Cardiovascular System Quiz

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Questions and Answers

What condition is caused by loose valves that cannot close entirely, leading to backward blood flow during systole?

  • Stenosis
  • Obstruction
  • Infarction
  • Regurgitation (correct)

Which heart valve is most commonly affected by insufficiency and regurgitation?

  • Aortic valve
  • Pulmonary valve
  • Tricuspid valve
  • Mitral valve (correct)

What is the primary consequence of mitral valve insufficiency during ventricular contraction?

  • Blood is forced into systemic circulation
  • Blood flows to the lungs
  • Blood regurgitates into the left atrium (correct)
  • Blood flows to the right atrium

Which type of pulse is associated with aortic regurgitation?

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

What happens to the foramen oval after birth?

<p>It becomes the oval fossa (D)</p> Signup and view all the answers

What is the effect of nodules forming on the mitral valve cusps?

<p>They cause turbulent blood flow (C)</p> Signup and view all the answers

Which structure indicated by the arrow in the heart is primarily responsible for connecting the papillary muscles to the heart valves?

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

Which chamber does blood regurgitate into during aortic insufficiency?

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

Where is the aorta auscultated?

<p>Right side of the sternum (A)</p> Signup and view all the answers

Which valve is known for having two cusps?

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

What does diastole refer to in the cardiac cycle?

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

What characterizes atrioventricular valves?

<p>They have flat leaflets and a tension apparatus (B)</p> Signup and view all the answers

What does the first heart sound (lub) correspond to?

<p>Closure of the sail flaps (B)</p> Signup and view all the answers

Which valve connects the right atrium to the right ventricle?

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

Who was responsible for the invention of the first stethoscope?

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

How many cusps does the aortic valve have?

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

Which description fits semilunar valves?

<p>They have three cusps (D)</p> Signup and view all the answers

What technique did Leopold Auenbrugger develop for medical diagnostics?

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

What causes heart murmurs?

<p>Inadequate sealing of heart valves (C)</p> Signup and view all the answers

What is the primary function of the tricuspid valve?

<p>To prevent backflow into the right atrium (C)</p> Signup and view all the answers

What is the role of auscultation in a cardiac examination?

<p>Listening to internal sounds of the heart (A)</p> Signup and view all the answers

Which of the following is true about the mitral valve?

<p>It connects the left atrium to the left ventricle (B)</p> Signup and view all the answers

Which of these heart sounds is described as short and bright?

<p>Second heart sound (dub) (D)</p> Signup and view all the answers

What is the primary purpose of percussion in a cardiac examination?

<p>To diagnose air and liquid in the chest (A)</p> Signup and view all the answers

What is the embryological basis for naming the cusps of the aortic and pulmonary valves?

<p>They are named according to their embryological origin. (D)</p> Signup and view all the answers

During which phase of the cardiac cycle does the left and right atria contract?

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

What is the duration of diastole in the cardiac cycle?

<p>0.5 seconds (A)</p> Signup and view all the answers

What happens when the atria and ventricles relax during the cardiac cycle?

<p>Venous return fills the atria. (A)</p> Signup and view all the answers

What is the significance of ventricular filling before atrial contraction?

<p>It prepares the ventricles for maximal contraction. (A)</p> Signup and view all the answers

Which structure of the embryonic heart divides into the aortic and pulmonary arteries?

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

How many cusps does the truncus arteriosus have during early embryonic development?

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

What is the primary outcome if a doctor misbehaves during an examination or operation?

<p>Ill-informed decision-making. (B)</p> Signup and view all the answers

What is the function of the ductus arteriosus in fetal circulation?

<p>To shunt blood from the pulmonary trunk to the aorta (D)</p> Signup and view all the answers

Which structure remains in the heart after the foramen ovale closes?

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

What happens to the umbilical arteries after birth?

<p>They obliterate to form the ligamenta umbilicale mediale (B)</p> Signup and view all the answers

What role does the umbilical vein serve in fetal circulation?

<p>It carries oxygenated blood from the placenta to the fetus (B)</p> Signup and view all the answers

During fetal development, high resistance in which structure directs blood through the ductus arteriosus?

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

After birth, what does the ductus arteriosus become?

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

Which structure allows blood to flow from the right atrium to the left atrium in a fetus?

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

What is the primary reason for the existence of the fossa ovalis in a newborn's heart?

<p>To signify the site of a previous fetal shunt (A)</p> Signup and view all the answers

What is a dermatome?

<p>An area of skin supplied by afferent fibers of one dorsal root. (C)</p> Signup and view all the answers

Which method is preferred for viewing the cardiac shadow in chest X-rays?

<p>Posterior-anterior (PA) method. (B)</p> Signup and view all the answers

What significant contribution did Wilhelm Conrad Röntgen make in 1895?

