Cardiovascular System Quiz

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Questions and Answers

An unforced inspiration results from

  • contraction of internal intercostal muscle
  • contraction of diaphragm and external intercostal muscles
  • relaxation of the diaphragm (correct)
  • contraction of sternocleidomastoid muscle

Which of the following contains oxygenated blood in an adult human?

  • right atrium
  • pulmonary artery
  • pulmonary vein (correct)
  • all of the above

The medial surface of the left lung lies adjacent to all of the following except:

  • the heart
  • aortic arch
  • esophagus
  • thoracic aorta
  • inferior vena cava (correct)

Unpaired cartilages of the larynx are all of the following except:

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

You are to perform surgery on a patient that has a pituitary tumor. Through what sinus will you be able to access the pituitary tumor?

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

Which of the following nerves are the sensory innervation of the Frontal Sinus?

<p>CN V2 (C)</p> Signup and view all the answers

Which of the following portions of the ethmoidal sinus does not drain into the Middle Nasal Meatus?

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

Which of the following sinuses does not drain well gravitationally in upright position and may cause tooth ache?

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

The trachea contains complete rings of cartilage that surround the windpipe to keep it rigid.

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

Which structures play the greatest role in warming and humidifying air?

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

The internal nares will open into the ______.

<p>nasal pharynx</p> Signup and view all the answers

One of the branches of subclavian artery is the

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

Three bony shelves that project inferiorly in the nasal cavity are called

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

The olfactory foramina are found in the

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

Which of these bones does NOT articulate with any other bone?

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

Where within the nasal cavity is the olfactory epithelium located?

<p>Superior portion of the nasal cavity (C)</p> Signup and view all the answers

The nose, pharynx, and associated structures are all part of the

<p>upper respiratory system (D)</p> Signup and view all the answers

The lower end of the larynx is formed by the ______ cartilage(s).

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

Each of the following vessels empties into the coronary sinus EXCEPT the

<p>anterior cardiac vein (E)</p> Signup and view all the answers

Maxillary Sinus is innervated by :

<p>anterior, middle, and posterior superior alveolar nerves (C)</p> Signup and view all the answers

The bones that form the floor of the nasal cavity are the

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

Which of these bones does NOT articulate with the sphenoid bone?

<p>nasal bone (E)</p> Signup and view all the answers

The superficial external pudendal artery is the branch of

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

Portal vein is formed by

<p>Splenic vein and superior mesenteric vein (C)</p> Signup and view all the answers

Inferior Epigastric artery is a branch of

<p>External Iliac Artery (B)</p> Signup and view all the answers

In forced exhalation, the ........ muscles compress the trunk

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

Within the chamber of the right ventricle can be seen the

<p>All of the above (E)</p> Signup and view all the answers

The epicardium

<p>is the visceral pericardium (A)</p> Signup and view all the answers

The anterior interventricular artery is a branch of the

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

All of the following are branches of the Superior Mesenteric Artery EXCEPT:

<p>left colic artery (D)</p> Signup and view all the answers

Each of the following arteries are branches of the internal carotid EXCEPT the

<p>superior cerebellar (E)</p> Signup and view all the answers

The middle coronary vein runs along which cardiac sulcus?

<p>Posterior interventricular sulcus (C)</p> Signup and view all the answers

The hemiazygous vein serves to drain the:

<p>left side of the thorax (D)</p> Signup and view all the answers

At what level does the azygous vein enter the SVC?

<p>T4 (D)</p> Signup and view all the answers

The facial artery

<p>It goes under the posterior belly of the digastric muscle, and even before it, in the carotid triangle, it gives the ascending palatine artery. (A)</p> Signup and view all the answers

Stethoscope placed over the left second intercostal space just lateral to the sternum would be best positioned to detect sounds associated with which heart valve?

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

Which valves would be open during ventricular systole?

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

Which statement is true of the right atrioventricular valve?

<p>it is open during ventricular diastole (B), it consists of 2 leaflets (C)</p> Signup and view all the answers

At which vertebral level is the oesophageal hiatus presented?

<p>T10 (B)</p> Signup and view all the answers

The chordae tendineae

<p>prevent the AV valve flaps from everting (D)</p> Signup and view all the answers

A 55-year-old female who weighs 45 kg comes to the doctor's office. On the surface of the chest, the physician is able to locate the apex of the heart:

<p>In the left fifth intercostal space (D)</p> Signup and view all the answers

A 24-year-old boy with a ruptured spleen comes to the emergency department for splenectomy. Soon after ligation of the splenic artery just distal to its origin. Normal blood flow would occur in which of the following arteries?

