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Middle Mediastinum
Written by Justin Cutler   
Monday, 23 October 2006
  1. What topographical structures define the borders of each mediastinum?
  2. What is contained in the anterior mediastinum?
  3. What is the relationship of the fibrous pericardium to the serous pericardium?
  4. The epicardium is actually what layer of the pericardium?
  5. What is contained in the pericardial cavity?
  6. The transverse sinus separates what structures?
  7. If you reach under the apex of the heart and then move the tips of your fingers superiorly, in to what space would your fingers be placed?
  8. Blood supply to the pericardium  comes from where?
  9. Nerve supply to the pericardium comes from where?
  10. What forms the major portion of the sternocostal surface of the heart?
  11. What forms the major portion of the diaphragmatic surface of the heart?
  12. What forms the major portion of the pulmonary surface of the heart?
  13. What forms the major portion of the base of the heart?
  14. ****Correction in the notes the lower border of the heart is formed mostly by the RIGHT ventricle.
  15. Where is the apex of the heart located topographically?
  16. Where is the superior border of the heart located topographically?
  17. ***Don't confuse the base of the heart with the diaphragmatic surface!
  18. Where is the coronary sulcus located?
  19. Describe blood flow through the heart--include chambers, valves, and great vessels.
  20. What is the normal thickness of the left ventricle compared to the right?
  21. What is the term for contraction of the heart?
  22. What is the term for relaxation of the heart?
  23. What is the "roughened" internal surface of the right atrium called?  What part of the atrium is it in?
  24. In what chamber of the heart is the SA node located?  The AV node?
  25. How many cusps make up the right A-V valve?
  26. What keeps the right A-V valve from collapsing into the atrium?
  27. What veins normally drain directly in to the right atrium?
  28. In what chamber of the heart is the valve for the foramen ovale found?
  29. How many cusps make up the left A-V valve?
  30. Where are the openings of the right and left coronary arteries found?
  31. Where is the membranous septum found?
  32. Where is the best location for auscultating the closure of the pulmonary valve?
  33. Where is the best location for auscultating the closure of the aortic valve?
  34. Where is the best location for auscultating the closure of the tricuspid valve?
  35. Where is the best location for auscultating the closure of the bicuspid valve?
  36. For the coronary circulation, KNOW what areas of the heart each vessel supplies.
  37. What is the difference between left and right sided dominant hearts?  What is most common?
  38. Know the location of each of the cardiac veins.
  39. What is forms the moderator band (septomarginal trabecula)?
  40. Where is the cardiac plexus located? 
  41. In what nerve are the parasympathetic fibers carried to the heart?  What action will they cause?
  42. Free sensory nerve endings in the heart are stimulated by what?
  43. ***Why does a patient experiencing a myocardial infarction often have referred pain to the left upper limb, neck, and jaw?
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