Ch14 Flashcards

1
Q

Which organ regulates blood pressure by regulating volume?

A

Kidney

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2
Q

What 3 parameters determine resistance for fluid flowing through a tube?

A

Length, radius, and viscosity

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3
Q

What is Poiseuille’s law? What is it simplified to in humans?

A

Resistance is proportional to (Length x viscosity) / (Radius^4)

1/(Radius^4)

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4
Q

If the radius of tube A = 2, what is the flow?

A

R=1/r^4=1/16

Flow = 1/R=1/(1/16)=16

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5
Q

What do autorhythmic cells lack compared to normal cardiac myocytes?

A

No organized sarcomeres hence no striations

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6
Q

How does the size of the t-tubules and the sarcoplasmic reticulum’s compare between cardiac and skeletal muscle cells?

A

T-tubules are larger in cardiac myocytes while the sarcophagi can reticulum is larger in skeletal muscle

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7
Q

How does the NCX transporter work in cardiac myocyte membranes?

A

It is a symporter that uses the Na+ gradient to pump Ca2+ out of the cell

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8
Q

How does the opening of the RyR gate compare in cardiac and skeletal muscle?

A

The skeletal myocytes use a DHP protein to open the RyR in the sarcoplasmic reticulum while cardiac muscle just uses the L-type Ca2+ channel in the membrane of the t-tubule

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9
Q

How are cardiac contractions graded?

A

By letting more or less Ca2+ into the myocyte

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10
Q

Why does stretch not affect cardiac muscle like skeletal muscle?

A

The heart has stretch-activated Ca2+ channels, meaning stretching can actually strengthen contractions

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11
Q

What is the resting membrane potential of skeletal and cardiac contractile myocytes?

A

S: -70mV
C: -90mV

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12
Q

What is the benefit of a long refractory period in cardiac muscle?

A

This disallows summation like in skeletal muscle, removing the possibility of tetanus poisoning

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13
Q

What is the resting membrane potential of contractile and autotrhythmic cardiac myocytes?

A

Autorhythmic cells are -60mV
Contractile cells are -90mV

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14
Q

How does the funny channel work?

A

As the cell naturally repolarizes after a contraction, the funny channel will open to let Na+ in at -60mV. It only lets it in slowly compared to the L-type Ca2+ channel whose threshold is -40 mV

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15
Q

What are the natural paces of the possible bodies of pacemaker cells?

A

SA node: 70 bpm
AV node: 50 bpm
Purkinje fibers: 25-40 bpm

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16
Q

In Einthoven’s triangle, where is there a group of two negative leads? Two positive?

A

Two negative leads are found on the right arm. Two positive leads are found on the left leg.

17
Q

What are leads I, II, and III in Einthoven’s triangle?

A

I is right arm to left arm
II is right arm to left leg
III is left arm to left leg

18
Q

What happens during a P wave?

A

Atrial depolarization

19
Q

What happens during a P-R segment?

A

Conduction through AV node and AV bundle

20
Q

What happens during the QRS segment?

A

Ventricular depolarization

21
Q

What happens during the T wave?

A

Ventricular repolarization

22
Q

Why isn’t atrial repolarization apparent on an ECG?

A

It’s too small to see

23
Q

Why does the apex stay depolarized the longest compared to the rest on the ventricles?

A

It depolarizes first, but the top of the ventricles repolarizes first.

24
Q

What is a first degree block in the internodal pathway?

A

Delay in internodal pathway. The P-R distance is extended

25
What is a second degree block in the internodal pathway?
Internodal pathway only sometimes works and the AV is not acting as a pacemaker. Look similar to third degree block but QRS is not independent of a P wave.
26
What is a third degree block in the internodal pathway?
There is a complete block in the internodal pathway and the SA node and the AV node are acting independently. Keep in mind the inherent paces of the nodes when identifying
27
How much of the blood volume leaves the heart during systole?
Only about 50%
28
How much of the ventricles fill passively?
80-90%
29
How does increasing stroke volume occur?
Increasing EDV or decreasing ESV
30
What is the definition of stroke volume and how is it calculated? What is the average amount?
Amount of blood pumped by one ventricle during a contraction EDV-ESV=stroke volume 70 mL
31
What is the definition of cardiac output and how is it calculated? What is the average?
Volume of blood pumped by one ventricle in a given period of time CO=HR x SV 5 L/min
32
How does parasympathetic input decrease heart rate?
It decreases the funny channel stimulation and increases activity of the sodium-potassium pump. Both of these hyperpolarize the cell
33
Why does epinephrine affect the heart?
The heart has beta-1 receptors
34
What does the Frank-Starling law state?
Stroke volume increases as EDV increases
35
What is an inotropic agent? What is an example of a positive inotropic agent?
Any chemical that affects contractility. Positive/negative inotropics will strengthen/weaken strength of contractions Catecholamines increase contractility
36
What is after load?
Combined load of EDV and arterial resistance during ventricular contraction
37
What is ejection fraction? What is normal value?
Percentage of EDV ejected with one contraction 52%