Cardiovascular System Quiz

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Questions and Answers

Which artery is responsible for supplying blood to the left side of the head and neck?

  • Left common carotid artery (correct)
  • Brachiocephalic trunk
  • Left subclavian artery
  • Right pulmonary artery

Which structure connects the pulmonary trunk to the aortic arch?

  • Aorta
  • Ligamentum arteriosum (correct)
  • Right pulmonary vein
  • Left pulmonary artery

Which chamber of the heart receives deoxygenated blood from the body?

  • Right ventricle
  • Right atrium (correct)
  • Left atrium
  • Left ventricle

Which artery runs in the anterior interventricular sulcus?

<p>Anterior interventricular artery (A)</p> Signup and view all the answers

What is the function of the great cardiac vein?

<p>Return blood from the anterior part of the heart to the right atrium (A)</p> Signup and view all the answers

What happens when the cuff pressure exceeds the systolic blood pressure?

<p>Blood flow into the arm is stopped. (B)</p> Signup and view all the answers

At which point can no sounds be heard during the blood pressure measurement?

<p>When blood pressure in the cuff is above 120 mm Hg. (A)</p> Signup and view all the answers

What is the significance of the cuff being wrapped snugly around the arm?

<p>It prevents the cuff from slipping off during measurement. (A)</p> Signup and view all the answers

How is the brachial artery affected when the cuff pressure is inflated?

<p>The brachial artery closes off completely. (D)</p> Signup and view all the answers

What is the primary purpose of inflating a blood pressure cuff?

<p>To measure the blood pressure accurately. (D)</p> Signup and view all the answers

What is the primary function of the right and left coronary arteries?

<p>Serving the heart with blood flow (D)</p> Signup and view all the answers

Which artery is NOT a branch of the brachiocephalic trunk?

<p>Left common carotid artery (A)</p> Signup and view all the answers

Which arteries supply the diaphragm?

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

What does the superior mesenteric artery primarily supply?

<p>Most of the small intestine and first half of the large intestine (A)</p> Signup and view all the answers

Which of the following arteries branches from the left subclavian artery?

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

Which artery supplies the spleen?

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

Which of the following arteries does NOT supply any part of the thorax?

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

What are the branches of the celiac trunk?

<p>Left gastric, splenic, and common hepatic arteries (A)</p> Signup and view all the answers

What is the primary function of the fibrous pericardium?

<p>It keeps the heart contained within the chest cavity (C)</p> Signup and view all the answers

Which layer of the heart is primarily responsible for contraction?

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

What role does the visceral pericardium play in relation to the heart?

<p>It directly contacts the heart and is also known as the epicardium (D)</p> Signup and view all the answers

How does the pericardial cavity contribute to heart function?

<p>It reduces friction between the heart and surrounding tissues (C)</p> Signup and view all the answers

Which statement correctly describes the atria of the heart?

<p>They are the primary chambers that receive blood at low pressure (D)</p> Signup and view all the answers

Which of the following is true about the endocardium?

<p>It lines the heart chambers and covers the heart valves (B)</p> Signup and view all the answers

What happens when blood volume increases in relation to the pericardium?

<p>The fibrous pericardium prevents over-expansion of the heart (D)</p> Signup and view all the answers

Which feature distinguishes ventricles from atria?

<p>Ventricles are thicker-walled chambers that pump blood (A)</p> Signup and view all the answers

What is considered a normal systolic blood pressure range for a human?

<p>110 to 140 mm Hg (B)</p> Signup and view all the answers

What defines hypotension in terms of systolic blood pressure?

<p>Below 100 mm Hg (B)</p> Signup and view all the answers

Which of the following factors is NOT associated with increasing blood pressure?

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

What is the threshold for hypertension based on arterial pressure?

<p>140/90 mm Hg (D)</p> Signup and view all the answers

Which physiological response is primarily a result of increased stroke volume?

<p>Increased arterial blood pressure (A)</p> Signup and view all the answers

Which of the following dietary elements is commonly believed to prevent hypertension?

<p>Low salt intake (A)</p> Signup and view all the answers

What cardiovascular change is associated with the activation of the sympathetic nervous system?

<p>Increased stroke volume (B)</p> Signup and view all the answers

Which of the following conditions could indicate acute hypotension?

