Anatomy of the Heart - Week 1 Review
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Questions and Answers

What is the primary factor associated with myocardial infarction?

  • Diabetes Mellitus
  • Atherosclerosis (correct)
  • Hypertension
  • Obesity

    • Which statement best describes the difference between unstable angina and myocardial infarction?

  • Unstable angina typically occurs during sleep, while myocardial infarction occurs during physical activity.
  • Unstable angina is associated with short-term occlusion, while myocardial infarction results from prolonged occlusion. (correct)
  • Unstable angina is always permanent, while myocardial infarction is temporary.
  • Unstable angina involves significant coronary occlusion, unlike myocardial infarction.

    • What ECG change is typically observed first following a myocardial infarction?

  • T wave changes
  • P wave changes
  • ST segment changes (correct)
  • Q wave changes

    • Which of the following is a modifiable risk factor for myocardial infarction?

    <p>Cigarette smoking</p> Signup and view all the answers

    Which type of myocardial infarction involves damage to the entire thickness of the myocardium?

    <p>Transmural MI</p> Signup and view all the answers

    Which layer of the heart is responsible for the contraction of cardiac muscle?

    <p>Myocardium</p> Signup and view all the answers

    What is the primary function of the pericardium?

    <p>To provide a protective covering</p> Signup and view all the answers

    Which part of the heart has the highest pressure during contraction?

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

    What is the primary role of the SA node in the heart?

    <p>To initiate electrical impulses</p> Signup and view all the answers

    What does automaticity refer to in the context of the heart?

    <p>The spontaneous initiation of impulses</p> Signup and view all the answers

    Which coronary artery supplies blood to the the left ventricle?

    <p>Left anterior descending artery</p> Signup and view all the answers

    During which phase of the cardiac cycle does depolarization occur?

    <p>Excitation phase</p> Signup and view all the answers

    Which chamber of the heart receives deoxygenated blood from the body?

    <p>Right atrium</p> Signup and view all the answers

    What effect do ACE inhibitors have on the cardiovascular system?

    <p>Reduce blood pressure and heart strain</p> Signup and view all the answers

    Which of the following best describes refractoriness in cardiac muscle?

    <p>The inability to respond until repolarization</p> Signup and view all the answers

    What condition is marked by involuntary grimacing and inability to use skeletal muscles in a coordinated manner?

    <p>Vitu's Dance</p> Signup and view all the answers

    Which type of bacteria is primarily responsible for infective endocarditis?

    <p>Group A ß-hemolytic Streptococcus</p> Signup and view all the answers

    What is the characteristic appearance of erythema marginatum?

    <p>Red, spotty rashes that rapidly disappear</p> Signup and view all the answers

    What causes murmurs in the context of infective endocarditis?

    <p>Turbulent blood flow through the endocardium</p> Signup and view all the answers

    What type of lesions can be found around joints in infective endocarditis?

    <p>Marble-sized nodules</p> Signup and view all the answers

    What happens to the intrapleural pressure during exhalation?

    <p>It increases.</p> Signup and view all the answers

    Which of the following lab tests is NOT typically performed for COPD assessment?

    <p>MRI of the lungs</p> Signup and view all the answers

    Why is it important to monitor serum electrolyte levels in COPD patients?

    <p>Because reduced muscle strength can result from imbalances.</p> Signup and view all the answers

    What is a recommended technique for effective coughing in COPD patients?

    <p>Coughing sitting in a chair with feet firmly on the floor.</p> Signup and view all the answers

    How does chronic obstructive pulmonary disease typically affect socialization?

    <p>It may reduce socialization due to avoidance by friends.</p> Signup and view all the answers

    Which of the following is a primary intervention for airway maintenance in COPD?

    <p>Keeping the client's head, neck, and chest in alignment.</p> Signup and view all the answers

    In pulmonary function tests, which of the following measures total lung capacity?

    <p>Vital capacity</p> Signup and view all the answers

    What is the effect of the diaphragm during the mechanism of exhalation?

    <p>It relaxes, decreasing thoracic size.</p> Signup and view all the answers

    What is the primary medication used for pain management in the intervention described?

    <p>Morphine</p> Signup and view all the answers

    What is the normal dosage range for Naloxone when reversing opioid effects?

    <p>0.2 – 0.8 mg IV</p> Signup and view all the answers

    Which of the following is NOT a key element in managing airway obstruction according to the interventions outlined?

