Example Questions From Lecture Flashcards
During the conduction of a signal from the SA node to the ventricular fibers, there is a .16 second delay from the initial origin of the signal until onset of ventricular contraction. More than half of this delay occurs in which of the following areas of the transmission?
A. SA node
B. AV node
C. SA node
D. penetrating bundles
B. AV node
In a typical ECG, which of the following waves occurs at the beginning of the contraction of the atria?
A. T
B. R
C. S
D. P
E. Q
D. P
Which of the following events is generally not seen on a typical ECG?
A. atrial depolarization
B. atrial repolarization
C. ventricular depolarization
D. ventricular depolarization
B. atrial repolarization
Atrial repolariztaion is hidden by the QRS complex.
Which of the following is the direction of bipolar lead III?
A. 0 degrees
B. 60 degrees
C. 90 degrees
D. 120 degrees
D. 120 degrees
The connections of bipolar lead III are the left arm and the left leg.
Of the three bipolar leads, which one is connected to both the left and right arm?
A. lead I
B. lead II
C. lead III
D. all leads are connected to only one arm each
A. lead I
Of the three bipolar leads, which one would have the highest amplitude for the normal QRS wave, and which of the following reasons would explain this high amplitude?
A. Lead I, because it is most perpendicular to the vector for the depolarization wave
B. Lead I, because it is most parallel to the vector for the depolarization wave
C. Lead II, because it is most perpendicular to the vector for the depolarization wave
D. Lead II, because it is most parallel to the vector for the depolarization wave
D. Lead II, because it is most parallel to the vector for the depolarization wave
The direction of lead II is 60˚ and the mean axis of the heart is 59˚. The mean axis of the heart is a sum of all the mean electrical vectors that occur during ventricular depolarization.
Which of the following represents the mean electrical axis of the normal ventricle?
A. 59 degrees
B. 67 degrees
C. 120 degrees
D. 157 degrees
E. 270 degrees
A. 59 degrees
The mean axis of the heart is a sum of all the mean electrical vectors that occur during ventricular depolarization. The more muslce present in a region will result in a larger deviation of the axis towards that muscle. The left ventricle is more muscular than the right ventricle resulting in the mean axis pointing more to the left.
Which of the following conditions may result in tachycardia?
A. Toxic conditions of the heart
B. Increased body temperature
C. Sympathetic nerve stimunlation
D. All of the above
E. B and C only
D. All of the above (toxic conditions of the heart, increased body temperature, and sympathetic nerve stimulation)
In the ECG shown, which of the following heart activities is represented?
A. Sinus tachycardia
B. Sinus bradycardia
C. Complete AV block
D. Incomplete second degree block
B. Sinus bradycardia
The electrocardiogram shown indicates which of the following conditions?
A. Tachycardia
B. Bradycardia
C. SA node block
D. AV block
D. AV block
There are several P waves present without a QRS segment. This means that the electrical activity generated from the SA node is not reaching the ventricle. This is characteristic of an AV block
Circus movements are the basis of heart fibrillation. Which of the following statements is NOT true?
A. Fibrillation may occur when the refractory period of the muscle is greatly shortened.
B. Fibrillation may occur when the pathway around the circle is too short.
C. Fibrillation may occur when the conduction velocity slows down.
D. Fibrillation may occur when the heart become dilated.
B. Fibrillation may occur when the pathway around the circle is too short.
Circus movements occur when the point where a wave of depolarization cardiac tissue originates from has repolarized by the time the wave of depolarization has returned to that spot. This causes the tissue to depolarize again but this time out of sync with the hearts pacemaker.
84% of the blood volume is in the systemic circulation. Of this, 64% is in which of the following?
A. Capillaries
B. Systemic arterioles
C. Veins
D. Arterioles
C. Veins
Blood flow resistance is inversely (indirectly) proportional to which of the following?
A. Viscosity
B. Vessel diameter
C. Density
D. Both A and C
B. Vessel diameter
An equation for blood flow resistance is: (8 x vessel length x viscosity) / (π x R^4).
If rate of blood flow through the entire circulatory system (= cardiac output) = 100 mL/sec AND the pressure difference from the systemic arteries to the systemic veins = 100 mmHg; the total peripheral resistance is equal to…?
A. 10 PRU
B. 1 PRU
C. .01 PRU
D. 100,000 PRU
B. 1 PRU
An equation for blood flow resistance is: (change in pressure) / (blood flow).
