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Chapter 19 Circulatory System: Heart

front 1

Which of the following structures are considered to be part of the cardiac conduction system?

back 1

purkinjie fibers, AV node, SA node

front 2

The _____ are the lower chambers of the heart that pump blood to the lungs and to the body.

back 2

ventricles

front 3

List in order the three layers of the heart wall from deep to superficial

back 3

1) endocardium

2) myocardium

3) epicardium

front 4

The ____ side of the heart supplies blood to the systemic circuit

back 4

left

front 5

Which of the following are components of the cardiovascular system?

back 5

heart, capillaries, veins, arteries

front 6

The _____ circuit of the cardiovascular system carries blood from the right ventricle to the lungs for gas exchange and returns it to the left atrium of the heart.

back 6

pulmonary

front 7

The blunt inferior point or tip of the heart is known as the ____

back 7

apex

front 8

The broad flat superior top portion of the heart is known as the ____

back 8

base

front 9

Place the following chambers in the correct order to best represent the flow of blood

back 9

right atrium

right ventricle

left atrium

left ventricle

front 10

List the correct order the major phases of the cardiac cycle following ventricular filling

back 10

1) isovolumetric contraction

2) ventricular ejection

3) isovolumetric relaxation

front 11

The depolarization of the SA node (from threshold to peak) is due to the inflow of ____ and _____ ions

back 11

calcium and sodium

front 12

The study of the heart and its disorders is known as

back 12

caridology

front 13

As a chamber, such as a cardiac ventricle, contracts just prior to reducing its volume, the pressure of the fluid within would ____

back 13

increase

front 14

The term _____ refers to contraction of the heart

back 14

systole

front 15

The ____ is the layer that lines the inner chambers of the heart

back 15

endocardium

front 16

When a normal heart rate is established by the appropriate firing of the SA node, this is known as a _____ rhythm.

back 16

sinus

front 17

The term ____ refers to relaxation of the heart

back 17

diastole

front 18

What are the functions of the fibrous skeleton?

back 18

provides structural support for the heart

anchors the cardiocytes and give them something to pull against

provides electrical insulation between the atria and ventricles

front 19

Carrying the action potentials the _____ _____ spread throughout the ventricular myocardium to excite the ventricles

back 19

purkinje fibers

front 20

The volume of blood ejected by the ventricles per minute is the

back 20

cardiac output

front 21

The amount of blood pumped by the left ventricle is ____ the amount of blood pumped by the right ventricle

back 21

equal to

front 22

The alternate name for the left atrioventriular valve is the ____ valve

back 22

mitral

front 23

Cardiac output is equal to stroke volume _____ heart rate

back 23

times

front 24

The surface indentation that separates the atria from the ventricle is known as the _____ sulcus

back 24

coronary

front 25

Indicate which of the chemicals an cause an increase in HR

back 25

caffeine

nicotine

thyroid hormone

front 26

When ventricles are relaxed and their pressure is low, the ____ valves are open

back 26

AV

front 27

The ____ wave of an ECG is a recording of the depolarization of the atrial myocardium

back 27

P

front 28

_____ is the process of listening to sounds made by the body

back 28

auscultation

front 29

The branch of the left coronary artery that continues around to the posterior of the heart leading to the coronary sulcus is the _____ branch

back 29

circumflex

front 30

The _____ of the heart is the amount of tension in the ventricular myocardium immediate before it begins the contract

back 30

preload

front 31

The _____ sac is the outer wall of the pericardium consisting of a fibrous layer lined by a serous layer also called the parietal pericardium

back 31

pericardial

front 32

The heart receives innervation from

back 32

both sympathetic and parasympathetic systems

front 33

The left and right ventricles are separated by the ____ _____

back 33

interventricular septum

front 34

The opening between the atria and the ventricles is regulated by the

back 34

atrioventricular

front 35

A resting heart rate below 60 bpm is known as

back 35

bradycardia

front 36

The blood vessels that supply nutrients and oxygen only to the heart muscle make up the specific type of circulation called the _____ circulation

back 36

coronary

front 37

One specific type of arrhythmia is _____ _____, which is failure of the cardiac conduction system to transmit signals

