Shared Flashcard Set

Details

Heart Sounds
Physiology Test 3 - Dr. Gompf
68
Physiology
Graduate
10/25/2011

Additional Physiology Flashcards

 


 

Cards

Term
In the generation of heart sounds, what occurs first?
Definition
electrical activation of the heart
Term
In the generation of heat sounds, what comes second?
Definition
heart contraction
Term
How does S1 differ from S2 in what you will hear?
Definition
louder, longer, lower pitched
Term

Which of these will not cause increased S1 intensity?

A. fat dog

B. thin dog

C. tachycardia

D. fear

E. fever

Definition
A
Term
Obesity, pericardial & pleural effusions, masses in the thorax, bradycardia, & under-filled ventricals (tachyarrythmias) can cause __
Definition
decreased intensity in S1
Term
Splitting of heart souonds does not occur when in horses?
Definition
active/excited/exercised
Term
S2 splitting occurs in what two anmals at rest most commonly?
Definition
people and horses
Term
Anything that causes increased pressure in the lungs (i.e. pulmonary hypertension, atrial septal defect, etc) can cause ___
Definition
splitting of S2
Term
Paradoxical splitting
Definition
delayed closure of aortic valve
Term
arrythmias and ___ can cause an absence in S2
Definition
murmurs
Term
S3 & S4 can be what in small animals?
Definition
Pathologic
Term
Can mean dialated ventricular chambers in a small animal if heard
Definition
S3
Term
Can mean dilated atria in a small animal if heard
Definition
S4
Term
The presence of S3/S4 when they normally should not be heard.
Definition
Gallop rhythem
Term
Protodiastolic gallop - S3 occurs when in dogs in cats
Definition
dilated cardiomyopathy
Term
Prsystolic gallop - S4 occurs with hypertrophic cardiomyopathy in __
Definition
cats
Term
T/F gallops do not wax and wane with respiration
Definition
F
Term
The critical Reynold's number
Definition
200,000
Term
Sound occurs __ and radiates with blood flow
Definition
downstream
Term
T/F anemia can cause a murmur
Definition
T
Term
If a murmur is heard in puppies must check for __ & __
Definition
low pcv & intestinal parasites
Term
Fever and hypothyroidism are what kind of murmur since they are not a structual problem?
Definition
physiologic
Term
Murmur of unknown cause
Definition
innocent
Term
Types of pathologic murmurs
Definition
stenosis, shunts, regurgitation
Term
90% of murmurs are __
Definition
systolic
Term
Murmurs are graded on a scale of 1-__
Definition
6
Term
What grade of murmur has a palpable thrill?
Definition
5
Term
What grade of murmur is loud but has no palpable thrill?
Definition
4
Term
Radiation
Definition
the other valve areas or thoracic inlet where the murmur can be heard but not as well
Term
Starts after S1 and ends before S2. Will increase with increased blood flow.
Definition
Systolic murmurs - midsystolic
Term
__ & pansystolic murmurs are due to flow of blood from a chamber whose pressure in systole is greater than in the recipient chamber or vessel.
Definition
Holosystolic
Term
__ systolic murmur starts with S1 and ends well before S2, decrescendo
Definition
Early
Term

Which of the following is not a cause of a systolic murmur as listed by Dr. Gompf?

A. leaky valves

B. fluid overload

C. Obstruction to flow

D. holes in the heart

Definition
B
Term
Early diastolic murmurs (decrescendo) is normal in ____
Definition
horses 2-3yrs of age
Term
leaky valves & stiff valves are causes of wha kind of murmurs?
Definition
diastolic
Term
True/False the loudness of the murmur doesn't give you the extent of the defect
Definition
True
Term
Continuous murmurs
Definition
start with S1 and countinue without interruption through S2 & into diastole
Term
Patent ductu arteriosis, arteriovenouos connectoin, arteriopulmonary windows, and disturbances flow in systemic or pulmonary arteries are all possible causes of __
Definition
Continuous murmurs
Term
Heard with congenital aortic stenosis, Tetralogy of Fallot
Definition
Aortic injection sound
Term
Ejection sounds (an additional heart sound) is heard most often in __
Definition
large animals
Term
Systolic clicks
Definition
high frequency sounds
Term

The cardiovascular system is responsible for maintaining:

A. normal systemis arterial blood pressures

B. Normal perfsion to the lungs & peripheral tissues

C. normal venous blood pressures

D.Normal systemis & pulmonary capillary pressures

E. all of the above

 

Definition
E
Term
cardiac output and stroke volume determine __
Definition
cardiac preformance
Term
Cardiac output = __ x stroke volume
Definition
heart rate
Term
the amount of blood ejected from the ventricle with each contraction
Definition
stroke volume
Term
SV = end diastolic volume - ___
Definition
end systolic volume
Term
Preload
Definition
the amount of blood returning to the heart
Term
afterload s inversley proportional to the __
Definition
preload
Term
Stroke volume is __ proportional to product contractility
Definition
directly
Term
Preload is the force acting to strech the ventricular fibers at the end of diastole, which determines __
Definition
length of the sarcomeres at the end of diastole
Term
Diastolic wall tension is determined by end diastolic ventricular pressure, chamber radious, & __
Definition
wall thickness
Term
the force the heart must overcome to contract and eject blood
Definition
afterload
Term
___ will increase preload and cardiac output
Definition
vasoconstriction
Term
Stroke volume increases with increases in preload up to ___ (Frank-Starling effect)
Definition
plateau level
Term
afterload isa result of ___
Definition
vascular resistance
Term

Increases in afterload will cause the heart to consume more __ & __

A. NADH & O2

B. ATP & lactic acid

C. ATP & O2

Definition
C
Term
Arterial blood pessure (ABP)
Definition
is a product of blood flow & vascular resistance
Term
What type of vasoconstriction can increase afterload, which will not be good for CO?
Definition
Sympathetic
Term
Contractility
Definition
(force & velocity of sarcomere cntraction) the ability of the heart to do work & is a property of the myocardial cells.
Term
increases in contractility will do what to stroke volume and CO?
Definition
will increase SV and CO
Term
Compliance
Definition
(pliability of the ventricles) influence by ventricular wall thickness & caracteristics of the wall. The ability of the heart to relax and refill.
Term
True/False The heart does not need energy to relax
Definition
False
Term
Hypertrophy & fibrosis will ___
Definition
decrease compliance and impede diastolic filling, thus reducing preload ( seend in DSH, Main Coone, & Ragdolls)
Term
Can indirectly affect compliance by restricting the expansion of the heart during diastolic filling
Definition
Pericardial disease
Term
What will increase with HR up to a plateau?
Definition
Cardiac output will increase
Term
Sympathetic nervous system will increase or decrease heart rate?
Definition
increase heart rate
Term
Synergy
Definition
the coordinated function of the atia & ventricles to optimize heart function
Term
Atral fibrulation can decrease ventricular filling by __
Definition
25%
Supporting users have an ad free experience!