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

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

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

What determines the initial length of the cardiac muscle?

<p>Preload (A)</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' (D)</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' (D)</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 (C)</p> Signup and view all the answers

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

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

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

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

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

<p>SA node (D)</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 (A)</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 (C)</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 (D)</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 (C)</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 (D)</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 (C)</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 (C)</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. (B)</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. (B)</p> Signup and view all the answers

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

<p>It decreases. (C)</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. (B)</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 (C)</p> Signup and view all the answers

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

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

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

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

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

<p>Digitalis (C)</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) (B)</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. (C)</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 (B)</p> Signup and view all the answers

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

<p>During the rapid repolarization phase (A)</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 (C)</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) (D)</p> Signup and view all the answers

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

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

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

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

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