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Chp. 12 Heart
Chapter 12 - The Heart
Question | Answer |
---|---|
The ______ is in the _______ cavity between the lungs in the space called the mediastinum. | heart, thoracic |
what is the function of the hear? | to pump blood |
the diaphragm is directly ______ the heart. | below |
in the embryo, the heart begins to beat at __ weeks of age. | four |
The heart is enclosed in the ________ membranes. | pericardial |
There are three layers of pericardial membranes. What are they? | fibrous pericardium, parietal pericardium and visceral pericardium or epicardium. |
What layer is the fibrous pericardium? | The outermost layer |
What is the fibrous pericardium? | A loose fitting sac of strong fibrous connective tissue that extends inferiorly over the diaphragm and superiorly over the bases of the large vessels that enter and leave the heart. |
What is another name for the visceral pericardium? | epicardium |
Between the parietal and visceral pericardial membranes is ______ fluid. | serous |
What is the function of serous fluid? | to prevent friction as the heart beats. |
the _____ of the four chambers of the heart are made of cardiac muscle called the myocardium. | walls |
How many chambers does the heart have? | four |
endocardium is simple _________ ___________ lining the 4 chambers, valves and vessels. | squamous epithelium |
What are the names of the upper chambers of the heart? | the right and left atria |
what is the name of the wall that seperates the right and left atria? | interatrial septum |
the lower chambers of the heart are called the right and left ________. | ventricles |
the right and left ventricles are seperated by thick walls called the ___________ ______. | interventricular septum |
What does the atria recieve blood from? | the body or lungs |
the ventricles pump blood to either the _____ or the _____. | lungs or the body |
the two large caval veins return blood from the body to the ______ ______. | right atrium |
the superior _____ _____ carries blood from the upper body. | vena cava |
the ________ ____ ____ carries blood from the lower body. | inferior vena cava |
from the right atrium, blood will flow through the right atrioventricular valve or the _________ _____ into the right ventricle. | tricuspid valve |
the triscupid valve is made of three ____ or cusps of the endocardium reinforced with connective tissue. | flaps |
what is the general purpose of all valves in the circulatory system? | to prevent backflow of blood |
the specific purpose of the _______ valve is to prevent backflow of blood from the right ventricle to the right atrium when the right ventricle __________. | tricuspid, contracts |
as the ventricle contracts, blood is forced behind the three valve flaps, forcing them _______ and together to _____ the valve | upward, close |
the left atrium receives blood from the lungs, by way of four _________ veins. | pulmonary |
the left atrioventricular valve is also referred to as the _____ valve or the _________ valve. | mitral, bicuspid |
the mitral valve prevents backflow of blood from the left _______ to the ______ atrium when the left ventricle _________. | ventricle, atrium, contracts |
What is another function of the _____ is the production of a hormone involved in blood pressure maintenance. | atria |
what is another name of atrial natriuretic peptide? | atrial natriuretic hormone. |
What is the function of the atrial natriuretic hormone? | when the walls of the atria are stretched by increased blood volume or blood pressure the cells produce this hormone. |
ANP __________ the reabsorption of sodium ions by the kidneys. | decreases |
the loss of water lowers the blood _______ and blood ________. | volume, pressure |
ANP is an antagonist to the hormone ___________ which _______ blood pressure. | aldosterone, raises |
when the right ventricle contracts, the _________ valve ________ and the blood is pumped to the lungs through the pulmonary artery. | tricuspid, closes |
another name for the pulmonary semilunar valve is what? | pulmonary valve |
the pulmonary valve has __ (number) flaps which are forced open when the right ventricle ______ and pumps blood in to the _________ artery. | 3, contracts, pulmonary |
when the right ventricle _______, blood tends to come back, but this fills the flaps and closes the pulmonary valve to prevent __________ of blood to the ______ ventricle. | relaxes, backflow, right |
what are the columns called that project in to the lower part right ventricle? | papillary muscles |
strands of fibrous connective tissue, the _______ __________, extend from the papillary muscles to the flaps of the tricuspid valve. | chordae tendonae |
when the right ventricle contracts, the papillary muscles also contract and pull on the chordae tendonae to _______ inversion of the ________ valve. | prevent, tricuspid |
which walls are thicker the left ventricle or the right ventricle? | the left ventricle |
what is the purpose of the left ventricle walls being so thick? | to enable the left ventricle to contract more forcefully. |
the left ventricle pumps blood to the body through the _____. | aorta |
true or false: the aorta is the third largest artery in the body. | false. it is the largest artery in the body |
where is the aortic semilunar valve? | at the junction of the aorta and the left ventricle. |
