Cardiac Conduction System Overview

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Questions and Answers

Which heart sound is rarely heard in normal adults, especially when the ventricle is stiff or atrial pressure is high?

  • First sound
  • Second sound
  • Third sound
  • Fourth sound (correct)

What is the main cause of the second heart sound?

  • Acceleration of blood in the heart
  • Deceleration of blood in the heart
  • Vibrations associated with closure of aortic and pulmonary valves (correct)
  • High atrial pressure

What is the frequency range of the first heart sound?

  • 10-20 Hz
  • 70-80 Hz
  • 25-45 Hz (correct)
  • 50-60 Hz

In which phase of the cardiac cycle is the third heart sound typically heard?

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

Where is the best location to hear the third heart sound in most individuals?

<p>5th intercostal space (B)</p> Signup and view all the answers

What causes reduplication (physiologic splitting) of the second heart sound?

<p>Frequent aortic and pulmonary valve closure during expiration (A)</p> Signup and view all the answers

Why does the A-V bundle myofibrils have a slow rate of conduction compared to the atrial and ventricular muscles?

<p>Due to their small size and decreased number of gap junctions (D)</p> Signup and view all the answers

Why is the opening of the heart valves not audible when listening with a stethoscope?

<p>Because the process of valve opening is slow and noiseless (A)</p> Signup and view all the answers

What causes the first heart sound (S1) to be low in pitch and relatively long-lasting?

<p>Closure of the A-V valves when the ventricles contract (D)</p> Signup and view all the answers

What contributes to the rapid snap sound heard when the aortic and pulmonary valves close at the end of systole?

<p>Rapid closure of the aortic and pulmonary valves (A)</p> Signup and view all the answers

What role do gap junctions play in the conduction of the cardiac action potential?

<p>Facilitate rapid conduction between muscle cells (B)</p> Signup and view all the answers

Why does one not hear the opening of heart valves even though they are moving?

<p>The opening process is silent and slow (B)</p> Signup and view all the answers

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