Heart Chambers and Valves Quiz

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Questions and Answers

Which heart chamber receives oxygenated blood from the pulmonary circulation?

  • Left Ventricle
  • Right Atrium
  • Right Ventricle
  • Left Atrium (correct)

What is the primary function of the atrioventricular valves?

  • To maintain a constant pressure within the ventricles.
  • To direct blood flow into the great vessels.
  • To regulate blood flow into the atria.
  • To prevent backflow from the ventricles to the atria. (correct)

How many cusps (leaflets) does the mitral valve possess?

  • Two (correct)
  • One
  • Three
  • Four

Which valve is located between the right ventricle and the pulmonary trunk?

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

What is the name of the cusp of the Aortic semilunar valve that is ‘non-adjacent’?

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

Which characteristic describes an apex beat associated with aortic stenosis?

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

A systolic thrill on palpation of the chest is most likely associated with which valvular defect?

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

If the apex beat is not readily palpable, which of the following should be considered first?

<p>Positioning patient in left lateral decubitus (C)</p> Signup and view all the answers

A palpable shock at the 2nd left intercostal space is commonly associated with which condition?

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

Which of the following is a physiological cause of palpitations?

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

Which heart valve regulates the flow of blood between the right atrium and the right ventricle?

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

Which of the following represents the correct pathway of blood flow from the right ventricle?

<p>Through the pulmonary valve to the lungs (C)</p> Signup and view all the answers

What type of blood does the right atrium receive?

<p>Non-oxygenated blood from the vena cava (B)</p> Signup and view all the answers

Where does the blood from the right ventricle go next?

<p>To the lungs through the pulmonary artery (B)</p> Signup and view all the answers

Which of these is NOT a heart valve?

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

What is the primary cause of the first heart sound (S1)?

<p>Closure of the mitral and tricuspid valves (D)</p> Signup and view all the answers

In which condition is the first heart sound (S1) likely to be decreased?

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

Where is the third heart sound (S3) best heard?

<p>At the apex or tricuspid area (B)</p> Signup and view all the answers

What is the character of a murmur associated with regurgitation?

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

How does a right sided murmur change in relation to breathing?

<p>Increases with inspiration (C)</p> Signup and view all the answers

Which of the following is the most common type of acyanotic congenital heart disease?

<p>Ventricular septal defect (VSD) (C)</p> Signup and view all the answers

A mother with systemic lupus erythematosus (SLE) is at increased risk of having a child with which of the following congenital heart defects?

<p>Complete heart block (CHB) (C)</p> Signup and view all the answers

Which of the following congenital heart defects is most commonly associated with Down syndrome?

<p>Endocardial cushion defect (CAVC) (B)</p> Signup and view all the answers

A pregnant woman with a history of alcohol abuse is at a higher risk of having a child with which of the following congenital heart disease?

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

A congenital heart defect characterized by a left-to-right shunt is typically classified as:

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

Where is the typical location for auscultating the aortic valve?

<p>Second intercostal space at the right sternal border (C)</p> Signup and view all the answers

Which heart valve is typically auscultated at the fifth intercostal space along the midclavicular line?

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

During physical examination, a clinician notes that a patient's apex is shifted outwards and diffuse, this likely indicates which of the following?

<p>Right Ventricular Hypertrophy (D)</p> Signup and view all the answers

If a patient’s apex is located at the 4th intercostal space, this is most common in which population?

<p>Children under 4 years (D)</p> Signup and view all the answers

Which of the following best characterizes the typical palpation of the apex in a patient with left ventricular hypertrophy (LVH)?

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

What happens during atrial systole?

<p>Atrial contraction forces blood into ventricles. (D)</p> Signup and view all the answers

Which wave corresponds to the ventricles contracting?

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

What occurs during the first phase of ventricular systole?

<p>AV valves are closed due to ventricular contraction. (B)</p> Signup and view all the answers

During which phase do the semilunar valves close?

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

Which phase corresponds to the T-Wave on the ECG?

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

Which diagnostic tool is considered the primary method for investigating congenital heart disease?

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

In addition to echocardiography with Doppler, what other investigations should be performed if congenital heart disease is suspected?

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

Which vessel is NOT involved in fetal circulation according to the diagram?

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

What does the legend in the fetal circulation diagram indicate?

<p>Intensity of blood flow (B)</p> Signup and view all the answers

Which chamber is NOT labeled in the echocardiogram image described?

