Anatomy of the Heart Quiz

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Questions and Answers

What term refers to the inferior point of the left ventricle of the heart?

  • Base
  • Surface
  • Apex (correct)
  • Mediastinum

Which layer of the pericardium is referred to as the fibrous pericardium?

  • Outer layer (correct)
  • Inner layer
  • Visceral layer
  • Middle layer

Which of the following surfaces of the heart faces the diaphragm?

  • Right Surface
  • Inferior Surface (correct)
  • Anterior Surface
  • Left Surface

What is the role of the pericardial fluid?

<p>Acts as a lubricant (D)</p> Signup and view all the answers

Which layer of the heart is also known as the visceral pericardium?

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

Where is the heart specifically located?

<p>Between the sternum and vertebrae (C)</p> Signup and view all the answers

What type of tissue mainly composes the epicardium?

<p>Fibroelastic and adipose tissue (A)</p> Signup and view all the answers

What is the anatomical term for the area where the heart is located?

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

What is the primary function of the myocardium?

<p>To facilitate heart pumping action (B)</p> Signup and view all the answers

What are the two main types of valves found in the heart?

<p>Atrioventricular and Semilunar valves (C)</p> Signup and view all the answers

What is the primary function of the papillary muscles and chordae tendineae in the heart?

<p>They regulate the closure of the atrioventricular valves. (D)</p> Signup and view all the answers

What structure marks the boundary between the atria and ventricles?

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

Which valve allows blood to flow from the right ventricle to the pulmonary arteries?

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

Which vein does the right atrium NOT receive blood from?

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

What is the relationship between myocardial thickness and pressure production in the heart?

<p>Left ventricle has the greatest thickness due to higher pressure requirements. (C)</p> Signup and view all the answers

What is the role of the chordae tendineae in the heart?

<p>To connect papillary muscles to the atrioventricular valves (A)</p> Signup and view all the answers

Where does blood enter the left atrium from?

<p>The pulmonary veins (B)</p> Signup and view all the answers

What is the function of the fibrous skeleton of the heart?

<p>To provide structural support and insulation for electrical impulses. (B)</p> Signup and view all the answers

What features characterize the anterior wall of the right atrium?

<p>It has pectinate muscles that give a rough texture. (D)</p> Signup and view all the answers

Which chamber of the heart has the thickest walls?

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

What is the significance of the fossa ovalis in the right atrium?

<p>It is a remnant of a fetal heart opening that closes during infancy. (C)</p> Signup and view all the answers

What prevents the inversion of the atrioventricular valves during ventricular contraction?

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

What is one characteristic of the atrial walls compared to the ventricular walls?

<p>Atria have thinner walls due to lower pressure requirements. (C)</p> Signup and view all the answers

What connects the aortic arch to the pulmonary trunk?

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

What is the primary function of the heart valves?

<p>To ensure one-way flow of blood through the heart (C)</p> Signup and view all the answers

Which valves are classified as semilunar valves?

<p>Pulmonary and Aortic valves (B)</p> Signup and view all the answers

What happens when the ventricles contract?

<p>Pressure pushes against AV valves causing them to close (C)</p> Signup and view all the answers

How are the systemic and pulmonary circulations arranged?

<p>Output of one becomes input of the other (B)</p> Signup and view all the answers

What is the role of the right pump of the heart?

<p>To pump deoxygenated blood to the lungs (D)</p> Signup and view all the answers

What is coronary circulation responsible for?

<p>Providing blood supply to the heart muscle (B)</p> Signup and view all the answers

Which type of valve prevents backflow of blood into ventricles?

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

Which rings prevent overstretching of heart valves?

<p>Semilunar and Atrioventricular rings (C)</p> Signup and view all the answers

What is the primary role of Purkinje fibers in the heart?

<p>To rapidly conduct action potentials throughout the ventricles, ensuring simultaneous contraction (C)</p> Signup and view all the answers

Which wave on an electrocardiogram (ECG) represents ventricular repolarization?

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

The 'Lubb' sound, the first heart sound, is primarily caused by what action?

<p>Closing of the atrioventricular valves (B)</p> Signup and view all the answers

Which heart layer is composed of cardiac muscle?

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

What is the correct order of blood flow through the heart, starting from the superior vena cava (SVC) and inferior vena cava (IVC)?

<p>SVC/IVC → RA → Tricuspid → RV → Pulmonary valve → LUNGS → Pulmonary veins → LA → Mitral → LV → Aortic valve (B)</p> Signup and view all the answers

Which component of the heart's conduction system is known as the 'pacemaker'?

