Week 2 Flashcards

(61 cards)

1
Q

superior border of the mediastinum

A

thoracic inlet

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2
Q

inferior border of the mediastinum

A

diaphram

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3
Q

anterior border of the mediastinum

A

sternum and costal cartilages

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4
Q

posterior border of mediastinum

A

thoracic verebrae

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5
Q

lateral border of mediastinum

A

pleura

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6
Q

superior mediastinum contents

A

great vessels of heart, thoracic duct left, parts of azygos system, R and L vagus nerves, recurrent laryngeal nerves, pulmonary esophageal and cardiac autonomic nerve plexuses, thymus, parts of trachea and esophagus

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7
Q

inferior anterior mediastinum

A

fat, lymph tissue, vessels, in small children thymus may extend into this region

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8
Q

inferior middle mediastinum

A

the heart and its pericardial tissue

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9
Q

inferior posterior mediastinum

A

thoracic aorta, esophagus, pulmonary arteries and veins, azygos system, thoracic duct, sympathetic trunk and thoracic splancnic nerves

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10
Q

What are areas that food will get stuck.

A

under the arch of aorta, and left main bronchus

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11
Q

What are the arteries and veins entering and leaving the heart?

A

The great vessels.

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12
Q

What is the outer portion of the heart?

A

The fibrous pericardium, made of dense connective tissue.

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13
Q

What are the three distinct layers of the heart layers?

A

external epicardium
middle myocardium
internal endocardium

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14
Q

Epicardium

A

The outermost heart layer and is also known as the visceral layer of serous pericardium

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15
Q

WHere does fat deposit in the heart?

A

IN the epicardium

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16
Q

What is the myocardium composed of?

A

Primarily cardiac muscle tissue. THickest

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17
Q

What does the endocardium cover?

A

internal surface of the heart and external surfaces of heart valves

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18
Q

Where does the subendocardial layer lie? And what is it composed of/

A

It is composed of areolar connective tissue and it is in between endocardium and myocardium

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19
Q

What two large arteires exit the heart at the basal surface?

A

the pulmonary trunk and the aorta

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20
Q

What separates the atria from the ventricles externally?

A

coronary sulcus or atrioventricular sulcus that extends around the circumference of the heart

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21
Q

On the anterior and the posterior surfaces of the heart, what separates the L and R ventricles?

A

anterior interventricular sulcus and posterior interventricular sulcus

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22
Q

Where does the anterior and posterior sulci extend?

A

From the coronary sulcus toward the apex of the heart

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23
Q

What heart structure provides the framework of dense collagen, irregular connective tissue that anchors and provides support for the heart?

A

The fibrous skeleton

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24
Q

Where is the fibrous heart skeleton located?

A

btw the atria and the ventricles

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25
How does the fibrouse skeleton support the heart valves?
By forming supportive rings at their attachment points
26
What does the fibrous skeleton provide?
Electrical insulation btw atria and ventricles
27
Atrioventricular valves function similarly to?
venous valves
28
What three major vessels empty into the right atrium?
superior vena cava inferior vena cava coronary sinus drains
29
What forms a wall btw the right and left atria internally?
interatrial septum, has pectinate muscles
30
What is the valve that seperates the R atria from the R ventricle?
Right atrioventricular valve also called tricuspid valve, bc it has three triangular flaps
31
What forces the tricuspid valve closed/
Right ventricle contraction, preventing backflow
32
What seperates the right and left ventricle internally?
interventricular septum
33
The internal wall surface of each ventricle has three cone shaped muscular priojections called?
papillary muscles
34
what do papillary muscles do?
anchor chordae tendineae
35
What do chordae tendineae do?
attach to cusp of the right AV valve and prevent everting and flippin into the atrium when contracting
36
The ligamentum arteriosum is a fetal reminant of what?
deuctus arteriosis
37
Where is the ligamentum arteriosum located?
the pulmonary trunk and aorta
38
The pulmonary trunk at its superior end narrows into a smooth walled conical region called?
conus arteriosus
39
What marks the end of the right ventricle and the entrance into the pulmonary trunk?
the pulmonary semilunar valve
40
What does the pulmonary trunk divide into?
the right and left pulmonary arteries
41
Where is the semilunar valve?
located within the walls of both ventricles immediately before the connection of the ventricle to the pulmonary trunk and aorta
42
What is the semilunar valve made up of?
three thin, pocketlike semilunar cusps
43
What forces the semilunar valves open?
blood being pumped into the atrial trunks, pushing against the cusps
44
What does the Left atrioventricular valve separate?
the left atrium from the left ventricle, also called the bicuspid valve
45
What closes the left atrioventricular valve?
when the left ventricle begins to contract
46
What is special about the left ventricle?
It is the largest of the four heart chambers, the wall is typically three times thicker
47
Why does the left ventricle require the thickest wall?
Generate enough pressure to force the oxygenated blood from the lungs into the aorta and then through the entire systemic circuit
48
What are more prominent in the left ventricle?
trabeculae carneae
49
What is autorhythmicity?
meaning that the heart itself (not external nerves) is responsible for initiating the heartbeat
50
Where is the AV node located?
located in the floor of the right atrium btw the right AV valve and the coronary sinus
51
What are the largest of the cardiac muscle fibers?
purkinje fibers
52
The main tributary of the coronary sinus/
The great cardiac vein
53
What is the heart innervated by?
autonomic nervous system
54
What is the nervous system of the heart?
cardiac and coronary plexus
55
What does the right coronary artery typically branch into?
marginal artery and posterior interventricular artery
56
What does the left coronary artery branch into?
anterior interventricular artery and circumflex artery
57
cardiomyopathy
a condition in which a ventricle has become enlarged, thickened and or stiffened. As a result, the herat's ability to pump is reduced.
58
dilated cardiomyopathy
an enlarged, weakened left ventricle struggles to pump enough blood to meet the bodys need
59
hypertrophic cardiomyopathy
left ventricle cannot fully relax btw heartbeats, resulting in less blood flow
60
angioplasty
a procedure in which a catheter is inserted w a tiny balloon that presses the plaque blockage against the artery so that blood may flow more freely through the vessel
61
stent
is then inserted to keep the vessel pathway open and the blood flowing