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Thursday, October 27, 2022

Pericardium : viva voice questions

 

Pericardium: viva voice questions 

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     Q. 1. Define pericardium.  

Ans: it is a conical fibro-serous sac which contains the heart and the roots of great vessels.

Q. 2. Mention the parts of pericardium.

Ans: a) fibrous pericardium

         b) serous pericardium : i) parietal pericardium ii) visceral pericardium

Q. 3.  mention the attachment of fibrous pericardium

Ans: The fibrous pericardium is a conical-shaped sac.

Its apex is fused with the roots of the great vessels and

base is fused with central tendon & a small left muscular part of the diaphragm.

     Q. 4. What is the other name of visceral pericardium?

      Ans: Epicardium

Q.5. Mention the arterial supply of pericardium.

 FFibrous and parietal pericardium are supplied by

·        Pericardio-phrenic artery branch of internal thoracic a ,

·        bronchial & esophageal branch of descending thoracic aorta and

·        branches from inferior phrenic artery

Visceral pericardium is supplied by coronary arteries 


Q. 6. Mention the venous drainage of pericardium.

·        Fibrous and parietal pericardium are drained by azygous veins and internal thoracic veins.  

·        Visceral pericardium is drain by coronary sinus.

Q.   7. Mention the nerve supply of pericardium.

The fibrous pericardium and the parietal part of the pericardium are pain sensitive and supplied by the phrenic nerve (root value: Cervical 3-5).

The visceral pericardium is insensitive; and is supplied by vagus and sympathetic nerves via coronary plexus.

Therefore, the pain from the pericardium originates in the parietal layer only and is transmitted by the phrenic nerve.

Q. 8. What is the function of pericardium?

It protects the heart, prevents over distension and friction during heart contractions

Q. 9. Show the transverse sinus. Tell its boundaries.

Ans. Boundaries:

In front- ascending aorta and pulmonary trunk enclosed in a single layer of serous pericardium.

Behind - Intra pericardial part of superior vena cava and upper portion of atrium and their auricles.

Q.10. Importance of transverse sinus.

           Ans. During cardiac surgery, the transverse pericardial sinus allows a surgeon to isolate the pulmonary trunk and ascending aorta and apply a temporary ligature or clamp.

Q.11. Show oblique sinus. Mention its boundaries.

Ans. It is a cul-de-sac behind the left atrium.

Boundaries

In front - Left atrium.

Behind -Parietal layer of serous peri cardium.

Right side - Right pair of pulmonary vein and inferior vena cava.

Left side - Lest pair of pulmonaryveins.

Q. 12. Tell the importance of oblique sinus.

Ans.   1. It gives space to expose the heart during atrial diastole.

2. It permits pulsation of the left atrium and hence known as cardiac bursa.


 Q.13. Tell the contents of pericardium.

Ans.   a) Heart with caridc vessels & nerves

b) Ascending aorta

c) pulmonary trunk

d) Terminal part of IVC

e) Terminal part of pulmonary veins

Q.14. What is pericardial effusion?

Ans. Collection of fluid in the pericardial cavity is called pericardial effusion.

Q.112. Development of pericardium.

Ans.   a) Fibrous pericardium - From septum transversum.

b) Parietal layer · From somato pleuric layer of lateral plate mesoderm.

c) Visceral layer - From splanchno pleuric layer of lateral plate mesoderm.

 

Q.6. Why the pericardium is closely attached to central tendon of diaphragm?

Ans.   The pericardium and central tendon of diaphragm both are developed from septum transversum.So they are closely attached.

Q.11. Transverse sinus - what it indicates developmentally?

Transverse sinus is developed by the degeneration of the central cells of the dorsal mesocardium.

Q.12. Why the pericardium is connected with sternum?

Ans. Due to both structure are developed from septum transeversum.

Q.13. Name the sites where visceral layer is separated from the heart .

Ans. At the root of great vessel of theheart where they are continuouswith each other. 


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