Heart Structure and Function Quiz

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Questions and Answers

Which of these chambers of the heart receives the non-oxygenated blood from the body's largest veins?

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

Which of these valves is located between the right ventricle and the pulmonary artery?

  • Mitral
  • Pulmonary (correct)
  • Tricuspid
  • Aortic

What is the function of the right ventricle?

  • Receives oxygenated blood from the lungs
  • Pumps blood to the lungs for oxygenation (correct)
  • Receives non-oxygenated blood from the body
  • Pumps blood to the body

What is the name of the blood vessel that carries oxygenated blood from the lungs to the heart?

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

Which two veins carry non-oxygenated blood to the right atrium?

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

What is the typical location of the apex in the human chest?

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

What does RVH stand for?

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

In what condition does the apex shift outwards and downwards?

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

What is the nature of the apex?

<p>Normally formed by the left ventricle (B)</p> Signup and view all the answers

How is the apex shift in RVH described?

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

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

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

Which of the following additional tests is suggested if congenital heart disease is suspected?

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

Which blood vessel is NOT mentioned in the diagram of fetal circulation?

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

What do the figures related to the cardiovascular system primarily illustrate?

<p>Components and flow of the cardiovascular system (B)</p> Signup and view all the answers

What does the legend in the fetal circulation diagram represent?

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

What is the most common type of congenital heart disease?

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

Which of the following is NOT classified as a cyanotic heart disease?

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

What causes the first heart sound (S1)?

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

Which condition is associated with an increased first heart sound (S1)?

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

What is a common cause of congenital heart disease related to maternal factors?

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

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

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

Which of the following conditions is associated with Down syndrome?

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

Which statement is true regarding the third heart sound (S3)?

<p>Heard during diastole (D)</p> Signup and view all the answers

What is a potential effect of fetal alcohol syndrome on congenital heart diseases?

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

How does aortic murmur change with positional changes?

<p>Increases when leaning forward (A)</p> Signup and view all the answers

What is the primary function of the left atrium?

<p>Receives oxygenated blood from the lungs (B)</p> Signup and view all the answers

Which valve prevents backflow from the left ventricle to the left atrium?

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

What is the role of the aortic semilunar valve?

<p>Prevents backflow from the aorta to the left ventricle (C)</p> Signup and view all the answers

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

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

How many cusps does the mitral valve have?

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

What characterizes hyper dynamic heart sounds?

<p>Volume overload conditions like AR or MR (B)</p> Signup and view all the answers

What is a common sign of left ventricular enlargement?

<p>Localised and strong apex beat (D)</p> Signup and view all the answers

Which condition is associated with a palpable diastolic thrill?

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

What initial action should be taken if a patient is not feeling well during examination?

<p>Turn the patient to the left lateral position (C)</p> Signup and view all the answers

Which of the following is NOT a sign of pulmonary hypertension?

<p>Localised apex beat at the 5th intercostal space (D)</p> Signup and view all the answers

What type of blood flows from the placenta to the fetus through the umbilical cord?

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

Which of the following conditions results in the mixing of oxygenated and deoxygenated blood?

<p>Patent Ductus Arteriosus (A)</p> Signup and view all the answers

Which symptom is associated with Tetralogy of Fallot?

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

What is a common symptom of Acyanotic Defects?

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

What is the effect of a Patent Ductus Arteriosus on the body's blood flow?

<p>It allows for mixing of blood types (C)</p> Signup and view all the answers

What is one of the main characteristics of Fallot Tetralogy?

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

How does the presence of a large ventricular septal defect (VSD) affect blood flow in Fallot Tetralogy?

<p>It equalizes pressure in both ventricles. (C)</p> Signup and view all the answers

What is a likely outcome if an infant has severe pulmonary stenosis from birth?

<p>Immediate cyanosis is evident. (C)</p> Signup and view all the answers

Which symptom indicates central cyanosis in Fallot Tetralogy?

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

What does an overriding aorta in Fallot Tetralogy describe?

<p>Aorta receiving blood from both ventricles (C)</p> Signup and view all the answers

Which phase of the cardiac cycle corresponds to the QRS complex on the ECG?

