Ch 17 Heart Flashcards
Which of the following is NOT a function of the heart which helps to maintain homeostasis?
Routing blood
Generating blood pressure
Regulating blood supply
All of these are functions of the heart
The heart is located in the
Thoracic cavity between the lungs
The heart is surrounded by this sac
Pericardium
What membrane covers the surface of the heart?
Visceral pericardium
The heart wall is composed of three layers. Which of the following is NOT a layer of the heart wall?
Intercardium
What is the name of the heart wall layer that forms the inner surface of the heart chamber?
Endocardium
What are the muscular ridges that are found in the atria of the heart?
Pectinate muscles
The heart consists of
Two atria and two ventricles
What are the veins that carry blood to the heart?
Pulmonary veins
Inferior vena cava
Superior vena cava
All of these veins carry blood to the heart
What are the two arteries that carry blood away from the heart?
Pulmonary trunk and aorta
The right atrium receives blood from which of the following veins?
Superior vena cava
Inferior vena cava
Coronary sinus
** All of these veins carry blood to the right atrium**
What are the blood vessels that carry blood to the left atrium?
Pulmonary veins
Which one of the following is a depression in the right atrium that was the former opening between
the left and right atria of the fetal heart?
Fossa ovalis
The left ventricle pumps blood into the
Aorta
What is the function of heart valves?
To prevent backflow of blood and ensure one-way flow of blood in the heart
Which of the following are heart valves?
Both the atrioventricular and semilunar valves
What is the name of the right atrioventricular valve?
Tricuspid valve
What is the name of the cone-shaped muscular pillars in the ventricles?
Papillary muscles
What are the string-like structures that attach the atrioventricular valves to the heart wall?
Chordae tendineae
Which semilunar valve separates the left ventricle and the aorta?
Aortic semilunar valve
When the ventricles contract
The atrioventicular valves close and the semilunar valves open
Which of the following is the correct flow of blood as blood moves from the body, through the heart, to the lungs? 1. Pulmonary semilunar valve 2. Pulmonary trunk 3. Right atrium 4. Right ventricle 5. Superior and inferior vena cava 6. Tricuspid valve
5,3,6,4,1,2
Which of the following is the correct flow of blood as blood moves from the lungs, through the heart, to the body? 1. Aortic semilunar valve 2. Aorta 3. Bicuspid valve 4. Left atrium 5. Left ventricle 6. Pulmonary veins
6,4,3,5,1,2
What two arteries do the left coronary artery branch into?
Anterior interventricular and circumflex arteries
What areas of the heart are supplied by the left coronary artery
Left atrium, left ventricle and right anterior ventricle
Blood is drained from the heart muscle by which of the following blood vessels?
Coronary sinus
What are the two myofilaments that are found in cardiac muscle?
Actin and fibrin
Fibrin and myosin
Actin and collagen
**None of the above are correct
Which of the following is NOT a part of the cardiac muscle action potential?
Depolarization
Plateau phase of repolarization
Final repolarization phase
All of these are part of the action potential in cardiac muscle
During depolarization, which of the following ion channels open?
Sodium
During depolarization,
Sodium channels open, potassium channels close and calcium channels open
During final repolarization,
Sodium channels close, potassium channels open and calcium channels close
Absolute refractory period in cardiac muscle extends from depolarization into the
Final repolarization phase
What is the pacemaker of the heart?
Sinoatrial node
When the SA node depolarizes and the heart contracts, which one of the following is directly
determined by the SA node?
Heart rate
What ion is primarily responsible for the depolarization of the SA node of the heart?
Calcium
When the SA node depolarizes, which of the following heart chambers contracts first?
Right and left atria
What part of the conducting system of the heart delays the transmission of the action potential to allow
the atria to contract before the ventricles?
AV node
Which of the following is the correct sequence of structures in the heart’s conducting system?
- AV bundles
- AV node
- Purkinje fibers
- SA node
4,2,1,3
Which one of the following conditions is life threatening?
Ventricular fibrillation
Which one of the following conditions is a heart rate less than 60 beats per minute?
Bradycardia
Which one of the following waves would be seen in a normal ECG?
wave
T wave
QRS complex
***All of the above would be seen in a normal ECG
What wave of the ECG represents ventricular depolarization?
QRS complex
What wave of the ECG represents ventricular repolarization?
T wave
During the PR interval,
The atria contract
Which of the following is the correct sequence of events during ventricular systole?
