Mastering A&P II Chapter 18 - The Cardivasucalar System: The Heart

24 July 2022
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question
What is happening during the "pause" phase when the heart is resting (relaxing)? Ventricles are filling. Valves are closing. Atria are contracting. Ventricles are contracting.
answer
Ventricles are filling.
question
What causes the abnormal swishing or whooshing sound that is heard as blood regurgitates back into an atrium from its associated ventricle? semilunar valve closure aortic recoil blood turbulence pulmonary trunk expansion
answer
blood turbulence
question
What separates the parietal and visceral pericardium? fibrous pericardium myocardium pericardial cavity epicardium
answer
pericardial cavity The pericardial cavity separates the parietal and visceral pericardium. This cavity contains serous fluid that lubricates the visceral and parietal membranes.
question
Which of the following is the innermost layer of the heart? endocardium parietal layer epicardium visceral layer
answer
endocardium The endocardium lines the inside of the heart. Its surface is composed of simple squamous epithelium.
question
Which layer of the heart wall contracts and is composed primarily of cardiac muscle tissue? visceral layer of the serous pericardium epicardium endocardium myocardium
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myocardium The myocardium is composed of cardiac muscle and a dense network of connective tissue.
question
Which of these vessels returns blood to the left atrium of the heart? pulmonary veins coronary sinus superior vena cava pulmonary trunk The pulmonary veins transport oxygen-enriched blood from the lungs to the left atrium.
answer
pulmonary veins The pulmonary veins transport oxygen-enriched blood from the lungs to the left atrium.
question
Which of these muscles is particularly associated with anchoring the right and left atrioventricular valves? pectinate muscles trabeculae carneae papillary muscles myocardium Papillary muscles contract to tense the right and left atrioventricular valves via the chordae tendineae just before ventricular systole.
answer
papillary muscles Papillary muscles contract to tense the right and left atrioventricular valves via the chordae tendineae just before ventricular systole.
question
The right atrioventricular valve prevents backflow of blood from the right ventricle into the __________. pulmonary trunk left atrium left ventricle right atrium
answer
right atrium Flow from the right ventricle to the right atrium is prevented by the right atrioventricular valve.
question
Which statement is correct regarding the ventricles? The left ventricle empties into the pulmonary circuit. The right ventricle empties into the pulmonary trunk. The left ventricle has a thinner wall than the right ventricle. The right ventricle forms a complete circle in cross section.
answer
The right ventricle empties into the pulmonary trunk. The right ventricle empties into the pulmonary trunk and the pulmonary circuit.
question
Which heart chamber receives oxygenated blood from the lungs? left ventricle right atrium left atrium right ventricle
answer
left atrium Oxygenated blood from the lungs returns to the left atrium of the heart.
question
The __________ valve is located between the right atrium and the right ventricle. mitral aortic semilunar tricuspid pulmonary semilunar
answer
tricuspid
question
Which valve is located between the right atrium and ventricle? bicuspid valve mitral valve pulmonary semilunar valve tricuspid valve
answer
tricuspid valve
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Into which chamber of the heart do the superior vena cava, inferior vena cava, and coronary sinus return deoxygenated blood? right atrium left ventricle right ventricle left atrium
answer
right atrium
question
