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117 Cards in this Set

  • Front
  • Back
Another name for epicardium?
,visceral layer of serous pericadium
What veins drain into the coronary sinus?
- great cardiac vein
- oblique vein of the left atrium
- posterior vein of the left ventricle

- middle cardiac vein
- small cardiac veins
What ”other/small” veins drain into the right atrium?
- coronary sinus
- anterior cardiac vein
- smallest cardiac veins
What vessels can you find in posterior interventricular sulcus?
posterior interventricular branch of right coronary a.
middle cardiac v.
What vessels can you find in anterior interventricular sulcus?
anterior interventricular branch of left coronary a.

great cardiac v.
First and second heart sounds formed by closures of what structures?
- First sound (”lub”) : tricuspid valves, mitral valves
- Second sound (”dub”) : aortic valves,pulmonary valves
Name cusps of aortic valve!
- right semilunar cusp
- left semilunar cusp
- posterior semilunar cusp
Name cusps of pulmonary valve!
- anterior semilunar cusp
- right semilunar cusp
- left semilunar cusp
Name cusps of tricuspid valve!
- anterior cusp
- posterior cusp
- septal cusp
Name cusps of mitral valve!
- anterior cusp
- posterior cusp
Embryologic division of right atrium?,
atrium proper,venous sinus
Relation of Atrium proper and venus sinus according to crista terminalis
atrium proper is anteriorly
venous sinus is posteriorly
Lesion of phrenic nerve may not produce complete paralysis of the corresponding half of the diaphragm. Why not?,
Because of accessory phrenic nerve (C5) that usually joins the phrenic nerve.
valve of inferior vena cava
Eustachian valve
valve of coronary sinus
Thebesian valve
The crux is the
The crux cordis or crux of the heart is the area on the lower back side of the heart where the coronary sulcus (the groove separating the atria from the ventricles) and the posterior interventricular sulcus (the groove separating the left from the right ventricle) meet.
atrium proper location
anterior to crista terminalis
venous sinus location
posterior to crista terminalis
atrium proper walls are
rough (pectinate mm.)
Venous sinus walls are
smooth
heart skeleton and the heart conducting system is within which layer?
the intermediate layer – myocardium
3 major openings of right atrium - which have vales
Opening of ICV and coronary sinus has valves, opening of SVC has not
Anterior Orientation Lines:(Medial to lateral)
midsternal - sternal - parasternal - midclavicular
Posterior Orientation Lines:(Medial to lateral)
midvertebral - paravertebral - scapular
The tracheal bifurcation?
is the point at which the trachea divides into the two main or principal bronchi. It is at the level of the sternal angle
surfaces of Lungs:
costal surface,mediastinal surface (cardiac impression),diaphragmatic surface
Whats located at right lungs Mediastinal surface
Right atrium, Superior vena cava, Azygos vein, Inferior vena cava, Esophageus
Whats located at left lungs Mediastinal surface
Left atrium and left ventricle, Aortic arch,Thoracic aorta,Left subclavian a.
Transverse pericardial sinus borders?
a passage between the superior and posterior reflections of the serous pericardium.

