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MBCHB phase 2c Test With Complete Solution

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Uploaded on
December 6, 2024
Number of pages
100
Written in
2024/2025
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MBCHB phase 2c Test With
Complete Solution

Say it to get the mark, what gases are being transported? - ANSWER co2
from tissues to lungs

o2 from lungs to tissues

movement of gas is based on what?

what type of movement? - ANSWER bulk movement from high to low
pressure.

via diffusion

what is tidal volume? - ANSWER volume of air moved into and out of lungs
during each ventilation cycle

what are 4 examples of properties that respiratory and circulatory systems
contain to facilitate gas diffusion - ANSWER large surface area for gas
exchange

large partial pressure gradients

gases w advantageous diffusion properties

specialised mechanisms for transporting O2 and CO2 bt lungs and tissues

explain partial pressure - ANSWER sum of partial pressures of a gas equal
total pressure.

partial pressure of gas=fraction of gas (fgas) in gas mixture x barometric

,pressure

so what is the partial pressure of oxygen? - ANSWER 21% o2 in the air

po2=0.21 x 760mmHg

=159mmHg

what happens in the airways to air? - ANSWER warmed and humidified,
saturated with water vapour.

skip to the heart.

the mitral valve (bicuspid) is on what side? - ANSWER LEFT! atrioventricular

the semilunar valves of the heart are what?

where? - ANSWER outflow- pulmonary valve of p. artery and aortic valve of
aorta.

bt ventricles and those vessels

explain isovolumetric contraction of the ventricles of the heart - ANSWER
interval bt closing of AV valves and opening of semilunar valves. *all valves
closed so no change in volume*

When does isovolumetric contraction take place? - ANSWER During QRS
after closure of mitral valve but before the aortic valve opens

early ventricular systole.

equation for cardiac output - ANSWER CO = HR x SV

equation for blood pressure - ANSWER BP = CO x PVR

the layers of heart tissue in the heart include the endocardium, myocardium

,(cardiac muscle), epicardium, pericardial cavity and parietal pericardium, with
a dense fibrous outer layer.

what do the endocardium, epicardium and parietal epi contain? - ANSWER
areolar tissue (loose connective collagen) and endothelium or epithelium

Which ventricle has a thicker wall? - ANSWER left

what is the resting membrane potential of the heart?

depolarisation vs repolarisation charges - ANSWER -80mV

depol= less (-) inside

repol= more (-) inside

currents of what ions in what direction are depolarising for the heart? -
ANSWER na and ca inwards.

currents of what ions in what direction are repolarising? - ANSWER k
outwards

k and na, where are they greater inside or outside of cell? - ANSWER K+
greater inside

Na+ outside

action potential is basically sequential activation and inactivation of inward
ca and na and outward k currents

at the resting potential, what is the relationship bt electrical and
concentration gradients? - ANSWER they are equal

so during an action potential, there is depolarisation. explain why - ANSWER
opening of VGSCs, allow inward Na+ so positive influx, inside becomes less

, negative.

what is phase 0 of the AP? - ANSWER the opening of VGSCs and influx of Na

what is phase 1 (notch) of AP? - ANSWER repolarisation- K+ leaves, so inside
becomes more - again.

inactivation of VGSC

next phase of AP? - ANSWER plateau phase 2.

balance of inward Ca2+ and outward K+.

so depol=repol

what is phase 3 of the AP? - ANSWER repolarisation, inward currents
inactivated and outward K+ predominate.

more - inside

final phase of AP - ANSWER resting -80mV

what APs mediate normal rhythm? (7)

combine their profiles to get what? - ANSWER specialised APs- SAN, atrial
muscle, AVN, common bundle, bundle branches and Purkinje fibres,
ventricular muscle

PQRSTU wave

there is a hierarchy of pacemakers. explain giving the bpm rates for three
main

in a normal healthy heart, which will predominate? - ANSWER SAN 70bpm

AVN 50bpm
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