Cardiovascular Physiology Quiz
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Questions and Answers

What is the normal range for Mean Arterial Pressure (MAP)?

  • 80-120
  • 70-105 (correct)
  • 60-80
  • 50-70

What happens when MAP is less than 60?

  • Increased cardiac output
  • Normal organ function
  • Increased stroke volume
  • Inadequate organ perfusion (correct)

If a patient has a blood pressure of 70/50 mmHg, what is their MAP?

  • 60
  • 70
  • 56 (correct)
  • 75

What does Cardiac Index (CI) measure in relation to the patient's size?

<p>Adequacy of cardiac output (C)</p> Signup and view all the answers

Compute the Cardiac Index (CI) for a patient with a QT of 6 L/min and a BSA of 3 m².

<p>2 L/min/m² (D)</p> Signup and view all the answers

What is the formula for calculating cardiac output (QT)?

<p>QT = SV × HR (D)</p> Signup and view all the answers

A patient with a stroke volume of 60 ml and a heart rate of 50 bpm has what cardiac output?

<p>2 L/min (A)</p> Signup and view all the answers

What is the normal range for cardiac output at rest?

<p>4-8 L/min (A)</p> Signup and view all the answers

If a patient's cardiac index (CI) is found to be 2.8 L/min/m², what does this imply?

<p>CI is within normal range (A)</p> Signup and view all the answers

What is the primary neurotransmitter released by the sympathetic nervous system?

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

Which physiological effect occurs due to activation of the parasympathetic nervous system?

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

What factor is known to increase heart rate?

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

What is the normal range for systolic blood pressure?

<p>90-120 mmHg (C)</p> Signup and view all the answers

How is ejection fraction calculated?

<p>EDV - ESV (C)</p> Signup and view all the answers

What does preload refer to?

<p>Ventricular stretch before contraction (C)</p> Signup and view all the answers

What is the normal range for pulse pressure?

<p>30-40 mmHg (B)</p> Signup and view all the answers

Which of the following can negatively affect contractility?

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

What is the role of the venous system in circulation?

<p>Serve as a reservoir for vital organs (A)</p> Signup and view all the answers

Which of the following factors is associated with increased preload?

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

Flashcards

Mean Arterial Pressure (MAP)

The average pressure in the arteries during a single cardiac cycle. It reflects the overall perfusion of the body's organs.

Normal MAP Range

The typical range of MAP considered healthy is 70-105 mmHg.

Inadequate Organ Perfusion

When the MAP drops below 60 mmHg, it indicates insufficient blood flow to the body's organs.

MAP Calculation

MAP is calculated using the formula: (2 * Diastolic Blood Pressure + Systolic Blood Pressure) / 3

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Cardiac Index (CI)

A measure of how effectively the heart pumps blood relative to the size of the patient's body.

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Cardiac Output (QT)

The volume of blood ejected from the left ventricle of the heart per minute.

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Normal CI Range

The normal range for cardiac index is 2.5-4.0 L/min/m2.

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QT Calculation

QT is calculated by multiplying Stroke Volume (SV) and Heart Rate (HR): QT = SV * HR

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Normal QT Range

The typical range for cardiac output at rest is 4-8 L/min.

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Inadequate QT

When the QT falls below the normal range it can signify a weakened heart function or inability to meet the body's demands.

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Sympathetic Nervous System

The part of the autonomic nervous system responsible for 'fight or flight' responses. It increases heart rate, dilates pupils, and converts glycogen to glucose.

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Parasympathetic Nervous System

The part of the autonomic nervous system responsible for 'rest and digest' functions. It decreases heart rate, constricts pupils, and promotes digestion.

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What happens to heart rate with Sympathetic activation?

Sympathetic activation increases heart rate. This is because it releases norepinephrine, which stimulates the heart muscle to contract more forcefully.

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What happens to heart rate with Parasympathetic activation?

Parasympathetic activation decreases heart rate by releasing acetylcholine, which slows down the heart's electrical impulses.

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Systole

The phase when the heart contracts, pushing blood out of the ventricles. This is the 'top number' in blood pressure.

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Diastole

The phase when the heart relaxes, allowing the ventricles to fill with blood. This is the 'bottom number' in blood pressure.

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Venous System

The network of veins that carries deoxygenated blood back to the heart.

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Venous Return

The amount of blood flowing back to the heart each minute.

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Ejection Fraction

The percentage of blood ejected from the left ventricle with each heartbeat. A normal ejection fraction is 65-70%.

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Preload

The amount of stretch in the ventricular muscle before contraction. It's influenced by venous return and blood volume.

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Study Notes

Mean Arterial Pressure (MAP)

  • MAP is calculated as (2 x Diastolic Blood Pressure + Systolic Blood Pressure) / 3
  • Normal range is 70-105 mmHg
  • Less than 60 mmHg indicates inadequate organ perfusion.

Cardiac Index (CI)

  • CI is a measure of cardiac output relative to the size of the patient.
  • CI = Cardiac Output (QT) / Body Surface Area (BSA)
  • Normal range is 2.5-4.0 L/min/m².
  • A CI below 2.5 L/min/m² suggests inadequate cardiac output.

Cardiac Output (QT)

  • QT is the amount of blood pumped out of the left ventricle per minute.
  • QT = Stroke Volume (SV) x Heart Rate (HR)
  • Normal QT range is 4-8 L/min at rest.

Systolic vs. Diastolic

  • Systole is the top number of blood pressure (e.g., 120 mmHg).
  • Diastole is the bottom number of blood pressure (e.g., 80 mmHg).
  • Normal systolic range is 90-120 mmHg.
  • Normal diastolic range is 60-90 mmHg.

Venous System

  • The venous system acts as a reservoir for blood, holding approximately 60% of the total blood volume.
  • Venous return (VR) should equal cardiac output (QT).

Ejection Fraction (EF)

  • EF is the percentage of blood ejected from the left ventricle with each contraction.
  • Normal EF is 65-70%.
  • EF below 50% indicates a reduced ability of the heart to pump blood.

Preload, Afterload, Contractility

  • Preload is the ventricular stretch before contraction.
  • Afterload is the resistance to ventricular emptying.
  • Contractility is the strength of ventricular contraction.

Positive vs. Negative Inotropism

  • Positive inotropism increases the force of myocardial contraction.
  • Negative inotropism decreases the force of myocardial contraction.

Pulse Pressure

  • Pulse pressure is the difference between systolic and diastolic blood pressure.
  • Normal range is 30-40 mmHg.
  • A low pulse pressure can indicate low stroke volume.

Central Venous Pressure (CVP)

  • CVP is the pressure in the right atrium.
  • Normal range is 2-6 mmHg.

Positive Pressure Ventilation (PPV)

  • PPV Augments Preload and QT
  • Hazards of PEEP include decreased venous return, decreased blood pressure, and increased intracranial pressure.

Pulmonary Artery Wedge Pressure (PAWP)

  • PAWP measures pressure in the left atrium.
  • Normal range is 5-10 mmHg.

Cardiac Work

  • Cardiac work is a measurement of the energy spent ejecting blood from the ventricles against pressures in the aorta and pulmonary arteries.
  • A measure of oxygen needed by the heart.

Layers of the heart

  • Epicardium (outer layer)
  • Myocardium (middle layer)
  • Endocardium (inner layer)

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Description

Test your understanding of key concepts in cardiovascular physiology, including Mean Arterial Pressure (MAP), Cardiac Index (CI), and Cardiac Output (QT). This quiz will help evaluate your knowledge of normal ranges, calculations, and the roles of different components of the circulatory system.

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