WorksheetsConduction System & Hemodynamics
Total questions: 65
Worksheet time: 33mins
The conduction system is the heart's source of electricity.
True
False
Atrial systole & ventricular systole occur simultaneously.
True
False
Which of the following statements regarding electrical impulses is not true?
Initiated by pacemaker cells
Stimulate relaxation of the heart
Myocardial cells respond by shortening, causing contraction
Transferred through the heart in a wavelike motion, by the electrical conduction system
Stimulate contraction of the heart
Which of the following statements about myocardial cells is true?
Possess a short refractory period
Not unique
Signal the heart to relax (recover)
Do not require an external stimulus to spontaneously depolarize at periodic intervals
Which conduction system property is defined by the ability of the heart cells to receive and transmit an electrical impulse; aka the 'journey'?
Automaticity
Conductivity
Excitability
Contractility
Which conduction system property is defined by the ability of the heart muscle cells to respond to an impulse or stimulus; aka the 'reaction'?
Automaticity
Conducitivity
Excitability
Contractility
Which conduction system property is defined by the ability of the heart to spontaneously initiate an electrical impulse at periodic intervals without requiring an external stimulus; aka the 'beginning'?
Automaticity
Conducitivity
Excitability
Contractility
Which conduction system property is defined by the ability of the heart muscle cells to shorten in response to an electrical impulse; aka the 'contraction'?
Automaticity
Conductivity
Excitability
Contractility
Blood must travel from the atria --> ventricles --> great arteries.
True
False
Which conduction pathway is considered the primary pacemaker?
SA node
AV node
Bundle of His
Purkinje fibers
Ventricles must contract before the atria.
True
False
Ventricles must contract from base (top) to apex (bottom).
True
False
__________ is located at the floor of the RA.
SA node
AV node
Bundle of His
Purkinje fibers
_________ is located within the IVS.
SA node
AV node
Bundle of His
Purkinje fibers
_________ is located at the border of the SVC & RA.
SA node
AV node
Bundle of His
Purkinje fibers
Which conduction system pathway serves as the 'gatekeeper' to delay electrical conduction, preventing excessive atrial impulses from entering the ventricle to allow atrial systole to reach completion before ventricular systole begins?
SA node
AV node
Bundle of His
Purkinje fibers
_________ receives impulse from the AV node.
SA node
AV node
Bundle of His
Purkinje fibers
_________ has a rate of fire of 20 - 40 bpm.
SA node
AV node
Bundle of His
Purkinje fibers
Which conduction system pathway conducts a depolarization wave to the apex of the heart, transferring electrical impulse from atria to ventricles?
SA node
AV node
Bundle of His
Purkinje fibers
Which conduction pathway initiates a self-generating impulse that fuses with atrial muscle fibers, producing atrial contraction?
SA node
AV node
Bundle of His
Purkinje fibers
_________ has a rate of fire at 60 - 100 bpm.
SA node
AV node
Bundle of His
Purkinje fibers
_________ has a rate of fire of 40 - 60 bpm.
SA node
AV node
Bundle of His
Purkinje fibers
Atria communicate with one another via the interatrial tract known as __________.
Bachmann's bundle
Bundle of His
Purkinje fibers
Internodal tracts
Which conduction system pathway receives impulse from SA node via 3 internodal tracts?
SA node
AV node
Bundle of His
Purkinje fibers
_________ is a complex network that develops from the bundle branches and spreads through the ventricles.
SA node
AV node
Bundle of His
Purkinje fibers
__________ divides into right & left bundle branches.
SA node
AV node
Bundle of His
Purkinje fibers
Which conduction system pathway spreads electrical impulse throughout ventricles, propelling blood up into the outflow tracts & out to the great arteries?
SA node
AV node
Bundle of His
Purkinje fibers
At the ventricles, stimulation causes depolarization of the cells & contraction occurs from epicardium (outside) --> endocardium (inside).
True
False
Which of the following is true regarding atrial kick?
Produced during the delay in the electrical impulse between atria & ventricles
Extra blood travels to the atria before they contract
Does not affect cardiac output
Prevents excessive rate of impulses & arrhythmias
Which of the following is a purpose of AV slowdown? Select all that apply.