<p>Ventricular Systole (first phase) (A)</p> Signup and view all the answers

During which phase of the cardiac cycle do the semilunar valves open?

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

Which of the following valves closes during the first phase of ventricular systole?

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

What is the primary function of the P-wave on the ECG?

<p>Shows the depolarization of the atria (B)</p> Signup and view all the answers

During which phase of the cardiac cycle does blood flow passively into the ventricles?

<p>Ventricular Diastole (late) (D)</p> Signup and view all the answers

Flashcards

Right Atrium

The upper chamber of the heart that receives deoxygenated blood from the body via 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

The valve that separates the right atrium and the right ventricle.

Pulmonary Valve

The valve that controls blood flow from the right ventricle to the pulmonary artery.

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Superior and Inferior Vena Cava

The large veins that carry deoxygenated blood from the body to the 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.

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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.

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What is the function of the Atrio-Ventricular (AV) valves?

These valves prevent backflow of blood from the ventricles to the atria.

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Describe the Tricuspid valve.

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

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Describe the Aortic semilunar valve.

It is located between the left ventricle and the opening of the aorta, and has three cusps: left, right, and posterior.

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Thrill

A palpable vibration felt over the precordium, often associated with turbulent blood flow.

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Tachycardia

Increased heart rate, either physiological (like during exercise) or pathological (due to underlying heart issues).

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Heaving apex beat

A forceful, outward movement of the heart apex, often seen in conditions causing increased pressure in the left ventricle.

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Palpitation

Abnormal awareness of one's own heartbeat, which can be regular or irregular. It can be physiological or pathological.

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Right ventricular lift

A strong, visible pulsation felt in the second left intercostal space, often indicative of pulmonary hypertension.

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Cardiac Apex

The most outward and bottom point of the heart, visible and palpable during a physical examination, often formed by the left ventricle.

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Apex Shift in RVH

A shift of the cardiac apex outwards due to an enlarged right ventricle. It causes a weaker and more diffuse pulsation.

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Apex Shift in LVH

A shift of the cardiac apex outwards and downwards due to an enlarged left ventricle. The pulsation is localized and forceful.

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Localized Apex

The cardiac apex is felt in only one intercostal space, usually due to an enlarged left ventricle.

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Diffuse Apex

The cardiac apex is felt in multiple intercostal spaces, commonly associated with an enlarged right ventricle.

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What creates 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 creates the second heart sound (S2)?

The second heart sound, S2, arises from the closure of the aortic and pulmonary valves, marking the end of ventricular systole.

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What is a thrill?

A thrill is a palpable murmur, indicating a turbulent blood flow that can be felt with the hand.

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How does body position affect a mitral murmur?

A mitral murmur intensifies when a patient lies on their left side, as this increases the flow of blood across the mitral valve.

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How does the character of a murmur differ between stenosis and regurgitation?

Stenotic murmurs (caused by narrowed valves) are typically harsh, while regurgitant murmurs (caused by leaky valves) are softer.

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What are Congenital Heart Diseases (CHD)?

A group of heart defects present at birth that affect the structure of the heart, leading to abnormal blood flow.

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How are CHDs classified?

CHD are classified into three main categories based on the type of blood flow abnormality: cyanotic (blue), acyanotic (pink), and obstructive.

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What are cyanotic CHDs?

A group of CHDs characterized by a shunt, or abnormal passage, between chambers of the heart or between blood vessels, resulting in oxygen-rich blood mixing with oxygen-poor blood, leading to cyanosis (blue discoloration) in the infant or child.

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What are obstructive CHDs?

A group of CHDs characterized by an obstruction of blood flow, leading to increased pressure in the heart or blood vessels before the obstruction.

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What are some causes of CHDs?

Causes of CHDs are often complex and involve genetic, environmental, and maternal factors.

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Describe fetal blood flow.

Oxygenated blood from the placenta flows to the fetus through the umbilical cord and into the heart, while deoxygenated blood from the fetus flows back to the placenta through the umbilical cord.

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What is Patent Ductus Arteriosus (PDA)?

A congenital heart defect where 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 Cyanogenic Heart Defects?

