Heart Anatomy and Conditions Quiz

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Questions and Answers

What are the upper chambers of the heart called?

  • Left and right atriums (correct)
  • Superior and inferior chambers
  • Aortic and pulmonary chambers
  • Left and right ventricles

Which valve does blood pass through from the right atrium to the right ventricle?

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

What is the primary function of the right ventricle?

  • To collect blood from the body's largest veins
  • To receive oxygenated blood from the lungs
  • To pump blood to the body
  • To pump blood to the lungs for oxygenation (correct)

Which heart valve is located between the right ventricle and the pulmonary artery?

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

Which veins bring non-oxygenated blood to the right atrium?

<p>Superior and inferior vena cava (C)</p> Signup and view all the answers

At what anatomical location is the apex of the heart typically found for auscultation in adults?

<p>5th intercostal space in MCL (C)</p> Signup and view all the answers

What is the location of the apex before the age of 4 years?

<p>4th intercostal space in MCL (A)</p> Signup and view all the answers

In the context of heart conditions, which shift indicates right ventricular hypertrophy (RVH)?

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

Which of the following describes the nature and extent of the apex in left ventricular hypertrophy (LVH)?

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

What is indicated by a 'heaving' character in cardiac examination?

<p>Pressure overload conditions such as AS or systemic HTN (C)</p> Signup and view all the answers

What contributes to an impalpable apex in a patient?

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

How is the apex affected in right ventricular hypertrophy (RVH) compared to left ventricular hypertrophy (LVH)?

<p>RVH is felt in more than one space while LVH is mostly in one (A)</p> Signup and view all the answers

What is a sign of right ventricular enlargement?

<p>Apex shifted outward in the same intercostals space (C)</p> Signup and view all the answers

Which palpation finding is characteristic of pulmonary hypertension?

<p>Palpable (S2 or Diastolic Shock) at the 2nd left intercostal space (D)</p> Signup and view all the answers

What defines palpitations in a clinical context?

<p>Abnormal awareness of the heart beats, either regular or irregular (D)</p> Signup and view all the answers

In fetal circulation, where does oxygenated blood originate?

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

What is the effect of a patent ductus arteriosus (PDA) on blood flow?

<p>It causes a mix of oxygenated and deoxygenated blood (A)</p> Signup and view all the answers

Which of the following is a cyanotic congenital heart defect?

<p>Tetralogy of Fallot (B)</p> Signup and view all the answers

A patient presents with fatigue, a heart murmur, and increased risk of endocarditis; which defect is most likely?

<p>Ventricular Septal Defect (VSD) (B)</p> Signup and view all the answers

What symptom is commonly associated with Tetralogy of Fallot?

<p>Clubbing of the fingers (B)</p> Signup and view all the answers

What percentage of congenital heart diseases are classified as cyanotic?

<p>20% (C)</p> Signup and view all the answers

Which of the following conditions is associated with a left to right shunt?

<p>Atrial septal defect (ASD) (B)</p> Signup and view all the answers

What is the most common etiology for congenital heart disease?

<p>Multifactorial or polygenic inheritance (D)</p> Signup and view all the answers

Which condition might be a result of maternal drug exposure, specifically from warfarin therapy?

<p>Pulmonary valve stenosis (PS) (B)</p> Signup and view all the answers

Which presentation is commonly associated with congenital heart diseases?

<p>Antenatal cardiac Ultrasound diagnosis (B)</p> Signup and view all the answers

What is the primary function of the mitral valve?

<p>Prevent backflow from the left ventricle to the left atrium. (C)</p> Signup and view all the answers

Which chamber receives oxygenated blood from the lungs?

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

What type of valve is the aortic semilunar valve classified as?

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

Which of the following valves is located between the right atrium and right ventricle?

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

What percentage of blood is pumped from the left atrium to the left ventricle in late diastole?

<p>30% (B)</p> Signup and view all the answers

What is the primary diagnostic tool used for investigating congenital heart disease?

<p>Echocardiography with Doppler (C)</p> Signup and view all the answers

Which additional tests should be performed if congenital heart disease is suspected?

<p>Chest X-ray and ECG (C)</p> Signup and view all the answers

Which vessel is NOT included in the diagram of fetal circulation?

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

What kind of data does the echocardiography procedure provide about the heart?

<p>Structural information about heart chambers (C)</p> Signup and view all the answers

What does the diagram of fetal circulation primarily illustrate?

<p>Blood flow in a fetus (D)</p> Signup and view all the answers

What causes the first heart sound (S1)?

<p>Closure of mitral &amp; tricuspid valves (A)</p> Signup and view all the answers

Where is the second heart sound (S2) best heard?

<p>Base of the heart (B)</p> Signup and view all the answers

In which condition would you expect an increase in the first heart sound?

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

What timing characterizes the S4 heart sound?

<p>Before the first heart sound (A)</p> Signup and view all the answers

Which statement accurately describes a palpable murmur?

