Heart Anatomy and Physiology Quiz
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Questions and Answers

Which of the following is NOT a factor affecting heart rate?

  • Circulating hormones
  • Blood pressure
  • Skeletal muscle activity (correct)
  • Autonomic activity
  • What is the end-diastolic volume (EDV)?

  • The amount of blood ejected from the ventricle during contraction
  • The amount of blood in each ventricle at the end of ventricular diastole (correct)
  • The amount of blood remaining in each ventricle at the end of ventricular systole
  • The amount of blood remaining in each ventricle at the end of ventricular diastole
  • What is the primary role of the cardioinhibitory center?

  • To decrease blood pressure
  • To increase blood pressure
  • To increase heart rate
  • To decrease heart rate (correct)
  • Which of the following is NOT a cardiac reflex?

    <p>Monitoring blood glucose levels (C)</p> Signup and view all the answers

    What is the role of the vagus nerve (CN X) in the autonomic innervation of the heart?

    <p>To carry parasympathetic fibers to the cardiac plexus (A)</p> Signup and view all the answers

    Which of the following events directly causes the repolarization phase of an action potential in a ventricular contractile cell?

    <p>Potassium (K+) exit from the cell (B)</p> Signup and view all the answers

    What is the primary cause of the plateau phase of the action potential in a ventricular contractile cell?

    <p>Slow influx of calcium ions (Ca2+) (D)</p> Signup and view all the answers

    What is the approximate duration of the repolarization phase of an action potential in a ventricular contractile cell?

    <p>75 msec (D)</p> Signup and view all the answers

    At what point does the 'absolute refractory period' end?

    <p>When the potassium channels close (B)</p> Signup and view all the answers

    What is the role of extracellular calcium in the plateau phase of the action potential in a ventricular contractile cell?

    <p>It provides roughly 20% of the calcium required for contraction (A)</p> Signup and view all the answers

    What is the primary function of the coronary circuit?

    <p>To supply blood to the heart muscle itself (C)</p> Signup and view all the answers

    Which circuit is not part of the cardiovascular system?

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

    How many circuits are present in the cardiovascular system?

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

    Which statement accurately describes the position of the heart?

    <p>The heart is positioned between the ribs (A)</p> Signup and view all the answers

    What role does the pulmonary circuit primarily serve?

    <p>To facilitate gas exchange in the lungs (A)</p> Signup and view all the answers

    What happens to the tricuspid and mitral valves when the ventricles are contracting?

    <p>They are both closed. (D)</p> Signup and view all the answers

    Where do coronary arteries originate?

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

    What is the role of the papillary muscles during ventricular contraction?

    <p>They tense to maintain valve closure. (A)</p> Signup and view all the answers

    Which artery supplies blood to the left ventricle?

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

    What mechanism maintains blood flow through the coronary arteries?

    <p>Elevated blood pressure and elastic rebound of aorta (C)</p> Signup and view all the answers

    What do arterial anastomoses do?

    <p>Interconnect anterior and posterior interventricular arteries. (D)</p> Signup and view all the answers

    Which vein drains blood from the region supplied by the anterior interventricular artery?

    <p>Great cardiac vein (B)</p> Signup and view all the answers

    Which of the following veins empties directly into the right atrium?

    <p>Anterior cardiac veins (B)</p> Signup and view all the answers

    Which structure is primarily responsible for maintaining constant blood supply to the cardiac muscle?

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

    Which artery primarily supplies blood to the right atrium?

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

    What type of valve allows blood to pass from the left atrium to the left ventricle?

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

    Which feature distinguishes the left ventricle from the right ventricle?

    <p>It has thicker walls. (C)</p> Signup and view all the answers

    What begins the pulmonary circuit in the heart?

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

    Which of the following arteries branches off from the aortic arch?

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

    What do the aortic sinuses represent?

    <p>Saclike expansions at the base of the ascending aorta (C)</p> Signup and view all the answers

    What best describes the function of the conus arteriosus?

    <p>It leads into the pulmonary trunk. (C)</p> Signup and view all the answers

    What is a key difference between the right and left ventricles?

    <p>The left ventricle develops higher pressure. (B)</p> Signup and view all the answers

    Which structure separates the left atrium from the left ventricle?

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

    Which pathway does blood take after passing the left ventricle?

    <p>Through the aortic valve into the ascending aorta (D)</p> Signup and view all the answers

    Why does the left ventricle not have a moderator band?

    <p>It does not require additional support for conduction. (C)</p> Signup and view all the answers

    Which layer of the heart wall is primarily responsible for cardiac muscle contraction?

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

    What structure separates the right atrium from the right ventricle?

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

    Which vessel carries blood from the lower parts of the body to the heart?

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

    What is the primary function of the semilunar valves in the heart?

    <p>Prevent backflow of blood (B)</p> Signup and view all the answers

    What anatomical feature is formed from the closure of the foramen ovale after birth?

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

    Which of the following structures carries oxygenated blood from the lungs to the heart?

