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2 ALL Mediastinum Combined
Exam 2
33
10/04/2011

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Cards

Term
What bony landmark divides the superior and inferior mediastina?
Definition
sternal angle
Term
The thymus is found in which division(s) of the mediastimum?
Definition
superior and anterior
Term
What is the primary “artery” found in the posterior mediastinum?
Definition
descending aorta
Term
he middle mediastinum is the “home” for what major structure/organ?
Definition
heart
Term
What structures run along side the thoracic duct in the posterior mediastinum?
Definition
aorta, vertebral bodies, esophagus
Term
What is the name for the thin membrane which lines the inside of the fibrous pericardium?
Definition
parietal layer of serous pericardium
Term
What is the procedure called when the pericardial sac is tapped with a needle for removal of fluid?
Definition
pericardiocenthesis
Term
Where on the anterior chest wall is the aortic valve best heard, the mitral valve ?
Definition
2nd intercostal space, right of sternum
apex of heart, 5th intercostal space near left mid-clavicular line
Term
Where on the anterior chest wall is the apex of the heart projected
Definition
5th intercostal space near left mid-clavicular line
Term
What valve is heard best at about its anatomic position as projected onto the anterior chest wall?
Definition
tricuspid valve
Term
What is the name of the external depression on the heart which divides the atria from ventricles?
Definition
coronary sulcus
Term
Auricles are part of which heart chamber(s)?
Definition
atria
Term
The pulmonary trunk carries blood from which chamber of the heart?
Definition
right ventricle
Term
What is the name of the A/V valve that sits between the right atrium and ventricle?
Definition
tricuspid
Term
The “rough” muscular part of the atria walls are termed the muscles.
Definition
The “rough” muscular part of the atria walls are termed the pectinate muscles.
Term
What is the function of the papillary/chordae tendenae complexes?
Definition
prevent AV valve cusps from regurgitating into atria upon ventricular contraction.
Term
How many pulmonary veins usually enter the left atrium?
Definition
Four
Term
What is the usual origin for the left subclavian artery? The right subclavian artery?
Definition
Aortic arch; brachiocephalic trunk
Term
The azygos vein arches over the root of the lung to enter what vessel?
Definition
Superior vena cava
Term
In general the venous drainage from the heart in collected in what structure before being emptied into the right atrium?
Definition
coronary sinus
Term
In a left dominant coronary artery distribution pattern, which parts of the heart are supplied by branches of the left coronary artery?
Definition
both interventricular sulci and the posterior surface of the left ventricle.
Term
The coronary arteries arise from the aortic sinuses of . .
Definition
The coronary arteries arise from the aortic sinuses of Valsalva.
Term
The impulse wave from the AV node is transmitted to the ventricles by what bundle?
Definition
AV bundle of His
Term
Which nerve supplies parasympathetic innervation to the thoracic viscera?
Definition
CN X (vagus)
Term
What affect does sympathetic innervation have on the heart? the lungs?
Definition
What affect does sympathetic innervation have on the heart increased heart rate and force of contractility, dilation of coronary arteries? the lungs? bronchodilation, decreased mucus secretion, vasodilation of pulmonary vessels
Term
Where is the cardiac skeleton located?
Definition
at the level of the coronary sulcus
Term
Name three functions of the cardiac skeleton.
Definition
attachment for valves, attachment for cardiac muscles, and insulation of ventricles from electrical impulses.
Term
What is the feature of the right atrium that represents a right to left shunt in fetal life?
Definition
foramen ovale
Term
In fetal life, most of the blood from the pulmonary trunk is shunted to the aorta via the .
Definition
ductus arterosum
Term
What does the structure in the question above become in the adult? (ductus arterosum)
Definition
ligamentum arterosum
Term
What chamber of the heart helps form the left heart border on PA plain film radiograph?
Definition
Mostly left ventricle. The left atrial appendage also forms a tiny part of it.
Term

The absence of what feature of the cardiac silhouette indicates the presence of enlarged lymph nodes or masses in the mediastinum.

 

Think of the x-ray; the aortic knob and the "pulmonary knob"; in between is the notch

Definition
The aorto-pulmonary window or wedge is missing with enlarged lymph nodes on the left. The right side shows widened mediastinum in the same region.
Term
What is the cardiac skeleton made of in the human?
Definition
semi-rigid, dense connective tissue