PAM 600 Cardiovascular Physiology
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Questions and Answers

What is the primary reason for the interdependence of the outputs of the left and right ventricles?

  • Both ventricles pump blood into the same circulatory system. (correct)
  • Right ventricle output is unaffected by left ventricle performance.
  • The atria control the output of each ventricle independently.
  • The left ventricle regulates blood flow to the aorta exclusively.
  • Which of the following factors does NOT affect vascular resistance?

  • Platelet count (correct)
  • Blood viscosity
  • Vessel length
  • Vessel diameter
  • Which aspect of cardiac physiology is primarily responsible for generating the pressure needed for blood flow?

  • Pacemaker cell activity
  • Cardiac muscle elasticity
  • Cardiac output variability
  • Interventricular pressure differences (correct)
  • Which of the following best describes the function of hemodynamics in the cardiovascular system?

    <p>It encompasses the forces involved in blood circulation.</p> Signup and view all the answers

    Which statement about the cardiac cycle is accurate?

    <p>Diastole allows the heart chambers to fill with blood.</p> Signup and view all the answers

    Where is the site of highest vascular resistance in the systemic circulation?

    <p>Arterioles</p> Signup and view all the answers

    What happens to mean arterial pressure if both cardiac output and total peripheral resistance (TPR) increase?

    <p>It increases</p> Signup and view all the answers

    Which factor contributes to blood viscosity the most?

    <p>RBC count and albumin concentration</p> Signup and view all the answers

    How does blood pressure change as it flows through the systemic vasculature?

    <p>It decreases until it reaches the veins</p> Signup and view all the answers

    What effect does anemia have on blood flow?

    <p>Speeds up blood flow</p> Signup and view all the answers

    What does compliance refer to in the context of blood vessels?

    <p>The volume change produced by a given pressure change</p> Signup and view all the answers

    Which condition would likely slow down blood flow due to increased viscosity?

    <p>Polycythemia</p> Signup and view all the answers

    What primarily causes blood pressure to decline as it moves from arteries to veins?

    <p>Friction between blood and vessel walls</p> Signup and view all the answers

    What is the primary purpose of the long refractory period in cardiac muscle tissue?

    <p>To allow for diastole and prevent tetany</p> Signup and view all the answers

    Which of the following is NOT a variable associated with the cardiac cycle?

    <p>Diastolic pressure</p> Signup and view all the answers

    How does myocardial contractility affect stroke volume in the presence of increased afterload?

    <p>It can compensate for reduced preload to maintain stroke volume</p> Signup and view all the answers

    In what way does Starling's law help maintain cardiac output?

    <p>By matching output of the right and left ventricles according to volume</p> Signup and view all the answers

    What effect does increased heart rate have on stroke volume, according to the reciprocal relationship in cardiac output?

    <p>It may decrease stroke volume if too high</p> Signup and view all the answers

    Which factor is primarily altered to affect cardiac output through ventricular filling changes?

    <p>Changes in end-diastolic volume</p> Signup and view all the answers

    Which statement about preload and afterload is accurate in the context of contractility?

    <p>Increased afterload can negatively impact contractility</p> Signup and view all the answers

    Which of the following statements accurately describes hemodynamic variables associated with the cardiac cycle?

    <p>Afterload is the resistance the heart must overcome to eject blood</p> Signup and view all the answers

    What mechanism is responsible for contraction in cardiac muscle?

    <p>Sliding filament mechanism</p> Signup and view all the answers

    Which structure acts as the normal pacemaker of the heart?

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

    What is the typical resting heart rate of a person with enhanced parasympathetic tone, like that of an endurance athlete?

    <p>70 beats/min</p> Signup and view all the answers

    What happens if the SA node fails or transmission to the AV node fails?

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

    Which statement about cardiac action potentials is true?

    <p>No stimulus can produce another action potential during the effective refractory period.</p> Signup and view all the answers

    What could happen due to arrhythmias in the heart?

    <p>Inappropriate heartbeats</p> Signup and view all the answers

    What is the intrinsic firing rate of the SA node under normal conditions?