The transverse pericardial sinus lies anterior to the superior vena cava and posterior to the ascending aorta and pulmonary trunk.
Pericardium is attached by?
two ligaments and one membrane:
sternopericardial ligament (to sternum),
pericardiacophrenic ligament (to diaphragm) and bronchopericardial membrane (to lungs)
Nerves of Superior mediastinum:
a) Vagus nn,
b) cardiac branches of vagus nn. and cardiac nn.,
c) Superficial part of cardiac plexus,
d) Left recurrent laryngeal n,
e) Phrenic nn
4 surfaces of heart
Sternocostal formed by the RV,
right pulmonary formed by RA,
left pulmonary formed by LV. (Cardiac silhouette,)
diaphragmatic (inferior) LV and partly RV, related to the central tendon of diaphragm
Tributaries of Coronary sinus
"Great men say plant oasis"
great cardiac vein
middle cardiac vein,
small cardiac vein
posterior vein of left ventricle
oblique vein of left atrium
”a conical pouch” formed from the upper and left angle of the right ventricle from which the pulmonary trunk arises - name?
conus arteriosus
Right fibrous trigone location?
Between Mitral and tricuspid valve
Left fibrous trigone location?
Between Mitral valve and aortic valve
lumbar cistern location and contents
L2-S2, contains CSF
Accessory hemiazygos vein is formed by union of what structures?
5th-8th posterior intercostal v.
cervical vertebrae have ”edges” on the sides of body name?
uncinate process of vertebra
Example of Synchondroses joints (cartilagineous joints)
23-24 intervertebral disks (symphyses): anulus fibrosus + nucleus pulposus
Ligaments of Syndesmoses joints (fibrous joints)
Anterior + Posterior longitudinal ligament
Ligamenta flava, interspinous, supraspinous, intertransverse ligament
synostoses are?
bony joints
Examples of diarthroses (synovial joints)
Zygapophysial joints, Lumbosacral joint, Sacrococcygeal joint, Atlanto-occipital joint
lumbosacral enlargement location
T11-S1
cervical enlargement location
C4-T1
infererior tapering end of spinal cord?
conus medullaris, end at L1/L2
What is the horse tail
cauda equina,
bundle of nerv going down from enlargement + filim terminale internum
anterior intercostal artery comes from?
1-6 = internal thoracic a,
7-9 = musculophernic a
Sternum Body articulates with what costal cartilages?
2nd – 7th
intercostal nerve comes from
From anterior rami of T1-T11
Subcostal n comes from
T12
First posterior intercostal vein (right and left) drain into what?
brachiocephalic veins
Accessory hemiazygos vein is formed by union of what structures?
5th-8th posterior intercostal v.
Azygos vein is formed by union of what structures?
right subcostal v. + right ascending lumbar v.
Left 2th 3rd and 4th posterior intercostal veins drain into what?
left superior intercostal vein -> brachiocephalic vein
Right 2th 3rd and 4th posterior intercostal veins drain into what?,
right superior intercostal vein -> azygos vein
left 5th-11th posterior intercostal veins drain into what?
5-8 -> accessory hemiazygos vein,
9-11 -> hemiazygos vein
What structures give rise to anterior intercostal areteries?
1st-6th intercostal space -> internal thoracic a.,
7th-9th intercostal space -> musculophrenic a.
Breast location
between 2nd and 6th rib
Breast components:
-mammary glands
-mainly adipose tissue
-suspensory ligaments
-skin
It is a nonfunctional vestige of the ductus arteriosus, and is formed within three weeks of birth.
name?
Ligamentum arteriosum
THIS separates the conus arteriosus from the rest of the cavity of the right ventricle.. It is located on the internal wall of the right ventricle.
supraventricular crest
septum of the heart between the right atrium (RA) and the left ventricle (LV).
Atrioventricular septum

in practice the divisions from RA to RV and from LA to LV are mediated by valves, not by septa. Also, there is usually no communication between the LA and the RV
septum that separates the right and left atria of the heart?
interatrial septum
Lowest valve?
Tricuspid valve
Highest valve?
Pulmonary valve
Heart auscultation - Pulmonary valve (to pulmonary trunk)
left second intercostal space
Heart auscultation - Aortic valve (to aorta)
right second intercostal space
Heart auscultation - Mitral valve (to left ventricle)
left fifth intercostal space (lateral)
Heart auscultation - Tricuspid valve (to right ventricle)
right fifth intercostal space (close to sternum)
Posterior Mediastinum Contains
the esophagus, thoracic aorta, azygos and hemiazygos veins, thoracic duct,
vagus nerves, sympathetic trunk, and splanchnic nerves.
Middle Mediastinum Contains
Contains the heart, pericardium, phrenicnerves
,roots of the great vessels (aorta, pulmonary arteries and veins, and vena cavae),
arch of the azygos vein, and main bronchi.
Anterior Mediastinum Contains
Contains the remnants of the thymus gland, lymph nodes, fat, and connective tissue.
Superior mediastinum contains?(ant to post),
Thymus (or its remnant),
Veins (Superior part of SVC and its tributaries),
Nerves,
Arteries,
Trachea,
Esophagus,
Lymph (Thoracic duct)
The mediastinum has which parts?
the superior mediastinum and inferior mediastinum, which divides into the anterior, middle, and posterior mediastina.
The trachea begins at the
inferior border of the cricoid cartilage (C6)
The trachea has some rings?
16 to 20 incomplete hyaline cartilaginous rings
Boundaries of Mediastinum are:
Posteriorly: thoracic spine
Anteriorly: sternum and costal cartilages
Laterally: mediastinal pleura
Superiorly: thoracic inlet
Inferiorly: diaphragm
Superior mediastinum borders:
anteriorly: the sternum
posteriorly: the upper thoracic vertebra
superiorly: thoracic inlet
laterally: apices of the lungs
inferiorly: Oblique plan from sternal angle to T4/T5
Anterior Mediastinum borders
Anteriorly by the sternum,
laterally by the pleura
Posteriorly by the pericardium.
Posterior Mediastinum borders
(Runs parallel with the vertebral column)
Anteriorly
by the pericardium above
by the posterior surface of the diaphragm below