Which chamber of the heart sends oxygenated blood to the systemic circuit via the aorta? right ventricle left ventricle right atrium left atrium
answer
left ventricle
question
Which of the following is a branch of the right coronary artery? Arterial and venous coronary circulation. posterior interventricular artery coronary sinus circumflex artery anterior interventricular artery
answer
posterior interventricular artery The posterior interventricular artery is a branch of the right coronary artery, although an anastomosis with the circumflex artery meets with it near its origin.
question
Which of the following does NOT deliver deoxygenated blood to the heart? pulmonary veins inferior vena cava superior vena cava coronary sinus
answer
pulmonary veins The pulmonary veins deliver oxygenated blood to the left atrium.
question
The right side of the heart is considered the systemic circuit pump. True False
answer
False The right side of the heart pumps oxygen-poor blood to the lungs to be re-oxygenated. For this reason, the right side of the heart is considered the pulmonary circuit pump. The left side of the heart pumps blood to the body, and is therefore considered the systemic circuit pump.
question
Which statement regarding cardiac muscle structure is accurate? Myofibrils of cardiac muscle tissue vary in diameter and branch extensively. Cardiac cells are long, cylindrical, and multinucleate. Cardiac muscle cells are independent of one another both structurally and functionally. Cardiac cells possess few mitochondria.
answer
Myofibrils of cardiac muscle tissue vary in diameter and branch extensively. The myofibrils of cardiac muscle have various diameters; they also branch in order to maintain connections, via intercalated discs, with other muscle cells.
question
Consider the following characteristics of the cells found in muscle tissue. Which feature is shared by both cardiac muscle and skeletal muscle? intercalated discs branched cells striations triads
answer
Striations Since both cardiac and skeletal muscles possess arrangements of motor proteins in regularly arrayed sarcomeres, they both display the banding known as striations.
question
What structures connect the individual heart muscle cells? chordae tendineae trabaculae carneae intercalated discs anastomoses
answer
intercalated discs Intercalated discs connect the heart muscle cells. They include desmosomes (anchoring junctions) and gap junctions (communicating junctions).
question
At what rate does the sinoatrial (SA) node depolarize? At what rate does the sinoatrial (SA) node depolarize? Pathways of action potential propagation during a cardiac cycle. 30 times per minute 40 times per minute 50 times per minute 75 times per minute
answer
75 times per minute The sinoatrial node typically depolarizes spontaneously about 75 times per minute, although this can vary in different individuals. This rate is directly modulated by the autonomic nervous system.
question
Specifically, what part of the intrinsic conduction system generates the original stimulus that reaches the atrioventricular (AV) node, allowing it to conduct impulses to the atrioventricular bundle? interventricular septum bundle branches sinoatrial (SA) node subendocardial conducting network (Purkinje fibers)
answer
sinoatrial (SA) node The sinoatrial node, by spontaneously depolarizing faster than the atrioventricular node, initiates heart contraction.
question
Which portion of the electrocardiogram represents the depolarization wave received by the atria from the sinoatrial (SA) node? Tracing of a typical electrocardiogram. S-T segment P wave T wave QRS complex
answer
P wave The P wave represents the depolarization of the left and right atria and the beginning of atrial systole.
question
Determine which of the following electrocardiogram (ECG) tracings is missing P waves but is otherwise regular.

