Human Heart Anatomy and Circulation Quiz
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Questions and Answers

What is the focus of the next lecture after covering electrical activity in the heart?

  • Renal physiology
  • ECG and its diagnostic applications (correct)
  • Digestive physiology
  • Respiratory physiology
  • What is the function of the endogenous group of cells in the heart?

  • To regulate blood pressure
  • To produce the ECG pattern
  • To contract the cardiac muscles
  • To function as the normal pacemaker in non-pathological situations (correct)
  • What does the electrical axis of the heart indicate?

  • The general direction of electrical activity flow in the heart (correct)
  • The location of the endogenous pacemaker cells
  • The overall direction of blood flow in the heart
  • The site of implantable pacemakers
  • What will be covered in the next lecture after discussing the ECG?

    <p>Cardiovascular physiology</p> Signup and view all the answers

    What is the primary focus of today's lecture on cardiovascular physiology?

    <p>Electrical activity in the heart</p> Signup and view all the answers

    What is the purpose of an ECG in relation to the heart?

    <p>To diagnose disease or abnormal states</p> Signup and view all the answers

    What is the function of cardiac output?

    <p>To measure the amount of blood the heart puts out per unit of time</p> Signup and view all the answers

    Which equation represents the calculation for cardiac output?

    <p>$CO = HR imes SV$</p> Signup and view all the answers

    What is the primary function of cardiovascular regulatory mechanisms?

    <p>To prevent blood pressure from falling too low</p> Signup and view all the answers

    Which factor can affect blood pressure?

    <p>Blood volume</p> Signup and view all the answers

    What is the function of peripheral resistance in the cardiovascular system?

    <p>To regulate the resistance to blood flow within the circulatory system</p> Signup and view all the answers

    What does stroke volume represent in the cardiovascular system?

    <p>The amount of blood pumped per beat</p> Signup and view all the answers

    What is the primary role of arterioles in the cardiovascular system?

    <p>To regulate the resistance to blood flow within the circulatory system</p> Signup and view all the answers

    How can adjustments in the cardiovascular system affect blood pressure levels?

    <p>By affecting heart rate, stroke volume, and peripheral resistance</p> Signup and view all the answers

    What is the main function of diuretics in treating high blood pressure?

    <p>To decrease fluid retention and reduce blood volume</p> Signup and view all the answers

    What is cardiac output a function of?

    <p>Heart rate, stroke volume, and peripheral resistance</p> Signup and view all the answers

    What does pulmonary mechanics primarily involve?

    <p>The pressure and volume changes associated with inspiration and expiration</p> Signup and view all the answers

    What is alveolar ventilation primarily modified by?

    <p>Changing breathing rate and tidal volume</p> Signup and view all the answers

    What causes the large upswing in depolarization during the cardiac action potential?

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

    What is the duration range of the cardiac action potential in contractile muscle cells?

    <p>250 to 300 milliseconds</p> Signup and view all the answers

    What causes the plateau phase during the cardiac action potential?

    <p>Opening of inward-rectifying potassium channels</p> Signup and view all the answers

    What is the resting membrane potential during the cardiac action potential in contractile muscle cells?

    <p>-90mV</p> Signup and view all the answers

    What leads to the large repolarization in phase 3 of the cardiac action potential?

    <p>Activation of delayed-rectifying potassium channels</p> Signup and view all the answers

    What process marks the beginning of repolarization during the cardiac action potential?

    <p>Phase 1</p> Signup and view all the answers

    What closes during phase 1, trapping positively charged potassium in the cell?

    <p>Inward-rectifying potassium channels</p> Signup and view all the answers

    What leads to the elevated level of membrane potential during phase 2 of the cardiac action potential?

    <p>Activation of inward-rectifying potassium channels</p> Signup and view all the answers

    What marks phase 0 in the cardiac action potential?

    <p>The large upswing in depolarization caused by opening of voltage-gated sodium channels.</p> Signup and view all the answers

    What causes the wave of depolarization that stimulates the contractile muscle cells?

