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  2. Select Back of pages for Viewing and print the back of the notecards
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83 notecards = 21 pages (4 cards per page)

Viewing:

A&P 2 ch 18

front 1

The inner lining of the heart.

back 1

Endocardium

front 2

Heart muscle.

back 2

Myocardium

front 3

Serous layer covering the heart muscle.

back 3

Epicardium

front 4

17) The outermost layer of the serous pericardium.

back 4

Parietal layer

front 5

Heart rate at rest under both autonomic divisions signaling

back 5

Vagal tone

front 6

An abnormally fast heart rate

back 6

Tachycardia

front 7

An abnormally slow heart rate

back 7

Bradycardia

front 8

Difference between resting and maximal cardiac output

back 8

Cardiac reserve

front 9

Prevents backflow into the left ventricle.

back 9

Aortic valve

front 10

Prevents backflow into the right atrium.

back 10

Tricuspid valve

front 11

Prevents backflow into the left atrium.

back 11

Mitral valve

front 12

Prevents backflow into the right ventricle.

back 12

Pulmonary valve

front 13

AV valve with two flaps.

back 13

Mitral valve

front 14

AV valve with three flaps.

back 14

Tricuspid valve

front 15

Heart muscle is deprived of oxygen.

back 15

Ischemia

front 16

Death of heart muscle cells.

back 16

Infarction

front 17

A condition of rapid and irregular or out-of-phase contraction of heart muscle cells.

back 17

Fibrillation

front 18

An abnormal pacemaker.

back 18

Fibrillation

front 19

Total heart relaxation.

back 19

Quiescent period

front 20

The myocardium receives its blood supply from the coronary arteries.

back 20

true

front 21

Cardiac muscle has more mitochondria and depends less on a continual supply of oxygen than does skeletal muscle.

back 21

false

front 22

Anastomoses among coronary arterial branches provide collateral routes for blood delivery to the heart muscle.

back 22

true

front 23

Congestive heart failure means that the pumping efficiency of the heart is depressed so that there is inadequate delivery of blood to body tissues.

back 23

true

front 24

Tissues damaged by myocardial infarction are replaced by connective tissue.

back 24

true

front 25

The left side of the heart pumps the same volume of blood as the right.

back 25

true

front 26

Chronic release of excess thyroxine can cause a sustained increase in heart rate and a weakened heart.

back 26

true

front 27

Arterial blood supply to heart muscle is continuous whether the heart is in systole or diastole.

back 27

false

front 28

Auricles slightly increase blood volume in the ventricles.

back 28

false

front 29

The "lub" sounds of the heart are valuable in diagnosis because they provide information about the function of the heart's pulmonary and aortic valves.

back 29

false

front 30

Autonomic regulation of heart rate is via two reflex centers found in the pons.

back 30

false

front 31

The papillary muscles contract after the other ventricular muscles so that they can take up the slack on the chordae tendineae before the full force of ventricular contractions sends blood against the AV valve flaps.

back 31

false

front 32

An ECG provides direct information about valve function.

back 32

false

front 33

As pressure in the aorta rises due to atherosclerosis, more ventricular pressure is required to open the aortic valve.

back 33

true

front 34

Paroxysmal atrial tachycardia is characterized by bursts of atrial contractions with little pause between them.

back 34

true

front 35

Blood in the heart chambers provides some nutrients to the heart muscle cells.

back 35

true

front 36

Normal heart sounds are caused by which of the following events?

back 36

closure of the heart valves

front 37

Which of the events below does not occur when the semilunar valves are open?

back 37

Ventricles are in diastole.

front 38

Hemorrhage with a large loss of blood causes ________.

back 38

a lowering of blood pressure due to change in cardiac output

front 39

The left ventricular wall of the heart is thicker than the right wall in order to ________.

back 39

pump blood with greater pressure

front 40

Damage to the ________ is referred to as heart block.

back 40

AV node

front 41

The P wave of a normal electrocardiogram indicates ________.

back 41

atrial depolarization

front 42

Blood within the pulmonary veins returns to the ________.

back 42

left atrium

front 43

The condition where fluid compresses the heart and limits its ability to contract is called ________.

back 43

cardiac tamponade

front 44

The term for pain associated with deficient blood delivery to the heart that may be caused by the transient spasm of coronary arteries is ________.

back 44

angina pectoris

front 45

To auscultate the aortic semilunar valve, you would place your stethoscope in the ________.

back 45

second intercostal space to the right of the sternum

front 46

The source of blood carried to capillaries in the myocardium would be the ________.

back 46

coronary arteries

front 47

The fact that the left ventricle of the heart is thicker than the right ventricle reveals that it ________.

back 47

pumps blood against a greater resistance

front 48

Which of the following factors does not influence heart rate?

back 48

skin color

front 49

Which of the following is not an age-related change affecting the heart?

back 49

thinning of the valve flaps

front 50

If cardiac muscle is deprived of its normal blood supply, damage would primarily result from ________.