ECG tracings showing normal and various abnormal rhythms.
A 
B 
C 
D
Determine which of the following electrocardiogram (ECG) tracings is missing P waves but is otherwise regular. ECG tracings showing normal and various abnormal rhythms. A B C D
answer
B B illustrates a QRS complex and a T wave, but it is missing the P wave.
question
What heart problem would be experienced by an individual whose ECG is seen at C? The atria are not pumping blood. The heart would pump with too much pressure (hypertension). The ventricles are not reaching systole in every cardiac cycle. The heart is not pumping any blood at all.
answer
The ventricles are not reaching systole in every cardiac cycle This condition is known as a second-degree heart block. Some signals from the AV node are not being conducted to the ventricles
question
Determine which ECG shows a normal sinus rhythm.


A 
B 
C 
D
Determine which ECG shows a normal sinus rhythm. A B C D
answer
A All waves are clearly present in this ECG of a normal sinus rhythm.
question
The order of impulse conduction in the heart, from beginning to end, is __________. SA node, bundle branches, AV node, bundle of His, and Purkinje fibers SA node, AV node, bundle of His, bundle branches, and Purkinje fibers SA node, bundle of His, AV node, bundle branches, and Purkinje fibers SA node, bundle branches, bundle of His, AV node, and Purkinje fibers
answer
SA node, AV node, bundle of His, bundle branches, and Purkinje fibers The impulses of the heart originate at the SA node (pacemaker). The impulse is then transmitted to the AV node (atrioventricular node), where the impulse slows down to allow the atria to completely contract and thereby fill the adjacent ventricles. The AV node then transmits the impulse to the bundle of His, which branches into left and right bundle branches. The bundle branches give rise to the Purkinje fibers, which transmit the impulse to the ventricle walls and stimulate ventricular contraction
question
The P wave on an electrocardiogram represents __________. ventricular repolarization atrial repolarization ventricular depolarization atrial depolarization
answer
atrial depolarization The P wave reflects the depolarization of the atria.
question
What does the QRS wave of the electrocardiogram (ECG) represent? atrial depolarizaton ventricular repolarization atrial repolarization ventricular depolarization
answer
Ventricular depolarization is represented by the QRS complex of an ECG.
question
What is the period during the cardiac cycle when the ventricles are completely closed and blood volume in them remains constant as the ventricles contract? ventricular filling isovolumetric relaxation phase isovolumetric contraction phase ventricular ejection
answer
isovolumetric contraction phase The prefix -iso means "equal," so during any isovolumetric stage the volume does not change.
question
At what point in the cardiac cycle is pressure in the ventricles the highest (around 120 mm Hg in the left ventricle)? At what point in the cardiac cycle is pressure in the ventricles the highest (around 120 mm Hg in the left ventricle)? Relationships between the ECG and left chamber pressures during the cardiac cycle. mid-to-late diastole (ventricular filling) ventricular systole mid-to-late diastole (atrial contraction) early diastole (isovolumetric relaxation)
answer
ventricular systole Left ventricular systole typically produces maximum pressures of around 120 mm Hg during systole.
question
During which of these stages are the pulmonary and aortic valves open?

phase 1 
phase 2a 
phase 2b 
phase 3
During which of these stages are the pulmonary and aortic valves open? phase 1 phase 2a phase 2b phase 3
answer
phase 2b During phase 2b the pressure in the ventricles exceeds that of the aorta and pulmonary trunk, so their valves open and allow blood to be ejected.
question
The first heart sound (the "lub" of the "lub-dup") is caused by __________. -opening of the atrioventricular valves -closure of the atrioventricular valves -opening of the semilunar valves -closure of the semilunar valves
answer
-closure of the atrioventricular valves The first heart sound (the "lub" of the "lub-dup") is generated by the closure of the atrioventricular valves.
question
What causes heart sounds? -opening of heart valves -cardiac muscle contraction -pressure of blood in the ventricles -heart valve closure
answer
-heart valve closure
question
Which best describe the isovolumetric contraction phase of the cardiac cycle? The pressure from the atrial contractions opens the semilunar valves. As ventricular systole starts, the AV valves close, which immediately opens the semilunar valves. As ventricular systole start, the AV valves are closed and the semilunar valves are closed. Because the ventricles are contracting and both valves are closed, pressure increases rapidly leading to ejection. As pressure builds up in the ventricles during systole, the AV valves open and allow blood to leave the heart. This closed pressure system is important for the ventricles to be able to generate enough pressure to open the semilunar valves and eject blood from the heart.
answer
As ventricular systole start, the AV valves are closed and the semilunar valves are closed. Because the ventricles are contracting and both valves are closed, pressure increases rapidly leading to ejection. This closed pressure system is important for the ventricles to be able to generate enough pressure to open the semilunar valves and eject blood from the heart.
question
Calculate the stroke volume if the end diastolic volume (EDV) is 135 mL and the end systolic volume (ESV) is 60 mL.

60 mL 
75 mL 
205 mL 
8100 mL
Calculate the stroke volume if the end diastolic volume (EDV) is 135 mL and the end systolic volume (ESV) is 60 mL. 60 mL 75 mL 205 mL 8100 mL
answer
75 mL The SV is calculated by subtracting the ESV from the EDV. You are comparing the volume of the ventricle at its fullest to its emptiest.
question
Which of the following increases stroke volume?

severe blood loss 
decrease in end diastolic volume (EDV) 
exercise 
decrease in preload
Which of the following increases stroke volume? severe blood loss decrease in end diastolic volume (EDV) exercise decrease in preload
answer
Exercise increases venous return, which would in turn increase the amount of blood in the presystolic ventricle (preload).
question
What best describes afterload? back pressure exerted by arterial blood degree of stretch of the heart muscle contractility of cardiac muscle cardiac reserve
answer
back pressure exerted by arterial blood Afterload refers to the back pressure exerted by arterial blood, or the pressure that must be overcome for the ventricles to eject blood.