Anatomy and Blood Flow of the Heart

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Questions and Answers

A complete heart block disrupts the normal conduction pathway. Which of the following would still enable ventricles to contract, albeit at a slower rate?

  • SA node
  • Bundle branches
  • AV node
  • Purkinje fibers (correct)

During a cardiac catheterization, a physician notices an obstruction in a vessel along the anterior interventricular sulcus. Which vessel is MOST likely affected?

  • Left circumflex artery
  • Great cardiac vein
  • Right coronary artery
  • Left anterior descending artery (correct)

In the context of heart valve function, what is the MOST immediate consequence if the chordae tendineae associated with the tricuspid valve rupture?

  • Increased pressure in the left ventricle
  • Regurgitation of blood into the right atrium during ventricular systole (correct)
  • Stenosis of the pulmonary valve
  • Decreased systemic blood pressure

If the vagus nerve's influence on the heart were completely blocked, what would be the MOST likely immediate effect on heart rate?

<p>Significant increase due to removal of parasympathetic inhibition (C)</p> Signup and view all the answers

A patient is diagnosed with a condition causing significant fibrosis (thickening and scarring) of the tunica media in their arterial walls. What is MOST likely to result from this condition?

<p>Decreased vessel elasticity and increased blood pressure (C)</p> Signup and view all the answers

A researcher is studying the effects of a drug on blood vessel structure. After administering the drug, they observe a significant reduction in the number of fenestrations in capillary walls. Which physiological process is MOST likely to be directly affected by this change?

<p>Exchange of nutrients and waste between blood and tissues (B)</p> Signup and view all the answers

A surgeon is planning a coronary artery bypass graft (CABG) procedure. Which vessel is the LEAST likely choice for harvesting and using as a bypass conduit?

<p>Pulmonary artery (A)</p> Signup and view all the answers

A physician is treating a patient with severe atherosclerosis in the arteries of the lower limb. Which vessel is LEAST likely to be directly affected and cause significant ischemia (reduced blood flow) in the foot?

<p>Great saphenous vein (A)</p> Signup and view all the answers

Considering the venous drainage patterns of the head and neck, a blockage of the superior sagittal sinus would MOST directly impair drainage from which area?

<p>Brain and meninges (C)</p> Signup and view all the answers

A hematologist is examining a patient with a rare congenital condition where the foramen ovale fails to close after birth. What physiological consequence would be MOST expected in this individual?

<p>Mixing of oxygenated and deoxygenated blood (A)</p> Signup and view all the answers

A researcher discovers a new compound that selectively inhibits the function of venous valves in the lower limbs. What is the MOST likely direct consequence of this compound's action?

<p>Increased risk of venous insufficiency and edema (D)</p> Signup and view all the answers

An anatomist is dissecting a cadaver and identifies the celiac trunk. Which organ receives its blood supply DIRECTLY from a branch of the celiac trunk?

<p>Duodenum (B)</p> Signup and view all the answers

In a patient experiencing hypovolemic shock (severe blood loss), the body attempts to compensate by altering blood vessel diameter. Which vascular change would the body MOST likely employ to maintain blood pressure?

<p>Vasoconstriction of arterioles in the skin (D)</p> Signup and view all the answers

During a fetal echocardiogram, a cardiologist observes blood flowing directly from the pulmonary artery to the aorta. Which structure is facilitating this blood flow?

<p>Ductus arteriosus (B)</p> Signup and view all the answers

A previously healthy individual experiences a sudden occlusion (blockage) of the left circumflex artery. Which of the following is a likely region of the heart that will be MOST immediately affected by this occlusion?

<p>Posterior and lateral aspects of left ventricle (A)</p> Signup and view all the answers

A researcher is studying the histological differences between arteries and veins. Which feature would allow them to MOST reliably distinguish an artery from a vein under a microscope?

<p>Relative thickness of the tunica media (C)</p> Signup and view all the answers

A cardiologist detects an abnormally high level of pressure in the right atrium. This finding would MOST likely directly impede venous return from which vessel?

