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Heart
Diagnostic Medical Sonography
121
Medical
Not Applicable
02/20/2012

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Term
the ? system delivers oxygenated blood to tissues in the body and removes waste products from these tissues
Definition
Cardiovascular
Term
the ? system controls how the heart pumps
Definition
autonomic nervous system
Term
? keep the heart filled with blood and maintains blood pressure
Definition
vascular network (arteries and veins)
Term
the thoracic cavity lies within the thorax and is separated from the abdominal cavity by the ?
Definition
diaphragm
Term
the sternum has 3 parts, what are they?
Definition
1. manubrium
2. body (corpus sterni)
3. xiphoid process
Term
? pleura, adhere to each lobe of the lung
Definition
visceral
Term
? pleura, adheres to the inner surface of the chest wall
Definition
pariental
Term
when pleural fluid accumulates, its most common location is where ?
Definition
costophrenic sinus
Term
the ? side of the heart is the most anterior portion (R or L)
Definition
R
Term
does the apex tilt anterior, posterior, medial, lateral
Definition
anterior
Term
what is the most posterior chamber?
Definition
LA
Term
what forms the right border of the heart
Definition
RA
Term
the base of the heart is formed by the ?
Definition
LA
Term
the apex of the heart is formed by ?
Definition
LV
Term
the heart and great vessel roots lie within the ? sac
Definition
pericardial
Term
the pericardium of the heart is divided into what two layers
Definition
pariental and visceral
Term
the ? layer of the pericardium is reflected around the roots of the great vessels
Definition
parietal
Term
the ? layer of the pericardium is very closely applied to the heart
Definition
visceral
Term
the ? layer of the pericardium is often called the epicardium
Definition
visceral
Term
pericardial sac is useful for what ?
Definition
prevent friction
Term
? layer of the heart forms the AV valves and the semi-lunar valves
Definition
endocardium
Term
the atria work at high/low pressure
Definition
low
Term
the ? chamber has the greatest muscle mass
Definition
LV
Term
the LV pumps blood to the ? whereas the RV pumps blood to the ?
Definition
body
lungs
Term
the posterior wall of the RA is directly related to the ?
Definition
Pulmonary veins
Term
the pulmonary veins flow from the ? to empty into the ?
Definition
lungs
LA
Term
the IVC is guarded by a fold of tissue called the ?
Definition
eustachian valve
Term
the coronary sinus is guarded by a fold of tissue called the ?
Definition
Thebesian valve
Term
the coronary sinus drains the blood supply from the ?
Definition
heart wall
Term
? valve separate the RA from the RV
Definition
TV
Term
the TV has ? leaflets
Definition
3
Term
what are the leaflets of TV
Definition
1. anterior
2. septal (may be maldeveloped)
3. inferior
Term
the ? connect the leaflets to the papillary muscles
Definition
chordae tendineae
Term
as the ? contract with ventricular contraction, the leaflets are pulled together to prevent being pulled into the atrial cavity.
Definition
papillary muscles
Term
the base of the RV lies on the ?
Definition
diaphragm
Term
extends from the TV to the PV
Definition
RVOT
Term
the PV lies at the upper anterior aspect of the ?
Definition
RV
Term
the PV has ? cusps
Definition
3
Term
name the PV cusps
Definition
1. anterior
2. right
3. left
Term
the pulmonary trunk bifurcates into the ?
Definition
right and left pulmonary arteries
Term
two pulmonary veins enter anterior/posterior/medial/lateral into the ?
Definition
posterior
LA
Term
the absence of Pulmonary veins entering the LA cavity is know as
Definition
total anomalous pulmonary venous return
Term
separates the LA from the LV
Definition
MV
Term
how many leaflets does the MV have
Definition
2
Term
what are the names of the MV leaflets
Definition
anterior and posterior
Term
the anterior leaflet of the MV is much longer/shorter and smaller/larger than the posterior
Definition
longer
larger
Term
the ? leaflet of the MV projects downward into the LV cavity
Definition
anterior
Term
leaflets are attached to the ? by chordae tendineae
Definition
papillary muscles
Term
the anterior leaflet of the MV is continuous with the ? ? wall
Definition
posterior aortic
Term
left side of the IVS is continuous with the ? ? wall
Definition
anterior aortic
Term
the LV wall thickness is ?-?x thicker
Definition
2-3x
Term
muscular IVS makes up about ? of the septal length whereas the membranous septum takes up about ?
Definition
2/3
1/3
Term
the membranous IVS is located just ? to the aortic root
Definition
inferior
Term
most IVS defects occur in which layer of the septum
Definition
membranous
Term
AV has ? leaflets
Definition
3
Term
name the leaflets of the AV
Definition
right, left, and posterior
Term
Arantius' nodule is what?
Definition
aids in preventing leakage of blood from the LV when the AV is closed
Term
forceful contraction of the cardiac chamber
Definition
systole
Term
relaxed phase of the cardiac cycle
Definition
diastole
Term
during diastole, blood enters the ? from the ? and ?
Definition
RA
superior and inferior vena cavas
Term
at the same time as blood is entering the RA the LA is receiving oxygenated blood from ?
Definition
from the lungs through the PV to enter the LA
Term
when in diastole, the AV valves (tricuspid and mitral) are open/closed
Definition
open
Term
atrial contraction and increased pressure drain the atrial blood into the ?
