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Cardiology
Veterinary cardiology.
77
Physiology
Professional
02/07/2012

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Term
The anatomical path of conduction within the heart is:
Definition
SA node - Atrial Muscle & AV Node - AV Bundle - AV Bundle Branches (left and right) - Purkinje Fibers - Ventricular Muscle
Term
The three purposes of the AV node are:
Definition
1. Limit fibrillation entry into ventricles
2. back-up pacemaker
3. delays action potentials to maximize ventricular filling.
Term
Purkinje fibers conduct rapidly due to what ion channel?
Definition
Na v1.5 channels
Term
During Phase 0 of ventricular muscle activation what occurs?
Definition
Influx of Na+
Decreased efflux of K+
Term
During Phase 1 of ventricular muscle activation what occurs?
Definition
Decreasing Na+ influx
Beginning of Na+ removal
Term
During Phase 2 of ventricular muscle activation what occurs?
Definition
Efflux of Na+
Increased Influx of Ca2+
Term
During Phase 3 of ventricular muscle activation what occurs?
Definition
Removal of Ca2+
Increased Efflux of K+
Term
During Phase 4 of ventricular muscle activation what occurs?
Definition
Balance of ion influx and efflux
Term
The potential problem with Na+ channel blockers is:
Definition
The block all Na+ channels, potentially decreasing contractility.
Term
The drug used to block only I-f channels in the SA node is:
Definition
Ivabradine. This lowers the risk of bradycardia.
Term
Sick Sinus Syndrome is characterized by:
Definition
Abnormal generation of an action potential by the SA node resulting in an inappropriate rate. This causes bradycardia, sinus arrest, sinus node exit block, atrial tachyarrythmias, atrial bradyarrythmias.
Term
Sick Sinus Syndrome is treated with:
Definition
A pacemaker.
Term
Breeds of dogs that Sick Sinus Syndrome has been reported in include:
Definition
Mini schnauzers, Dachshunds, Pugs, Westies, Cocker Spaniels, and Boxers.
Term
The normal ion balance results in what intracellular/extracellular charge?
Definition
Negative intracellular, positive extracellular.
Term
The action potential results in what intracellular/extracellular charge?
Definition
A positive intracellular environment and a negative extracellular environment.
Term
A current dipole is:
Definition
A point where two opposite polarities are extremely close.
Term
ECG electrodes detect:
Definition
Current dipoles that are moving down the conduction path.
Term
An upward deflection on an ECG is produced by:
Definition
A depolarization moving toward a positive pole, or a repolarization moving away from a positive pole.
Term
A downward deflection on an ECG is produced by:
Definition
A depolarization moving away from a positive pole, or a repolarization moving toward a positive pole.
Term
The P wave represents:
Definition
Atrial Depolarization.
Term
The Q,R, and S waves represent:
Definition
Ventricular Depolarization.
Term
The T wave represents:
Definition
Ventricular repolarization.
Term
T-Tubules allow:
Definition
Action potentials to cover the center of the cell.
Term
Ryanodine Receptors mediate the release of:
Definition
Calcium ions through calcium induced calcium release in cardiac muscle.
Term
Dilated Cardiomyopathy results from:
Definition
Defective Ca2+ transport within cardiac muscle - leads to decreased contractility and muscle thinning.
Term
Dilated Cardiomyopathy may be treated with:
Definition
Ca2+ sensitizers (such as pimobendan)
Term
Which valves are open during systole?
Definition
Pulmonic and Aortic valves.
Term
Which valves are open during diastole?
Definition
Atrioventricular valves.
Term
Mitral valve disease is characterized by what, and common to which breed?
Definition
Excessive connective tissue stiffens the valves, preventing them from closing. Common to Cavalier King Charles.
Term
Because valve closure is silent, heart sounds are produced by:
Definition
1. Muscle vibration
2. Rapid deceleration of blood.
Term
The two heart sounds typically heard on auscultation are:
Definition
1. Closing of mitral and tricuspid valve (occurs with such a small delay sounds like one)
2. Closure of the aortic and pulmonary valve.
Term
Mitral regurgitation affects which heart sounds?
Definition
S1 is diminished and slurred. S2 is normal.
Term
The percentage of blood that flows into the venticle to fill it due to atrial contraction is:
Definition
25%
Term
Ejection of blood from semi-lunar valves occurs when:
Definition
Ventricular pressure exceeds vascular pressure
Term
Cardiac Output is a product of:
Definition
Stroke Volume and Heart Rate
Term
Cardiac output in the dog is:
Definition
1 - 5 liters per minute depending on breed.
Term
Normal Stroke Volume in the dog is:
Definition
20 - 50 mL
Term
Canine Heart Rate
Definition
60-140 bpm
180 in small dogs
200 in puppies
Term
Chronotropy refers to:
Definition
The amount of contractions per unit time (heart rate)
Term
Ionotropy refers to:
Definition
The force of contractions.
Term
SNS regulation of channels is by which receptors?
Definition
Beta - adrenergic; increases depolarization rate.
Term
PSNS regulation of channels is by which receptors?
Definition
Cholinergic; results in decreased depolarization rate.
Term
The function of SERCA is:
Definition
It is the primary mover of calcium in myocytes.
Term
Baroreceptors are:
Definition
Vascular sensors which detect pressure
Term
CHemoreceptors are vascular receptors which detect:
Definition
CO2 and O2 levels.
Term
Mean Arterial Pressure (MAP) is a product of
Definition
Cardiac Output and Total Peripheral Resistance
CO x TPR
Term
Baroreceptors are primarily found:
Definition
In the carotids and the aorta.
