Human Heart Anatomy Quiz

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Questions and Answers

In a fetus with a patent ductus arteriosus (PDA), what kind of blood is flowing in the aorta?

  • Oxygenated blood
  • Only blood from the pulmonary artery
  • Mixed blood (correct)
  • Deoxygenated blood

Which of the following defects is NOT a cyanotic heart defect?

  • Atrial Septal Defect (ASD)
  • Tetralogy of Fallot
  • Patent Ductus Arteriosus (PDA) (correct)
  • Ventricular Septal Defect (VSD)

What is the typical symptom associated with Tetralogy of Fallot?

  • Squatting (correct)
  • Fatigue
  • Murmur
  • Growth Retardation

Which of the following is NOT a symptom associated with a patent ductus arteriosus (PDA)?

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

In a normal fetus, which blood vessel carries oxygenated blood back to the fetal heart?

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

During which specific phase of the cardiac cycle do the atria contract?

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

Which ECG wave corresponds to the ventricular depolarization, characterized by the contraction of the ventricles?

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

The closure of which valves occurs during the first phase of ventricular systole?

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

What is the primary event that triggers the closing of the semilunar valves during the early phase of ventricular diastole?

<p>Ventricular pressure exceeding atrial pressure (A)</p> Signup and view all the answers

Which of the following represents the correct sequence of phases in the cardiac cycle?

<p>Atrial Systole, Ventricular Systole (first phase), Ventricular Systole (second phase), Ventricular Diastole (early), Ventricular Diastole (late) (B)</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 (B)</p> Signup and view all the answers

What is the primary function of the atrio-ventricular valves?

<p>Prevent backflow from ventricles to atria (C)</p> Signup and view all the answers

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

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

How many cusps does the aortic semilunar valve have?

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

What are the upper chambers of the human heart called?

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

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

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

What is the primary function of the right ventricle?

<p>Pump blood to the lungs (C)</p> Signup and view all the answers

From which veins does the right atrium receive blood?

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

How many valves are present in the human heart?

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

What is the origin of the first heart sound 'S1'?

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

Where is the second heart sound 'S2' best heard?

<p>Over the aortic &amp; pulmonary areas (D)</p> Signup and view all the answers

Which condition causes an increase in the first heart sound 'S1'?

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

In which phase of the cardiac cycle does the third heart sound 'S3' occur?

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

What effect does lying in the left lateral position have on murmur intensity?

<p>Increases intensity of mitral murmur (B)</p> Signup and view all the answers

What character is associated with a heaving motion?

<p>Aortic Stenosis (AS) (C)</p> Signup and view all the answers

Which of the following is a sign of left ventricular enlargement?

<p>Localized, strong apex (D)</p> Signup and view all the answers

What should be the first step if a patient does not feel well during a cardiac examination?

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

Which condition is indicated by a diastolic thrill?

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

Which of the following is NOT a possible cause of an impalpable apex?

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

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

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

Which of the following tests should be performed alongside echocardiography if congenital heart disease is suspected?

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

In fetal circulation, which of the following veins carries oxygen-rich blood from the placenta to the fetus?

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

Which component is NOT part of the heart according to the echocardiography procedure described?

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

In the context of fetal circulation, what does the foramen ovale function as?

<p>A valve allowing blood flow from the right atrium to the left atrium (B)</p> Signup and view all the answers

Which of the following congenital heart diseases is categorized as cyanotic with decreased pulmonary flow?

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

What is the most common etiology of congenital heart disease?

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

Which of the following is NOT a shunt lesion associated with congenital heart disease?

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

Which maternal condition can lead to congenital heart disease characterized by complete heart block?

<p>Systemic lupus erythematosus (SLE) (B)</p> Signup and view all the answers

Which of the following conditions is characterized by an increased pulmonary flow?

<p>Transposition of great arteries (TGA) (C)</p> Signup and view all the answers

What is the normal anatomical location of the apex in adults?

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

Which condition typically causes the apex to shift outwards and diffuse?

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

How is the apex typically felt during Left Ventricular Hypertrophy (LVH)?

<p>Localized and forcible in one intercostal space (A)</p> Signup and view all the answers

Before the age of 4 years, where is the apex typically located?

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

Which anatomical location is NOT associated with auscultation of the cardiac valves?

<p>7th intercostal space (D)</p> Signup and view all the answers

What is the primary reason for central cyanosis in Fallot Tetralogy?

<p>Reduced blood flow to the lungs due to pulmonary stenosis. (D)</p> Signup and view all the answers

Which of the following is NOT a component of Fallot Tetralogy?

