UTA PATHO TEST WITH CORRECT
ANSWERS 2025
BloodWflowWthroughWtheWheartW-WCORRECTWANSWERW-1-SuperiorW&WInferiorWVenaWCava,W2-
RtWAtrium,W3-TricuspidWValve,W4-WRtWVentricle,W5-PulmonaryWValve,W6-PulmonaryWArtery,W7-
WLungs-pickWupWoxygen,W8-PulmonaryWVeins,W9-WLtWAtrium,W10-WMitralWValveW(Bicuspid),W11-
LtWVentricle,W12-WAorticWValve,W13-Aorta,W14-WBody
endocardiumW-WCORRECTWANSWERW-
innerWliningWofWtheWheart;WmadeWofWsimpleWsquamousWcellsWandWconnectiveWtissue
myocardiumW-WCORRECTWANSWERW-
muscular,WmiddleWlayerWofWtheWheart;WcontainsWmyocytesWresponsibleWforWmuscleWcontraction
pericardiumW-WCORRECTWANSWERW-outermostWlayer;WtwoWlayers:Wfibrous-
WconnectiveWtissueWthatWprovidesWtheWheartWwithWstabilityWbyWconnectingWtoWtheWsternumWanter
iorlyWandWtheWdiaphragmWinferiorlyWserous-WtwoWlayers:Wepicardium-WvisceralWlayer-
WdirectlyWoverWtheWheartWandWcontainsWcoronaryWarteries;Wparietal-
WaboveWtheWepicardiumWandWunderneathWfibrousWpericardium
placentaW-WCORRECTWANSWERW-
oxygenWexchangeWoccursWandWthatWremovesWwasteWproductsWandWprovidesWnutrients
cardiacWfetalWbloodWflowWoxygenatedW-WCORRECTWANSWERW-60%WofWtheWblood;Wplacenta-
>WumbilicalWveinW-
>hepaticWcirculationWandWconnectsWtoWtheWinferiorWvenaWcavaWbyWtheWductusWvenosusW-
>WrightWatriumW->WoxygenatedWbloodWshuntedWthroughWtheWforamenWovaleWtoWtheWleftWatriumW-
>WleftWventricleWandWtoWtheWheadWandWrestWofWtheWbody
cardiacWfetalWbloodWflowWmixedWbloodW-WCORRECTWANSWERW-
40%WofWtheWblood;WmixedWoxygenatedWandWdeoxygenatedWblood;WrightWatriumW-
,>WrightWventricleW->WpulmonaryWartery->patentWductusWarteriousW->WaortaW->WumbilicalWarteryW-
>WplacentaWtoWexchangeWgas,WgetWridWofWwasteWandWpickWupWnutrients
fetalWpressureWinWtheWheartW-WCORRECTWANSWERW-
rightWsideWisWhigherWinWuteroWandWleftWbecomesWhigherWafterWbirth
diastoleW-WCORRECTWANSWERW-relaxation;WventriclesWfillWwithWblood
systoleW-WCORRECTWANSWERW-
ventricularWcontractionWthatWpushesWtheWbloodWfromWtheWrightWventWtoWtheWpulmWarteryWandWfr
omWtheWleftWventWtoWtheWaorta
atrialWkickW-WCORRECTWANSWERW-
bloodWpushedWintoWtheWventriclesWbecauseWofWatrialWcontraction;WincreasesWtheWamountWofWblo
odWputWintoWtheWleftWventricularWandWisW20%WofWcardiacWoutput
cardiacWoutputW-WCORRECTWANSWERW-
amountWofWbloodWpushedWfromWtheWleftWventricleWinW1Wmin;WHRWxWstrokeWvolume;WnormalWisW5L
/min
strokeWvolumeW-WCORRECTWANSWERW-
amountWofWbloodWejectedWbyWtheWventricleWforWeachWcardiacWcycle;WdependentWonWtheWforceWof
WtheWcontractionW(contractionWisWdependentWonWtheWamountWofWpreloadWwhichWstretchesWtheWv
entriclesWandWpromoteWcontraction,WstimulationWbyWendogenousWpositiveWinotropicWagentsW(epi
nephrineWandWnorepi),WpresenceWofWinotropicWagentsW(medicationsWandWcytokines),WandWtheWmy
ocardialWcontraction
ejectionWfractionW-WCORRECTWANSWERW-
percentageWofWbloodWejectedWfromWtheWventWw/eaWcontraction;WSV/endWdiastolicWvol;WnormalWis