Term
Which is the correct order for action potential propagation through the
heart?
a) SA node, AV bundle, AV node, purkinje fibres
b) AV node, AV bundle, SA node, purkinje fibres
c) SA node, AV node, AV bundle, purkinje fibres
d) atrial muscle, AV node, AV bundle, ventricular muscle
Definition
c) SA node, AV node, AV bundle, purkinje fibres
Term
the valve between the left atrium and left ventricle is called the...
a) mitral valve
b) tricuspid valve
c) pulmonary valve
d) aortic valve
Definition
a) mitral valve (or bicuspid)
Term
what cardiovascular effect is not produced by angiotensin II?
a) increased stroke volume
b) increased vasoconstriction
c) increased aldosterone secretion
d) increased heart rate
Definition
d) increased heart rate
Term
what channel(s) is (are) responsible for the pacemaker potential in
the sinoatrial node?
a) voltage gated sodium channel and potassium channel
b) “funny” channel and potassium channel
c) voltage gated calcium channel and potassium channel
d) “funny channel” and voltage gated calcium channel
Definition
d) “funny channel” and voltage gated calcium channel
Term
why does tachycardia increase the risk of myocardial infarct?
a) tachycardia increases sarcoplasmic reticulum calcium load
b) decreased diastolic perfusion of the myocardium
c) tachycardia disrupts HCN channels in the SA node
d) stroke volume declines as heart rate increases
Definition
b) decreased diastolic perfusion of the myocardium
Term
a patient has a mutation in their ryanodine receptor gene that enhances
Ca2+ binding to site I2. What is the result of that mutation?
a) increased sarcoplasmic reticulum calcium release
b) decreased sarcoplasmic reticulum Ca2+ release
c) increased sarcoplasmic reticulum loading of calcium
d) decreased sarcoplasmic reticulum loading of calcium
Definition
b) decreased sarcoplasmic reticulum Ca2+ release
Term
a functional decrease in ventricular myocyte K+ channels would cause what change on an ECG
trace?
a) prolonged P wave duration
b) prolonged PR interval
c) prolonged QRS duration
d) prolonged QT interval
Definition
d) prolonged QT interval
Term
which one of the following statements regarding mode of
transportation in the cardiovascular system is incorrect?
a) the main modes of transportation in the cardiovascular system are bulk flow and diffusion
b) transmural pressure is also called perfusion pressure
c) interstitial fluid is the extracellular fluid outside capillaries
d) the primary function of the cardiovascular system is transport, which includes metabolic
substances and metabolic wastes
Definition
b) transmural pressure is also called perfusion pressure
Term
which one of the following vessel types is know as the compliance vessels?
a) aorta
b) capillaries
c) veins
d) arterioles
Definition
c) veins
Term
as blood moves through the vascular system it encounters resistance. Which one of the following
statements is incorrect regarding resistance in the vessels?
a) resistance of blood flow in the vessels produces friction that is dissipated by heat
b) the net resistance of the entire circulation is called total peripheral resistance
c) resistance is inversely proportional to vessel length
d) vasodilation results in a decrease in vessel resistance
Definition
c) resistance is inversely proportional to vessel length
Term
a 6 year old male german shepherd presents with difficulty breathing. Following examination and
workup, you determine the dog to have pulmonary edema secondary to heart failure. The most
significant cause of edema in this patient is likely due to...
a) decreased plasma proteins and oncotic pressure
b) obstruction of the lymphatics
c) increased capillary hydrostatic pressure
d) increased capillary permeability to proteins and interstitial protein concentrations
Definition
c) increased capillary hydrostatic pressure
Term
regarding local hormonal control of vascular tone, bradykinin produces _________, while nitrous
oxide produces__________.
a) constriction, constriction
b) constriction, dilation
c) dilation, dilation
d) dilation, constriction
Definition
c) dilation, dilation
Term
which one of the following vessel types produces the greatest myogenic contractions in response to increases in transmural distending pressure?
a) aorta
b) vena cava
c) venules
d) arterioles
e) large arteries
Definition
d) arterioles
Term
The two modes of transport used by the cardiovascular system to move substances are:
Definition
1. Bulk flow
2. Diffusion
Term
The primary function of the cardiovascular system is:
Definition
Transport of metabolic substrates and metabolic wastes.
Term
Bulk Flow is characterized by:
Definition
Rapid blood movement over long distances, requiring energy created by perfusion pressure.
Term
Perfusion pressure is measured by:
Definition
inlet pressure - outlet pressure
Term
Transmural pressure is also called ____ and is measured by ____:
Definition
Distending pressure; internal pressure - external pressure
Term
The driving force of Diffusion as transport is:
Definition
The concentration gradient.
Term
All metabolically active cells need to be at least how close to a capillary?
Definition
100 micrometers.
Term
Ischemia develops when:
Definition
There is decreased bulk flow to a tissue.
Term
Infarction is permanent damage resulting from:
Definition
Ischemia
Term
Central circulation refers to:
Definition
Pulmonary plus cardiac circulation.
Term
Coronary circulation refers to:
Definition
the blood supply to the heart.
Term
The three types of portal systems are:
Definition
1. Hepatic
2. Renal
3. Hypophyseal
Term
The distribution of blood between the systemic and central circulation is:
Definition
Systemic: 75%
Central: 25%
Term
Veins and venules store what percentage of blood:
Definition
80%
Term
The "muscular arteries" which generate resistance are known as:
Definition
Arterioles
Term
Average BP in the Aorta is
Definition
98mmHg
Term
Average BP in the Vena Cava is
Definition
3 mmHg
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