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Anatomy exam II Heart

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Question
Answer
The _____ is the central portion of the thoracic cavity separating the two pleural cavities.   mediastinum  
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What does the mediastinum border anteriorly?   sternum  
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What does the mediastinum border posteriorly?   T1-T12 vertebral bodies  
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What does the mediastinum border laterally?   mediastinal parts of the parietal pleura  
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What does the mediastinum border superiorly?   superior thoracic aperture  
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What does the mediastinum border inferiorly?   diaphragm  
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The mediastinum is divided into the _____ and ______ mediastinum by a transverse thoracic plane running from the _____ to the intervertebral disc between vertebrae T4-T5   superior; inferior; sternal angle  
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The _____ mediastinum can further be subdivided into the anterior, middle, and posterior mediastinum.   inferior  
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The borders of the middle mediastinum are defined by the _____, a cone-shaped sac surrounding the heart and the origins of the great vessels   pericardium  
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The _____ is the tough external fibrous layer of the pericardial sac   fibrous pericardium  
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The inner _____ pericardium has two layers: the _____ layer, which lines the inner surface of the fibrous pericardium, and the _____ layer (epicardium), which adheres to the heart and forms its outer covering   serous; parietal; visceral  
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The potential space between the parietal and visceral layers of serous pericardium is the ______.   pericardial cavity  
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The arterial supply to the pericardium is mainly from the _____ arteries, although branches from the _____ arteries and the _____ aorta may also contribute   pericardiacophrenic; musculophrenic; thoracic  
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Pericardial innervation comes from the _____ nerves, _____ nerves, and _____ trunks   phrenic; vagus; sympathetic  
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Pain sensation is carried by the _____   phrenic nerves (C3-5)  
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The serous pericardium forms reflections around: 1) _____ and _____ and 2) the ______ and the ____ and _______   the pulmonary trunk and aorta; pulmonary veins and superior and inferior vena cava  
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The reflection onto the pulmonary veins forms the _____   oblique pericardial sinus  
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The two reflections form a passage behind the aorta and pulmonary trunk called the _____   transverse pericardial sinus  
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The _____ develops as a result of the _____ that forms in the primordial heart tube   transverse pericardial sinus; cardiac loop  
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The _____ is an important landmark for cardiac surgeons   transverse pericardial sinus  
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The _____ is directed posteriorly and consists of the left atrium, a portion of the right atrium, and the proximal parts of the great veins   base of the heart  
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The _____ is directed anteriorly and to the left and formed by the inferolateral part of the left ventricle. (tip of bottom of left corner)   apex of the heart  
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The heart has _____, diaphragmatic, right and left _____ surfaces   anterior; pulmonary  
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The _____ is the sharp edge between the anterior and diaphragmatic surfaces   inferior margin  
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The _____ separates the anterior and left pulmonary surfaces   obtuse margin  
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The heart is divided into four chambers:   right atrium, right ventricle, left atrium, and left ventricle  
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When the atria contract, blood is forced into the ventricles. The _____ are open at this point   A-V valves  
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When the ventricles contract the _____ are forced shut, and blood is forced to exit via the ____ and _____   A-V valves; aorta and pulmonary trunk  
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The _____ act to prevent valve prolapse   chordae tendineae  
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Closure of the _____ produces the first of the two heart sounds (lubb).   A-V valves  
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The ___ and ___ valves are open during ventricular contraction so that blood can escape   pulmonary and aortic  
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After _____ contraction, the recoil of blood fills the aortic and pulmonary sinuses and forces the valves _____, thereby preventing backflow of blood into the ventricles   ventricular; closed  
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Closure of the _____ produces the second heart sound (dupp)   aortic and pulmonary valves  
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What are the 4 valves you listen for during auscultation?   aortic; tricuspid; pulmonary; mitral  
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The _____ is a collection of dense, fibrous connective tissue that encircles the four cardiac valves   cardiac skeleton  
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The four rings of the cardiac skeleton are collectively known as the _____   annulus fibrosus  
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The _____ connects the aortic ring and the left A-V ring   left fibrous trigone  
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The _____ connects the aortic ring and the right A-V ring   right fibrous trigone  
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The _____ helps to maintain the structural integrity of the valves and provides attachment points for the cusps   cardiac skeleton  
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The cardiac skeleton also serves as a dense connective tissue partition that electrically isolates the _____ from the _____   atria; ventricles  
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The heart has its own _____ and does not need input from the nervous system to beat rhythmically   conducting system  
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The conducting system consists of specialized _____, NOT neural tissue   myocardial cells  
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Input from the nervous system is necessary to change ____ or ____ of contraction. These signals come through the _____   rate or force; cardiac plexuses  
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The _____ initiates an impulse that is rapidly conducted to cardiac muscle fibers in the atria, causing them to contract   SA node  
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The impulse is spread by _____, which rapidly transmits the impulse to the _____   myogenic conduction; AV node  
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The signal is distributed from the AV node through the _____ and the right and left bundle branches to the _____   AV bundle; subendocardial branches  
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The subendocardial branchesare also known as _____   purkinjie fibers  
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The ______ arises from the right aortic sinus of the ascending aorta and descends in the _____ between the right atrium and ventricle   right coronary artery; coronary sulcus  
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The right coronary artery gives off a ____, which supplies the _____ border of the heart   right marginal branch; right  
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In most individuals (~80%), the right coronary artery gives off a _____, which runs in the _____   posterior interventricular branch; posterior interventricular sulcus  
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The _____ arises from the left aortic sinus of the ascending aorta and passes between the pulmonary trunk and left auricle   left coronary artery  
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The left coronary artery splits into the _____ branch   anterior interventricular  
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The anterior interventricular branch descends obliquely in the ______ and the ______   anterior interventricular sulcus and the circumflex branch  
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What gives rise to the left marginal branch?   the circumflex branch  
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Individuals in which the posterior interventricular branch arises from the right coronary artery are said to have a _____ dominant coronary artery   right  
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Individuals in which the posterior interventricular branch arises from an enlarged circumflex branch of the left coronary artery are said to have a ____ dominant coronary artery   left  
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The _____ is a wide venous channel that runs from left to right in the posterior part of the coronary sulcus   coronary sinus  
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The coronary sinus receives the _____ at its left end and the middle and small cardiac veins at its right end   great cardiac vein  
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The _____ drains into either the great cardiac vein or directly into the coronary sinus   posterior cardiac vein  
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The ____ veins of _____ drain directly into the right atrium   anterior; right ventricle  
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If a coronary artery is blocked, it can lead to _____ or a _____   angina pectoris; MI  
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What is angina pectoris?   intermittent chest pain caused by reversible cardiac ischemia  
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What is a MI?   heart attack; a localized area of myocardial necrosis induced by local ischemia  
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_____ is the most common cause of death in the U.S. (1.2 million myocardial infarctions per year; 0.5 million deaths)   coronary heart disease  
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Coronary artery occlusion is usually due to _____   atherosclerosis  
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Treatments for coronary artery blockage include ______ and _______   coronary artery bypass surgery and angioplasty  
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When cardiac cells die during a myocardial infarction, ______ are stimulated   visceral afferent pain fibers  
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The brain is unable to distinguish clearly between the _____ and _____ sensory distribution and therefore the pain is interpreted as arising from the _____ regions rather than the ______ organ   visceral and somatic; somatic; visceral  
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