12 STUDY GUIDE 1. Structure of the Heart a. Write the correct labels in the spaces at the right. 1) ____________________________________________ Aorta 2) ____________________________________________ Superior vena cava 3) ____________________________________________ Rt. pulmonary veins 1 2 4) ____________________________________________ Aortic semilunar valve 5) ____________________________________________ Right atrium 9 6) ____________________________________________ Tricuspid valve 10 7) ____________________________________________ Chordae tendineae 11 8) ____________________________________________ Inferior vena cava 9) ____________________________________________ Left pulmonary artery 12 13 14 3 10) ____________________________________________ Pulmonary trunk 11) ____________________________________________ Left pulmonary veins 12) ____________________________________________ Left atrium 4 13) ____________________________________________ Pulmonary semilunar valve 15 5 14) ____________________________________________ Mitral (bicuspid) valve 15) ____________________________________________ Left ventricle 16 6 16) ____________________________________________ Papillary muscle 7 17) ____________________________________________ Ventricular septum 17 8 18) ____________________________________________ Right ventricle 18 b. Write the answers that match the statements in the spaces at the right. 1) Receives blood from venae cavae. ____________________________________________ Right atrium 2) Receives blood from pulmonary veins. ____________________________________________ Left atrium 3) Separates ventricles. ____________________________________________ Ventricular septum 4) Prevents backflow of blood from right ventricle into right atrium. ____________________________________________ Tricuspid valve 5) Prevents backflow of blood from left ventricle into left atrium. ____________________________________________ Bicuspid valve 6) Prevents backflow of blood from aorta into left ventricle. ____________________________________________ Aortic semilunar valve 7) Prevents backflow of blood from pulmonary trunk into right ventricle. ____________________________________________ Pulmonary semilunar valve 8) Restrain cusps of A-V valves. ____________________________________________ Chordae tendineae 9) Pumps blood into pulmonary trunk. ____________________________________________ Right ventricle 10) Pumps blood into aorta. ____________________________________________ Left ventricle 107 2. Cardiac Cycle Write the answers that match the statements in the spaces at the right. 1) Contraction phase of the ventricles. ____________________________________________ Ventricular systole 2) Relaxation phase of the ventricles. ____________________________________________ Ventricular diastole 3) Valves closing to produce first heart sound. ____________________________________________ AV valves 4) Valves closing to produce second heart sound. ____________________________________________ Semilunar valves ____________________________________________ 5) Valves open during ventricular systole. Semilunar valves ____________________________________________ 6) Valves closed during ventricular systole. AV valves ____________________________________________ 7) Valves open during ventricular diastole. AV valves ____________________________________________ 8) Valves closed during ventricular diastole. Semilunar valves 3. Heart Conduction System and Electrocardiogram Write the answers that match the statements in the spaces at the right. 1) Small fibers carrying impulses to myocardium. ____________________________________________ Purkinje fibers 2) Pacemaker of the heart. ____________________________________________ S-A node 3) Thick fibers extending from A-V node. ____________________________________________ A-V bundle ____________________________________________ 4) Transmits impulses to atria and A-V node. S-A node 5) Transmits impulses to A-V bundle. ____________________________________________ A-V node 6) Wave caused by depolarization of ventricles. ____________________________________________ QRS wave ____________________________________________ 7) Wave caused by repolarization of ventricles. T wave 8) Wave caused by depolarization of atria. ____________________________________________ P wave 4. Regulation of Heart Rate a. Write the answers that match the statements in the spaces at the right. 1) Autonomic center controlling heart rate. ____________________________________________ Cardiac control center 2) ANS division whose impulses increase heart rate. ____________________________________________ Sympathetic 3) ANS division whose impulses decrease heart rate. ____________________________________________ Parasympathetic 4) Gender with faster heart rate. ____________________________________________ Female 5) Nerve carrying parasympathetic fibers to the heart. ____________________________________________ Vagus nerve b. Match the effect on heart rate with the factors listed. 