<p>Represents a thrill (B)</p> Signup and view all the answers

What occurs during Atrial Systole?

<p>Atria contract and force blood into ventricles. (C)</p> Signup and view all the answers

Which phase of the cardiac cycle follows Ventricular Systole?

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

Which wave represents ventricle repolarization in an ECG?

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

What happens during the first phase of Ventricular Systole?

<p>Ventricles contract and AV valves close. (B)</p> Signup and view all the answers

During which phase are the semilunar valves closed?

<p>Ventricular Diastole (early) (C)</p> Signup and view all the answers

What is one of the main characteristics of Fallot Tetralogy?

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

What occurs as a result of the large ventricular septal defect in Fallot Tetralogy?

<p>Equalization of ventricle pressure (C)</p> Signup and view all the answers

What type of cyanosis is associated with severe pulmonary stenosis at birth in Fallot Tetralogy?

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

What symptom may indicate 'Pink Fallot' due to mild pulmonary stenosis?

<p>Cyanosis during exercise (D)</p> Signup and view all the answers

What is a common clinical presentation in Fallot Tetralogy linked to central cyanosis?

<p>Warm blue hands (B)</p> Signup and view all the answers

Flashcards

What does the left atrium do?

This chamber receives oxygenated blood from the lungs and pumps it into the left ventricle.

What is the main function of the left ventricle?

The left ventricle is responsible for pumping oxygen-rich blood to the aorta and the rest of the body.

What is the function of atrioventricular valves?

These valves prevent blood from flowing backwards from the ventricles to the atria.

Describe the tricuspid valve.

This valve is located between the right atrium and the right ventricle, and has three leaflets: anterior, septal, and posterior.

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Where is the aortic semilunar valve located?

This valve is located between the left ventricle and the aorta, and has three leaflets: left, right, and posterior.

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What is the function of the right atrium?

The right atrium receives deoxygenated blood from the superior and inferior vena cava and pumps it through the tricuspid valve to the right ventricle.

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What is the function of the right ventricle?

The right ventricle pumps deoxygenated blood through the pulmonary valve to the lungs for oxygenation.

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Where is the tricuspid valve located and what is its function?

The tricuspid valve is located between the right atrium and the right ventricle, preventing backflow of blood.

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Where is the pulmonary valve located and what is its function?

The pulmonary valve is located between the right ventricle and the pulmonary artery, preventing backflow of blood.

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Describe the superior vena cava (SVC).

The superior vena cava (SVC) is one of the two largest veins in the body, carrying deoxygenated blood from the upper body to the right atrium.

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Heart Thrill

A palpable vibration felt over the heart, usually related to turbulent blood flow.

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Right Ventricular Enlargement - Apex Beat

The apex beat shifts outward to the same intercostal space, but is weaker and feels widespread.

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Left Ventricular Enlargement - Apex Beat

The apex beat shifts outward and downward to the next intercostal space, and feels localized and strong.

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Palpitation - Definition

An abnormal awareness of your heartbeat, regardless of whether it's regular or irregular.

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Pathological Palpitation - Increased Force

A type of palpitation caused by an increased force of contraction, often seen in Aortic Regurgitation.

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Ventricular Systole

The period when the ventricles are contracting, divided into two phases: (1) pushing the AV valves closed and (2) opening the semilunar valves to eject blood.

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Ventricular Diastole

The phase where the heart chambers relax and refill with blood. Divided into early and late phases.

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QRS Complex

Depolarization of the ventricles, represented on an ECG as a wave that has multiple peaks: Q, R, and S.

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P-Wave

Represents the depolarization of the atria, visible as a positive wave on an ECG.

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What is the apex of the heart and where is it located?

The apex is the most visible and palpable point of pulsation on the heart, usually created by the left ventricle. It's located in the 5th intercostal space along the midclavicular line, also known as the "nipple line".

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How does the apex shift in right ventricular hypertrophy (RVH)?

In right ventricular hypertrophy (RVH), the apex of the heart shifts outwards and becomes diffuse, indicating a weakening of the left ventricle's pulsation.

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How does the apex shift in left ventricular hypertrophy (LVH)?

In left ventricular hypertrophy (LVH), the apex of the heart shifts outwards and downwards, feeling localized and more forceful.

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How does the extent of the apex change in left and right ventricular hypertrophy?

In left ventricular hypertrophy (LVH), the apex is typically felt only in one intercostal space, while in right ventricular hypertrophy (RVH), it's felt in multiple spaces.

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What normally forms the apex of the heart?

The apex of the heart is normally formed by the left ventricle. However, in certain conditions, other chambers can contribute to its formation.

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What is the origin of the first heart sound (S1)?

The first heart sound (S1) is produced by the closure of the mitral and tricuspid valves, which marks the start of ventricular systole.

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What is the origin of the second heart sound (S2)?

