Cardiovascular Physiology Chapter 18 Quiz

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80 Questions

During the cardiac cycle, which phase involves ventricular relaxation?

Diastole

What percentage of extracellular calcium enters the cell through slow calcium channels?

10-20%

What is the function of the sarcoplasmic reticulum in muscle cells?

Store calcium

Which part of the heart's intrinsic conduction system is responsible for initiating the heartbeat?

SA node

What event marks the beginning of ventricular contraction in the cardiac cycle?

Conduction through AV node and AV bundle

Which part of the heart's extrinsic innervation system is associated with speeding up heart rate?

Cardioaccelerator center

What is the function of the myocardium?

Contractile function

Which structure in the heart is responsible for the spontaneous depolarization?

Pacemaker cells

Where is the fibrous pericardium located?

Around the heart muscle

What is the main function of the serous pericardium?

Reduction of friction during heartbeats

Which artery supplies blood to the anterior part of the heart?

Anterior interventricular artery

What characterizes cardiac myocytes?

Presence of intercalated discs

Which factor affects stroke volume by influencing the length of muscle fibers?

Preload

What effect does increased contractility have on stroke volume?

Increases it

Which neurotransmitter, through parasympathetic control, increases K+ channels permeability and decreases Ca2+ permeability?

Acetylcholine

Which receptors are activated by catecholamines (NE & Epi) to increase Na+ and Ca2+ permeability?

β1-adrenergic receptors

Which structures form after the endocardial tubes during embryology of the heart?

Sinus venosus, atrium, ventricle, bulbus cordis

Which condition results from congestive heart failure?

Dilated cardiomyopathy

What adaptation in the fetal heart allows blood to bypass the non-functional lungs?

Ductus Arteriosus

Which heart rate condition involves an abnormally fast heart rate?

Tachycardia

During the cardiac cycle, ventricular contraction follows ventricular repolarization.

False

About 10-20% of extracellular calcium enters the cell through fast sodium channels.

False

The SA node is responsible for initiating the heartbeat in the heart's intrinsic conduction system.

True

The Cardioaccelerator center is associated with slowing down heart rate.

False

The U wave is a common wave observed in a normal EKG.

False

Ventricular ejection occurs during the systole phase of the cardiac cycle.

True

The fibrous pericardium is located within the mediastinum.

False

The myocardium is the innermost layer of the heart.

False

Angina pectoris is a condition caused by a complete blockage of a coronary artery.

False

The great cardiac vein drains into the coronary sinus.

False

Cardiac myocytes are characterized by their smooth appearance without striations.

False

Coronary circulation is responsible for delivering deoxygenated blood to the heart muscle.

False

The Frank-Starling Law of the heart states that as the preload increases, the stroke volume decreases.

False

Decreased contractility can lead to an increase in stroke volume.

False

Parasympathetic control of heart rate involves an increase in K+ channels permeability and a decrease in Ca2+ permeability.

True

Sympathetic control of heart rate involves activation of β1-adrenergic receptors, leading to decreased permeability to Na+ and Ca2+.

False

The foramen ovale is a fetal adaptation that allows blood to bypass the liver.

False

Congestive Heart Failure is characterized by the heart's inability to pump enough blood to meet the body's needs.

True

Coronary atherosclerosis is a condition characterized by low blood pressure.

False

Dilated cardiomyopathy is a disorder where the heart's main pumping chamber becomes stiff and unable to fill properly.

False

What triggers the release of calcium from the sarcoplasmic reticulum in muscle cells?

Extracellular calcium

Which part of the cardiac cycle follows ventricular repolarization?

Ventricular Contraction

What is the function of the Cardioaccelerator center in the extrinsic innervation of the heart?

Speeding up heart rate

What characterizes autorhythmic cells in the heart's intrinsic conduction system?

Unstable resting potential

Which part of the heart's intrinsic conduction system is responsible for initiating the heartbeat?

SA node

What is the role of the sarcoplasmic reticulum in muscle cells?

