Anatomy Of The Heart - ECG

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Anatomy Of The Heart Quizzes & Trivia

In this quiz we’ll once again be looking at the organ responsible for pumping blood to the rest of your body; the heart, but this time we’ll be giving reference to a process called an electrocardiograph. What do you know about it? Find out in this “Anatomy of the Heart – ECG” quiz.


Questions and Answers
  • 1. 

    The rapidly conducting fibers that supply the ventricles

    • A.

      SA node

    • B.

      AV node

    • C.

      QRS complex

    • D.

      Purkinje

    • E.

      P-R interval

    Correct Answer
    D. Purkinje
    Explanation
    The Purkinje fibers are the rapidly conducting fibers that supply the ventricles. These specialized cardiac muscle fibers are responsible for transmitting electrical signals from the AV node to the ventricles, causing them to contract and pump blood. The Purkinje fibers allow for efficient and coordinated contraction of the ventricles, ensuring that blood is effectively pumped out of the heart.

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  • 2. 

    Phase of the cardiac impulse (action potential) that is due to the outflow (effux) of K+

    • A.

      Repolarization

    • B.

      Depolarization

    • C.

      P wave

    • D.

      T wave

    • E.

      QRS complex

    Correct Answer
    A. Repolarization
    Explanation
    Repolarization refers to the phase of the cardiac impulse where there is an outflow of potassium ions (K+). During this phase, the cell membrane potential returns to its resting state after depolarization. This is an important process as it allows the heart muscle to relax and prepare for the next cardiac cycle. The correct answer is repolarization.

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  • 3. 

    Part of the ECG that represents ventricular repolarization

    • A.

      Purkinje

    • B.

      SA node

    • C.

      AV node

    • D.

      P wave

    • E.

      T wave

    Correct Answer
    E. T wave
    Explanation
    The T wave represents ventricular repolarization in an ECG. After the ventricles contract (depolarization), they need to reset their electrical state in order to prepare for the next contraction. This resetting process is called repolarization, and it is represented by the T wave on the ECG. Therefore, the T wave is the correct answer for this question.

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  • 4. 

    Part of the ECG that indicates the time it takes for the electrical signal to travel from the atrium to the ventricle

    • A.

      QRS complex

    • B.

      AV node

    • C.

      T wave

    • D.

      P-R interval

    • E.

      Depolarization

    Correct Answer
    D. P-R interval
    Explanation
    The P-R interval on an ECG represents the time it takes for the electrical signal to travel from the atrium to the ventricle. This interval includes the time it takes for the signal to pass through the atrioventricular (AV) node, which is responsible for delaying the signal to allow for proper filling of the ventricles. Therefore, the P-R interval is a measure of the conduction time between the atria and ventricles, providing information about the integrity of the AV node and any potential conduction abnormalities.

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  • 5. 

    Part of the ECG that indicates atrial depolarization

    • A.

      P wave

    • B.

      T wave

    • C.

      SA node

    • D.

      AV node

    • E.

      QRS complex

    Correct Answer
    A. P wave
    Explanation
    The P wave on an ECG represents atrial depolarization, which is the electrical activation of the atria. During atrial depolarization, the electrical signal originates from the SA node (sinoatrial node) and spreads through the atria, causing them to contract. This is the first wave observed on the ECG and indicates the beginning of the cardiac cycle. The other options listed, such as the T wave, QRS complex, SA node, and AV node, do not specifically represent atrial depolarization.

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  • 6. 

    The semilunar valves open in response to

    • A.

      Rising ventricular pressure during ventricular contraction

    • B.

      Rising atrial pressure

    • C.

      Rising pressure in the pulmonary artery and aorta

    • D.

      Increasing oxygen saturation of the hemoglobin

    Correct Answer
    A. Rising ventricular pressure during ventricular contraction
    Explanation
    The semilunar valves open in response to rising ventricular pressure during ventricular contraction. This is because during ventricular contraction, the pressure within the ventricles increases, causing the blood to be pushed out of the ventricles and into the pulmonary artery and aorta. The semilunar valves, located at the entrances of these arteries, open to allow the blood to flow out of the ventricles and into the arteries. Once the ventricles relax, the pressure within them decreases, causing the semilunar valves to close and prevent backflow of blood into the ventricles.

