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MCC Paramedic
Cardiovascular System (Chapter 18 & 19) Review
86
Biology
Professional
09/12/2009

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Cards

Term
The atrioventricular valves are also called
Definition
cuspid valves
Term
The visceral pericardium is found
Definition
adhering to the surface of the heart
Term
The correct layers of the heart, from superficial to deep, are:
Definition
epicardium, myocardium, endocardium
Term
Respectively, the right and left atrioventriculars valves are also reffered to as:
Definition
tricuspid, mitral
Term
Semilunar valves prevent backflow of the blood into the:
Definition
ventricles
Term
The most abundant blood supply goes to the 
Definition
left ventricle
Term
The cavity of the heart that normally has the thickest wall is the:
Definition
left ventricle
Term
The pacemaker of the heart is the:
Definition
SA node
Term
The aorta carries blood out of the:
Definition
left ventricle
Term
The superior vena cava returns blood to the:
Definition
right atrium
Term
Blood returns from the lungs during pulmonary circulation via the:
Definition
pulmonary veins
Term
Blood flow from the heart to all parts of the body and back again is known as
Definition
systemic circulation
Term
The normal pattern of impulse conduction through the heart is:
Definition
SA node, AV node, AV bunde, Purkinje fibers
Term
Under resting conditions, the SA node fires at an intrisic rhythmic rate of:
Definition
70 to 75 betas per minute
Term
An ECG P wave represents:
Definition
depolarization of the atria
Term
Repolarization of the atria is:
Definition
masked by the massive ventricular depolarization
Term
Contraction of the ventricles produces:
Definition
the first heart sound (lub)
Term
PVC
Definition
premature ventricular contraction
Term
Systole
Definition
the contraction phase of the cardia cylce
Term
Sterling's law of the heart states that:
Definition
the more stretched the heart fobers are at the beginning of a contraction, the stronger is their contraction
Term
The difference between the systolic and diastolic pressure is called:
Definition
pulsepressure
Term
Where is the popiteal pulse found?
Definition
behind the knee
Term
Depolarization
Definition
electrical activity that triggers the contration of the heart muscle
Term
Repolarization
Definition
electrical activity that "resets" the muscel and prepares it for the next contraction
Term
What happens when the SA node fails?
Definition
no P wave and the atria does not contract
Term
P wave
Definition
depolarization of the atria
Term
QRS complex
Definition
depolarization of the ventricles, atria repolarizes at the same time
Term
T wave
Definition
repolarizations of the ventricles
Term
PQ segment
Definition
time when the impulse is traveling through the AV node, bundle of HIS, and bundle branches
Term
PR interval
Definition
onset of P wave to middle of QRS complex
Term
ST segment
Definition
end of QRS complex to onset of T wave
Term
ST interval
Definition
end of QRS complex to end of T wave
Term
QT interval
Definition
onset of QRS complex to end of T wave
Term
Systole
Definition
period of contraction and emptying
Term
Diastole
Definition
period of relaxation and filling
Term
Stroke Volume (SV)
Definition

quantity of blood pumped out of either ventricle per beat

 

at rest = 70 ml/min; maximum = 120 ml/min

Term
Heart Rate (HR)
Definition

# of times the heart beats per minute

 

at rest=72 beats/min; maximum=230 beats/min

Term
Cardiac Output (CO)
Definition

quantity of blood pumped by either ventricle per minute

 

at rest=5 L/min; maximum=20-25 L/min

 

HR X SV = CO

Term
Venous Return (VR)
Definition

quantity of blood returned to the heart per minute

 

normally, venous return equals CO

Term
End Diastole Volume (EDV)
Definition

quantity of blood remaining in either ventricle at the end of ventricular diastole

 

average value is around 130 ml

Term
End Systole Volume (ESV)
Definition
quantity of blood remaining in either ventricle at the end of ventricular systole
Term
What are the three phases of ventricular filling?
Definition

1. Rapid Passive Filling

2. Slow Passive Filling

3. Atrial Systole

Term
Isovolumetric ventricular contraction
Definition
where the heart "works" the most
Term
Preload
Definition
the "load" or "stretch" on the ventricular cardiac muscle before it contracts
Term

True or False

 

The SNS hasa positive inotropic effect on the heart.