<p>Dramatic drop in blood pressure (D)</p> Signup and view all the answers

What is the purpose of the ductus venosus in fetal circulation?

<p>To bypass the liver and direct blood into the inferior vena cava (D)</p> Signup and view all the answers

What happens to the foramen ovale after birth?

<p>It becomes known as the fossa ovalis (B)</p> Signup and view all the answers

Which structure connects the aorta to the pulmonary trunk in fetal circulation?

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

What is the fate of the ductus arteriosus postnatally?

<p>It becomes the ligamentum arteriosum (A)</p> Signup and view all the answers

Which of the following structures allows blood to bypass the lungs in fetal circulation?

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

Which vessel carries deoxygenated blood from the body to the right atrium?

<p>Superior vena cava (D)</p> Signup and view all the answers

Before birth, which pathway is used to transport oxygenated blood from the placenta to the fetal body?

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

Which structure is considered the remnant of the foramen ovale after it closes?

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

What is the primary role of the right side of the heart in the cardiovascular system?

<p>Pumping deoxygenated blood to the lungs (B)</p> Signup and view all the answers

Which structure effectively separates the two sides of the heart?

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

Which valve prevents backflow from the left ventricle into the left atrium?

<p>Left atrioventricular valve (B)</p> Signup and view all the answers

Which artery is primarily responsible for carrying oxygenated blood from the heart to the rest of the body?

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

What distinguishes the pulmonary circuit from the systemic circuit?

<p>Direction of blood flow relative to the heart (D)</p> Signup and view all the answers

What happens to blood flow when precapillary sphincters are closed?

<p>Blood flows through the vascular shunt. (B)</p> Signup and view all the answers

Which region of the aorta is responsible for supplying blood to the upper body?

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

Which statement accurately describes the abdominal aorta?

<p>It supplies blood to the abdominal organs. (D)</p> Signup and view all the answers

Which function do terminal arterioles perform in capillary circulation?

<p>Control blood flow into true capillaries. (C)</p> Signup and view all the answers

What is the primary characteristic of the aorta as it leaves the heart?

<p>It is significantly larger than other arteries. (C)</p> Signup and view all the answers

Which condition is primarily associated with the weakening of venous valves in the cardiovascular system?

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

What is a significant age-related change that affects arterial elasticity?

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

Which valve in the heart would be most likely to experience issues related to aging?

<p>Left atrioventricular valve (A)</p> Signup and view all the answers

Which term refers to the accumulation of fatty, calcified deposits in the vessels, often leading to heart disease?

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

Which cardiovascular issue is a result of the loss of elasticity of blood vessels with age?

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

What average pulse rate is considered normal for a healthy adult at rest?

<p>70 to 76 beats per minute (A)</p> Signup and view all the answers

Which of the following best defines blood pressure?

<p>The pressure exerted by blood against the vessel walls (D)</p> Signup and view all the answers

The hepatic portal vein is formed by the convergence of which veins?

<p>Splenic vein and superior mesenteric vein (C)</p> Signup and view all the answers

Where is the arterial pulse most easily monitored?

<p>At peripheral arteries located superficially (A)</p> Signup and view all the answers

Which structure is NOT involved in the hepatic portal system?

<p>Inferior vena cava (D)</p> Signup and view all the answers

Which vital sign is commonly measured through the radial artery?

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

Which of the following statements is true regarding the function of blood pressure?

<p>It provides the force needed for blood to flow through the circulatory system. (A)</p> Signup and view all the answers

What anatomical location is NOT typically associated with palpating the pulse?

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

What phase of the cardiac cycle occurs after ventricular systole?

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

What causes the 'Lub' sound during the cardiac cycle?

<p>Closure of the AV valves (C)</p> Signup and view all the answers

What is the stroke volume in milliliters typically ejected by the left ventricle during one contraction?

<p>70 ml (A)</p> Signup and view all the answers

During which cardiac cycle phase do the semilunar valves open?

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

Which equation accurately represents cardiac output?

<p>CO = HR x SV (C)</p> Signup and view all the answers

What is indicated by heart murmurs during the heartbeat cycle?

<p>Turbulent blood flow (B)</p> Signup and view all the answers

What happens to the ventricles immediately after the closure of the semilunar valves?

<p>They enter isovolumetric relaxation (D)</p> Signup and view all the answers

What is the typical heart rate expressed in beats per minute?

