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Heart 3
Raja Final
38
Anatomy
Professional
03/20/2012

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Cards

Term
1.     Heart muscles, in particular the right atrial muscle, contains granules containing _____.
Definition
ANP (ANF)
Term
2.     What is the function of the hormone ANP?
Definition
IT LOWERS BP BY DECREASING REABSORPITON OF SODIUM AND WATER FROM THE RENAL TUBULES
Term
3.     The conducting system of the heart is made up of _____ that produce impulses.
Definition
SPECIALIZED CARDIAC MUSCLES (MYOCARDIUM)
Term
4.     5 components of the conducting system of the heart.
Definition
1) SA NODE, 2) AV NODE, 3) BUNDLE OF HIS, 4) RIGHT AND LEFT BUNDLE BRANCHES, 5) PURKINJE FIBERS
Term
5.     The _____ is referred to as the pacemaker of the heart.
Definition
SA NODE
Term
6.     The blood supply to the conducting system of the heart is through the _____ and _____ arteries.
Definition
RIGHT AND LEFT CORONARY ARTERIES
Term
7.     A _____ is required when the SA node becomes defective.
Definition
ARTIFICIAL CARDIAC PACEMAKER
Term
8.     The electrode of a pacemaker is passed through a vein to the _____, then to the _____, then to the _____.
Definition
SVC, RIGHT ATRIUM, TRABECULAE CARNAE OF THE RIGHT VENTRICLE
Term
9.     _____ are variations of the normal rhythm of the heart beat that result from defect or damage to the conducting system of the heart.
Definition
CARDIAC ARRHYTHMIAS
Term
10.  _____ is an acute condition resulting from sudden occlusion of coronary circulation due to release of atheromatous debris.
Definition
MYOCARDIAL INFARCTION
Term
11.  If an MI occurs, there is _____ of the myocardium, and _____ due to lack of blood supply to the conducting system of the heart.
Definition
NECROSIS, ARHYTHMIA
Term
12.  These are the 3 most common sites of coronary occlusion in an MI.
Definition
1) LAD, 2) RIGHT CORONARY ARTERY, 3) CIRCUMFLEX BRANCH OF LEFT CORONARY ARTERY
Term
13.  The _____ artery is most commonly affected by a MI.
Definition
LAD
Term
14.  In slow occlusion of the coronary arteries, such as in atherosclerosis, there is establishment of _____ from the right and left coronary arteries. Due to this, in the event of a MI more than one artery may be involved.
Definition
COLLATERAL ANASTOMOTIC CHANNELS
Term
15.  Myocardial infarctions are most commonly caused by _____.
Definition
ATHEROSCLEROSIS
Term
16.  _____ of a MI is caused by visceral nocioceptive afferent fibers that terminate on the same secondary neurons in the dorsal horn as somatic nocioceptive sensory fibers.
Definition
REFERRED PAIN
Term
17.  The sensory input of referred pain then passes through the _____ to the _____ to the _____ where the brain interprets some of the sensory inputs from the damaged heart as originating from the body, not from the viscera.
Definition
SPINOTHALAMIC TRACT, VPL THALAMUS, SOMATOSENSORY CORTEX
Term
18.  Somatic pain radiating down the _____ might signal a heart attack.
Definition
LEFT ARM
Term
19.  _____ is right sided heart failure caused by high blood pressure in the pulmonary circulation and in the right ventricle.
Definition
COR PULMONALE
Term
20.  3 causes of cor pulmonale.
Definition
1) EMPHYSEMA, 2) CHRONIC BRONCHITIS, 3) CYSTIC FIBROSIS
Term
21.  _____ connects the left branch of the pulmonary trunk to the arch of the aorta in the fetus.
Definition
DUCTUS ARTERIOSUS
Term
22.  After birth the ductus arteriosus becomes the _____.
Definition
LIGAMENTUM ARTERIOSUS
Term
23.  _____ is a condition diagnosed after birth when the ductus arteriosus does not close.
Definition
PATENT DUCTUS ARTERIOSUS
Term
24.  Patent ductus arteriosus is diagnosed by a continuous _____ causing a left to right shunt, as well as _____ in the lower extremities.
Definition
MACHINE LIKE MURMUR, CYANOSIS
Term
25.  Patent ductus arteriosus is a common congenital anomaly associated with _____ and _____.
Definition
MATERNAL RUBELLA; HIGH MOUNTAIN LIVING
Term
26.  4 features associated with fallots tetralogy.
Definition
1) RIGHT VENTRICULAR HYPERTROPHY, 2) VENTRICULAR SEPTAL DEFECTS, 3) COARTICATION OF THE AORTA, 4) PULOMARY STENOSIS
Term
27.  _____ is a congenital anomaly due to incomplete closure of the foramen ovale, resulting in a hole in the interatrial septum.
Definition
ATRIAL SEPTAL DEFECT
Term
28.  In patients with atrial septal defect, a _____ is present in 15-20% of adults, but bears no clinical importance.
Definition
PROBE-SIZE PATENCY
Term
29.  In large atrial septal defects, the oxygenated blood from the _____ enters the _____ and _____.
Definition
LEFT ATRIUM; RIGHT ATRIUM AND RIGHT VENTRICLE
Term
30.  These 3 heart structures become dilated in atrial septal defect.
Definition
1) PULMONARY TRUNK, 2) RIGHT ATRIUM, 3) RIGHT VENTRICLE
Term
31.  Atrial septal defect is caused by defective development of the _____ and _____.
Definition
SEPTUM SECUNDUM AND ENDOCARDIAL CUSHION
Term
32.  If one has ASD, during _____ the catheter may slip from the right atrium to the left atrium through a _____.
Definition
CARDIAC CATHERIZATION; PATENT FROAMEN OVALE
Term
33.  _____ is narrowing of the aorta distal to the origin of the left subclavian artery, close to the ductus arteriosus.
Definition
COARCTATION OF THE AORTA
Term
34.  In coarctation of the aorta there is _____ in the upper extremity with high volume pulse and _____ in the lower extremity with feeble pulse.
Definition
HYPERTENSION; HYPOTENSION
Term
35.  There may be associated _____ and _____ with coarctation of the aorta.
Definition
LEG CRAMPS AND NOSEBLEEDS
Term
36.  Mild coarctation of the aorta is compatible with life. X-rays reveal a figure of _____.
Definition
3
Term
37.  If there is coarctation of the aorta, _____ is established to compensate the blood flow to the legs.
Definition
COLLATERAL CIRCULATION
Term
38.  _____ is recommended for patients with coarctation of the aorta, depending on the interruption of blood flow.
Definition
SURGICAL CORRECTION
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