L12 Cardiac Muscle Properties and Functions
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Questions and Answers

What effect does marked hyperkalemia have on the heart?

  • Increases contractility
  • Stops the heart in systole
  • Stops the heart in diastole (correct)
  • Reduces rhythmicity
  • What is the main purpose of using digitalis in heart failure treatment?

  • Reduce AV node conduction
  • Improve rhythmicity
  • Increase contractility (correct)
  • Increase systole duration
  • What does end diastolic volume refer to?

  • Volume of blood ejected per stroke
  • Volume of blood at the end of systole
  • Volume of blood remaining in each ventricle at the end of systole
  • Volume of blood in each ventricle at the end of diastole (correct)
  • Which term is used to describe the ability of cardiac muscle to convert electrical and chemical changes into mechanical work?

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

    What is the effect of +ve inotropic activity on contractility?

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

    What determines the initial length of the cardiac muscle?

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

    What is the volume of blood that remains in each ventricle at the end of systole?

    <p>'End systolic volume'</p> Signup and view all the answers

    What is the term for the amount of blood ejected by each ventricle per stroke?

    <p>'Stroke volume'</p> Signup and view all the answers

    What is the primary function of the cardiac muscle's automaticity?

    <p>To allow the heart to beat regularly without nerve supply</p> Signup and view all the answers

    What is the main factor that contributes to the cardiac muscle's automaticity?

    <p>Resting membrane potential</p> Signup and view all the answers

    Which of the following cardiac muscle tissues has the highest inherent rhythmicity?

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

    What is the main mechanism by which the SA node maintains its role as the primary cardiac pacemaker?

    <p>Steeper slope of diastolic depolarization</p> Signup and view all the answers

    Which of the following factors can increase the heart's rhythmicity or chronotropism?

    <p>Increased sympathetic nervous activity</p> Signup and view all the answers

    What is the main consequence of the cardiac muscle's rhythmicity or automaticity?

    <p>Regular and coordinated beating of the heart</p> Signup and view all the answers

    Which of the following cardiac muscle properties is directly responsible for the heart's ability to conduct electrical impulses?

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

    How does the cardiac muscle's contractility differ from its rhythmicity?

    <p>Contractility is a measure of force generation, while rhythmicity is a measure of beating rate</p> Signup and view all the answers

    Which part of the cardiac conduction system is responsible for initiating the heartbeat?

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

    Which part of the cardiac conduction system is responsible for transmitting the electrical impulse from the atria to the ventricles?

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

    Which part of the cardiac conduction system is responsible for rapidly distributing the electrical impulse throughout the ventricles?

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

    What is the function of the bundle of His in the cardiac conduction system?

    <p>Coordinating the contraction of the atria and ventricles</p> Signup and view all the answers

    Which part of the cardiac conduction system is responsible for the automaticity of the heart?

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

    Which part of the cardiac conduction system is responsible for the electrical potentials of the pacemaker tissues?

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

    Which part of the cardiac conduction system is responsible for the electrical potentials of the cardiac muscle fibers?

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

    Which part of the cardiac conduction system is responsible for the rhythmicity of the heart?

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

    What is the effect of greater initial length of cardiac muscle fiber (End diastolic volume, EDV) on the force of contraction?

    <p>It increases the force of contraction.</p> Signup and view all the answers

    What does afterload refer to in the context of heart function?

    <p>The resistance encountered by blood during ventricular ejection.</p> Signup and view all the answers

    What happens to the initial velocity of shortening of cardiac muscle when afterload increases?

    <p>It decreases.</p> Signup and view all the answers

    What does contractility refer to in the context of heart function?

    <p>Ability of the heart to expel blood independent of preload or afterload.</p> Signup and view all the answers

    What phenomenon describes gradual increases in strength of cardiac muscle contraction due to repeated stimulation (increase in heart rate)?

    <p>Staircase (Treppe) phenomenon</p> Signup and view all the answers

    What effect does sympathetic nervous system stimulation have on cardiac muscle contraction?

    <p>+ve inotropic effect</p> Signup and view all the answers

    Which physical factor has a positive inotropic effect on cardiac muscle contraction?

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

    Which chemical substance has a positive inotropic effect on cardiac muscle contraction?

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

    What is the duration of the relative refractory period (RRP) in cardiac muscle?

    <p>0.05 seconds (50 milliseconds)</p> Signup and view all the answers

    What is the significance of the refractory period in cardiac muscle?

    <p>It prevents stimulation of the ventricles by another impulse, allowing time for emptying and refilling.</p> Signup and view all the answers

    When does the contraction of cardiac muscle (systole) reach its maximum?

    <p>At the end of the plateau phase</p> Signup and view all the answers

    When does the relaxation of cardiac muscle (diastole) start?

    <p>During the rapid repolarization phase</p> Signup and view all the answers

    Which nervous system component has a negative chronotropic effect on the heart, decreasing the heart rate?

    <p>Parasympathetic nervous system</p> Signup and view all the answers

    What is the effect of warming (fever) on the heart rate?

    <p>Increases heart rate (positive chronotropic effect)</p> Signup and view all the answers

    Which of the following ions, when increased, can decrease the heart rate?

    <p>All of the above</p> Signup and view all the answers

    Which of the following conditions or substances can decrease the heart rate?

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

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