Learning_Assignment6A

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Central Georgia Technical College *

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1011

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Medicine

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Dec 6, 2023

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Question 1 8 out of 8 points Match each heart valve with its proper location and its function Question Correct Match Selected Match At the junction of the right ventricle and the pulmonary artery C. Pulmonary semilunar valve C. Pulmonary semilunar valve Between the left atrium and left ventricle B. Mitral valve B. Mitral valve Between the right atrium and right ventricle A. Tricuspid valve A. Tricuspid valve At the junction of the left ventricle and the aorta D. Aortic semilunar valve D. Aortic semilunar valve Prevents backflow of blood to the left ventricle when the ventricle relaxes D. Aortic semilunar valve D. Aortic semilunar valve Prevents backflow of blood to the left atrium when the left ventricle contracts B. Mitral valve B. Mitral valve Prevents backflow of blood to the right atrium when the right ventricle contracts A. Tricuspid valve A. Tricuspid valve Prevents backflow of blood to the right ventricle when the ventricle relaxes C. Pulmonary semilunar valve C. Pulmonary semilunar valve Question 2 10 out of 10 points Trace the pathway of blood flow of one red blood cell -- from the point where oxygenated blood is received by the heart to the myocardium to the point immediately prior to deoxygenated blood leaving the heart Correct Answer Selected Answer 1. left atrium 1. left atrium 2. left ventricle 2. left ventricle 3. ascending aorta 3. ascending aorta 4. right and left coronary arteries 4. right and left coronary arteries 5. smaller arteries 5. smaller arteries 6. myocardial capillaries 6. myocardial capillaries 7. coronary veins 7. coronary veins 8. 8.
coronary sinus coronary sinus 9. right atrium 9. right atrium 10. right ventricle 10. right ventricle Question 3 10 out of 10 points Which of the following statements are true of the cardiac cycle? (Read carefully and select all of the correct statements.) Selected Answers: B. Atrial systole is accompanied by ventricular diastole and is followed by ventricular systole. C. Systole is the contraction phase, and diastole is the relaxation phase. F. The AV valves are closed by the contraction of the ventricles. Correct Answers: B. Atrial systole is accompanied by ventricular diastole and is followed by ventricular systole. C. Systole is the contraction phase, and diastole is the relaxation phase. F. The AV valves are closed by the contraction of the ventricles. Response Feedback: Atrial systole is accompanied by ventricular diastole and is followed by ventricular systole. Systole is the contraction phase, and diastole is the relaxation phase. The AV valves are closed by the contraction of the ventricles. Question 4 5 out of 5 points Put the parts of the cardiac conduction pathway in order. Correct Answer Selected Answer 1. SA Node 1. SA Node 2. AV Node 2. AV Node 3. AV Bundle (Bundle of His) 3. AV Bundle (Bundle of His) 4. Right and left bundle branches 4. Right and left bundle branches 5. 5.
Purkinje fibers Purkinje fibers Question 5 4 out of 5 points When blood pressure to the brain decreases, a reflex arc serves to restore the blood pressure to normal. Put the steps of the arc in order, beginning with the stimulus. Correct Answer Selected Answer 1. blood pressure to the brain decreases 1. blood pressure to the brain is raised to normal 2. detection by pressoreceptors in the carotid sinuses 2. detection by pressoreceptors in the carotid sinuses 3. fewer sensory impulses are sent to medulla along Cranial Nerves IX 3. fewer sensory impulses are sent to medulla along Cranial Nerves IX 4. accelerator center is stimulated to generate impulses 4. accelerator center is stimulated to generate impulses 5. motor impulses travel along sympathetic nerves to SA node, AV node, and ventricular myocardium 5. motor impulses travel along sympathetic nerves to SA node, AV node, and ventricular myocardium 6. heart rate and force of contraction increases 6. heart rate and force of contraction increases 7. blood pressure to the brain is raised to normal 7. blood pressure to the brain decreases 8. inhibitory center sends parasympathetic impulses along vagus nerves 8. inhibitory center sends parasympathetic impulses along vagus nerves 9. parasympathetic impulses reach the SA and AV nodes of the heart 9. parasympathetic impulses reach the SA and AV nodes of the heart 10. heart rate slows to normal resting pace 10. heart rate slows to normal resting pace Question 6 2 out of 2 points The outermost of the pericardial membranes is the: Selected Answer: B. fibrous pericardium Correct Answer: B. fibrous pericardium Question 7 2 out of 2 points Each normal heartbeat is initiated by the: Selected Answer: C. SA
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node Correct Answer: C. SA node Question 8 2 out of 2 points The function of the serous fluid of the pericardial membranes is to: Selected Answer: A. prevent friction as the heart beats Correct Answer: A. prevent friction as the heart beats Question 9 2 out of 2 points The purpose of the coronary vessels is to: Selected Answer: B. supply the heart with oxygenated blood Correct Answer: B. supply the heart with oxygenated blood Question 10 2 out of 2 points The endocardium lines the chambers of the heart and: Selected Answer: B. is smooth to prevent abnormal clotting within the heart Correct Answer: B. is smooth to prevent abnormal clotting within the heart Question 11 2 out of 2 points The centers that regulate heart rate are located in the: Selected Answer: A. medul la Correct Answer: A. medul la Question 12 2 out of 2 points The normal heart sounds are caused by: Selected Answer: D. closure of the valves Correct Answer: D. closure of the valves Question 13