2) Decreases 3) No effect 1) Increases 1 Epinephrine 2 Excess K _____ _____ 2 Old age 2 Acetylcholine _____ _____ 1 Fever 1 Anxiety _____ _____ 2 Physical conditioning 3 Increase in blood pressure _____ _____ 2 Insufficient Ca _____ 1 Excitement _____ 1 Thyroxine _____ 1 Norepinephrine _____ 5. Types of Blood Vessels Write the answers that match the statements in the spaces at the right. 1) Composed of endothelium only. ____________________________________________ Capillaries 2) Vessels with thickest walls. ____________________________________________ Arteries 3) Vessels with valves. ____________________________________________ Veins 4) Carry blood from capillaries to heart. ____________________________________________ Veins 5) Carry blood from heart to capillaries. ____________________________________________ Arteries ____________________________________________ 6) Vessels exchanging materials with tissues. Capillaries Capillaries ____________________________________________ 7) Smallest and most numerous vessels. 108 6. Blood Flow and Blood Pressure a. Write the answers that match the statements in the spaces at the right. ____________________________________________ Aorta ____________________________________________ Capillaries 1) Systemic vessel with fastest blood flow. 2) Vessels with slowest blood flow. 3) Systemic vessel with greatest blood pressure. 4) Primary force moving blood. ____________________________________________ Aorta ____________________________________________ Blood pressure 5) Two additional forces that help return venous ____________________________________________ Skeletal muscle contractions ____________________________________________ Respiratory movements blood to the heart. 6) Normal systolic blood pressure. ____________________________________________ 120 10 mm Hg ____________________________________________ 80 10 mm Hg 7) Normal diastolic blood pressure. 8) Autonomic center controlling diameter of blood vessels. 9) Systolic pressure minus diastolic pressure. ____________________________________________ Vasomotor center ____________________________________________ Pulse pressure 10) Effect on precapillary sphincters by a local decrease in oxygen and pH. ____________________________________________ Dilation (open) 11) Effect on precapillary sphincters by sympathetic impulses. ____________________________________________ Vasoconstriction b. Indicate whether the following conditions cause an increase () or decrease () in blood pressure. An increase in peripheral resistance. _____ A marked decrease in blood volume. _____ A decrease in cardiac output. _____ _____ Dilation of a great many arterioles. _____ A significant increase in plasma proteins. _____ Sympathetic impulses to arterioles. _____ Constriction of most arterioles. _____ An increase in heart rate. 7. Circulation Pathways Trace the pathway of blood from a ventricle of the heart to the organ indicated and back to an atrium of the heart. Write the names of the correct heart chambers, arteries, and veins in the blanks. 1) Right little finger. → ___________________________ → Left ventricle → ___________________________ Aorta a. Brachiocephalic a. ____________________________________ → ____________________________________→ Rt. Subclavian a. Rt. Axillary a. → ____________________________________ → right little finger ____________________________________ Rt. Brachial a. Rt. Ulnar a. → ____________________________________ → ____________________________________ → Rt. Basilic v. Rt. Axillary v. → _________________________________ → __________________________ _________________________________ Rt. Subclavian v. Superior vena cava Rt. Brachiocephalic v. → ____________________________________ atrium. Right 2) Small intestine. → __________________________________ ___________________ ventricle → ________________________________ Left Aorta a. Superior mesenteric a. → small intestine → ____________________________________ → Superior mesenteric v. liver → ____________________________________ → ____________________________________→ Hepatic portal v. Hepatic v. right atrium. ____________________________________→ Inferior vena cava 109 8. Systemic Arteries Label the figure by writing the names of the numbered arteries in the spaces. Subclavian 1) ___________________________ Axillary 2) ___________________________ Brachial 3) ___________________________ Arteries of the head and trunk 14 Radial 4) ___________________________ Ulnar 5) ___________________________ 15 External iliac 6) ___________________________ Deep femoral 7) ___________________________ Arteries of the upper limb Femoral 8) ___________________________ Popliteal 9) ___________________________ 1 Anterior tibial 10) ___________________________ Posterior tibial 11) ___________________________ 19 20 21 2 22 23 3 Internal carotid 14) ___________________________ External carotid 15) ___________________________ Aortic arch 18) ___________________________ Pulmonary trunk 19) ___________________________ 24 25 26 4 27 5 28 Left coronary 20) ___________________________ Right coronary 21) ___________________________ 29 30 Thoracic aorta 22) ___________________________ Splenic 23) ___________________________ Celiac trunk 24) ___________________________ Renal 25) ___________________________ Superior mesenteric 26) ___________________________ Abdominal aorta 27) ___________________________ 17 18 Fibular 12) ___________________________ Dorsal pedis 13) ___________________________ Left common carotid 16) ___________________________ Brachiocephalic 17) ___________________________ 16 Arteries of the lower limb 6 Interior mesenteric 28) ___________________________ Common iliac 29) ___________________________ 7 8 Internal iliac 30) ___________________________ 9 10 11 12 13 110 9. Systemic Veins Label the figure by writing the names of the numbered veins in the spaces. 1) ___________________________ Subclavian 2) ___________________________ Cephalic Veins of the head and trunk 3) ___________________________ Axillary 4) ___________________________ Basilic 5) ___________________________ Median cubital 6) ___________________________ External iliac 7) ___________________________ Femoral Veins of the upper limb 13 14 1 15 8) ___________________________ Great saphenous 2 9) ___________________________ Popliteal 3 16 17 18 10) ___________________________ Posterior tibial 11) ___________________________ Anterior tibial 12) ___________________________ Small saphenous 13) ___________________________ Internal jugular 19 20 21 4 22 14) ___________________________ External jugular 23 24 15) ___________________________ Left brachiocephalic 25 16) ___________________________ Superior vena cava 17) ___________________________ Right pulmonary 18) ___________________________ Grat cardiac 19) ___________________________ Small cardiac 5 Veins of the lower limb 26 6 27 20) ___________________________ Inferior vena cava 21) ___________________________ Hepatic 22) ___________________________ Splenic 23) ___________________________ Hepatic portal 24) ___________________________ Superior mesenteric 25) ___________________________ Inferior mesenteric 7 8 26) ___________________________ Left common iliac 9 27) ___________________________ Internal iliac 10 11 12 111 10. Disorders of the Heart and Blood Vessels Write the disorders described by the statements in the spaces at the right. 1) Unusual heart sounds. ____________________________________________ Heart murmur 2) Hardening of the arteries. ____________________________________________ Arteriosclerosis 3) Death of a portion of the myocardium. ____________________________________________ Myocardial infarction 4) Abnormal heart rhythm. ____________________________________________ Arrhythmia 5) Inflammation of a vein. ____________________________________________ Phlebitis 6) Chronic high blood pressure. ____________________________________________ Hypertension 7) Swollen veins due to defective valves. ____________________________________________ Varicose veins 8) Balloonlike enlargement of blood vessel. ____________________________________________ Aneurysm 9) Fatty deposits in walls of arteries. ____________________________________________ Atherosclerosis 10) Edema of lungs, viscera, legs, and feet. ____________________________________________ Congestive heart failure 11. Clinical Applications a. A 60-year-old man complains of chest pain during moderate exercise. The pain goes away after he rests for a while. What is the likely cause of the pain? ____________________________________________ A partially blocked coronary artery. Without treatment, what complications may arise? ______________________________________________ He may have a heart attack. _____________________________________________________________________________________________ b. An accident victim has lost considerable blood. His blood pressure is only slightly below normal, and his pulse rate is elevated. How is the body compensating for the loss of blood? _____________________ The lost blood has been _____________________________________________________________________________________________ replaced by the reserve blood supply in the spleen. _____________________________________________________________________________________________ c. A patient has a blood clot in the right femoral vein. If a part of the clot should break loose, where is it likely to lodge? _______________________________________________________________________________ In a pulmonary artery. Would this be a serious complication? _________________________________________________ Explain. Yes _____________________________________________________________________________________________ If blood flow to the lungs is mostly blocked, oxygenation of blood is drastically reduced which may cause _____________________________________________________________________________________________ death. _____________________________________________________________________________________________ _____________________________________________________________________________________________ 112