<p>Inferior pancreaticoduodenal artery (C)</p> Signup and view all the answers

Select the structures in fetal circulation that play a role with shunting blood away from the lungs and liver

<p>Ductus venosus and ductus arteriosus (A), Foramen ovale and umbilical vein (C)</p> Signup and view all the answers

The most superior part of the inferior vena cava is derived from:

<p>Right viteline vein (C)</p> Signup and view all the answers

The embryonic origin of the ligamentum arteriosum is from:

<p>sixth arch artery (D)</p> Signup and view all the answers

The following embryonic structures are involved in the formation of the definitive right atrium

<p>Right sinus horn (C), Right sinus venosus (D), Primitive atrium (E)</p> Signup and view all the answers

The sinus venosus:

<p>Has a right horn which persists in the adult as the coronary sinus (B), Forms the smooth-walled portion of the adult right atrium (D)</p> Signup and view all the answers

Closure of the foramen primum results from fusion of the:

<p>Septum primum and the fused endocardial cushions (B)</p> Signup and view all the answers

The aortic sac:

<p>Is the area immediately distal to the ventricles (A), Is connected to the dorsal aorta via the aortic arch arteries (B)</p> Signup and view all the answers

The most common type of cardiac septal defect is:

<p>Membranous type,or VSD (D)</p> Signup and view all the answers

The second costal cartilage can be located by palpating the:

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

The thoracic wall is innervated by:

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

The sternocostal surface of the heart is formed primarily by the anterior wall of which heart chamber?

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

A patient involved in an automobile accident presents with a shar object puncture of the middle of the sternum at about the level of the 4th or 5th costal cartilage. If the object also penetrated pericardium and heart wall, which heart chamber would most likely be damaged?

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

You are caring for a 68-year-old male who has copious amounts of fluid in the left pleural cavity due to acute pleurisy. When you examine him as he sits up in bed (trunk upright), where would the fluid tend to accumulate?

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

A hand slipped behind the heart at its apex can be extended upwards until stopped by a line of pericardial reflection that forms the:

<p>Oblique pericardial sinus (E)</p> Signup and view all the answers

The first rib articulates with the sternum in close proximity to the:

<p>Sternoclavicular joint (E)</p> Signup and view all the answers

The portion of the parietal pleura that extends above the first rib is called the:

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

Flashcards

Inspiration

The process of breathing in, characterized by the contraction of the diaphragm and external intercostal muscles, leading to an increase in the volume of the thoracic cavity and a decrease in pressure, drawing air into the lungs.

Expiration

The process of breathing out, characterized by the relaxation of the diaphragm and contraction of the internal intercostal muscles, leading to a decrease in the volume of the thoracic cavity and an increase in pressure, expelling air from the lungs.

Oxygenated blood in an adult human

In an adult human, oxygenated blood is carried by the pulmonary vein, which transports blood from the lungs to the left atrium of the heart.

Structures adjacent to the left lung

The left lung sits adjacent to the heart, aortic arch, esophagus, and thoracic aorta. The inferior vena cava, however, is located on the right side of the body and does not directly border the left lung.

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Unpaired cartilages of larynx

The unpaired cartilages of the larynx include the thyroid, cricoid, and epiglottis. The arytenoid cartilages, however, are paired structures.

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Accessing a pituitary tumor

A pituitary tumor can be accessed through the sphenoidal sinus, situated at the base of the skull.

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Innervation of the frontal sinus

The frontal sinus is innervated by the supraorbital nerve, which is a branch of the ophthalmic nerve (CN V1).

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Drainage of ethmoidal sinuses

The anterior, middle, and posterior ethmoidal sinuses drain into the middle nasal meatus. The posterior ethmoidal sinus, however, drains into the superior nasal meatus.

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Maxillary sinus drainage

The maxillary sinus, due to its position, is prone to poor gravitational drainage when upright, leading to potential discomfort and toothache.

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Trachea cartilage rings

The trachea is composed of C-shaped cartilage rings, which keep the windpipe open while allowing for flexibility.

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Nasal conchae

The nasal conchae, also known as turbinates, are bony shelves that project into the nasal cavity, playing a crucial role in warming and humidifying inhaled air.

