SAQ - Heart's Conduction System and Blood Flow
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Questions and Answers

What is considered a normal heart rate range?

  • Between 60 – 100 bpm (correct)
  • Between 100 – 120 bpm
  • Between 40 – 60 bpm
  • Between 120 – 140 bpm

What division of the autonomic nervous system increases the heart rate?

  • Central nervous system
  • Parasympathetic division
  • Peripheral nervous system
  • Sympathetic division (correct)

What is the function of the AV node in the heart?

  • To provide a delay in the signal, allowing the atria to fully contract (correct)
  • To contract the atria
  • To generate impulses for the SA node
  • To pump blood to the ventricles

What is the result if the SA and AV nodes fail?

<p>The heart rate will decrease to below 40 bpm (C)</p> Signup and view all the answers

What is the purpose of the Bundle of His?

<p>To transmit the signal to the Purkinje fibres (A)</p> Signup and view all the answers

What is the result of the signal from the AV node travelling down the Bundle of His and into the left bundle branch first?

<p>The ventricles will contract simultaneously (B)</p> Signup and view all the answers

What is the primary function of the heart?

<p>To pump deoxygenated blood to the lungs and oxygenated blood to the body (C)</p> Signup and view all the answers

What is the function of the tricuspid valve?

<p>To separate the right atrium and right ventricle (A)</p> Signup and view all the answers

What is the SA node responsible for?

<p>Regulating the heartbeat (A)</p> Signup and view all the answers

What is the path of deoxygenated blood in the heart?

<p>Right atrium to tricuspid valve to right ventricle to lungs (D)</p> Signup and view all the answers

What is the term for the heart's ability to produce its own impulses?

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

What is the function of the pulmonary artery?

<p>To transport deoxygenated blood to the lungs (C)</p> Signup and view all the answers

What percentage of the cardiac output does the coronary artery supply to the myocardium?

<p>5% (B)</p> Signup and view all the answers

Which of the following structures does the right coronary artery supply blood to?

<p>The right atrium, right ventricle, sinoatrial node, and atrioventricular node (A)</p> Signup and view all the answers

What is the origin of the left coronary artery?

<p>The posterior aortic sinus (A)</p> Signup and view all the answers

What is the function of the coronary arteries in the cardiac system?

<p>To deliver oxygenated blood to the heart muscle (D)</p> Signup and view all the answers

What are the two main coronary arteries that arise from the aortic sinus?

<p>The right coronary artery and the left coronary artery (B)</p> Signup and view all the answers

What are the subendocardial arteries part of?

<p>Subendocardial arterial plexuses (D)</p> Signup and view all the answers

What is the primary characteristic of coronary artery disease (CAD)?

<p>Buildup of plaque in the coronary arteries (C)</p> Signup and view all the answers

At what level of stenosis does critical stenosis occur in coronary artery disease?

<p>When the diameter is reduced by 50% (A)</p> Signup and view all the answers

What is the effect of hypertension on the coronary arteries?

<p>Decreased capillary density and raised intramyocardial pressure (D)</p> Signup and view all the answers

What is the driving force that moves blood from the aortic root to the myocardial capillaries?

<p>Coronary perfusion pressure (D)</p> Signup and view all the answers

What is the term for the phenomenon where blood flow is diverted from a stenotic region to a less stenotic region?

<p>Coronary steal (B)</p> Signup and view all the answers

What is the main determinant of coronary blood flow?

<p>Resistance vessels (B)</p> Signup and view all the answers

What is the effect of heart failure on coronary perfusion pressure?

<p>Decreased coronary perfusion pressure (C)</p> Signup and view all the answers

What is the purpose of the coronary blood flow reserve?

<p>To increase blood flow to the heart muscle during exercise (D)</p> Signup and view all the answers

What is the result of sympathetic-mediated systemic vasoconstriction in heart failure?

<p>Improved myocardial perfusion but increased pressure load (D)</p> Signup and view all the answers

What is the anatomical structure of the coronary circulation?

<p>Large epicardial conduit vessels and small resistance vessels (B)</p> Signup and view all the answers

What is the main consequence of a reduction in blood flow to the heart muscle?

<p>Angina and potentially heart attack (B)</p> Signup and view all the answers

What is the primary function of the coronary circulation?

<p>To deliver oxygen and nutrients to the heart muscle (B)</p> Signup and view all the answers

What is the term for the condition in which the heart muscle does not receive enough oxygen-rich blood?

<p>Ischemic heart disease (C)</p> Signup and view all the answers

What is the purpose of the coronary arteries?

<p>To supply blood to the heart muscle (A)</p> Signup and view all the answers

What is the result of a narrowing or blockage of the coronary arteries?

<p>Reduced blood flow to the heart muscle (A)</p> Signup and view all the answers

What is the role of the capillaries in the coronary circulation?

<p>To allow for direct exchange of oxygen and nutrients with the heart muscle (A)</p> Signup and view all the answers

What is the main consequence of reduced myocardial perfusion in ischemic heart disease?

<p>Heart damage, including scarring and weakening of the heart muscle (B)</p> Signup and view all the answers

What is the purpose of collateral circulation in the heart?

<p>To maintain blood flow to the heart muscle in the event of a blocked coronary artery (A)</p> Signup and view all the answers

Which coronary artery supplies blood to the left ventricle and part of the septum?

<p>Left coronary artery (A)</p> Signup and view all the answers

What is the role of coronary arteries in the heart?

<p>To supply blood to the heart muscle (B)</p> Signup and view all the answers

What is the clinical significance of understanding coronary circulation, myocardial perfusion, collateral circulation, and coronary arteries?

<p>To prevent and treat ischemic heart disease (A)</p> Signup and view all the answers

What is the primary risk factor for disrupting the coronary blood supply?

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

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