W55-65%;WusedWasWaWparameterWtoWmeasureWcardiacWfxn;WdecreasesWinWsystolicWheartWfailure
,PreloadW-WCORRECTWANSWERW-
endWdiastolicWvolumeWandWendWdiastolicWpressure;WdependentWonWamountWofWvenousWreturnWto
WtheWheartW&WtheWamountWofWblWinWtheWleftWventWatWtheWendWofWsystole;WincreasedWpreload=Whe
artWfailureWwhichWcausesWaWdeclineWinWSVW&WbackWupWinWpulmWcirculation
afterloadW-WCORRECTWANSWERW-
resistanceWthatWtheWventWpushesWagainstWtoWcontract;WaorticWpressWandWsystemicWvascularWresist
ance;Whigh:WincreasesWtheWworkWofWtheWventWresultingWinWhypertrophy
meanWarterialWpressureW-WCORRECTWANSWERW-
averageWpressureWinWtheWarteriesWduringWaWcardiacWcycle;WdepWonWelasticityWofWtheWarterialWwall
sW&WtheWmeanWvolWofWblWinWtheWaterials;WnormWisW70-100
cardiacWcontractionW-WCORRECTWANSWERW-
dependsWonWdegreeWofWtensionWofWtheWleftWventW&WtheWamountWofWintracellularWca;WgreaterWthe
WamountWofWca,WtheWgreaterWtheWcontraction
Diltiazem,WverapamilW-WCORRECTWANSWERW-
calciumWchannelWblockers;WeffectWcontractilityWbyWblockingWtheWinfluxWofWca;WnegWinotropicWeffec
ts;WshouldWbeWavoidedWinWptsWwithWsystolicWhrtWfailure
increaseWcontractilityW-WCORRECTWANSWERW--catecholaminesW(increaseWca)
-increaseWinWintracellularWca
-WdecreaseWextracellularWNAW(decreasesWtheWactivityWofWtheWNA/CAWexchanger)
-
WdigitalisW(blocksWtheWNa/KWpumpWwhichWincreasesWintracellularWNA,WdecreasesWtheWactivityWofWt
heWNa/CaWexchanger,WandWincreasesWintracellularWCa
decreaseWcontractilityW-WCORRECTWANSWERW--betaWblockersW
-WsystolicWheartWfailure
, -Wacidosis
-Whypoxia/hypercapnia
-WnondihydropyridineWcaWchannelWblockers
conductionWsystemW-WCORRECTWANSWERW--WSAWnodeW(rightWatrium)WgeneratesWimpulseWofW60-
100WwhichWisWtransmittedWtoWtheWAVWnode
-WIfWtheWSAWnodeWfailsWthenWtheWAVWnodeWwillWgenerateWanWimpulseWofW40-
60WandWpassWtheWimpulseWdownWtoWtheWbundleWofWHisW
-
WifWtheWAVWnodeWfailsWthenWtheWbundleWofWhisWwillWgenerateWanWimpulseWatWlessWthanW40WandWth
eWimpulseWwillWtravelWtoWtheWpurkinjeWfibersWwhichWtravelWupWtheWwallWofWtheWventWandWcauseWc
ontractionWofWtheWvent
VentricularWactionWpotentialW-WCORRECTWANSWERW-
occursWinWtheWpurkinjeWfibersWandWtheWbundleWofWhis
-WphaseW0:WrapidWdepolarization:WvoltageWgatedWNaWchannelsWopenWandWNaWcomesWin
-
WphaseW1:WinitialWrepolarizationWofWtheWcells:WvoltageWgatedWNaWchannelsWareWclosedWandWtheWvo
ltageWgatedWKWchannelsWopenWandWKWslowlyWleavesWtheWcell
-
WphaseW2:WplateauWphase:WCaWchannelsWopenWandWCaWcomesWintoWtheWcell.WInfluxWcausesWaWbala
nceWwithWKWcausingWaWtemporaryWplateauWinWrepolarization;WinfluxWofWCaWtriggersWreleaseWofWm
oreWCaWfromWtheWsacroplasmicWreticulumWandWcausesWmyocardialWcontraction
-WphaseW3:WrapidWrepolarization:WmassiveWKWefflux;WKWchannelsWopenWandWCaWchannelsWclose
-WphaseW4:WrestingWmembraneWpotentialWofW-85WmV
SA/AVWnodeWactionWpotentialW-WCORRECTWANSWERW-
noWphaseW1WorW2;WnoWstimulusWneededWtoWgenerateWanWactionWpotential
