Cardiac Conduction System Quiz
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Questions and Answers

Which of the following is NOT true about the heart?

  • The heart is surrounded by a two-layer sac called the pericardium
  • The atrium is a weak primer pump for the ventricle
  • The right heart pumps blood through the systemic circulation (correct)
  • The heart is composed of three major types of cardiac muscle

What is the main function of the ventricles in the heart?

  • To move blood into the atrium
  • To protect the heart
  • To supply the main pumping force (correct)
  • To pump blood through the lungs

What is the purpose of the pericardium?

  • To hold the heart in place
  • To transmit action potentials
  • To protect the heart (correct)
  • To contract in the same way as skeletal muscle

Which of the following is true about cardiac muscle fibers?

<p>They exhibit automatic rhythmical electrical discharge (B)</p> Signup and view all the answers

What causes the twisting motion of the left ventricle during systole?

<p>Contraction of the cardiac muscle fibers (D)</p> Signup and view all the answers

What is the function of the intercalated discs in cardiac muscle fibers?

<p>To allow rapid diffusion of ions (B)</p> Signup and view all the answers

How are the atria and ventricles of the heart connected?

<p>Through fibrous tissue (A)</p> Signup and view all the answers

Which phase of the cardiac action potential is characterized by the closure of calcium ion channels and increased potassium ion permeability?

<p>Phase 3 (B)</p> Signup and view all the answers

What is the resting membrane potential of a cardiac cell?

<p>-80 to -60 millivolts (B)</p> Signup and view all the answers

What is the velocity of signal conduction in cardiac muscle fibers?

<p>0.3 to 0.5 m/sec (D)</p> Signup and view all the answers

What is the normal refractory period of the ventricles?

<p>0.25 to 0.30 second (C)</p> Signup and view all the answers

What is the function of the A-V valve?

<p>To open during diastole (C)</p> Signup and view all the answers

Which chamber of the heart is located in the superior lateral wall of the right atrium near the opening of the superior vena cava?

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

What is the purpose of the delay in the passage of the cardiac impulse from the atria into the ventricles?

<p>To allow the atria to contract before the ventricles (D)</p> Signup and view all the answers

What is the total duration of the cardiac cycle if the heart rate is 72 beats/min?

<p>0.4 of the entire cardiac cycle (C)</p> Signup and view all the answers

What is the function of the atria in the heart?

<p>To increase the ventricular pumping effectiveness by 20% (C)</p> Signup and view all the answers

Which of the following is true about the strength of cardiac muscle contraction compared to skeletal muscle contraction?

<p>The strength of cardiac muscle contraction depends on the concentration of calcium ions in the extracellular fluids. (C)</p> Signup and view all the answers

What is the function of the calcium–adenosine triphosphatase (ATPase) pump in cardiac muscle?

<p>It removes calcium ions from the sarcoplasm and pumps them back into the sarcoplasmic reticulum. (C)</p> Signup and view all the answers

What is the main factor determining the duration of contraction in cardiac muscle?

<p>The duration of the action potential. (B)</p> Signup and view all the answers

Why would a heart placed in a calcium-free solution stop beating?

<p>The calcium ions in the sarcoplasmic reticulum would not be released into the sarcoplasm. (B)</p> Signup and view all the answers

Which of the following is a major difference between the action potential in cardiac muscle and skeletal muscle?

<p>The action potential in cardiac muscle is caused by the opening of fast sodium channels and slow calcium channels, while the action potential in skeletal muscle is caused by the opening of fast sodium channels only. (D)</p> Signup and view all the answers

Which of the following best explains why ventricular contraction lasts longer in cardiac muscle compared to skeletal muscle?

<p>The presence of a plateau in the action potential in cardiac muscle, which is absent in skeletal muscle. (B)</p> Signup and view all the answers

Which of the following best explains the cause of the plateau phase in the action potential in cardiac muscle?