<p>Inferior vena cava (B)</p> Signup and view all the answers

What is the MOST likely compensation that maintains cerebral blood flow during moderate physical exercise despite an increase in overall cardiac output?

<p>Vasodilation of cerebral arteries (C)</p> Signup and view all the answers

A patient presents with lymphedema (swelling due to lymphatic obstruction) in the right lower limb. Which anatomical structure, if blocked, could MOST directly contribute to this condition?

<p>Inguinal lymph nodes (A)</p> Signup and view all the answers

During coronary angiography, a cardiologist injects dye to visualize the coronary arteries. If the dye is seen to fill the posterior interventricular artery, what other arterial structure is MOST likely also filled with that dye?

<p>Right coronary artery (D)</p> Signup and view all the answers

A patient with chronic liver disease develops ascites (fluid accumulation in the peritoneal cavity) due to increased pressure in the hepatic portal system. This increase in pressure would MOST directly result from impaired blood flow through which vessel?

<p>Portal veins (D)</p> Signup and view all the answers

A person undergoes a procedure where the connection between the left subclavian artery and the vertebral artery is damaged. This would MOST directly affect blood supply to what?

<p>Brain and spinal cord. (D)</p> Signup and view all the answers

What would be the MOST immediate impact of a thrombus (blood clot) forming in the left gastric artery?

<p>Ischemia (reduced blood flow) to the stomach (C)</p> Signup and view all the answers

Which of the following is the MOST likely consequence of damage to the baroreceptors in the carotid sinus?

<p>Unstable blood pressure regulation (B)</p> Signup and view all the answers

An individual has a mutation that impairs the formation of the internal elastic lamina in their arteries. What is the likely MOST direct result of this mutation?

<p>Reduced ability of the artery to withstand pressure (A)</p> Signup and view all the answers

A drug that increases the concentration of albumin in the blood plasma is administered to a patient. What is the MOST likely effect of this drug on capillary exchange?

<p>Increased fluid movement from the tissues into the capillaries (A)</p> Signup and view all the answers

What is the MOST likely outcome of a congenital defect resulting in the absence of the moderator band in the right ventricle?

<p>Disrupted coordination of ventricular contraction. (C)</p> Signup and view all the answers

If a drug caused selective vasoconstriction of the efferent arterioles of the kidneys, what would MOST likely happen?

<p>Increased glomerular filtration rate (C)</p> Signup and view all the answers

In a scenario where the sinoatrial (SA) node fails, but the atrioventricular (AV) node takes over as the heart's pacemaker, what change in clinical observations is MOST expected?

<p>Decreased heart rate. (A)</p> Signup and view all the answers

What is the purpose of specialized muscle fibers in the heart, such as the SA node, AV node, AV bundle, bundle branches, and purkinje fibers.

<p>To coordinate and synchronize the contraction of the heart muscle, ensuring efficient pumping action. (B)</p> Signup and view all the answers

Considering the properties of arteries vs. veins, damage to which vessel presents higher risk of significant blood loss due to higher blood pressure?

<p>Arteries (A)</p> Signup and view all the answers

The ductus arteriosus in a fetus shunts blood away from pulmonary circulation into systemic circulation. Which of the following statements describes the path of blood as it shunts from pulmonary to systemic?

<p>From the pulmonary artery to the aorta (A)</p> Signup and view all the answers

A laceration on what side of the heart is more likely to fill with deoxygenated blood?

<p>The right side (D)</p> Signup and view all the answers

During ventricular diastole, the AV valves are open. How would this affect blood pressure?

<p>Would force blood back into cups of semilunar valves, forcing them to close. (A)</p> Signup and view all the answers

What is the direct function and location of the medulla oblongata?

<p>Located in the brainstem stem and impacts the cardiovascular system. (C)</p> Signup and view all the answers

If the sinoatrial (SA) node is delayed by 100 msecs, what can be said of the atrial and ventricular contractions?

