06-07 - Electrical Activity, Muscular Contraction & Cardiac Cycle Flashcards

1
Q

The heart is auto…

A

Rhythmic

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2
Q

The nerve supply to the heart…

A) Regulates
B) Initiates
C) Regulates and initiates

…the heartbeat…

A

A) Regulates

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3
Q

There are two types of myocytes…

A

1) Work cells (that generate force)

2) Conducting cells

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4
Q

Initiation of the heartbeat occurs at the…

A

Sino-atrial Node (SAN)

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5
Q

Action potentials spread through the heart via (3)…

A
  • Gap junctions
  • Specialised conducting fibres
  • Through functional syncytium of work cells
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6
Q

A syncytium is…

A

A multi-nucleic cell formed by fusion of cells

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7
Q

Current flows from the SA node to the AV node via the…

A

Internodal pathways

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8
Q

Current travels from the AV node to the apex of the heart via the…

A

Bundle of His

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9
Q

Current moves from the apex of the heart up and across the ventricles via the…

A

Purkinjie fibres

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10
Q

Heart rate is determined by the…

A

Sino-atrial node (SAN)

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11
Q

Heart rate can be altered by the…

A

Autonomic nervous system

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12
Q

In the event of SAN dysfunction…

A

Other cells can take over (but at a slower rate)

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13
Q

Contractors period occurs:

A) Before
B) After
C) During

…the refractory period…

A

C) During

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14
Q

Cardiac muscle has a long refractory period. This helps prevent…

A

Tetanus

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15
Q

An electrocardiogram (ECG) is…

A

A recording of heart activity made by placing electrodes on the skin

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16
Q

The 3 characteristic parts of an ECG are…

A

1) P Wave
2) QRS complex
3) T wave

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17
Q

The P wave of an ECG corresponds to…

A

Atrial polarisation

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18
Q

The QRS complex of an ECG corresponds to….

A

Ventricular depolarisation

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19
Q

The T wave of an ECG corresponds to…

A

Ventricular repolarisation

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20
Q

The QT interval is…

A) Constant
B) Dependent on stroke volume
C) Dependent on PQ interval
D) Dependent on heart rate

A

D) Dependent on heart rate

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21
Q

There are two types of arrhythmia (abnormal heart rhythm)…

A

1) Impulse propagation defects (heart block)

2) Impulse initiation defects (fibrillation)

22
Q

An action potential from the adjacent heart cell causes voltage-gated channels to open, allowing Ca2+ to enter the cell.

This induces local release of more Ca2+ via…

A

Ryanodine receptor channels (RyR)

23
Q

Local release of Ca2+ leads to Ca2+ spark. The summation of these sparks generates the…

A

Ca2+ signal

24
Q

After the generation of the Ca2+ signal, Ca2+ binds to…

25
The binding of Ca2+ to troponin initiates muscle...
Contraction
26
Muscle relaxation occurs when Ca2+...
Unbinds from troponin
27
After muscle contraction and relaxation, Ca2+ is pumped back and stored in the...
Sarcoplasmic reticulum (SR)
28
Ca2+ is also exchanged with Na+ by...
NCX antiporter | The overall Na+ gradient is maintained by the Na+/K+ ATPase pump
29
Ionic basis for AP in the ventricular muscle cells 1. Sodium channels open 2. Sodium channels close 3. ? / ? 4. ? / ? 5. Resting potential reached
3. Calcium channels open / Fast K+ channels close | 4. Calcium channels close / Slow K+ channels open
30
The cardiac cycle can be summarised in 4 main steps...
1. Ventricular filling (atrial contraction) 2. Isovolumic ventricular contraction 3. Ventricular ejection 4. Isovolumic ventricular relaxation
31
Systole is ( contraction / relaxation )
Contraction
32
Diastole is ( contraction / relaxation)
Relaxation
33
EDV stands for...
End diastolic volume
34
ESV stands for...
End systolic volume
35
The ejection fraction is stroke volume divided by the...
End diastolic volume (EDV)
36
End diastolic volume (EDV) - end systolic volume(ESV) =
Stroke volume
37
Heart sounds are caused by...
The closing of heart valves
38
To hear the AV valve, stethoscope should be placed at the...
2nd intercostal space, right sternal margin
39
To hear the pulmonary valve, stethoscope should be placed at...
Left sternal margin
40
To hear the mitral valve, stethoscope should be placed at...
The heart apex (5th intercostal space in line with middle of clavicle)
41
To hear the tricuspid valve, stethoscope should be placed at...
Right sternal margin over 5th intercostal space (varies)
42
Diseases of the valves come in 2 main categories...
1. Stenosis | 2. Incompetence
43
Bicuspid valves are prone to calcification. Are there any symptoms, if so what are they?
Patients with calcified bicuspid valves may remain asymptomatic. However if a critical point is reached congestive heart failure occurs.
44
Systemic arterial blood pressure is measured where?
At the upper arm, level with the heart
45
Systemic arterial blood pressure is recorded as...
Systolic (max) over diastolic (min), in mmHg
46
Blood pressure can also be measured by...
Auscultation
47
Auscultation involves determining blood pressure using...
Sound
48
Auscultation: Pressures of >120mmHg result in... A) Korotkoff sounds (due to pulsatile blood flow) B) No sound C) Poiseuille sounds (due to laminar flow)
B) No sound
49
Auscultation: Pressures of 80-120mmHg result in... A) Korotkoff sounds (due to pulsatile blood flow) B) No sound C) Poiseuille sounds (due to laminar flow)
A) Korotkoff sounds (due to pulsatile blood flow)
50
Mean arterial pressure (MAP) is the average pressure over...
Time
51
MAP =
MAP = DP + 1/3 (SP - DP) Where (SP - DP) = pulse pressure