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Test-Taking Tip Remember
Blood flows from high pressure → low pressure and oxygen→ rich blood is usually on the left side of the heart.
Which layer of the heart is made primarily of cardiac muscle?
A. Endocardium
B. Epicardium
C. Myocardium
D. Pericardium
C. Myocardium
Memory Tip: "Myo = Muscle" → Myocardium is the heart muscle layer.
Which layer lines the chambers and valves of the heart?
A. Endocardium
B. Myocardium
C. Epicardium
D. Pericardial sac
A. Endocardium
Memory Tip: "Endo = Inside" → Endocardium lines the inside of the heart.
The right and left coronary arteries branch directly from the:
A. Vena cava
B. Pulmonary artery
C. Aorta
D. Coronary sinus
C. Aorta
Memory Tip: The aorta is the body's main highway leaving the heart.
What is the primary function of coronary arteries?
A. Carry blood to lungs
B. Supply oxygenated blood to heart muscle
C. Return blood to right atrium
D. Filter blood
B. Supply oxygenated blood to heart muscle
Memory Tip: Coronary arteries feed the heart itself.
A buildup of fatty deposits in artery walls is called:
A. Plasma
B. Diffusion
C. Plaque
D. Transcytosis
C. Plaque
Memory Tip: Think "plaque = clogged pipe."
Insufficient oxygen supply to the heart muscle causing chest pain is known as:
A. Stroke
B. Angina pectoris
C. Hypertension
D. Arrhythmia
B. Angina pectoris
Memory Tip: Angina = chest pain from low oxygen.
Complete blockage of blood supply to heart tissue can result in:
A. Angina
B. Coronary sinus
C. Myocardial infarction
D. Diffusion
C. Myocardial infarction
Memory Tip: MI = Muscle Injury (heart attack).
The AV valves prevent blood from flowing:
A. Into arteries
B. Into veins
C. From ventricles back into atria
D. Into capillaries
C. From ventricles back into atria
Memory Tip: AV valves act as one-way doors.
Which valve is also called the mitral valve?
A. Tricuspid valve
B. Pulmonary valve
C. Aortic valve
D. Bicuspid valve
D. Bicuspid valve
Memory Tip: Bi = 2 cusps.
What structures connect AV valves to papillary muscles?
A. Bundle branches
B. Purkinje fibers
C. Chordae tendineae
D. Coronary arteries
C. Chordae tendineae
Memory Tip: "Heart strings" = chordae tendineae.
The heart's natural pacemaker is the:
A. AV node
B. Bundle of His
C. SA node
D. Purkinje fibers
C. SA node
Memory Tip: SA = Starts Activity.
Electrical impulses normally travel through the heart in which order?
A. AV Node → SA Node → Bundle of His → Purkinje Fibers
B. SA Node → AV Node → Bundle of His → Bundle Branches → Purkinje Fibers
C. Purkinje Fibers → SA Node → AV Node
D. SA Node → Purkinje Fibers → AV Node
B. SA Node → AV Node → Bundle of His → Bundle Branches → Purkinje FibersAt rest, myocardial cells are:
Memory Tip: SABBP
SA Node
AV Node
Bundle of His
Bundle Branches
Purkinje Fibers
At rest, myocardial cells are:
A. Positive inside and negative outside
B. Neutral inside and outside
C. Negative inside and positive outside
D. Positive everywhere
C. Negative inside and positive outside
Memory Tip: Resting cells are negative inside.
Depolarization of cardiac cells causes:
A. Relaxation only
B. Contraction
C. Valve closure only
D. Blood filtration
B. Contraction
Memory Tip: Depolarize = Contract.
Movement of molecules from high concentration to low concentration is:
A. Bulk flow
B. Diffusion
C. Plasma transport
D. Filtration
B. Diffusion
Memory Tip: Diffusion = Down the concentration gradient.
Facilitated diffusion requires:
A. ATP energy
B. Vesicles
C. Membrane proteins
D. Blood pressure
C. Membrane proteins
Memory Tip: Protein channels act like doorways.
Transcytosis involves:
A. Passive movement through a membrane
B. Vesicle transport across cells
C. Diffusion through proteins
D. Osmosis
B. Vesicle transport across cells
Memory Tip: "Trans" = across.
At the arterial end of a capillary, fluid moves out because:
A. Osmotic pressure is greater
B. Hydrostatic pressure is greater
C. Blood pressure is zero
D. Diffusion stops
B. Hydrostatic pressure is greater
Memory Tip: Hydrostatic pushes OUT.
At the venous end of a capillary, fluid re-enters because:
A. Hydrostatic pressure is greater
B. Osmotic pressure is greater
C. Diffusion increases
D. Plasma decreases
B. Osmotic pressure is greater
Memory Tip: Osmotic pulls IN.
Which vessel collects venous blood from heart muscle and empties into the right atrium?
A. Aorta
B. Pulmonary vein
C. Coronary sinus
D. Superior vena cava
C. Coronary sinus
Memory Tip: Think of the coronary sinus as the heart's drainage system.
Heart Layers
E-M-E
Epicardium = Outside
Myocardium = Muscle
Endocardium = Inside
Coronary Circulation
Coronary Arteries = Feed the Heart
Coronary Sinus = Drains the Heart
Heart Attack vs Angina
Angina = Temporary lack of oxygen
Myocardial Infarction = Complete blockage → tissue death
Electrical Pathway
SA → AV → Bundle of His → Bundle Branches → Purkinje
Capillary Exchange
Hydrostatic = Pushes Out
Osmotic = Pulls In
Must-Know TEAS Fact
If you see a question about heart muscle contraction, think: SA Node → Depolarization → Contraction → Blood Flow.