Heart Lab 2

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Questions and Answers

Considering the interplay between baroreceptor and chemoreceptor reflexes, which of the following scenarios would most likely result in a simultaneous increase in heart rate and respiratory rate?

  • A decrease in blood pressure combined with an increase in arterial $CO_2$ levels. (correct)
  • An increase in blood pressure coupled with a decrease in arterial $CO_2$ levels.
  • An increase in blood pressure combined with an increase in arterial $O_2$ levels.
  • A decrease in blood pressure coupled with a decrease in arterial $O_2$ levels.

In a patient experiencing chronic heart failure, the Frank-Starling mechanism is continuously activated. What long-term consequence is most likely to develop as a direct result of this sustained activation?

  • Improved myocardial contractility and reduced risk of arrhythmias.
  • Decreased End-Diastolic Volume (EDV) due to limited ventricular filling time.
  • Reduced risk of pulmonary edema due to enhanced cardiac output.
  • Increased End-Systolic Volume (ESV) due to progressively incomplete ventricular emptying. (correct)

A patient's ECG shows a prolonged QT interval. Which of the following is the most concerning immediate risk associated with this finding?

  • Increased PR interval, leading to heart block
  • Increased risk of ventricular arrhythmias, such as Torsades de Pointes (correct)
  • Atrial fibrillation due to abnormal atrial repolarization
  • Bradycardia and decreased cardiac output

A patient presents with orthostatic hypotension. Which of the following physiological responses is most likely impaired in this individual?

<p>Effective baroreceptor reflex-mediated vasoconstriction in response to decreased blood pressure (C)</p> Signup and view all the answers

During intense exercise, both the sympathetic nervous system and the Frank-Starling mechanism contribute to increased cardiac output. Which of the following best describes their distinct contributions?

<p>Sympathetic activation primarily increases heart rate, while the Frank-Starling mechanism increases stroke volume by enhancing ventricular filling. (C)</p> Signup and view all the answers

If the duration of the PQ interval on an ECG is significantly prolonged, it suggests a delay in the transmission of the electrical impulse through which structure?

<p>AV Node (A)</p> Signup and view all the answers

In a scenario where a patient's baroreceptors exhibit decreased sensitivity, which of the following compensatory mechanisms would be most critical in maintaining stable blood pressure?

<p>Enhanced renin-angiotensin-aldosterone system (RAAS) activity to maintain blood volume (C)</p> Signup and view all the answers

Consider a patient with a consistently high end-systolic volume (ESV). Which intervention would directly address the underlying cause of the elevated ESV?

<p>Administering an ACE inhibitor to reduce afterload (C)</p> Signup and view all the answers

During a period of hypoventilation, which set of changes in arterial blood gases would you expect to observe, and how would these changes influence chemoreceptor activity?

<p>Decreased $O_2$, increased $CO_2$, decreased pH; stimulates chemoreceptors (C)</p> Signup and view all the answers

Which of the following is the most accurate interpretation of the T wave on an electrocardiogram?

<p>Ventricular repolarization (A)</p> Signup and view all the answers

Following a severe hemorrhage, a patient's blood pressure drops significantly. How would the Frank-Starling mechanism initially respond to this change, and what would be a limiting factor in its effectiveness?

<p>Increase contractility due to increased preload; limited by the reduced circulating blood volume. (A)</p> Signup and view all the answers

A patient with a history of hypertension begins taking a medication that selectively blocks sympathetic nerve fibers to the adrenal gland. What specific effect would this medication have on the short-term regulation of blood pressure?

<p>Decreased release of epinephrine and norepinephrine, leading to decreased heart rate and vasodilation. (C)</p> Signup and view all the answers

A patient's ECG shows a normal P wave, a normal QRS complex, but no T wave in several consecutive cycles. What is the most likely underlying issue?

<p>Ventricular repolarization abnormality (D)</p> Signup and view all the answers

In a patient with advanced heart failure, what is the most likely consequence of chronically elevated levels of epinephrine and norepinephrine on myocardial function?

<p>Myocardial hypertrophy and increased risk of arrhythmias due to prolonged adrenergic stimulation. (B)</p> Signup and view all the answers

If a drug selectively inhibits the function of carotid body chemoreceptors, what would be the most likely consequence during a period of acute hypoxemia?

<p>Blunted increase in respiratory rate and tidal volume (D)</p> Signup and view all the answers

Which scenario would result in the greatest increase in cardiac output, assuming all other factors remain constant?

<p>Increased heart rate and decreased end-systolic volume (ESV) (D)</p> Signup and view all the answers

What effect would a drug that selectively blocks beta-1 adrenergic receptors in the heart have on the PQ interval of an ECG?

<p>Prolongation of the PQ interval (C)</p> Signup and view all the answers

A patient with a spinal cord injury above the level of the sympathetic cardiac nerves is likely to experience which of the following cardiovascular challenges?

<p>Inability to increase heart rate during exercise or stress, leading to reduced cardiac output. (B)</p> Signup and view all the answers

Which of the following best describes the interplay between the baroreceptor reflex and the Frank-Starling mechanism in response to an increase in blood volume?