<p>75 beats/min (B)</p> Signup and view all the answers

What is the term for a condition where the heart is unable to pump blood due to rapid, uncoordinated quivering of the ventricles?

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

Which phase of the cardiac cycle occurs when the atria contract to complete the ventricular filling?

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

During which event of the cardiac cycle do the ventricles experience a rise in intraventricular pressure and the AV valves close?

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

What condition is characterized by a heart rate of over 100 beats per minute?

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

Which phase of the cardiac cycle is represented by the heart being relaxed, allowing passive blood flow into the atria?

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

What physiological condition results from damage to the AV node, causing ventricles to beat at an independent slower rate?

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

What is the average duration of a complete cardiac cycle under normal conditions?

<p>0.8 seconds (A)</p> Signup and view all the answers

What heart rate is classified as bradycardia?

<p>Less than 60 beats per minute (B)</p> Signup and view all the answers

Which artery primarily supplies blood to the lower limb from the abdominal aorta?

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

Which artery branches off the aortic arch and is vital for supplying the arms and head?

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

Which artery is responsible for supplying blood directly to the kidneys?

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

Which artery serves as the primary source for blood supply to the forearm?

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

Which artery is not part of the renal circulation?

<p>Superior mesenteric artery (A)</p> Signup and view all the answers

Which of the following arteries supplies blood to the anterior aspect of the leg?

<p>Dorsalis pedis artery (A)</p> Signup and view all the answers

Which artery primarily provides blood to the pelvic region?

<p>Internal iliac artery (B)</p> Signup and view all the answers

What is the main function of the celiac trunk?

<p>Supply blood to the abdomen (D)</p> Signup and view all the answers

Which artery does NOT branch from the celiac trunk?

<p>Superior mesenteric artery (D)</p> Signup and view all the answers

What is the primary vessel that transitions from the subclavian artery in the axilla?

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

Which branch of the thoracic aorta is responsible for supplying the esophagus?

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

Which artery supplies blood to both the stomach and liver from the celiac trunk?

<p>Common hepatic artery (A)</p> Signup and view all the answers

What condition results from damage to the AV node leading to a slower ventricular rate?

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

What are the branches of the left common carotid artery?

<p>Internal and external carotid arteries (A)</p> Signup and view all the answers

During which event of the cardiac cycle does blood flow passively into the ventricles while the heart is relaxed?

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

What is the average length of one complete cardiac cycle in healthy adults?

<p>0.8 seconds (B)</p> Signup and view all the answers

What effect does the activation of the sympathetic nervous system have on cardiac output?

<p>It increases both heart rate and stroke volume. (A)</p> Signup and view all the answers

Which arteries primarily supply the intercostal muscles of the thorax?

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

What term describes the rapid, uncoordinated quivering of the ventricles that can lead to death from heart attacks?

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

From where does the superior mesenteric artery primarily derive its blood supply?

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

Which statement correctly describes the physiological response to crisis stressors?

<p>They primarily stimulate the sympathetic nervous system. (B)</p> Signup and view all the answers

Which major artery supplies the diaphragm?

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

Which phase of the cardiac cycle is characterized by the closure of AV valves and a state where the ventricles are completely closed chambers?

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

Which of the following is NOT a role of blood vessels in the circulatory system?

<p>Increase blood viscosity in veins. (D)</p> Signup and view all the answers

How do low blood pressure and exercise interact in the vascular response?

<p>Exercise can temporarily raise blood pressure despite low baseline levels. (B)</p> Signup and view all the answers

Which hormones are primarily involved in regulating blood volume during crisis situations?

<p>Epinephrine and thyroxine. (A)</p> Signup and view all the answers

Which type of heart condition refers specifically to a lack of adequate blood supply to the heart muscles?

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

What is the defining event that marks the end of atrial systole and the beginning of ventricular contraction?

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

What happens to venous return during high physical stress?

<p>It increases, enhancing cardiac output. (C)</p> Signup and view all the answers

What is the primary function of capillary beds in the vascular system?

<p>To facilitate the exchange of nutrients and gases. (D)</p> Signup and view all the answers

Which of the following accurately describes the role of the parasympathetic nervous system during times of crisis?

<p>It stimulates relaxation and decreases cardiac output. (C)</p> Signup and view all the answers

What is the primary artery that forms from the merging of the vertebral arteries within the skull?