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

If the 'Dubb' sound is heard through a stethoscope, what function is occurring in the heart?

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

What is the name of the valve situated between the left atrium and the left ventricle?

<p>Mitral (Bicuspid) valve (A)</p> Signup and view all the answers

What is the primary function of the coronary arteries?

<p>To provide oxygenated blood to the heart myocardium (B)</p> Signup and view all the answers

What occurs at the anastomoses in the coronary circulation?

<p>Two supply arteries connect (A)</p> Signup and view all the answers

What potential consequence arises from a blocked coronary artery?

<p>Heart cells start to die quickly due to lack of oxygen (A)</p> Signup and view all the answers

Where is the sinoatrial (SA) node located?

<p>In the right atrium (A)</p> Signup and view all the answers

Which statement accurately describes the role of the atrioventricular (AV) node?

<p>It slows down the action potential allowing ventricular filling (A)</p> Signup and view all the answers

In which part of the conduction system does the action potential get conducted to the ventricles?

<p>Bundle of His (B)</p> Signup and view all the answers

What is the significance of self-excitable fibers in the heart?

<p>They maintain lifelong rhythmic electrical activity (A)</p> Signup and view all the answers

What is the final step in the sequence of cardiac action potentials?

<p>Action potential travels through the interventricular septum (B)</p> Signup and view all the answers

Flashcards

Where is the heart located?

The heart is about the size of a fist, positioned near the midline of the chest, within the mediastinum.

What are the apex and base of the heart?

The apex is the pointed inferior tip of the left ventricle, while the base is the superior aspect.

What is the pericardium?

The pericardium is a triple-layered membrane that surrounds and protects the heart. The fibrous pericardium is the outermost layer and anchors the heart to the mediastinum.

What are the layers of the serous pericardium?

The serous pericardium is a double layer with the parietal layer attached to the fibrous pericardium and the visceral layer (epicardium) directly attached to the heart.

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What is the pericardial cavity?

The pericardial cavity is the space between the parietal and visceral layers of the serous pericardium, filled with pericardial fluid.

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What is the epicardium?

The epicardium is the outermost layer of the heart, composed of visceral pericardium, fibroelastic tissue, and adipose tissue.

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What is the myocardium?

The myocardium is the middle layer of the heart and is responsible for the heart's pumping action.

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What is the endocardium?

The endocardium is the innermost layer of the heart lining the chambers and valves.

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Myocardium

The middle layer of the heart, composed of cardiac muscle tissue, responsible for the forceful contractions that pump blood.

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Endocardium

The innermost layer of the heart, lining the chambers and providing a smooth surface for blood flow.

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Atria (singular: Atrium)

Two upper chambers of the heart that receive blood returning from the body.

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Ventricles

Two lower chambers of the heart that pump blood out to the lungs and the rest of the body.

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Tricuspid Valve

The valve between the right atrium and right ventricle, consisting of three flaps.

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Atrial Auricle

A small flap on the anterior surface of the atria that expands their capacity to hold blood.

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Coronary Sulcus

A groove on the heart's surface marking the boundary between the atria and ventricles, containing the coronary sinus.

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Interatrial Septum

The thin wall separating the right and left atria, containing a remnant of an opening in the fetal heart that closes during infancy.

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What are pulmonary and aortic rings?

These fibrous rings are crucial for the proper function of heart valves, providing structural support and preventing overstretching. They act as a "skeleton" for these valves.

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What are tricuspid and bicuspid rings?

These specific rings are responsible for the proper operation of the atrioventricular valves, ensuring blood flows correctly from the atria to the ventricles.

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How do heart valves work?

Heart valves open and close in response to changes in blood pressure, ensuring blood flows in one direction through the heart.

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What are semilunar valves?

The aortic and pulmonary valves are known as semilunar valves because their shape resembles a half-moon.

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What are atrioventricular valves?

The tricuspid and bicuspid valves are called atrioventricular valves because they are located between the atria and the ventricles.

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How do atrioventricular valves work?

The AV valves close during ventricular contraction, preventing blood from flowing back into the atria. They open during atrial contraction allowing blood to flow into the ventricles.

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How does blood circulate through the heart?

The heart is a double pump system. The right pump deals with deoxygenated blood, while the left pump handles oxygenated blood.

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What is coronary circulation?

Arteries and veins that supply blood to the heart muscle itself are known as the coronary circulation.

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Coronary Arteries

Arteries that encircle the heart like a crown, supplying oxygenated blood to the heart muscle.

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Anastomoses

Connections between two supply arteries, providing backup blood flow to the heart muscle.