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  • 7. 

    The AV valves close in response to

    • A.

      Rising ventricular pressure during ventricular contraction

    • B.

      Rising atrial pressure

    • C.

      Rising pressure in the pulmonary artery and aorta

    • D.

      Increasing oxygen saturation of the hemoglobin

    Correct Answer
    A. Rising ventricular pressure during ventricular contraction
    Explanation
    The AV valves close in response to rising ventricular pressure during ventricular contraction. As the ventricles contract, the pressure inside them increases. This increased pressure causes the AV valves, which are located between the atria and ventricles, to close. This closure prevents the backflow of blood from the ventricles into the atria, ensuring that blood flows in the correct direction through the heart.

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  • 8. 

    What is happening when the ventricles are filling?

    • A.

      The semilunar valves are open

    • B.

      The AV valves are closed

    • C.

      The QRS complex is "happening"

    • D.

      The ventricles are relaxed

    Correct Answer
    B. The AV valves are closed
    Explanation
    When the ventricles are filling with blood during the diastole phase of the cardiac cycle, the atria contract (atrial systole) to push blood into the ventricles. As the atria contract, the pressure inside them increases, and this forces the atrioventricular (AV) valves (tricuspid and mitral valves) to close. The closure of the AV valves prevents the backflow of blood from the ventricles into the atria.

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  • 9. 

    Identify this: a quivering ventricular muscle that is unable to pump blood.

    • A.

      Heart block

    • B.

      Pericardial effusion

    • C.

      Friction rub

    • D.

      Fibrillation

    Correct Answer
    D. Fibrillation
    Explanation
    Fibrillation refers to a quivering ventricular muscle that is unable to pump blood effectively. This condition disrupts the normal rhythm of the heart and can lead to serious complications, such as decreased blood flow and potential organ damage. It is often associated with irregular and rapid heartbeats, causing the heart to lose its ability to effectively pump blood throughout the body.

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  • 10. 

    A prolonged P-R interval means that

    • A.

      Heart rate is too fast

    • B.

      Heart rate is too slow

    • C.

      The signal traveling from the atria to the ventricles is abnormally slow

    • D.

      There is an ectopic focus

    Correct Answer
    C. The signal traveling from the atria to the ventricles is abnormally slow
    Explanation
    A prolonged P-R interval means that the signal traveling from the atria to the ventricles is abnormally slow. The P-R interval represents the time it takes for the electrical signal to travel from the atria (upper chambers of the heart) to the ventricles (lower chambers of the heart). When this interval is prolonged, it indicates a delay in the conduction pathway, which can result in inefficient pumping of blood and potentially lead to various heart conditions.

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  • 11. 

    What is the cause of the heart sounds "lubb dupp"?

    • A.

      Vibrations caused by closure of the valves

    • B.

      Firing of the SA node

    • C.

      Movement of blood through holes in the interventricular septum

    • D.

      Flow of blood through the coronary blood vessels

    Correct Answer
    A. Vibrations caused by closure of the valves
    Explanation
    The heart sounds "lubb dupp" are caused by vibrations that occur when the valves in the heart close. When the atrioventricular valves close, it produces the first sound "lubb" and when the semilunar valves close, it produces the second sound "dupp". These vibrations can be heard with a stethoscope and indicate the normal functioning of the heart.

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  • 12. 

    Plasma elevations of CPK, AST, LDH, and troponin are indicative of

    • A.

      Leaky valves

    • B.

      Ventricular hypertrophy

    • C.

      Damage of myocardial cells

    • D.

      Pericardial effusion

    Correct Answer
    C. Damage of myocardial cells
    Explanation
    Plasma elevations of CPK, AST, LDH, and troponin are indicative of damage of myocardial cells. These enzymes and proteins are released into the bloodstream when there is damage to the heart muscle. CPK (creatine phosphokinase), AST (aspartate aminotransferase), LDH (lactate dehydrogenase), and troponin are all markers of myocardial injury. Therefore, elevated levels of these substances suggest that there has been damage to the cells of the heart muscle.

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