Watson Heart Flashcards

1
Q

flattened part of the heart

A

base

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2
Q

Externally, an indentation known as the ___ ___ is at the boundary between the atria and ventricles

A

atrioventricular sulcus

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3
Q

the left side of the heart is also called the ___ pump

A

systemic pump

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4
Q

the heart produces the hormone

A

atrial natriuretic peptide

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5
Q

Function of ANP

A

lowers heart rate

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6
Q

the pericardial cavity is located between

A

the parietal pericardium and the visceral pericardium

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7
Q

flap like extension from the atriums

A

auricle

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8
Q

largest artery of the systemic circuit

A

aorta

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9
Q

drainage point for the coronary veins

A

coronary sinus

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10
Q

finger like projections of ventricular muscle

A

papillary muscle

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11
Q

remnant of a hole present in the fetal interarterial septum

A

fossa ovalis

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12
Q

ridges of muscle in the atria

A

pectinate muscle

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13
Q

2 largest veins of the systemic circuit

A

venae cavae

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14
Q

main artery of the pulmonary circuit

A

pulmonary trunk

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15
Q

extensions that attach papillary muscles to valves

A

chordae tendineae

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16
Q

veins that drain the pulmonary circuit

A

pulmonary veins

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17
Q

the pericardial cavity is located between

A

the parietal pericardium and visceral pericardium

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18
Q

The coronary arteries are the first branches off the ___ ___

A

ascending aorta

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19
Q

The right coronary artery becomes the ___ ___ ____

A

posterior interventricular artery

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20
Q

the left coronary artery branches into the ___ ___ ___ and ___ ___

A

anterior interventricular artery and circumflex artery

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21
Q

Pacemaker cells are ___ meaning they spontaneously generate impulses

A

autorhythmic

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22
Q

Compared to other cardiac cells, pacemakers have fewer ___ ___ and lack ___ channels

A

contractile elements and Na channels

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23
Q

The rapid depolarization phase of the contractile cell action potential is due to the opening of ___ channels

A

sodium

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24
Q

Pacemaker cells lack a ___ phase

A

plateau phase

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25
Q

The plateau phase in contractile cells is due to the influx of ___ ions through

A

calcium

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26
Q

the repolarization phase of the contractile cell is due to the ___ ions rushing out of the cell

A

potassium

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27
Q

Open ___ ion channels cause hyperpolarization in pacemaker cells, which triggers nonselective cation channels to open

A

potassium

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28
Q

Open potassium ion channels cause hyperpolarization in pacemaker cells, which triggers ___ ___ channels to open and begins a new action potential

A

nonspecific cation

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29
Q

the ___ ___ lengthens and strengths contraction

A

plateau phase

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30
Q

the plateau phase lengthens the ___ ___ period

A

cardiac refractory period

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31
Q

What prevents tetanus in the heart muscle

A

the plateau phase (by increasing the refractory period)

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32
Q

the ___ ___ is the primary pacemaker

A

sinoatrial node

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33
Q

the AV node delay allows the atria and ventricles to ___ and ___ separately

A

depolarize and contract separately

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34
Q

ECG depolarization of the atria

A

p wave

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35
Q

ECG depolarization of the ventricles

A

QRS complex

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36
Q

ECG repolarization of the ventricles

A

T wave

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37
Q

the contraction portion of the cardiac cycle

A

systole

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38
Q

Atrial systole ejects about ___ % of the blood into the ventricles during the inflow phase

A

20%

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39
Q

The amount of blood in the ventricles at the end of the inflow phase is the __ ___ volume

A

end diastolic volume

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40
Q

The ventricular ejection phase generally correlates with the __ wave

A

T

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41
Q

which is the strongest chamber

A

left ventricle

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42
Q

the S1 sound is caused by the closing of the ___ valves

A

AV

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43
Q

The S1 sound happens at the beginning of the ___ ___

A

isovolumetric contraction phase

44
Q

The S2 sound is caused by the closing of the ___ valves

A

semilunar

45
Q

The S2 sound happens at the beginning of the ___ phase

A

isovolumetric relaxation phase

46
Q

Cardiac output is equal to __ times __

A

HR times SV

47
Q

An increase in preload causes ___ in SV

A

increase

48
Q

An increase in preload causes increase in SV per the ___ ___ law

A

Frank Starling

49
Q

An increase in afterload causes ___ in stroke volume

A

decrease

50
Q

An increase in contractility causes ___ in stroke volume

A

increase

51
Q

the sympathetic nervous system releases

A

epi and noreepi

52
Q

ANP lowers blood pressure by decreasing ___ ions

A

sodium

53
Q

the pericardium has 2 main parts

A

fibrous pericardium

serous pericardium

54
Q

the serous pericardium is subdivided into

A

parietal and visceral

55
Q

the visceral pericardium is aka the

A

epicardium

56
Q

the most superficial layer of the heart is the ___ ___/___

A

visceral pericardium and epicardium

57
Q

the visceral pericardium rest on top of a thin layer of areolar connective tissue that contains __ ___

