The Heart and Its Structure
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Questions and Answers

What is the average action potential recorded in a ventricular muscle fiber?

  • About 85 millivolts
  • About 200 millivolts
  • About 105 millivolts (correct)
  • About 150 millivolts
  • Which channels are primarily responsible for the action potential in cardiac muscle?

  • Slow calcium channels only
  • Voltage potassium channels only
  • Fast sodium channels, L-type calcium channels, and voltage potassium channels (correct)
  • Fast sodium channels only
  • During each beat, the membrane potential of a cardiac muscle fiber rises to approximately what value?

  • +50 millivolts
  • -20 millivolts
  • +20 millivolts (correct)
  • 0 millivolts
  • What is one reason the action potential in cardiac muscle lasts much longer than in skeletal muscle?

    <p>Presence of a plateau in the action potential</p> Signup and view all the answers

    What happens to potassium ion permeability immediately after the onset of the action potential in cardiac muscle?

    <p>Decreases about fivefold</p> Signup and view all the answers

    What occurs at the end of the plateau phase of the cardiac action potential?

    <p>Repolarization is initiated</p> Signup and view all the answers

    The prolonged action potential in cardiac muscle allows for what duration of contraction compared to skeletal muscle?

    <p>Fifteen times longer</p> Signup and view all the answers

    What primarily causes the rapid return of the membrane potential to its resting level after the action potential?

    <p>Rapid loss of potassium from the fiber</p> Signup and view all the answers

    What is a muscle twitch?

    <p>A single contraction/relaxation cycle.</p> Signup and view all the answers

    What is the duration of the latent period in a muscle twitch?

    <p>5 ms</p> Signup and view all the answers

    How does the velocity of conduction in cardiac muscle compare to nerve fibers?

    <p>It is about 1/250 the velocity of nerve fibers.</p> Signup and view all the answers

    What is the normal refractory period of the ventricle in cardiac muscle?

    <p>0.25 to 0.30 seconds</p> Signup and view all the answers

    What initiates excitation-contraction coupling in cardiac muscle?

    <p>CICR (Calcium-Induced Calcium Release)</p> Signup and view all the answers

    What happens to calcium ions during muscle relaxation?

    <p>Calcium is actively transported out of the cell.</p> Signup and view all the answers

    Why is calcium important for cardiac muscle contraction?

    <p>It allows actin and myosin interaction.</p> Signup and view all the answers

    What is one function of the pericardium?

    <p>Prevents overfilling of the heart with blood</p> Signup and view all the answers

    How does the sarcoplasmic reticulum of cardiac muscle compare to that of skeletal muscle?

    <p>It is less developed.</p> Signup and view all the answers

    What chamber of the heart pumps blood through the pulmonary circulation?

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

    Which layer of the heart is the middle muscular layer?

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

    Which type of cardiac muscle fibers are specialized for conduction?

    <p>Specialized excitatory and conductive muscle fibers</p> Signup and view all the answers

    Which side of the heart pumps blood to the systemic circulation?

    <p>Left ventricle</p> Signup and view all the answers

    What is a primary role of the atria in the heart?

    <p>Act as a weak primer pump for the ventricles</p> Signup and view all the answers

    Which statement about the heart's structure is correct?

    <p>The heart has multiple layers including myocardium and pericardium</p> Signup and view all the answers

    What is the main pumping force that propels blood in the ventricles?

    <p>Ventricular contraction</p> Signup and view all the answers

    What is the end-diastolic volume of the ventricle?

    <p>120 ml</p> Signup and view all the answers

    During which phase of the cardiac cycle does the ventricular volume remain constant?

    <p>Period of Isovolumic Contraction</p> Signup and view all the answers

    What happens to the pressure in the ventricle during the Period of Isovolumic Contraction?

    <p>It increases to about 80 mm Hg.</p> Signup and view all the answers

    What is the end-systolic volume in the ventricle?

    <p>50 ml</p> Signup and view all the answers

    What occurs during the Period of Ejection in the cardiac cycle?

    <p>The volume of the ventricle decreases as blood flows out.</p> Signup and view all the answers

    What is the role of papillary muscles during ventricular contraction?