    <p>Large increase in sodium permeability and opening of voltage-gated sodium channels.</p> Signup and view all the answers

    What is the role of calcium during the cardiac action potential?

    <p>It contributes to the large upswing in depolarization.</p> Signup and view all the answers

    What are inward-rectifying potassium channels responsible for in phase 1?

    <p>Trapping positively charged potassium in the cell.</p> Signup and view all the answers

    What prevents the atria from contracting and pushing blood into the ventricles while the ventricles are also contracting?

    <p>The slight increase in resistance caused by the AV node</p> Signup and view all the answers

    Which part of the heart's conduction system is our endogenous pacemaker?

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

    What happens if the SA node fails as the pacemaker of the heart?

    <p>AV node takes over as pacemaker</p> Signup and view all the answers

    What is an ectopic pacemaker?

    <p>Any area functioning as a pacemaker that is not 'normal'</p> Signup and view all the answers

    What happens if the AV node becomes the pacemaker of the heart?

    <p>It can't spread electrical activity upwards because those muscles are in a refractory period</p> Signup and view all the answers

    Why are modern pacemakers computerized?

    <p>To sense heart rate and stimulate the heart as needed</p> Signup and view all the answers

    What is the equilibrium potential for sodium in pacemaker cells?

    <p>+60 mV</p> Signup and view all the answers

    Which ion moves to get the average membrane potential to be -94 mV in pacemaker cells?

    <p>Potassium ions</p> Signup and view all the answers

    What drives the depolarization in pacemaker cells?

    <p>Increased sodium permeability and decreased potassium permeability</p> Signup and view all the answers

    "Funny" channels, allowing both sodium and potassium through, open during which phase of the pacemaker potential/action potential?

    <p>(1) First phase</p> Signup and view all the answers

    What continues the depolarization after "funny" channels begin to close during the pacemaker potential/action potential?

    <p>T-type calcium channels begin to open.</p> Signup and view all the answers

    What happens after all of the ventricles depolarize during the action potential in pacemaker cells?

    <p>The heart contracts, from bottom to top.</p> Signup and view all the answers

    What is the function of the interventricular septum?

    <p>To separate the two ventricles</p> Signup and view all the answers

    Why does the left ventricle have substantially greater muscle than the right ventricle?

    <p>To pump blood to the systemic circulation, which has rather high resistance</p> Signup and view all the answers

    What is the primary role of the SA node in the heart's electrical conduction system?

    <p>To generate electrical activity causing the heart muscle to depolarize and contract</p> Signup and view all the answers

    Why is the slowing down of the wave of depolarization as it reaches the AV node important?

    <p>To allow the atria to finish contracting before the ventricles begin to contract</p> Signup and view all the answers

    What is the function of Purkinje fibers in the heart's conduction system?

    <p>To originate at the bottom of the heart and move upward into the contractile muscle</p> Signup and view all the answers

    What is the main function of cells within the heart's conduction pathway system?

    <p>To pass waves of depolarization onto the contractile cells</p> Signup and view all the answers

    What is responsible for rapidly transferring electrical activity between cardiac muscle cells?

    <p>Gap junctions</p> Signup and view all the answers

    Why is continual stretching of the heart undesirable?

    <p>It can lead ultimately to heart failure</p> Signup and view all the answers

    What is a function of desmosomes in the heart?

    <p>Help to resist stretching in the heart</p> Signup and view all the answers

    What is responsible for causing cardiac hypertrophy if stretched too far over a long period of time?

    <p>High blood pressure</p> Signup and view all the answers

    What is an important aspect of electrical conduction through internodal pathways in the atria?

    <p>Low resistance to current flow due to large cell size</p> Signup and view all the answers

    What is a distinguishing feature of pulmonary circulation compared to circulation throughout the rest of the body?

    <p>Having substantially less pressure and resistance during blood flow</p> Signup and view all the answers

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