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Internal nares

The internal nares, also called the posterior nasal apertures, mark the opening of the nasal cavity into the nasopharynx, the uppermost part of the pharynx.

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Vertebral artery

The vertebral artery, arising from the subclavian artery, is a major blood vessel supplying the brain and spinal cord.

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Bony shelves in the nasal cavity

The three bony shelves projecting inferiorly in the nasal cavity that increase the surface area for warming and humidifying air are called nasal conchae or turbinates.

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Olfactory foramina

The olfactory foramina are tiny openings in the cribriform plate of the ethmoid bone, which allows the passage of olfactory nerves from the nasal cavity to the brain.

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Bone that does not articulate with any other bone

The hyoid bone, located in the neck, does not articulate with any other bone. It serves as a point of attachment for muscles involved in swallowing and speech.

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Location of olfactory epithelium

The olfactory epithelium, responsible for the sense of smell, is located in the superior portion of the nasal cavity, specifically within the olfactory region.

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Upper respiratory system

The nose, pharynx, and associated structures, which include the nasal cavity, paranasal sinuses, and larynx, are all part of the upper respiratory system.

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Lower end of the larynx

The cricoid cartilage, which is shaped like a signet ring, forms the lower end of the larynx and connects to the trachea.

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Coronary sinus

All of the major coronary veins, except the anterior cardiac vein, drain into the coronary sinus, a large venous channel on the posterior surface of the heart.

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Structures adjacent to the right lung

The medial surface of the right lung sits adjacent to the heart, inferior vena cava, superior vena cava, and esophagus. It does not border the aortic arch, which is a major blood vessel on the left side of the body.

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Innervation of the maxillary sinus

The maxillary sinus is innervated by branches of the maxillary nerve (CN V2), specifically the anterior, middle, and posterior superior alveolar nerves.

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Floor of the nasal cavity

The floor of the nasal cavity is formed by the palatine bone and the maxillary bone, which are the bones that make up the hard palate.

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Bone that doesn't articulate with the sphenoid

The nasal bone, which helps form the bridge of the nose, does not articulate with the sphenoid bone. The ethmoid bone, frontal bone, parietal bone, and occipital bone all articulate with the sphenoid bone.

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Origin of superficial external pudendal artery

The superficial external pudendal artery arises from the femoral artery, a major blood vessel in the leg, not from the aorta, iliac arteries, or internal iliac artery.

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Formation of the portal vein

The portal vein, which carries blood from the digestive tract to the liver, is formed by the union of the splenic vein and superior mesenteric vein.

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Origin of the inferior epigastric artery

The inferior epigastric artery, a branch of the external iliac artery, supplies blood to the lower abdominal wall.

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Muscles in forced exhalation

In forced exhalation, the abdominal muscles contract, compressing the trunk, helping to expel air from the lungs.

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Structures within the right ventricle

The chamber of the right ventricle contains the interventricular septum, trabeculae carneae, tricuspid valve, and anterior papillary muscle.

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Epicardium

The epicardium, also known as the visceral pericardium, is the outermost layer of the heart wall, covering its surface.

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Anterior interventricular artery

The anterior interventricular artery, a crucial blood vessel supplying the heart, is a branch of the left coronary artery.

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Branches of the superior mesenteric artery

The superior mesenteric artery supplies blood to the small intestine and parts of the large intestine. The left colic artery, however, branches from the inferior mesenteric artery.