- AV valves close
- Blood is ejected into the pulmonary trunk and aorta
- Semilunar valves open
- Ventricles begin to relax and enter into ventricular diastole
- Ventricles contract and blood pressure in ventricles increase
5,1,3,2,4
Which of the following is the correct sequence of events during ventricular diastole?
- When ventricular blood pressure becomes less than atrial pressure, AV valves open
- Atria contract and force their blood into the ventricles
- Semilunar valves close
- Ventricles relax and blood pressure in ventricles decreases
4,3,1,2
Which one of the following events does NOT occur during ventricular systole?
Ventricular pressure increases
AV valves close
Semilunar valves open
**All of these events occur during ventricular systole
Which one of the following events does NOT occur during ventricular diastole?
AV valves close
Which one of the following is the highest blood pressure in the aorta?
Systolic pressure
What is the approximate diastolic blood pressure in the aorta?
80 mm Hg
Which of the following is responsible for the first heart sound of “lubb”?
Tricuspid valve closing
Which of the following is responsible for the second heart sound of “dupp”?
Both the aortic and pulmonary semilunar valves closing
What is the cause of heart murmurs?
Faulty heart valves
An incompetent bicuspid valve causes
Pulmonary edema
The mean arterial pressure is determined by
MAP = CO X PR
The cardiac output is affected by all of the following EXCEPT
*Peripheral resistance
Heart rate
Stroke volume
All of the above affect the cardiac output
What is the law that states an increase in the resting length of a cardiac muscle fiber will result in a
greater force of contraction of a cardiac muscle fiber?
Starling’s law of the heart
Which one of the following extrinsic factors decreases heart rate?
Parasympathetic stimulation
Blood pressure is monitored in the aorta by pressure receptors called
Baroreceptors
When blood pressure increases, which one of the following events occur?
Increased parasympathetic stimulation of heart with decreased heart rate
Which one of the following is increased when the adrenal glands release epinephrine and
norepinephrine?
Heart rate
Stroke volume
Blood pressure
.*All of the above are increase with epinephrine and norepinephrine
Which one of the following chemicals has no effect on the heart rate?
Nitrogen
What is the effect of a significant decrease in oxygen on the heart?
Increased heart rate
What is the effect of increased oxygen on the heart?
No change in heart rate
What is the effect of increased carbon dioxide on the heart?
Increased heart rate
What is the effect of increased pH on the heart?
Decreased heart rate
What is the effect of decreased potassium ion on the heart?
Decreased heart rate
What is the effect of increased calcium ion on the heart?
Decreased heart rate
What is the effect of decreased temperature on the heart?
Decreased heart rate
Which one of the following is a change in the heart that is associated with age?
Hypertrophy of the heart
Which one of the following is a change in the heart that is associated with age?
Arrhythmias of the heart
Decreased maximum heart rate
Decreased cardiac output
All of the above are seen in elderly people
The heart forms a partition with the trachea and esophagus called the mediastinum.
TRUE
The heart is the size of your closed fist.
TRUE
The base of the heart is the rounded point of the lower heart.
FALSE
The auricles are the primary receiving chambers of the heart.
FALSE
The pulmonary trunk divides into the left and right pulmonary veins and carries blood to the
lungs.
FALSE
The atria are chambers that receive blood from the veins.
TRUE
The left and right ventricles are separated by the interatrial septum.
FALSE
The left atrioventricular valve is called the bicuspid or mitral valve.
TRUE
The heart is supplied with blood from the coronary sinuses
FALSE
The heart is supplied with blood from the blood that flows through it.
FALSE
Heart cells have specialized gap junctions between them called intercalated disks.
TRUE
Cardiac muscle contracts faster than skeletal muscle.
FALSE
The absolute refractory period is shorter in cardiac muscle than in skeletal muscle
FALSE
The heart can stimulate itself and contract at regular intervals which is called self-rhythmic.
FALSE
A heart rate over 100 beats per minute is called tachycardia.
TRUE
The electrical activity of the heart can be recorded in an EEG.
FALSE
The P wave of the ECG represents ventricular depolarization.
FALSE
Atrial diastole is the relaxation of the atria.
TRUE
During ventricular systole, the blood pressure in the ventricles decreases.
FALSE
The heart sounds are caused by the closure of heart valves.
TRUE
Stenosis is a swelling of a heart valve.
FALSE
A normal cardiac output is 25 L/min.
FALSE
Sympathetic stimulation of the heart increases heart rate and force of contraction
TRUE
Excitement, anger and anxiety will cause increased blood pressure.
TRUE