Flashcard Set Preview
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| 1 |
- The sequence of electrical and mechanical...
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Cardiac cycle
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- Divided into 2 main events: diastole...
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Cardiac cycle
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- Filling of the ventricles
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Diastole
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- Emptying of the ventricles
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Systole
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- Is pulsatile (owing to the intermittent...
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Arterial blood pressure
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- Generated during ventricular systole...
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Peak pressure
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- Referred to as the systolic pressure
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Peak pressure
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- Peak pressure
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Systolic pressure
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- minimum pressure occurs during ventricular...
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Diastolic pressure
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- the difference between systolic and...
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pulse pressure
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- shorter period
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systole
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- longer period
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Diastole
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- the pressure pulse wave is skewed slightly...
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systole is shorter than diastole
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- since the pressure pulse wave is skewed...
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not simply the arithmetic mean of systole and diastole
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- diastolic pressure +1/3 pulse pressure...
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mean arterial pressure
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- (systolic + 2 diastolic)/3
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mean arterial pressure
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- Involves instruments which enter the...
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Direct measurement
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- Depends upon the amount of pressure...
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Indirect measurement
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| 19 |
- Located in the upper arm, lies close...
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Brachial artery
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| 20 |
- The instrument used in the indirect...
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Sphygmomanometer
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| 21 |
- Consists of:
o a compression...
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Sphygmomanometer
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| 22 |
- Used to measure the pressure within...
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Manometer
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| 23 |
- Is easily performed by determining...
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Systolic arterial pressure
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| 24 |
- If cuff pressure is then decreased...
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Korotkoff Sounds
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| 25 |
- First detected “tap”
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Systolic pressure
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| 26 |
- “swish” becomes muffled
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Diastolic pressure
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| 27 |
- Have valves along their courses
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Veins and lymphatic ducts of extremities
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- Prevent back flow
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Valves
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| 29 |
- A tourniquet is applied above the elbow...
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Demo of Venous Valves
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| 30 |
- When the veins are distended, the valves...
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Demo of Venous Valves
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| 31 |
- If one finger is pressed down on the...
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Demo of Venous Valves
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| 32 |
- If the valve is not functioning properly,...
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Demo of Venous Valves
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| 33 |
- Caused by leaky valves and are a common...
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Varicose veins
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| 34 |
- The recording of the current at the...
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Electrocardiography
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| 35 |
- The limbs serve as convenient attachment...
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Electrocardiogram (ECG)
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- Recorders measure the potential difference...
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Electrocardiogram (ECG)
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- The electrodes are positioned on the...
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Lead II
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- Measures the potential between electrodes...
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Lead I
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- Utilizes the left arm and left leg...
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Lead III
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| 40 |
- Are used in diagnosis of cardiac muscle...
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Chest leads
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| 41 |
- Baseline of the recording represents...
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Iso-electric line
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| 42 |
- Is produced by the generation of a...
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Waveform (P, QRS and T)
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- Starts at the SA node in the right...
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Heart beat
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- Is associated with the initial phase...
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P wave
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| 45 |
- When the wave of depolarization has...
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P wave
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- Generated by a momentary dipole
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P wave
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| 47 |
- There is no potential differenced recorded...
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Between the P and Q waves
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| 48 |
- Is associated with depolarization of...
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QRS complex
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| 49 |
- The amplitude is much greater than...
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QRS complex
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| 50 |
- Again a dipole is created across the...
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QRS complex
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| 51 |
- The recording returns to baseline because...
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Between the S and T waves
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| 52 |
- Occurs with repolarization of the ventricles
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T wave
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| 53 |
- The waveform has the same polarity...
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T wave
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| 54 |
- Opposite in direction to depolarization
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T wave
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| 55 |
- (1/time interval between R waves) x...
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Heart rate
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| 56 |
0.12-0.2 s
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P-Q interval
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| 57 |
0.06-0.10 s
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QRS interval
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| 58 |
0.32 s
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S-T interval
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| 59 |
72 bpm
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Heart Rate
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| 60 |
- An abnormally long P-Q interval indicates
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Heart block
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| 61 |
- A prolonged delay between depolarization...
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Heart block
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| 62 |
- A prolonged QRS complex interval or...
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Conduction problems within the ventricular muscle (or purkinje system)
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| 63 |
- A result of a pressure wave passing...
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Pressure pulse recording
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- The result of closure of the aortic...
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Dicrotic notch
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| 65 |
- To the right of the peak of the pressure...
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Dicrotic notch
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| 66 |
- What you feel when taking your pulse
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Pressure pulse wave
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| 67 |
- The radial and carotid pulse are
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Out of phase
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| 68 |
- The bulk of the heart muscle
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Myocardium
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| 69 |
- Fibres are arranged in layers of whorls...
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Myocardium
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- Upper 2 chambers of the heart
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Atria
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- Serve primarily a collecting function
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Atria
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- Significantly more muscular lower chambers
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Ventricles
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- Responsible for discharging blood into...
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Ventricles
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- Ejects into the systemic circuit (this...
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Left Ventricle
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- Conspicuously more muscular
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Left Ventricle
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- Certain characteristic sounds that...
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Lub-dub
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- Caused by the snapping shut of the...
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First sound
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| 78 |
- Caused by the closing of the semi-lunar...
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Second sound
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- Caused by defects in the heart valves
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Heart murmurs
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| 80 |
- Furnish info concerning the condition...
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Heart sounds
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| 81 |
- Specialized tissues within the myocardium,...
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SA node (sino-atrial), AV node (atrio-ventricular), and the purkinje network
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- Pacemaker of the heart
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SA node
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| 83 |
- Initiates depolarization
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SA node
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| 84 |
- Common bundle branches with their arborisations
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Purkinje fibres
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| 85 |
- Muscular contraction is always associated...
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Electrical changes
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| 86 |
- The resting muscle cell possesses
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Polarized membrane
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| 87 |
- The outside surface is positive, the...
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Polarized membrane
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- The heart at rest
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Polarized membrane
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- Covered outside with a layer of positive...
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Polarized membrane
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| 90 |
- The rate at which the cell repolarizes...
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Be responsive
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| 91 |
- A wave of negative charge spreads over...
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SA node initiates depolarization
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| 92 |
- Sweeps over and through the heart tissues...
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Moving dipole
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| 93 |
- Likewise sweeping repolarization follows...
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Moving dipole
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