Definition
True
Term
Afterload
Definition
the "load" the heart msut overcome after (and while) it contracts
Term
Why are vasodilators used?
Definition
to decrease afterload, therby decreasing myocardial oxygen demand
Term

True or False

 

Impulses sent from accelerator center in medulla travel along sympathetic fibers.

Definition
True
Term
ANS influences?
Definition

Heart rate

 

Conductivity

 

Contractility

Term
What are the major parasympathetic nerves?
Definition
the two vagus nerves (CN VIII)
Term
Where is the apex?
Definition
formed by the tip of left ventricle
Term
What are the 4 chambers of the heart?
Definition

Right and Left Atria

 

Right and Left Ventricles

Term
What does the right side of the heart do?
Definition

Low-pressure system

 

Pumps venous blood to the lungs

Term
What does the left side of the heart do?
Definition

High-pressure system

 

Pumps arterial blood to the systemic circulation

Term
What is the thin-walled, low-pressure chambers that receive blood called?
Definition
Atria
Term
What pumps blood to lungs and systemic circulation?
Definition
Ventricles
Term
What is the endocardium?
Definition

innermost layer

 

lines chambers, valves, chordea tendineae, and papillary muscles

 

 

Term
What is the myocardium?
Definition

Middle layer

 

Responsible for pumping action

Term
What is the epicardium?
Definition

Also called the visceral pericardium

 

External layer of the heart

 

Includes blood capillaries, lymph capillaries, nerve fiber, and fat

Term
What is the space that exists between the parietal and visceral percardial layers called?
Definition
pericardial space or pericardial cavity
Term
What is the purpose of the percardial space/pericardial cavity?
Definition
acts as a lubricant, preventing friction as the heart beats
Term
The pericardium is made up of two layers.  What are they?
Definition
parietal pericardium and visceral pericardium
Term

True or False

 

The pericardial sac does not tolerate sudden increases in heart size or the amount of fluid in the pericardium sac.

Definition
True
Term
How many valves does the heart contain?
Definition
four
Term
What are the valves of the heart?
Definition

two atrioventricular (AV) valves

 

two semilunar valves

Term
What are the functions of the heart valves?
Definition

Prevent backflow of blood

 

Ensure blood flow in one direction through heart chambers

Term
Define pericarditis
Definition
an inflammation of the pericardium due to infection
Term
The right AV (atrioventricular) valve is also called?
Definition
Tricuspid valve
Term
The left AV (atrioventricular) valve is also called?
Definition

Mitral (bicuspid) valve

 

 

Term
Where is the chordae tendineae located?
Definition
attached in the cusps of AV valves
Term
What is the purpose of the chordae tendineae?
Definition

helps keep valves open or close

 

serves as anchors

Term
Give two examples of semilunar valves
Definition
pulmonic valve and aortic valve
Term
What s the function of the semilunar valves?
Definition
prevent backflow of blood from the aorta and pulmonary arteries into the ventrices during diastole
Term
Pulmonic valve
Definition
prevents backflow of blood into right vetricle
Term
Aortic valve
Definition
prevents backflow of blood into left ventricle
Term
Arteries do what?
Definition
carry blood away from heart
Term
Veins do what?
Definition
carry blood towards the heart
Term
Arteries contain?
Definition
deoxygenated blood
Term
Veins contain?
Definition
oxygen rich blood
Term
What is the function of the coronary arteries?
Definition
supply heart with oxygenated blood
Term
What are the primary coronary arteries?
Definition

Right Coronary Artery (RCA)

 

Left Coronary Artery (LCA)

Term
When does coronary artery filling occur?
Definition
during ventricular relaxation (diastole)
Term
What is associated with athersclerotic disease that produces fixed obstruction of the coronary arteries?
Definition
Classic angina or exertional angina
Term
What results from atherosclerotic plaque disruption?
Definition
Unstable angina
Term
Myocardial infarction (MI)
Definition

Heart attack

 

refers to ischemic death of myocardial tissue

Term
What is caused by spasms of the coronary arteries?
Definition

Variant angina

 

Usually occurs during rest or with minimal exercise and frequently occurs nocturnally

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