EKG Tech Cardiac Anatomy And Physiology

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  • 1/100 Questions

    The heart contains four chambers - two atria and two ventricles.

    • True
    • False
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EKG Tech Cardiac Anatomy And Physiology - Quiz
About This Quiz

Chapter 1 (Based on textbook ECG Interpretation Made Incredibly Easy, 4th Edition)


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  • 2. 

    The heart is made up of three layers: the epicardium, myocardium and the _____

    • Echocardium

    • Aortic lining

    • Endocardium

    Correct Answer
    A. Endocardium
    Explanation
    The heart is made up of three layers: the epicardium, myocardium, and the endocardium. The endocardium is the innermost layer of the heart and lines the chambers and valves. It is composed of endothelial cells and connective tissue, providing a smooth surface for blood flow and preventing clot formation. The endocardium also plays a role in regulating the contraction and relaxation of the heart muscle.

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  • 3. 

    The fibrous and serous pericardium layers are seperated by a thin, clear liquid called pericardial fluid.

    • True

    • False

    Correct Answer
    A. True
    Explanation
    The fibrous and serous pericardium layers are indeed separated by a thin, clear liquid called pericardial fluid. This fluid acts as a lubricant, reducing friction between the layers of the pericardium as the heart beats and moves. It also helps to cushion and protect the heart from external forces. Therefore, the statement is true.

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  • 4. 

    In the depolarization cycle, ions cross the cell membrane after a stimulus occurs, causing an 'action potential', or cell depolarization.

    • True

    • False

    Correct Answer
    A. True
    Explanation
    During the depolarization cycle, ions move across the cell membrane following a stimulus, resulting in the generation of an action potential. This process is essential for cell depolarization, where the membrane potential becomes less negative. Therefore, the statement "True" accurately describes the relationship between the depolarization cycle, ions crossing the cell membrane, and the occurrence of an action potential.

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  • 5. 

    Bradycardia means rapid heart rate while Tachycardia indicates a resting state.

    • True

    • False

    Correct Answer
    A. False
    Explanation
    This statement is false. Bradycardia actually means a slow heart rate, while tachycardia indicates a rapid heart rate.

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  • 6. 

    During one heartbeat. ventricular diastole and ventricular systole occur.

    • True

    • False

    Correct Answer
    A. True
    Explanation
    During one heartbeat, both ventricular diastole and ventricular systole occur. Ventricular diastole is the relaxation phase of the ventricles, during which the ventricles fill with blood. Ventricular systole is the contraction phase of the ventricles, during which the blood is pumped out of the heart. These two phases are essential for the proper functioning of the heart and the circulation of blood throughout the body. Therefore, the statement is true.

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  • 7. 

    Stroke volume is the amount of blood ejected with each ventricular contraction.

    • True

    • False

    Correct Answer
    A. True
    Explanation
    Stroke volume refers to the amount of blood that is pumped out of the ventricles of the heart with each contraction. It is a measure of the efficiency of the heart in pumping blood. Therefore, the statement that stroke volume is the amount of blood ejected with each ventricular contraction is correct.

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  • 8. 

    This is considered the hearts main pacemaker:

    • AV Node

    • Bundle branches

    • Internodal tract

    • SA Node

    Correct Answer
    A. SA Node
    Explanation
    The SA (sinoatrial) node is considered the heart's main pacemaker. It is responsible for initiating the electrical impulses that regulate the heart's rhythm. Located in the right atrium, the SA node generates electrical signals that cause the atria to contract and pump blood into the ventricles. This node sets the pace for the entire heart, determining the heart rate and coordinating the timing of contractions. The AV node, bundle branches, and internodal tracts also play important roles in the heart's electrical conduction system, but they are not considered the main pacemaker.

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  • 9. 

    The semilunar valves include the aortic and the _______.

    Correct Answer
    pulmonic
    pulmonary
    pulmonary
    Explanation
    *The correct term is pulmonic however, for the purpose of this quiz, pulmonary will be accepted.*

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  • 10. 

    The mitral valve has two cusps and the tricuspid valve has three.

    • True

    • False

    Correct Answer
    A. True
    Explanation
    The statement is true because the mitral valve, also known as the bicuspid valve, has two cusps, while the tricuspid valve has three cusps. The cusps are the flaps of tissue that open and close to allow blood flow through the valves.

