Cardiac Conducting System and Arrhythmias Quiz
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Questions and Answers

What type of tissue effectively provides insulation between the atria and the ventricles in the heart?

  • AV bundle
  • Annulus fibrosis (correct)
  • SA node
  • Purkinje fibers
  • Which factor affects myocardial excitability by decreasing it and can cause inactivation of atrial ectopic foci?

  • Sympathetic stimulation
  • Parasympathetic stimulation (correct)
  • Extracellular fluid ions concentration
  • Hypercalcemia
  • What structure is the only conducting tissue between the atria and the ventricles in the heart?

  • AV bundle (correct)
  • Annulus fibrosis
  • Purkinje fibers
  • SA node
  • Which condition causes partial depolarization, initially increases myocardial excitability, but can lead to cardiac arrest if sustained due to channel inactivation?

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

    Which type of tissue behaves as a functional syncytium and obeys the 'all or none rule' in a manner similar to a single skeletal muscle fiber?

    <p>Atrial muscle fibers</p> Signup and view all the answers

    What is the region of the heart with the fastest intrinsic spontaneous discharge rate?

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

    What is the main difference between cells of the conducting system and regular cardiac myocytes?

    <p>Conducting system cells are incapable of contracting significantly when depolarized</p> Signup and view all the answers

    Which structure in the heart consists of modified ventricular muscle cells and has the largest diameter among all the heart cells?

    <p>AV bundle (bundle of His)</p> Signup and view all the answers

    Which structure in the heart serves as an alternative, direct route for excitation to spread from atria to ventricles in Wolff-Parkinson-White (WPW) syndrome?

    <p>Purkinje fibers</p> Signup and view all the answers

    Through which specialized fibers does the wave of depolarization spread on the top of the ventricular septum?

    <p>Purkinje fibers</p> Signup and view all the answers

    In a normal ECG, what direction does repolarization of the ventricle occur?

    <p>Endocardial to epicardial surface</p> Signup and view all the answers

    What is the function of the annulus fibrosis in the heart's conduction system?

    <p>Isolate the atrial and ventricular muscle fibers</p> Signup and view all the answers

    Which part of the heart experiences depolarization first in a normal cardiac impulse transmission?

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

    Where is the AV node situated in the heart?

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

    What characteristic arrhythmia can occur due to an electrical 'leak' between the atria and ventricles?

    <p>Wolff-Parkinson-White syndrome</p> Signup and view all the answers

    What is the significance of the AV node having the slowest conduction velocity in the heart?

    <p>It allows the atria to complete emptying before the beginning of ventricular contraction.</p> Signup and view all the answers

    Which cardiac structure together with AV nodal tissue has the longest refractory period of any cardiac cells?

    <p>Purkinje fibers</p> Signup and view all the answers

    How is the AV nodal delay shortened or prolonged?

    <p>By increasing vagal stimulation</p> Signup and view all the answers

    Which part of the heart has the slowest conduction velocity according to the given information?

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

    What is one of the functions of the AV node in transmitting electrical impulses?

    <p>Receiving impulses from the SA node and transmitting them to the ventricles</p> Signup and view all the answers

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