Cardiovascular System Flashcards - Module 2
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Cardiovascular System Flashcards - Module 2

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@StatuesquePrimrose

Questions and Answers

Oxygen-poor blood enters which chamber of the heart?

Right Atrium

The right atrioventricular valve is also called the?

tricuspid valve

The only arteries in the body that carry oxygen-poor blood are the coronary arteries.

False

Left ventricular contraction propels blood through which valve?

<p>aortic valve</p> Signup and view all the answers

How many pulmonary veins are there?

<p>four</p> Signup and view all the answers

The external layer of the heart wall is the?

<p>epicardium</p> Signup and view all the answers

The __________ valve is between the right atrium and right ventricle.

<p>tricuspid</p> Signup and view all the answers

Which carries oxygenated blood from the lungs to the heart?

<p>pulmonary veins</p> Signup and view all the answers

Which of the cardiovascular system's circuits has deoxygenated blood in its arteries?

<p>pulmonary circuit</p> Signup and view all the answers

Which circuit of the cardiovascular system includes the left ventricle and aorta?

<p>systemic circuit</p> Signup and view all the answers

Which heart chambers contain deoxygenated blood?

<p>right atrium and right ventricle</p> Signup and view all the answers

The serous fluid within the pericardial cavity works to?

<p>lubricate membranes of the pericardium</p> Signup and view all the answers

Which valve prevents the backflow of blood into the left ventricle when the ventricles relax?

<p>aortic semilunar valve</p> Signup and view all the answers

The sequence of travel by an action potential through the heart is?

<p>sinoatrial node; atrioventricular node; atrioventricular bundle; bundle branches; Purkinje fibers</p> Signup and view all the answers

In the heart, an action potential originates in the?

<p>sinoatrial node</p> Signup and view all the answers

This is true concerning the heart conduction system?

<p>True</p> Signup and view all the answers

The P wave of the ECG coincides with ventricular filling.

<p>True</p> Signup and view all the answers

During the depolarization phase of cardiac muscle?

<p>voltage-gated sodium channels open</p> Signup and view all the answers

In cardiac muscle, after the plateau phase and at the beginning of repolarization?

<p>voltage-gated potassium channels open</p> Signup and view all the answers

The sinoatrial (SA) node is referred to as the _____________ of the heart.

<p>pacemaker</p> Signup and view all the answers

Cell-to-cell junctions, called intercalated discs, contain distinct structural features called gap junctions and?

<p>desmosomes</p> Signup and view all the answers

What is the correct order of spread of the action potential through the heart's conduction system?

<p>SA node; AV node; AV bundle; Purkinje fibers/cell gap junctions</p> Signup and view all the answers

Which of the following is not true for ventricular systole?

<p>True</p> Signup and view all the answers

The ventricles begin to fill during ventricular diastole.

<p>True</p> Signup and view all the answers

The semilunar valves close during?

<p>ventricular diastole</p> Signup and view all the answers

The atrioventricular valves open during?

<p>ventricular diastole</p> Signup and view all the answers

Atrial contraction accounts for most of the ventricular filling.

<p>False</p> Signup and view all the answers

During which event of the cardiac cycle does aortic pressure reach its maximum?

<p>ventricular ejection</p> Signup and view all the answers

The audible heart sounds are caused by the contraction of the atria and ventricles.

<p>False</p> Signup and view all the answers

Given that cardiac output equals ____________, there are only two ways to change it: change the heart rate or change the stroke volume.

<p>HR x SV</p> Signup and view all the answers

What variables determine the effects on cardiac output?

<p>changes to both HR and SV</p> Signup and view all the answers

Cardiac output is normally expressed as?

<p>Liters per minute</p> Signup and view all the answers

Indicate whether the given factor would increase or decrease heart rate.

<p>Factors include increased proprioception, cutting of the vagus nerve, epinephrine, blood acidosis, hypercapnia, nicotine, thyroid hormone, exercise, and psychological stress increase heart rate; vagal tone, hyperkalemia, hypercalcemia, acetylcholine, parasympathetic stimulation, SA node damage, bundle branch block, and calcium channel blockers decrease heart rate.</p> Signup and view all the answers

Indicate whether each item would increase or decrease contractility.

<p>Adrenaline, hypercalcemia, norepinephrine, cardiocyte hypertrophy, acute exercise, and sympathetic stimulation increase contractility; acetylcholine, hyperkalemia, and hypoxia decrease contractility.</p> Signup and view all the answers

Indicate whether each item would increase or decrease stroke volume.

<p>Increasing EDV, preload, contractility, activity of muscular and respiratory pumps, sympathetic stimulation, stress, increased renal retention of water and sodium, and acute exercise increase stroke volume; increasing afterload, increased HR, decreased venous return, significant hemorrhage, dehydration, and increased mitral valve regurgitation decrease stroke volume.</p> Signup and view all the answers

Just prior to atrial contraction?

<p>all four chambers are at rest and AV valves are open</p> Signup and view all the answers

Cardiac output is the amount of blood that is pumped?

<p>by a single ventricle in one minute</p> Signup and view all the answers

Norepinephrine is considered a positive chronotropic agent because it causes?

<p>an increase in the firing rate of SA node cells</p> Signup and view all the answers

According to the Frank-Starling law?

<p>as the volume of blood entering the heart increases, ventricular contractions become more forceful</p> Signup and view all the answers

A drug that decreased calcium levels in a muscle cell and thereby lowered the number of crossbridges formed during the heart's contractions would be a?