<p>The development of the first radiographic image using X-rays. (C)</p> Signup and view all the answers

What happens to X-rays as they pass through the body?

<p>They lose energy to the tissues. (D)</p> Signup and view all the answers

Which condition involves the heart being located on the right side of the thorax?

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

What does situs inversus totalis refer to?

<p>A condition where organs appear in mirrored positions. (A)</p> Signup and view all the answers

What aspect of blood flow through the heart is outlined in the session?

<p>The sequence of opening and closing of the heart valves during the cardiac cycle. (C)</p> Signup and view all the answers

What imaging technique collects information mainly as digital data now?

<p>X-ray imaging. (D)</p> Signup and view all the answers

Flashcards

What is a dermatome?

The area of skin supplied by sensory nerves from a single spinal nerve root.

What is a PA projection?

The projection of an X-ray beam from the back to the front of the body.

What is an AP projection?

The projection of an X-ray beam from the front to the back of the body.

What is a cardiac shadow?

The image of the heart on an X-ray.

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Dextrocardia

The heart positioned on the right side of the body, a mirror image of the normal position.

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Situs inversus totalis

A rare condition where all organs are on the opposite side of the body from their normal position.

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Relating anatomy to X-ray images

The study of how the heart and its parts appear in a chest X-ray.

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How are X-rays collected?

Radiographic images are now primarily digital, but were originally made on film.

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Truncus Arteriosus

The common arterial trunk from both ventricles of the embryonic heart, containing four cusps.

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Heart Development Stages

The process of the heart's development, starting from the heart tube and progressing through folding, looping, and chamber formation.

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Heart Rotation

The rotation of the heart during embryonic development, resulting in the apex pointing to the left.

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Systole

The contraction phase of the heart, involving the ventricles pushing blood out into the arteries.

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Diastole

The relaxation phase of the heart, allowing the chambers to refill with blood.

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Venous Return

The process of blood flowing back into the heart chambers during diastole.

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AV Valves

The valves between the atria and ventricles, allowing blood to flow from the atria to the ventricles during atrial contraction.

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Cardiac Cycle

The two-step pumping mechanism of the heart, involving atrial contraction followed by ventricular contraction.

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1st Heart Sound: Lub

The first heart sound, 'lub', heard during the cardiac cycle. It occurs when the atrioventricular valves (mitral and tricuspid) close.

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2nd Heart Sound: Dub

The second heart sound, 'dub', heard during the cardiac cycle. It occurs when the semilunar valves (aortic and pulmonary) close.

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Heart Murmurs

Abnormal sounds heard during the cardiac cycle, often caused by faulty valves.

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Auscultation of the Heart

A medical technique using a stethoscope to listen to sounds produced by the heart.

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Percussion

The technique of tapping on the body to assess underlying structures, like the chest to listen to lung sounds.

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Tricuspid Valve

Valve located between the right atrium (RA) and right ventricle (RV), allowing blood flow from the RA to the RV.

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Mitral Valve

Valve located between the left atrium (LA) and left ventricle (LV), allowing blood flow from the LA to the LV.

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Pulmonary Valve

Valve located at the exit of the right ventricle (RV), controlling blood flow from the RV to the pulmonary trunk.

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Aortic Valve

Valve located at the exit of the left ventricle (LV), controlling blood flow from the LV to the aorta.

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Atrioventricular Valves

The heart valves that separate atria from ventricles. Consist of two leaflets with a tension apparatus which helps to control blood flow.

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Arterial Valves

The heart valves that separate ventricles from major arteries. Have three cup-shaped cusps that open and close to regulate blood flow.

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Auscultation Points

The position where you can auscultate the heart valves.

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Valvular Sound

The loudness or intensity of the heart sound, especially the sound made by a specific valve.

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Valvular Insufficiency

A condition where the heart valves do not close completely, allowing blood to flow backwards during contraction (systole).

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Aortic Regurgitation

The backflow of blood from the aorta into the left ventricle during diastole, caused by aortic insufficiency.

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Ruptured Papillary Muscles

A condition where ruptured papillary muscles cause a sudden and often fatal heart failure.

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Fetal Circulation

The flow of blood from the placenta to the fetus, bypassing the fetal lungs, with oxygen-rich blood being transported through the ductus venosus.

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Foramen Ovale

A hole between the right and left atria of the fetal heart, allowing oxygenated blood to bypass the fetal lungs.

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Oval Fossa

The flap which closes the foramen ovale in the fetal heart after birth, preventing blood from flowing between atria.

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Fossa ovalis

A remnant of the foramen ovale, a small depression in the interatrial septum of the adult heart.

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Ductus arteriosus

A blood vessel in the fetal heart that connects the pulmonary trunk to the aorta, allowing blood to bypass the lungs.

