Cardiac Conduction System and Excitation-Contraction Coupling

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Questions and Answers

What is the function of the atria in the heart?

  • Connect to the aorta
  • Pump blood to the body
  • Collect blood and push it into lower chambers (correct)
  • Carry oxygenated blood

Where is the base of the heart located?

  • Posterior to the pericardium
  • Inferior and lateral to the apex
  • Anterior to the mediastinum
  • Superior and medial to the apex (correct)

Which vessel attaches at the base of the heart?

  • Pulmonary vein
  • Aorta (correct)
  • Inferior vena cava
  • Pulmonary artery

Where is the epicardium located in relation to the myocardium?

<p>Most superficial layer (A)</p> Signup and view all the answers

Which vessels are responsible for carrying deoxygenated blood to the lungs?

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

What is the main purpose of the pericardial cavity?

<p>Produce lubricating fluid (B)</p> Signup and view all the answers

What is the function of Ca++ channels at 0mV in repolarization?

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

If the endocrine control was absent, how many times per minute would the AV node fire?

<p>40 - 60 (B)</p> Signup and view all the answers

What is the purpose of Ca++ binding to troponin during muscle contraction?

<p>Allow the myosin and actin cross bridge (D)</p> Signup and view all the answers

What would be the heart rate range if the Purkinje fibers were firing at 15 - 20 times per minute?

<p>15 - 20 BPM (C)</p> Signup and view all the answers

What would happen if the Ca++ channels remained open during repolarization?

<p>Premature contractions would occur (D)</p> Signup and view all the answers

During which phase of the cardiac cycle does the P wave represent the depolarization of the atria?

<p>Atrial systole phase (D)</p> Signup and view all the answers

What is the main function of an artificial pacemaker in the context of heart function?

<p>To ensure effective heart contractions (B)</p> Signup and view all the answers

Which of the following is characteristic of the T wave in the cardiac cycle?

<p>Repolarization of ventricles (B)</p> Signup and view all the answers

In which phase of the cardiac cycle is the blood pushed out by the ventricles known as end diastolic volume (EDV) or preload?

<p>Ventricular systole phase (D)</p> Signup and view all the answers

Which of the following statements correctly describes the role of myoglobin in heart cells?

<p>Myoglobin stores oxygen in muscle cells (C)</p> Signup and view all the answers

During which phase of the cardiac cycle do semilunar valves close and atrioventricular valves are also closed?

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

What is the percentage range for normal ejection fraction?

<p>50% - 70% (B)</p> Signup and view all the answers

Which heart sound is associated with blood being pushed into a stiff or hypertrophic ventricle?

<p>S4 (A)</p> Signup and view all the answers

What does an increased level of thyroid hormone do to heart rate and contractility?

<p>Increases heart rate and contractility (D)</p> Signup and view all the answers

Which neurotransmitter is released during parasympathetic stimulation of the heart?

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

What does caffeine and nicotine do to heart rate?

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

Which reflex involves pressure and stretch leading to increased parasympathetic stimulation of the heart?

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

What can cause a decrease in heart rate?

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

'S7' is referred to when both which sounds are present at the same time?

<p>'S3' and 'S4' (A)</p> Signup and view all the answers

'Cardiac reserve' is defined as the difference between which two values?

<p>'Max CO' and 'resting CO' (C)</p> Signup and view all the answers

What is the function of the endothelium in the heart?

<p>Act as a barrier between the blood and heart muscle (C)</p> Signup and view all the answers

Which type of valve separates the atria from the ventricles in the heart?

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

Where does the right ventricle receive deoxygenated blood from?

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

What is the function of the moderator band in the heart?

<p>Muscles for cardiac conduction (C)</p> Signup and view all the answers

What is the primary function of coronary circulation in the heart?

<p>Provide oxygenated blood to cardiac muscle (D)</p> Signup and view all the answers

What feature allows ions to travel between adjacent cardiac muscle cells?

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

Which structure in the heart slows down impulses and forces contraction of the atrioventricular septum?

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

What happens to Na+ channels in cardiac conductive cells during spontaneous depolarization?

<p>They open slowly to create depolarization (D)</p> Signup and view all the answers

What is the main characteristic of cardiac contractile cells during repolarization?

<p>A plateau phase at +30mV (C)</p> Signup and view all the answers

What initiates an electrical potential at a fixed rate in cardiac muscle cells?

<p>Myocardial conducting cells (D)</p> Signup and view all the answers

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