Mastering A&P Assignment #4: The Heart – Flashcards
Unlock all answers in this set
Unlock answersquestion
Into which chamber of the heart will blood flow next after the vessel indicated by the red arrow?
Left atrium
Right ventricle
Right atrium
Left ventricle
answer
Right atrium
(The small cardiac vein empties into the coronary sinus, which drains into the right atrium.
question
Blood returning to the heart from the pulmonary circuit first enters the __________.
right atrium
pulmonary valve
pulmonary trunk
left atrium
answer
Left atrium
question
The papillary muscles function to __________.
close the AV valves
eject blood from the ventricles
push blood from the atria into the ventricles
prevent the AV valves from reversing into the atria
answer
Prevent the AV valves from reversing into the atria
question
The __________ valve prevents backward flow of blood into the left ventricle.
aortic
tricuspid
bicuspid
pulmonic
answer
Aortic
question
The pulmonary veins carry __________ blood to the __________ atrium.
deoxygenated; right
oxygenated; right
deoxygenated; left
oxygenated; left
answer
Oxygenated; left
question
Which of the labeled valves will open during ventricular systole to allow the flow of blood to the lungs?
answer
The pulmonary semilunar valve. Blood flows through there during ventricular systole.
question
Which of these organs is not found in the mediastinum?
trachea
esophagus
pericardial sac
lung
answer
Lung
question
The epicardium is also known as the __________.
endocardium
myocardium
visceral pericardium
parietal pericardium
answer
Visceral pericardium
question
The heart is actually (one, two, or three) pumps?
two pumps
one pump
three pumps
answer
Two pumps
question
Which chamber receives blood from the superior and inferior vena cavae?
right atrium
left ventricle
left atrium
right ventricle
answer
Right atrium
question
Which heart chamber receives blood from the pulmonary veins?
right ventricle
left ventricle
right atrium
left atrium
answer
Left atrium
question
Which heart chamber pumps unoxygenated blood out the pulmonary trunk?
left atrium
right atrium
left ventricle
right ventricle
answer
Right ventricle
question
Which chamber pumps oxygenated blood out the aorta to the systemic circuit?
right atrium
left atrium
left ventricle
right ventricle
answer
Left ventricle
question
What is the function of the structures indicated by the red arrow (intercalated discs)?
Propagate action potentials from cell to cell
Transfer force of contraction from cell to cell
Permit strong connections between adjacent cells
All of the listed responses are correct.
answer
All of the above
question
Which of the following will receive electrical impulses next, after the structure indicated by the red arrow?
Auricles of the right and left atria
Interventricular septum
Apex of the heart
Pacemaker cells
answer
Inter ventricular septum
question
Which of these is an important difference between cardiac muscle and skeletal muscle?
Cardiac muscle contracts spontaneously.
Skeletal muscle is striated.
Cardiac muscle can't be tetanized.
Cardiac muscle lacks troponin.
answer
Cardiac muscles can't be tetanized
question
Heart rate is controlled by __________.
the phrenic nerves
both the right vagus and sympathetic nerves
sympathetic nerves in the cardiac plexus
the right vagus nerve
answer
Both the right vagus and sympathetic nerves
question
The P wave of the electrocardiogram is closely followed by __________.
contraction of the right atrium
contraction of the left atrium
relaxation of both atria
contraction of both atria
answer
Contraction of both atria
question
During the plateau phase of the cardiac action potential, which ion is entering the cardiac muscle cell?
potassium
sodium
hydrogen
calcium
answer
Calcium
question
Which part of the conduction system initiates the depolarizing impulse, which spreads throughout the heart?
SA node
Purkinje fibers
AV bundle (bundle of His)
AV node
answer
SA node
(Yes, the SA Node spontaneously depolarizes, causing the wave of depolarization that spreads through the rest of the conduction system and heart.)
question
What does the ECG wave tracing represent?
contraction of the heart
electrical activity in the heart
answer
Electrical activity in the heart
(Yes, the ECG waves show the depolarization and repolarization in various areas of the heart.)
question
What does the QRS complex represent in the ECG wave tracing?
atrial depolarization
ventricular repolarization
atrial repolarization
ventricular depolarization
answer
Ventricular depolarization
(Yes, the QRS complex represents depolarization in the ventricles, which have greater mass than the atria)
question
Contraction of the atria results from which wave of depolarization on the ECG tracing?
