Chapter 13: Cardiac Function

24 July 2022
4.7 (114 reviews)
73 test answers

Unlock all answers in this set

Unlock answers (69)
question
The opening and closure of the atrioventricular and semilunar valves is driven by _____.
answer
Differences in pressure across the valve.
question
Closure of the atrioventricular valve occurs when _____.
answer
Pressure inside the ventricle is greater than pressure inside the atrium.
question
What is the primary function of the AV and semilunar valves?
answer
To permit blood to flow forward while preventing it from flowing backward.
question
Whereas the contractile activity of skeletal muscle is called ________, that of cardiac muscle is ________ because the contraction originates within the musculature itself.
answer
Neurogenic ; myogenic.
question
What two major regions of the heart contain a concentration of pacemaker cells?
answer
Sinoatrial node and atrioventricular node.
question
The term autorhythmicity refers to the heart's ability to ____.
answer
Generate its own contractile cycle.
question
Which of the following is the correct conduction pathway through the heart?
answer
SA Node, AV Node, bundle of His, bundle branches, and Purkinje fibers.
question
Conduction through which of the following is slow to allow atria to contract before the ventricles?
answer
AV Node.
question
The rapid depolarization phase of a pacemaker cell action potential is caused by movement of _____.
answer
Calcium through the L-type channels.
question
What causes the rapid depolarization phase of a contractile cell action potential?
answer
Sodium movement into the cell.
question
During repolarization (phase 3) of a contractile cell action potential, _____.
answer
Only potassium permeability is increased.
question
Which of the following ion channels does NOT participate in the contractile cell action potential?
answer
Type T calcium channels.
question
Which of the following is NOT a part of the excitation-contraction coupling in cardiac muscle?
answer
Calcium binds to calmodulin in the cytosol.
question
What is the function of the sodium-calcium exchanger in cardiac muscle?
answer
Remove calcium from the cytosol by transporting it to the extracellular fluid thereby relaxing the muscle.
question
Which of the following components of an ECG represents atrial depolarization?
answer
P-wave.
question
Which of the following components of an ECG represents ventricular depolarization?
answer
QRS complex.
question
Which of the following components of an ECG represents ventricular repolarization?
answer
T-wave.
question
Which statement best describes why atrial repolarization is usually not detected on a normal ECG?
answer
It occurs at the same time as the QRS complex.
question
The Q-T interval is the time from the onset of the QRS complex to the end of the T wave which measures
answer
The time of ventricular systole.
question
The T-Q segment is the time from the end of the T wave to the beginning of the QRS complex which measures the time ____.
answer
Of ventricular diastole.
question
The R-R interval is the time between the peaks of two successive QRS complexes and represents ____.
answer
The amount of time between heartbeats.
question
In an ECG recording, the RR interval is 0.5 seconds. What is the heart rate?
answer
120 beats/min.
question
Which statement best describes why clinicians use a defibrillator?
answer
The applied current depolarizes all the muscles cells at the same time, returning synchronus electrical activity to the heart.
question
During isovolumetric relaxation, _____.
answer
The AV and semilunar valves are closed and ventricular pressure is decreasing.
question
What is occurring during ventricular ejection?
answer
The AV valves are closed and the semilunar valves are open as blood is leaving the ventricles.
question
Which of the following is TRUE of the ventricular filling phase of the cardiac cycle?
answer
Ventricular pressure is less than aortic pressure.
question
What phase of the cardiac cycle is the heart in when all four valves of the heart are closed and ventricular pressure is building, but is not yet great enough to open a valve?
answer
Isovolumetric contraction.
question
During which phase of the cardiac cycle are all four heart valves open?
answer
None.
question
Ejection of blood from the right ventricle will continue until _____.
answer
Pressure in the pulmonary artery is greater than pressure in the right ventricle.
question
The increase in ventricular volume early in diastole reflects the ____.
answer
Passive movement of blood through the atrium and into the ventricle.
question
The small increase in ventricular pressure observed late in diastole is caused by _____.
answer
Atrial contraction.
question
Blood is ejected from the left ventricle once pressure within the_____.
answer
Ventricle is greater than pressure within the aorta.
question
The increased aortic pressure that occurs during systole reflects a(n) _____.
answer
Increased volume of blood in the aorta.
question
The end-diastolic volume minus the end-systolic volume is the _____.