2 out of 2 points Changes in blood pressure are detected by: Selected Answer: A. pressoreceptors in the carotid and aortic sinuses Correct Answer: A. pressoreceptors in the carotid and aortic sinuses Question 14 2 out of 2 points The hormone ANH increases the loss of ________________ in urine to decrease blood volume and blood pressure. Selected Answer: B. sodium ions and water Correct Answer: B. sodium ions and water Question 15 2 out of 2 points The first part of the cardiac conduction pathway ini the ventricles is the: Selected Answer: A. bundle of His Correct Answer: A. bundle of His Question 16 2 out of 2 points The difference between resting cardiac output and maximum exercise cardiac output is called the: Selected Answer: C. cardiac reserve Correct Answer: C. cardiac reserve Question 17 10 out of 10 points Which of the following statements regarding the anatomy of the heart are true and which are false? Question Correct Match Selected Match The chordae tendineae and the papillary muscles anchor the free edges of the AV valves. A. True A. True The function of the fibrous skeleton of the heart is to keep the thin-walled atria open at all times. B. False B. False The epicardium lines the heart and prevents blood clotting within the chambers. B. False B. False The right atrium receives blood from the lower and upper body. A. A.
True True Blood to the body is pumped by the left ventricle into the aorta. A. True A. True The six pulmonary veins empty into the left atrium. B. False B. False The coronary vessels supply blood to the myocardium. A. True A. True The lungs are lateral to the heart, and the diaphragm is inferior. A. True A. True The fibrous pericardium is the innermost of the pericardial membranes. B. False B. False The bundle of His is located in the upper interatrial septum. B. False B. False Question 18 10 out of 10 points Which of the following statements regarding the physiology of the heart are true and which are false? Question Correct Match Selected Match Cardiac output equals stroke volume divided by pulse. B. False B. False The heart is a double pump, and both pumps work simultaneously. A. True A. True The action potential through the myocardium stimulates the mechanical contraction of the chambers of the heart. A. True A. True Only half of the blood that flows from the ventricles to the arteries is pumped. B. False B. False All of the blood that flows from the atria to the ventricles must be pumped. B. False B. False ANP is secreted by the atria in response to a higher blood volume. A. True A. True Impulses along the vagus nerves slow the heart rate. A. True A. True Ventricular systole closes the arterial semilunar valves. B. False B. False The cardiac centers of the CNS are located in the hypothalamus. B. False B. False The AV node has the fastest natural rate of depolarization. B. False B. False Question 19 5 out of 5 points State the locations of arterial pressoreceptors and chemoreceptors, what they detect, and their sensory nerves. (p. 288)
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Selected Answer: Baroreceptors, also known as pressoreceptors or pressoreceptive sensors, are located in the aortic arch and carotid sinus, where the external and internal carotid arteries split. They sense blood pressure and transmit the information to the brain, allowing for the maintenance of healthy blood pressure. Hypoxemia (low levels of oxygen in the blood) and hypercapnia (abnormally high levels of carbon dioxide in the blood) are detected by the arterial chemoreceptors (CBs) in the aortic and carotid organs. Since hypoxia serves as a specific stimulation to arterial chemoreceptors, central chemoreceptors frequently respond to hypoxia. Peripheral chemoreceptors play a fundamental role in maintaining heart and respiratory system homeostasis by regulating blood-borne chemical concentrations. Mechanoreceptors are sensory nerve endings that can differentiate between different vibrations. The walls of blood arteries (sometimes referred to as baroreceptors) and hollow interior organs both include vibration sensors. In the subcutaneous tissue, there are receptors that are frequently referred to as pain receptors that are activated by pressure on the skin and in the skeletal muscles (typically referred to as proprioceptors). Chemoreceptors experience these electrical changes as a result of the chemical. The earliest alterations, referred to as receptor potentials, are brought on by positively charged ions (such as sodium ions) passing into the cell through holes in the cell membrane known as ion channels. Correct Answer: Arterial pressoreceptors are located in the carotid sinus and aortic sinus; they detect changes in blood pressure. Arterial chemoreceptors are located in the carotid body and aortic body; they detect changes in blood oxygen, pH, and CO 2 levels. The glossopharyngeal nerves are sensory for the carotid receptors. The vagus nerves are sensory for the aortic receptors. Response Feedback: [None Given] Question 20 5 out of 5 points Explain why the heart is considered a double pump. Trace the path of blood from the right atrium back to the right atrium, naming the chambers of the heart, the valves, and the vessels through which blood passes. (p.281) Selected Answer: The pulmonary circulation and the systemic circulation are two separate but connected circulatory systems that the heart pumps blood through, earning it the moniker "double pump." 1. Pulmonary Circulation: Through the superior and inferior vena cava, deoxygenated blood from the body enters the right atrium of the heart. The tricuspid valve then allows the blood to enter the right ventricle. Blood is pumped out of the right ventricle and through the pulmonary valve into the pulmonary artery, which then transports the blood to the lungs for oxygenation. 