<p>negative inotropic agent</p> Signup and view all the answers

Which of the following would cause a decrease in cardiac output?

<p>an increase in afterload</p> Signup and view all the answers

Parasympathetic innervation of the heart occurs via?

<p>CN X - Vagus</p> Signup and view all the answers

Sympathetic innervation of the heart?

<p>increases the force of contractions</p> Signup and view all the answers

The P wave of a normal electrocardiogram indicates ________.

<p>atrial depolarization</p> Signup and view all the answers

Nodal rhythm is set by the ___________ and is slower.

<p>AV node</p> Signup and view all the answers

What valve prevents backflow of blood into the left ventricle?

<p>aortic semilunar</p> Signup and view all the answers

Blood within the pulmonary veins returns to the ________.

<p>left atrium</p> Signup and view all the answers

The blood in the aorta is ____________.

<p>oxygenated</p> Signup and view all the answers

Which valve separates the right atrium from the right ventricle?

<p>tricuspid valve</p> Signup and view all the answers

The _______________ carries parasympathetic innervation to the heart.

<p>vagus nerve</p> Signup and view all the answers

Which of the following will decrease heart rate?

<p>acetylcholine</p> Signup and view all the answers

Blood within the inferior vena cavae returns to the ________.

<p>right atrium</p> Signup and view all the answers

The plateau in the action potential of cardiac muscle results from the action of ________.

<p>Ca2+ channels and an increase in contraction time</p> Signup and view all the answers

Which is true regarding cardiac myocardium?

<p>True</p> Signup and view all the answers

During ventricular diastole ___________.

<p>blood enters the ventricles</p> Signup and view all the answers

A negative chronotropic drug will result in ____________.

<p>decrease in HR</p> Signup and view all the answers

Normal heart sounds are caused by which of the following events?

<p>closure of the heart valves</p> Signup and view all the answers

Which of the following will increase heart muscle contractility?

<p>epinephrine</p> Signup and view all the answers

During ventricular diastole, pressure drops and the ___________ valves close due to the backflow of blood from the arteries.

<p>semilunar</p> Signup and view all the answers

________________ is persistent high heart rate in a resting adult and may result from stress, drugs, heart disease or an increase in body temperature.

<p>tachycardia</p> Signup and view all the answers

Which of the following would have a positive inotropic effect and result in an increase in stroke volume?

<p>epinephrine</p> Signup and view all the answers

Which of the following will increase cardiac output?

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

The bicuspid valve separates ________.

<p>left atrium from left ventricle</p> Signup and view all the answers

Study Notes

Heart Anatomy and Blood Flow

  • Oxygen-poor blood enters the right atrium of the heart.
  • The right atrioventricular valve is known as the tricuspid valve.
  • Pulmonary arteries carry oxygen-poor blood, not coronary arteries.
  • Four pulmonary veins transport oxygenated blood from the lungs to the heart.
  • The left ventricular contraction propels blood through the aortic valve.

Cardiac Structures and Valves

  • The epicardium is the external layer of the heart wall.
  • The tricuspid valve separates the right atrium and right ventricle.
  • The aortic semilunar valve prevents backflow of blood into the left ventricle during relaxation.

Action Potentials and Conduction System

  • An action potential travels in sequence: sinoatrial node (SA node) → atrioventricular node (AV node) → AV bundle → bundle branches → Purkinje fibers.
  • The SA node is the heart's pacemaker.
  • Action potentials pass slowly through the AV node due to the delay it creates.
  • The P wave on an ECG corresponds to atrial depolarization and ventricular filling.

Cardiac Cycle and Phases

  • Ventricular diastole is when the ventricles fill with blood.
  • During ventricular systole, the ventricles contract and aortic pressure reaches its maximum during ventricular ejection.
  • Heart sounds occur by the closure of valves, not by muscle contractions.

Cardiac Output and Regulation

  • Cardiac output is determined by heart rate (HR) multiplied by stroke volume (SV).
  • Factors influencing heart rate include exercise, hormonal stimulation (such as epinephrine), and nerve activity.
  • Increased preload, contractility, and muscular activity can increase stroke volume.
  • Decreased stroke volume can result from increases in afterload or significant blood loss.

Innervation and Hormonal Effects

  • The vagus nerve (CN X) provides parasympathetic innervation, decreasing heart rate.
  • Sympathetic stimulation increases both heart rate and contraction strength.
  • Conditions affecting ion levels, like hyperkalemia, can decrease contractility.

Cardiac Muscle Properties

  • Myocardium relies on aerobic metabolism making it susceptible to ischemic damage.
  • The plateau phase in cardiac action potentials results from calcium channel activity, extending contraction duration.

Heart Rate and Rhythm

  • Tachycardia is characterized by a persistently high heart rate in resting adults, possibly due to stress or drugs.
  • Normal heart rhythms may shift due to variations in SA node activity or autonomic influences.

Summary of Valves and Circulation

  • Aortic semilunar valves prevent backflow to the left ventricle; tricuspid valve separates right atrium from right ventricle; bicuspid valve separates left atrium from left ventricle.
  • Blood flows from the inferior vena cava into the right atrium, completing the circuit of systemic circulation.

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Test your knowledge of the cardiovascular system with these flashcards focusing on essential heart functions and structures. Each card presents a question or statement related to the heart, including chambers, valves, and blood flow. Perfect for students wanting to reinforce their understanding of heart anatomy.

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