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  • 11. 

    The left coronary branches off into the left anterior descending and the left circumflex arteries.

    • True

    • False

    Correct Answer
    A. True
    Explanation
    The statement is true because the left coronary artery does indeed branch off into two main arteries: the left anterior descending artery and the left circumflex artery. These arteries supply blood to different regions of the heart muscle.

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  • 12. 

    Cardiac output refers to the amount of blood pumped by the ventricles in

    • 60 beats

    • 1 minute

    • 24 hour cycle

    Correct Answer
    A. 1 minute
    Explanation
    Cardiac output is a measure of the volume of blood pumped by the ventricles of the heart in a given time. It is usually expressed as the amount of blood pumped per minute. Therefore, the correct answer is "1 minute" because cardiac output is measured over a period of one minute. This measurement is important in assessing the heart's ability to meet the body's demands for oxygen and nutrients.

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  • 13. 

    Cardiac output is measured by multiplying _____________ by stroke volume.

    Correct Answer
    heart rate
    HR
    heartrate
    Explanation
    Cardiac output is a measure of the amount of blood pumped by the heart per minute. It is calculated by multiplying the heart rate, which is the number of times the heart beats per minute, by the stroke volume, which is the amount of blood pumped by the heart with each beat. Therefore, to measure cardiac output, one needs to multiply the heart rate by the stroke volume.

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  • 14. 

    Norepinephrine and epinephrine increase heart rate, automaticity, AV conduction and contractility.

    • True

    • False

    Correct Answer
    A. True
    Explanation
    Norepinephrine and epinephrine are hormones that are released by the sympathetic nervous system in response to stress or danger. These hormones bind to receptors on the heart, causing an increase in heart rate, automaticity (the ability of the heart to generate its own electrical impulses), AV conduction (the speed at which electrical signals travel through the heart), and contractility (the force of the heart's contractions). Therefore, it is true that norepinephrine and epinephrine increase heart rate, automaticity, AV conduction, and contractility.

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  • 15. 

    Atrial fibrillation can cause a loss of atrial kick and cardiac output.

    • True

    • False

    Correct Answer
    A. True
    Explanation
    Atrial fibrillation is a condition characterized by irregular and rapid heartbeats, which disrupts the normal pumping action of the atria. The atrial kick refers to the contraction of the atria that helps to fill the ventricles with blood. In atrial fibrillation, this atrial kick is lost, leading to a decrease in cardiac output. This is because the irregular and rapid heartbeats prevent the atria from effectively pumping blood into the ventricles, resulting in reduced blood flow to the rest of the body. Therefore, it is true that atrial fibrillation can cause a loss of atrial kick and cardiac output.

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  • 16. 

    When the left ventricle pumps blood through the aortic valve into the aorta and then throughout the body, this is referred to as _________.

    • Pulmonary circulation.

    • Contractility.

    • Isovolumetric relaxation.

    • Systemic circulation.

    Correct Answer
    A. Systemic circulation.
    Explanation
    When the left ventricle pumps blood through the aortic valve into the aorta and then throughout the body, it is referred to as systemic circulation. Systemic circulation involves the transportation of oxygenated blood from the heart to the various organs and tissues of the body, delivering nutrients and removing waste products. This process ensures that oxygen and nutrients are distributed to all the cells in the body and plays a crucial role in maintaining overall bodily functions.

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  • 17. 

    The bottom of the heart is known as the ____.

    • Base

    • Apex

    • Anchor

    • Case

    Correct Answer
    A. Apex
    Explanation
    The bottom of the heart is known as the apex. The apex refers to the pointed tip or lowest part of the heart, which is located at the bottom and slightly to the left. It is where the heartbeat can be felt most strongly and is an important landmark in cardiac examinations and procedures. The term "apex" is commonly used in medical terminology to describe the lowest or most inferior part of an organ or structure.

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  • 18. 

    The myocardium makes up the smallest portion of the hearts wall.

    • True

    • False

    Correct Answer
    A. False
    Explanation
    The myocardium does not make up the smallest portion of the heart's wall. The myocardium is the middle layer of the heart's wall and is responsible for the contraction of the heart muscle. It is thicker than the other two layers, the epicardium and the endocardium. Therefore, the statement is false.