<p>The atrial contraction begins, but is delayed. (B)</p> Signup and view all the answers

How would increased blood volume impact blood pressure?

<p>Higher (D)</p> Signup and view all the answers

If the coronary sinus were to become blocked, impeding venous drainage from the heart, which cardiac vein would experience the MOST immediate and significant increase in pressure?

<p>Great cardiac vein (D)</p> Signup and view all the answers

A patient has a condition that selectively impairs the contractility of the tunica media within their arterial walls. What direct physiological change is MOST likely to occur as a result?

<p>Reduced arterial compliance (B)</p> Signup and view all the answers

A researcher is developing a new drug that aims to selectively enhance the function of venous valves. In which of the following patients would this drug be MOST beneficial?

<p>A patient with varicose veins (B)</p> Signup and view all the answers

What is the MOST likely consequence of a congenital defect where the moderator band is significantly weakened or absent?

<p>Delayed right ventricular contraction (B)</p> Signup and view all the answers

After a traumatic injury, a patient experiences a tear in the ligamentum arteriosum. What pre-natal structure does this ligament represent?

<p>Ductus arteriosus (A)</p> Signup and view all the answers

Why are arteries, compared to veins, less likely to collapse?

<p>Arteries have thicker walls with more collagen and smooth muscle. (C)</p> Signup and view all the answers

A researcher is studying the effects of a drug that selectively inhibits the function of pectinate muscles in the right atrium. What change would they MOST likely observe?

<p>Reduced force of right atrial contraction (B)</p> Signup and view all the answers

In a patient with a severely stenotic (narrowed) aortic valve, which compensatory mechanism is MOST likely to develop over time?

<p>Left ventricular hypertrophy (C)</p> Signup and view all the answers

What pathological change would MOST directly lead to increased resistance in the pulmonary circulation, potentially causing right ventricular hypertrophy?

<p>Pulmonary valve stenosis (A)</p> Signup and view all the answers

A patient with chronic kidney disease has severely impaired albumin production by the liver. What effect would this MOST likely have on capillary exchange?

<p>Decreased fluid reabsorption into the capillaries (C)</p> Signup and view all the answers

If a patient is diagnosed with a condition causing selective damage to the elastic fibers in the tunica media of large arteries, what is the MOST likely physiological consequence?

<p>Decreased diastolic blood pressure (A)</p> Signup and view all the answers

A patient has a mutation that impairs the function of the chordae tendineae in the left ventricle. What is the MOST likely direct result of this mutation?

<p>Mitral valve prolapse/regurgitation (B)</p> Signup and view all the answers

A patient is diagnosed with damage to the baroreceptors in the carotid sinus. What compensatory mechanism will MOST likely occur?

<p>Increased sympathetic activity (B)</p> Signup and view all the answers

What would be the MOST immediate impact of a newly formed thrombus (blood clot) completely obstructing the anterior interventricular artery?

<p>Ischemia of the anterior wall of the left ventricle (D)</p> Signup and view all the answers

During a cardiac catheterization, the catheter is advanced into the left ventricle. If the catheter damages the papillary muscles, what is the MOST likely immediate consequence?

<p>Mitral valve prolapse/regurgitation (B)</p> Signup and view all the answers

A previously healthy individual experiences sudden occlusion (blockage) of the circumflex artery. Which region of the heart would be MOST immediately affected by this occlusion?

<p>Posterior and lateral walls of the left ventricle (A)</p> Signup and view all the answers

If the sinoatrial (SA) node is delayed by 100 msecs, how would this affect atrial and ventricular contractions?

<p>Atrial contraction will be delayed, and ventricular contraction will also be delayed. (A)</p> Signup and view all the answers

How would increased blood volume MOST directly impact blood pressure?

<p>It would increase cardiac output and raise blood pressure. (B)</p> Signup and view all the answers

Considering the unique properties of arteries versus veins, damage to which type of vessel presents a higher risk of significant blood loss due to higher blood pressure?