back 37

heart block

front 38

The blood vessel that collects venous drainage from the anterior side of the heart and travels alongside the anterior interventricular artery is the _____ vein

back 38

great cardiac

front 39

The cardiocytes are described as _____ because individual cells can depolarize on their own without outside stimulation

back 39

autorhythmic

front 40

The difference between maximum cardiac output and resting cardiac output is referred to as the cardiac

back 40

reserve

front 41

The fibrous structure indicated in the figure i the ____ sac

back 41

pericardial

front 42

The contraction of a cardiocyte occurs during the ____ phase of its action potential

back 42

plateau

front 43

The ____ is a double-walled sac enclosing the heart

back 43

pericardium

front 44

When a portion o the hear wall other than the SA or AV node spontaneously depolarize, this is known as

back 44

ectopic focus

front 45

The heart has 3 layers. The outermost layer of the heart is called the _____

back 45

epicardium

front 46

An abnormal cardiac rhythm is considered an

back 46

arrythemia, arrhthmia, arrythmia

front 47

Another name for the epicardium is the _____ pericardium

back 47

visceral

front 48

The amount of blood ejected by a ventricle is ____ the amount of blood received during ventricular filling

back 48

the same as

front 49

With the onset of ventricular contraction, the pressure within the ventricles

back 49

increases

front 50

Closing of the aortic and pulmonary semilunar valves produces the ____ heart sound

back 50

second

front 51

During which phase of the cardiac cycle does blood flow through the coronary circulation?

back 51

ventricular diastole

front 52

The QRS wave of an ECG represents the _____ of the ventricular myocardium

back 52

depolarization

front 53

When ventricles contract, blood surging against the ____ valves forces them closed

back 53

AV

front 54

A ____ is the instrument used to measure blood pressure

back 54

sphygmomanometer

front 55

Which arterial branch of the left coronary artery travels down to the apex of the heart?

back 55

anterior interventricular

front 56

The role of the papillary muscles is to do what?

back 56

tense the tendinous cords just prior to ventricular contraction

front 57

The opening and closing of heart valves are governed by changes in ____ within chambers

back 57

pressure

front 58

The valve between the right atrium and ventricle is specifically called the ____ valve

back 58

tricuspid

front 59

The outermost layer of the heart wall is the

back 59

epicardium

front 60

The strength of contraction for a given preload is defined as the ____ of the myocardium

back 60

contractility

front 61

In the posterior coronary sulcus is a large vein called the _____, which collects venous drainage from all of the coronary veins and drains into the right atrium

back 61

coronary sinus

front 62

A patient presents with a persistently elevated heart rate over 100 bpm. The clinical condition is known as

back 62

tachycardia

front 63

Cardiostimulatory effects of the cardiac center are transmitted to the heart via fibers of the ____ branch of the autonomic nervous system

back 63

sympathetic

front 64

When the volume of blood within a heart chamber is decreased (leaving the chamber), the pressure within that chamber is

back 64

decreased

front 65

The closing of the atrioventricular valves produces which of the heart sounds?

back 65

the first

front 66

The semilunar valves will open when the pressure within the ____ exceeds the pressure within the ______

back 66

ventricles, greater arteries

front 67

Depolarization of a cardiocyte is due to the opening of _____ channels

back 67

sodium

front 68

Stimulatuon of the SA node by the ____ nervous system raises the heart rate

back 68

sympathetic

front 69

Which of the following best describes what happens in the cardiac cycle during the T-wave of an ECG?

back 69

the ventricles repolarize

front 70

The ____ center of the medulla oblongata initiates autonomic output to the heart

back 70

cardiac

front 71

The groove that extends downward from the coronary sulcus on the front of the heart is the anterior _____ sulcus

back 71

interventricular

front 72

The right and left coronary arteries arise from the

back 72

aorta

front 73

When the AV node acts as pacemaker, the slower heartbeat is called a _____ rhythm

back 73

nodal

front 74

The blood vessel within the posterior interventricular sulcus on the back of the heart that collects venous drainage from the posterior portion of the heart is the posterior _____ vein

back 74

interventricular

front 75

If the volume of blood pumped by the right side of the heart is less than that pumped by the left side of the heart, the result would be

back 75

systemic edema