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Coronary Veins

Veins that collect deoxygenated blood from the heart muscle and return it to the right atrium.

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Coronary Bypass Surgery

A surgical procedure to bypass a blocked coronary artery, using a healthy blood vessel from elsewhere in the body.

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Autorhythmic Fibers

These specialized heart fibers are self-excitable, meaning they can initiate and maintain the heart's rhythm.

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Sinoatrial (SA) Node

The heart's natural pacemaker, setting the rhythm of the heartbeats. Located in the right atrium.

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Atrioventricular (AV) Node

Located in the interatrial septum, it slows down the electrical signal to allow the atria to empty before the ventricles contract.

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Atrioventricular (AV) Bundle (Bundle of His)

The pathway that carries the electrical signal from the AV node to the ventricles, stimulating their contraction.

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What are chordae tendineae?

The chordae tendineae are tough, fibrous cords that connect the papillary muscles to the cusps of the atrioventricular (AV) valves. They help to prevent the valves from prolapsing (bulging) into the atria during ventricular contraction.

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What are papillary muscles?

Papillary muscles are cone-shaped muscles located in the ventricles; they attach to the chordae tendineae, which in turn are attached to the atrioventricular valves. These muscles help regulate the opening and closing of the valves to ensure blood flows in the correct direction.

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What is the interventricular septum?

The interventricular septum is a thick muscular wall that separates the left and right ventricles. It helps to prevent blood from mixing between the two sides.

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What is the pulmonary valve?

The pulmonary valve is a semilunar valve located at the exit of the right ventricle. It opens to let blood flow into the pulmonary arteries and closes to prevent backflow into the ventricle.

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What is the bicuspid (mitral) valve?

The bicuspid valve, also known as the mitral valve, is an atrioventricular (AV) valve located between the left atrium and left ventricle. It has two cusps that open to allow blood to flow from the atrium to the ventricle and then close prevent backflow into the atrium.

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What is the aortic valve?

The aortic valve is a semilunar valve located at the exit of the left ventricle. It opens to allow blood flow into the aorta and closes to prevent backflow into the ventricle.

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Why does the myocardium have different thicknesses?

The thickness of the heart muscle (myocardium) varies depending on the chamber's role. The atria have thinner walls because they only need to pump blood a short distance to the ventricles. The ventricles, especially the left ventricle, have thicker walls because they need to generate more pressure to pump blood to the lungs (right ventricle) or the rest of the body (left ventricle).

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What is the Fibrous Skeleton of the Heart?

The fibrous skeleton is a dense connective tissue network within the heart walls. It provides structural support for the heart valves and acts as a point of attachment for cardiac muscle fibers. The fibrous skeleton also prevents over-stretching of the heart valves and helps conduct electrical impulses through the heart.

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Purkinje fibers

Large-diameter fibers that conduct action potentials throughout the ventricles, ensuring simultaneous contraction of all ventricle cells.

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Electrocardiogram (ECG)

A recording of the electrical activity of the heart, showing different waves representing depolarization and repolarization of the atria and ventricles.

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Lubb sound

The first sound of the heart, caused by the closure of the atrioventricular valves at the start of ventricular contraction.

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Dubb sound

The second sound of the heart, caused by the closure of the semilunar valves at the beginning of ventricular relaxation.

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Fibrous Pericardium

A tough, fibrous sac surrounding the heart, providing protection and anchoring it to the mediastinum.

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Serous Pericardium

The inner layer of the pericardium, composed of two membranes with a fluid-filled space between them.

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Study Notes

Chapter 13: The Heart

  • The heart is roughly the size of a closed fist.
  • It rests on the diaphragm near the midline of the thoracic cavity.
  • It lies within the mediastinum.
  • It's located between the sternum and the vertebrae, from the first rib to the diaphragm, and between the lungs.

Location Terms

  • Apex: The inferior, pointed end of the heart (left ventricle).
  • Base: The superior aspect of the heart (opposite the apex).

Heart Surfaces

  • Anterior surface: The front-facing surface, posterior to the sternum and ribs.
  • Inferior surface: Rests on the diaphragm.
  • Right and Left Surfaces: The right surface faces the right lung, and the left surface faces the left lung.

Pericardium

  • A triple-layered membrane that surrounds and protects the heart.
  • Layer 1 (Fibrous Pericardium): Thick, tough connective tissue that anchors the heart in the mediastinum.
  • Layer 2 (Parietal layer): Outer layer fused to the fibrous pericardium.
  • Layer 3 (Visceral layer, also Epicardium): Inner layer adhering tightly to the heart's surface.
  • Pericardial Cavity: The space between layers 2 and 3, containing pericardial fluid.

