Deck 39: the Cardiac Function Curve
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Deck 39: the Cardiac Function Curve
1
Increasing preload by itself does all of the following EXCEPT
A) Increases stroke volume
B) Increases strength of contraction
C) Stretches the hea rt
D) Increases cardiac work
E) Decrea ses he art rate
A) Increases stroke volume
B) Increases strength of contraction
C) Stretches the hea rt
D) Increases cardiac work
E) Decrea ses he art rate
E
2
The ejection fraction of the heart can be calculated as
A) ESV - EDV
B) EDV - ESV
C) 1 - ESV / EDV
D) SV / ESV
E) SV x HR
A) ESV - EDV
B) EDV - ESV
C) 1 - ESV / EDV
D) SV / ESV
E) SV x HR
C
3
The afterload of the heart is the
A) End systolic volume
B) End diastolic volume
C) Central venous pressure
D) Aortic pre ssu re
E) Pulm onary venous p ressure
A) End systolic volume
B) End diastolic volume
C) Central venous pressure
D) Aortic pre ssu re
E) Pulm onary venous p ressure
D
4
The str en gth of t he he ar t's c on tra ctio n is Increased by
A) Stretch
B) Afterload
C) Sympathetic stimulation
D) Parasympathetic stimulation
E) Both A and C are correct
A) Stretch
B) Afterload
C) Sympathetic stimulation
D) Parasympathetic stimulation
E) Both A and C are correct
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5
The preload of the heart is the
A) End systolic volume
B) End diastolic volume
C) Cen tral ven ou s pre ssu re
D) Aortic pressure
E) Pulm onary arterial pressure
A) End systolic volume
B) End diastolic volume
C) Cen tral ven ou s pre ssu re
D) Aortic pressure
E) Pulm onary arterial pressure
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6
The gre ates t con tribution to the to tal ene rgy of flo wing blood is its
A) Gravitational potential energy
B) Kinetic energy
C) PV energy
D) Mom entum
E) Equivalent pressure
A) Gravitational potential energy
B) Kinetic energy
C) PV energy
D) Mom entum
E) Equivalent pressure
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7
Which line segment in the PV loop in Fig. 1 represents isovolumetric relaxation?
A) AB
B) BC
C) CD
D) DE
E) EA
A) AB
B) BC
C) CD
D) DE
E) EA
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8
W hen an artery is severed by a cut to skin and blood spurts upward, there is a conversion of
A) Gravitational potential energy to kinetic energy
B) PV energy to gravitational potential energy
C) Equivalent pressure to hydraulic pressure
D) Mom entum to gravitational energy
E) Inertial force to gravitational force
A) Gravitational potential energy to kinetic energy
B) PV energy to gravitational potential energy
C) Equivalent pressure to hydraulic pressure
D) Mom entum to gravitational energy
E) Inertial force to gravitational force
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9
Which point on the PV loop in Fig. 1 corresponds to the closing of the aortic valve?
A) A
B) B
C) C
D) D
E) E
A) A
B) B
C) C
D) D
E) E
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10
Which point on the PV loop in Fig. 1. corresponds to the opening of the aortic valve?
A) A
B) B
C) C
D) D
E) E
A) A
B) B
C) C
D) D
E) E
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11
Which of the following is NOT an effect of hypertension ?
A) Delayed open ing of the aortic valve
B) Increased work of the he art
C) Increased stroke volume for a given preload
D) Given a stroke volume, an Increase in the preload
E) Given a cardiac output, an Increase in the preload
A) Delayed open ing of the aortic valve
B) Increased work of the he art
C) Increased stroke volume for a given preload
D) Given a stroke volume, an Increase in the preload
E) Given a cardiac output, an Increase in the preload
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12
Which line segment in the PV diagram in Fig. 1 corresponds to ejection of blood?
A) AB
B) BC
C) CD
D) CE
E) EA
1
A) AB
B) BC
C) CD
D) CE
E) EA
1
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13
The va ria ble tha t m os t gr ea tly af fe cts ca rd iac co ntr ac tility is
A) The preload
B) The afterload
C) Cardiac stretch
D) Sympathetic tone
E) Both A and C
A) The preload
B) The afterload
C) Cardiac stretch
D) Sympathetic tone
E) Both A and C
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14
The stoke volume for the heart whose PV diagram is shown in Fig. 1 is the volume difference between
A) D and E
B) E and A
C) B and A
D) C and D
E) B and C
A) D and E
B) E and A
C) B and A
D) C and D
E) B and C
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15
The Frank-Starling Law of the Heart states that
A) Increasing afterload Increases the strength of contraction
B) The heart operates on the ascend ing lim b of the length-tension curve
C) Increasing preload Increases end systolic volume
D) Increasing preload Increases the stroke volume of both ventricles
E) Increasing preload Increases end diastolic volume
A) Increasing afterload Increases the strength of contraction
B) The heart operates on the ascend ing lim b of the length-tension curve
C) Increasing preload Increases end systolic volume
D) Increasing preload Increases the stroke volume of both ventricles
E) Increasing preload Increases end diastolic volume
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16
Which line segment in the PV loop (Fig. 1) corresponds to isovolumetric contraction?
A) AB
B) BC
C) CD
D) DE
E) EA
A) AB
B) BC
C) CD
D) DE
E) EA
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