These defects cause cyanosis (bluish discoloration of the skin) due to inadequate oxygenation of the blood.

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What are Acyanotic Heart Defects?

These defects do not usually lead to cyanosis, as the blood flow is normal.

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What is Tachycardia?

A condition characterized by a rapid, forceful heartbeat, either physiological (due to exercise) or pathological (due to underlying heart issues).

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Atrial Systole

The contraction of the atria, which pushes blood into the ventricles.

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What are the four components of Fallot Tetralogy?

The four heart defects that define Fallot Tetralogy: (1) Pulmonary Stenosis, (2) Ventricular Septal Defect, (3) Overriding Aorta, and (4) Right Ventricular Hypertrophy.

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Explain what causes Lung Oligemia in Fallot Tetralogy.

Blood flow from the right ventricle is obstructed due to narrowed pulmonary valve or outflow tract, causing a decreased blood flow to the lungs. This results in a condition known as Lung Oligemia.

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Ventricular Systole (First Phase)

The first stage of ventricular contraction, where the AV valves close to prevent backflow.

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How does a large VSD contribute to cyanosis in Fallot Tetralogy ?

In Fallot Tetralogy, a large VSD allows blood to flow directly from the right ventricle to the aorta, bypassing the lungs. This leads to deoxygenated blood in the aorta and causes cyanosis.

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Ventricular Systole (Second Phase)

The second stage of ventricular contraction, where the semilunar valves open, and blood is ejected into the aorta and pulmonary arteries.

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Ventricular Diastole (Early)

The early stage of ventricular relaxation (diastole), where the semilunar valves close, preventing backflow from the arteries into the ventricles, and blood starts flowing into the atria.

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What is central cyanosis and when is it typically observed in Fallot Tetralogy?

Central cyanosis, a bluish discoloration of the skin, lips, and fingertips, is a common symptom of Fallot Tetralogy. It often appears after a few months due to the progressive nature of the pulmonary stenosis. However, in severe cases, it can be present at birth.

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Ventricular Diastole (Late)

The later stage of ventricular relaxation, where the chambers passively relax, and blood fills the ventricles.

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What is a heaving apex beat and how is it linked to Fallot Tetralogy?

A forceful, outward movement of the apex of the heart can be seen in Fallot Tetralogy, indicating increased pressure in the right ventricle due to the outflow obstruction.

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What is Echocardiography with Doppler?

Echocardiography with Doppler is a non-invasive imaging technique using sound waves to visualize the heart's structure and function.

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What are the uses of Doppler Echocardiography?

It is used to diagnose congenital heart defects, evaluate heart valve function, and assess heart chamber size and function.

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How does Doppler Echocardiography work?

This technique uses sound waves to create images of the heart's chambers, valves, and blood flow.

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What is the role of Doppler in Echocardiography?

Doppler echocardiography can provide information about blood flow direction and velocity by analyzing the changes in sound wave frequency.

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Why is Doppler Echocardiography important in diagnosing congenital heart disease?

It is a vital tool for confirming the presence of congenital heart defects and determining the severity of the condition.

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Study Notes

Heart Structure and Function

  • The heart is a four-chambered organ
  • Two upper chambers are the atria (left atrium and right atrium)
  • Two lower chambers are the ventricles (left ventricle and right ventricle)
  • The heart also has four valves: tricuspid, pulmonary, mitral, and aortic valves

Atrio-Ventricular Valves

  • Function: prevent backflow from ventricles to atria
  • Tricuspid valve: located between right atrium and right ventricle, has three cusps (anterior/anterosuperior, septal, and posterior/inferior)
  • Mitral valve: located between left atrium and left ventricle, has two cusps (anterior/aortic and posterior/mural)

Semilunar Valves

  • Function: prevent backflow from great vessels to ventricles
  • Pulmonary semilunar valve: located between right ventricle and pulmonary trunk, has three cusps (anterior/non-adjacent, left/left adjacent, and right/right adjacent)
  • Aortic semilunar valve: located between left ventricle and aorta, has three cusps (left/left coronary valve, right/right coronary valve, and posterior/non-adjacent)

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

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