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Ligamentum arteriosum

A fibrous cord that is a remnant of the ductus arteriosus after birth.

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Obliteration of the umbilical arteries

The process of the umbilical arteries closing after birth. The distal parts become the medial umbilical ligaments, while the proximal parts become the superior vesical arteries.

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Ligamentum teres hepatis

A fibrous cord that is a remnant of the umbilical vein after birth.

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Fetal blood flow

The fetal heart receives oxygenated blood from the mother through the umbilical cord, which enters the right atrium.

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High resistance in the pulmonary trunk

The pulmonary trunk has high resistance in the fetus because the lungs are not yet functioning, causing blood to be shunted through the ductus arteriosus to the aorta.

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Study Notes

Cardiovascular System III

  • Course dates: October 8-10, 2024
  • Instructor: Professor Dr Panagiotis Karanis
  • Course description: Cardiovascular System III, focusing on various aspects of the cardiovascular system.

Angina Pectoris

  • Definition: Angina Pectoris is chest pain or discomfort arising when a part of the heart muscle doesn't receive enough oxygen-rich blood.
  • Common triggers: Heavy meals, exertion, cold exposure, smoking.
  • Symptoms: Can manifest as pressure or squeezing in the chest, or extend to shoulders, arms, neck, jaw or back. It may also feel like indigestion.
  • Underlying cause: Usually a symptom of coronary heart disease (CHD).
  • Pathophysiology: The pain stems from reduced oxygen supply to the heart muscle, often due to the buildup of plaque in the coronary arteries reducing blood flow.

Dermatome

  • Definition: The area of skin supplied by nerves that originate from a single dorsal root.
  • Structure: The nerves of a dermatome have a distinct distribution across the skin.

Cardiac Anatomy and Function

  • This section details the components of the heart
  • The gross and surface anatomy of the heart
  • Valve anatomy and auscultation points
  • Sequence of valve opening and closing (cardiac cycle)
  • Blood flow through the heart
  • Differences in fetal circulation compared to adult circulation

Cardiac Shadow in Chest X-Ray

  • AP vs PA projections: The differences in the apparent size of the heart in the chest X-ray image depend on whether the photo is AP or PA. The orientation of the X-ray source relative to the detector and patient affects how the image is presented, and this determines which is a more suitable projection.
  • Method of choice: PA is generally preferred since it provides less magnification of the heart.

X-rays

  • Discovery: Wilhelm Conrad Röntgen first observed and documented X-rays in 1895, which lead to the Nobel Prize in 1901
  • Mechanism: X-rays (electromagnetic radiation) penetrate tissues. Those photons that pass through to the detectors yield the image of soft tissue that is the basis for radiographic imaging.
  • Photography to digital imaging: X-ray photography transitioned to digital imaging methods for acquiring and storing information.

Relating the Anatomy to the X-Ray Image

  • Diagram of various heart features and their projections on a chest X-ray.

Situs Inversus Totalis

  • Definition: A mirror reverse of most of the organs in the breast and abdominal cavity.
  • Implications: A mirror-image arrangement of internal organs is a rare variation from normal anatomy.

Heart Valves

  • Anatomy: Tricuspid, mitral, aortic, and pulmonic valves are detailed in various views (side and top).
  • Mechanism: Valves prevent backflow of blood.

Atrioventricular Valves

  • Components:
  • Leaflets and a tension apparatus.
  • Function: The opening and closing of these valves is key to the functioning of the heart.

Semilunar Valves

  • Types: Aortic and pulmonic valves
  • Structure: Cup-shaped leaflets (semilunar cusps)
  • Functional role: Prevent backflow during ventricular relaxation.

Coronary Sinus

  • Function: Collects cardiac venous blood
  • Location: Atrioventricular groove
  • Drainage: Empties into the right atrium

Fetal Circulation

  • Structural differences: Foramen ovale, ductus arteriosus, and ductus venosus are key differences between fetal and adult circulation.
  • Functionality: These different structures, working together, provide the necessary oxygenation for the fetus while minimizing the need to oxygenate via the lungs. .

Atrial and Ventricular Septal Defects (ASD & VSD)

  • Definition: These are congenital anomalies affecting the walls between the atria and ventricles, respectively..
  • Cause and effects: Incomplete closure of the oval foramen or ventricular defects.

Umbilical Anatomy

  • Structures: Umbilical ring, cord, vein, artery, and bladder
  • Function: The umbilical structures support fetal circulation.  

Clinical Relationships

  • Diagnosing disease; murmurs
  • Processes of hardening and insufficient function in the heart valves

Cardiac Examination

  • Methods: Inspection, palpation, percussion, auscultation.

Additional Information

  • Literature list for further reading.
  • Various diagrams and images display details of the cardiovascular system.

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