<p>The baroreceptor reflex decreases heart rate, while the Frank-Starling mechanism increases stroke volume. (A)</p> Signup and view all the answers

What is the impact on cardiac output (CO) if the heart rate (HR) doubles, but the stroke volume (SV) is halved?

<p>CO remains unchanged (C)</p> Signup and view all the answers

What cellular mechanism explains the increase in contractile force observed in the Frank-Starling mechanism?

<p>Optimized overlap of actin and myosin filaments, leading to increased cross-bridge formation. (C)</p> Signup and view all the answers

Which alteration in the ECG would be most indicative of a recent myocardial infarction that has affected ventricular repolarization?

<p>ST segment elevation (B)</p> Signup and view all the answers

During strenuous exercise, sympathetic activation leads to increased heart rate and contractility. Which of the following ionic fluxes is primarily responsible for the increased contractility?

<p>Increased influx of calcium ions during the plateau phase of the action potential (D)</p> Signup and view all the answers

Which of the following conditions would most directly impair the Frank-Starling mechanism?

<p>Mitral valve stenosis (D)</p> Signup and view all the answers

How does the baroreceptor reflex respond to an increase in blood pressure caused by increased salt intake?

<p>Increases parasympathetic outflow to the heart, decreasing heart rate and contractility. (D)</p> Signup and view all the answers

Which of the following most accurately describes the relationship between end-diastolic volume (EDV), end-systolic volume (ESV), and stroke volume (SV)?

<p>SV = EDV - ESV (B)</p> Signup and view all the answers

During hyperventilation, what changes in arterial blood gases would be expected, and how does this affect the chemoreceptors?

<p>Increased $O_2$, decreased $CO_2$; inhibits chemoreceptors (C)</p> Signup and view all the answers

Which of the following scenarios would result in the greatest increase in the activity of the renin-angiotensin-aldosterone system (RAAS)?

<p>Decreased renal perfusion pressure due to hemorrhage (D)</p> Signup and view all the answers

A patient’s ECG exhibits widened QRS complexes. This finding suggests a problem with which aspect of cardiac function?

<p>Ventricular depolarization (C)</p> Signup and view all the answers

What is the primary mechanism by which epinephrine and norepinephrine increase heart rate?

<p>Increasing the slope of phase 4 depolarization in SA node cells (D)</p> Signup and view all the answers

A patient with heart failure has an ejection fraction (EF) of 30%. What does this indicate about the heart's ability to pump blood?

<p>The heart is pumping a significantly reduced percentage of its filling volume with each beat. (B)</p> Signup and view all the answers

How does activation of the parasympathetic nervous system affect the duration of the cardiac cycle?

<p>Primarily lengthens diastole, allowing for increased ventricular filling (A)</p> Signup and view all the answers

Which of the following factors would cause a DECREASE in afterload?

<p>Vasodilation (A)</p> Signup and view all the answers

What is the effect of increased venous return on the end-diastolic volume (EDV) and what mechanism is primarily responsible?

<p>Increased EDV due to the Frank-Starling mechanism (B)</p> Signup and view all the answers

A patient presents with a heart rate of 180 bpm. Considering the phases of the cardiac cycle, what is the most likely limiting factor affecting cardiac output at this elevated heart rate?

<p>Reduced stroke volume (SV) due to shortened diastole and decreased ventricular filling (D)</p> Signup and view all the answers

If the sensory nerve fibers from the carotid body chemoreceptors were selectively destroyed, what immediate physiological response would be MOST affected during a sudden decrease in arterial $pO_2$?

<p>The increase in respiratory rate and depth. (A)</p> Signup and view all the answers

In a scenario involving rapid blood loss, how would the body prioritize maintaining blood pressure to ensure adequate cerebral perfusion, considering both baroreceptor and chemoreceptor reflexes?

<p>Balancing baroreceptor-mediated vasoconstriction with chemoreceptor-mediated respiratory adjustments to optimize oxygen delivery to the brain. (D)</p> Signup and view all the answers

In a patient experiencing a complete heart block, where the atria and ventricles beat independently, which component of the ECG would be most useful in determining the atrial rate?

<p>P wave (B)</p> Signup and view all the answers

A pharmaceutical company is developing a drug that aims to enhance the Frank-Starling mechanism in patients with heart failure. Which of the following mechanisms would be the MOST effective target for this drug?

<p>Increasing the concentration of intracellular calcium available for binding to troponin. (D)</p> Signup and view all the answers

A researcher is investigating the effects of a novel drug on cardiac function. They observe that the drug significantly shortens the diastole phase of the cardiac cycle without affecting the systole phase. Which of the following is the MOST likely consequence of this drug's effect, assuming heart rate remains constant?

<p>Decreased stroke volume (SV). (B)</p> Signup and view all the answers

Flashcards

Baroreceptor reflexes

Change peripheral resistance, heart rate, and stroke volume in response to changes in blood pressure.

