A&P 2 Chapter 19 Test Review
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Questions and Answers

The semilunar valves remain open throughout the __________ phase of the cardiac cycle.

late ventricular systole

The atria remain in diastole throughout both the __________ phases of the cardiac cycle.

ventricular systole and early to mid ventricular diastole

Positive inotropes allow the heart to pump __________ blood with fewer heartbeats. They do this by __________ the end-systolic volume (ESV).

more; decreasing

An individual with high blood pressure (hypertension) is expected to benefit from the administration of __________ inotropic drugs that __________ the heart's workload.

<p>negative; decrease</p> Signup and view all the answers

The expected effect of the drug Digoxin is to __________ ventricular contraction and __________ stroke volume.

<p>strengthen; increase</p> Signup and view all the answers

A first-degree block is caused by __________.

<p>delay of the action potential between the SA and AV nodes</p> Signup and view all the answers

What is the rate of ventricular conduction best determined by on an ECG?

<p>the number of QRS complexes present within a specific unit of time</p> Signup and view all the answers

An ECG tracing from someone with a third-degree AV block is best described as a tracing with a __________.

<p>2:1 ratio of P waves to QRS complexes</p> Signup and view all the answers

The semilunar valves close during __________.

<p>ventricular diastole</p> Signup and view all the answers

The atrioventricular valves open during __________.

<p>ventricular diastole</p> Signup and view all the answers

When the pressure in the ventricles becomes lower than the pressure in the atria, __________.

<p>the atrioventricular valves open</p> Signup and view all the answers

In the heart, an action potential originates in the __________.

<p>sinoatrial node</p> Signup and view all the answers

Which of the following is the correct sequential path of an action potential in the heart?

<p>Sinoatrial node, atrioventricular node, atrioventricular bundle, bundle branches, Purkinje fibers</p> Signup and view all the answers

Action potentials pass slowly through the atrioventricular node.

<p>True</p> Signup and view all the answers

Heart sound __________ is thought to result from the transition from expansion of the empty ventricles to their sudden filling with blood.

<p>S3</p> Signup and view all the answers

If a person's heart is pumping 5000 mL of blood in one minute and the heart rate is 50 beats per minute, what is the cardiac output?

<p>None of these choices is correct.</p> Signup and view all the answers

The difference between the maximum and resting cardiac output is called __________.

<p>cardiac reserve</p> Signup and view all the answers

The Frank-Starling law of the heart states that an additional stretch of the myocardium produces a significant increase in __________ on the next beat.

<p>contraction force</p> Signup and view all the answers

What is the broad flat superior top portion of the heart called?

<p>Base</p> Signup and view all the answers

What is the double layered sac that surrounds the heart called?

<p>Pericardium</p> Signup and view all the answers

What are the thick inferior chambers of the heart that pump blood into the arteries called?

<p>Ventricles</p> Signup and view all the answers

The passage of blood from the atria to the ventricles is regulated by which valves?

<p>Atrioventricular</p> Signup and view all the answers

What is the ability to rhythmically depolarize without outside stimulation called?

<p>Autorhythmic</p> Signup and view all the answers

Which term refers to relaxation of the heart?

<p>Diastole</p> Signup and view all the answers

As a heart chamber contracts, what happens to the pressure of the fluid within it?

<p>True</p> Signup and view all the answers

Study Notes

Cardiac Cycle Phases

  • Late ventricular systole features open semilunar valves during contraction of the ventricles.
  • Atria remain in diastole during ventricular systole and early to mid ventricular diastole.

Inotropic Agents

  • Positive inotropes enhance heart function by allowing more blood to be pumped with fewer beats, decreasing end-systolic volume.
  • Negative inotropic drugs are beneficial for individuals with hypertension by decreasing the workload on the heart.

Cardiac Output and Stroke Volume

  • Digoxin strengthens ventricular contractions and increases stroke volume.
  • Cardiac output can be calculated by multiplying heart rate by stroke volume; for example, 5000 mL/min with a heart rate of 50 bpm may not yield standard answers provided.

Electrical Conduction System

  • A first-degree AV block occurs due to a delay of action potentials between the SA and AV nodes.
  • The ventricular conduction rate is determined by the number of QRS complexes in a specific time frame.

ECG Patterns

  • A third-degree AV block is characterized by a 2:1 ratio of P waves to QRS complexes.

Heart Valves Functionality

  • Semilunar valves close during ventricular diastole, while atrioventricular valves open during this phase.
  • When ventricular pressure drops below atrial pressure, the atrioventricular valves open.

Pacemaker Activity

  • The sinoatrial node is the primary source of action potential in the heart.
  • The correct sequence of action potential propagation is sinoatrial node, atrioventricular node, atrioventricular bundle, bundle branches, and Purkinje fibers.

Conduction System Characteristics

  • Action potentials move slowly through the atrioventricular node, allowing for proper timing of cardiac contractions.

Heart Sounds

  • The S3 heart sound is associated with ventricular filling, indicating the transition from empty to filled ventricles.

Cardiac Reserve

  • Cardiac reserve represents the difference between maximum and resting cardiac outputs.

Frank-Starling Law

  • The Frank-Starling law states that increased myocardial stretch leads to greater contraction force in the subsequent heartbeat.

Heart Anatomy

  • The base is the broad, flat superior top portion of the heart.
  • The pericardium is the double-layered sac that encases the heart, while the ventricles are the thick chambers responsible for pumping blood to the arteries.
  • Blood flow from the atria to ventricles is regulated by atrioventricular valves.

Cardiac Physiology Terms

  • Autorhythmicity refers to the heart's ability to generate rhythmic depolarizations independently.
  • Diastole is the term denoting relaxation of the heart, opposite of systole.

Hemodynamic Changes

  • Pressure within a contracting heart chamber increases as the chamber contracts.

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Prepare for your Anatomy & Physiology 2 exam with this Chapter 19 test review quiz. The questions focus on the cardiac cycle phases, including systole and diastole. Use these flashcards to reinforce your understanding of cardiovascular concepts.

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