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Anatomy Final-Ch18

1.

Into which chamber of the heart do the superior vena cava, inferior vena cava, and coronary sinus return deoxygenated blood?

right atrium

2.

The left side of the heart pumps blood to the body and is therefore considered the systemic circuit pump.

true

3.

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.

true

4.

Cardiac tamponade results in ineffective pumping of blood by the heart because the excessive amount of fluid in the pericardial cavity will______.

prevent the heart from filling properly with blood

5.

What causes heart sounds?

heart valve closure

6.

The myocardium receives its blood supply from the coronary arteries.

true

7.

What structures connect the individual heart muscle cells?

intercalated discs

8.

Isovolumetric relaxation and ventricular filling (two phases of the cardiac cycle) take place during __________.

ventricular diastole

9.

The majority of ventricular filling is caused by contraction of the atria.

true

10.

Most blood flows passively into the ventricles through open AV valves.

false

11.

Describe the pressures in the atria and ventricles that would cause the opening of the AV valves.

Pressure in the atria would be greater than the pressure in the ventricles.

12.

What causes the aortic semilunar valve to close?

greater pressure in the aorta than in the left ventricle

13.

Put the phases of the cardiac cycle in the correct order, starting after ventricular filling.

isovolumetric contraction, ventricular ejection, isovolumetric relaxation

14.

Increased pressure in the ventricles would close what valve(s)?

AV valves only

15.

In what direction does blood flow through the heart?

Blood moves through the heart from atria to ventricles and out large arteries, always from areas of high pressure to areas of lower pressure through one-way valves.

16.

Atrial pressure is greater than ventricular pressure during which phase of the cardiac cycle?

atrial contraction

17.

At what point during the cardiac cycle does the AV valve close?

when ventricular pressure becomes greater than atrial pressure

18.

At what point in the cardiac cycle does the semilunar valve open?

when ventricular pressure becomes greater than aortic pressure

19.

Ventricular pressure is greater than aortic pressure during which phase of the cardiac cycle?

ventricular ejection

20.

At what point in the cardiac cycle does the semilunar valve close?

when pressure in the ventricle becomes less than aortic pressure

21.

Isovolumetric relaxation is characterized by which of the following?

The semilunar and AV valves are closed.

22.

At what point in the cardiac cycle does the AV valve open?

when atrial pressure becomes greater than ventricular pressure

23.

Which portion of the electrocardiogram represents the depolarization wave received by the atria from the sinoatrial (SA) node?

P Wave

24.

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?

isovolumetric contraction phase

25.

Which of the following increases stroke volume?

exercise increases venous return, which would in turn increase the amount of blood in the presystolic ventricle (preload).

26.

Which of these is a condition marked by premature ventricular contraction?

extrasystole

27.

The P wave on an electrocardiogram represents __________.

atrial depolarization

28.

What best describes afterload?

back pressure exerted by arterial blood

29.

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

isovolumetric relaxation

30.

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

true

31.

the superior vena cava

carries oxygen-poor venous blood from above the diaphragm from areas of the upper body and extremities into the right atrium.

32.

the coronary sinus

carries oxygen-poor venous blood of the coronary circulation into the right atrium.

33.

the inferior vena cava

carries oxygen-poor venous blood from below the diaphragm from the areas of the lower body and extremities into the right atrium.

34.

Assume that blood is flowing from the coronary sinus to the lung capillaries. Place the anatomical labels in order of flow

right atrium -> tricuspid valve -> right ventricle -> pulmonary semilunar valve ->pulmonary trunk -> pulmonary arteries

35.

from left to right, in order of blood flow of oxygen-rich blood into the heart.

Lung capillaries-> Pulmonary veins-> Left atrium-> Mitral/bicuspid valve-> Left ventricle-> Aortic/semilunar valve

36.

mitral (bicuspid) valve

The structure that prevents backflow of blood into the left atrium

37.

aorta

The vessel that carries oxygen-rich blood to tissues

38.

systemic capillaries

The capillaries receiving blood flow from the left side of the heart

39.

aortic semilunar valve

The structure that is located anatomically between the aorta and the left ventricle

40.

Arrange these elements of the intrinsic conduction system in the order that a depolarizing impulse travels during a normal heartbeat.

SA node-> Internodal pathways-> AV node-> AV bundle->Bundle branches-> Purkinje fibers

41.

AV Bundle

Electrical link(s) between atria and ventricles

42.

Purkinje Fibers

Convey(s) the impulse throughout the ventricular walls

43.

Internodal Pathways

Link(s) between the SA node and AV node

44.

AV Node

Delay(s) occurs here while atria contract

45.

Bundle Branches

Convey(s) the impulse down the interventricular septum

46.

SA Node

Set(s) the pace for the entire heart

47.

Which part of the intrinsic conduction system normally initiates the depolarizing impulse that causes a heartbeat?

SA node

48.

Which of these structures conduct(s) action potentials the slowest?

AV Node

49.

At what point in the cardiac cycle is pressure in the ventricles the highest (around 120 mm Hg in the left ventricle)?

ventricular systole

50.

During which of these stages are the pulmonary and aortic valves open?

phase 2b

51.

Which best describe the isovolumetric contraction phase of the cardiac cycle?

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.

52.

As your muscles contract during activity, more blood is returned to the heart. Which variable would be affected and what would be the outcome of this action?

Preload would be increased, which would increase cardiac output.

53.

Which chamber of the heart has the highest probability of being the site of a myocardial infarction?

left ventricle

54.

The atrioventricular (AV) valves prevent backflow of blood into the atria during ventricular contraction.

true

55.

Name the ridged bundles of muscle found projecting inside the right atrium.

Pectinate muscles

56.

Identify the right atrioventricular valve

pulmonary valve

57.

Identfiy the valve located at the exit of the right ventricle.

pulmnary semilunar valve

58.

The moderator band is found on both the right and left side of the heart.

true

59.

Oxygenated blood flows through the right side of the heart.

false

60.

Identify the most muscular chamber.

left ventricle

61.

Name the inner lining of the heart.

Endocardium

62.

Identify the valve found between the left atrium and left ventricle.

Bicuspid (mitral) valve

63.

What heart chamber pushes blood through the aortic semilunar valve?

left entricle

64.

Name the needle like ridges of muscle lining the ventricles.

Trabeculae carneae

65.

What fibrous structure functions to anchor the atrioventricular valves in a closed position?

Chordae tendineae

66.

Blood on the right never mixes with blood on the left, once the heart is fully developed.

true

67.

What is the function of the coronary circulation?

Provide a blood supply to the heart

68.

What is the ligamentum arteriosum?

A remnant of the ductus arteriosus

69.

Which chamber of the heart exits into the pulmonary trunk?

Right ventricle

70.

Identify the ear like flaps that are attached to the top chambers of the heart.

Auricle

71.

The first branch off the arch of the aorta is the brachiocephalic artery in both the sheep and the human.

true

72.

The base of the heart is located at the bottom of the heart.

false

73.

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

false

74.

If the aorta and pulmonary trunk were switched, oxygen rich blood would be pumped from the left ventricle to the lungs.

true