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Exam (elaborations)

BME 235 Exam 2 Guide With Complete Solution

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BME 235 Exam 2 Guide With Complete Solution...

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BME 235 Exam 2 Guide With
Complete Solution

The Heart

atrium - ANSWER weaker primer pump for the ventricle, moving blood into
the ventricle

ventricle - ANSWER main pumping force propelling blood out of the heart

right heart - ANSWER side of heart that pumps blood through lungs

superior vena cava - ANSWER brings in deoxygenated blood from head and
upper extremities

inferior vena cava - ANSWER brings in deoxygenated blood from trunk and
lower extremities

pulmonary artery - ANSWER sends deoxygenated blood to the lungs

left heart - ANSWER pumps blood through systemic circulation that provides
blood flow to rest of body

pulmonary veins - ANSWER bring in oxygenated blood from the lungs

aorta - ANSWER largest artery in the body, connects to left heart

cardiac rhythmicity - ANSWER transmitting action potentials throughout the
muscle to cause the heart's rhythmic beat

atrial/ventricular muscle - ANSWER contracts like skeletal muscle but
duration of contraction is longer

,excitatory/conductive muscle - ANSWER provide an excitatory system that
controls the rhythmic beating of the heart

syncytium - ANSWER arrangement of cardiac muscle cells in an
interconnected way so that when one cell becomes excited, the action
potential spreads rapidly to all of them (2 types: atrial and ventricular)

AV bundle - ANSWER bundle of fibers that conduct signal from atria to
ventricles

atria - ANSWER Which contracts first: atria or ventricles?

1. spike (depolarization): caused by fast Na+ channels

2. initial repolarization: fast Na+ channels close, K+ ions leave cell through
channels

3. Plateau: L-type channels open, decrease in K+ ion permeability

4. Rapid repolarization: K+ ions bring membrane potential back to resting

5. return to resting membrane potential: -90 mV - ANSWER What are the 5
steps of action potential for a ventricular muscle cell?

excitation-contraction coupling - ANSWER action potentials follow the
transverse T tubules and act on the longitudinal sarcoplasmic reticulum,
which in turn cause contraction

cardiac cycle - ANSWER events that occur from the beginning of one
heartbeat to the beginning of the next

1. sinus node

2. diastole

,3. systole - ANSWER What are the three steps of the cardiac cycle?

sinus node - ANSWER first step of cardiac cycle; spontaneous generation of
an action potential

diastole - ANSWER period of relaxation during which the heart fills with
blood

systole - ANSWER step in the cardiac cycle; period of contraction; blood is
pushed out

1. P wave

2. QRS waves

3. T waves - ANSWER Steps of an electrocardiogram reading?

P wave - ANSWER caused by the spread of depolarization of atria and atrial
contraction

QRS waves - ANSWER caused by the spread of depolarization of the
ventricles, and initiates ventricle constriction

T wave - ANSWER repolarization of the ventricles

1. A-wave: caused by atrial contraction

2. C-wave: when ventricles begin to contract

3. V-wave: toward end of ventricular contraction when blood begins to flow
into the atria from the veins, while A-V valves are closed - ANSWER Order of
atrial pressure waves?

1. Isovolumic or isometric contraction period

2. Ejection period

, 3. Isovolumic relaxation - ANSWER What is the order of the A-V valve
process during a cardiac cycle?

Isovolumic/Isometric contraction period - ANSWER ventricular pressure rises
abruptly until pressure builds to the point just before where aortic and
pulmonary semilunar valves open

Ejection period - ANSWER when the aortic and pulmonary semilunar valves
open

Isovolumic relaxation - ANSWER end of systole ventricular relaxation occurs
suddenly and pressure in the ventricle drops, and pressure in pulmonary
artery and aorta snap the aortic and pulmonary valves closed

heart valves - ANSWER prevent backflow of blood during systole

Atrioventricular valves - ANSWER open and close passively, they open when
a forward pressure gradient is present and close with a backward pressure
gradient

Tricuspid and mitral valves - ANSWER prevent backflow from the ventricles
to the atria during systole

semilunar valves - ANSWER prevent backflow from the aorta and pulmonary
arteries into the ventricles during diastole

papillary muscles - ANSWER hold the vanes of A-V valves in shape

aortic and pulmonary artery semilunar valves - ANSWER high pressure of the
arteries at the end of systole cause the semilunar valves to close

Frank-Starling mechanism of the heart - ANSWER amount of blood pumped
by the heart is determined almost entirely by the rate of blood flow into the

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