<p>Arteries, as they carry blood at higher pressure (A)</p> Signup and view all the answers

A laceration on which side of the heart is MOST likely to fill with deoxygenated blood?

<p>The posterior surface, near the right atrium. (A)</p> Signup and view all the answers

What is the primary anatomical distinction between the internal and external carotid arteries?

<p>The internal carotid supplies the brain; the external carotid supplies the face and neck. (C)</p> Signup and view all the answers

Which artery is responsible for supplying blood to the majority of the small intestine?

<p>Superior mesenteric artery (C)</p> Signup and view all the answers

At what vertebral level does the abdominal aorta typically bifurcate into the common iliac arteries?

<p>L4 (C)</p> Signup and view all the answers

A blockage in the vertebral artery would MOST directly affect the blood supply to which of the following structures?

<p>The spinal cord and brainstem (D)</p> Signup and view all the answers

The ductus arteriosus in a fetus shunts blood away from pulmonary circulation and into systemic circulation. Which statement accurately describes the path of blood as it shunts from pulmonary to systemic?

<p>From the pulmonary artery to the aorta (B)</p> Signup and view all the answers

Which of the following sequences correctly traces blood flow from the superior vena cava to the aorta?

<p>Right atrium, tricuspid valve, right ventricle, pulmonary valve, pulmonary trunk, pulmonary veins, left atrium, mitral valve, left ventricle, aortic valve (C)</p> Signup and view all the answers

During ventricular diastole when the AV valves are open, how would this affect blood pressure?

<p>Blood would passively flow from the atria to the ventricles, slightly increasing ventricular volume without significant pressure change. (C)</p> Signup and view all the answers

How does the tunica media contribute to maintaining blood pressure in arteries?

<p>It contains elastic fibers and smooth muscle that facilitate vasoconstriction and vasodilation. (B)</p> Signup and view all the answers

Which one of the following represents an accurate description of pulmonary circulation?

<p>The movement of blood from the right side of the heart to the lung, where it picks up oxygen and releases carbon dioxide, before returning to the left side of the heart. (B)</p> Signup and view all the answers

What is the MOST likely effect of damage to the sympathetic ganglia (lower cervical and T1-T4) and the cardiac nerve?

<p>Decreased heart rate (B)</p> Signup and view all the answers

The great saphenous vein is a superficial vein that runs along the medial side of the leg and thigh. Where does this vein terminate?

<p>Femoral vein (D)</p> Signup and view all the answers

What is the specific role of the cardiac veins?

<p>Drain blood from the myocardium into the coronary sinus (C)</p> Signup and view all the answers

Which vein is commonly used for venipuncture due to its location connecting the cephalic and basilic veins?

<p>median cubital vein (B)</p> Signup and view all the answers

Which blood vessel tunic comes in contact with the blood?

<p>Tunica intima (A)</p> Signup and view all the answers

What is the function of smooth muscle within a blood vessel?

<p>Contraction and relaxation to regulate blood vessel diameter (B)</p> Signup and view all the answers

What artery supplies the majority of the small intestine?

<p>Superior mesenteric (D)</p> Signup and view all the answers

What is the purpose of fenestrations found in capillaries?

<p>Exchange of gasses and nutrients (D)</p> Signup and view all the answers

Which tunic is primarily responsible for vasoconstriction and vasodilation?

<p>Tunica media (C)</p> Signup and view all the answers

The left gastric artery originates from what major arterial trunk?

<p>Celiac trunk (C)</p> Signup and view all the answers

Which vessels drain directly into the coronary sinus, facilitating venous return from the heart muscle itself?

<p>Great, middle, and small cardiac veins (B)</p> Signup and view all the answers

A patient exhibits an exaggerated increase in heart rate during mild exercise, but their blood pressure response is blunted. Which of the following scenarios BEST explains this combination of findings?

