Ch 18 (anatomy) – Flashcards

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The inner lining of the heart.
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Endocardium
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Heart muscle.
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Myocardium
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Serous layer covering the heart muscle
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Epicardium
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The outermost layer of the serous pericardium.
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Parietal layer
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The pacemaker of the heart.
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SA node
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Found in the interventricular septum.
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AV bundle
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Network found in the ventricular myocardium.
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Purkinje fibers
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The point in the conduction system of the heart where the impulse is temporarily delayed.
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AV node
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Prevents backflow into the left ventricle. Prevents backflow into the left ventricle.
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Aortic valve
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Prevents backflow into the right atrium.
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Tricuspid valve
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Prevents backflow into the left atrium.
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Mitral valve
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Prevents backflow into the right ventricle.
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Pulmonary valves
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AV valve with two flaps.
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Mitral valve
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AV valve with three flaps.
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Tricuspid valve
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The myocardium receives its blood supply from the coronary arteries.
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True
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Cardiac muscle has more mitochondria and depends less on a continual supply of oxygen than does skeletal muscle.
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False
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Proper function of the heart is dependent upon blood levels of ionic sodium.
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False
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Congestive heart failure means that the pumping efficiency of the heart is depressed so that there is inadequate delivery of blood to body tissues.
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True
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Tissues damaged by myocardial infarction are replaced by connective tissue.
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True
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The left side of the heart pumps the same volume of blood as the right.
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True
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Chronic release of excess thyroxine can cause a sustained increase in heart rate and a weakened heart.
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True
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The mitral valve has chordae but the tricuspid valve does not.
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False
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Trabeculae carneae are found in the ventricles and never the atria.
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True
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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.
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False
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Autonomic regulation of heart rate is via two reflex centers found in the pons.
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False
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The dicrotic notch refers to the brief rise in pressure caused by the closure of the AV valves during ventricular systole.
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False
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An ECG provides direct information about valve function.
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False
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As pressure in the aorta rises due to atherosclerosis, more ventricular pressure is required to open the aortic valve.
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True
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Proxysmal atrial tachycardia is characterized by bursts of atrial contractions with little pause between them.
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True
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Normal heart sounds are caused by which of the following events?
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closure of the heart valves
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Cardiac reserve ________.
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can be improved by regular exercise
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Hemorrhage with a large loss of blood causes ________.
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a lowering of blood pressure due to change in cardiac output
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The left ventricular wall of the heart is thicker than the right wall in order to ________.
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pump blood with greater pressure
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Damage to the ________ is referred to as heart block.
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AV node
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The P wave of a normal electrocardiogram indicates ________.
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atrial depolarization
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Blood within the pulmonary veins returns to the ________.
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left atrium
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Small muscle masses attached to the chordae tendineae are the ________.
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papillary muscles
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The term for pain associated with deficient blood delivery to the heart that may be caused by the transient spasm of coronary arteries is ________.
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) angina pectoris
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To auscultate the aortic valve, you would place your stethoscope ________.
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) in the second intercostal space to the right of the sternum
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The source of blood carried to capillaries in the myocardium would be the ________.
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coronary arteries
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When the heart is beating at a rate of 75 times per minute, the duration of one cardiac cycle is ________ second(s).
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0.8
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Which of the following factors does not influence heart rate?
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skin color
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) Which of the following is not an age-related change affecting the heart?
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thinning of the valve flaps
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If cardiac muscle is deprived of its normal blood supply, damage would primarily result from ________.
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decreased delivery of oxygen
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Cardiac muscle cells are like skeletal muscle cells in that they ________.
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have I and A bands
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Cardiac output is about ________ L/min.
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5.25
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The pericardial cavity ________.
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contains a lubricating fluid called serous fluid
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If the length of the absolute refractory period in cardiac muscle cells was the same as it is for skeletal muscle cells ________.
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tetanic contractions might occur, which would stop the heart's pumping action
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Norepinephrine acts on the heart by ________.
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causing threshold to be reached more quickly
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If the vagal nerves to the heart were cut, the result would be that ________.
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the heart rate would increase by about 25 beats per minute
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Foramen ovale ________.
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connects the two atria in the fetal heart
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The stroke volume for a normal resting heart is ________ ml/beat.
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70
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Which vessel of the heart receives blood during right ventricular systole?
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pulmonary trunk
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Blood ejected from the ventricles enters which of these vessels during ventricular systole?
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both the aorta and pulmonary trunk
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Which of the following is not part of the conduction system of the heart?
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AV valve
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The tricuspid valve is closed ________.
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when the ventricle is in systole
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When viewing a dissected heart, it is easy to visually discern the right and left ventricles by ________.
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noticing the thickness of the ventricle walls
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Select the correct statement about the heart valves.
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The AV valves are supported by chordae tendineae so that they do not blow back up into the atria during ventricular contraction.
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Select the correct statement about the function of myocardial cells.
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The all-or-none law as applied to cardiac muscle means that the entire heart contracts as a unit or it does not contract at all.
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Select the correct statement about the structure of the heart wall.
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The myocardium is the layer of the heart that actually contracts.
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Compared to skeletal muscle, cardiac muscle ________.
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has gap junctions that allow it to act as a functional syncytium
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Cardiac muscle ________.
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has sarcomeres with A bands and I bands
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The deflection waves in an ECG tracing include ________.
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the T wave, which indicates ventricular repolarization
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During the period of ventricular filling ________.
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blood flows passively through the atria and the open AV valves
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The effect of endurance-type athletic training may be to lower the resting heart rate. This phenomenon ________.
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is caused by hypertrophy of the heart muscle
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The second heart sound is heard during which phase of the cardiac cycle?
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isovolumetric relaxation
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The time of day most hazardous for heart attacks is ________.
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morning
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If a significant amount of connective tissue were to develop connecting the visceral and parietal pericardial layers together, which of the following would be a likely consequence?
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interference with normal mechanical cardiac activity
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If we were able to artificially alter the membrane permeability of pacemaker cells so that sodium influx is more rapid, ________.
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threshold is reached more quickly and heart rate would increase
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Select the correct statement about cardiac output.
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A slow heart rate increases end diastolic volume, stroke volume, and force of contraction.
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During contraction of heart muscle cells ________.
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some calcium enters the cell from the extracellular space and triggers the release of larger amounts of calcium from intracellular stores
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Isovolumetric contraction ________.
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refers to the short period during ventricular systole when the ventricles are completely closed chambers
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Commotio cordis is heart failure due to a ________.
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relatively mild blow to the chest
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Negative chronotropic factors are factors that ________.
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decrease heart rate
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