the aortic valve is opened by the force of ___________ of the left ventricle which also closes the _______ valve. | contraction, mitral |
the aortic valve _____ when the left ventricle _______. | closes, relaxes |
when the mitral valve closes, is prevents backflow of blood to the ______ atrium. | left |
the flaps of the mitral valve are also anchored by ________ _________ and papillary muscles. | chordae tendonae |
what is the fibrous connective tissue that anchors the outer edges of the valve flaps and keeps the valve openings from stretching? | fibrous skeleton of the heart |
the fibrous skeleton of the heart also seperates the _________of the atria from reaching the _________. | myocardium, ventricles |
the right side of the heart recieves ____________ blood from the body and pumps it to the _______. | deoxygenated, lungs |
the left side of the heart receives _________ blood from the lungs and pumps it to the ______. | oxygenated, body |
both atria work _______. | simultaneously |
at what part of the heart are the right and left coronary arteries located? | they are the first branches of the ascending aorta and just beyond the aortic semilunar valve. |
the coronary capillaries merge to form coronary ______. | veins |
the coronary veins empty blood into the large coronary sinus that returns blood to the ______ _______. | right atrium |
what is the purpose of the coronary vessels? | to supply blood to the myocardium. |
______ is essential for normal myocardial contraction. | oxygen |
what happens when a coronary artery becomes obstructed by a blood clot? | part of the myocardium becomes ischemic. |
what is ischemic? | the myocardium becomes deprived of its blolod supply. |
what is the medical term for a heart attack? | a myocardial infarction |
what causes a myocardial infarction. | prolonged ischemia |
the cardiac cycle is the sequence of events in ___ heartbeat. | one |
_____ is another term for contraction. | systole |
blood is constantly flowing from the _____ into both _____. | veins, atria |
as blood accumulates, its pressure forces open the right and left ___ ______. | AV valves |
two thirds of the atrial blood flows ________ into the ventricles. | passively |
when the atria contract, it pumps the remaining blood into the ________. | ventricles |
ventricular contraction forces blood against the _____ of the right and left AV valve and _____ them. | flap, closes |
most blood flows passively from _____ to ______. | atria, ventricles |
ALL blood to the arteries is ______ pumped by the ______. | actively, ventricles |
if any of the valves do not close properly and extra sound called a _____ ______ can be heard. | heart murmur |
What medical device do you most commonly use to listen to the heart beat? | a stethoscope |
the cardiac cycles is a sequence of mechanical events that is regulated by the _______ activity of the ______. | electrical, myocardium |
cardiac muscles have the ability to contract __________. | spontaneously. |
what is stenosis? | abnormal narrowing of the valve |
what are intercalated discs? | folds of the cell membrane. |
where are intercalated discs? | at the ends of adjacent cardiac muscle cells |
the presence of intercalated discs enables the ________ ________ to travel rapidly. | electrical impluse |
the natural pacemaker of the heart is the ________ ________. | sinoatrial node or the SA node |
what is the function of the SA node? | a specialized group of cardiac muscles located in the wall of the right atrium just below the opening of the SVA. |
where is the atriventricular (AV) node located? | in the lower interatrial septum. |
the transmission of _______ from the SA node to the AV node and to the rest of the atrial _________ brings about atrial ______. | impulses, myocardium, systole |
what carries the signal from the AV node to the bundle branches? | the atrioventricular bundle |
what is another name for the atrioventricular bundle? | the bundle of His. |
______ fibers brin the signal to the ventricles. | purkinje |
what medical device is commonly used to measure the electrical activity of the heart? | the electrocardiogram (ECG) |
what are arrythmias? | irregular heartbeats |
_________ is uncoordinated contraction? | fibrillation |
what is pulse? | measurement of the heart rate at a vessel |
what is a normal pulse range for adults? | 60-80 beats per minute |
______ is less than 60 BPM. | bradycardia |
tachycardia is more than ___ BPM. | 100 |
cardiac output is the amount of blood _____ by a ventricle in 60 seconds. | pumped |
stroke volume is the volume of blood pumped by a ventricle in __ ______. | one beaat |
cardiac reserve is the difference between _______ output and _______ output in liters. | resting, maximum |
the ______ has the ability to influence the rate of contraction. | central nervous system (CNS) |
the medulla contains two cardiac centers. what are they? | the accelerator center and the inhibitory center |
what is the accelerator center? | heart rate is carried out by the SNS |
what is the inhibitory center? | heart rate is carried out by the PSNS |
__________ and/or baroreceptors detect pressure in the arteries. | pressoreceptors |
where are pressoreceptors/barroreceptors located? | located in the carotid and aortic sinuses. |
chemoreceptors detect ______ content in the _____. | oxygen, blood |
where are the chemoreceptors located? | located in the carotid and aortic bodies |