Human Anatomy: Heart Location in the Mediastinum
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Questions and Answers

Why is the T wave more spread out and has a lower amplitude than the QRS complex?

  • Because atrial repolarization takes place during the period of ventricular excitation
  • Because the time required for each ventricle to depolarize depends on its size relative to the other ventricle
  • Because depolarization is faster than repolarization (correct)
  • Because the paths of the depolarization waves through the ventricular walls change continuously

What is the purpose of the P wave?

  • Represents ventricular depolarization and precedes ventricular contraction
  • Represents the movement of the depolarization wave from the SA node through the atria (correct)
  • Represents ventricular repolarization
  • Represents atrial repolarization

Why is the wave representing atrial repolarization normally obscured by the large QRS complex?

  • Because the paths of the depolarization waves through the ventricular walls change continuously
  • Because the time required for each ventricle to depolarize depends on its size relative to the other ventricle
  • Because repolarization is slower than depolarization
  • Because atrial repolarization takes place during the period of ventricular excitation (correct)

How long after the P wave begins does the atria contract?

<p>0.1 s (C)</p> Signup and view all the answers

What is the fundamental difference in terms of the length of the absolute refractory period between skeletal muscle fibers and cardiac muscle cells?

<p>Skeletal muscle fibers have a shorter absolute refractory period than cardiac muscle cells. (D)</p> Signup and view all the answers

Why does the long refractory period in cardiac muscle cells prevent tetanic contractions?

<p>It ensures that the heart's contractions are not continuous and do not interfere with each other. (D)</p> Signup and view all the answers

What triggers cardiac muscle contraction?

<p>Action potentials sweeping across cell membranes (C)</p> Signup and view all the answers

What is the special ability of about 1% of cardiac muscle fibers?

<p>To pace the heart by spontaneous depolarization (A)</p> Signup and view all the answers

In which type of muscle cells does depolarization open fast voltage-gated Na+ channels?

<p>Skeletal muscle fibers (A)</p> Signup and view all the answers

What is the role of contractile muscle fibers in the heart?

<p>To perform the heart's pumping activity (D)</p> Signup and view all the answers

What is the main difference between the energy metabolism of cardiac muscle and skeletal muscle?

<p>Cardiac muscle is more adaptable and can switch between different metabolic pathways, while skeletal muscle is more limited. (A)</p> Signup and view all the answers

Why is the lack of oxygen supply to the myocardium (heart muscle) more dangerous than the lack of nutrients?

<p>The heart requires a constant supply of oxygen to maintain its contractile function, and cannot tolerate even brief periods of hypoxia. (A)</p> Signup and view all the answers

How do the fuel sources used by cardiac muscle and skeletal muscle differ?

<p>Both cardiac muscle and skeletal muscle can use multiple fuel molecules, including glucose and fatty acids. (B)</p> Signup and view all the answers

What is the main advantage of the heart's ability to switch between different metabolic pathways?

<p>It allows the heart to maintain a constant supply of energy, even when the availability of specific nutrients changes. (C)</p> Signup and view all the answers

What is the key difference between the energy metabolism of cardiac muscle and skeletal muscle during prolonged exercise?

<p>Cardiac muscle relies more on anaerobic respiration, while skeletal muscle relies more on aerobic respiration. (D)</p> Signup and view all the answers

What is the main reason why the heart is more dependent on a constant supply of oxygen compared to skeletal muscle?

<p>The heart's energy production is more tightly coupled to its oxygen supply, and it cannot tolerate even brief periods of hypoxia. (D)</p> Signup and view all the answers

What triggers the release of the other 80% of calcium needed for muscle contraction in cardiac cells?

<p>Voltage change due to Na+-dependent membrane depolarization (A)</p> Signup and view all the answers

Why does the influx of Ca2+ through slow Ca2+ channels trigger the opening of nearby Ca2+-sensitive channels in the sarcoplasmic reticulum (SR)?

<p>To liberate bursts of Ca2+ that increase intracellular Ca2+ concentration (A)</p> Signup and view all the answers

What effect does the calcium surge across the sarcolemma have on depolarization potential?

<p>Prolongs it briefly (A)</p> Signup and view all the answers

What role do the K+ channels play during muscle contraction?

<p>Prevent rapid repolarization (A)</p> Signup and view all the answers

Why is calcium barred from entering nonstimulated cardiac fibers?

<p>Absence of Na+-dependent membrane depolarization (D)</p> Signup and view all the answers

What is the primary function of slow Ca2+ channels in cardiac muscle cells?

<p>To delay calcium entry and trigger SR channel opening (C)</p> Signup and view all the answers

What is the primary function of the fibrous pericardium?

<p>To anchor the heart to surrounding structures (B)</p> Signup and view all the answers

Which layer of the pericardium forms a closed sac around the heart?

<p>The serous membrane (C)</p> Signup and view all the answers

What is the approximate location of the heart in the thorax?

<p>Two-thirds to the left of the midsternal line (C)</p> Signup and view all the answers

Which statement about the heart's position is correct?

<p>The heart is positioned lower in the thorax when standing than when lying down (A)</p> Signup and view all the answers

What is the primary function of the serous membrane's parietal layer?

<p>To line the internal surface of the fibrous pericardium (C)</p> Signup and view all the answers

What is the relationship between the heart and the lungs?

<p>The heart is partially surrounded by the lungs (D)</p> Signup and view all the answers

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