Anatomy of the Middle Mediastinum
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Questions and Answers

Where is the Middle Mediastinum located?

  • Anterior to the sternum
  • Inferior to the sternal angle (correct)
  • Posterior to the vertebrae
  • Superior to the sternal angle

Which layer of the pericardium prevents overfilling of the heart?

  • Parietal Layer of Serous Pericardium
  • Epicardium
  • Fibrous Pericardium (correct)
  • Visceral Layer of Serous Pericardium

What is the function of Endocardium in the heart?

  • Prevents clotting of blood within the heart (correct)
  • Contracts the heart
  • Anchors the heart to surrounding structures
  • Lines the external heart surface

Which structure forms a barrier between the oxygen-hungry myocardium and blood?

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

What is the role of Serous Pericardium in relation to fibrous pericardium?

<p>Lines the internal surface of fibrous pericardium (D)</p> Signup and view all the answers

How does the Middle Mediastinum relate to the lungs?

<p>Flanked by two lungs (A)</p> Signup and view all the answers

What is the function of the Tricuspid Valve?

<p>It opens under ventricular pressure. (B)</p> Signup and view all the answers

Which valve is located between the left ventricle and the aorta?

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

What type of sound is associated with the closure of the AV Valve?

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

How many pocket-like cusps do each of the SemiLunar Valves consist of?

<p>3 (A)</p> Signup and view all the answers

During which phase does the Semilunar Valve open?

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

What is required for the heart to function?

<p>O2, Nutrients, and Action Potentials (A)</p> Signup and view all the answers

What is the normal electrical axis range in degrees?

<p>30 to 105 degrees (A)</p> Signup and view all the answers

In which direction is the electrical axis usually oriented?

<p>'Right Shoulder to Left Leg' (A)</p> Signup and view all the answers

What does a QRS negative in lead I and positive in aVF indicate?

<p>Right Axis Deviation (C)</p> Signup and view all the answers

What method is used to determine the electrical axis from an ECG trace?

<p>Peak Height Measurement Method (B)</p> Signup and view all the answers

What does QRS positive in lead I and negative in aVF indicate?

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

What causes repolarization in cardiac cells?

<p>Closure of Ca+ channels and opening of K+ channels (B)</p> Signup and view all the answers

Which ions are responsible for depolarization in cardiac cells?

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

What happens during plateau phase in cardiac cell action potentials?

<p>Fast Na+ channels inactivate, K+ efflux occurs, and Ca+ channels open (B)</p> Signup and view all the answers

What triggers further release of Ca+ by the Sarcoplasmic Reticulum in cardiac cells?

<p>Activation of Voltage-Gated Ca+ channels (C)</p> Signup and view all the answers

In which type of cardiac cells are Fast 'Non-Pacemaker' Type action potentials found?

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

What is responsible for making the membrane potential more negative during repolarization in cardiac cells?

<p>K+ Efflux (D)</p> Signup and view all the answers

What is the role of action potentials in the conduction network of the heart?

<p>Carry the contraction impulse from Bundle Branches to the Ventricles (C)</p> Signup and view all the answers

What effect does direct stimulation of the Parasympathetic NS have on heart rate?

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

How does the sympathetic nervous system affect the heart?

<p>Raises heart rate and increases force of contraction (A)</p> Signup and view all the answers

What effect does NorAdrenaline have on the heart when released by the Sympathetic NS?

<p>Initiates a Cyclic AMP Pathway in muscle tissue (B)</p> Signup and view all the answers

What is one characteristic of action potentials in comparison to Ventricular Myocardial Fibers?

<p>Their depolarization is more pronounced and plateau is longer (A)</p> Signup and view all the answers

What happens when AcetylCholine binds to Muscarinic receptors in SA/AV Nodes?

<p>Hyperpolarizes the cell leading to a delayed threshold (A)</p> Signup and view all the answers

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