back 50

decreased delivery of oxygen

front 51

If the length of the absolute refractory period in cardiac muscle cells was the same as it is for skeletal muscle cells, ________.

back 51

tetanic contractions might occur, which would stop the heart's pumping action

front 52

Norepinephrine acts on the heart by ________.

back 52

causing threshold to be reached more quickly

front 53

If the vagal nerves to the heart were cut, the result would be that ________.

back 53

the heart rate would increase by about 25 beats per minute

front 54

A foramen ovale ________.

back 54

connects the two atria in the fetal heart

front 55

Which vessel(s) of the heart receive(s) blood during right ventricular systole?

back 55

pulmonary trunk

front 56

Which of these vessels receives blood during ventricular systole?

back 56

both the aorta and pulmonary trunk

front 57

Which of the following is not part of the conduction system of the heart?

back 57

AV valve

front 58

The tricuspid valve is closed ________.

back 58

when the ventricle is in systole

front 59

When viewing a dissected heart, it is easy to visually discern the right and left ventricles by ________.

back 59

noticing the thickness of the ventricle walls

front 60

Select the correct statement about the heart valves.

back 60

The AV valves are supported by chordae tendineae so that regurgitation of blood into the atria during ventricular contraction does not occur.

front 61

Select the correct statement about the function of myocardial cells.

back 61

The entire heart contracts as a unit or it does not contract at all

front 62

Select the correct statement about the structure of the heart wall.

back 62

The myocardium is the layer of the heart that actually contracts.

front 63

Compared to skeletal muscle, cardiac muscle ________.

back 63

has gap junctions that allow it to act as a functional syncytium

front 64

During the period of ventricular filling ________.

back 64

blood flows mostly passively through the atria and the open AV valves into the ventricles

front 65

The second heart sound is heard during which phase of the cardiac cycle?

back 65

isovolumetric relaxation

front 66

If we were able to artificially alter the membrane permeability of pacemaker cells so that sodium influx is more rapid, ________.

back 66

threshold is reached more quickly and heart rate would increase

front 67

Select the correct statement about cardiac output.

back 67

A slow heart rate increases end diastolic volume, stroke volume, and force of contraction.

front 68

During contraction of heart muscle cells ________.

back 68

some calcium enters the cell from the extracellular space and triggers the release of larger amounts of calcium from intracellular stores

front 69

Isovolumetric contraction ________.

back 69

refers to the short period during ventricular systole when the ventricles are completely closed chambers

front 70

Commotio cordis is heart failure due to a ________.

back 70

relatively mild blow to the chest that occurs during a vulnerable interval (2 ms) when the heart is repolarizing

front 71

The pacemaker rhythm that determines heart rate is called ________ rhythm.

back 71

Sinus

front 72

The ECG ________ wave interval represents ventricular repolarization.

back 72

T

front 73

The ________ layer of the serous pericardium covers the heart.

back 73

visceral

front 74

The ________ valve of the heart has three valves with chordae tendineae.

back 74

tricuspid

front 75

When heart valve replacement is required, the ________ valve is the most likely valve that needs to be replaced.

back 75

mitral

front 76

Heart murmurs or rubs are considered to be ________ sounds.

back 76

abnormal

front 77

Define systole and diastole. Which heart chambers are usually referenced when these terms are used?

back 77

Systole is contraction of the muscle. Diastole is relaxation of the muscle. The contraction and relaxation of the ventricles are normally described with the terms systole and diastole

front 78

Define the terms end diastolic volume (EDV) and end systolic volume (ESV) and relate them to the calculation of stroke volume.

back 78

EDV is the amount of blood that collects in a ventricle during diastole. ESV is the volume of blood remaining in a ventricle after it has contracted. Stroke volume (ml/beat) equals EDV - ESV.

front 79

What is the difference between the auricles and the atria?

back 79

Auricles are the flaplike appendages attached to the atria that increase the atrial volume. The atria are receiving chambers for blood returning to the heart from the pulmonary and systemic circulation

front 80

What two important functions does the cardiac conduction system perform?

back 80

to initiate impulses (pacemaker) and to distribute impulses throughout the heart so that it depolarizes and contracts in an orderly, sequential manner.

front 81

Why is oxygen so much more critical to the heart muscle than to skeletal muscles?

back 81

Cardiac muscle cells are highly dependent on oxygen and rely almost exclusively on aerobic respiration

front 82

What is the functional importance of the intercalated discs of cardiac muscle?

back 82

Intercalated discs contain anchoring desmosomes that prevent cell separation, and gap junctions that allow ions to travel from cell to cell, transmitting current across the entire heart

front 83

What is the functional importance of the fibrous skeleton of the heart?

back 83

The fibrous skeleton acts as a tendon, an insertion and insulator, giving the cardiac cells something to pull or exert their force on and isolating atrial from ventricular contractions.