2. Systemic Circulation: The oxygenated blood from the lungs enters the left atrium of the heart through the pulmonary veins. The left ventricle receives the blood after it passes through the mitral valve. Blood is pumped from the left ventricle into the aorta, where it is distributed to the rest of the body by the aortic valve. The deoxygenated blood then returns to the right atrium as the cycle is repeated, giving the heart a double pump. The aortic arch and carotid sinuses both include baroreceptors, which are sensors for arterial pressure. The aortic baroreceptors and carotid baroreceptors sense variations in blood pressure and transmit signals to the brain via the vagus nerve and glossopharyngeal nerve, respectively. Chemoreceptors are found in the aortic bodies (at the aortic arch) and carotid bodies (at the bifurcation of the carotid arteries), which sense changes in the concentration of specific chemicals (such oxygen, carbon dioxide, and pH levels). They use the vagus
nerve (for the aortic bodies) and glossopharyngeal nerve (for the carotid bodies) to communicate with the brain. Correct Answer: which blood passes. (p.281) The heart is a double pump, because the right side receives blood from the body and pumps it to the lungs; the left side receives blood from the lings and pumps it to the body. Right atrium – tricuspid valve – right ventricle- pulmonary semilunar valve – pulmonary artery – lungs – pulmonary veins – left atrium – mitral (bicuspid) valve – left ventricle – aortic semilunar valve – aorta – body – superior/inferior vena cava – right atrium. Response Feedback: [None Given] Question 21 5 out of 5 points Explain how movement of blood from atria to ventricles differs from movement of blood from ventricles to arteries. (p. 284) Selected Answer: Most blood moves passively from the atria to the ventricles, but all blood is actively pumped from the ventricles into the arteries. The atria contract to pump the remaining blood into the ventricles after the atrial blood has passively flowed into them for two thirds of it. The left and right atria and left and right ventricles make up the top and lower chambers, respectively, of the heart. A series of valves and the heart's muscular contraction and relaxation control the blood flow between these chambers. 1. Blood flow from the atria to the ventricles: Blood fills the atria as the heart muscle relaxes. The atrioventricular valves (between the atria and ventricles) open as the pressure inside the filling atria increases. This enables passive blood flow into the ventricles, which accounts for around two-thirds of ventricular filling. The final third of the blood is subsequently forced into the ventricles as a result of the atria contracting. Atrial systole is the term for this. 2. Blood flow from ventricles to arteries: When the ventricles are full, an event known as ventricular systole occurs, which causes the ventricles to contract. The semilunar valves (between the ventricles and arteries) are forced to open by this contraction, which is a strong, active mechanism that pushes blood into the arteries. The remainder of the body and the lungs subsequently receive this blood. Correct Answer: Two-thirds of the total blood flows passively from atria to ventricles; active pumping is only required for the last third. However, all blood must be actively pumped by the ventricles into the arteries. Response Feedback: [None Given] Question 22 5 out of 5 points Name the parts, in order, of the cardiac conduction pathway. Explain why it is the SA node that generates each heartbeat. State a normal range of heart rate for a healthy adult. (pp. 284-285) Selected Cardiac conduction system pathway (in order): 1.Sinoatrial node
Answer: 2.Internodal atrial pathway 3.Atrioventricular node 4.Bundle of His 5.Bundle branches 6.Purkinje fibers The action potential and excitation signal are produced by the Sinoatrial Node. The upper right atrium, where the superior vena cava enters, is home to this group of specialized pacemaker cells. They produce electrical impulses on demand, allowing for the fastest electrical depolarization and establishing the normal/regular heartbeat and rhythm. As a result, the SA node is regarded as the heart's natural pacemaker. According to the American Heart Association, an adult's normal heart rate should be between 60 and 100 beats per minute. The adult's age and gender, though, can still affect this in different ways. Correct Answer: SA node – AV node – AV Bundle (of His) – bundle branches - Purkinje fibers. The SA node has the most rapid natural rate of contraction in the myocardium (more permeable to sodium ions, depolarizes most rapidly). A normal pulse rate for a healthy adult ranges from 60 -80 beats per minute. Response Feedback: [None Given]
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