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

Which arteries supply blood to most of the cerebrum?

<p>Anterior and middle cerebral arteries (C)</p> Signup and view all the answers

What is formed by the division of the basilar artery?

<p>Posterior cerebral arteries (D)</p> Signup and view all the answers

Which structure is responsible for connecting the anterior and posterior blood supplies in the brain?

<p>Cerebral arterial circle (B)</p> Signup and view all the answers

Which components are primarily involved in supplying the brain stem and cerebellum?

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

Which arteries provide the posterior blood supply to the cerebrum?

<p>Posterior cerebral arteries (C)</p> Signup and view all the answers

What is the name of the complete circle of connecting blood vessels found in the brain?

<p>Cerebral arterial circle (B)</p> Signup and view all the answers

What role do small communicating arterial branches serve in the brain's arterial supply?

<p>Connect anterior and posterior blood supplies (B)</p> Signup and view all the answers

What is the recorded systolic pressure during a blood pressure measurement?

<p>The pressure when the first tapping sounds are heard (C)</p> Signup and view all the answers

At what pressure is the brachial artery effectively constricted during the measurement process?

<p>Above 70 mm Hg but below 120 mm Hg (C)</p> Signup and view all the answers

What happens to the sound heard through the stethoscope as the cuff pressure is gradually reduced below 70 mm Hg?

<p>No sounds are audible (D)</p> Signup and view all the answers

What signifies the end of blood flow through the constricted artery during blood pressure measurement?

<p>The disappearance of the first soft tapping sounds (A)</p> Signup and view all the answers

Which of the following correctly describes the initial phase of blood pressure measurement?

<p>Blood begins to spurt through the artery at first tapping sounds (D)</p> Signup and view all the answers

When measuring blood pressure, what physical change occurs in the artery when the cuff pressure exceeds the systolic pressure?

<p>The artery is constricted and blood flow is obstructed (B)</p> Signup and view all the answers

What indicates that the artery is no longer constricted during the blood pressure measurement process?

<p>The sounds can no longer be heard (C)</p> Signup and view all the answers

Which pressure values are considered critical in determining blood pressure during measurement?

<p>Values preparing the systolic and diastolic points during deflation (D)</p> Signup and view all the answers

Study Notes

Cardiovascular System

  • A closed system of the heart and blood vessels
  • The heart pumps blood
  • Blood vessels allow blood to circulate to all parts of the body
  • Functions of the cardiovascular system:
    • Transport oxygen, nutrients, cell wastes, hormones to and from cells

Anatomy of the Heart

  • Size of a human fist, weighing less than a pound.
  • Located in the thoracic cavity, between the lungs in the inferior mediastinum.
  • Orientation:
    • Apex is directed toward the left hip and rests on the diaphragm.
    • Base points toward the right shoulder.

Coverings of the Heart (Pericardium)

  • Pericardium-a double-walled sac
  • Fibrous pericardium-loose and superficial
  • Serous membrane-deep to the fibrous pericardium, composed of two layers
    • Parietal pericardium - outer layer that lines the inner surface of the fibrous pericardium
    • Visceral pericardium - next to the heart; also called the epicardium
  • Serous fluid -fills the space between the layers of pericardium, called the pericardial cavity

Functions of the Pericardium

  • Keeps the heart contained within the chest cavity
  • Prevents the heart from overexpanding when blood volume increases
  • Limits heart motion
  • Reduces friction between the heart and surrounding tissues
  • Protects the heart against infection

Walls of the Heart

  1. Epicardium (Pericardium)

    • Outside layer; visceral pericardium
  2. Myocardium

    • Middle layer; thickest layer
    • Mostly cardiac muscle
    • The layer that contracts
  3. Endocardium

    • Inner layer known as endothelium
    • Lines the inner heart chambers, covers heart valves, and continuous with the endothelium of large blood vessels

Chambers and Associated Great Vessels

  • Four chambers of the heart
    • Atria (right and left):
      • Receiving chambers -Assist with filling the ventricles
      • Blood enters under low pressure
    • Ventricles (right and left)
      • Discharging chambers
      • Thick-walled pumps of the heart -During contraction, blood is propelled into circulation
  • Interatrial septum-separates the two atria longitudinally
  • Interventricular septum-separates the two ventricles longitudinally