<p>Baroreceptor insensitivity coupled with normal chemoreceptor response. (C)</p> Signup and view all the answers

A researcher is studying the effect of a novel drug on the cardiac cycle. They observe that the duration of isovolumetric contraction is significantly prolonged, while the duration of ventricular ejection is shortened. Which mechanism of action of the drug is MOST likely responsible for these effects?

<p>Partial obstruction of the aortic valve. (C)</p> Signup and view all the answers

A patient with a history of IV drug use develops tricuspid valve endocarditis (inflammation of the inner lining of the heart valves). Fragments of the infected valve break off and travel through the bloodstream. Where would these fragments MOST likely lodge to cause a pulmonary embolism?

<p>A pulmonary artery (C)</p> Signup and view all the answers

A 60-year-old male with recurring chest pain undergoes an angiogram, revealing significant atherosclerosis in the proximal portion of the left anterior descending (LAD) artery. To improve blood flow to the heart muscle, the surgeon decides to perform a coronary artery bypass grafting (CABG) using the left internal thoracic artery (LITA). Which vessel will the LITA be anastomosed to, in order to bypass the blockage?

<p>The LAD artery, distal to the atherosclerotic blockage. (C)</p> Signup and view all the answers

In a patient presenting with symptoms indicative of a thoracic aortic dissection, which physical examination finding would MOST strongly suggest that the dissection involves the great vessels of the aortic arch?

<p>A difference in blood pressure between the right and left arms. (C)</p> Signup and view all the answers

Flashcards

Anterior Surface (Heart)

The surface of the heart visible from the front (sternocostal).

Posterior Surface (Heart)

The surface of the heart that rests on the diaphragm.

Atrioventricular Valves

Valves between atria and ventricles; open during ventricular diastole (relaxation).

Semilunar Valves (Heart)

Semilunar valves open during ventricular systole (contraction), allowing blood ejection.

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Deoxygenated Blood Flow

Right side receives deoxygenated blood from body.

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SA (Sinoatrial) Node

Area that produces an electrical signal that causes the heart to beat.

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AV Node

Delays the spread of electrical activity to the AV bundle.

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Purkinje Fibers

Distributes electrical impulses through ventricles for coordinated contractions.

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Diastole

Relaxation phase of the cardiac cycle when chambers fill with blood.

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Systole

Contraction phase of the cardiac cycle when chambers eject blood.

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Cardiac Cycle

The period between the start of one heartbeat and the beginning of the next.

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Coronary Blood Vessels

Vessels supplying blood to the heart muscle itself.

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Cardiac Veins

Returns blood from heart tissues to the right atrium.

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Cardiac Nerve Supply

Nerves regulating heart function; includes parasympathetic (Vagus) and sympathetic.

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Arteries vs. Veins

Arteries carry blood away, veins return blood towards the heart.

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Tunica Externa

Outer layer; collagen fibers with bands of elastic fibers.

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Tunica Media

Middle layer; composed of smooth muscle.

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Tunica Interna

Inner layer; endothelial tissue with bands of elastic fibers.

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Capillaries

Tiny vessels where nutrient/waste exchange occurs between blood and tissues.

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Veins

Blood vessels returning blood to the heart; classified as venules, medium, large.

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Pulmonary Circulation

Circuit from heart to the lungs and back.

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Aortic Arch Branches

Right Common Carotid, Left Common Carotid, Right Subclavian A., Left Subclavian A., Brachiocephalic trunk.

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Thyrocervical trunk

Supplies blood to muscles, tissues of neck, shoulder, upper back

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Internal Thoracic Artery

Artery supplying the pericardium and anterior wall of the chest.

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Vertebral Artery

Artery supplying blood to the brain and spinal cord.

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Internal Carotid Artery

Artery that supplies the brain.

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Circle of Willis

Structure that provides blood flow to the brain.

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Thoracic Arterial Supply

Descending Aorta, Subclavian aa., Brachiocephalic trunk

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Abdominal Arterial Supply

Descending Aorta, celiac trunk, common iliac aa.

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Celiac Trunk

common hepatic a., splenic a., left gastric a.

