The Cardiac Cycle Quiz
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Questions and Answers

Which of the following is the correct sequence of mechanical events in the cardiac cycle?

  • Isovolumetric ventricular relaxation, Atrial contraction, Ventricular filling, Isovolumetric ventricular contraction, Ventricular ejection
  • Atrial contraction, Ventricular filling, Isovolumetric ventricular relaxation, Ventricular ejection, Isovolumetric ventricular contraction
  • Ventricular ejection, Ventricular filling, Atrial contraction, Isovolumetric ventricular relaxation, Isovolumetric ventricular contraction
  • Isovolumetric ventricular relaxation, Ventricular filling, Atrial contraction, Isovolumetric ventricular contraction, Ventricular ejection (correct)

During which phase of the cardiac cycle does the ventricle contract while the volume of blood remains constant?

  • Isovolumetric ventricular contraction (correct)
  • Ventricular ejection
  • Isovolumetric ventricular relaxation
  • Ventricular filling

What is the purpose of the atrial contraction phase in the cardiac cycle?

  • To fill the atria with blood (correct)
  • To contract the ventricles
  • To relax the ventricles
  • To increase blood pressure

During which phase of the cardiac cycle does the ventricle relax and the pressure in the ventricles drop, leading to the closure of the semilunar valves?

<p>Late diastole (D)</p> Signup and view all the answers

What is the term for the minimum amount of blood in the ventricles during ventricular diastole?

<p>End-systolic volume (ESV) (D)</p> Signup and view all the answers

During which phase of the cardiac cycle do the semilunar valves open and blood is ejected from the ventricles?

<p>Ventricular ejection (C)</p> Signup and view all the answers

During atrial contraction, the orifices of the SVC and IVC narrow due to

<p>Increased atrial pressure (B)</p> Signup and view all the answers

What is the effect of ventricular contraction on atrial pressure?

<p>Atrial pressure increases (D)</p> Signup and view all the answers

Which event marks the beginning of ventricular relaxation?

<p>Closure of semilunar valve (A)</p> Signup and view all the answers

What happens at the onset of ventricular relaxation?

<p>Closure of the semilunar valves (A)</p> Signup and view all the answers

What is the purpose of the dichroitic notch in ventricular relaxation?

<p>To cause a momentary pressure increase (C)</p> Signup and view all the answers

What is the purpose of the atrial relaxation during ventricular diastole?

<p>Facilitate ventricular filling (A)</p> Signup and view all the answers

During atrial systole, how much additional blood enters the ventricles?

<p>30% (A)</p> Signup and view all the answers

What happens to the orifices in the atrium during atrial systole?

<p>They narrow (C)</p> Signup and view all the answers

What happens to venous return during atrial systole?

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

During ventricular systole, the ventricular muscle contracts, causing the AV valves to close. What is the sound produced by this closure called?

<p>Second heart sound (B)</p> Signup and view all the answers

What happens to the pressure in the ventricles during the ejection phase?

<p>It increases dramatically (A)</p> Signup and view all the answers

During ventricular diastole, the pressure in the ventricles drops below the pressure in the atria. What causes the AV valves to open?

<p>Relaxation of the ventricular muscles (C)</p> Signup and view all the answers

What is the main factor that initiates ventricular diastole?

<p>Drop in pressure below atrial pressure (D)</p> Signup and view all the answers

What happens to the pressure in the ventricles during isovolumetric relaxation phase?

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

Which of the following accurately describes stroke volume (SV)?

<p>The volume of blood ejected from the ventricle during systole (B)</p> Signup and view all the answers

What is the approximate percentage of end-diastolic volume (EDV) that stroke volume (SV) represents?

<p>55-65% (D)</p> Signup and view all the answers

Which condition is associated with a lower ejection fraction?

<p>All of the above (D)</p> Signup and view all the answers

What causes the small but sharp increase in left atrial pressure following AV valve closure?

<p>Bulging of the valves inside the atria (B)</p> Signup and view all the answers

When does the aortic valve begin to open during the cardiac cycle?

<p>When the left ventricular pressure reaches 80 mmHg (D)</p> Signup and view all the answers

What happens to the pressure in the left ventricle during isovolumetric relaxation?