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Study Notes

Cardiovascular System Questions

  • Question 1: An unforced inspiration is a result of diaphragm relaxation and external intercostal muscle contraction.
  • Question 2: Oxygenated blood is found in the pulmonary vein in adults.
  • Question 3: The medial surface of the left lung is adjacent to the heart, aortic arch, esophagus, inferior vena cava, and thoracic aorta.
  • Question 4: The unpaired cartilages of the larynx include the thyroid and cricoid but not the arytenoid.
  • Question 5: Access to a pituitary tumor is via the sphenoidal sinus.
  • Question 6: Sensory innervation of the frontal sinus is by CN V1 and CN V2.
  • Question 7: The posterior portion of the ethmoidal sinus does not drain into the middle nasal meatus.
  • Question 8: The sphenoid sinus does not drain well gravitationally in the upright position and may cause toothaches.
  • Question 9: The trachea contains complete cartilaginous rings to maintain its shape (TRUE).
  • Question 10: The conchae play the largest role in warming and humidifying air.
  • Question 11: The internal nares open into the nasal pharynx.
  • Question 12: One of the subclavian artery branches is the vertebral artery.
  • Question 13: Three bony shelves in the nasal cavity are called nasal conchae.
  • Question 14: The olfactory foramina are found in the cribriform plate.
  • Question 15: The hyoid bone does not articulate with any other bone.
  • Question 16: The olfactory epithelium is located in the anterior and lateral portion of the nasal cavity.
  • Question 17: The nose, pharynx, and associated structures are part of the upper respiratory system.
  • Question 18: The lower end of the larynx is formed by the cricoid cartilage.
  • Question 19: The coronary sinus receives all but the anterior cardiac vein.
  • Question 20: The medial surface of the right lung is adjacent to all but the esophagus.
  • Question 21: The maxillary sinus is innervated by branches of the superior alveolar nerves.
  • Question 22: The floor of the nasal cavity is formed by the maxillary and palatine bones.
  • Question 23: The sphenoid bone does not articulate with the nasal bone.
  • Question 24: The superficial external pudendal artery arises from the external iliac artery.
  • Question 25: The portal vein is formed from the superior and inferior mesenteric veins and the splenic vein.
  • Question 26: The inferior epigastric artery branches from the internal iliac artery.
  • Question 27: During forced exhalation, the abdominal muscles compress the trunk.
  • Question 28: The right ventricle contains the interventricular septum, trabeculae carnae, and the tricuspid valve.
  • Question 29: The epicardium is the visceral pericardium.
  • Question 30: The anterior interventricular artery branches from the left coronary artery.
  • Question 31: The superior mesenteric artery does not branch to the left colic artery.
  • Question 32: The order of the vessels given are: 2. brachiocephalic, 1. basilar, 3. circle of Willis, 4. right subclavian, and 5. right vertebral.
  • Question 33: The internal carotid artery does not branch to the superior cerebellar artery.
  • Question 34: The middle coronary vein runs along the posterior interventricular sulcus.
  • Question 35: The hemiazygous vein drains the right side of the thorax.
  • Question 36: The azygous vein enters the SVC at the T3 level.
  • Question 37: The facial artery penetrates underneath the posterior belly of the digastric muscle.
  • Question 38: The mitral valve is associated with the left second intercostal space.
  • Question 39: During ventricular systole, the aortic and pulmonary valves are open.
  • Question 40: The right atrioventricular valve (tricuspid) opens during ventricular diastole and is not opened by chordae tendineae.
  • Question 41: The esophageal hiatus is at the T10 vertebral level.
  • Question 42: The chordae tendineae prevent the AV valve flaps from everting.
  • Question 43: The apex of the heart is typically at the level of the left 5th intercostal space.
  • Question 44: Following ligation of the splenic artery, normal blood flow would happen through the left gastroepiploic artery.
  • Question 45: The structures in fetal circulation that shunt blood away from the lungs and liver are the umbilical vein, vitelline vein, umbilical artery, vitelline artery, ductus venosus, and the ductus arteriosus.
  • Question 46: The most superior part of the inferior vena cava is derived from the right vitelline vein.
  • Question 47: The embryonic origin of the ligamentum arteriosum is from the sixth arch artery.
  • Question 48: The definitive right atrium is formed by the primitive atrium, right horn of the sinus venosus, and the left sinus horn.
  • Question 49: The sinus venosus forms the smooth-walled portion of the adult right atrium.
  • Question 50: The septum secundum and the fused endocardial cushions fuse to close the foramen primum.
  • Question 51: The aortic sac is the region distal to the ventricles.
  • Question 52: The most common cardiac septal defect is the ventricular septal defect.
  • Question 53: The second costal cartilage can be located by palpating the costal margin.
  • Question 54: The thoracic wall is innervated by intercostal nerves.
  • Question 55: The sternocostal surface of the heart is formed primarily by the anterior wall of the right ventricle.
  • Question 56: A puncture in the middle of the sternum at roughly the 4th or 5th costal cartilage would damage the left ventricle.
  • Question 57: Fluid in the left pleural cavity will accumulate in the costo diaphragmatic recess.
  • Question 58: A hand behind the heart would be stopped by the oblique pericardial sinus.
  • Question 59: The first rib articulates with the sternum near the sternal angle.
  • Question 60: The portion of the parietal pleura extending above the first rib is called the cupola.

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