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Common Iliac Artery

Pelvis and lower extremity.

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Arteries of Lower Limb

Common Iliac a., Internal Iliac a., External iliac a.

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Femoral Artery

Main artery of the thigh.

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External jugular vein

Drains the face.

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Median Cubital Vein

Communicates between cephalic & basilic.

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Hepatic Portal System

The hepatic portal system carries blood from the digestive organs to the liver.

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Ductus Arteriosus

Artery that is closed at birth to initiate fetal circulation.

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Portal Vein

The vein connecting hepatic portal system to the inferior vena cava where they converge in the liver, carrying blood filled with nutrients from the digestive tract

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Study Notes

Anterior Surface of the Heart

  • This aspect provides a sternocostal view.

Posterior Surface of the Heart

  • Presents a diaphragmatic view of the heart.

Heart Valves

  • Atrioventricular valves open during the diastole phase of the ventricles.
  • AV valves consist of the bicuspid and tricuspid valves.
  • Semilunar valves are open during ventricular systole.
  • Semilunar valves include the pulmonary and aortic valves.

Blood Flow Through the Heart

  • The right side of the heart is filled with deoxygenated blood.

Structures of Specialized Muscle Fibers

  • SA Node
  • AV Node
  • AV Bundle
  • Bundle Branches
  • Purkinje Fibers

Cardiac Cycle Phases

  • Diastole equals relaxation.
  • Systole equals contraction.

Coronary Blood Vessels

  • These vessels supply blood to the heart muscles.
  • They originate from the ascending aorta.
  • Major coronary vessels include the right coronary artery (RCA) and left coronary artery (LCA).
  • Cardiac veins drain into the coronary sinus.

Coronary Arteries and Veins

  • The right coronary artery passes between the right auricle and pulmonary trunk.
  • Its major branches are the marginal and posterior interventricular branches.
  • The left coronary artery's major branches consist of the circumflex and anterior interventricular branches.
  • The great cardiac vein travels with the anterior interventricular artery.
  • The middle cardiac vein travels with the posterior interventricular artery.
  • The coronary sinus is located on the posterior heart in the atrioventricular sulcus between the left atrium and left ventricle.

Coronary Arteries

  • The right coronary artery includes marginal and posterior interventricular arteries.
  • The left coronary artery supplies anterior interventricular artery, great cardiac vein, and circumflex artery.

Cardiac Nerve Supply

  • Parasympathetic supply is via the Vagus nerve (X).
  • Sympathetic supply includes sympathetic ganglia structures in the lower cervical and T1-T4 regions.

Distinguishing Arteries from Veins

  • Arteries and veins typically run parallel to each other.
  • Arteries carry blood away from the heart.
  • Veins carry blood toward the heart.
  • Arteries have thicker walls than veins.
  • Arteries maintain their rounded shape, while veins collapse easily.
  • Arteries display an endothelial lining with pleated folds.
  • Veins feature valves.

Vessel Walls

  • Tunica Externa: Composed of collagen fibers with bands of elastic fibers.
  • Tunica Media: Composed of smooth muscle.
  • Tunica Interna: Composed of endothelial tissue with bands of elastic fibers.

Histology of Arteries and Veins

  • Arteries show a thicker wall and more defined layers compared to veins.

Vessel Types

  • Vessels include large veins, elastic arteries, and muscular artery
  • Vessels include medium-sized veins, arterioles, venules, and continuous capillaries.
  • Another vessel type is a fenestrated capillary

Capillaries

  • Capillaries connect arterioles and venules.

Veins

  • Veins return blood to the heart
  • Veins are classified as venules, medium-sized veins, and large veins

Systemic Arterial Circulation

  • Transports oxygenated blood from the heart to the body.

Pulmonary Circulation

  • Carries deoxygenated blood from the heart to the lungs and returns oxygenated blood to the heart.

Branches of the Aortic Arch

  • The following branch directly from the Aortic Arch: right common carotid, left common carotid, right subclavian artery, left subclavian artery, and brachiocephalic trunk.