Layers of the Heart

  • Epicardium: The outermost layer, composed of visceral pericardium, creating a slippery surface. Contains fibroelastic tissue and adipose tissue houses major heart blood vessels.
  • Myocardium: The middle layer, comprised of cardiac muscle responsible for heart pumping action.
  • Endocardium: The innermost layer, providing a smooth lining for the heart chambers.

Chambers of the Heart

  • Four Chambers: Two atria (receiving chambers) and two ventricles (pumping chambers).
  • Atrial Auricles: Appendages on each atrium that slightly increases capacity.
  • Coronary Sulcus: Marks the boundary between atria and ventricles and contains the Coronary Sinus.

Heart Valves

  • Tricuspid valve (right atrioventricular valve): Three cusps located between the right atrium and the right ventricle.
  • Mitral valve (bicuspid valve): Two cusps, located between the left atrium and the left ventricle.
  • Pulmonary valve: Located between the right ventricle and the pulmonary artery.
  • Aortic valve: Located between the left ventricle and the aorta.
  • Semilunar valves: pulmonary and aortic valves, shaped like half-moons.
  • Atrioventricular (AV) valves: Tricuspid and mitral valves.

Right Ventricle

  • Receives blood from the right atria.
  • Papillary muscles: Prevent inversion of atrioventricular valves during ventricular contraction.
  • Trabeculae carneae: Muscular columns that assist papillary muscles in preventing inversion.
  • Chordae tendineae: Tendon-like cords connecting to the atrioventricular valve; regulate valve closure.
  • Interventricular septum: Wall between the right and left ventricles.
  • Pulmonary valve: Allows blood flow from right ventricle into pulmonary arteries to lungs.

Left Atrium and Ventricle

  • Left atrium: Receives oxygenated blood from four pulmonary veins (two from each lung).
  • Bicuspid (mitral) valve: Permits blood flow from the left atrium to the left ventricle.
  • Left ventricle: The thickest chamber, pumps blood through the aortic valve into the aorta.
  • Aortic valve: Located between left ventricle and aorta, blood exits here.
  • Ligamentum arteriosum: Connects the aortic arch to the pulmonary trunk.

Heart Sounds

  • Lubb-Dubb sounds are produced by the closing of heart valves.
  • Lubb: First sound, caused by closing of atrioventricular valves (as ventricles begin contraction).
  • Dubb: Second sound, caused by closing of semilunar valves (as ventricles begin relaxation).

Myocardial Thickness

  • Myocardial thickness varies among chambers and depends on the necessary pressure for the chamber's function.
  • Atria have thin walls due to producing less pressure.
  • Ventricles have thick walls to generate greater pressure needed to pump blood.
  • Left ventricle has the thickest wall due to the greatest pressure required to pump blood to the body.

Fibrous Skeleton

  • Dense connective tissue within the heart walls.
  • It provides structural support for the heart valves and prevents overstretching.
  • The fibrous skeleton includes pulmonary and aortic rings (semilunar) and tricuspid and bicuspid rings (atrioventricular).

Coronary Circulation

  • The heart's own blood supply.
  • Coronary arteries encircle the heart like a crown, supplying oxygenated blood to the myocardium.
  • Anastomoses: Connections between coronary arteries; provide backup blood supply if one artery is blocked.
  • Coronary veins collect deoxygenated blood from the heart.

Coronary Circulation: Bypass Surgery

  • A surgical procedure that creates new connections (bypasses) around blocked coronary arteries to improve blood flow to the heart muscles.
  • Often uses internal mammary arteries or the saphenous vein.

Conduction System

  • A network of specialized fibers that conduct electrical impulses, causing the heart to beat rhythmically.
  • Autorhythmic Fibers (pacemakers): Self-excitable fibers that initiate and regulate heart rhythm (they repeatedly depolarize).
  • Sinoatrial (SA) node: Pacemaker of the heart.
  • Atrioventricular (AV) node: Delays the impulse before it travels to the ventricles.
  • AV bundle (Bundle of His): Conducts the electrical impulse from the AV node to the ventricles.
  • Right and left bundle branches: Distribute the impulse through the ventricles.
  • Purkinje fibers: Rapidly conduct the impulse throughout the ventricles, causing coordinated ventricular contraction.
  • Electrocardiogram (ECG/EKG): A recording of the electrical activity of the heart.
  • The ECG shows standardized electrical waveforms corresponding to atrial and ventricular depolarizations and repolarizations.

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