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

Action potentials pass slowly through the atrioventricular node.

<p>True (A)</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. (E)</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 (A)</p> Signup and view all the answers

Flashcards

Late ventricular systole

Semilunar valves are open during ventricular contraction.

Atrial diastole during ventricular systole

Atria relax while ventricles contract.

Positive inotropes

Increase heart strength, pumping more blood with less beats.

Negative inotropes and hypertension

Decrease workload on the heart, easing hypertension.

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Digoxin and stroke volume

Digoxin improves ventricular contractions, increasing stroke volume.

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Cardiac output calculation

Heart rate multiplied by stroke volume.

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First-degree AV block

Action potential delay between SA and AV nodes.

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Ventricular conduction rate

Number of QRS complexes per unit time.

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Third-degree AV block

2:1 P wave-to-QRS ratio.

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Semilunar valves and ventricular diastole

Close during ventricular relaxation.

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Atrioventricular valves and ventricular diastole

Open during ventricular relaxation.

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Atrioventricular valve opening

Ventricular pressure less than atrial pressure.

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Sinoatrial (SA) node

Heart's primary pacemaker.

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Action potential propagation sequence

SA node, AV node, bundle, branches, Purkinje.

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AV node conduction speed

Slow signal delivery, essential for synchronized contraction

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S3 heart sound

Sign of ventricular filling.

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Cardiac reserve

Difference between maximum and resting cardiac output.

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Frank-Starling Law

Greater myocardial stretch leads to stronger contraction.

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Heart base

Superior, flat top of the heart.

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Pericardium

Double-layered sac surrounding the heart.

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Ventricles

Thick-walled heart chambers pumping to arteries.

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Atrioventricular valves

Regulate blood flow from atria to ventricles.

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Autorhythmicity

Heart's ability to independently generate rhythmic signals.

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Diastole

Relaxation phase of the heart.

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Hemodynamic changes

Pressure changes within the contracting heart.

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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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