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  • 19. 

    The mitral valve is located between the 

    • Right atrium and right ventricle.

    • The left atrium and left ventricle.

    • The right ventricle and pulmonary artery.

    • The superior vena cava and right atrium.

    Correct Answer
    A. The left atrium and left ventricle.
    Explanation
    The mitral valve is located between the left atrium and left ventricle. This valve prevents the backflow of blood from the left ventricle to the left atrium during ventricular contraction. It ensures that blood flows in one direction, from the left atrium to the left ventricle, allowing for efficient oxygenation of the body's tissues.

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  • 20. 

    The ________ arteries supply the heart muscle with blood and oxygen.

    Correct Answer
    coronary
    Explanation
    The answer "coronary" is correct because the coronary arteries are responsible for supplying the heart muscle with blood and oxygen. These arteries branch off from the aorta and wrap around the heart, ensuring that the heart receives the necessary nutrients and oxygen to function properly. Without the coronary arteries, the heart would not be able to receive the blood supply it needs, leading to various heart conditions and potentially a heart attack.

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  • 21. 

    The three factors that affect stroke volume are preload, afterload and myocardial contractility.

    • True

    • False

    Correct Answer
    A. True
    Explanation
    The statement is true because preload, afterload, and myocardial contractility are indeed three factors that affect stroke volume. Preload refers to the amount of blood that fills the ventricles before contraction, afterload is the resistance the heart must overcome to eject blood from the ventricles, and myocardial contractility is the strength of the heart's contraction. These factors play a crucial role in determining the amount of blood pumped out of the heart with each beat, which is known as stroke volume.

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  • 22. 

    Tachycardia is commonly caused by ____________ in the automaticity of pacemaker cells below the SA node.

    • An increase

    • A decrease

    • An electrical shock

    Correct Answer
    A. An increase
    Explanation
    Tachycardia is a condition characterized by an abnormally fast heart rate. The correct answer, "an increase," explains that tachycardia is commonly caused by an increase in the automaticity of pacemaker cells located below the sinoatrial (SA) node. This means that these cells are firing at a faster rate than normal, leading to a rapid heart rate.

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  • 23. 

    The right atria receives

    • Oxygenated blood.

    • Deoxygenated blood.

    • Oxygen from the pulmonary artery.

    • None. It acts as a reservoir.

    Correct Answer
    A. Deoxygenated blood.
    Explanation
    The right atria receives deoxygenated blood. This is because the right atrium receives blood from the body through the superior and inferior vena cava, which carries deoxygenated blood from the systemic circulation. The deoxygenated blood then flows into the right ventricle and is pumped to the lungs to be oxygenated. Therefore, the right atrium acts as a receiving chamber for deoxygenated blood.

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  • 24. 

    The _________ nerve carries impulses that slow heart rate and the conduction of impulses through the AV node and ventricles.

    Correct Answer
    vagus
    Explanation
    The vagus nerve is responsible for carrying impulses that slow down the heart rate and regulate the conduction of impulses through the AV node and ventricles. This nerve plays a crucial role in maintaining heart rate and rhythm, as well as controlling the electrical signals that allow the heart to pump blood effectively.

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  • 25. 

    The SA Node is located in:

    • The upper left corner of the left atrium.

    • The upper right corner of the right atrium.

    • Inbetween the right atria and right ventricle.

    Correct Answer
    A. The upper right corner of the right atrium.
    Explanation
    The SA Node, also known as the sinoatrial node, is responsible for initiating the electrical impulses that regulate the heartbeat. It is often referred to as the "natural pacemaker" of the heart. The SA Node is located in the upper right corner of the right atrium. This position allows it to send electrical signals to the atria, causing them to contract and pump blood into the ventricles. From there, the electrical impulses travel to the AV Node and then to the rest of the heart, coordinating the heartbeat.

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  • 26. 

    The AV node is responsible for delaying impulses from the SA node.

    • True

    • False

    Correct Answer
    A. True
    Explanation
    The AV node, or atrioventricular node, is an important part of the electrical conduction system of the heart. It acts as a gatekeeper, delaying the electrical impulses that originate from the SA node, or sinoatrial node. This delay allows the atria to contract and pump blood into the ventricles before they contract. By delaying the impulses, the AV node ensures that the atria and ventricles are coordinated in their contractions, allowing for efficient blood flow throughout the heart. Therefore, the statement that the AV node is responsible for delaying impulses from the SA node is true.

