
Q

What is key difference between angina pain and MI pain

A

Angina eases on rest MI DOESNT

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16
Q

Pathophysiogy MI

A

Occlusion blood supply to the heart, = hypoxia then tissue necrosis
Cause - atherosclerosis, embolism

17
Q

4 symptoms of MI

A

Severe chest pain more than 20 mins NOT IMPROVING on rest
Dyspnoea syncope fatigue
Feeling of impending doom
Pale clammy skin

18
Q

2 types stroke and difference

A

Ischaemic - most common. Occlusion of BV to brain results in hypoxia
Haemorrhagic BV in brain ruptures causing brain damage

19
Q

What is TIA

A

Transient ischeamic attack

Caused by microembolism in brain

20
Q

What is aneurysm

A

Swelling of artery due to weakness in wall

21
Q

3 factors may dispose you to DVT

A

REDUCED BLOOD FLOW
CHANGES IN BLOOD
DAMAGE TO BV WALL

22
Q

What is complication of DVT

A

Pulmonary embolism

23
Q

What cause varicose veins

A

Incompetent valves in vein

24
1 poss cause oesophageal varies
Portal hypertension - liver cirrhosis | Right sided heart failure
25
What is advises
Accumulation fluid peritoneal cavity
26
Give 3 complications hypertension
``` Retinal bleeding Cerebral oedema Renal disease Aneurysm Left ventricle failure - lung congestion Right ventricle failure - oedema Stroke ```
27
1 cause 1 symptom right sided heart failure
Increased vascular resistance in lungs Back pressure from L side of heart Previous MI Systemic oedema, ascites
28
What does stenosis
Narrowing of an orifice
29
What does tachycardia mean
Fast heart rate over 100
30
What is endocarditis
Inflammation inner layer of heart - endocardium, most commonly affecting heart valves
31
4 symptoms of endocarditis
``` Fever/chills New heart murmur Fatigue Aching joints/muscles Night sweats Shortness breath Paleness Persistent cough Oedema - feet, legs, abdomen Weight loss Blood in urine Tender spleen Oslers nodes Petechia ```
32
Describe chest pain pericarditis what makes it better/worse
Chest pain radiating to back Better sitting up forward Worse lying down/breathing deeply
33
1 complication pericarditis
Constructive pericarditis- becomes rigid, stops heart working properly Cardiac tamponade too much fluid collects pericardium, stops heart working properly
34
2 key differences structure arteries veins
Veins thinner walls, bigger lumen, valves
35
what are anastomoses
Arteries linking main arteries - provide collateral circulation
36
2 differences capillaries sinusoids
Sinusoids wider larger pores
37
Which blood vessels are mainly responsible for providing resistance to flow of blood
Arteriolar
38
Where is endocardium
Lining inside heart
39
Which side of heart pumps deoxygenated blood
Right