    <p>They contract to pull the valve vanes inward.</p> Signup and view all the answers

    What happens to the heart valves when a chordae tendineae ruptures?

    <p>The valves bulge backward and may leak.</p> Signup and view all the answers

    During which phase do the atria function as primer pumps for the ventricles?

    <p>During atrial systole.</p> Signup and view all the answers

    Which heart sound signifies the beginning of systole?

    <p>S1 as AV valves close.</p> Signup and view all the answers

    What percentage of ventricular filling occurs during the rapid filling phase of diastole?

    <p>80%</p> Signup and view all the answers

    What occurs during the diastasis phase of ventricular diastole?

    <p>A small amount of blood flows into the ventricles.</p> Signup and view all the answers

    What effect does aging have on the ventricles according to the content?

    <p>They stiffen and fill less with blood.</p> Signup and view all the answers

    What percentage of the ventricles is filled by atrial contraction at the end of the diastole phase?

    <p>20%</p> Signup and view all the answers

    Study Notes

    The Heart and Its Structure

    • The heart is a four-chambered organ located in the chest, tilted slightly to the left.
    • It's protected by a two-layered sac called the pericardium, which prevents overfilling, anchors the heart, and allows for frictionless movement.
    • The heart has three layers: the inner endocardium, the middle myocardium, and the outer epicardium.
    • The heart functions as two separate pumps: the right heart pumps blood to the lungs, while the left heart pumps blood to the rest of the body.
    • Each atrium acts as a primer pump for its respective ventricle, helping move blood before the ventricle contracts.
    • The left ventricle wall is thicker than the right ventricle wall, reflecting the higher pressure required to pump blood throughout the body.

    Cardiac Muscle Physiology

    • Cardiac muscle has three primary types: atrial, ventricular, and specialized excitatory and conductive fibers.
    • Atrial and ventricular muscle contract similarly to skeletal muscle, but with a longer contraction duration.
    • Specialized conductive fibers facilitate electrical conduction within the heart, allowing for coordinated contraction.
    • Cardiac muscle action potentials have a distinct plateau phase, which is longer than in skeletal muscle and results from the influx of calcium ions through L-type calcium channels. This plateau, in turn, contributes to the longer contraction duration in cardiac muscle.
    • The refractory period of cardiac muscle is longer than skeletal muscle, preventing tetanic contractions and allowing for proper heart function.

    Ventricular Contraction and Relaxation

    • Ventricular contraction begins with an action potential that triggers the release of calcium ions from the sarcoplasmic reticulum.
    • Calcium ions bind to troponin, initiating the sliding filament mechanism, leading to muscle contraction.
    • Relaxation occurs when calcium ions are actively pumped back into the sarcoplasmic reticulum and out of the cell, allowing the muscle fibers to relax.

    Blood Flow and Cardiac Function

    • Papillary muscles, attached to the heart valves via chordae tendineae, prevent valve prolapse during ventricular contraction.
    • The heart sounds are associated with valve closure: "lub" corresponds to AV valve closure, and "dup" corresponds to aortic valve closure.
    • The heart cycle consists of four phases: filling, isovolumic contraction, ejection, and isovolumic relaxation.
    • The filling phase is characterized by the passive and active filling of the ventricles.
    • The isovolumic contraction phase involves the closure of all heart valves and a rise in ventricular pressure.
    • The ejection phase is marked by the opening of the aortic valve and the ejection of blood from the ventricle.
    • The isovolumic relaxation phase includes the closure of the aortic valve and the decrease in ventricular pressure without volume change.
    • Stroke volume is the amount of blood ejected from the ventricle during each heartbeat, typically about 70 ml.
    • End-diastolic volume is the volume of blood in the ventricle at the end of diastole (filling), typically around 120 ml.
    • End-systolic volume is the volume of blood remaining in the ventricle at the end of systole (contraction), usually around 50 ml.

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    Heart Physiology PDF

    Description

    This quiz explores the anatomy and physiology of the heart, focusing on its four chambers and protective layers. Learn about the heart's dual pumping action and the unique properties of cardiac muscle. Test your knowledge on the critical functions and structures that enable the heart to maintain circulation.

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