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  • 27. 

    The __________ valves are the pulmonic and aortic valve. Their cusps resemble three half-moons.

    Correct Answer
    semilunar
    Explanation
    The explanation for the given correct answer is that the term "semilunar" refers to the shape of the cusps of the pulmonic and aortic valves, which resemble three half-moons. These valves are located between the ventricles and the arteries, and they allow blood to flow in one direction while preventing backflow. The term "semilunar" accurately describes the shape and function of these valves.

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  • 28. 

    _________ are cord-like tendons that connect the papillary muscles to the tricuspid valve and mitral valve in the heart.

    • Chordae tendineae

    • Intervenous tubercle

    • Purjinke fibers

    • Sternopericardiac ligaments

    Correct Answer
    A. Chordae tendineae
    Explanation
    Chordae tendineae are cord-like tendons that connect the papillary muscles to the tricuspid valve and mitral valve in the heart. These tendons help to anchor the valves and prevent them from prolapsing or inverting into the atria during ventricular contraction. They also help to maintain the proper closure of the valves, ensuring efficient blood flow through the heart.

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  • 29. 

    Isovolumetric relaxation occurs when ventricular pressure falls below pressure in the aorta and pulmonary artery causing the aortic and pulmonary valves to close.

    • True

    • False

    Correct Answer
    A. True
    Explanation
    Isovolumetric relaxation refers to the phase of the cardiac cycle in which the ventricles are relaxed and the pressure in the ventricles falls below the pressure in the aorta and pulmonary artery. This pressure difference causes the aortic and pulmonary valves to close, preventing blood from flowing back into the ventricles. Therefore, the given statement is true.

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  • 30. 

    Backflow of blood from one chamber to another is known as __________.

    Correct Answer
    regurgitation
    Explanation
    The backflow of blood from one chamber to another is known as regurgitation. This occurs when the valves between the chambers do not close properly, allowing blood to flow in the wrong direction. Regurgitation can occur in various parts of the heart, such as the mitral valve or the aortic valve. It can be caused by conditions such as valve damage, congenital heart defects, or heart disease. Regurgitation can lead to symptoms like heart murmur, fatigue, and shortness of breath, and may require medical intervention depending on its severity.

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  • 31. 

    During ventricular ejection the ventricles eject 70% of the blood.

    • True

    • False

    Correct Answer
    A. True
    Explanation
    During ventricular ejection, the ventricles contract and pump blood out of the heart into the arteries. This is the phase of the cardiac cycle where blood is being forcefully ejected from the ventricles into the systemic circulation. The amount of blood ejected during ventricular ejection is known as the stroke volume. On average, the stroke volume is about 70% of the total volume of blood in the ventricles, meaning that approximately 70% of the blood is ejected during this phase. Therefore, the statement that the ventricles eject 70% of the blood during ventricular ejection is true.

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  • 32. 

    The atrioventricular valves are:

    • Aortic and pulmonic.

    • Aortic and tricuspid.

    • Pulmonic and mitral.

    • Tricuspid and mitral.

    Correct Answer
    A. Tricuspid and mitral.
    Explanation
    The correct answer is tricuspid and mitral. The atrioventricular valves are located between the atria and ventricles of the heart and prevent the backflow of blood. The tricuspid valve is located on the right side of the heart, between the right atrium and right ventricle. The mitral valve, also known as the bicuspid valve, is located on the left side of the heart, between the left atrium and left ventricle. Together, these valves ensure that blood flows in the correct direction through the heart.

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  • 33. 

    When the left ventricle contracts it pumps blood through the _______ valve.

    Correct Answer
    aortic
    Explanation
    When the left ventricle contracts, it pumps oxygenated blood out of the heart and into the aorta, which is the largest artery in the body. The aortic valve is located between the left ventricle and the aorta, and it ensures that blood flows in one direction, preventing backflow into the heart. Therefore, when the left ventricle contracts, it pumps blood through the aortic valve into the aorta.

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  • 34. 

    When a cell is fully depolarized, it attempts to return to its resting state in a process called _______________. Electrical charges in the cell reverse and return to normal.

