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heart questions
Question | Answer |
---|---|
The heart is actually (one, two, or three) pumps? | two pumps |
Which chamber receives blood from the superior and inferior vena cavae? | right atrium |
Which heart chamber receives blood from the pulmonary veins? | left atrium |
Which heart chamber pumps unoxygenated blood out the pulmonary trunk | right ventricle |
Which chamber pumps oxygenated blood out the aorta to the systemic circuit? | left ventricle |
Purkinje fibers | Convey(s) the impulse throughout the ventricular walls |
AV node | Delay(s) occurs here while atria contract |
Bundle branches: | Convey(s) the impulse down the interventricular septum |
Internodal pathways: | Link(s) between the SA node and AV node |
SA node | Set(s) the pace for the entire heart |
AV bundle | Electrical link(s) between atria and ventricles |
Which part of the intrinsic conduction system normally initiates the depolarizing impulse that causes a heartbeat? | SA node |
Which of these structures conduct(s) action potentials the slowest? | AV node |
Action potentials generated by the autorhythmic cells spread to the contractile cells through what structures in the membrane? | gap junctions |
One of the changes that occurs in the pacemaker potential (unstable resting membrane potential) in the SA node (an autorhythmic cell) is a decreased efflux of what ion? | potassium |
When threshold is reached at the SA node (an autorhythmic cell), what channels open causing further depolarization of the membrane? | fast calcium |
Repolarization of an autorhythmic cell is due to the opening of which channels? | voltage-gated potassium channels |
In order to cause cardiac muscle contraction, the contractile cells must also depolarize. What causes the depolarization of the contractile cells? | the flow of positive ions from adjacent cells |
What does the ECG wave tracing represent? | electrical activity in the heart |
What does the QRS complex represent in the ECG wave tracing? | ventricular depolarization |
Contraction of the atria results from which wave of depolarization on the ECG tracing? | P wave |
Which part of the intrinsic conduction system delays the impulse briefly before it moves on to the ventricles? | AV node |
Isovolumetric relaxation and ventricular filling (two phases of the cardiac cycle) take place during __________. | ventricular diastole |
the filling of the ventricles? | Most blood flows passively into the ventricles through open AV valves. |
Describe the pressures in the atria and ventricles that would cause the opening of the AV valves. | Pressure in the atria would be greater than the pressure in the ventricles. |
What causes the aortic semilunar valve to close? | greater pressure in the aorta than in the left ventricle |
Put the phases of the cardiac cycle in the correct order, starting after ventricular filling. | isovolumetric contraction, ventricular ejection, isovolumetric relaxation |
Increased pressure in the ventricles would close what valve(s)? | AV valves only |
What is the relaxed state of the ventricle called? | diastole |
the one-way nature of the left AV valve prevents blood flow from | the left ventricle to the left atrium |
The closing of the left AV valve occurs near the beginning of | ventricular systole |
The majority of ventricular filling occurs while the ventricles and atria are in what state(s)? | ventricular and atrial diastole |
Which of the following most correctly describes end-diastolic volume? | the volume of the ventricle when it is most full |
Left ventricular filling occurs ________ | while the AV valve is open |
Heart valves are in what state during isovolumetric contraction? | The AV valves and semilunar valves are closed. |
The decrease in left ventricular pressure at the end of ventricular systole causes __________. | the semilunar valve to close |
Calculate the cardiac output if heart rate (HR) is 90 beats per minute, stroke volume (SV) is 110 ml/beat, end diastolic volume (EDV) is 140 ml, and end systolic volume (ESV) is 30 ml | 9.9 L/min |
An increase in sympathetic stimulation of the heart would increase stroke volume by increasing __________. | contractility |
End systolic volume (ESV) | the volume of blood in one ventricle after contraction |
Heart rate (HR) | the number of heart beats per minute |
Venous return (VR) | the volume of blood per minute flowing into one atrium |
Cardiac output (CO) | the volume of blood per minute pumped out by one ventricle |
End diastolic volume (EDV) | the volume of blood in one ventricle before contraction |
Stroke volume (SV) | the volume of blood per heart beat pumped out by one ventricle |
Which of the following would increase cardiac output to the greatest extent? | increased heart rate and increased stroke volume |
Which of the following would increase heart rate? | epinephrine and norepinephrine |
How would an increase in the sympathetic nervous system increase stroke volume? | increased contractility |
By what mechanism would an increase in venous return increase stroke volume? | increased end diastolic volume |
How would a decrease in blood volume affect both stroke volume and cardiac output? | decreased stroke volume and no change in cardiac output |
Which part of the intrinsic conduction system normally initiates the depolarizing impulse that causes a heartbeat? | SA Node |
Action potentials generated by the autorhythmic cells spread to the contractile cells through what structures in the membrane? | Gap junctions |
In order to cause cardiac muscle contraction, the contractile cells must also depolarize. What causes the depolarization of the contractile cells? | the flow of positive ions from adjacent cells |
When threshold is reached at the SA node (an autorhythmic cell), what channels open causing further depolarization of the membrane? | fast calcium |
What do we call the amount of blood pumped out of each ventricle in one minute? | Cardiac output |
The volume of blood pumped out from one ventricle with each beat is called __________. | Stroke volume |
Increased parasympathetic stimulation has what effect on heart rate (HR)? | Decreased heart rate |
During a 100-meter race, which of the following two mechanisms increase cardiac output? | increased sympathetic activity and increased preload |
By what mechanism would an increase in venous return increase stroke volume? | Increased preload |
Which network of blood vessels carries blood to and from the gas exchange surfaces in the lungs? | pulmonary circuit |
Which vessels have very thin walls and are often called exchange vessels because they allow for the exchange of nutrients, gases, and wastes with surrounding tissues? | capillaries |
Which layer of the heart wall is the visceral pericardium? | epicardium |
Which chamber of the heart receives blood from the superior and inferior venae cavae? | right atrium |
Which of the following contains the trabeculae carneae? | right ventricle |
the left ventricle pumps blood into the | ascending aorta |
Which valve is found between the right atrium and the right ventricle? | tricuspid |
The right and left coronary arteries originate at the base of the __________. | ascending aorta |
A large vein that opens into the right atrium and brings in venous blood from the heart tissue is the __________. | coronary sinus |
Which of the following is called the cardiac pacemaker? | sinoatrial node |
What structures in the conduction system conduct impulses very rapidly to the ventricular myocardium? | Purkinje fibers |
The QRS complex on the ECG represents __________. | ventricular depolarization |
The plateau in the action potential is caused by the entry of __________ ions. | calcium |
What is the term for contraction of a heart chamber? | systole |
Which of the following occurs during the first phase of ventricular systole? | The AV valves close, and ventricular pressure rises. |
What produces the “lubb” of the first heart sound? | |
Which of the following is measured in milliliters per beat? | stroke volume |
What effect does epinephrine have on the SA node? | It increases heart rate. |
Which of the following could increase the strength of the contraction of a ventricle? | increased stretch on the ventricle |
Which of the following statements about autonomic tone is FALSE? | Sympathetic effects dominate in a resting healthy adult |