Subclavian Arteries

  • The thyrocervical trunk supplies muscles and tissues of the neck, shoulder, and upper back.
  • The internal thoracic artery supplies the pericardium and anterior chest wall.
  • The vertebral artery supplies blood to the brain and spinal cord.

Common Carotid Arteries

  • Common Carotid arteries supplying the head and neck.
  • Internal carotid artery supplies the brain.
  • External carotid artery supplies non-neural head structures, superior thyroid, lingual, facial, and maxillary arteries.

Brain Arteries

  • Internal Carotid & Vertebral Arteries form the Circle of Willis.

Forelimb Arterial Supply

  • Subclavian a. supplys upper extremity
  • Axillary aa. is the continuation of subclavian and supplies the axilla & shoulder
  • Brachial a. is the continuation of axillary and supplies the arm
  • Radial & ulnar aa. supply the forearm
  • Palmar arches supply the hand
  • Digital aa. supplies the digits

Thoracic Arterial Supply

  • Descending Aorta: Supplies bronchial aa. ( lungs) and esophageal.
  • Subclavian aa.: Supplies internal thoracic aa.(thoracic wall.
  • The internal thoracic artery is also used for coronary bypass replacement.
  • Brachiocephalic trunk

Abdominal Arterial Supply

  • Descending Aorta provides 2 inferior mediastinal aa. (diaphragm), 1 celiac trunk, 2 renal aa. (kidneys), and 2 suprarenal aa. (adrenal glands)
  • The descending Aorta supplies 1 superior and 1 inferior mesenteric ( digestive organs)
  • Descending Aorta supplies 2 common iliac aa.(pelvic structures).

Celiac Trunk

  • The hepatic artery supplies the liver.
  • The splenic artery supplies the spleen and pancreas.
  • The left gastric artery supplies the stomach.

Renal Arteries

  • The descending aorta typically bifurcates into the common iliac arteries at the L4 vertebral level.

Lower Limb Arterial Supply

  • Common Iliac a. that supply to the pelvis and lower limb
  • Internal Iliac a. that supply to the pelvic organs
  • External iliac a. supplies to the lower limb
  • Femoral a. supplies to the thigh
  • Popliteal a. supplies the popliteal area
  • Anterior tibial a. supplies the anterior leg
  • Posterior tibial a. supplies the posterior leg

Femoral Region

  • NAVL: Femoral Nerve, Artery, Vein, Lymph nodes

Systemic Venous Circulation

  • Returns deoxygenated blood from the body to the heart.

Cerebral/Cerebellar Veins and Dural Venous Sinuses

  • Drain blood from the brain.

Head and Neck Venous Drainage

  • External jugular vein (face), drains dural sinuses (brain).
  • Subclavian (UL) drains the internal jugular that then drains into the brachiocephalic and then to the Superior Vena Cava.

Superficial Veins

  • Superficial veins are located just under the skin and do not have corresponding arteries.

External Jugular Vein

  • External Jugular Vein (EJV) does not have a corresponding artery.
  • Internal Jugular Vein (IJV) does have a corresponding artery that runs with the common carotid artery

Median Cubital Vein

  • This vein communicates between the cephalic and basilic veins.
  • It is commonly used for venipuncture.

Lower Extremity Veins

  • Veins have one-way valves that facilitate blood flow back to the heart
  • The veins of the lower limb use muscular venous pumps, including the deep femoral, popliteal, small saphenous, and anterior tibial.

Components of Fetal Circulation

  • Structures include Foramen Ovale.
  • Structures include Ductus Arteriosus.

Sample Questions and Answers

  • Brachiocephalic trunk, left common carotid a. or left subclavian a. are direct branches of the aortic arch. External iliac artery (not femoral!) supplies to the lower extremity. Cephalic or Basilic Vein are superficial vein the upper extremity. Vertebral a. or Internal Carotid are arteries that supplies the brain.

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