Heart Valves

  • Allow blood to flow in only one direction
  • Atrioventricular (AV) valves:
    • Between atria and ventricles
    • Left AV valve (bicuspid or mitral valve)
    • Right AV valve (tricuspid valve)
  • Semilunar valves (between ventricle and artery):
    • Pulmonary semilunar valve
    • Aortic semilunar valve
  • Function:
    • Open and close in response to pressure changes

Cardiac Circulation

  • Blood in the heart chambers does not nourish the myocardium
  • Coronary arteries-branch from the aorta to supply the heart muscle with oxygenated blood
  • Cardiac veins-drain the myocardium of blood
  • Coronary sinus-a large vein on the posterior of the heart; receives blood from cardiac veins, empties into the right atrium via the coronary sinus.

Physiology of the Heart

  • Intrinsic conduction system (nodal system) of the heart
    • Built into the heart tissue and sets its basic rhythm
    • Composed of specialized tissue
    • Causes heart muscle depolarization in one direction only (atria to ventricles)
    • Heart rate 75 beats per minute
  • Sinoatrial (SA) node:
    • Located in the right atrium
    • Acts as the heart's pacemaker
  • Atrioventricular (AV) node:
    • Located at the junction of the atria and ventricles
  • Atrioventricular (AV) bundle (bundle of His) and bundle branches:
    • Located in the interventricular septum
  • Purkinje fibers:
    • Spread within the ventricle wall muscles

Physiology of Circulation

  • Vital signs
    • Measurements of arterial pulse, blood pressure, respiratory rate, and body temperature
  • Arterial pulse
    • Alternate expansion and recoil of a blood vessel wall
    • Monitored at pressure points in superficial arteries
    • Pulse averages 70–76 beats per minute at rest in a healthy person

Blood Pressure

  • BP = CO × PR
  • Effects of various factors on blood pressure
    • Neural factors
    • Renal factors
    • Temperature
    • Chemicals
    • Diet

Capillary Exchange of Gases and Nutrients

  • Interstitial fluid (tissue fluid)
    • Found between cells
  • Substances move to and from blood and tissue cells through capillary walls
    • Direct diffusion through membranes
    • Diffusion through intercellular clefts
    • Diffusion through pores of fenestrated capillaries
  • Exchange is due to concentration gradients
    • Oxygen and nutrients leave the blood and move into tissue cells
    • Carbon dioxide and other wastes exit tissue cells and enter the blood

Fluid Movements at Capillary Beds

  • Movement out of or into a capillary depends on the difference between the two pressures
    • Blood pressure forces fluid and solutes out of capillaries
    • Osmotic pressure draws fluid into capillaries
  • Blood pressure is higher than osmotic pressure at the arterial end
  • Blood pressure is lower than osmotic pressure at the venous end

Developmental Aspects of the Cardiovascular System

  • In an embryo
    • The heart develops as a simple tube and pumps blood by week 4 of pregnancy
    • The heart becomes a four-chambered organ capable of acting as a double pump over the next three weeks
  • Umbilical cord
    • Carries nutrients and oxygen from maternal blood to fetal blood
    • Fetal wastes move from fetal blood to maternal blood
    • Houses one umbilical vein and two umbilical arteries
  • Shunts bypassing the lungs and liver in a fetus
    • Blood flow bypasses the liver via the ductus venosus entering the inferior vena cava to right atrium of heart
    • Blood flow bypasses the lungs through the foramen ovale (becomes fossa ovalis after birth) and ductus arteriosus (becomes ligamentum arteriosum at birth).
  • Weakening of venous valves
  • Varicose veins
  • Progressive arteriosclerosis
  • Hypertension
  • Coronary artery disease

Gross Anatomy of Blood Vessels

  • Major arteries of systemic circulation
  • Major veins of systemic circulation

Arterial Supply of the Brain

  • Internal carotid arteries

    • Divide into anterior and middle cerebral arteries that supply most of the cerebrum
  • Vertebral arteries

    • Join to form the basilar artery that serves the brain stem and cerebellum
  • Circle of Willis

  • Hepatic portal circulation

    • Formed by veins draining digestive organs into the hepatic portal vein
    • Vein carries blood to liver for processing before returning to systemic circulation
  • Digestive organs

    • Spleen
    • Pancreas

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