ANSWERS 2025
BloodWflowWthroughWtheWheartW-WCORRECTWANSWERW-1-SuperiorW&WInferiorWVenaWCava,W2-
RtWAtrium,W3-TricuspidWValve,W4-WRtWVentricle,W5-PulmonaryWValve,W6-PulmonaryWArtery,W7-
WLungs-pickWupWoxygen,W8-PulmonaryWVeins,W9-WLtWAtrium,W10-WMitralWValveW(Bicuspid),W11-
LtWVentricle,W12-WAorticWValve,W13-Aorta,W14-WBody
endocardiumW-WCORRECTWANSWERW-
innerWliningWofWtheWheart;WmadeWofWsimpleWsquamousWcellsWandWconnectiveWtissue
myocardiumW-WCORRECTWANSWERW-
muscular,WmiddleWlayerWofWtheWheart;WcontainsWmyocytesWresponsibleWforWmuscleWcontraction
pericardiumW-WCORRECTWANSWERW-outermostWlayer;WtwoWlayers:Wfibrous-
WconnectiveWtissueWthatWprovidesWtheWheartWwithWstabilityWbyWconnectingWtoWtheWsternumWanter
iorlyWandWtheWdiaphragmWinferiorlyWserous-WtwoWlayers:Wepicardium-WvisceralWlayer-
WdirectlyWoverWtheWheartWandWcontainsWcoronaryWarteries;Wparietal-
WaboveWtheWepicardiumWandWunderneathWfibrousWpericardium
placentaW-WCORRECTWANSWERW-
oxygenWexchangeWoccursWandWthatWremovesWwasteWproductsWandWprovidesWnutrients
cardiacWfetalWbloodWflowWoxygenatedW-WCORRECTWANSWERW-60%WofWtheWblood;Wplacenta-
>WumbilicalWveinW-
>hepaticWcirculationWandWconnectsWtoWtheWinferiorWvenaWcavaWbyWtheWductusWvenosusW-
>WrightWatriumW->WoxygenatedWbloodWshuntedWthroughWtheWforamenWovaleWtoWtheWleftWatriumW-
>WleftWventricleWandWtoWtheWheadWandWrestWofWtheWbody
cardiacWfetalWbloodWflowWmixedWbloodW-WCORRECTWANSWERW-
40%WofWtheWblood;WmixedWoxygenatedWandWdeoxygenatedWblood;WrightWatriumW-
,>WrightWventricleW->WpulmonaryWartery->patentWductusWarteriousW->WaortaW->WumbilicalWarteryW-
>WplacentaWtoWexchangeWgas,WgetWridWofWwasteWandWpickWupWnutrients
fetalWpressureWinWtheWheartW-WCORRECTWANSWERW-
rightWsideWisWhigherWinWuteroWandWleftWbecomesWhigherWafterWbirth
diastoleW-WCORRECTWANSWERW-relaxation;WventriclesWfillWwithWblood
systoleW-WCORRECTWANSWERW-
ventricularWcontractionWthatWpushesWtheWbloodWfromWtheWrightWventWtoWtheWpulmWarteryWandWfr
omWtheWleftWventWtoWtheWaorta
atrialWkickW-WCORRECTWANSWERW-
bloodWpushedWintoWtheWventriclesWbecauseWofWatrialWcontraction;WincreasesWtheWamountWofWblo
odWputWintoWtheWleftWventricularWandWisW20%WofWcardiacWoutput
cardiacWoutputW-WCORRECTWANSWERW-
amountWofWbloodWpushedWfromWtheWleftWventricleWinW1Wmin;WHRWxWstrokeWvolume;WnormalWisW5L
/min
strokeWvolumeW-WCORRECTWANSWERW-
amountWofWbloodWejectedWbyWtheWventricleWforWeachWcardiacWcycle;WdependentWonWtheWforceWof
WtheWcontractionW(contractionWisWdependentWonWtheWamountWofWpreloadWwhichWstretchesWtheWv
entriclesWandWpromoteWcontraction,WstimulationWbyWendogenousWpositiveWinotropicWagentsW(epi
nephrineWandWnorepi),WpresenceWofWinotropicWagentsW(medicationsWandWcytokines),WandWtheWmy
ocardialWcontraction
ejectionWfractionW-WCORRECTWANSWERW-
percentageWofWbloodWejectedWfromWtheWventWw/eaWcontraction;WSV/endWdiastolicWvol;WnormalWis