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

What is a key anatomical feature of Fallot Tetralogy?

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

In a patient with severe pulmonary stenosis at birth, what is the likely clinical presentation?

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

What occurs in the hemodynamics of Fallot Tetralogy regarding blood flow?

<p>Blood partially saturates in the aorta due to VSD (D)</p> Signup and view all the answers

Which option describes the effect of a large ventricular septal defect (VSD) in Fallot Tetralogy?

<p>Makes pressure in both ventricles equal (D)</p> Signup and view all the answers

Which of the following describes a characteristic of mild pulmonary stenosis in Fallot Tetralogy?

<p>Cyanosis appears only with exercise (D)</p> Signup and view all the answers

What happens during patent ductus arteriosus after birth?

<p>Oxygenated blood from the aorta mixes with deoxygenated blood. (C)</p> Signup and view all the answers

Which symptoms are commonly associated with Tetralogy of Fallot?

<p>Murmur and syncope (B), Fatigue and cyanosis (C)</p> Signup and view all the answers

What characterizes acyanotic congenital heart defects?

<p>They typically do not lead to cyanosis. (C)</p> Signup and view all the answers

What is a common symptom of Patent Ductus Arteriosus (PDA)?

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

In normal fetal circulation, what type of blood flows from the body to the heart?

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

Flashcards

Right Atrium

The upper chamber of the heart that receives deoxygenated blood from the body through the superior and inferior vena cava.

Right Ventricle

The lower chamber of the heart that pumps deoxygenated blood to the lungs through the pulmonary valve.

Tricuspid Valve

One of the four heart valves, located between the right atrium and right ventricle, controls blood flow from the atrium to the ventricle.

Pulmonary Valve

One of the four heart valves, located between the right ventricle and the pulmonary artery, controls blood flow from the ventricle to the lungs.

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Inferior Vena Cava

The largest vein in the body that carries deoxygenated blood from the lower body to the heart's right atrium.

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What is the function of the left atrium?

Receives oxygenated blood from the lungs and pumps it through the mitral valve to the left ventricle during late diastole (30%).

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What is the function of the left ventricle?

Pumps oxygen-rich blood to the aorta and the rest of the body, delivering oxygen to all tissues and organs.

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What is the function of the atrioventricular (AV) valves?

These valves prevent backflow from the ventricles to the atria during ventricular contraction.

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Describe the tricuspid valve.

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

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Describe the aortic semilunar valve.

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

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Palpitation

An abnormal awareness of the heart beats, which can be regular or irregular.

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Aortic Stenosis (AS)

A systolic murmur caused by a narrowed aortic valve, leading to increased pressure in the left ventricle. This increased pressure can cause a 'heaving' heart.

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Mitral Stenosis (MS)

A diastolic murmur caused by a narrowed mitral valve. It can feel like a forceful S1 due to the strong closure of the valve.

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Hyperdynamic Heart

Due to increased blood volume in the ventricle, the heart becomes more forceful.

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Thrill

A pulsating feeling that can be felt in the chest or neck due to turbulent blood flow, often caused by a leaky heart valve.

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Apex of the Heart

The most visible and palpable point on the heart, located at the lowermost outer area of the left ventricle's pulsation.

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Location of the Heart Apex

Normally found in the 5th intercostal space in the midclavicular line, also known as the 'nipple line'.

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Apex Shift in RVH

The apex shifts outward and becomes diffuse (weak) in cases of right ventricular hypertrophy.

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Apex Shift in LVH

The apex shifts outward and downward, often localized and forceful, indicating left ventricular hypertrophy.

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Localized Apex

The apex is localized and felt mainly in one intercostal space, a characteristic of left ventricular hypertrophy.

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

The sound produced by the closure of the mitral and tricuspid valves.

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

The sound produced by the closure of the aortic and pulmonary valves.

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What is the S3 heart sound?

A heart sound caused by vibrations of the ventricles during rapid filling in diastole.

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What is the S4 heart sound?

A heart sound caused by the forceful contraction of the atria against a stiff ventricle during diastole.

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What is a thrill?

A palpable murmur, meaning it can be felt as well as heard.

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Echocardiography

A diagnostic imaging technique that uses sound waves to create images of the heart's structure and function.

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Doppler Echocardiography

A specialized type of echocardiography that measures blood flow velocity and direction within the heart. It helps assess heart valve function and blood flow patterns.

