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CVS Anatomy Drop-in 2025

Total questions: 20

Worksheet time: 10mins

Name
Class
Date
1.

A 65-year-old patient presents with shortness of breath. An echocardiogram reveals that the cusps of the mitral valve are prolapsing into the left atrium during ventricular systole. Which structures are primarily responsible for preventing this prolapse?

a)
Chordae tendineae and papillary muscles
b)
Tricuspid valve and interventricular septum
c)
Pulmonary veins and left atrium
d)
Aortic valve and coronary arteries
2.

During a cardiac examination, you are asked to auscultate the heart sounds. To best hear the sounds of the aortic valve, you would place your stethoscope at the:

a)
Second left intercostal space near the xiphoid process
b)
First right intercostal space near the clavicle
c)
Third left intercostal space near the sternum
d)
Second right intercostal space near the sternum
3.

A patient with a history of hypertension has a chest X-ray that shows a prominent aortic arch. The arch of the aorta begins and ends at a transverse plane that passes through which key anatomical landmark?

a)
Clavicle junction
b)
Xiphoid process
c)
First rib articulation
d)
Sternal angle (Angle of Louis)
4.

During a dissection, you are asked to identify the chamber that forms the majority of the posterior surface (base) of the heart. Which chamber is this?

a)
Right atrium
b)
Left atrium
c)
Left ventricle
d)
Right ventricle
5.

A patient has a pathological condition that affects the tough, external layer that defines the boundaries of the pericardial sac. Which structure is being described?

a)
Fibrous pericardium
b)
Pericardial cavity
c)
Visceral pericardium
d)
Epicardium layer
6.

A cardiologist explains that the difference in ventricular wall thickness - it is significantly thicker on one side than the other. What is the primary physiological reason for this?

a)
The left ventricle receives blood from the lungs, needing a thicker wall.
b)
The right ventricle pumps blood to the lungs, requiring more muscle strength.
c)
The left ventricle pumps blood to the entire body, requiring more force and thus a thicker wall.
d)
The left ventricle has to manage lower pressure than the right ventricle.
7.

A 55-year-old male presents with a myocardial infarction. Angiography reveals a complete blockage of the Posterior Interventricular artery. This artery most commonly arises from which vessel?

a)
Left coronary artery (LCA)
b)
Anterior interventricular artery (LAD)
c)
Right coronary artery (RCA)
d)
Circumflex artery (Cx)
8.

A patient's ECG shows a complete absence of P-waves, with a slow, irregular ventricular rhythm. This suggests a failure of the primary pacemaker of the heart. Which structure has likely failed?

a)
Purkinje fibers
b)
Atrioventricular (AV) node
c)
Bundle of His
d)
Sinoatrial (SA) node
9.

A newborn is diagnosed with a patent foramen ovale. This condition involves the failure of a fetal shunt to close. What was the function of this shunt in utero?

a)
To allow blood flow from the left atrium to the right atrium, enhancing lung circulation.
b)
To shunt oxygenated blood from the right atrium to the left atrium, bypassing the lungs.
c)
To direct deoxygenated blood from the right ventricle to the aorta, supplying the body.
d)
To facilitate the exchange of carbon dioxide and oxygen in the fetal lungs.
10.

During a pathology lecture, you learn that the "coronary sinus" is a major venous structure draining most of the heart. Into which chamber does it empty?

a)
Right atrium
b)
Left atrium
c)
Right ventricle
d)
Pulmonary artery
11.

The "lub" sound (S1) is heard at the beginning of ventricular systole. Which event causes this sound?

a)
Opening of the semilunar valves.
b)
Closure of the pulmonary valves.
c)
Closure of the atrioventricular (AV) valves.
d)
Opening of the atrioventricular (AV) valves.
12.

The fibrous cardiac skeleton of the heart serves several functions. Which of the following is one of its key roles?

a)
Provides structural support and electrical insulation between atria and ventricles.
b)
Stores oxygen for cardiac muscle during exercise.
c)

It forms the trabeculae carneae within the ventricles.

d)
Regulates heart rate through hormonal signals.
13.

A patient with a "left-dominant" coronary circulation is noted on their angiogram. What is the key anatomical difference in this variant?

a)

The posterior Interventricular artery arises from the Left Coronary Artery.

b)
The right coronary artery supplies the anterior descending artery.
c)
The posterior descending artery arises from the right coronary artery.
d)
The left coronary artery has a dominant right circumflex branch.
14.

On an ECG, the QRS complex corresponds to which electrical event in the heart?

a)
Atrial repolarization
b)
Ventricular depolarization
c)
Ventricular repolarization
d)
Atrial depolarization
15.

The "Great Cardiac Vein" is a key vessel that drains into the coronary sinus. In which anatomical groove does it initially travel?

a)
Anterior interventricular groove
b)
Posterior interventricular groove
c)
Coronary sulcus
d)
Left atrioventricular groove
16.

A 72-year-old patient is admitted with a large anteroseptal myocardial infarction. Occlusion of which coronary artery branch would most likely be responsible for this specific pattern of damage?

a)
Posterior descending artery (PDA)
b)
Left anterior descending (LAD) artery
c)
Right coronary artery (RCA)
d)
Left circumflex artery (LCX)
17.

A patient with a long history of smoking presents with a hoarse voice. Imaging reveals an aortic aneurysm that is compressing a nearby nerve. Which nerve, known to loop around the aortic arch, is most likely affected?

a)
Vagus nerve
b)
Phrenic nerve
c)
Brachial plexus
d)
Recurrent laryngeal nerve
18.

A patient with chronic obstructive pulmonary disease has a significantly hyperexpanded ("barrel") chest. On examination, the apex beat is not palpable in the normal location. In a healthy individual, in which intercostal space would you expect to palpate the apex beat?

a)
4th intercostal space at the sternal border
b)
3rd intercostal space at the midclavicular line
c)

5th intercostal space at the anterior axillary line

d)
5th intercostal space at the midclavicular line
19.

During a trauma assessment following a motor vehicle accident, a patient is found to have a "flail chest" with segmental fractures of ribs 4-8 on the left. Which of these fractured ribs would be classified as "false ribs"?

a)
Ribs 5
b)
Ribs 6
c)
Ribs 8
d)
Ribs 7
20.

A post-operative cardiac surgery patient develops a fluid collection within the pericardial sac, causing cardiac tamponade. Between which two layers of the pericardium does this pathological fluid accumulate?

a)

Between the fibrous and parietal layers.

b)

Between the visceral pericardium and the myocardium

c)
Between the endocardium and myocardium.
d)
Between the visceral and parietal layers of the pericardium.