W55-65%;WusedWasWaWparameterWtoWmeasureWcardiacWfxn;WdecreasesWinWsystolicWheartWfailure
,PreloadW-WCORRECTWANSWERW-
endWdiastolicWvolumeWandWendWdiastolicWpressure;WdependentWonWamountWofWvenousWreturnWto
WtheWheartW&WtheWamountWofWblWinWtheWleftWventWatWtheWendWofWsystole;WincreasedWpreload=Whe
artWfailureWwhichWcausesWaWdeclineWinWSVW&WbackWupWinWpulmWcirculation
afterloadW-WCORRECTWANSWERW-
resistanceWthatWtheWventWpushesWagainstWtoWcontract;WaorticWpressWandWsystemicWvascularWresist
ance;Whigh:WincreasesWtheWworkWofWtheWventWresultingWinWhypertrophy
meanWarterialWpressureW-WCORRECTWANSWERW-
averageWpressureWinWtheWarteriesWduringWaWcardiacWcycle;WdepWonWelasticityWofWtheWarterialWwall
sW&WtheWmeanWvolWofWblWinWtheWaterials;WnormWisW70-100
cardiacWcontractionW-WCORRECTWANSWERW-
dependsWonWdegreeWofWtensionWofWtheWleftWventW&WtheWamountWofWintracellularWca;WgreaterWthe
WamountWofWca,WtheWgreaterWtheWcontraction
Diltiazem,WverapamilW-WCORRECTWANSWERW-
calciumWchannelWblockers;WeffectWcontractilityWbyWblockingWtheWinfluxWofWca;WnegWinotropicWeffec
ts;WshouldWbeWavoidedWinWptsWwithWsystolicWhrtWfailure
increaseWcontractilityW-WCORRECTWANSWERW--catecholaminesW(increaseWca)
-increaseWinWintracellularWca
-WdecreaseWextracellularWNAW(decreasesWtheWactivityWofWtheWNA/CAWexchanger)
-
WdigitalisW(blocksWtheWNa/KWpumpWwhichWincreasesWintracellularWNA,WdecreasesWtheWactivityWofWt
heWNa/CaWexchanger,WandWincreasesWintracellularWCa
decreaseWcontractilityW-WCORRECTWANSWERW--betaWblockersW
-WsystolicWheartWfailure
, -Wacidosis
-Whypoxia/hypercapnia
-WnondihydropyridineWcaWchannelWblockers
conductionWsystemW-WCORRECTWANSWERW--WSAWnodeW(rightWatrium)WgeneratesWimpulseWofW60-
100WwhichWisWtransmittedWtoWtheWAVWnode
-WIfWtheWSAWnodeWfailsWthenWtheWAVWnodeWwillWgenerateWanWimpulseWofW40-
60WandWpassWtheWimpulseWdownWtoWtheWbundleWofWHisW
-
WifWtheWAVWnodeWfailsWthenWtheWbundleWofWhisWwillWgenerateWanWimpulseWatWlessWthanW40WandWth
eWimpulseWwillWtravelWtoWtheWpurkinjeWfibersWwhichWtravelWupWtheWwallWofWtheWventWandWcauseWc
ontractionWofWtheWvent
VentricularWactionWpotentialW-WCORRECTWANSWERW-
occursWinWtheWpurkinjeWfibersWandWtheWbundleWofWhis
-WphaseW0:WrapidWdepolarization:WvoltageWgatedWNaWchannelsWopenWandWNaWcomesWin
-
WphaseW1:WinitialWrepolarizationWofWtheWcells:WvoltageWgatedWNaWchannelsWareWclosedWandWtheWvo
ltageWgatedWKWchannelsWopenWandWKWslowlyWleavesWtheWcell
-
WphaseW2:WplateauWphase:WCaWchannelsWopenWandWCaWcomesWintoWtheWcell.WInfluxWcausesWaWbala
nceWwithWKWcausingWaWtemporaryWplateauWinWrepolarization;WinfluxWofWCaWtriggersWreleaseWofWm
oreWCaWfromWtheWsacroplasmicWreticulumWandWcausesWmyocardialWcontraction
-WphaseW3:WrapidWrepolarization:WmassiveWKWefflux;WKWchannelsWopenWandWCaWchannelsWclose
-WphaseW4:WrestingWmembraneWpotentialWofW-85WmV
SA/AVWnodeWactionWpotentialW-WCORRECTWANSWERW-
noWphaseW1WorW2;WnoWstimulusWneededWtoWgenerateWanWactionWpotential