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

Which component of Fallot Tetralogy is responsible for the increased pressure in the right ventricle?

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

What is a possible cause for the absence of central cyanosis in some infants with Fallot Tetralogy?

<p>A mild degree of pulmonary stenosis allowing sufficient blood flow to the lungs. (A)</p> Signup and view all the answers

Flashcards

What is the function of the left atrium?

Receives oxygen-rich blood from the lungs and pumps it into the left ventricle through the mitral valve.

What is the function of the left ventricle?

Pumps oxygenated blood to the aorta, supplying the body with fresh blood.

What is the function of the atrioventricular valves?

Prevents blood from flowing back from the ventricles to the atria.

Describe the tricuspid valve.

The tricuspid valve has three cusps and is located between the right atrium and the right ventricle.

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Describe the mitral valve.

The mitral valve has two cusps and resembles a miter in shape. It's located between the left atrium and the left ventricle.

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Right atrium

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

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Right ventricle

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

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Tricuspid valve

A valve that controls blood flow between the right atrium and right ventricle.

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Pulmonary valve

A valve that controls blood flow from the right ventricle to the pulmonary artery, leading to the lungs.

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Vena Cava (superior and inferior)

The largest vein in the body carrying deoxygenated blood from the body to the right atrium.

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S1 (First heart sound)

The closure of the mitral and tricuspid valves, marking the beginning of ventricular contraction.

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S2 (Second heart sound)

The closure of the aortic and pulmonary valves, marking the end of ventricular contraction.

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S3 (Third heart sound)

A low-pitched sound heard in early diastole, caused by rapid ventricular filling.

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S4 (Fourth heart sound)

A high-pitched sound heard just before S1, caused by atrial contraction against a stiff ventricle.

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Thrill

A palpable vibration felt over the heart, usually associated with a loud murmur.

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Heaving heart beat - What causes it?

An abnormally strong, forceful heartbeat that is often felt, sometimes even seen, in the chest.

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What is a thrill?

A palpable vibration felt over the precordium, caused by turbulent blood flow.

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Why is a left lateral position helpful?

A left lateral position can help to more easily feel the apex beat.

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What does a shifted, weak, and diffuse apex beat indicate?

When the apex beat is shifted outward in the same intercostal space, it's weak and diffused. This indicates an enlarged right ventricle.

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What are the signs of pulmonary hypertension?

A visible pulsation at the second left intercostal space, a palpable (S2 or diastolic shock) at the same location, a dull sound on percussion, and an accentuated S2 on auscultation.

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What is the apex of the heart?

The most visible and palpable point of pulsation on the heart; normally formed by the left ventricle.

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Where is the apex of the heart located?

The apex of the heart is located in the fifth intercostal space in the midclavicular line, which is roughly aligned with the nipple line.

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How does the apex of the heart shift with different heart conditions?

In right ventricular hypertrophy (RVH), the apex shifts outward and feels weak, while in left ventricular hypertrophy (LVH), the apex shifts outward and downward, typically feeling strong and localized.

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How is the extent of the apex related to heart conditions?

If the apex is confined to a single intercostal space, it suggests left ventricular hypertrophy (LVH), while if it spreads across multiple spaces, it indicates right ventricular hypertrophy (RVH).

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Where is the apex of the heart located in children under four?

In children under four years old, the apex of the heart is typically found in the fourth intercostal space.

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Atrial Systole

The contraction of the atria, pushing blood into the ventricles. It is represented by the P-wave on an ECG.

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Ventricular Systole

The process of the ventricles contracting, closing the AV valves and pushing blood into the arteries. It's represented by the QRS complex on an ECG.

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Ventricular Diastole

The period of relaxation for the ventricles, allowing blood to flow from the atria. It's represented by the T-wave on an ECG.

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What does the QRS complex represent on an ECG?

The electrical signal that depicts the depolarization of the ventricles. It's represented by the QRS complex on an ECG.

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What does the P-wave represent on an ECG?

The electrical signal that depicts the depolarization of the atria. It's represented by the P-wave on an ECG.

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What is the primary diagnostic tool for congenital heart disease?

Echocardiography with Doppler is a primary diagnostic tool for congenital heart disease, providing detailed images of the heart's structure and function

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What does an echocardiogram show?

An echocardiogram is used to visualize the heart's chambers, valves, and blood flow, revealing abnormalities and helping diagnose congenital heart disease.

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How is fetal circulation different from adult circulation?