Posteriorly
by the vertebral column from the lower border of the fourth to the twelfth thoracic vertebra

Laterally
by the mediastinal pleura
Another name for: valve of inferior vena cava
Eustachian valve
Another name for: valve of coronary sinus
Thebesian valve
The root of the lung and the bifurcation the the trace are firmly connected to the posterior wall of the pericardium by means of strong fiber band called?
bronchopericardial membrane

The fibers radiate across the wall of the inferior vena cave into the posterior border of the tenidnous center of the diaphragm.
Toghter they from a central connective tissue
The ligament that fuse the central tendon of diaphragm with the inferior surface of the fibrous pericardium.
Name?
pericardiacophrenic ligament
Ligaments that attach the fibrous pericardium to the posterior surface of the sternum and help to retain the heart in its position in the thoracic cavity.
Name?
sternopericardial ligaments
Which part of the heart conducting system prices which structure?
Bundle of HIs prices right fibrous trigone
Which branches of aorta is within the middle mediastainum
Coronary a.
Sa node stands for?
sinoatrial node
AV node stands for?
Atrioventricular node
Say in correct way:
Tubercle of right rib, (first)
Tubercle of right first rib
"Notch" of auricular surface on sacrum?
sacral promontory
Say in correct way:
intervertebral foramen between L4 and L5
intervertebral foramina of L4/L5 vertebrae
Say in correct way:
body of L4
vertebral body of L4 vertebra
Dura matar end with subarachnoid space at?
S2
In a chest x ray, which structures can we see on the left side (S->I)
Aortic arch (close to manibrum)
Pulmonary trunk
Part of LA
LV
In a chest x ray, which structures can we see on the right side (S->I)
SVC
RA
Which part of the pulmonary arteries looks bigger in a chest xray
Right pulmonary A
The pulmonary trunk is quite small and to the left (very white)
While the left pulmonary trunk is small just above the trunk
Vertebral artery comes from?
Subclavian aa.
Lymph from Breast go to?
75% AXILLARY NODES
25% OTHER NODES
DIRECT ROUTE to AXILLARY NODES
from lateral quadrants pectoral nodes
INDIRECT ROUTE to AXILLARY NODES
from upper quadrants interpectoral nodes
oblique pericardial sinus borders?
On the right side, the oblique sinus is bounded by the lines of reflection of the serous pericardium onto the inferior vena cava and the right pulmonary veins.

On the left, the sinus is bounded only by the lines of reflection of serous pericardium onto the left pulmonary veins
Right coronary artery runs?
in the coronary groove.
Gives off SA nodal branch and right marginal branch. Then continues on the posterior aspect of the heart and at the crux it gives off an AV nodal branch and then a large posterior IV branch,
Arterial supply of Pericardium
pericardiocophrenic artery
(branch of internal thoracic a)
Bundle of His(bundle brances) pierce through:
right fibrous trigone, membranous part of IV septum
Pericardium Nerve supply
phrenic nerves (C3-C5) → sensory fibers,
vagus nerve (CN X) → function uncertain,
sympathetic trunks → vasomotor
SA node location:
Located anterolaterally, just deep to epicardium,Superior right side of right atrium, between atrium and pulmonary trunk
AV node location
Inferior wall of right atrium, close to septal cusp and opening of coronary sinus
Another name for moderator band
Septomarginal trabecula
Which muscel is on the inside wall of the ventricle
trabeculae carneae
function of fibrous trigone
Prevents overextension of orifices
provides attachment for cups
moderator band purpuse
it carries part of the right bundle branch of the AV bundle of the conduction system of the heart to the anterior papillary muscle. This shortcut across the chamber of the ventricle seems to facilitate conduction time, allowing coordinated contraction of the anterior papillary muscle;
After AV node we get?
atrioventricular bundle -> left+right Budle branches -> fibers
supraventricular Crest is what:
a ridge on the inner wall of the right ventricle, marking off the conus arteriosus
Which "line" divied the right atrium
crista terminalis
right fibrous ring is around:
tricuspid valve