Cardiac Physiology and Function Quiz

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Questions and Answers

What may result from exposure to a toxin causing high blood pressure resulting in cardiac hypertrophy?

  • Cardiomyopathies (correct)
  • Interference with ion homeostasis
  • Inhibition of Na+, K+-ATPase
  • Altered coronary blood flow

What is the result of Na+ Channel Blockade?

  • Reduction of conduction velocity and prolonged QRS duration (correct)
  • Elevated Ca2+ result in inotropic actions
  • Causes a negative inotropic effect
  • Increased duration of the AP

What may xenobiotic-induced constriction of the coronary vasculature result in?

  • Disturbances in cardiac function
  • Elevated intracellular Na+
  • Altered ion channel activity
  • Ischemia (correct)

What is the consequence of inhibition of Na+, K+-ATPase?

<p>Increased intracellular Na+ (B)</p> Signup and view all the answers

What is the mechanism of action of K+ Channel Blockade?

<p>Increases duration of the AP (D)</p> Signup and view all the answers

What may result in the production of toxic oxygen radicals, leading to subsequent tissue damage?

<p>Ischemia-Reperfusion Injury (C)</p> Signup and view all the answers

What is the consequence of Ca2+ Channel Blockade?

<p>Causes a negative inotropic effect (A)</p> Signup and view all the answers

What is the result of interference with ion homeostasis?

<p>Disturbances in cardiac function (B)</p> Signup and view all the answers

What is the primary contractile unit in cardiac muscle tissue?

<p>Cardiac muscle cell (myocyte) (B)</p> Signup and view all the answers

Which cells have limited proliferative capacity in the heart?

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

What sets the pace of the heart's electrical conduction?

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

What records electrical currents of the heart?

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

What regulates cardiac activity by stimulating cardiac rate and contractility?

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

What is the crucial role played by the ATPase sarcoplasmic reticulum pump (SERCA) in cardiac myocytes?

<p>Availability of ATP and Ca2+ for contraction and relaxation (D)</p> Signup and view all the answers

What is the measurement of cardiac output (CO) dependent on?

<p>Heart rate and stroke volume (A)</p> Signup and view all the answers

What may toxicants affect in the cardiovascular system?

<p>Heart, vasculature, and/or the nervous system (C)</p> Signup and view all the answers

What may result from disturbances in cardiac function?

<p>Abnormal heart rhythm, ischemic heart disease, cardiac hypertrophy, and heart failure (A)</p> Signup and view all the answers

What is the result of interference with ion homeostasis in the heart?

<p>Disturbances in heart rhythm (B)</p> Signup and view all the answers

What is the overview of the ventricular action potential (AP) in the heart?

<p>Involves different phases including resting, initiation, plateau, and re-polarization (A)</p> Signup and view all the answers

Which cells are involved in electrical conduction in the heart?

<p>Pacemaker cells such as the sinoatrial (SA) node, atrioventricular (AV) node, bundle of His, and Purkinje fibers (C)</p> Signup and view all the answers

Which part of the eye has a high number of Na+,K+-ATPase sites and can be affected by digoxin?

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

Which toxicant disrupts oxidative phosphorylation in rod and cone photoreceptors?

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

What part of the eye does carbon disulfide affect, causing optic atrophy and depressed visual sensitivity?

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

Which toxicant may result in structural, biochemical, and functional deficits in the visual cortex in addition to retinal effects?

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

What is the primary barrier to percutaneous absorption in the skin?

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

Which type of contact dermatitis accounts for over 90% of reported causes?

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

Which enzyme in the skin contributes to its barrier function by metabolizing agents as diffusion occurs?

<p>Cytochrome p450 (A)</p> Signup and view all the answers

What is the major component of the skin that constitutes 90% of its composition?

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

What is the consequence of prolonged immersion on the effectiveness of the stratum corneum as a barrier?

<p>Reduces effectiveness (B)</p> Signup and view all the answers

Which anatomical site displays faster diffusion through the epidermis than others?

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

Which toxicant causes tunnel vision and damages a portion of the visual cortex involving the peripheral visual field?

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

Which part of the eye consists of retinal cells that carry information from the retina to the CNS?

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

Which part of the eye is highly vulnerable to toxicant-induced damage?

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

What may cause a decrease in the optical transparency of the lens?

<p>UV radiation (B)</p> Signup and view all the answers

Which substance may react with proteins in the lens, producing adducts that act as light scattering complexes?

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

What is the transparent body in the eye that focuses visual images on the retina?

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

Which medication, administered for schizophrenia, may combine with melanin to form a photosensitive product that reacts with sunlight?