T wave
P wave
QRS complex
answer
P wave
(Yes, the P wave represents atrial depolarization, which leads to atrial contraction.)
question
Which part of the intrinsic conduction system delays the impulse briefly before it moves on to the ventricles?
SA node
Purkinje fibers
AV bundle (bundle of His)
bundle branches
AV node
answer
AV node
(Yes, the AV node slows down the impulse giving the atria time to contract before the ventricles contract.)
question
Which wave is the largest in the electrocardiogram?
P
Q
S
R
answer
R
question
The rapid depolarization phase in the ventricular action potential appears in the electrocardiogram as the __________.
QRS complex
P wave
T wave
PR segment
answer
QRS complex
question
Ventricular systole begins with the __________.
closing of the mitral valve
opening of the mitral valve
opening of the aortic valve
closing of the aortic valve
answer
Closing of the mitral valve
question
Compared to the right ventricle, which of these statements about the left ventricle is false?
It ejects more blood.
It generates a higher pressure.
It has a thicker wall.
It makes a louder heart sound.
answer
It ejects more blood
question
During ventricular systole the blood pressure __________ and ventricular volume __________.
increases; decreases
decreases; increases
increases; increases
decreases; decreases
answer
increases; decreases
question
Which of these statements concerning the cardiac cycle is false?
Cardiac cycle begins with atrial systole.
AV valves close before semilunar valves open.
Ventricular systole begins at the peak of atrial systole.
Aortic pressure is greater than pulmonary trunk pressure.
answer
Ventricular systole begins at the peak of the atrial systole.
question
Isovolumetric relaxation and ventricular filling (two phases of the cardiac cycle) take place during __________.
ventricular systole
ventricular diastole
answer
Ventricular diastole
question
Which of the following is correct about the filling of the ventricles?
The majority of ventricular filling is caused by contraction of the atria.
Most blood flows passively into the ventricles through open AV valves.
answer
Most blood flows passively into the ventricles through open AV valves
question
Describe the pressures in the atria and ventricles that would cause the opening of the AV valves.
Pressure in the ventricles would be greater than in the atria.
Pressures in the atria and ventricles would be equal.
Pressure in the atria would be greater than the pressure in the ventricles.
answer
Pressure in the atria would be greater than the pressure in the ventricles
question
What causes the aortic semilunar valve to close?
equal ventricular and aortic pressures
higher ventricular pressure than aortic pressure
greater pressure in the aorta than in the left ventricle
answer
Greater pressure in the aorta than in the left ventricle
question
Put the phases of the cardiac cycle in the correct order, starting after ventricular filling.
isovolumetric contraction, ventricular ejection, isovolumetric relaxation
ventricular ejection, ventricular relaxation, isovolumetric contraction
isovolumetric relaxation, ventricular ejection, isovolumetric contraction
ventricular ejection, isovolumetric contraction, isovolumetric relaxation
answer
Isovolumetric contraction, ventricular ejection, isovolumetric relaxation
question
Increased pressure in the ventricles would close what valve(s)?
both semilunar and AV valves
semilunar valves only
AV valves only
answer
AV valves only
question
The wall of the left ventricle is thicker than the right; the left ventricle pumps more blood than the right. Are these two statements true or false?
Both statements are true.
The first is true; the second is false.
Both statements are false.
The first is false; the second is true.
answer
The first is true, the second is false.
question
What is the relaxed state of the ventricle called?
ventricular ejection
diastole
systole
ventricular filling
answer
Diastole
question
The one-way nature of the left AV valve prevents blood flow from _________.
the aorta to the left ventricle
the left ventricle to the left atrium
the left atrium to the left ventricle
the left ventricle to the aorta
answer
The left ventricle to the left atrium
question
The closing of the left AV valve occurs near the beginning of __________.
ventricular systole
isovolumetric relaxation
atrial systole
ventricular diastole
answer
Ventricular systole
question
The majority of ventricular filling occurs while the ventricles and atria are in what state(s)?
ventricular systole and atrial diastole
ventricular systole and atrial systole
ventricular diastole and atrial systole
ventricular and atrial diastole
answer
Ventricular and atrial diastole
question
Which of the following most correctly describes end-diastolic volume?
the volume of the ventricle when it is least full
the volume of the ventricle at the end of atrial diastole
the volume of the ventricle when it is most full
the increase in ventricular volume during atrial systole
answer
The volume of the ventricle when it is most full
question
Left ventricular filling occurs __________.
while the AV valve is open
during ventricular systole
while the semilunar valve is open
during isovolumetric relaxation
answer
While the AV valve is open
question
Heart valves are in what state during isovolumetric contraction?