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Fetal Circulation

The process of blood circulation in a developing fetus, where the heart receives oxygenated blood from the placenta via the umbilical vein and bypasses the lungs.

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Foramen Ovale

A small opening between the right and left 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 fetal heart, allowing blood to bypass the lungs.

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Atrial Systole

The phase of the cardiac cycle when the atria contract to push blood into the ventricles. It's represented by the P-wave on an ECG.

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Ventricular Systole (First Phase)

The phase of the cardiac cycle when the ventricles contract, forcing the AV valves closed and preventing backflow of blood into the atria. This is marked by the QRS complex on an ECG.

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Ventricular Systole (Second Phase)

The phase of the cardiac cycle when the semilunar valves open, allowing blood to be ejected from the ventricles to the lungs and the aorta. This is also part of ventricular systole.

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Early Ventricular Diastole

The phase of the cardiac cycle when the semilunar valves close, preventing backflow of blood from the aorta and pulmonary artery. Blood flows into the atria during this stage.

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Late Ventricular Diastole

The phase of the cardiac cycle when the chambers fully relax, allowing passive filling of the ventricles with blood. This is the end of the cycle.

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Where does oxygenated blood enter the fetus?

This is where oxygen-rich blood from the placenta flows back to the fetus through the umbilical cord.

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What is a patent ductus arteriosus?

This condition occurs when the ductus arteriosus remains open after birth, allowing oxygenated blood from the aorta to mix with deoxygenated blood from the pulmonary artery.

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What are cyanotic heart defects?

These heart defects cause a bluish discoloration of the skin due to a lack of oxygen in the blood. Examples include Tetralogy of Fallot which can cause symptoms like squatting, cyanosis, and clubbing of fingers.

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What are acyanotic heart defects?

These heart defects typically don't cause cyanosis. Examples include patent ductus arteriosus, atrial septal defect, and ventricular septal defect, which can cause symptoms like fatigue and murmurs.

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What is the definition of palpitation?

A condition where the heart beats abnormally fast, often causing a fluttering or racing sensation in the chest.

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What is Fallot Tetralogy?

A heart condition characterized by four main components: pulmonary stenosis, overriding aorta, ventricular septal defect, and right ventricular hypertrophy.

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What is Pulmonary Stenosis in Fallot Tetralogy?

A narrowing of the pulmonary valve or the outflow tract of the right ventricle, making it harder for blood to reach the lungs.

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What is overriding aorta?

The aorta is positioned so it receives blood from both ventricles, not just the left ventricle like usual.

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What is Ventricular Septal Defect (VSD)?

A large hole in the wall separating the right and left ventricles.

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What is Central Cyanosis in Fallot Tetralogy?

A common symptom of Tetralogy of Fallot, where the skin, especially the lips and nails, appears blue due to a shortage of oxygen in the blood.

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Atrial septal defect (ASD)

A congenital heart defect where the heart's upper chambers (atria) have a hole between them, allowing blood to flow between the right and left atria.

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Ventricular septal defect (VSD)

A congenital heart defect where the heart's lower chambers (ventricles) have a hole between them, allowing blood to flow from the left ventricle to the right ventricle.

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Patent ductus arteriosus (PDA)

A congenital heart defect where the ductus arteriosus, a fetal blood vessel connecting the aorta and pulmonary artery, remains open after birth. This allows oxygen-rich blood from the aorta to flow into the pulmonary artery, increasing blood flow to the lungs.

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Tetralogy of Fallot

A congenital heart defect characterized by four abnormalities, including a ventricular septal defect (VSD), pulmonary stenosis (PS), overriding aorta, and right ventricular hypertrophy.

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Transposition of the great arteries (TGA)

A congenital heart defect characterized by the complete reversal of the aorta and pulmonary artery positions, causing deoxygenated blood from the right ventricle to be pumped to the body.

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Study Notes

Heart Chambers and Valves

  • The heart has four chambers
    • Two upper chambers called the left atrium and right atrium
    • Two lower chambers called the left and right ventricles
  • There are four valves
    • Tricuspid
    • Pulmonary
    • Mitral
    • Aortic

Right Atrium

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

Right Ventricle

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

Left Atrium

  • Receives oxygenated blood from the lungs
  • Pumps it through the mitral valve to the left ventricle.

Left Ventricle

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

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