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

    Which type of muscle is found in the myocardium of the heart?

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

    What is the role of chordae tendineae in the heart?

    <p>Maintain valve function (B)</p> Signup and view all the answers

    What structure connects the two atria in a fetal heart?

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

    Which septum is much thicker and separates the ventricles?

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

    Which of the following valves is not categorized as an atrioventricular valve?

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

    What is the primary characteristic of the endocardium?

    <p>Composed of simple squamous epithelium (B)</p> Signup and view all the answers

    Which artery branches off the aortic arch and supplies blood to the right arm and head?

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

    Where do the coronary arteries deliver oxygen-rich blood?

    <p>To the heart muscle (C)</p> Signup and view all the answers

    Flashcards

    Repolarization

    The process where K+ ions flow out of the cell through slow potassium channels.

    Rapid Depolarization

    Initial phase of action potential; Na+ ions rapidly enter the cell causing a positive shift.

    Plateau Phase

    Phase during action potential when Ca2+ ions enter the cell, prolonging depolarization.

    Refractory Period

    Time after an action potential when a new action potential cannot be initiated.

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    Calcium's Role in Contraction

    Extracellular Ca2+ during the plateau phase provides 20% of Ca2+ needed for cardiac muscle contraction.

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    Stroke Volume (SV)

    The amount of blood ejected from each ventricle per heartbeat, calculated as EDV - ESV.

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    End-Diastolic Volume (EDV)

    The volume of blood in the ventricles at the end of diastole, just before contraction.

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    End-Systolic Volume (ESV)

    The volume of blood remaining in the ventricles at the end of systole, after contraction.

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    Ejection Fraction

    The percentage of EDV that is ejected during each contraction, an indicator of heart efficiency.

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    Cardiac Reflexes

    Reflexes that adjust heart activity based on blood pressure and chemical levels in blood.

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    Base of Heart

    The broader top part of the heart where major blood vessels emerge.

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    Apex of Heart

    The pointed tip of the heart facing downward and to the left.

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    Coronary Circuit

    The heart’s own blood supply system, part of systemic circulation.

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    Pulmonary Circuit

    The path of blood between the heart and lungs for oxygenation.

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    Systemic Circuit

    The pathway that supplies blood to the entire body except the lungs.

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    Conus arteriosus

    The section at the superior end of the right ventricle, ending at the pulmonary valve.

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    Pulmonary trunk

    A vessel that begins the pulmonary circuit by dividing into left and right pulmonary arteries.

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    Left atrium

    Chamber that receives blood from the pulmonary veins.

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    Mitral valve

    Valve between left atrium and left ventricle, also known as the bicuspid valve.

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    Left ventricle

    Chamber that pumps oxygenated blood through the aortic valve into the ascending aorta.

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    Aortic arch

    The curve of the aorta that distributes blood to the upper body.

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    Right ventricle

    Chamber with thinner walls that pumps deoxygenated blood to the lungs.

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    Aortic sinuses

    Saclike expansions at the base of the ascending aorta.

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    Ascending aorta

    The part of the aorta that rises from the left ventricle and curves into the aortic arch.

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    Interventricular septum

    The wall separating the left and right ventricles.

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    Arch of aorta

    The curved portion of the aorta that gives rise to major arteries.

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    Left pulmonary artery

    Artery carrying deoxygenated blood from the heart to the left lung.

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    Right atrium

    Chamber that receives deoxygenated blood from the body via the vena cavae.

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    Interatrial septum

    Muscular partition separating the right and left atria of the heart.

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    Tricuspid valve

    Valve between the right atrium and right ventricle, preventing backflow.

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    Atrioventricular valves

    Valves that prevent backflow of blood from ventricles to atria.

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    Pectinate muscles

    Muscular ridges located in the anterior wall of the atria.

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    Coronary sinus

    Vein that collects deoxygenated blood from the heart muscle.

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    Foramen ovale

    Fetal heart opening between the atria that closes at birth.

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    Semilunar valves

    Valves that prevent backflow into the ventricles from arteries.

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    Chordae tendineae

    Fibrous cords that connect av valves to papillary muscles.

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    Endocardium

    Inner layer of the heart wall, consisting of simple squamous epithelium.

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    Myocardium

    Middle layer of the heart wall made up of cardiac muscle tissue.

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    Inferior vena cava

    Large vein carrying deoxygenated blood from the lower body to the heart.

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    Aorta

    The largest artery in the body, carrying oxygenated blood from the heart.

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    Papillary Muscles

    Muscles that contract to tighten the chordae tendineae, stabilizing the valves.

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    Coronary Circulation

    Blood flow to and from the tissues of the heart muscle.

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    Right Coronary Artery

    Supplies blood to the right atrium and parts of the ventricles.

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    Left Coronary Artery

    Supplies blood to the left atrium and left ventricle.

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    Great Cardiac Vein

    Drains blood from the anterior part of the heart and returns it to the coronary sinus.