A

fat deposits

58
Q

Fat deposits collect in the ____ and ____ ___

A

atrioventricular and interventricular sulci

59
Q

thickest layer of the heart

A

myocardium

60
Q

cardiac muscle cells are aka

A

myocytes

61
Q

Largest branch off the right coronary

A

marginal artery

62
Q

Circumflex artery branches off the

A

left coronary artery

63
Q

systems of channels formed between blood vessels

A

anastomoses

64
Q

when blood flow to the myocardium is insufficient, sometimes new anastomoses will form to provide alternate routes of blood flow, or ___ ___

A

collateral circulation

65
Q

CAD stands for

A

coronary artery disease

66
Q

inadequate oxygenation of the myocardium is called ___ ____

A

myocardial ischemia

67
Q

CAD symptoms can go unnoticed, but when they do arise it can be Chest Pain, called ___ ___

A

angina pectoris

68
Q

heart attack is aka ___ ___

A

myocardial infarction

69
Q

Generally, MI occurs when plaques in ___ ___ rupture and a clot forms

A

coronary arteries

70
Q

To infarct means to

A

die

71
Q

when cardiac muscle cells die they are replaced with

A

scar tissue

72
Q

a procedure where a ballon is inflated in the blocked artery and a stent is inserted into the artery

A

coronary angioplasty

73
Q

to treat MI, vessels can be attached to each other which is called coronary artery __ __

A

bypass grafting

74
Q

the SVC drains blood from everything above the

A

diapgragm

75
Q

how many pulmonary veins do most people have

A

4

76
Q

ventricles have a ridged surface created by protrusions of muscles; the ridges are called ___ ___

A

trabeculae carneae

77
Q

how many nuclei does the heart cell have

A

1

78
Q

cardiac cells are half full of

A

mitochondria

79
Q

cardiac muscles cells have a lot of ___, a protein that carries oxygen

A

myoglobin

80
Q

intercalated discs join __ cells to ___ cell as well as __ cells to ___ cells

A

pacemaker to contractile

contractile to contractile

81
Q

intercalated discs have ___ and __ ___

A

desmosomes

gap junctions

82
Q

___ channels are opened by voltage, but close by time

A

calcium

83
Q

term for the heart cells functioning together

A

functional syncytium

84
Q

during depolarization theres an inflow of

A

sodium

85
Q

after depolarization, the next phase is

A

initial repolarization phase (brief)

86
Q

during the plateau phase, __ enters and __ leaves

A

calcium enters
potassium leaves
(makes it so there’s no net change, stays at plateau)

87
Q

during the repolarization phase, what ion moves and where

A

potassium moves out

88
Q

in order for contraction to take place, cardiac cells use some __ from the sarcoplasmic reticulum and also a good amount the outside the cell

A

calcium

89
Q

pacemaker repolarization: __ channels are time gated for closing, so eventually they close. At the same time, ___ channels open

A

calcium

potassium

90
Q

pacemaker cells, in the __ __ phase K channels stay open until the membrane reaches it minimum potential.

A

minimum potential

91
Q

pacemaker cells, in the __ __ phase, the membrane is hyperpolarized, which opens nonspecific cation channels

A

minimum potential phase

92
Q

rhythms generated by the SA node are known as ___ __

A

sinus rhythms

93
Q

if more than one node is trying to pace the heart, its called ___ pacemaker

A

ectopic pacemaker

94
Q

an impulse goes from the SA to the AV node, it slows down because in the AV node theres less __ ___ and also because the AV node is surrounded by the ___ __ which is non conductive

A

gap junctions

fibrous skeleton

95
Q

wave that shows the depolarization of the atria

A

P wave

96
Q

wave that shows ventricular depolarization

A

QRS

97
Q

wave that show ventricular repolarization

A

T

98
Q

period during which blood drains from the atria into the ventricles

A

ventricular filling phase

99
Q

SV is __ minus __

A

EDS minus ESV

100
Q

things that affect contractility

A

inotropic agents

101
Q

things that affect heart rate

A

chronotropic agents

102
Q

the sympathetic nervous system releases

A

norepi

103
Q

the parasympathetic nervous system releases

A

ACh

104
Q

condition where blood backs up in the systemic circuit

A

peripheral edema

105
Q

in general, depolar ion

A

sodium

106
Q

in general, polar ion

A

potassium