answer
Stroke volume.
question
The volume of blood ejected from the ventricle with each contraction can be described by the equation _____.
answer
(End-diastolic volume) - (End-systolic volume).
question
Given end-diastolic volume = 130 mL and end-systolic volume = 50 mL, what is the stroke volume and ejection fraction?
answer
SV = 80 mL, EF = 0.61
question
What causes the sounds that one hears as the heart beats?
answer
The turbulence created as the valves close.
question
Cardiac output is determined by what two variables?
answer
Heart rate and stroke volume.
question
Regulation of the heart (or any organ or tissue) by neural input, circulating hormones, or any other factor originating from outside the organ is referred to as ________ control.
answer
Extrinsic.
question
Which of the following structures is poorly innervated by the parasympathetic nervous system and, therefore, an increase in parasympathetic activity has little effect on this structure?
answer
Ventricles.
question
The SA node is innervated by the ____.
answer
Sympathetic and parasympathetic nervous systems.
question
Which of the following is an effect of parasympathetic activity to the heart?
answer
The rate of spontaneous depolarization in SA nodal cells decreases.
question
Which of the following is a FALSE statement about sympathetic activity to the SA node?
answer
Potassium channel closing is enhanced.
question
Under resting conditions, heart rate is primarily under the control of what control system?
answer
The parasympathetic nervous system.
question
An increase in heart rate can be mediated through which of the following?
answer
A decrease in parasympathetic activity and an increase in sympathetic activity.
question
Which of the following would NOT result from an increase in ventricular contractility?
answer
Decreased end-diastolic volume.
question
Which of the following variables is NOT an intrinsic factor that alters cardiac function?
answer
Hormonal stimulation.
question
The preload is approximately the same as the ________ pressure.
answer
End-diastolic.
question
Which of the following factors determines preload?
answer
Heart rate and venous retum.
question
An increase in venous return would result in a(n) ____.
answer
Increased end-diastolic volume.
question
Which of the following variables is NOT involved in determining ventricular preload?
answer
Afterload.
question
A decrease in afterload will lead to which of the following?
answer
Increased stroke volume.
question
Which of the following decreases heart rate?
answer
Increase in parasympathetic activity.
question
Which component of an ECG represents ventricular depolarization?
answer
QRS complex.
question
Which component of an ECG represents atrial depolarization?
answer
P-wave.
question
Which component of an ECG represents ventricular repolarization?
answer
T-wave.
question
Which component of an ECG represents ventricular systole?
answer
Q-T interval.
question
Which component of an ECG represents ventricular diastole?
answer
T-Q segment.
question
Which component of an ECG represents the AV nodal conduction time?
answer
P-R interval.
question
In what phase is the cardiac cycle when all four valves are closed and pressure in the ventricle is decreasing?
answer
Isovolumetric relaxation.
question
In what phase of the cardiac cycle does ventricular pressure exceed aortic pressure?
answer
Ventricular ejection.
question
In what phase is the cardiac cycle when the AV valves are open and semilunar valves are closed?
answer
Ventricular filling.
question
In what phase is the cardiac cycle when the semilunar valves are open and AV valves are closed?
answer
Ventricular ejection.
question
The second heart sound coincides with the beginning of which period in the cardiac cycle?
answer
Isovolumetric relaxation.
question
What component of the conduction pathway transmits the action potential to the ventricular contractile cells?
answer
Purkinje Fibers.
question
What is the pacemaker of the heart?
answer
SA Node.
question
The initial depolarization that occurs in pacemaker cells is caused by closing of ________ channels and opening of ________ channels.
answer
Potassium ; funny
question
The rapid depolarization phase of the action potential in the pacemaker cells is driven by the rapid influx of ________ ions through ________ channels.
answer
Calcium ; L-type.
question
The period of ventricular contraction is called ________, whereas the period of ventricular relaxation is called ________.
answer
Systole ; diastole.
question
The P wave of the electrocardiogram is created by ____.
answer
Atrial depolarization.
question
The repolarization of the ventricle is reflected in the ________ of the electrocardiogram.
answer
T-wave.
question
The volume of blood that is pumped by the heart every minute is determined by the equation
answer
CO = HR x SV.
question
What is the equation relating stroke volume (SV), end-diastolic volume (EDV), and end-stroke volume (ESV)?
answer
SV = EDV - ESV (Stroke volume equation).