The second heart sound (S2) is produced by the closure of the aortic and pulmonary valves, which marks the end of ventricular systole.

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What is S3 and when does it occur?

This abnormal heart sound occurs during diastole, after the second heart sound, and is associated with rapid ventricular filling.

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What is S4 and when does it occur?

This abnormal heart sound occurs just before S1, during atrial contraction, and is associated with stiff ventricle walls.

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What is a thrill?

A palpable murmur, or thrill, is a vibration felt on the chest that indicates a loud murmur.

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Left-to-right shunt

A type of congenital heart disease where blood flows from the left side of the heart to the right side, causing an overload on the right ventricle.

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Ventricular septal defect (VSD)

A common type of left-to-right shunt where there is an abnormal opening between the two lower chambers of the heart.

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Transposition of the great arteries (TGA)

A condition where the aorta and pulmonary artery are switched, leading to oxygen-poor blood being sent to the body.

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Coarctation of the aorta (Co-A)

A narrowing of the aorta, the main artery carrying oxygenated blood from the heart to the body, causing reduced blood flow to parts of the body.

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Heart failure

A condition where the heart's ability to pump blood efficiently is impaired, leading to symptoms like shortness of breath, fatigue, and swelling.

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Pulmonary Stenosis (PS) in Fallot Tetralogy

A narrowing of the pulmonary valve or the outflow tract of the right ventricle, making it difficult for blood to flow from the right ventricle to the lungs.

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Ventricular Septal Defect (VSD) in Fallot Tetralogy

A hole between the right and left ventricles, allowing blood to flow from the right ventricle to the aorta, bypassing the lungs.

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Overriding Aorta in Fallot Tetralogy

The aorta, the main artery that carries blood from the heart to the body, is positioned above the VSD, receiving blood from both ventricles.

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Right Ventricular Hypertrophy (RVH) in Fallot Tetralogy

The right ventricle becomes thicker due to the increased pressure needed to pump blood through the narrowed pulmonary valve.

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Central Cyanosis in Fallot Tetralogy

Blue discoloration of the skin, especially around the lips and fingertips, caused by a lack of oxygen in the blood.

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Echocardiography with Doppler

This diagnostic imaging technique uses sound waves to create images of the heart, its chambers, and valves, revealing structural abnormalities and blood flow patterns. It is particularly important for the diagnosis of congenital heart disease.

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Electrocardiogram (ECG)

It is a recording of the electrical activity of the heart, showing various waves and intervals. It helps to diagnose abnormalities in the heart's rhythm and electrical conduction.

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Fetal Circulation

The system of blood vessels and structures that connects the fetus to the placenta, allowing for oxygen and nutrient exchange.

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Foramen Ovale

A hole present in the wall between the two upper chambers (atria) of the fetal heart, allowing blood to bypass the lungs.

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Ductus Arteriosus

A blood vessel connecting the pulmonary artery to the aorta in the fetus, allowing blood to bypass the lungs.

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How does fetal blood flow work?

Deoxygenated blood from the body flows to the heart, while oxygenated blood from the placenta flows back to the fetus, both through the umbilical cord. The heart then pumps mixed blood to the body.

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What is Patent Ductus Arteriosus (PDA)?

This condition occurs when the ductus arteriosus, a blood vessel connecting the aorta and pulmonary artery, stays open after birth, leading to a mixture of oxygenated and deoxygenated blood.

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What are Cyanogenic heart defects?

These heart defects are characterized by cyanosis (blue skin) due to insufficient oxygenated blood reaching the body. Examples include Tetralogy of Fallot.

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What are Acyanotic heart defects?

These defects do not usually cause cyanosis, as the oxygenated blood flow to the body is generally sufficient. Examples include:

  • Patent Ductus Arteriosus (PDA)
  • Atrial Septal Defect (ASD)
  • Ventricular Septal Defect (VSD)
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What is Atrial Septal Defect (ASD)?

A heart condition where there is a hole between the two upper chambers (atria) of the heart, potentially leading to fatigue, shortness of breath, and heart murmurs.

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Study Notes

Heart Chambers

  • The heart has four chambers
  • Two upper chambers called the left atrium and right atrium
  • Two lower chambers called the left and right ventricles

Heart Valves

  • The heart also has four valves
  • Tricuspid, Pulmonary, Mitral, and Aortic valves

Function of the Right Atrium

  • Receives non-oxygenated blood from the body's largest veins: Superior vena cava (SVC) and inferior vena cava (IVC)
  • Pumps it through the tricuspid valve to the right ventricle

Function of the Right Ventricle

  • Pumps the blood through the pulmonary valve to the lungs for oxygenation

Function of the Left Atrium

  • Receives oxygenated blood from the lungs
  • Pumps it through the mitral valve to the left ventricle (in late diastole 30%)

Function of the Left Ventricle

  • Pumps oxygen-rich blood to the aorta and the rest of the body (Cardiac output)

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