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

What may result from exposure to solvent vapors?

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

What is the primary target site for organic solvents that are lipophilic?

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

Which environmental factor may lead to the yellow coloration of the lens?

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

What may cause irreversible loss of retinal function and blurred vision?

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

Which substance may penetrate both the aqueous and lipid layers of the cornea and may be irritating?

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

What may lead to the production of toxic oxygen radicals, subsequently causing tissue damage?

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

What may cause damage to the corneal epithelium and repair likely over a few days?

<p>Organic solvents (B)</p> Signup and view all the answers

What are the three layers of the tear film?

<p>Superficial lipid, underlying aqueous, and thin mucoid layer (B)</p> Signup and view all the answers

Which layer of the cornea acts as the external barrier to the internal ocular structures?

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

What are the layers of the cornea?

<p>Epithelium, stroma, and endothelium (A)</p> Signup and view all the answers

Which part of the eye includes uveal and retinal vessels with distinct properties?

<p>Ocular vascular system (D)</p> Signup and view all the answers

What can influence toxicity by binding certain substances in the eye?

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

What type of enzymes are involved in ocular drug metabolism?

<p>Phase I and II xenobiotic transforming enzymes (A)</p> Signup and view all the answers

What governs the penetration of toxic compounds into the visual areas of the CNS?

<p>Blood-brain barrier (C)</p> Signup and view all the answers

Which methods are used for the evaluation of ocular irritancy and toxicity?

<p>Draize Test and EpiOcular (B)</p> Signup and view all the answers

What does the cornea provide for the eye?

<p>Clean, refractive surface, tensile strength, and protection from external factors (C)</p> Signup and view all the answers

What can cause varying degrees of damage to the cornea, iris, ciliary body, and lens?

<p>Acids and bases (B)</p> Signup and view all the answers

What is the primary Ca$^{2+}$ regulatory organelle in cardiac myocytes?

<p>Sarcoplasmic reticulum (SR) (C)</p> Signup and view all the answers

Which toxin may compromise ATP production by affecting oxidative phosphorylation of ADP in the mitochondria?

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

Which cardiotoxin inhibits Na$^+$, K$^+$-ATPase, leading to an increase in available intracellular Ca$^{2+}$ for contraction?

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

Which substance acts as a local anesthetic, decreases depolarization rate, slows conduction speed, and promotes arrhythmias?

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

What may halogenated alkanes cause due to their highly lipophilic nature and ability to cross the blood-brain barrier?

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

What is the primary role of vascular endothelial cells in the regulation of vascular tone and angiogenesis?

<p>Act as a barrier to toxin movement (C)</p> Signup and view all the answers

What is the primary mechanism of action of tricyclic antidepressants on cardiac myocytes and Purkinje fibers?

<p>Depressing inward Na$^+$ and Ca$^{2+}$ currents (C)</p> Signup and view all the answers

What is the primary effect of antipsychotic agents on cardiovascular function?

<p>Negative inotropic actions (B)</p> Signup and view all the answers

What is the primary effect of general anesthetics on cardiac output and contractility?

<p>Decrease cardiac output and contractility (A)</p> Signup and view all the answers

What is the consequence of halothane (anesthetic) blocking Ca$^{2+}$ channels in the cardiovascular system?

<p>Disrupts Ca$^{2+}$ homeostasis (B)</p> Signup and view all the answers

What may result from exposure to a toxin causing high blood pressure and ventricular hypertrophy?

<p>Cardiac hypertrophy (B)</p> Signup and view all the answers

What is atherosclerosis characterized by?

<p>Focal intimal thickenings following smooth muscle cell migration and uncontrolled proliferation (D)</p> Signup and view all the answers

What may result from exposure to excessive vasoconstrictors?

<p>Hypertension, ventricular hypertrophy, atherosclerosis (A)</p> Signup and view all the answers

What can toxicant exposure result in?

<p>Thrombosis, forming semisolid masses in veins and arteries (A)</p> Signup and view all the answers

What are common mechanisms of vascular toxicity?

<p>Alterations in membrane structure and function, redox stress (B)</p> Signup and view all the answers

What do vasculotoxic agents like nicotine and cocaine cause?

<p>Increase heart rate, blood pressure, and vasoconstriction (D)</p> Signup and view all the answers

How does 1,3-Butadiene increase the incidence of cardiac hemangiosarcomas?

<p>Through bioactivation by cytochrome p450 (C)</p> Signup and view all the answers

What do all toxicants absorbed into the circulatory system contact before reaching other body sites?

