Cardiac Muscle

Descripción

Principles of Physiology and Pharmacology Test sobre Cardiac Muscle, creado por Charlotte Jakes el 16/12/2019.
Charlotte Jakes
Test por Charlotte Jakes, actualizado hace más de 1 año
Charlotte Jakes
Creado por Charlotte Jakes hace más de 4 años
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Resumen del Recurso

Pregunta 1

Pregunta
Label this image to show the structure of cardiac muscle.
Respuesta
  • Intercalated discs
  • Nucleus
  • Gap junction
  • Sarcomere
  • Desmosome
  • Gap junction

Pregunta 2

Pregunta
Label this diagram of a cardiac muscle fibre.
Respuesta
  • T-tubule
  • Sarcoplasmic reticulum
  • Diad
  • T-tubule
  • Mitochondrion
  • Sarcoplasmic reticulum
  • T-tubule
  • Sarcolemma

Pregunta 3

Pregunta
What organelle in a cardiac muscle fibre do the myofilaments bind to?
Respuesta
  • Sarcolemma
  • T tubules
  • Nucleus
  • Sarcoplasmic reticulum

Pregunta 4

Pregunta
T-tubules are organelles independent to the sarcolemma.
Respuesta
  • True
  • False

Pregunta 5

Pregunta
Where do T tubules occur?
Respuesta
  • At the Z disks
  • At the H zones
  • Along the I bands
  • Along the A bands

Pregunta 6

Pregunta
Why do the T-tubules and the sarcoplasmic reticulum form 'diads' in conjunction with one another?
Respuesta
  • To ensure excitation-contraction coupling
  • To transport proteins to the mitochondria quicker
  • To increase surface area for diffusion of oxygen
  • To form the intercalated discs

Pregunta 7

Pregunta
What name is given to the brick wall-like structure of the cardiac muscle whereby the myocytes fuse to share nuclei and sarcoplasm?
Respuesta
  • Syncitium
  • Giant multinucleate
  • Myofusion
  • Megamyocyte

Pregunta 8

Pregunta
Which comparison between skeletal and cardiac muscle is correct?
Respuesta
  • Cardiac muscle is branched whereas skeletal muscle is not
  • Skeletal muscle is branched whereas cardiac muscle is not
  • Skeletal muscle is striated whereas cardiac muscle is not
  • Cardiac myocytes fuse to share nuclei whereas skeletal myocytes do not

Pregunta 9

Pregunta
The cardiac action potential has the same graph plot as a nervous action potential.
Respuesta
  • True
  • False

Pregunta 10

Pregunta
During which phase of a cardiac action potential can another beat not be produced?
Respuesta
  • Absolute refractory period
  • Depolarisation phase
  • Repolarisation phase
  • Relative refractory period

Pregunta 11

Pregunta
It is impossible for the heart to produce another beat during the relative refractory period.
Respuesta
  • True
  • False

Pregunta 12

Pregunta
Why is it important that the cardiac muscle have a long refractory period in which another twitch cannot be generated?
Respuesta
  • Prevents tetany (constant contraction)
  • Saves energy for the next beat
  • Allows pressure to build in heart for greater expulsion of blood from the ventricles

Pregunta 13

Pregunta
Cardiac muscle requires an influx of calcium into the cytosol for contraction to occur.
Respuesta
  • True
  • False

Pregunta 14

Pregunta
T-tubules make the process of calcium movement more homogenous - they ensure calcium moves across the myocyte evenly to initiate even contraction.
Respuesta
  • True
  • False

Pregunta 15

Pregunta
Why do T-tubules ensure more rapid movement of calcium throughout the myocytes?
Respuesta
  • Relying on diffusion alone would be inefficient due to size of muscle cells
  • Peristaltic movements of T-tubules pushes Ca2+ solution along
  • Ca2+ solution moves down a pressure gradient produced by the T-tubules
  • Ca2+ is repelled by positive ions in the T-tubule walls

Pregunta 16

Pregunta
What name is given to Ca2+ channels on the sarcoplasmic reticulum which release Ca2+ into the cytosol?
Respuesta
  • Calcium release channels/ryanodine receptors
  • L-type calcium channels/DHP receptors
  • Voltage gated calcium ion channel proteins
  • G protein coupled receptors

Pregunta 17

Pregunta
The L-type calcium channels, also known as DHP receptors, are voltage-activated and are found on the T-tubules.
Respuesta
  • True
  • False

Pregunta 18

Pregunta
Fill in the blanks below to describe the process of calcium-induced calcium release which takes place in cardiac muscle. 1. Action potential arrives at [blank_start]L-type[blank_end] calcium channel in [blank_start]T-tubule[blank_end]. 2. Calcium channel opens and allows movement of calcium across the [blank_start]dyadic cleft[blank_end] - the gap between the T-tubular membrane and the terminal cisternae of the sarcoplasmic reticulum. 3. Calcium binds to [blank_start]ryanodine[blank_end] receptors on the sarcoplasmic reticulum, causing them to open. 4. Calcium moves out of sarcoplasmic reticulum and binds to muscle filaments to initiate [blank_start]contraction[blank_end].
Respuesta
  • L-type
  • T-tubule
  • dyadic cleft
  • ryanodine
  • contraction