The unit for blood flow resistance is the PRU which is equivalent to (1 mmHg) / (1 mL/sec).
Reynolds number is a measure of which of the following parameters?
A. Tendency for turbulence
B. Blood pressure
C. Conductance
D. Resistance
A. Tendency for turbulence
A higher Reynolds number indicates a higher tendency for turbulence.
Which of the following represents the viscosity of blood with a hematocrit of 38-42?
A. 1.5
B. 3.0
C. 38
D. 42
B. 3.0
The viscosity of blood plasma (blood minus the formed elements, essentially a hematocrit of 0%) is 1.5 due to plasma proteins.
The viscosity of blood with a hematocrit of 60-70% is ≈10.
Consider the following statements:
- Veins are about 8 times more distensible than arteries.
- Vascular compliance is directly proportional to volume increase and indirectly proportional to pressure.
A. Only statement 1 is true.
B. Only statement 2 is true.
C. Both statements are true.
D. Both false statements are false.
C. Both statements are true.
The equation for vascular compliance is: (increase in volume) / (increase in pressure).
Which of the following relationships is correct?
A. The greater the amount of elastic tissue in a blood vessel, the higher the compliance and the lower the elastance.
B. The greater the amount of elastic tissue in a blood vessel, the higher the compliance and the elastance.
C. The greater the amount of elastic tissue in a blood vessel, the lower the compliance and the elastance.
D. The greater the amount of elastic tissue in a blood vessel, the lower the compliance and the greater the elastance.
D. The greater the amount of elastic tissue in a blood vessel, the lower the compliance and the greater the elastance.
An elastics tissue is responsible for the elasticity of a blood vessel.
Elastance is the reciprocal of compliance.
High resistance in which of the following groups of vessels results in a disappearance in the phasic pressure pattern such as is seen in the aorta?
A. Pulmonary arteries
B. Systemic arterioles
C. Systemic veins
D. Pulmonary capillaries
B. Systemic arterioles
Resistance is the inverse of conductance/compliance and the less compliant a vessel is the less its volume changes with changes in pressure, such as those seen in the aorta.
The equation for pulse pressure is: (stroke volume) / (arterial compliance).
The least amount of damping of pressure pulses would occur in which of the following components of the circulatory system?
A. Femoral artery
B. Arterioles
C. Capillaries
D. Venues
A. Femoral artery
Pulse pressures are more prominent in arteries and therefore harder to dampen.
Precapillary sphincters are associated with which of the following types of vessels?
A. Small arteries
B. Arterioles
C. Metarterioles
D. Capillaries
C. Metarterioles
Metarterioles lack a smooth muslce coating that is found on most other vessels excluding capillaries.
Capillaries are found beyond the precapillary sphincters.
The forces that determine whether fluid will move out of the blood into the interstitial fluid or in the opposite direction are referred to as Starling forces. Which of the following forces tends to move fluid inward at the arterial end of the capillary?
A. Capillary hydrostatic pressure
B. Negative interstitial free fluid pressure
C. Plasma colloid osmotic pressure
D. Interstitial fluid colloid osmotic pressure
C. Plasma colloid osmotic pressure
Plasma colloid osmotic pressure is the force generated by proteins in the plasma which draws water into the vessel.
Capillary hydrostatic pressure pushes water out of the vessel.
Interstitial fluid colloid osmotic pressue draws water out of the vessel.
A positive interstitial free fluid pressure would push fluid into the vessel, however, it is negative so it pulls fluid out.
If mean capillary pressure is 17.3 mmHg; and negative interstitial free fluid pressure is 3.0 mmHg; and interstitial fluid colloid osmotic pressure is 8.0 mmHg; and plasma colloid osmotic pressure is 28.0 mmHg; what is the total inward force?
A. 17.3 mmHg
B. 20.3 mmHg
C. 28.0 mmHg
D. 28.3 mmHg
C. 28.0 mmHg
Plasma colloid osmotic pressure is the only inward force listed.
In any tissue in the body, a rapid increase in arterial pressure causes an immediate rise in blood flow. But within less than a minute, the blood flow in most tissues returns almost to the normal level even though the arterial pressure is kept elevated. This return of flow to normal is due to which of the following events?
A. Autoregulation of blood flow
B. Tubuloglomerular feedback
C. Sympathetic response
D. Mean sympathetic pressure feedback
A. Autoregulation of blood flow