    Correct Answer
    repolarization
    Explanation
    When a cell is fully depolarized, it means that the electrical charges inside and outside the cell have become equal. In order to return to its resting state, the cell undergoes repolarization. During repolarization, the electrical charges in the cell reverse their polarity and return to their normal state. This process is crucial for the proper functioning of cells and maintaining the balance of electrical signals in the body.

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  • 35. 

    The ___________ divides the right and left atrium and helps them contract.

    • AV node.

    • Cardiac septum.

    • Interatrial septum.

    • Bundle of His.

    Correct Answer
    A. Interatrial septum.
    Explanation
    The interatrial septum is the correct answer because it is the structure that divides the right and left atrium of the heart. It helps to separate the oxygenated blood in the left atrium from the deoxygenated blood in the right atrium. This division allows for more efficient contraction of the atria, ensuring that blood is properly pumped through the heart. The AV node, cardiac septum, and bundle of His are not involved in dividing the right and left atrium.

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  • 36. 

    The right ventricle pumps blood through the pulmonic valve into the pulmonary arteries and then into the lungs. From the lungs, blood flows through the pulmonary veins and empties into the left atrium. What is this cycle called?

    • Cardiac cycle.

    • Pulmonary circulation.

    • Systemic circulation.

    • Rapid circulation.

    Correct Answer
    A. Pulmonary circulation.
    Explanation
    The cycle described in the question, where blood is pumped from the right ventricle through the pulmonic valve into the pulmonary arteries and then into the lungs, and then flows back through the pulmonary veins into the left atrium, is known as pulmonary circulation. This is the specific circulation pathway that involves the lungs, where oxygen is taken up and carbon dioxide is released. It is distinct from systemic circulation, which involves the rest of the body, and rapid circulation is not a recognized term in this context.

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  • 37. 

    The two branches of the autonomic nervous system are the sympathetic and the adrenergic.

    • True

    • False

    Correct Answer
    A. False
    Explanation
    The sympathetic and the adrenergic are the same. The second branch is the parasympathetic, also known as the cholinergic.

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  • 38. 

    The Purkinje fibers extend from the bundle branches into the endocardium, deep into the _________ tissue.

    Correct Answer
    myocardial
    Explanation
    The Purkinje fibers are specialized cardiac muscle fibers that conduct electrical impulses throughout the heart. They extend from the bundle branches, which are part of the electrical conduction system of the heart, into the endocardium. The endocardium is the innermost layer of the heart, consisting of a thin layer of endothelial cells. Therefore, the Purkinje fibers extend deep into the myocardial tissue, which is the middle layer of the heart and consists of cardiac muscle cells responsible for the contraction of the heart.

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  • 39. 

    Give the names of the two atrioventricular (AV) valves.

    Correct Answer
    tricuspid and mitral
    tricuspid, mitral
    mitral, tricuspid
    mitral and tricuspid
    Explanation
    The correct answer is tricuspid and mitral. The two atrioventricular (AV) valves in the heart are named the tricuspid valve and the mitral valve. The tricuspid valve is located between the right atrium and the right ventricle, while the mitral valve is located between the left atrium and the left ventricle. These valves prevent the backflow of blood from the ventricles into the atria during the pumping action of the heart.

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  • 40. 

    Because the atria collect blood, their walls are thicker than the ventricles.

    • True

    • False

    Correct Answer
    A. False
    Explanation
    Since the atria doesn't have to pump the deoxygenated blood far, the chamber walls are thinner. Likewise, the left ventricle has a much thicker wall than the right because it pumps blood against the higher pressures in the body's arterial circulation.

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  • 41. 

    The entire network of specialized nervous tissue that extends through the ventricles is nown as the His-Purkinje system.

    • True

    • False

    Correct Answer
    A. True
    Explanation
    The statement is true because the His-Purkinje system is indeed the network of specialized nervous tissue that extends through the ventricles. This system is responsible for transmitting electrical signals that regulate the contraction of the heart muscles, helping to coordinate the pumping action of the heart.

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  • 42. 

    An athlete's heart usually weighs more than that of the average person while an elderly person's weighs less.