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

What occurs during isovolumetric relaxation of the ventricles?

<p>Closure of the semilunar valve (A)</p> Signup and view all the answers

What happens when the atrial pressure becomes higher than the ventricular pressure?

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

Which valve has only two cusps?

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

Which sound is produced when the semilunar valves close?

<p>Second heart sound (A)</p> Signup and view all the answers

Which heart sound is heard in early diastole and is considered pathological?

<p>3rd heart sound (3rd HS) (C)</p> Signup and view all the answers

Which heart sound is heard in late diastole and is associated with ventricular hypertrophy?

<p>4th heart sound (4th HS) (D)</p> Signup and view all the answers

Which valve is closed during the isovolumetric contraction phase of the cardiac cycle?

<p>All valves (D)</p> Signup and view all the answers

Which heart sound is associated with ventricular hypertrophy?

<p>4th heart sound (B)</p> Signup and view all the answers

What happens to the pressure in the ventricles during the isovolumetric relaxation phase?

<p>Pressure decreases (D)</p> Signup and view all the answers

During which phase of the cardiac cycle does rapid ventricular filling occur?

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

During which phase of the cardiac cycle are the mitral and tricuspid valves closed?

<p>Phase III (C)</p> Signup and view all the answers

Flashcards

Isovolumetric Contraction

The phase where the ventricle contracts while blood volume remains constant.

Atrial Contraction

Blood is pumped from the atria into the ventricles.

Isovolumetric Relaxation

The ventricle relaxes, pressure drops, and semilunar valves close.

End-Systolic Volume (ESV)

The amount of blood remaining in the ventricle after contraction.

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Ventricular Ejection

Blood is ejected from the ventricles through open semilunar valves.

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Atrial Contraction Effect

The narrowing of the superior and inferior vena cava orifices due to increased pressure.

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Ventricular Relaxation

The closure of the semilunar valves signals the start of ventricular relaxation.

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Atrial Relaxation

The ventricles fill with blood during the relaxation phase.

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Atrial Systole

The phase where the atria contract and pump additional blood into the ventricles.

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Ventricular Systole

The phase where the ventricular muscle contracts, closing the AV valves.

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Ejection Phase

Marked by an increase in ventricular pressure.

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Ventricular Diastole

The phase where the pressure in the ventricles drops below the atrial pressure, opening the AV valves.

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Ventricular Diastole Initiation

The closure of the semilunar valves is the primary trigger for ventricular diastole.

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Isovolumetric Relaxation Phase

The ventricle relaxes, pressure drops rapidly, and no blood enters or leaves.

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Stroke Volume (SV)

The amount of blood ejected from the ventricle during contraction.

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Stroke Volume (SV)

Represents roughly 60-70% of the blood volume in the ventricle before contraction.

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Ejection Fraction

A measure of the heart's pumping efficiency.

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Ejection Fraction and Heart Failure

An ejection fraction below 60% can be associated with heart failure.

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Left Atrial Pressure Increase

The small, sharp increase in left atrial pressure after the AV valve closes is caused by atrial contraction.

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Aortic Valve

Opens during the ventricular ejection phase, allowing blood to flow into the aorta.

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Isovolumetric Relaxation

The pressure in the left ventricle decreases rapidly during this phase.

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Ventricular Relaxation

The ventricle relaxes, pressure drops below atrial pressure, and AV valves open.

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AV Valve

Open when the pressure in the atrium is higher than the ventricle, allowing blood flow from the atrium to the ventricle.

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Pulmonary Valve

Has only two cusps instead of the usual three.

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Second Heart Sound (S2)

The sound produced when the semilunar valves close.

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Third Heart Sound (S3)

Heard in early diastole and is usually considered a sign of a problem.

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Fourth Heart Sound (S4)

Heard in late diastole and is associated with a thickened ventricle.

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Isovolumetric Contraction Phase

The AV valves are closed during this phase of the cardiac cycle.

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Ventricular Hypertrophy

The fourth heart sound (S4) is associated with this condition.

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Ventricular Filling

Occurs during this phase, as the ventricle rapidly fills with blood.

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Mitral and Tricuspid Valves

These valves are closed during the isovolumetric contraction phase.