Pregunta 19

Pregunta
What moves calcium from the sarcoplasm into the sarcoplasmic reticulum to refill its stores and relax the cardiac muscle?
Respuesta
  • Sarcoendoplasmic reticulum calcium ATPase (SRCA)
  • Ryanodine receptors
  • DHP receptors
  • Voltage-gated calcium ion channel proteins

Pregunta 20

Pregunta
What is required for the formation of actin-myosin crossbridges in striated muscle? Check all that apply.
Respuesta
  • Ca2+ ions
  • ATP
  • ADP
  • Inorganic phosphate
  • Na+

Pregunta 21

Pregunta
In the absence of ATP, what would occur in striated muscle?
Respuesta
  • Rigor mortis - myosin heads can't detach
  • inability to form cross-bridges
  • Inability to slide troponin along the actin to expose binding sites
  • Inability to initiate action potentials

Pregunta 22

Pregunta
Reduced calcium concentration reduces the tension of a striated muscle fibre.
Respuesta
  • True
  • False

Pregunta 23

Pregunta
Change in overlap of the myofilaments is the key factor in explaining the length-tension relationship in cardiac muscle.
Respuesta
  • True
  • False

Pregunta 24

Pregunta
Longer sarcomeres have greater myofilament overlap but they also have...
Respuesta
  • Greater calcium sensitivity
  • Less calcium sensitivity
  • More myofilaments themselves
  • A greater store of calcium in the SAR

Pregunta 25

Pregunta
The length-tension relationship of sarcomeres forms the cellular basis of the Frank-Starling law of the heart. The Frank law states that the peak [blank_start]systolic[blank_end] pressure of the heart is directly related to diastolic [blank_start]fibre length[blank_end]. The Starling law states that cardiac output is directly related to [blank_start]filling pressure[blank_end].
Respuesta
  • systolic
  • fibre length
  • filling pressure

Pregunta 26

Pregunta
Increasing the frequency of stimuli to the heart decreases the tension of the sarcomeres.
Respuesta
  • True
  • False

Pregunta 27

Pregunta
In a failing heart, [blank_start]SERCA[blank_end] is down-regulated and the Na+/Ca2+ [blank_start]exchanger[blank_end] is elevated. This means that there is [blank_start]more[blank_end] calcium extrusion between heartbeats and that there is [blank_start]less[blank_end] calcium cycling through the sarcoplasmic reticulum. This means that increasing frequency of stimuli [blank_start]decreases[blank_end] tension of the sarcomere.
Respuesta
  • SERCA
  • exchanger
  • more
  • less
  • decreases

Pregunta 28

Pregunta
This graph shows the cardiac action potential. Label it to show which ions are increasing/decreasing in the different phases and the different channels that open/close.
Respuesta
  • Na+
  • Ca2+
  • K+
  • Ca2+
  • Na+
  • K+
  • Ca2+

Pregunta 29

Pregunta
What is the calcium transient?
Respuesta
  • A brief elevation in sarcoplasmic Ca2+ following electrical activation of a cardiomyocyte
  • A brief depression in sarcoplasmic Ca2+ following electrical activation of a cardiomyocyte
  • The concentration of Ca2+ that enters the sarcoplasm from the sarcoplasmic reticulum
  • The concentration of Ca2+ that enters the sarcoplasmic reticulum from the sarcoplasm

Pregunta 30

Pregunta
Why can tetany occur in skeletal muscle as a result of multiple action potentials in quick succession?
Respuesta
  • Short refractory period
  • Long refractory period
  • No refractory period
  • Higher intracellular Ca2+ concentration

Pregunta 31

Pregunta
Fill in the blanks to describe depolarisation-induced calcium release in skeletal muscle. 1. The [blank_start]L-type[blank_end] calcium channel on the T-tubules is [blank_start]voltage[blank_end] sensitive. 2. The receptor detects a change in [blank_start]potential[blank_end] as the [blank_start]action potential[blank_end] passes. 3. The receptor 'pulls the plug' of [blank_start]calcium[blank_end] release channels in the [blank_start]sarcoplasmic reticulum[blank_end].
Respuesta
  • L-type
  • voltage
  • potential
  • action potential
  • calcium
  • sarcoplasmic reticulum

Pregunta 32

Pregunta
Why does calcium sensitivity increase tension?
Respuesta
  • More cross-bridges
  • Weaker power strokes
  • Fewer cross-bridges
  • More myofilament overlap

Pregunta 33

Pregunta
What is the Treppe/staircase effect?
Respuesta
  • Increasing the rate of cardiac contraction increases tension development
  • Increasing the rate of cardiac contraction decreases tension development
  • Action potentials will not produce another heartbeat during the absolute refractory period
  • The cardiomyocytes have a longer positive phase during their action potential due to calcium release
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