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

What may chemically induced disturbances in cardiac function affect?

<p>Heart rate, contractility, conductivity, excitability (D)</p> Signup and view all the answers

What may exposure to toxic chemicals and systemic drugs result in?

<p>Structural and functional alterations in the eye and visual system (A)</p> Signup and view all the answers

What is the first site of action for exposure to the eye and visual system?

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

What is the primary change in vessel wall in atherosclerosis?

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

What is the result of exposure to vasculotoxic agents like nicotine and cocaine?

<p>Increase heart rate, blood pressure, and vasoconstriction (C)</p> Signup and view all the answers

Flashcards

Cardiovascular system

The cardiovascular system is made up of the heart (myocardium) and blood vessels (arteries, capillaries, veins) that deliver nutrients and remove waste products from cells and tissues.

Cardiac myocyte

The fundamental unit of cardiac muscle tissue is the myocyte, a specialized cell connected by tight junctions that allow action potentials to travel quickly.

Cardiac cell types

The heart contains various cell types, including myocytes, fibroblasts, vascular cells, and specialized conducting cells like Purkinje fibers. Myocytes have limited ability to divide, while fibroblasts are involved in repair and scarring.

Ventricular action potential (AP)

The ventricular action potential (AP) is a wave of electrical activity with distinct phases: resting (polarized), initiation (depolarization), plateau (maintained depolarization), and repolarization. Different ion channels open and close during each phase.

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Pacemaker cells

Pacemaker cells generate electrical impulses that regulate heartbeat rhythm. The SA node is the primary pacemaker, followed by the AV node, bundle of His, and Purkinje fibers.

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Electrical conduction

Electrical signals travel from the SA node through the atria, then through the AV node and bundle of His. This allows the atria to contract fully before ventricles begin to depolarize.

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Electrocardiogram (ECG)

An electrocardiogram (ECG) records the electrical activity of the heart. Different intervals on the ECG correspond to specific stages of conduction: AV node delay, ventricular depolarization, and repolarization.

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Autonomic nervous system (ANS)

The autonomous nervous system (ANS) regulates heart activity. Sympathetic nerves (fight or flight) increase heart rate and contractility, while parasympathetic nerves (rest and digest) decrease heart rate.

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Excitation-contraction coupling

Excitation-contraction coupling in cardiac myocytes involves the interplay of calcium (Ca2+) and adenosine triphosphate (ATP). Ca2+ triggers contraction, while ATP powers the process. The SERCA pump actively removes Ca2+ to relax the muscle.

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Cardiac function assessment

Cardiac function is assessed by ECG for electrical activity and cardiac output (CO) measurement. CO is the amount of blood pumped per minute and is dependent on heart rate and stroke volume. Normal CO is 5L/min.

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Cardiac toxicity

Toxicants can negatively impact cardiac function by affecting the heart, blood vessels, or the nervous system. These effects can lead to irregular heart rhythms, known as arrhythmias.

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Cardiac function disturbances

Disturbances in cardiac function can include abnormal heart rhythms, ischemic heart disease, cardiac hypertrophy (enlargement), and heart failure. These can lead to serious consequences like myocardial infarction (heart attack), scar tissue formation, and reduced CO.

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Atherosclerosis

Atherosclerosis is a buildup of plaque in artery walls due to smooth muscle cell migration and uncontrolled proliferation. This causes narrowing of the vessel, hindering blood flow.

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Hypertension

Hypertension (high blood pressure) can result from excessive vasoconstriction (narrowing of blood vessels) due to exposure to vasoconstrictors. Chronic hypertension can lead to heart complications.

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Thrombosis

Toxicant exposure can lead to thrombosis, the formation of blood clots (thrombi) in veins or arteries. Thrombi can detach and travel as emboli, potentially blocking smaller vessels.

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Vascular toxicity

Chemicals absorbed into the circulatory system reach vascular cells before other body sites, making them particularly susceptible to toxic insults.

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Mechanisms of vascular toxicity

Common mechanisms of vascular toxicity include altering membrane structure and function, disrupting redox balance, activating toxic substances, and accumulation of toxins within vascular cells.

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Vasculotoxic agents

Vasculotoxic agents like nicotine, cocaine, and heavy metals can increase heart rate, blood pressure, and cause vasoconstriction, leading to cardiovascular problems.

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1,3-Butadiene

1,3-Butadiene, a chemical used in rubber and auto part production, can cause cardiac hemangiosarcomas (cancer of blood vessels) through bioactivation by cytochrome p450 enzymes.

