Physiology Flashcards

1
Q

What is the stroke volume?

A

the volume ejected when the ventricular muscle contracts

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2
Q

What is the stroke volume equal to?

A

end diastolic volume - end systolic volume

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3
Q

What does the Frank-Starling law describe?

A

relationship between venous return, EDV and stroke volume

the more the ventricle is filled with blood during diastole (END DIASTOLIC VOLUME), the greater the volume of ejected blood will be during the resulting systolic contraction (STROKE VOLUME)

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4
Q

What is afterload?

A

the resistance into which heart is pumping

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5
Q

What happens if afterload increases?

A

heart unable to eject full SV, so EDV increases

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6
Q

What happens if afterload chronically increased?

A

ventricular hypertrophy

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7
Q

What is a positive inotropic effect?

A

increased force of contraction

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8
Q

If heart rate = 75bpm, how long does

a) diastole?
b) systole last?

A

a) 0.5 s

b) 0.3 s

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9
Q

When is aortic pressure greatest?

A

ejection phase of ventricular systole

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10
Q

When do AV valves close?

A

during ventricular contraction when the ventricular pressure rises higher than the atrial pressure

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11
Q

When do the aortic and pulmonary valves open?

A

When the ventricular pressure exceeds aorta/pulmonary artery pressure

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12
Q

What sound occurs when aortic and pulmonary valves open?

A

silent

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13
Q

When do the aortic and pulmonary valves close?

A

When the ventricular pressure falls below aortic/pulmonary pressure

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14
Q

What sound occurs when

a) AV valves close?
b) aortic and pulmonary valves close?

A

a) 1st heart sound (LUB)

b) 2nd heart sound (DUB)

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15
Q

What is the dicrotic notch?

A

falling aortic pressure slightly rises due to vibration from valve closing

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16
Q

When do the AV valves open?

A

when ventricular pressure falls below atrial pressure

17
Q

What does
a) S1
b) S2
indicate?

A

a) beginning of systole

b) beginning of diastole

18
Q

Why might S2 be split?

A

during inspiration with aortic being louder and heard first due to increased right ventricular volume prolonging right ventricular ejection time. Best heard in pulmonary area

19
Q

What is S3?

A

additional heart sound immediately after S2 caused by early diastolic filling

20
Q

Is S3 physiologic?

A

yes in young people but pathological in older (often due to left systolic dystolic)

21
Q

What is S4?

A

additional heart sound before S1 caused by late diastolic filling

22
Q

Is S4 physiologic?

A

no, always pathological

eg. stiff ventricle, myocardial ischaemia, hypertension or aortic stenosis

23
Q

Where is the aortic area?

A

2nd intercostal space, right of sternum

24
Q

Where is the pulmonary area?

A

2nd intercostal space, left of sternum

25
Q

Where is the tricuspid area?

A

4th intercostal space, left of sternum

26
Q

Where is the mitral area?

A

5th intercostal space, mid-clavicular line

27
Q

What is JVP an indirect measure of?

A

central venous pressure