Human Anatomy and Physiology : Circulatory and Lymphatic Physiology

Study concepts, example questions & explanations for Human Anatomy and Physiology

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Example Questions

Example Question #21 : Circulatory And Lymphatic Physiology

One major difference in the adult and fetal heart is the presence of the __________ in the fetal heart.

Possible Answers:

foramen ovale

right and left auricles

pulmonary semilunar valve

chordae tendinae

interventricular septum

Correct answer:

foramen ovale

Explanation:

The fetal heart differs from and adult heart because there is a hole or foramen in the wall separating the atria that allows blood to pass through. Its purpose is to allow the fetus to receive oxygenated blood and in essence bypass the pulmonary circuit, by allowing blood to enter from the right atrium into the left atrium. Also, the fetal circulatory system includes the ductus arteriosus, which shunts blood from the pulmonary trunk to the aorta, again bypassing the pulmonary circuit. Both of these structures close at birth, once the newborn's lungs have been exposed to air. The ductus arteriosus is subsequently called the ligamentum arteriosus.

Example Question #22 : Help With Heart Physiology

Which of the following represents an average (normal) blood pressure?

Possible Answers:

Correct answer:

Explanation:

The average (normal) blood pressure is approximately . The first number represents the systolic pressure which is caused when the blood is forced out of the left ventricle and the aortic valve opens. The second number is the diastolic pressure and it occurs when the aortic valve closes and the ventricles. The device used to measure blood pressure is called a sphygmomanometer.  

Example Question #23 : Help With Heart Physiology

Which of the following actions occurs during systole?

Possible Answers:

Aortic valve opens

Left ventricle relaxes

Blood enters the left ventricle 

Aortic valve closes

Correct answer:

Aortic valve opens

Explanation:

The average (normal) blood pressure is approximately 120/80. The first number represents the systolic pressure which is caused when the blood is forced out of the left ventricle and the aortic valve opens. The second number is the diastolic pressure and it occurs when the aortic valve closes and the ventricle relaxes. The device used to measure blood pressure is called a sphygmomanometer.

Example Question #24 : Help With Heart Physiology

An electrocardiogram is a recording of electrical events that occur during the cardiac cycle. 

What does the P wave represent? 

Possible Answers:

Repolarization of the ventricles

Depolarization of the ventricles, ventricular contraction

Depolarization of the atria, atrial contraction 

Repolarization of the atria 

Correct answer:

Depolarization of the atria, atrial contraction 

Explanation:

The P wave represents the depolarization of the atria which leads to atrial contraction. The QRS complex represents depolarization of the ventricles and leads to ventricular contraction. The T wave represents depolarization of the ventricles.  

Example Question #23 : Circulatory And Lymphatic Physiology

Which of the following is not one of the internodal tracts of the cardiac conduction system?

Possible Answers:

Bundle of His

Posterior tract of Thorel

Anterior tract of Bachman

Middle tract of Wenckebach

None of these

Correct answer:

Bundle of His

Explanation:

Although the bundle of His is part of the cardiac conduction system, it is not one of the internodal tracts.

Example Question #25 : Help With Heart Physiology

Which of the following is not a normal change to the circulatory system that occurs as infants mature?

Possible Answers:

Stroke volume increases with body growth

Ductus arteriosus closes

Right ventricular wall thickness increases

Foramen ovale closes

Left ventricular wall thickness increases

Correct answer:

Right ventricular wall thickness increases

Explanation:

Because systemic vascular resistance increases, to a point, as the child matures, the myocardium of the left ventricle hypertrophies. The concomitant decrease in pulmonary vascular resistance decreases the thickness of the right ventricle wall. The foramen ovale and ductus arteriosus are pulmonary circuit-bypasses. Since the fetus does not have functioning lungs until birth, these structures close in infancy.

Example Question #26 : Help With Heart Physiology

On an EKG, which recording represents atrial depolarization?

Possible Answers:

X wave

T wave

P wave

U wave

QRS complex

Correct answer:

P wave

Explanation:

The P wave represents atrial depolarization. The QRS complex represents ventricular depolarization, the T wave represents repolarization, and the U wave (if present) represents late ventricular repolarization (e.g. repolarization of bundle branches). There are no X waves on an EKG.

Example Question #27 : Help With Heart Physiology

Which of the following correctly describes systole and diastole?

Possible Answers:

All chambers are relaxed during diastole and all chambers contract during systole

None of these

During diastole the ventricles contract and the atria are filling. During systole the atria contract and the ventricles are relaxed and filling

During diastole the atria contract and the ventricles are filling. During systole the ventricles contract and the atria are relaxed and filling

The left and atrium and ventricle are relaxed during diastole, while the right atrium and ventricle are contracting during systole

Correct answer:

During diastole the atria contract and the ventricles are filling. During systole the ventricles contract and the atria are relaxed and filling

Explanation:

The heart has four chambers. During diastole the atria contract to push blood into the ventricles, which are relaxed, but during systole the atria relax to fill with blood while the ventricles contract. This alternating contraction moves blood through the heart, the pulmonary circulatory path, and eventually out of the heart.

When the atria contract during diastole, blood is moving into the right ventricle and also into the left ventricle. During systole when the ventricles contract, blood is moving from the right ventricle towards the pulmonary circuit and from the left ventricle to the rest of the body.

Example Question #28 : Help With Heart Physiology

Which of the following includes all the conduction structures of the heart?

Possible Answers:

Atrioventricular node, sinoatrial bundle, left and right bundle branches, bundle of His, and Purkinje fibers

None of these.

Purkinje fibers, sinoatrial node, atrioventricular node, and bundle of His

Bundle of His, left and right atrioventricular nodes, sinoatrial node, left and right budle brances, and Purkinje fibers

The sinoatrial node, atrioventricular node, bundle of His, the left and right bundle branches, and Purkinje fibers

Correct answer:

The sinoatrial node, atrioventricular node, bundle of His, the left and right bundle branches, and Purkinje fibers

Explanation:

The pathway starts with sinoatrial (SA) node. It is the pacemaker of the heart and when a person has an artificial pacemaker installed it usually because of a malfunction at this node. The SA node releases electrical impulse regularly which spread in waves. Upon reaching the atrioventricular node, there is a small delay in reaction to allow for blood to be emptied from the atria. After they do empty, the impulse travels through the bundle of His and splits into the left and right bundles, which then lead to Purkinje fibers. These bundles split the signal to the left and right sides of the heart and the Purkinje fibers end in the walls of the ventricles.

Example Question #29 : Help With Heart Physiology

Cardiac output from the left side of the heart is the __________ blood flow.

Possible Answers:

mixed

systemic

oxygen-poor

pulmonary

Correct answer:

systemic

Explanation:

Cardiac outflow from the left side of the heart is the systemic blood flow. Cardiac flow from the right side of the heart is the pulmonary blood flow. Blood flows along the following course: from the lungs to the left atrium (LA) via the pulmonary vein. From the LA to the left ventricle (LV) through the mitral valve. From the LV to the aorta through the aortic valve. From the aorta to the systemic arteries and systemic tissues (i.e., cerebral, coronary, renal, skeletal muscle, and skin). From the tissues to the systemic veins and vena cava. From the vena cava (mixed venous blood) to the right atrium (RA). From the RA to the right ventricle via the tricuspid valve. From the RV to the pulmonary artery through the pulmonic valve. From the pulmonary artery to the lungs for oxygenation.

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