The AV valves and semilunar valves are closed.
The AV valves are open, and the semilunar valves are closed.
The AV valves and semilunar valves are open.
The AV valves are closed, and the semilunar valves are open.
answer
The AV valves and semilunar valves are closed
question
The decrease in left ventricular pressure at the end of ventricular systole causes __________.
isovolumetric contraction
the semilunar valve to close
the AV valve to close
the semilunar valve to open
answer
The semilunar valve to close
question
Ventricular diastole begins with the closing of the semilunar valves. What phase of the cardiac cycle happens between this event and the later opening of the AV valves?
atrial systole
isovolumetric relaxation
ventricular ejection
isovolumetric contraction
answer
Isovolumetric relaxation
question
The volume of blood remaining in the ventricle as diastole begins is called the __________.
stroke volume
end-systolic volume
end-diastolic volume
cardiac reserve
answer
End-systolic volume
question
Which of the following factors will decrease cardiac output?
stimulation of the vagus nerve
increased venous return
increased preload
sympathetic activation
answer
Stimulation of the vagus nerve
question
Which of the following would increase cardiac output to the greatest extent?
increased heart rate and increased stroke volume
decreased heart rate and increased stroke volume
increased heart rate and decreased stroke volume
decreased heart rate and decreased stroke volume
answer
Increased heart rate and increased stroke volume
question
Which of the following would increase heart rate?
acetylcholine
increased activity of the parasympathetic nervous system
epinephrine and norepinephrine
decreased activity of the sympathetic nervous system
answer
Epinephrine and norepinephrine
question
How would an increase in the sympathetic nervous system increase stroke volume?
increased end systolic volume
increased end diastolic volume
increased contractility
decreased end diastolic volume
answer
Increased contractility
question
By what mechanism would an increase in venous return increase stroke volume?
increased contractility
increased end systolic volume
decreased end diastolic volume
increased end diastolic volume
answer
Increased end diastolic volume
question
How would a decrease in blood volume affect both stroke volume and cardiac output?
increased stroke volume and increased cardiac output
no change in stroke volume and decreased cardiac output
decreased stroke volume and decreased cardiac output
decreased stroke volume and no change in cardiac output
answer
Decreased stroke volume and no change in cardiac output
question
Which of the following will not increase heart rate?
faster rise of the pacemaker potential
increased sympathetic stimulation of the SA node
increased parasympathetic stimulation of the SA node
increased levels of circulating epinephrine
answer
Increased parasympathetic stimulation of the SA node
question
Which of these responses by the heart will sympathetic stimulation not cause?
increased heart rate
increased cardiac output
increased end-systolic volume
increased stroke volume
answer
Increased end-systolic volume
question
Which of these is not needed to determine cardiac output?
end systolic volume
end diastolic volume
blood pressure
heart rate
answer
Blood pressure
question
If you know both the heart rate and stroke volume, you can calculate the __________.
end-diastolic volume
end-systolic volume
ejection fraction
cardiac output
answer
Cardiac output
question
Action potentials generated by the autorhythmic cells spread to the contractile cells through what structures in the membrane?
desmosomes
tight junctions
intercalated discs
gap junctions
answer
Gap junctions
question
One of the changes that occurs in the pacemaker potential (unstable resting membrane potential) in the SA node (an autorhythmic cell) is a decreased efflux of what ion?
sodium
calcium
potassium
answer
Potassium
question
When threshold is reached at the SA node (an autorhythmic cell), what channels open causing further depolarization of the membrane?
fast sodium
slow calcium
fast calcium
potassium
answer
fast calcium
question
Repolarization of an autorhythmic cell is due to the opening of which channels?
voltage-gated potassium channels
Chemically gated potassium channels
chemically gated calcium channels
voltage-gated sodium channels
answer
Voltage-gated potassium channels
question
In order to cause cardiac muscle contraction, the contractile cells must also depolarize. What causes the depolarization of the contractile cells?
the flow of positive ions from adjacent cells
the flow of negative ions from adjacent cells
an unstable resting membrane potential in the contractile cells
answer
the flow of positive ions from adjacent cells