Allows extra time for atrial kick
Allows ventricles to contract base to apex
Increases cardiac output
Reduces number of electrical impulses transmitted to the ventricles
Prevents excessive rate of impulses & arrhythmias
During depolarization, chambers are allowed to refill in preparation for contraction again.
True
False
Myocardial contraction, state of cellular stimulation, electrical activation, & electrical charge is reversed across cell membranes so interior becomes positively charged are all properties of _____________.
Depolarization
Repolarization
Myocardial relaxation, state of cellular recovery that follows each contraction, cardiac cells return to resting phase of internal negativity, & heart relaxes to allow chambers to refill in preparation of depolarization to occur again are all properties of ______________.
Depolarization
Repolarization
Relaxation happens epicardium --> endocardium during ___________.
Depolarization
Repolarization
Contraction happens endocardium --> epicardium during ____________.
Depolarization
Repolarization
The inherent pacemaker rate of the SA node is ________ than the other pacemaker cells.
faster
slower
more erratic
weaker
__________ is a test that detects & records electrical activity of the heart. Select all that apply.
Electrocardiogram
Echocardiogram
ECG/EKG
TTE
___________ is a test that records mechanical activity of the heart. Select all that apply.
Electrocardiogram
Echocardiogram
ECG/EKG
TTE
EKG waveform is recorded from electrical activity during depolarization & repolarization.
True
False
_____________ is a period when electrical tracing of the EKG is at zero (or straight line) & no positive or negative deflections are depicted.
Interval
EKG waveform
Segment
Isoelectric line
Which EKG waveform component is electrical ventricular systole?
P wave
QRS complex
T wave
None of the above
Which EKG waveform component is electrical atrial systole?
P wave
QRS complex
T wave
None of the above
Which EKG waveform component is electrical ventricular diastole?
P wave
QRS complex
T wave
None of the above
__________ is a period of time between 2 activities within the heart.
Segment
Complex
Interval
Wave
__________ is considered complete waveforms.
Interval
Complex
Segment
Wave
__________ is a portion or part of an electrical tracing.
Segment
Complex
Interval
Wave
Atrial depolarization (electrical trigger)
P wave
PR interval
QRS complex
T wave
Ventricular repolarization (recovery)
P wave
QRS complex
T wave
ST segment
Atrial response (mechanical contraction), AV delay, period of initiation of the impulse until ventricular stimulation, normal length 0.12-0.20 seconds.
R - R interval
PR interval
ST segment
QT interval
Ventricular response (mechanical contraction)
PR interval
QRS complex
ST segment
QT interval
Ventricular depolarization (electrical trigger), atrial repolarization (recovery), normal ventricular depolarization time 0.06-0.12 seconds.
PR interval
ST segment
QT interval
QRS complex
Time required for ventricular depolarization & repolarization
PR interval
ST segment
QT interval
R - R interval
Repolarization of the Purkinje fibers
PR interval
ST segment
QT interval
R - R interval
Horizontal axis on EKG graph paper measures _______.
amplitude
voltage
velocity
time
5 large grid blocks equals _______.
0.04 seconds
0.2 seconds
1 second
5 seconds
1 large grid block equals ______.
0.04 seconds
0.2 seconds
0.5 seconds
1 second
1 small block equals ______.
0.04 seconds
0.2 seconds
0.4 seconds
1 second
The vertical axis on EKG paper measures ________.
time
seconds
amplitute
velocity
Select the EKG measurement that correlates to the normal value. 3 to 5 large boxes.
R - R interval
QRS complex
PR interval
ST segment
Select the EKG measurement that correlates to the normal value. < 3 small boxes (<0.12 seconds).
R - R interval
QRS complex
PR interval
None of the above
Select the EKG measurement that correlates to the normal value. < 1 big box (< 0.2 seconds).
R - R interval
QRS complex
PR interval
QT interval
3 second intervals = 15 large grid boxes
True
False
______ second EKG strip is needed to calculate heart rate (HR).
3
5
6
10
HR (bpm) = # QRS (in 6 sec.) x 10
True
False
QRS complex farther apart equals _________ HR, and QRS complex closer together equals _________ HR.
faster / slower
slower / faster