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    Anterior Interventricular Artery

    Branches from the left coronary artery supplying the front part of the heart's ventricles.

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    Arterial Anastomoses

    Connections between arteries to ensure constant blood supply to the heart.

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    Study Notes

    Heart Anatomy and Physiology

    • The heart is a muscular pump with four chambers, responsible for circulating blood throughout the body.
    • The heart is subdivided into three interconnected circuits: coronary, pulmonary, and systemic.
    • The coronary circuit supplies blood to the heart muscle itself.
    • The pulmonary circuit carries blood to and from the lungs to exchange gases.
    • The systemic circuit carries blood to and from the rest of the body.
    • Each circuit begins and ends at the heart.
    • Blood travels through these circuits in a continuous loop.

    Types of Blood Vessels

    • Arteries carry blood away from the heart.
    • Veins return blood to the heart.
    • Capillaries interconnect smallest arteries and smallest veins, enabling the exchange of dissolved gasses, nutrients, and wastes between blood and surrounding tissues.

    Heart Chambers

    • Right atrium: Receives blood from the systemic circuit.
    • Right ventricle: Pumps blood to the pulmonary circuit.
    • Left atrium: Receives blood from the pulmonary circuit.
    • Left ventricle: Pumps blood to the systemic circuit.

    Heart Position

    • The heart is located in the mediastinum, the space between the lungs.
    • The base of the heart is at the superior portion.
    • The pointed tip, or apex, of the heart is at the inferior portion.

    Pericardium

    • The pericardium surrounds the heart.
    • It consists of an outer fibrous pericardium and an inner serous pericardium (with a parietal and visceral layer).
    • The pericardial cavity is the space between the parietal and visceral layers, containing pericardial fluid.

    Internal Anatomy (Septa)

    • Interatrial septum: Separates the right and left atria.
    • Interventricular septum: Separates the right and left ventricles.

    Heart Valves

    • Atrioventricular (AV) valves (tricuspid and mitral) prevent backflow of blood from the ventricles into the atria during ventricular contraction.
    • Semilunar valves (pulmonary and aortic) prevent backflow of blood from the arteries into the ventricles when the ventricles relax.

    Blood Vessels

    • Superior vena cava: Carries blood from the upper body to the right atrium.
    • Inferior vena cava: Carries blood from the lower body to the right atrium.
    • Aorta: Carries oxygenated blood from the left ventricle to the rest of the body.

    Coronary Circulation

    • Coronary arteries supply the heart muscle with oxygen and nutrients.
    • These arteries branch off the aorta.
    • Cardiac veins collect deoxygenated blood from the heart muscle and return it to the coronary sinus.

    Cardiac Muscle Cells

    • Cardiac contractile cells form most of the heart muscle.
    • They have special characteristics and allow for consistent, coordinated contraction.
    • Intercalated disks connect cardiac muscle cells and allow for rapid spread of electrical impulses across the heart.

    Cardiac Cycle

    • The cardiac cycle involves the contraction and relaxation of heart chambers during each heartbeat.
    • Systole is the contraction phase and diastole is the relaxation phase.

    Heart Sounds

    • Heart sounds (S1 and S2) are produced by the closing heart valves.
    • Abnormal sounds (murmurs) can indicate valve problems.

    Cardiac Output (CO)

    • Cardiac output is the amount of blood pumped by the ventricles per minute.
    • It is calculated by multiplying heart rate by stroke volume.

    Stroke Volume (SV)

    • Stroke volume represents the amount of blood pumped from the left ventricle per beat.
    • It is the difference between end-diastolic volume (EDV) and end-systolic volume (ESV).
    • End-diastolic volume refers to the amount of blood in the left ventricle at the end of ventricular diastole.
    • End-systolic volume reflects the volume of blood in the left ventricle at the end of systole.
    • Ejection fraction measures the proportion of blood ejected per stroke.

    Cardiac Reserve

    • Cardiac reserve describes the difference between maximum and resting cardiac output, which varies depending on the body's needs.

    Factors Affecting Heart Rate and Stroke Volume

    • Several factors, such as autonomic nervous system activity, circulating hormones, venous return, preload, contractility and afterload affect heart rate and stroke volume.

    Conduction System

    • The heart's conduction system coordinates the contraction of cardiac muscle cells throughout the heart chambers.
    • Pacemaker cells initiate electrical impulses that stimulate rhythmic contraction.

    Myocardial Infarction (Heart Attack)

    • Myocardial infarction (MI), or heart attack, occurs when blood flow to a part of the heart is blocked.
    • Symptoms can range from chest pain to serious complications.

    Coronary Artery Disease (CAD)

    • Coronary artery disease (CAD) develops when coronary arteries become narrowed.
    • This can decrease blood flow to the heart muscle and result in ischemia or myocardial infarction.

    Heart Valves (Prevention of Backflow)

    Normal ECG Tracings and Patterns

    • ECGs measure electrical patterns in the heart, representing the different phases of contraction.
    • Normal ECG patterns indicate healthy heart function.

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