Chemoreceptor reflexes

Sensory receptors sensitive to oxygen, carbon dioxide, and pH levels of blood.

Sensory Neurons' role in BP regulation

Sensory neurons carry action potentials from baroreceptors and carotid body chemoreceptors to the cardioregulatory center. Chemoreceptors in the medulla oblongata also influence the cardioregulatory center.

Cardioregulatory center role (parasympathetic)

This controls the frequency of action potentials in the parasympathetic neurons extending to the heart through the vagus nerves. These neurons decrease the heart rate.

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Cardioregulatory center role (sympathetic)

This controls the frequency of action potentials in the sympathetic neurons which extend through the cardiac nerves and increase the heart rate and the stroke volume.

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Influence of the sympathetic neurons on Adrenal Medulla

Part of the sympathetic neurons that increase the secretion of epinephrine and norepinephrine into the systemic circulation, increasing heart rate and stroke volume.

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Cardiac Cycle

One complete cycle occurs when both atria and ventricles contract and then relax. It includes diastole and systole.

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Diastole

Relaxation phase of the cardiac cycle.

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Systole

Contraction phase of the cardiac cycle.

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End Diastolic Volume (EDV)

Volume of blood in the ventricles at the end of filling.

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End Systolic Volume (ESV)

Volume of blood remaining in the ventricles following contraction.

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Stroke Volume (SV)

Volume of blood ejected with each heartbeat (EDV - ESV).

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Cardiac Output (CO)

Stroke volume (SV) multiplied by the heart rate (HR).

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Frank-Starling Mechanism

The heart's ability to adapt to increasing volumes of inflowing blood.

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Electrocardiogram (ECG)

Record of electrical events in the myocardium that can be correlated with mechanical events.

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P wave

Depolarization of atrial myocardium and signals onset of atrial contraction.

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QRS complex

Ventricular depolarization and signals onset of ventricular contraction; repolarization of atria simultaneously.

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T wave

Repolarization of ventricles, precedes ventricular relaxation.

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PQ interval (PR interval)

0.16 sec; atria contract and begin to relax, ventricles begin to contract.

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QT interval

0.36 sec; ventricles contract and begin to relax.

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Study Notes

Tension

  • Tension is the pulling force exerted by a string, cable, chain, or similar object on another object.
  • Tension is transmitted through these objects when they are pulled tight by forces acting from opposite ends.

Key Characteristics

  • Tension is always directed along the length of the string or cable.
  • Tension pulls equally on the objects at either end.
  • The magnitude of the tension force is the same throughout the string, except when friction or weight is significant.
  • Tension is measured in units of force, typically Newtons (N).

Tension in a Vertical String

  • For a block of mass $m$ suspended from a vertical string, tension $T$ balances the weight $W$ of the block.
  • $T = W = mg$, where $g$ is the acceleration due to gravity ($9.8 m/s^2$).

Tension in a Horizontal String

  • If a block of mass $m$ is pulled horizontally by a string with tension $T$ and there is no acceleration, then the tension $T$ balances any opposing force, such as friction $F_r$.
  • $T = F_r$

Tension in an Inclined String

  • When a string is inclined at an angle $\theta$ with respect to the horizontal, tension $T$ is resolved into components.
  • Horizontal component: $T_x = T\cos(\theta)$
  • Vertical component: $T_y = T\sin(\theta)$
  • These components determine the net force acting on an object or to analyze forces in equilibrium.

Example Problem: Tension Calculation

  • A $5$ kg block is suspended from a ceiling by two strings.
  • String 1 has a tension of $30$ N and is at an angle of $30^\circ$ with the horizontal.
  • String 2 is horizontal.
  • Tension in string 2 is $25.98$ N.

Importance of Understanding Tension

  • Understanding tension is crucial in physics, engineering, and material science.
  • It helps in designing structures, analyzing forces in systems, and predicting the behavior of objects under load.

Introduction to Economics

  • Focuses on how to allocate scarce resources like time, money, and capital goods.
  • Economic decisions require considering trade-offs.

Microeconomics vs. Macroeconomics

Category Microeconomics Macroeconomics
Scope Decisions of individual firms and households The economy as a whole
Examples Quantity to produce, pricing, hiring, target market Inflation, unemployment, economic growth, fiscal policy

Three Key Economic Ideas

  • People make decisions by weighing known pros and cons (Optimization).
  • Economic systems tend toward Equilibrium.
  • Data is used to test economic ideas (Empiricism).

Optimization

  • People make rational decisions by choosing the best feasible option using available information.
  • Trade-offs occur when one thing is given up to obtain another.
  • Opportunity cost is the best alternative use of a resource.
  • Marginal analysis involves considering the pros and cons of one additional unit.

Equilibrium

  • Equilibrium is a situation where no one benefits by changing behavior.
  • Economic systems tend towards equilibrium where there is no more opportunity to improve one's situation.

Empiricism

  • Data is used to answer questions about the world, such as the impact of X on Y.
  • Models are simplifications of reality.
  • These models are tested with data.

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