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Conduction System & Hemodynamics

Total questions: 65

Worksheet time: 33mins

Name
Class
Date
1.

The conduction system is the heart's source of electricity.

a)

True

b)

False

2.

Atrial systole & ventricular systole occur simultaneously.

a)

True

b)

False

3.

Which of the following statements regarding electrical impulses is not true?

a)

Initiated by pacemaker cells

b)

Stimulate relaxation of the heart

c)

Myocardial cells respond by shortening, causing contraction

d)

Transferred through the heart in a wavelike motion, by the electrical conduction system

e)

Stimulate contraction of the heart

4.

Which of the following statements about myocardial cells is true?

a)

Possess a short refractory period

b)

Not unique

c)

Signal the heart to relax (recover)

d)

Do not require an external stimulus to spontaneously depolarize at periodic intervals

5.

Which conduction system property is defined by the ability of the heart cells to receive and transmit an electrical impulse; aka the 'journey'?

a)

Automaticity

b)

Conductivity

c)

Excitability

d)

Contractility

6.

Which conduction system property is defined by the ability of the heart muscle cells to respond to an impulse or stimulus; aka the 'reaction'?

a)

Automaticity

b)

Conducitivity

c)

Excitability

d)

Contractility

7.

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'?

a)

Automaticity

b)

Conducitivity

c)

Excitability

d)

Contractility

8.

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'?

a)

Automaticity

b)

Conductivity

c)

Excitability

d)

Contractility

9.

Blood must travel from the atria --> ventricles --> great arteries.

a)

True

b)

False

10.

Which conduction pathway is considered the primary pacemaker?

a)

SA node

b)

AV node

c)

Bundle of His

d)

Purkinje fibers

11.

Ventricles must contract before the atria.

a)

True

b)

False

12.

Ventricles must contract from base (top) to apex (bottom).

a)

True

b)

False

13.

__________ is located at the floor of the RA.

a)

SA node

b)

AV node

c)

Bundle of His

d)

Purkinje fibers

14.

_________ is located within the IVS.

a)

SA node

b)

AV node

c)

Bundle of His

d)

Purkinje fibers

15.

_________ is located at the border of the SVC & RA.

a)

SA node

b)

AV node

c)

Bundle of His

d)

Purkinje fibers

16.

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?

a)

SA node

b)

AV node

c)

Bundle of His

d)

Purkinje fibers

17.

_________ receives impulse from the AV node.

a)

SA node

b)

AV node

c)

Bundle of His

d)

Purkinje fibers

18.

_________ has a rate of fire of 20 - 40 bpm.

a)

SA node

b)

AV node

c)

Bundle of His

d)

Purkinje fibers

19.

Which conduction system pathway conducts a depolarization wave to the apex of the heart, transferring electrical impulse from atria to ventricles?

a)

SA node

b)

AV node

c)

Bundle of His

d)

Purkinje fibers

20.

Which conduction pathway initiates a self-generating impulse that fuses with atrial muscle fibers, producing atrial contraction?

a)

SA node

b)

AV node

c)

Bundle of His

d)

Purkinje fibers

21.

_________ has a rate of fire at 60 - 100 bpm.

a)

SA node

b)

AV node

c)

Bundle of His

d)

Purkinje fibers

22.

_________ has a rate of fire of 40 - 60 bpm.

a)

SA node

b)

AV node

c)

Bundle of His

d)

Purkinje fibers

23.

Atria communicate with one another via the interatrial tract known as __________.

a)

Bachmann's bundle

b)

Bundle of His

c)

Purkinje fibers

d)

Internodal tracts

24.

Which conduction system pathway receives impulse from SA node via 3 internodal tracts?

a)

SA node

b)

AV node

c)

Bundle of His

d)

Purkinje fibers

25.

_________ is a complex network that develops from the bundle branches and spreads through the ventricles.

a)

SA node

b)

AV node

c)

Bundle of His

d)

Purkinje fibers

26.

__________ divides into right & left bundle branches.

a)

SA node

b)

AV node

c)

Bundle of His

d)

Purkinje fibers

27.

Which conduction system pathway spreads electrical impulse throughout ventricles, propelling blood up into the outflow tracts & out to the great arteries?

a)

SA node

b)

AV node

c)

Bundle of His

d)

Purkinje fibers

28.

At the ventricles, stimulation causes depolarization of the cells & contraction occurs from epicardium (outside) --> endocardium (inside).

a)

True

b)

False

29.

Which of the following is true regarding atrial kick?

a)

Produced during the delay in the electrical impulse between atria & ventricles

b)

Extra blood travels to the atria before they contract

c)

Does not affect cardiac output

d)

Prevents excessive rate of impulses & arrhythmias

30.

Which of the following is a purpose of AV slowdown? Select all that apply.

a)

Allows extra time for atrial kick

b)

Allows ventricles to contract base to apex

c)

Increases cardiac output

d)

Reduces number of electrical impulses transmitted to the ventricles

e)

Prevents excessive rate of impulses & arrhythmias

31.

