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AN22.1-7 | Heart & Pericardium — Practice Quiz

Practice 10 questions · Untimed · Unlimited attempts

Click any question card to reveal the correct answer.

Q1 AN22.1 1 pt

The transverse sinus of the pericardium lies posterior to which two great vessels?

A Superior vena cava and inferior vena cava
B Aorta and pulmonary trunk
C Pulmonary veins and coronary sinus
D Aorta and superior vena cava

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Q2 AN22.2 1 pt

The fossa ovalis, the remnant of the foramen ovale, is located on the:

A Interventricular septum
B Posterior wall of the right atrium
C Interatrial septum (right atrial side)
D Anterior wall of the left ventricle

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Q3 AN22.1 1 pt

A 30-year-old man is brought to the emergency department after a stab wound to the chest. He has distended neck veins, hypotension, and muffled heart sounds. The emergency physician diagnoses cardiac tamponade. Which property of the pericardium explains why even a small amount of rapid bleeding can be life-threatening?

A The serous pericardium is highly vascular and bleeds profusely
B The fibrous pericardium is inelastic and cannot expand to accommodate the blood
C The pericardial cavity communicates with the pleural cavity
D The epicardium absorbs blood and swells, compressing the coronary arteries

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Q4 AN22.2 1 pt

The wall of the left ventricle is approximately three times thicker than the right ventricle. This difference is best explained by the fact that the left ventricle:

A Receives blood from four pulmonary veins simultaneously
B Contains more papillary muscles than the right ventricle
C Pumps blood against the higher resistance of the systemic circulation
D Has a larger volume capacity than the right ventricle

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Q5 AN22.6 1 pt

The fibrous skeleton of the heart electrically insulates the atria from the ventricles. What is the ONLY normal pathway for electrical impulses to pass from the atria to the ventricles?

A Directly through the muscular interventricular septum
B Through the coronary sinus
C Through the AV node and Bundle of His
D Through the fibrous trigones

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Q6 AN22.3 1 pt

The left anterior descending (LAD) artery runs in the anterior interventricular groove and supplies the anterior wall of the left ventricle. Which additional territory does it supply?

A SA node and AV node
B Anterior two-thirds of the interventricular septum
C Posterior wall of the left ventricle
D Right atrium and right ventricle

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Q7 AN22.4 1 pt

A 55-year-old man with diabetes and hyperlipidaemia presents with severe crushing chest pain radiating to the left arm. ECG shows ST elevation in leads II, III, and aVF. Which coronary artery is most likely occluded?

A Left anterior descending artery (LAD)
B Left circumflex artery (LCx)
C Right coronary artery (RCA)
D Left main coronary artery

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Q8 AN22.5 1 pt

The coronary sinus drains into which chamber of the heart?

A Left atrium
B Right ventricle
C Right atrium
D Left ventricle

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Q9 AN22.7 1 pt

A patient with an inferior MI develops complete heart block (no conduction from atria to ventricles). The ventricles are beating at 35 bpm via an escape rhythm. Which structure of the conducting system is most likely damaged?

A SA node
B AV node
C Right bundle branch
D Purkinje fibres

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Q10 AN22.7 1 pt

The septomarginal trabecula (moderator band) in the right ventricle carries an important component of the conducting system from the interventricular septum to the anterior papillary muscle. Which component is this?

A Left bundle branch
B AV node fibres
C Right bundle branch
D SA nodal fibres

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