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Study Notes

Cardiac Cycle Sequence

  • The correct sequence of mechanical events in the cardiac cycle is: atrial contraction, isovolumetric contraction, ventricular ejection, isovolumetric relaxation, ventricular filling, and atrial relaxation.

Isovolumetric Contraction Phase

  • During the isovolumetric contraction phase, the ventricle contracts while the volume of blood remains constant.

Atrial Contraction Phase

  • The purpose of the atrial contraction phase is to pump additional blood into the ventricles.

Isovolumetric Relaxation Phase

  • During the isovolumetric relaxation phase, the ventricle relaxes and the pressure in the ventricles drops, leading to the closure of the semilunar valves.

Ventricular Diastole

  • The term for the minimum amount of blood in the ventricles during ventricular diastole is end-systolic volume (ESV).

Ventricular Ejection Phase

  • During the ventricular ejection phase, the semilunar valves open and blood is ejected from the ventricles.

Atrial Contraction Effects

  • During atrial contraction, the orifices of the SVC and IVC narrow due to the increased pressure.
  • Ventricular contraction causes atrial pressure to decrease.

Ventricular Relaxation

  • The closure of the semilunar valves marks the beginning of ventricular relaxation.
  • At the onset of ventricular relaxation, the pressure in the ventricles drops below the pressure in the atria.
  • The purpose of the dichroitic notch in ventricular relaxation is to slow down the rapid drop in ventricular pressure.

Atrial Relaxation

  • The purpose of atrial relaxation during ventricular diastole is to allow the ventricles to fill with blood.

Atrial Systole

  • During atrial systole, an additional 10-15% of blood enters the ventricles.
  • The orifices in the atrium narrow during atrial systole.
  • Venous return increases during atrial systole.

Ventricular Systole

  • During ventricular systole, the ventricular muscle contracts, causing the AV valves to close.
  • The sound produced by this closure is called the first heart sound (S1).

Ejection Phase

  • During the ejection phase, the pressure in the ventricles increases.

Ventricular Diastole

  • During ventricular diastole, the pressure in the ventricles drops below the pressure in the atria.
  • The AV valves open when the pressure in the ventricles drops below the pressure in the atria.

Ventricular Diastole Initiation

  • The main factor that initiates ventricular diastole is the closure of the semilunar valves.

Isovolumetric Relaxation Phase

  • During the isovolumetric relaxation phase, the pressure in the ventricles drops rapidly.

Stroke Volume

  • Stroke volume (SV) is the amount of blood ejected from the ventricles during ventricular contraction.
  • Stroke volume (SV) represents approximately 60-70% of end-diastolic volume (EDV).

Ejection Fraction

  • An ejection fraction of less than 60% is associated with heart failure.

Left Atrial Pressure

  • The small but sharp increase in left atrial pressure following AV valve closure is caused by the contraction of the atrium.

Aortic Valve

  • The aortic valve begins to open during the ventricular ejection phase.

Isovolumetric Relaxation

  • During the isovolumetric relaxation phase, the pressure in the left ventricle drops rapidly.

Ventricular Relaxation

  • During isovolumetric relaxation, the ventricles relax and the pressure in the ventricles drops.

AV Valve

  • When the atrial pressure becomes higher than the ventricular pressure, the AV valves open.

Pulmonary Valve

  • The pulmonary valve has only two cusps.

Heart Sounds

  • The sound produced when the semilunar valves close is called the second heart sound (S2).
  • The third heart sound (S3) is heard in early diastole and is considered pathological.
  • The fourth heart sound (S4) is heard in late diastole and is associated with ventricular hypertrophy.

Isovolumetric Contraction Phase

  • The AV valves are closed during the isovolumetric contraction phase of the cardiac cycle.

Ventricular Hypertrophy

  • The fourth heart sound (S4) is associated with ventricular hypertrophy.

Ventricular Filling

  • Rapid ventricular filling occurs during the ventricular filling phase.

Mitral and Tricuspid Valves

  • The mitral and tricuspid valves are closed during the isovolumetric contraction phase of the cardiac cycle.

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Description

Test your knowledge of the cardiac cycle and its duration with this quiz. Learn about systole, diastole, and the sequence of changes in pressure and blood flow in the heart chambers and blood vessels. Explore how heart rate affects the duration of diastole and more.

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