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NREMT-P - Cardiovascular
Cardiology
30
Medical
Professional
10/02/2007

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Term
The innermost lining of the peripheral blood vessels is the:
Definition
is called the tunica intima. It is one layer thick allowing rapid diffusion of blood gasses to and from the tissue.
Term
Blood from the coronary veins empties into the:
Definition
they drain into the right atrium.
Term
Which valves are open during systole?
Definition
The aortic and pulmonic valves are open during systole - allowing the heart to eject blood into the aorta and pulmonary artery.
Term
The muscular layer of the peripheral blood vessel is called the:
Definition
Is called the tunica media, consisting of elastic fibers and muscule tissue. Allowing for strength and recoil to compensate for the change in pressures.
Term
Poiseuille's law states that blood flow through a vessel is most dependent on the:
Definition
diameter of the vessel. It is directly proportional to the fourth power of the vessel's diamter. Meaning slight increase in diameter, large increase in flow.
Term
Poiseuille's law states that blood flow through a vessel is most dependent on the:
Definition
diameter of the vessel. It is directly proportional to the fourth power of the vessel's diamter. Meaning slight increase in diameter, large increase in flow.
Term
Up to a point, the greater the preload the greater the...
Definition
contractile force. According to Starlings law, the greater the preload the greater the contractile force.
Term
What is another name for preload?
Definition
End Diastolic Volume
Term
What is preload dependent upon?
Definition
Venous Return
Term
The sympathetic nervous system innervates the heart via which receptors?
Definition
Beta 1 - these receptors cause a change in rate, force of contraction and conductivity.
Term
What is the primary parasympathetic nerve that innervates the heart?
Definition
The vagus nerve, or cranial nerve X - responsible for regulating its resting rate. 
Term
Inotropy has to do with what in the heart?
Definition
Contractile force.
Term
What structures in cardiac tissue are designed to speed conduction from one muscle fiber to the next?
Definition
Intercalated discks connect the fibers, and they're also responsible for transmitting the electrical impulses from one fiber to the next. 
Term
What is a syncytium?
Definition
A group of muscle tissue that functions as one unit physiologically.
Term

How does a ventricular syncytium function, and why does it function this way?

Definition
It occurs from a inferior to a superior direction in order to push blood into the aorta the the pulmonary arteries. 
Term
What is a resting potential?
Definition
It is the normal state of a cell where pumps actively transport sodium out of the cell, causing the interior of a cell to be more negative then the outside. 
Term
What are the lead placements for the following according to Einthoven's Triange?

Lead I
Lead II
Lead III
Definition
  • Lead I - Left Arm Positive, Right Arm Negative
  • Lead II - Left Leg Positive, Right Arm Negative
  • Lead III - Left Leg Positive, Left Arm Negative
Term
On ECG strip paper, two large boxes in the vertical direction signifies what?
Definition
1 mV of amplitude.
Term

What does a T Wave represent in an ECG?

Definition
It represents ventricular repolarization.
Term
What is significant of the absolute refractory period?
Definition
It is a segment of time when the heart can not depolarize.
Term
What is the triplicate method?
Definition
The distance between the interval based on the number of boxes between them.  The number of boxes corresponds to the following rates: 300, 150, 100, 75, 60 and 50.  This is an estimate.
Term
What is the normal P-R Interval?
Definition
0.12 to 0.20 seconds
Term
What is the normal QRS complex interval?
Definition
0.04 to 0.12 seconds.
Term
What class of drug is Procardia XL, and what is another name for it?
Definition
It is a calcium channel blocker.

It is also called Nifedipine.
Term
What is the difference between left sided heart failure, and right sided heart failure?
Definition
Left sided heart failure is usually associated with the left ventricle.  When the left ventricle is no longer an effecient pump, flow is backed up into the pulmonary veins thus caushed edema in the lungs.  This leads to rales in the lungs, and shortness of breath.

Right sided heart failure is usually associated with the right atrium.  When the right atrium no longer acts as a pump, flow is backed up into the peripheral circulation causing peripheral edema.  This leads to swollen ankles, wrists and maybe even JVD. 
Term
Define Cor Pulmonale
Definition
Cor Pulmonale is the abnormal enlargement of the right ventricle usually due to some disease in the lungs.
Term
What class of drug is Cardizem and what is another name for it?
Definition
It is a calcium channel blocker, and it is also called Diltiazem.
Term
What is a probable cause of SVT?
Definition

It is caused by increased automaticity of a single atrial focus or by reentry phenomena at the AV node.

Term
For a patient with V-tach wiith a pulse, who is hemodynamically unstable, what is the imimediate treatment?
Definition
Immediate Synchronized Cardioversion
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