    • True

    • False

    Correct Answer
    A. True
    Explanation
    The statement is true because athletes often have larger hearts due to their rigorous training and exercise routines. Regular exercise increases the size and strength of the heart muscle, allowing it to pump more blood efficiently. This results in an increase in the overall weight of the heart. On the other hand, as people age, their heart muscles tend to weaken, leading to a decrease in the size and weight of the heart. Therefore, an athlete's heart usually weighs more than that of an average person, while an elderly person's heart weighs less.

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  • 43. 

    Pericardial effusion, a condition of having excess pericardial fluid, can _________

    • Compromise the lung's ability to receive oxygen.

    • Block the the SA node from firing.

    • Cause over production of red blood cells.

    • Compromise the heart's ability to pump blood.

    Correct Answer
    A. Compromise the heart's ability to pump blood.
    Explanation
    Pericardial effusion is the accumulation of excess fluid in the pericardial sac surrounding the heart. This can lead to increased pressure on the heart, which in turn compromises its ability to pump blood effectively. As the fluid builds up, it compresses the heart, reducing its ability to expand and contract properly. This compromises the heart's ability to pump blood efficiently, leading to decreased cardiac output and potential complications.

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  • 44. 

    Cardiac veins collect deoxygenated blood from the capillaries of the myocardium.

    • True

    • False

    Correct Answer
    A. True
    Explanation
    The statement is true because cardiac veins do indeed collect deoxygenated blood from the capillaries of the myocardium. The myocardium is the muscular tissue of the heart, and like any other tissue, it requires a blood supply to deliver oxygen and nutrients. The capillaries in the myocardium exchange oxygen and nutrients for waste products, resulting in deoxygenated blood. This deoxygenated blood is then collected by the cardiac veins and eventually returned to the right atrium of the heart.

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  • 45. 

    These fibers conduct impulses rapidly through the muscle to assist in its depolarization and contraction.

    Correct Answer
    Purkinje
    Explanation
    Purkinje fibers are specialized cardiac muscle fibers that conduct electrical impulses rapidly through the muscle. These fibers are responsible for assisting in the depolarization and contraction of the heart muscle. They play a crucial role in coordinating the contraction of the ventricles and ensuring efficient pumping of blood.

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  • 46. 

    ________ affects cardiac output by shortening diastole and allowing less time for the ventricles to fill.

    Correct Answer
    Tachycardia
    Explanation
    Tachycardia is a condition characterized by a rapid heart rate. In this context, tachycardia affects cardiac output by shortening diastole, which is the resting phase of the cardiac cycle when the heart chambers fill with blood. With tachycardia, the heart beats faster, reducing the duration of diastole and allowing less time for the ventricles to fill with blood. As a result, the amount of blood pumped out of the heart with each contraction, known as the stroke volume, decreases, leading to a decrease in cardiac output.

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  • 47. 

    ______________ is a special characteristic of pacemaker cells that generates impulses automatically, without being stimulated to do so.

    Correct Answer
    Automaticity
    Explanation
    Automaticity is a special characteristic of pacemaker cells that allows them to generate electrical impulses spontaneously, without any external stimulation. These cells have an intrinsic ability to initiate and regulate the heartbeat, making them essential for maintaining the regular rhythm of the heart. This automaticity is crucial for the heart to function properly and ensure a consistent and coordinated contraction of its chambers.

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  • 48. 

    The ______________ septum seperates the left and right ventricles.

    Correct Answer
    interventricular
    Explanation
    The interventricular septum is the correct answer because it is the structure that separates the left and right ventricles of the heart. This septum plays a crucial role in preventing the mixing of oxygenated and deoxygenated blood in the heart, ensuring that the blood flows in the correct direction and is properly distributed to the body.

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  • 49. 

    The Purkinje fibers can also serve as a pacemaker and are able to discharge impulses at a rate of 40-60 times per minute.

    • True

    • False

    Correct Answer
    A. False
    Explanation
    Purkinje fibers discharge at a rate of 20-40 times per minute.

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Quiz Review Timeline (Updated): Sep 26, 2023 +

Our quizzes are rigorously reviewed, monitored and continuously updated by our expert board to maintain accuracy, relevance, and timeliness.

  • Current Version
  • Sep 26, 2023
    Quiz Edited by
    ProProfs Editorial Team
  • Jun 21, 2012
    Quiz Created by
    Dew3394
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