Cardiovascular/Respiratory Flashcards
Learn cardiac anatomy and flow through the heart
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List the component and characteristics of each circuit of the vascular system
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Differentiate cardiac muscle from other types of muscle
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he pulmonary from the systemic circulation ????
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Name the structures of heart anatomy
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Define and contrast: endocardium, myocardium and pericardium
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Explain the structure and function of papillary muscles, chordae tendineae, interventricular septum
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Name the heart valves
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Explain the mechanism of valve opening and closure
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Trace the flow of blood through the entire cardiovascular system
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List and describe the three variables that determine the pump function of the heart
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Define and contrast systole and diastole
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Define and explain the concepts of “preload”, “afterload”, and “contractility”.
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Graph the relationship between end-diastolic volume and stroke volume
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Describe the relationship, mechanism, and importance of preload as it relates to contractility
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Define, explain, and illustrate “Starlings Law”
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Describe the hemodynamic relationship between preload and: venous return, venoconstriction, volume status, ventricular compliance, sympathetic ANS activity, contractility, myocardial stretch, stroke volume
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Define end-diastolic volume, end-systolic volume, stroke volume, ventricular filling
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Illustrate the relationship between: EDV, contractility, and cardiac output
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Define contractility and explain why it is important for cardiac output
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Define the terms inotropy, chronotropy, dromotropy, and lusitropy
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Explain the molecular mechanism of Beta-1 agonist causing increased inotropy.
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List two negative Inotropic effectors
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Define and calculate ejection fraction
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Memorize the normal EF and describe what it means clinically
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Explain the mechanism of digitalis
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Define afterload
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Graph the relationship of afterload to cardiac output.
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Explain the concept of afterload and describe its relationship to preload and contractility
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Explain the relationship of afterload to vascular resistance
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List 3 causes of high afterload
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Graph the preload against cardiac output with respect to the variables: heart rate, contractility, and afterload
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List the four major factors that contribute to cardiac output
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Memorize and explain the formula for calculating cardiac output (CO)
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Describe the effects of sympathetic, parasympathetic, venous return and EDV on CO
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Illustrate the mechanism that the ANS controls heart rate
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Describe the relationship between EDV, ESV, and SV
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Explain Fick’s Law for calculating CO
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Explain central venous pressure, how it develops, what it means, and how it is controlled.
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Explain the relationship between CVP and SV
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Define the four heart sounds
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Describe and illustrate the relationship of the following parameters during the cardiac cycle: systole and diastole; heart sounds; EKG tracing; ventricular volume; ventricular pressure; and valve closures (reproduce the events of the cardiac cycle)
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List and explain the phases within systole and diastole.
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Explain the physiological significance of atrial kick
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Describe the significance of pathological heart sounds (S3, S4)
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Reproduce the pressure volume loops of the cardiac cycle, explaining the phases of “isovolumetric” aspects
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Delineate the ANS innervation of the heart
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Diagram the pathway of electrical conduction thru the heart
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Illustrate and explain the phases of the EKG tracing with electrical activity in the heart and the mechanical activity
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Define “electro-mechanical” disassociation or (EMD). Why is this important?
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List the primary causes of EMD
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Describe the details of the 5 phases of ventricular myocyte action potential.
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Describe the details of the 3 phases of the pacemaker potential in the SA node
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List the mechanisms of the slope phase of SA node potential and the effects of ANS
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Reproduce Einthoven Triangle and explain the 3 primary leads (I,II,III)
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Explain the major vector of electrical activity, isoelectric, positive and negative
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Explain the 9 additional leads that comprise the 12-lead EKG
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Describe the physiological basis of each wave and interval on the EKG
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Explain the basic mechanisms of arrhythmia generation within the heart and specifically describe and pattern identify: sinus rhythm, atrial tachycardia, ventricular tachycardia, ventricular fibrillation, AV-block, and sick sinus syndrome
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Describe the structure and functional aspects of: arteries, arterioles, capillaries, venules, and veins
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Name the major “arteries” of the CV system (major branches of the aorta) and list what structures these arteries perfuse
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Describe the innervation of “arterioles”
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Contrast the 3 types of capillaries
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Define and discuss the equation for “blood flow velocity” explaining its relation to flow and cross sectional area
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Describe the relationship of blood flow to resistance and pressure differential
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Define and explain the contrast between absolute pressure and driving pressure
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Reproduce Poiseuille’s Equation
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Explain the variables that determine resistance to flow (R) and how these effect flow
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Contrast and compare “R” in series from “R” in parallel, giving examples of each in physiology
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Contrast and identify flow patterns at rest and in vigorous exercise
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Contrast laminar from turbulent flow and formulate physiological or pathological processes that would initiate these flow patterns
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Explain the mechanisms of blood flow regulation: local control and central control
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Summarize the following: myogenic mechanism, active and reactive hyperemia, autoregulation, ANS control
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