Definition
ventricles
Term
ventricles contract (ventricular systole/diastole) rising the pressure in the ventricular cavity which closes ?
Definition
systole
AV valves
Term
as pressure increases in the ventricles, the semilunar valves (pulmonic and aortic) ?
Definition
open
Term
ventricles relax when contraction is complete (ventricular systole/diastole)
Definition
diastole
Term
the blood in the Ao is under very high pressure and the decreased pressure in the ventricles would cause backflow, how does this not occur?
Definition
semilunar valves shut
Term
the semilunar valves close because blood fills sinuses of ? and forces them to close
Definition
valsalva
Term
during ventricular contraction, the atria relax and what happens?
Definition
blood fills the atria
Term
when the ventricles are completely relaxed, the ? open so blood can fill the ventricles
Definition
Atrioventricular valves
Term
what is known as the pacemaker of the heart
Definition
SA node
Term
where is the SA node located
Definition
lateral wall of the RA
Term
once the SA node is activated where does it go
Definition
AV node
Term
the AV node is located where?
Definition
right posterior portion of he inter-atrial septum (RA)
Term
the AV bundle is continuous with the ?
Definition
bundle of His
Term
? spread to all parts of the ventricular myocardium
Definition
perkinje fibers
Term
the heart is innervated by ? fibers from the ? nerve
Definition
cholinergic
vagus
Term
tachycardia causes increased/decreased strength of contraction
Definition
increased
Term
impulse initiated by the SA node and spreads over the atria is what section of the PQRST complex?
Definition
P
Term
electrical depolarization/activity of the atria is what in the PQRST complex
Definition
P
Term
the activation/electrical activity of the ventricles is what in the PQRST complex?
Definition
QRS
Term
ventricle repolarization is what in the PQRST complex?
Definition
T
Term
calcium ions are stored and released in response to electrical activity is called ?
Definition
excitation contraction coupling
Term
ventricular systole/diastole = closing of the AV valves and opening of the semilunar valves
Definition
systole
Term
in ventricular systole the AV valves are ? while the semilunar valves are ?
Definition
closed
open
Term
lubb is lower/higher in pitch and longer/shorter in duration
Definition
lower
longer
Term
lubb is heard most clearly in what part of the heart
Definition
apex
Term
dupp is sharper/weaker in tone, is longer/shorter in duration, and higher/lower in pitch
Definition
sharper, shorter, higher
Term
dupp is caused by the closing of the ? valves during ventricular systole/diastole
Definition
semilunar valves
diastole
Term
abnormal heart sounds (turbulence/regurg) is called a ?
Definition
murmur
Term
a rumble is heard, what is happening to the vessel?
Definition
stenosis/stiffening
Term
begins with or after the time of the second heart sound and ends at or before the time of the first heart sound
Definition
diastolic murmur
Term
beins with or after the time of the first heart sound and ends at or before the tome of the second heart sound
Definition
systolic murmur
Term
begins in systole and continues without interruption through the time of the second heart sound into all or part of diastole
Definition
continuous murmur
Term
blood moves in smooth layers that slide against each other and has similar velocities and directions
Definition
laminar flow
Term
blood cells move in different directions with varying velocities
Definition
disturbed flow
Term
fluid moves through a tube, fluid layers in the center have a higher velocity than those on outer surfaces
Definition
parabolic flow
Term
as flow accelerates and converges, more fluid travels at velocities closer to peak velocity as layers in the center
Definition
flat flow
Term
in systole/diastole, the ventricles eject blood into the Ao and pulmonary artery
Definition
systole
Term
in systole/diastole ventricles fill with blood from the atria and flow to body organs
Definition
diastole
Term
a vessel has stenosis, where is the highest velocity
Definition
in the stenosis
Term
the right and left coronary arteries arise from the apex/base of the ?
Definition
base of the ascending aorta
Term
the left coronary artery flow is mainly systolic/diastolic
Definition
diastolic
Term
echo uses a ? MHz probe on adults
Definition
2.5
Term
color flow mapping has a fast/slow frame rate
Definition
slow
Term
as the pitch gets higher, the velocity is higher/lower?
Definition
higher
Term
spectral has ? on its x axis and ? on its y axis
Definition
velocity
time
Term
flow in the MV should be ?
Definition
60-130cm/s
Term
flow in the TV should be ?
Definition
30-70cm/s
Term
flow in the pulmonary artery flow is ?
Definition
60-90 cm/s
Term
flow in the LV should be ?
Definition
70-110cm/s
Term
flow in the Ao should be ?
Definition
100-170 cm/s
Term
during systole/diastole, the mitral leaflets close and the ventricle contracts to push blood through L ventricle
Definition
systole
Term
LVOT is scanned in what imaging plane
Definition
PSLA
Term
RVOT is scanned in what plane?
Definition
PSSA
Term
the SVC enters the upper anterior/posterior/medial/lateral border whereas the IVC enters the posterolateral/posteromedial
Definition
posterior
posterolateral
Term
the coronary veins drain into where?
Definition
RA
Term
the coronary arteries deliver oxygen rich/deficient blood to the myocardium
Definition
rich
Term
The vessels that remove the deoxygenated blood from the heart muscle are known as
Definition
cardiac veins
Term
As the right ventricle contracts, the tricuspid valve ? and the pulmonary valve ?
Definition
close
open
Term
the contraction of ? closes the MV and TV
Definition
papillary muscles
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