During depolarization, chambers are allowed to refill in preparation for contraction again.

a)

True

b)

False

32.

Myocardial contraction, state of cellular stimulation, electrical activation, & electrical charge is reversed across cell membranes so interior becomes positively charged are all properties of _____________.

a)

Depolarization

b)

Repolarization

33.

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 ______________.

a)

Depolarization

b)

Repolarization

34.

Relaxation happens epicardium --> endocardium during ___________.

a)

Depolarization

b)

Repolarization

35.

Contraction happens endocardium --> epicardium during ____________.

a)

Depolarization

b)

Repolarization

36.

The inherent pacemaker rate of the SA node is ________ than the other pacemaker cells.

a)

faster

b)

slower

c)

more erratic

d)

weaker

37.

__________ is a test that detects & records electrical activity of the heart. Select all that apply.

a)

Electrocardiogram

b)

Echocardiogram

c)

ECG/EKG

d)

TTE

38.

___________ is a test that records mechanical activity of the heart. Select all that apply.

a)

Electrocardiogram

b)

Echocardiogram

c)

ECG/EKG

d)

TTE

39.

EKG waveform is recorded from electrical activity during depolarization & repolarization.

a)

True

b)

False

40.

_____________ is a period when electrical tracing of the EKG is at zero (or straight line) & no positive or negative deflections are depicted.

a)

Interval

b)

EKG waveform

c)

Segment

d)

Isoelectric line

41.

Which EKG waveform component is electrical ventricular systole?

a)

P wave

b)

QRS complex

c)

T wave

d)

None of the above

42.

Which EKG waveform component is electrical atrial systole?

a)

P wave

b)

QRS complex

c)

T wave

d)

None of the above

43.

Which EKG waveform component is electrical ventricular diastole?

a)

P wave

b)

QRS complex

c)

T wave

d)

None of the above

44.

__________ is a period of time between 2 activities within the heart.

a)

Segment

b)

Complex

c)

Interval

d)

Wave

45.

__________ is considered complete waveforms.

a)

Interval

b)

Complex

c)

Segment

d)

Wave

46.

__________ is a portion or part of an electrical tracing.

a)

Segment

b)

Complex

c)

Interval

d)

Wave

47.

Atrial depolarization (electrical trigger)

a)

P wave

b)

PR interval

c)

QRS complex

d)

T wave

48.

Ventricular repolarization (recovery)

a)

P wave

b)

QRS complex

c)

T wave

d)

ST segment

49.

Atrial response (mechanical contraction), AV delay, period of initiation of the impulse until ventricular stimulation, normal length 0.12-0.20 seconds.

a)

R - R interval

b)

PR interval

c)

ST segment

d)

QT interval

50.

Ventricular response (mechanical contraction)

a)

PR interval

b)

QRS complex

c)

ST segment

d)

QT interval

51.

Ventricular depolarization (electrical trigger), atrial repolarization (recovery), normal ventricular depolarization time 0.06-0.12 seconds.

a)

PR interval

b)

ST segment

c)

QT interval

d)

QRS complex

52.

Time required for ventricular depolarization & repolarization

a)

PR interval

b)

ST segment

c)

QT interval

d)

R - R interval

53.

Repolarization of the Purkinje fibers

a)

PR interval

b)

ST segment

c)

QT interval

d)

R - R interval

54.

Horizontal axis on EKG graph paper measures _______.

a)

amplitude

b)

voltage

c)

velocity

d)

time

55.

5 large grid blocks equals _______.

a)

0.04 seconds

b)

0.2 seconds

c)

1 second

d)

5 seconds

56.

1 large grid block equals ______.

a)

0.04 seconds

b)

0.2 seconds

c)

0.5 seconds

d)

1 second

57.

1 small block equals ______.

a)

0.04 seconds

b)

0.2 seconds

c)

0.4 seconds

d)

1 second

58.

The vertical axis on EKG paper measures ________.

a)

time

b)

seconds

c)

amplitute

d)

velocity

59.

Select the EKG measurement that correlates to the normal value. 3 to 5 large boxes.

a)

R - R interval

b)

QRS complex

c)

PR interval

d)

ST segment

60.

Select the EKG measurement that correlates to the normal value. < 3 small boxes (<0.12 seconds).

a)

R - R interval

b)

QRS complex

c)

PR interval

d)

None of the above

61.

Select the EKG measurement that correlates to the normal value. < 1 big box (< 0.2 seconds).

a)

R - R interval

b)

QRS complex

c)

PR interval

d)

QT interval

62.

3 second intervals = 15 large grid boxes

a)

True

b)

False

63.

______ second EKG strip is needed to calculate heart rate (HR).

a)

3

b)

5

c)

6

d)

10

64.

HR (bpm) = # QRS (in 6 sec.) x 10

a)

True

b)

False

65.

QRS complex farther apart equals _________ HR, and QRS complex closer together equals _________ HR.

a)

faster / slower

b)

slower / faster