What principle of cardiac conduction is demonstrated when embryonic heart cells synchronize in a petri dish?
All cells contract independently unless stimulated by an external force.
The fastest cell controls the rhythm by spreading its impulse to slower cells.
Slower cells override faster cells to establish a uniform contraction rate.
The presence of electrical impulses forces all cells to contract at different rates.
The Correct Answer is B
A. All cells contract independently unless stimulated by an external force: Cardiac myocytes possess intrinsic automaticity, allowing them to generate action potentials spontaneously. However, when coupled electrically, they do not remain completely independent; they influence each other’s activity through gap junctions.
B. The fastest cell controls the rhythm by spreading its impulse to slower cells: In a network of electrically coupled cardiac cells, the cell with the highest intrinsic firing rate (typically pacemaker-like cells) sets the rhythm. Its action potential propagates through gap junctions to slower cells, synchronizing contractions across the tissue. This phenomenon demonstrates the principle of overdrive suppression and explains how the sinoatrial node establishes the dominant heart rate in vivo.
C. Slower cells override faster cells to establish a uniform contraction rate: Slower cells cannot override faster pacemaking cells because electrical impulses flow from faster to slower cells, not the reverse. Slower cells follow the rhythm set by the fastest pacemaker.
D. The presence of electrical impulses forces all cells to contract at different rates: Coupled cardiac cells do not maintain different contraction rates when electrically connected; instead, the fastest cell entrains the others, producing a synchronized contraction, which is essential for coordinated cardiac pumping.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. They detect changes in position and movement during physical activity: Proprioceptors are sensory receptors located in muscles, tendons, and joints that detect body position, stretch, and movement. During physical activity, they provide the cardiovascular control centers in the medulla oblongata with information about muscle activity. This contributes to increases in heart rate and cardiac output, helping to meet the metabolic demands of exercising tissues.
B. They monitor blood pressure in the arteries: Blood pressure is monitored by baroreceptors, not proprioceptors. Baroreceptors, located in the carotid sinus and aortic arch, detect changes in arterial wall stretch and send signals to the cardiovascular centers to adjust heart rate, stroke volume, and vascular tone accordingly.
C. They detect chemical changes in the blood: Chemoreceptors, such as those in the carotid and aortic bodies, sense changes in oxygen, carbon dioxide, and pH levels in the blood. They modulate heart rate and respiratory activity, but this is a separate mechanism from proprioceptor input.
D. They monitor heart rate directly: Heart rate is regulated by autonomic input from the sympathetic and parasympathetic nervous systems, influenced by sensory information from baroreceptors, chemoreceptors, and proprioceptors indirectly. Proprioceptors do not directly monitor the heart rate itself.
Correct Answer is F
Explanation
Correct answer: F.
A. Trabeculae carneae: These are irregular, muscular ridges lining the inner walls of the ventricles. They prevent suction during contraction, aid in ventricular contraction efficiency, and contribute to overall cardiac structural integrity.
B. Pulmonary semilunar valve: This valve is located between the right ventricle and pulmonary artery. It prevents backflow of blood into the ventricle during diastole and ensures unidirectional pulmonary circulation toward the lungs.
C. Papillary muscles: Papillary muscles are conical projections of ventricular myocardium that anchor chordae tendineae. During ventricular contraction, they contract to prevent inversion or prolapse of atrioventricular valves, ensuring proper unidirectional blood flow.
D. Pectinate muscles: Pectinate muscles are comb-like muscular ridges in the atrial walls, particularly prominent in the right atrium. They enhance atrial contraction, increasing blood flow into the ventricles efficiently during systole.
E. Chordae tendineae: These are thin, fibrous cords connecting atrioventricular valve leaflets to papillary muscles. They prevent valve prolapse during ventricular contraction, maintaining proper closure and unidirectional blood flow from atria to ventricles.
F. Right atrium: It is located on the superior right side of the heart and receives deoxygenated blood from the superior vena cava, inferior vena cava, and coronary sinus. It forms the right border of the heart. Physiologically, the right atrium functions as a receiving chamber that collects systemic venous blood and delivers it through the tricuspid valve into the right ventricle during atrial contraction.
G. Bicuspid valve: Also called the mitral valve, it is located between the left atrium and left ventricle. It prevents backflow into the atrium during ventricular contraction, ensuring efficient systemic circulation.
H. Fossa ovalis: This is a depression in the interatrial septum, the remnant of the fetal foramen ovale. It allowed blood to bypass the fetal lungs and normally closes after birth.
I. Left ventricle: The left ventricle pumps oxygenated blood into the aorta under high pressure. Its thick muscular wall enables strong contractions necessary to sustain systemic circulation throughout the body.
J. Interventricular septum: This thick muscular wall separates the left and right ventricles. It prevents mixing of oxygenated and deoxygenated blood and contributes to the contractile force of ventricular systole.
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