    <p>100 beats/min</p> Signup and view all the answers

    If the ventricular rate is excessive, what is the main consequence?

    <p>Insufficient time between beats for filling</p> Signup and view all the answers

    What does the cardiac cycle specifically refer to?

    <p>The complete contraction and relaxation of all four chambers of the heart</p> Signup and view all the answers

    In terms of the cardiac cycle, what do the terms systole and diastole primarily refer to?

    <p>Contraction and relaxation of the ventricles respectively</p> Signup and view all the answers

    Which of the following statements about stroke volume (SV) is correct?

    <p>SV is calculated by subtracting end systolic volume from end diastolic volume</p> Signup and view all the answers

    What is the average cardiac output (CO) for an adult?

    <p>5 L/min</p> Signup and view all the answers

    Which factor can decrease cardiac output (CO)?

    <p>Decreased heart rate</p> Signup and view all the answers

    What determines ejection fraction?

    <p>The fraction of blood ejected from the ventricle during systole</p> Signup and view all the answers

    What is the relationship between the electrical events and mechanical events in the cardiac cycle?

    <p>Electrical events precede mechanical events</p> Signup and view all the answers

    Which measurement can be used to assess cardiac performance?

    <p>Ejection fraction</p> Signup and view all the answers

    Study Notes

    Cardiovascular System Overview

    • The cardiovascular system is central to medical physiology, focusing on hemodynamics and the functional organization of blood flow.
    • The outputs of the left and right ventricles are interdependent, highlighting their collaborative function in blood circulation.

    Hemodynamics

    • Mean arterial pressure is influenced by cardiac output and total peripheral resistance (TPR).
    • Blood pressure decreases as it travels through the circulatory system, with the largest drop occurring across arterioles due to high vascular resistance.

    Factors Affecting Blood Flow

    • Vessel length impacts blood pressure; longer vessels result in greater pressure loss due to friction.
    • Blood viscosity is affected primarily by red blood cell count and albumin concentration, influencing flow rates under various conditions (e.g., anemia vs. polycythemia).
    • Compliance refers to the distensibility of blood vessels; low compliance means a minimal volume change for a given pressure change.

    Cardiac Electrophysiology

    • The sinoatrial (SA) node serves as the primary pacemaker, firing at about 100 beats/min, moderated to around 70 beats/min due to parasympathetic tone.
    • The atrioventricular (AV) node can act as a backup pacemaker in case the SA node fails, often resulting in a slower heart rate.

    Cardiac Cycle

    • The cardiac cycle consists of systole (contraction) and diastole (relaxation) phases, with electrical events always preceding mechanical actions.
    • Mechanical events correlate with ECG waves, illustrating the relationship between electrical signals and heart muscle contraction.

    Cardiac Output and Stroke Volume

    • Cardiac output (CO) is calculated as the product of heart rate (HR) and stroke volume (SV), averaging around 5 L/min in adults.
    • Stroke volume is determined by the difference between end-diastolic volume (EDV) and end-systolic volume (ESV).

    Ejection Fraction

    • Ejection fraction measures the percentage of blood ejected from the ventricles during contraction, indicating ventricular performance.

    Regulatory Mechanisms

    • Calcium regulatory mechanisms in myocardial cells affect the inotropic state, influencing the strength of cardiac contractions.
    • Frank-Starling principle illustrates how changes in preload and afterload impact cardiac output and overall heart function.

    Refractory Periods

    • Cardiac action potentials feature long refractory periods, preventing tetany and ensuring adequate filling time during diastole.

    Summary of Key Factors

    • Understanding the dynamics of blood flow, pressure, and heart function is essential for comprehending cardiovascular physiology.
    • Knowledge of how various parameters like vessel length, viscosity, and compliance influence hemodynamics is critical for medical practice.

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    Description

    Explore the intricate details of the cardiovascular system in this quiz designed for PAM 600. Review key concepts in human anatomy and physiology with a focus on cardiovascular physiology. Perfect for students looking to reinforce their understanding of this vital subject.

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