Fetal circulation differs from adult circulation, with unique structures like the foramen ovale and ductus arteriosus allowing blood flow to bypass the lungs.

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

The ductus arteriosus is a blood vessel connecting the pulmonary artery and aorta in the fetus, allowing blood to bypass the lungs.

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What is the function of the foramen ovale?

The foramen ovale is an opening in the septum between the atria in the fetal heart, allowing blood to bypass the right ventricle and pulmonary circulation.

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Fetal Circulation

The flow of blood in a fetus before birth.

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Patent Ductus Arteriosus

A condition where the ductus arteriosus, a blood vessel connecting the aorta and pulmonary artery, remains open after birth, causing mixing of oxygenated and deoxygenated blood.

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Cyanogenic Heart Defects

Heart defects that cause cyanosis, a bluish discoloration of the skin, due to poor oxygenation.

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Acyanotic Heart Defects

Heart defects that don't usually lead to cyanosis, often with symptoms of fatigue, murmur, and increased risk of complications.

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Tetralogy of Fallot

A common type of cyanogenic heart defect characterized by four specific abnormalities, leading to symptoms like squatting, cyanosis, and clubbing fingers.

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What is Congenital Heart Disease (CHD)?

Congenital Heart Disease (CHD) is a condition that affects the structure of the heart and can cause issues with blood flow. It arises during fetal development and can have varying degrees of severity, from minor defects to complex conditions requiring multiple surgeries.

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What are cyanotic CHDs?

Cyanotic CHDs refer to conditions where the blood is not fully oxygenated, leading to a bluish tint in the skin, especially around the mouth and fingertips. This is due to a mixture of oxygenated and deoxygenated blood.

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What are non-cyanotic CHDs?

Non-cyanotic CHDs are heart defects that do not cause a bluish discoloration of the skin. These conditions often involve blood flowing in the wrong directions within the heart but the blood remains oxygenated.

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What are obstructive CHDs?

Obstructive CHDs are heart defects that impede or restrict blood flow from the heart to the body. This may cause the heart to work harder and can lead to symptoms like fatigue and shortness of breath.

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What are some of the known causes of CHD?

Some of the known causes of CHD include maternal diseases, maternal drug exposure, chromosomal disorders, and genetic factors. However, in many cases, the exact cause remains unknown.

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What is pulmonary stenosis?

A condition where a narrowed pulmonary valve blocks blood flow to the lungs, causing the heart to work harder to pump blood. This results in blue-tinged skin (cyanosis) due to the lack of oxygen in the blood.

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Explain the 'Overriding Aorta' in Fallot Tetralogy.

It describes the aorta's unusual positioning: instead of emerging solely from the left ventricle, it receives blood from both the left and right ventricles due to a large ventricular septal defect.

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What is a Ventricular Septal Defect (VSD)?

A large hole in the wall between the heart's two lower chambers (ventricles). This allows deoxygenated blood to bypass the lungs and flow directly into the aorta.

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What is Central Cyanosis?

A common sign of Fallot Tetralogy, often seen in babies after a few months, where the skin has a bluish hue, especially around the lips and fingertips.

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Why is the right ventricle hypertrophied in Fallot Tetralogy?

The thickened right ventricle wall helps to pump blood through the narrowed pulmonary valve, adding to the workload of the heart.

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Study Notes

Heart Chambers

  • The heart is made up of four chambers
  • Two upper chambers, the left atrium and right atrium
  • Two lower chambers, the left and right ventricles

Heart Valves

  • The heart also has four valves
  • Tricuspid valve
  • Pulmonary valve
  • Mitral valve
  • Aortic valve

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

Tricuspid Valve

  • Located between the right atrium and the right ventricle
  • Has three cusps/leaflets:
    • Anterior/anterosuperior
    • Septal
    • Posterior/inferior

Mitral Valve

  • Located between the left atrium and left ventricle
  • Has two cusps/leaflets:
    • Anterior/aortic
    • Posterior/mural

Semilunar Valves

  • Prevent backflow from the great vessels to the ventricles
  • Pulmonary semilunar valve:
    • Between the right ventricle and the pulmonary trunk
    • Has three semilunar cusps/leaflets:
      • Anterior/non-adjacent
      • Left/left adjacent
      • Right/right adjacent
  • Aortic semilunar valve:
    • Between the left ventricle and the opening of the aorta
    • Has three semilunar cusps/leaflets:
      • Left/left coronary valve
      • Right/right coronary valve
      • Posterior/non-adjacent

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