A&P II Quiz #5

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What is the cardiac cycle?

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1

What is the cardiac cycle?

The different phases going on the heart to get blood to move through the heart and get ejected

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2

Is the cardiac cycle continuous or not?

It’s continuous

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3

What happens to pressure when the volume increases in the same space?

Pressure increases

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4

How does fluid move in relation to pressure?

From high pressure to low pressure

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5

What are the 3 main events of the cardiac cycle?

  1. Atrial systole

  2. Ventricle systole

  3. Ventricle diastole

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6

What happens during atrial systole?

Blood is ejected from the atria

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7

What happens during ventricle systole?

The ventricles eject blood

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8

What happens during ventricle diastole?

The ventricles fill with blood

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9

What does systole refer to?

The pressure in chambers of the heart when blood is being ejected

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10

What does diastole refer to?

The pressure in the chambers of the heart when they’re relaxed and filling

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11

How do the ventricles initially fill?

Passive filling

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12

To what percentage do the ventricles fill with passive filling?

To 80%

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13

What happens when the ventricles are 80% full?

The pressure gradient between the atria and ventricles nears equilibrium

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14

What happens when the ventricles reach 80% full?

  • The ventricles stop passively filling with blood

  • The atria contract to fully fill the ventricles

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15

When does atrial systole begin?

When the ventricles are 80% full

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16

What happens once the atria contract and fully fill the ventricles?

The atrioventricular valves shut to prevent back flow

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17

Why do the atrioventricular valves have to shut after atrial contraction?

Because the ventricles now have greater pressure than the atria

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18

What intrinsic conducting cells cause atrial systole?

The SA node

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19

What is the goal of ventricle systole?

To get blood out of the ventricles into the arteries

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20

Does the pressure in the ventricles need to be greater or less than the pressure in the arteries to eject blood?

The pressure needs to be greater

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21

What happens in early ventricular systole to increase the pressure in the ventricles?

Isovolumetric contraction

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22

What happens during isovolumetric contraction?

The ventricles contract without blood leaving the ventricles

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23

What intrinsic conducting cells cause the isovolumetric contraction of the ventricles?

The AV node sends the signal down the Bundle of His to make it happen

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24

What does end-diastolic volume refer to?

The volume of blood in the ventricles when they’re done filling with blood and the atrioventricular valves are shut

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25

What happens during late ventricular systole?

The ejection of blood from the ventricles to the arteries

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26

When do semilunar valves open?

When pressure in the ventricles is greater than the pressure in the arteries

  • After the isovolumetric contraction

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27

What happens to the semilunar valves the moment the blood leaves the ventricles?

The semilunar valves shut

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28

Why do the semilunar valves shut once blood is ejected from the ventricles?

To prevent backflow

  • The arteries have greater pressure than the ventricles then

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29

Which valves are open or closed at the end of ventricular systole?

Both the atrioventricular and semilunar valves are shut

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30

What begins at the start of ventricular diastole?

Isovolumetric relaxation

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31

What happens in isometric relaxation?

The myocardium in the relaxes without blood entering

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32

How does the pressure of the ventricles have to be in comparison to the pressure of the atria in order to passively fill?

The pressure of the ventricles has to be less than the pressure of the atria

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33

What causes the atrioventricular valves to open again?

Low pressure in the ventricles

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34

What does the opening of the atrioventricular valves lead to?

Passive filling of the ventricles

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35

When do the atria begin filling?

As soon as the atrioventricular valves shut during atrial systole

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36

What are the 3 main function of blood?

  1. Distribution of nutrients, gases, and hormones

  2. Regulation of body temperature and pH

  3. Protection

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37

How does the blood regulate body temperature?

  • If you’re hot, it takes heat produced by muscle contractions and circulates it to sweat glands that get rid of it

  • If you’re cold, it takes heat produced by muscle contractions and circulates it to the vital organs

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38

How does the blood protect the body?

White blood cells

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39

What are the 4 components of whole blood?

  1. Red blood cells

  2. White blood cells

  3. Platelets

  4. Plasma

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40

What are the 2 categories of the elements of whole blood?

  1. Formed elements

  2. Non-formed elements?

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41

What components of blood are formed elements?

  • Red blood cells

  • White blood cells

  • Platelets

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42

What component of whole blood is a non-formed element?