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Vascular cell exposure

All toxicants absorbed into the circulatory system, regardless of the exposure route, come into contact with vascular cells first.

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Cardiac function disturbances

Chemically induced disturbances in cardiac function can affect heart rate, contractility (force of contraction), conductivity (electrical signals), and excitability (ability to generate electrical impulses).

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Ocular toxicity

Exposure to toxic chemicals, vapors, or therapeutic drugs can cause structural and functional changes in the eye and visual system.

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Eye structures affected

Toxic chemicals and systemic drugs can affect all parts of the eye, such as the cornea, conjunctiva, and eyelids. These effects can range from irritation to permanent damage.

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Tear film

The tear film, a protective layer covering the eye, is the first point of contact for substances that come into contact with the eye.

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Study Notes

Cardiac Physiology and Function

  • The cardiovascular system consists of the myocardium and a network of vascular vessels (arteries, capillaries, veins) that supply cells and tissues with nutrients and remove waste products.
  • The primary contractile unit in cardiac muscle tissue is the cardiac muscle cell (myocyte), which is joined by tight gap junctions facilitating action potential propagation.
  • The heart comprises various cellular phenotypes, including myocytes, cardiac fibroblasts, vascular cells, Purkinje cells, and connective tissue cells, with limited proliferative capacity of myocytes and promotion of cardiac fibroblast proliferation.
  • The ventricular action potential (AP) overview involves different phases, including resting, initiation, plateau, and re-polarization, with specific ion channels opening and closing during each phase.
  • Electrical conduction in the heart involves pacemaker cells such as the sinoatrial (SA) node, atrioventricular (AV) node, bundle of His, and Purkinje fibers, with the SA node commonly setting the pace of the heart.
  • The electrical impulse migration from the SA node through the atrial muscle, AV node, and bundle of His allows atria to fully contract before ventricles depolarize.
  • An electrocardiogram (ECG) records electrical currents of the heart, with different intervals corresponding to conduction through the AV node, ventricular depolarization and repolarization.
  • Cardiac activity is regulated by the autonomic nervous system (ANS), with sympathomimetics stimulating cardiac rate and contractility, and parasympathomimetics decreasing the rate of depolarization.
  • Excitation-contraction coupling in cardiac myocytes involves the availability of ATP and Ca2+ for contraction and relaxation, with the ATPase sarcoplasmic reticulum pump (SERCA) playing a crucial role.
  • Cardiac function is characterized by the recording of electrical currents through an ECG and the measurement of cardiac output (CO) which is dependent on heart rate and stroke volume, typically around 5L/min.
  • Toxicants can affect cardiac function through their effects on the heart, vasculature, and/or the nervous system, potentially leading to disturbances in heart rhythm, such as arrhythmias.
  • Disturbances in cardiac function may include abnormal heart rhythm, ischemic heart disease, cardiac hypertrophy, and heart failure, with potential implications for myocardial infarction, scar tissue formation, and reduced cardiac output.

Disturbances of Vascular Structure and Function

  • Atherosclerosis is a change in the vessel wall involving focal intimal thickenings following smooth muscle cell migration and uncontrolled proliferation, leading to plaque formation and vascular narrowing.
  • Hypertension may result from exposure to excessive vasoconstrictors, causing ventricular hypertrophy, atherosclerosis, capillary destruction, and increased vascular permeability.
  • Toxicant exposure can result in thrombosis, forming semisolid masses in veins and arteries, which may detach as emboli in smaller vessels.
  • Exposure to chemicals through major routes affects vascular cells before other body sites, increasing the risk of toxic insult.
  • Common mechanisms of vascular toxicity include alterations in membrane structure and function, redox stress, vessel-specific bioactivation of protoxicants, and accumulation of active toxins in vascular cells.
  • Vasculotoxic agents like nicotine, cocaine, and heavy metals can increase heart rate, blood pressure, and cause vasoconstriction.
  • 1,3-Butadiene, used in rubber and automobile part production, increases the incidence of cardiac hemangiosarcomas through bioactivation by cytochrome p450.
  • All toxicants absorbed into the circulatory system contact vascular cells before reaching other body sites.
  • Chemically induced disturbances in cardiac function may affect heart rate, contractility, conductivity, and excitability.
  • Exposure to toxic chemicals, vapors, or therapeutic drugs can result in structural and functional alterations in the eye and visual system.
  • Toxic chemicals and systemic drugs may affect all parts of the eye, including the cornea, conjunctiva, and eyelids.
  • Tear film, with both hydrophobic and hydrophilic properties, is the first site of action for exposure to the eye and visual system.

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