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HESI Anatomy & PhysiologyChambers, valves and which side does what

Circulation — the Full CircuitHESI A2 cheat sheet

More A&P questions come from the path of blood than from any other single topic, because one diagram supports a dozen different questions: chamber order, valve order, which vessel carries what, and why the left ventricle is built the way it is. Learn the lap once and you answer all of them.

26 key facts Reviewed Oct 2026
The 1-minute sheetCinnaEntry

The Lap, In Order

  • Body → vena cava → RIGHT atrium
  • Tricuspid valve → RIGHT ventricle
  • Pulmonic valve → lungs (picks up O₂)
  • Pulmonary veins → LEFT atrium
  • Mitral valve → LEFT ventricle
  • Aortic valve → aorta → body

Valve Order

  • TRI · PULM · MI · AO
  • Tricuspid, Pulmonic, Mitral, Aortic
  • The two AV valves (tricuspid, mitral) sit between atrium and ventricle

Which Side Does What

  • RIGHT = oxygen-POOR blood → to the lungs (pulmonary circuit)
  • LEFT = oxygen-RICH blood → to the body (systemic circuit)
  • Left ventricle is thickest — highest pressure, not most blood

The Two Exceptions

  • Pulmonary ARTERY carries oxygen-POOR blood
  • Pulmonary VEINS carry oxygen-RICH blood
Key takeaway

The lap: body → right atrium → tricuspid → right ventricle → pulmonic valve → LUNGS → left atrium → mitral valve → left ventricle → aortic valve → body.

Key points

  • The lap: body → right atrium → tricuspid → right ventricle → pulmonic valve → LUNGS → left atrium → mitral valve → left ventricle → aortic valve → body.
  • The RIGHT side handles oxygen-poor blood and serves the PULMONARY circuit (heart → lungs).
  • The LEFT side handles oxygen-rich blood and serves the SYSTEMIC circuit (heart → whole body).
  • The pulmonary ARTERY carries oxygen-poor blood and the pulmonary VEINS carry oxygen-rich blood — the only exceptions to the usual artery/vein rule.
  • The left ventricle is the thickest chamber because the systemic circuit has the highest resistance, not because it holds more blood.

Study first

  1. Trace a drop of blood from a stubbed toe and back: toe → vein → vena cava → RA → RV → pulmonary artery → lungs → pulmonary veins → LA → LV → aorta → artery → toe.
  2. Ask which valve a drop crosses immediately after the right atrium: the tricuspid, because valves sit between each chamber and what follows it.

Commonly tested

  • Say the lap out loud until it is automatic. Recitation beats re-reading for a sequence.
  • Draw the loop from memory on blank paper and label the four valves. If you can draw it, you can answer any variation of the question.

Watch out for

  • Saying 'arteries always carry oxygenated blood' — the pulmonary artery breaks that rule every time.
  • Reversing tricuspid and mitral. The tricuspid is on the RIGHT; think 'tri before bi, right before left'.
  • Assuming the thicker left ventricle holds more blood; both ventricles eject the same volume per beat.

Circulation — the Full Circuit: FAQs

What should I focus on first when studying Circulation — the Full Circuit?

Trace a drop of blood from a stubbed toe and back: toe → vein → vena cava → RA → RV → pulmonary artery → lungs → pulmonary veins → LA → LV → aorta → artery → toe. Ask which valve a drop crosses immediately after the right atrium: the tricuspid, because valves sit between each chamber and what follows it.

What is most often missed on Circulation — the Full Circuit?

Saying 'arteries always carry oxygenated blood' — the pulmonary artery breaks that rule every time. Reversing tricuspid and mitral. The tricuspid is on the RIGHT; think 'tri before bi, right before left'. Assuming the thicker left ventricle holds more blood; both ventricles eject the same volume per beat.

What do I need to know about Circulation — the Full Circuit for the HESI A2?

The lap: body → right atrium → tricuspid → right ventricle → pulmonic valve → LUNGS → left atrium → mitral valve → left ventricle → aortic valve → body. The RIGHT side handles oxygen-poor blood and serves the PULMONARY circuit (heart → lungs). The LEFT side handles oxygen-rich blood and serves the SYSTEMIC circuit (heart → whole body). The pulmonary ARTERY carries oxygen-poor blood and the pulmonary VEINS carry oxygen-rich blood — the only exceptions to the usual artery/vein rule.

What are the most commonly tested points on Circulation — the Full Circuit?

Say the lap out loud until it is automatic. Recitation beats re-reading for a sequence. Draw the loop from memory on blank paper and label the four valves. If you can draw it, you can answer any variation of the question.

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