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chapter 18

Quiz yourself by thinking what should be in each of the black spaces below before clicking on it to display the answer.
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Question
Answer
What does the heart consist of?   endocardium myocardium epicardium  
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What surrounds the heart?   pericardium  
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What does the pericardium space contain?   fluid of 5-20ml  
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What does the pericardium provide?   barrier to infection, prevents displacement of the heart, pain and other receptors that reflex the changes in heart rate and blood pressure  
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What is the pericardium?   double-membranous sac  
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How many chambers are in the heart?   four chambers; right atrium, left atrium, right ventricle, left ventricle  
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What does it make up?   two coordinated pumps for left and right  
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What is the right side of the heart for?   low-pressure system  
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What is the left side of the heart for?   high-pressure system  
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What does the right atrium and right ventricle receive and where does it go?   deoxygenated blood; goes to the lungs  
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What does the left atrium and left ventricle receive and where does it go?   oxygenated blood; goes through the systemic circulation  
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What separates the right and left sides   septum  
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What directs the flow of blood through the heart chambers?   cardiac valves  
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How does blood enter the right atrium?   superior and inferior vena cava  
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Where does the blood go after superior and inferior vena cava?   right atrium  
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When the blood leaves the right atrium where does it go and where does it circulate to?   right ventricle and circulates to the lungs  
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Once blood circulates in the lungs, what is exchanged?   carbon dioxide  
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What does the other arteries in the body carry?   oxygenated blood  
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Where does the left atrium receive blood?   pulmonary veins  
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What does other veins carry in the blood?   carbon dioxide  
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Where does the left ventricle ejects from carrying blood from the body?   aortic valve  
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What supplies the cardiac muscle with blood?   coronary arteries  
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What does the left coronary artery divide and cicumflex?   anterior descending; providing blood for the left side  
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What does the right coronary arteries provides?   blood for the right atrium, right ventricle, posterior wall of left ventricle  
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Where is the heart located?   within the mediastinum, tilted forward to the left side of the chest  
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Where can the point of maximal (PMI) impulse be found?   fifth and sixth ribs on the dividing of the left clavicle in half  
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How is the heart pumping action sparked?   special pacemaker cells and conduction fibers  
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Where is the conduction pathway located?   myocardium  
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Where is the SA node located?   right atrium  
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What is another name for SA node and why>   pacemaker, because its the initiates the electrical impulses  
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Where is the AV node located?   bottom of right atrium  
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What does it relay and where does it relay to?   impulses from SA node, bundle of his, and to the purkinje fibers  
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What is influence by autonomic nervous system?   heart rate and rhythm  
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What are the factors affecting the ANS?   speed up or slow down the heart rate  
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What does the cardiac cycle consist of?   contractions of the muscle and relaxation of the muscle  
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What is the amount of cardiac output and the amount of blood returning?   depends on the heart rate; 5liters  
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What is ejection fraction and what is the percentage?   percentage of blood ejected out from the heart during systole  
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What happens as ejection fraction decreases?   heart failure; tissue perfusion diminishes  
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What can cause pulmonary edema?   too much blood and the increased pressure in the pulmonary vessels  
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What does stroke volume mean?   the amount of blood ejected by a ventricle during contraction  
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What is cardiac output?   stroke volume multiplied by the heart rate  
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What are the three types of blood vessels that make up the vascular system?   arteries, veins, and capillaries  
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What is the function of the blood vessels?   conduct the blood from the body tissues to the heart and from the heart back to the tissues  
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