"Heart as a Pump" Quiz

This is an online quiz covering facts and concepts relating to the mechanical function of the heart. After you mark your choice for each question, you will be provided feedback regarding why your choice was correct or incorrect. At the end of the quiz, you can determine your total score. The questions are similar to those that will appear on this year's exam. Your score is not recorded or stored anywhere, and you can take the quiz as many times as you like.

The first set of questions deals with the the events during each of the phases or periods of the normal cardiac cycle. Please use the Wiggers diagrams below showing systemic arterial, left ventricular, and left atrial pressures to answer the questions. In some cases, more than one letter may be circled to achieve the correct answer.

Q1. period(s) of the cardiac cycle when ALL FOUR CARDIAC VALVES ARE CLOSED




(Select one or more answers)

(a) period a
(b) period b
(c) period c
(d) period e
(e) period f

   



Q2. period(s) when THE SEMILUNAR VALVES ARE OPEN




(Select one or more answers)

(a) period a
(b) period b
(c) period c
(d) period d
(e) period e

   



Q3. period(s) during which EJECTION VELOCITY IS HIGHEST




(Select one or more answers)

(a) period a
(b) period b
(c) period c
(d) period d
(e) period e

   



Q4. period(s) during which BLOOD IS FLOWING INTO THE RIGHT AND LEFT ATRIA




(Select one or more answers)

(a) periods b, c, and d
(b) periods e, f, g, and a
(c) periods c and d
(d) periods e, f, and g

       



Q5. periods comprising systole




(Select one or more answers)

(a) period a
(b) period b
(c) period c
(d) period d
(e) period e

   



Q6. period during which the VENTRICLES ARE FILLING MOST RAPIDLY




(Select one or more answers)

(a) period d
(b) period e
(c) period f
(d) period g
(e) period a

   



For the following set of questions dealing with the concepts of preload and afterload, please indicate whether the description refers to preload only, afterload only, both preload and afterload, or neither preload nor afterload.

Q7. determined in part by arterial blood pressure

(Select one answer)

(a) preload only
(b) afterload only
(c) both preload and afterload
(d) neither preload nor afterload

       



Q8. can be described using the Law of LaPlace

(Select one answer)

(a) preload only
(b) afterload only
(c) both preload and afterload
(d) neither preload nor afterload

       



Q9. can be described as all of the factors that determined myocardial wall tension at the end of diastole

(Select one answer)

(a) preload only
(b) afterload only
(c) both preload and afterload
(d) neither preload nor afterload

       



Q10. increased in a patient with increased end-diastolic volume and pressure

(Select one answer)

(a) preload only
(b) afterload only
(c) both preload and afterload
(d) neither preload nor afterload

       



Q11. The pattern of ventricular remodeling seen in the image below is most likely the result of a chronic increase in which of the following?




(Select one answer)

(a) preload
(b) afterload
(c) both preload and afterload
(d) neither preload nor afterload

   



The diagram below contains five sets of tracings, labeled "A". "B", "C", "D", and "E". Each set consists of aortic, ventricular, and atrial pressures and each represents the pattern of pressures that would occur in a normal heart or in a heart with a particular valvular disorder. For clarity, the ventricular pressure is colored red in the first cardiac cycle of each set of tracings. Use this diagram to answer the next three questions.




Q12. Which set of tracings in the figure above represents the pattern of pressures that would occur in aortic stenosis?

(Select one answer)

(a) tracing A
(b) tracing B
(c) tracing C
(d) tracing D
(e) tracing E

       



Q13. Which set of tracings in the figure above represents the pattern of pressures that would be seen in mitral regurgitation?

(Select one answer)

(a) tracing A
(b) tracing B
(c) tracing C
(d) tracing D
(e) tracing E

       



Q14. Which set of tracings in the figure above represents the pattern of pressures that would be seen in aortic regurgitation?

(Select one answer)

(a) tracing A
(b) tracing B
(c) tracing C
(d) tracing D
(e) tracing E

       




Click to view your total score for all the above questions that you have attempted.



Copyright © 2002 James M. Norton, Ph.D. All rights reserved. Last modified: 5 Mar 2002 21:10
Authored in CALnet