Coronary Circulation and Conduction System Quiz

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40 Questions

Which arteries supply the conduction system of the heart?

A. Coronary arteries

What is the anatomical position of the conducting system of the heart?

B. Located in the atria

What is the importance of the anastomoses between the coronary arteries?

B. They provide oxygenated blood to the heart muscle

Which artery determines the coronary dominance in approximately 80% of people?

Right Coronary Artery

What percentage of the venous blood of the heart is drained by the coronary sinus?

60%

Which artery supplies both the sinoatrial (SA) and atrioventricular (AV) nodes?

Right Coronary Artery

Which part of the heart is the only conductive route through the fibrous skeleton?

Bundle of His

Which nerve fibers are responsible for decreasing the heart rate?

Parasympathetic fibers

Where does the Left Bundle branch descend along the membranous part of the IV septum?

Left side

Which nodes are not macroscopic in the heart?

SA and AV nodes

Which hormone is released by the pituitary gland in response to increased osmotic pressure and hypovolemia?

Vasopressin

What is the primary determinant of long-term regulation of blood pressure?

The renal output curve for salt and water

How are changes in blood volume and blood osmotic pressure sensed and altered?

By the hypothalamic osmoreceptors

What leads to an increase in antidiuretic hormone (ADH) release?

Increased osmotic pressure

What is the effect of hypotension on arterial baroreceptor firing?

Increased arterial baroreceptor firing

Which hormone is responsible for increasing water permeability in renal collecting ducts and decreasing urine production?

ADH

Which hormone is released from the adrenal glands in response to angiotensin II and increases sodium and water reabsorption in the kidneys?

Aldosterone

Which hormone is released from the muscle cells of the atria in response to stretch and helps oppose the effects of the renin-angiotensin-aldosterone system?

Atrial-natriuretic hormone

Which enzyme is released from the kidneys in response to sympathetic nerve activation, renal artery hypotension, and decreased sodium in kidney distal tubules?

Renin

Which classification of shock is characterized by a loss of more than 40% of blood volume?

Class 4

Which of the following is a fundamental component of a reflex control system for blood pressure?

Target effectors that alter their activities

Where are the main baroreceptors located in the body?

Walls of the aorta

What happens to the firing rate of baroreceptors when arterial blood pressure increases?

Firing rate increases

What is the role of baroreceptors in the control of arterial pressure?

To maintain a relatively constant arterial blood pressure

Which nerve carries afferent fibers from the carotid artery baroreceptors?

Glossopharyngeal (IXth cranial) nerve

Which receptors sense central blood volume in the body?

Cardiopulmonary baroreceptors

Which reflex is a sympathetic-mediated reflex in response to increased blood in the atria?

Bainbridge reflex

Which part of the medullary cardiovascular control center (MCVC) is responsible for receiving input from baroreceptors?

Sensory area

Which effectors are controlled by both sympathetic and parasympathetic nerves in the reflex control of blood pressure?

Heart rate and stroke volume

Which theory explains the intrinsic ability of organs to maintain blood flow safely if blood pressure increases?

Myogenic theory

Which equation represents the relationship between stroke volume, heart rate, and cardiac output?

$stroke volume \times heart rate = cardiac output$

What is the primary intrinsic mechanism that regulates stroke volume?

Frank-Starling mechanism

What is the term for the pressure in the systemic and pulmonary vessels that controls cardiac output?

Afterload

What is the equation for mean arterial blood pressure (MABP)?

$MABP = Diastolic pressure + 1/3 pulse pressure$

What is the term for the compliance of the blood vessels?

Vascular compliance

Which of the following factors does NOT determine the magnitude of pulse pressure?

Viscosity

Which factor does NOT contribute to resistance to flow in the blood vessels?

Arterial pressure

Which equation represents the relationship between arterial pressure, cardiac output, and total peripheral resistance?

Arterial pressure = cardiac output x total peripheral resistance

How can mean arterial blood pressure (MABP) be calculated based on systolic and diastolic pressures?

MABP = Systolic pressure + Diastolic pressure

Which of the following statements is true about the relationship between vessel radius and blood flow?

Small changes in vessel radius have a proportional impact on blood flow

Test your knowledge on coronary circulation and the conduction system of the heart with this quiz. Learn about the origin, course, and distribution of the coronary arteries, the importance of anastomoses, and the venous drainage of the heart.

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