Plasma

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43

What is plasma composed of?

  • Water

  • Solutes

  • Plasma proteins

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44

Is plasma dynamic?

Yes

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45

What does the composition of plasma dependent on?

What you eat and what can dissolve in water

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46

What is another name for red blood cells?

Erythrocytes

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47

What is another name for white blood cells?

Leukocytes

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48

What is another name for platelets?

Thrombocytes

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49

What is the most dense part of blood?

Erythrocytes

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50

What is the least dense part of blood?

Plasma

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51

What percentage of blood in a healthy person do erythrocytes make up?

About 45%

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52

What percentage of blood in a healthy individual do leukocytes and thrombocytes make up?

About 1 %

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53

What percentage of blood does plasma make up in a healthy individual?

About 55%

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54

What is the hematocrit value?

The percentage of red blood cells in the blood

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55

What does plasma composition depend on?

What your cells need

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56

What are plasma proteins?

Proteins that are supposed to stay in the blood vessels

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57

What does osmotic pressure do?

It prevents all the fluid from entering the blood

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58

How do plasma proteins contribute to osmotic pressure?

They increase the pressure in the blood to stop a large pressure gradient from forming

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59

Can some fluid still enter the blood?

Yes

  • The blood can still gather waste, but not a lot of fluid

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60

What is one of the main roles of the liver?

To make plasma proteins

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61

Can plasma proteins be released for energy?

No

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62

Are formed elements typical or atypical?

Atypical

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63

How many of the formed elements are true cells?

Only 1 formed element is a true cell with a nucleus

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64

Can the formed elements without a nucleus divide?

No

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65

How long is the lifespan of formed elements?

Really short

  • Usually just a couple of days

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66

Are thrombocytes usually active or inactive?

Inactive

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67

What activates thrombocytes?

Injury

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68

What happens to thrombocytes when they’re activated?

They release chemicals and form strands of proteins

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69

How are erythrocytes shaped?

They have a biconcave shape

  • The center is depressed

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70

What protein is in red blood cells?

Hemoglobin

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71

About how many hemoglobin proteins are in 1 red blood cell?

About 1 billion

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72

What is hemoglobin composed of?

4 heme with 1 iron each

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73

What binds to iron?

Oxygen

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74

What is the purpose of the biconcave shape of the red blood cells?

It makes the membrane distance to the hemoglobin smaller so the diffusion of oxygen to the tissues that need it is quicker

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75

Why do red blood cells not have nuclei?

It would limit the amount of hemoglobin they could contain

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76

Why can’t we just increase the number of red blood cells to get more hemoglobin instead of getting rid of the nuclei?

It would increase the viscosity of blood too much

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77

When do red blood cells shed their nucleus?

Right before they mature

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78

Why do red blood cells have a nucleus in the first place?

They need nuclei to produce hemoglobin

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79

How does increased viscosity affect blood flow?

It decreases blood flow

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80

What is polycythemia?

High red blood cell counts

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81

What are 2 scenarios when polycythemia can occur?

  • High altitude because there’s less atmospheric pressure to push oxygen into lungs so the kidney produces more red blood cells

  • Blood doping

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82

Why does polycythemia increase the risk for strokes?

It increases viscosity and decreases blood flow too much

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83

Do erythrocytes have mitochondria?

No

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84

Why don’t erythrocytes have mitochondria?

Mitochondria uses oxygen for cellular respiration which defeats the purpose of the red blood cells transporting oxygen

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85

Other than hemoglobin, what is the only thing that red blood cells contain?

Enzymes that prevent oxygen from becoming free radicals

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86

What are free radicals?

Potent substances that destroy things

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87

How would free radicals affect red blood cells?

They would die

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88

Why does hemoglobin have to be contained in red blood cells?

To decrease viscosity

  • Free flowing hemoglobin in such high quantities would increase viscosity

  • Also protects hemoglobin

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89

What is oxyhemoglobin?

Oxygenated hemoglobin

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90

What is deoxyhemoglobin?

Deoxygenated hemoglobin

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91

What is carbaminohemoglobin?

Hemoglobin with carbon dioxide bound to it

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92

What happens to hemoglobin when it releases oxygen?

It changes shape which allows carbon dioxide to bind to it

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93

When does carbon dioxide bind to hemoglobin?

ONLY when it is deoxyhemoglobin

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