    <p>Immediate intubation</p> Signup and view all the answers

    Which of the following lung diseases is part of COPD?

    <p>Bronchitis</p> Signup and view all the answers

    What is the most important risk factor for developing COPD?

    <p>Smoking</p> Signup and view all the answers

    What happens to the intrapleural pressure during inhalation?

    <p>It decreases below 760 mmHg</p> Signup and view all the answers

    What clinical manifestation is typically associated with right-sided heart failure?

    <p>Cyanosis</p> Signup and view all the answers

    What effect does tobacco smoke have on the respiratory system?

    <p>Inhibits action of cilia</p> Signup and view all the answers

    During the mechanism of inhalation, which muscle action occurs?

    <p>The diaphragm moves downward</p> Signup and view all the answers

    What pressure measurement indicates atmospheric pressure at sea level?

    <p>760 mmHg</p> Signup and view all the answers

    Study Notes

    Anatomy of the Heart

    • The heart is a cone-shaped hollow muscular organ situated in the mediastinum between the lungs.
    • It pumps approximately 60 ml per beat, equating to about 5 liters per minute.
    • The protective covering of the heart is called the pericardium.
    • The heart consists of three layers of cardiac muscle tissue: epicardium (outer), myocardium (middle), and endocardium (innermost).
    • Four chambers:
      • Right atrium (0-5 mmHg), receives blood from the superior vena cava (SVC), inferior vena cava (IVC), and coronary sinus.
      • Right ventricle (25 mmHg).
      • Left atrium.
      • Left ventricle.
    • Heart valves include atrioventricular (AV) and semilunar valves.
    • The right coronary artery supplies blood to the right atrium, right ventricle, and inferior portion of the left ventricle.
    • The left coronary artery branches into the left anterior descending, supplying the left ventricle and interventricular septum.

    Electrophysiologic Properties of the Heart

    • Automaticity: Heart can initiate impulses spontaneously.
    • Excitability: Heart responds to stimuli.
    • Conductivity: Transmits electrical impulses across the myocardium.
    • Contractility: Ability of the heart muscle to contract.
    • Refractoriness: Period during which the heart cannot respond to a new stimulus.

    Infective Endocarditis

    • Infection of the heart valves or endocardium, usually caused by bacteria.
    • Antibodies formed against group A β-hemolytic streptococcus can cross-react with heart tissue, leading to inflammation and cardiac issues.
    • Symptoms may include subcutaneous nodules and erythema marginatum (red, rash-like spots that leave irregular circles).

    Myocardial Infarction (MI)

    • Primary factor is atherosclerosis, leading to insufficient coronary blood flow and decreased oxygen supply.
    • Risk factors: Elevated cholesterol, smoking, hypertension.
    • Diagnosis often confirmed with ECG which shows changes in ST segment, T wave, and Q wave over time.
    • Symptoms of MI can lead to unstable angina, with short-term occlusion versus MI involving significant or complete occlusion lasting over an hour.

    Cardiovascular Drugs

    • ACE inhibitors help reduce blood pressure and heart strain.
    • Other key medications include calcium channel blockers and thrombolytics/fibrinolytics.

    Anatomy of Respiratory System

    • Lungs are covered by pleura, with parietal pleura being the outer layer and visceral pleura the inner layer.
    • Intrapleural pressure is typically less than atmospheric pressure, crucial for lung inflation.
    • Right lung has three lobes while the left lung has two.

    Chronic Obstructive Pulmonary Disease (COPD)

    • Group of chronic lung diseases including emphysema, bronchitis, asthma, and bronchiectasis.
    • Primary risk factor is smoking, leading to damage in lung structure and function.
    • Symptoms may encompass shortness of breath, chronic cough, and wheezing.
    • Diagnosis includes abnormal ABGs and pulmonary function tests.

    Interventions for COPD

    • Focus on airway maintenance, drug therapy, monitoring, and oxygen therapy.
    • Controlled coughing techniques to help maintain airway clearance.
    • Encourage patients to sit upright while coughing for effective airway management.

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    Anatomy Of The Heart Review PDF

    Description

    This quiz covers the key concepts of the anatomy of the heart, focusing on the structure and functions of its various components. It includes information on the coronary arteries and the heart's location within the mediastinum. Perfect for anyone studying cardiovascular anatomy in an academic setting.

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