physiology Flashcards

(59 cards)

1
Q

the spread of bachmans bundles?

A

1m/sec

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2
Q

what is the spread of purkinje fibers and A-V bundles?

A

4 m/sec

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3
Q

what is the spread of A-V node?

A

0.2m/sec

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4
Q

what is the delayed conducting of of A-V node?

A

0.13sec

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5
Q

congenital deficiency of dystrophen protein leads to?

A

cardiomyopathy

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6
Q

intercalared discs always present at ?

A

Z line

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7
Q

AV delayed about……?

A

0.1 sec

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8
Q

what is the slow response fibers?

A

SA and AV nodes

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9
Q

what is the fast response fibers?

A

atria
ventricles
His purkinje system

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10
Q

the resting potential in slow response fibers is?

A

-90mv

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11
Q

the resting potential in slow response fibers is?

A

-55 to -60 mv

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12
Q

what is the amplitude of fast response fibers?

A

up to 10-20mv

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13
Q

what is the amplitude of fast response fibers?

A

up to. 20-30 mv

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14
Q

chemical factors that prolong ARP?

A

Hypocalcemia
hypoxia
(choliergic drugs):
procainamide
quinidine

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15
Q

changes of Na serum level affect on??

A

amplitude of the action potential
not affect on myocardial excitability

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16
Q
A
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17
Q

drugs increase myocardial excitability?

A

caffeine
theophylline

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18
Q

ventricales extrasystoles are followed by?

A

long intervals called (compensatory pauses) CPs

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19
Q

atrial extrasystoles are followed by

A

short or incomplete or no CPs

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20
Q

post extrasystolic potentiation in ventricales are usually……. than normal

A

stronger

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21
Q

the factors that increases autorhythmicity is called?

A

positive chronotropic factors

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22
Q

what is the diastolic depolarization?

A

pacemaker potential
prepotential
gradual depolarization

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23
Q

firing level of slow response fibers?

A

-40 to -45

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24
Q

the last activated part of left ventricale is?

A

posterobasal portion

25
the last activated part of right ventricale is?
pulmonary conus
26
conduction velocity of AV node?
0.05 m/sec
27
conductivity is decreased in most cases of electrolyte disturbance especially?
K
28
in the Wolff parkinson white syndrome the conductivity is?
increased
29
aortic impedance increase pathological in?
aortic valve stenosis polycythemia
30
the factors that increases myocardial contractility is called?
positive inotropic factors
31
what is the major factors that determine cardiac performance is?
1/preload 2/after load 3/frequency of heart contraction 4/cardiac inotropic state
32
cardiac inotropic state determined primarily by?
amount of (or sensitivity to) the delivered Ca to the contractile protein
33
paradoxical splitting of second sounds?
pulmonary valve closed before aortic valve because (left ventricular failure)
34
duration of heart sound?
1/0.15 2/0.12 3/0.1 4/0.03-0.05
35
third heart sound best heard during?
expiratoin at the apex of the heart
36
galloping rhythm is?
the heart has four sound ausocltation in the same duration of the two sound of normal heart
37
what is the stenotic valve?
stiff narrowed valve that does not open completely
38
what is the insufficient (incompetent) valve?
valve that does not close completely
39
what is the velocity of blood flow?
0.5 m/sec
40
what is the pulse pressure?
tge difference between the systolic and diastolic blood pressure normally is 40mmHg
41
heart rhythm with electrical activation begining in the SA node called?
sinus rhythm
42
stroke volume(SV) = ?
EDV-ESV
43
Ejection fraction( EF)= ?
SV/EDV
44
cardiac output (CO)= ?
SV×HR
45
What is the normal cardiac output?
5L/min
46
what is the primary factors regulating cardiac output?
1/blood volume reflexes 2/Autonomic innervation 3/hormones
47
what is the total blood flow at rest?
5.8L/min
48
what is the total blood flow during strenuous exercise?
17.5L/min
49
pulse pressure (pp)=?
SBP-DBP
50
Mean pressure =?
DBP+1/3 PP
51
what is the normal mean pressure?
93 mm Hg
52
systolic pressure is...... proportional to cardiac output? (directly-inversely)
directly
53
Diastolic pressure is....... proportional to peripheral resistance? (directly-inversely)
directly
54
Blood pressure is....... proportional to blood volume, venous return, velocity of blood flow, viscosity of blood? (directly-inversely)
directly
55
Blood pressure is....... proportional to Elasticity of blood vessels, diameter of blood vessels? (directly-inversely)
inversely
56
T wave in limb leads the amplitude is highest in?
lead II
57
T wave in chest leads the amplitude is highest in?
V2- V3
58
T wave is normally positive in lead?
I- II-V5- V6
59
prominent U waves normal in leads....?
V2-V4