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GMS 6474 Mega Final questions well answered to pass

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GMS 6474 Mega Final questions well answered to pass

Institution
GMS
Course
GMS

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GMS 6474 Mega Final questions well
answered to pass

I band - correct answer ✔✔- thin filaments

- titin

- z disc



A band - correct answer ✔✔- thick and thin filaments



H zone - correct answer ✔✔- thick filaments



M line - correct answer ✔✔- middle

- thick filaments



Sarcoplamic reticulum - correct answer ✔✔- membraneous smooth ER

- wraps around sarcomeres throughout myofibrils

- stores Ca2+



Triad - correct answer ✔✔- sarcoplasmic reticulum

- terminal cisterna

- t-tubules



- joining



Transmural pressure - correct answer ✔✔- Pi - Po

- pressure difference across a vessel wall

,Eeq - correct answer ✔✔- (-61.5/z) log(inside/outside)

- equilibrium potential



Ena - correct answer ✔✔- +60 mV



Ek - correct answer ✔✔- -90 mV



Eca - correct answer ✔✔- +130 mV



Fast voltage-gated Na+ channels - correct answer ✔✔- open at -70 mV

- similar to those in muscle and neural tissue

- rapid activation - opening of m gates

- rapid inactivation - closure of h gates

- Na enters down concentration gradient

- generates inward membrane potential



Cardiac K+ channels - correct answer ✔✔- outward flow

- inward rectifyer

- transient outward K+ current

- 2x delayed rectifyer K+ currents



Cardiac Ca2+ channels - correct answer ✔✔- T-type

- L-type (more prevalent)



T-type Ca2+ channels - correct answer ✔✔- tiny conductance

- transient openings

- mostly in pacemaker and atrial tissue

- opens at -55 mV

- fairly rapid inactivation

,L-type Ca2+ channels - correct answer ✔✔- large conductance

- long lasting opening

- all throughout heart

- open at -40 mV

- slower inactivation

- inward (depolarizing) current



Mixed conductance channels - correct answer ✔✔- funny current (If)

- permeable to Na+ & K+

- activated by hyperpolarization

- net inward Na+ current

- small conductance channel



60-100 - correct answer ✔✔- SA node normal pace



40-60 - correct answer ✔✔- AV node normal pace



20-40 - correct answer ✔✔- purkinje system



Postive deflection - correct answer ✔✔- leads 3, 4, 5, 6



Negative deflection - correct answer ✔✔- AVR



No deflection - correct answer ✔✔- Lead 1 & AVL



Frontal plane view - correct answer ✔✔- I, II, III aVR, aVL, aVF



Lead I - correct answer ✔✔- right arm (-)

, - left arm (+)



Lead II - correct answer ✔✔- right arm (-)

- left foot (+)



Lead III - correct answer ✔✔- left arm (-)

- left foot (+)



Precordial leads - correct answer ✔✔- V1-6

- record electrical activity in transverse plane (horizontally)

- wrapped around view



T-wave postive deflection - correct answer ✔✔- becasue repolarization impulse occurs in an opposite
direction to depolarization

- pericardial to endocardial



QRS duration - correct answer ✔✔- normal 0.04 - 0.12 secs

- 3 small boxes



Small box - correct answer ✔✔- 0.04 sec



Big box - correct answer ✔✔- 0.2 sec



PR interval - correct answer ✔✔- 0.12 - 0.20 sec

- 1 large box



QT interval - correct answer ✔✔- 1/2 RR



Mobitz Type I - correct answer ✔✔- longer, longer, longer, drop

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