Cardiovascular Physiology Exam Practice

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Questions and Answers

What is the volume of blood in the ventricle before it contracts?

  • 110 ml
  • 80 ml
  • 30 ml
  • 50 ml (correct)

Which heart size will have the greatest stroke work output?

  • Heart size of 2 fists
  • Heart size of 3 fists (correct)
  • Normal sized heart
  • Heart size does not affect the stroke work output

When is mitral stenosis heard?

  • Diastole (correct)
  • Systole
  • Both
  • None of the above

What happens to the patient's cardiac cycle if the heart rate increases from 60 to 120 beats per minute?

<p>Both systole and diastole shorten, with diastole being more affected. (A)</p> Signup and view all the answers

Which of the following CAN cause an increase in heart rate?

<p>None of the above (D)</p> Signup and view all the answers

What happens during depolarization of the cardiac muscle cell (Phase 0)?

<p>Calcium-Na channels are open (C)</p> Signup and view all the answers

What is the interpretation if the wave is not reflected or seen in the cardiac cycle?

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

In a healthy adult heart pumping blood 70 times per minute, how much blood flows to the ventricles during the first % of diastole with an end diastolic volume of 110 ml?

<p>About 40 ml (A)</p> Signup and view all the answers

Why can the Purkinje fibers transmit impulses faster than intermodal pathways?

<p>High level of permeability in tight junctions (B)</p> Signup and view all the answers

During which phase of the cardiac cycle is aortic mitral regurgitation heard?

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

Which valve is the second most commonly affected in Rheumatic Heart Disease?

<p>5th L ICS L midclavicular line (C)</p> Signup and view all the answers

Which condition will cause a greater than normal stroke work output in the heart?

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

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Study Notes

Cardiac Volume and Stroke Work

  • The volume of blood in the ventricle before it contracts is called end diastolic volume.
  • A larger heart size will have the greatest stroke work output.

Heart Sounds and Murmurs

  • Mitral stenosis is heard during mid-diastole.
  • Aortic mitral regurgitation is heard during mid-systole.

Cardiac Cycle and Heart Rate

  • If the heart rate increases from 60 to 120 beats per minute, the cardiac cycle is shorter.
  • An increase in heart rate can be caused by various factors, including exercise, anxiety, and certain medications.

Cardiac Muscle Cell and Depolarization

  • During depolarization of the cardiac muscle cell (Phase 0), the rapid influx of sodium ions occurs.

Electrocardiogram and Wave Reflection

  • If the wave is not reflected or seen in the cardiac cycle, it may indicate a conduction block or abnormal cardiac rhythm.

Blood Flow and Diastole

  • In a healthy adult heart pumping blood 70 times per minute, 70% of the end diastolic volume (110 ml) flows to the ventricles during the first 1/3 of diastole.

Purkinje Fibers and Impulse Transmission

  • Purkinje fibers transmit impulses faster than intermodal pathways due to their rapid conduction velocity.

Rheumatic Heart Disease

  • The mitral valve is the most commonly affected in Rheumatic Heart Disease, and the aortic valve is the second most commonly affected.

Stroke Work Output

  • Conditions that cause a greater than normal stroke work output in the heart include high blood pressure, aortic stenosis, and hypertrophic cardiomyopathy.

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