A&P II: Chapter 18 Flashcards

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Questions and Answers

Which heart chamber sends deoxygenated blood to the lungs?

right ventricle

The heart is actually how many pumps?

  • One
  • Two (correct)
  • Three

Which chamber receives blood from the superior and inferior vena cavae?

right atrium

Which heart chamber receives blood from the pulmonary veins?

<p>left atrium</p> Signup and view all the answers

Which heart chamber pumps unoxygenated blood out the pulmonary trunk?

<p>right ventricle</p> Signup and view all the answers

Which chamber pumps oxygenated blood out the aorta to the systemic circuit?

<p>left ventricle</p> Signup and view all the answers

Which of the following is NOT a difference between the left and right ventricles?

<p>The left ventricle receives a smaller percentage of coronary blood supply than the right ventricle. (D)</p> Signup and view all the answers

The heart's pacemaker is the?

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

Which term refers to a lack of oxygen supply to heart muscle cells?

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

Which part of the conduction system initiates the depolarizing impulse?

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

What does the ECG wave tracing represent?

<p>electrical activity in the heart</p> Signup and view all the answers

What does the QRS complex represent in the ECG wave tracing?

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

Contraction of the atria results from which wave of depolarization on the ECG tracing?

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

Which part of the intrinsic conduction system delays the impulse briefly?

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

Which of the following would increase cardiac output to the greatest extent?

<p>Increased heart rate and increased stroke volume (C)</p> Signup and view all the answers

Which of the following would increase heart rate?

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

How would an increase in the sympathetic nervous system increase stroke volume?

<p>increased contractility</p> Signup and view all the answers

By what mechanism would an increase in venous return increase stroke volume?

<p>increased end diastolic volume</p> Signup and view all the answers

How would a decrease in blood volume affect both stroke volume and cardiac output?

<p>decreased stroke volume and no change in cardiac output</p> Signup and view all the answers

The QRS complex represents __________.

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

What does the T wave of the electrocardiogram (ECG) represent?

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

The left ventricular wall of the heart is thicker than the right wall in order to ________.

<p>pump blood with greater pressure</p> Signup and view all the answers

Blood within the pulmonary veins returns to the ______.

<p>left atrium</p> Signup and view all the answers

Which of the following is the outermost covering of the heart?

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

Which layer of the heart wall contracts and is composed primarily of cardiac muscle tissue?

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

Which of the following does NOT deliver blood to the right atrium?

<p>Pulmonary veins (D)</p> Signup and view all the answers

The __________ valve is located between the right atrium and the right ventricle.

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

Which of the events below does not occur when the semilunar valves are open?

<p>Ventricles are in diastole. (B)</p> Signup and view all the answers

What structures connect the individual heart muscle cells?

<p>intercalated discs</p> Signup and view all the answers

At what rate does the sinoatrial (SA) node ensure depolarization in the heart?

<p>75 beats of the heart per minute</p> Signup and view all the answers

Specifically, what part of the intrinsic conduction system stimulates the atrioventricular (AV) node?

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

Which portion of the electrocardiogram represents the time during which the atria repolarize?

<p>QRS complex</p> Signup and view all the answers

During which portion of the electrocardiogram do the atria contract?

<p>P-R interval</p> Signup and view all the answers

Which of the following increases stroke volume?

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

The first heart sound (the "lub" of the "lub-dup") is caused by __________.

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

Which of the following would increase heart rate?

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

Which of the following is NOT a factor that regulates stroke volume?

<p>Heart rate (D)</p> Signup and view all the answers

Normal heart sounds are caused by which of the following events?

<p>Closure of the heart valves (B)</p> Signup and view all the answers

Hemorrhage with a large loss of blood causes ______.

<p>a lowering of blood pressure due to change in cardiac output</p> Signup and view all the answers

Which of the following factors does not influence heart rate?

<p>Skin color (D)</p> Signup and view all the answers

A foramen ovale ______.

<p>connects the two atria in the fetal heart (B)</p> Signup and view all the answers

Autonomic regulation of heart rate is via two reflex centers found in the pons.

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

As pressure in the aorta rises due to atherosclerosis, more ventricular pressure is required to open the aortic valve.

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

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Study Notes

Heart Anatomy and Function

  • The right ventricle sends deoxygenated blood to the lungs through the pulmonary trunk.
  • The heart operates as two pumps: one for the pulmonary circuit (right side) and one for the systemic circuit (left side).
  • The right atrium receives unoxygenated blood from the superior and inferior vena cavae.
  • Oxygenated blood from the pulmonary veins returns to the left atrium.
  • The left ventricle pumps oxygenated blood into the aorta for systemic distribution.

Heart Chambers and Valves

  • The right ventricle is responsible for pumping unoxygenated blood out to the pulmonary trunk.
  • The left ventricle, characterized by thicker walls, pumps blood with greater pressure into the systemic circuit.
  • The tricuspid valve is located between the right atrium and right ventricle, regulating blood flow.
  • The fibrous pericardium serves as the outermost covering of the heart.

Conduction System and Pacemaker

  • The sinoatrial (SA) node located in the right atrial wall functions as the heart's pacemaker.
  • Electrical signals from the SA node initiate depolarization and spread throughout the heart.
  • The atrioventricular (AV) node temporarily delays impulses to allow for effective atrial contraction before ventricular contraction.
  • Intercalated discs connect individual heart muscle cells, facilitating coordinated contractions.

Electrocardiogram (ECG) Waves and Functions

  • ECG wave tracing reflects the electrical activity of the heart, including depolarization and repolarization.
  • The P wave indicates atrial depolarization leading to atrial contraction.
  • The QRS complex signifies ventricular depolarization, with greater mass leading to a distinct wave.
  • The T wave represents ventricular repolarization as the heart prepares for its next contraction.

Cardiac Output and Heart Rate Regulation

  • Cardiac output is determined by heart rate multiplied by stroke volume.
  • An increase in venous return raises stroke volume by enhancing end-diastolic volume due to the Frank-Starling mechanism.
  • Factors increasing stroke volume include exercise and enhanced contractility via the sympathetic nervous system.
  • The release of epinephrine and norepinephrine boosts heart rate during sympathetic stimulation.

Pathological Conditions and Responses

  • Ischemia refers to inadequate oxygen supply to heart muscle cells, potentially leading to damage.
  • Hemorrhage can lead to lowered blood pressure as a result of altered cardiac output.
  • Autonomic regulation of heart rate involves reflex centers primarily found in the brainstem, not just the pons.

Fetal Heart Considerations

  • The foramen ovale connects the two atria in the fetal heart, allowing blood to bypass the lungs prior to birth.

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