<p>The influx of calcium and sodium ions through slow calcium channels, which maintain depolarization. (B)</p> Signup and view all the answers

Which of the following is a major functional difference between cardiac muscle and skeletal muscle that contributes to the prolonged action potential and plateau in cardiac muscle?

<p>The decreased potassium permeability in cardiac muscle, which does not occur in skeletal muscle. (A)</p> Signup and view all the answers

Flashcards

Right heart pumps blood through systemic circulation

The right ventricle pumps blood through the pulmonary circulation, not the systemic circulation.

Ventricles' main function

Ventricles are responsible for generating the force that propels blood through the circulatory system.

Pericardium's purpose

The pericardium is a protective sac that surrounds the heart, preventing it from rubbing against surrounding tissues.

Cardiac muscle fibers' property

Cardiac muscle fibers can generate their own electrical impulses, allowing the heart to contract automatically.

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Cause of ventricular twisting

The twisting motion of the left ventricle during systole is caused by the contraction of the cardiac muscle fibers.

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Intercalated discs' function

Intercalated discs allow for rapid communication between cardiac muscle fibers, ensuring coordinated contraction.

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Connection between atria and ventricles

The atria and ventricles are separated by a layer of fibrous tissue, which acts as an insulator.

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Phase 3 of cardiac action potential

Phase 3 of the cardiac action potential is marked by the closure of calcium ion channels and increased potassium ion permeability, leading to repolarization.

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Cardiac cell's resting potential

A cardiac cell's resting membrane potential is typically between -80 and -60 millivolts, indicating a negative charge inside the cell.

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Signal conduction velocity in heart

The velocity of signal conduction in cardiac muscle fibers is relatively slow, ensuring coordinated contraction of the heart.

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Ventricular refractory period

The refractory period of the ventricles is the time when they are unable to contract again, preventing overly rapid heartbeats.

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A-V valve function

The A-V valve opens during diastole, allowing blood to flow from the atria into the ventricles.

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Location of right atrium

The right atrium is located in the superior lateral wall of the right atrium near the opening of the superior vena cava.

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Purpose of AV node delay

The delay in the passage of the cardiac impulse from the atria into the ventricles allows time for complete atrial contraction, which improves ventricular filling efficiency.

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Cardiac cycle duration at 72 bpm

The total duration of the cardiac cycle is inversely proportional to the heart rate. A heart rate of 72 beats/min corresponds to a 0.83-second cycle, with systole lasting 0.33 of the cycle.

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Function of atria

The atria act as booster pumps, increasing the volume of blood entering the ventricles during diastole. This contributes about 20% to ventricular stroke volume.

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Cardiac muscle contraction strength

The strength of cardiac muscle contraction, unlike skeletal muscle, is directly dependent on the concentration of calcium ions in the extracellular fluids.

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Calcium-ATPase pump function

The calcium–adenosine triphosphatase (ATPase) pump is responsible for removing calcium ions from the sarcoplasm back into the sarcoplasmic reticulum, terminating muscle contraction.

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Factor determining contraction duration

The duration of the action potential in cardiac muscle, which is longer than in skeletal muscle, is the main determinant of the duration of contraction.

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Why heart stops in calcium-free solution

In a calcium-free solution, the sarcoplasmic reticulum cannot release calcium into the sarcoplasm, preventing the initiation of muscle contraction.

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Key difference in action potentials

The action potential in cardiac muscle is caused by the coordinated opening of both fast sodium channels and slow calcium channels, while skeletal muscle relies solely on fast sodium channels.

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Why ventricular contraction is longer

The prolonged duration of ventricular contraction in cardiac muscle is due to the plateau phase in the action potential, which is not present in skeletal muscle.

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Cause of plateau phase

The plateau phase in the cardiac action potential is caused by the slow influx of calcium and sodium ions through slow calcium channels, maintaining depolarization.

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Key functional difference causing plateau

The decreased potassium permeability in cardiac muscle, which does not occur in skeletal muscle, contributes significantly to the longer duration of the action potential and plateau phase.

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