Stores calcium

Describe the characteristics of cardiac myocytes.

  1. Branched, 2. Striated, 3. Intercalated discs

What is the function of the serous pericardium?

The function of the serous pericardium is to reduce friction between the heart and surrounding structures.

Explain the physiological role of pacemaker cells in the heart.

Pacemaker cells in the heart spontaneously depolarize, establishing the heart's rhythm without neural input.

What are the two layers of the serous pericardium?

The two layers of the serous pericardium are the parietal layer and the visceral layer.

Describe the blood flow in the coronary circulation system.

The coronary circulation system includes the left and right coronary arteries, cardiac veins, and the coronary sinus.

What is the function of the fibrous pericardium?

The fibrous pericardium provides structural support and protection to the heart.

Explain the role of the Frank-Starling Law of the heart in regulating stroke volume.

The Frank-Starling Law states that as the preload (end-diastolic volume) increases, the stroke volume increases as well.

What are the two major components of the cardiac output formula and how do they interrelate?

Cardiac Output (CO) is the product of Heart Rate (HR) and Stroke Volume (SV). They work together to determine the volume of blood pumped by the heart per minute.

How does increased contractility affect stroke volume?

Increased contractility leads to an increase in stroke volume.

Describe the adaptations in the fetal heart that allow blood to bypass the non-functional lungs.

The adaptations include the Foramen Ovale and the Ductus Arteriosus.

What is the primary neurotransmitter involved in parasympathetic control of heart rate and how does it affect ion permeability?

Acetylcholine is the primary neurotransmitter. It increases K+ channels permeability and decreases Ca2+ permeability.

Explain the role of the Cardioaccelerator center in regulating heart rate.

The Cardioaccelerator center is associated with increasing heart rate rather than slowing it down.

What is the main characteristic of Dilated Cardiomyopathy?

Dilated Cardiomyopathy is characterized by the heart's main pumping chamber becoming stiff and unable to fill properly.

How does coronary atherosclerosis impact heart function?

Coronary atherosclerosis can lead to multiple myocardial infarctions and reduce cardiac output.

Sarcoplasmic reticulum stores ______

calcium

Extracellular calcium triggers the release of calcium from the ______

SR

About 1% of the cardiac fibers are ______

autorhythmic

Isovolumetric ventricular relaxation occurs during the __________ of the Cardiac Cycle

diastole

During the cardiac cycle, ventricular contraction follows ventricular ______

repolarization

The difference between End Diastolic Volume and End Systolic Volume is the _________ Volume

stroke

Factors affecting Stroke Volume include the length of muscle fibers and __________

preload

The SA node is responsible for initiating the heartbeat in the heart's intrinsic ______ system

conduction

The Cardioaccelerator center is associated with ______ up heart rate

speeding

Increased contractility leads to __________ stroke volume

increased

Parasympathetic Control of heart rate involves the release of __________

acetylcholine

Sympathetic Control of heart rate involves activation of β1- adrenergic receptors and the release of __________

catecholamines

The 4 chambers of the heart (Sinus venosus, Atrium, Ventricle, Bulbis cordis) form during __________ of heart development

embryology

Congestive Heart Failure can be caused by multiple myocardial infarctions and __________ cardiomyopathy

dilated

The left coronary artery branches into the anterior interventricular artery and the ______________ artery

circumflex

Coronary veins drain into the _____________

coronary sinus

Cardiac myocytes are characterized by being ____________ and striated

branched

Pacemaker cells in the heart are known for their ____________ depolarization

spontaneous

Dilated cardiomyopathy is a disorder where the heart's main pumping chamber becomes stiff and unable to ____________ properly

fill

Angina pectoris is a condition characterized by chest pain due to reduced blood flow to the ____________

heart

Test your knowledge on the general information, pump systems, location, structure, chambers, valves, chordae tendineae, and papillary muscles of the heart. This quiz covers topics related to the cardiovascular system discussed in Chapter 18 of cardiovascular physiology.

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