Cardiac Muscle

Description

Principles of Physiology and Pharmacology Quiz on Cardiac Muscle, created by Charlotte Jakes on 16/12/2019.
Charlotte Jakes
Quiz by Charlotte Jakes, updated more than 1 year ago
Charlotte Jakes
Created by Charlotte Jakes over 4 years ago
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Resource summary

Question 1

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

Question 2

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

Question 3

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

Question 4

Question
T-tubules are organelles independent to the sarcolemma.
Answer
  • True
  • False

Question 5

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

Question 6

Question
Why do the T-tubules and the sarcoplasmic reticulum form 'diads' in conjunction with one another?
Answer
  • 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

Question 7

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

Question 8

Question
Which comparison between skeletal and cardiac muscle is correct?
Answer
  • 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

Question 9

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

Question 10

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

Question 11

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

Question 12

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

Question 13

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

Question 14

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

Question 15

Question
Why do T-tubules ensure more rapid movement of calcium throughout the myocytes?
Answer
  • 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

Question 16

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

Question 17

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

Question 18

Question
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].
Answer
  • L-type
  • T-tubule
  • dyadic cleft
  • ryanodine
  • contraction

Question 19

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

Question 20

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

Question 21

Question
In the absence of ATP, what would occur in striated muscle?
Answer
  • 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

Question 22

Question
Reduced calcium concentration reduces the tension of a striated muscle fibre.
Answer
  • True
  • False

Question 23

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

Question 24

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

Question 25

Question
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].
Answer
  • systolic
  • fibre length
  • filling pressure

Question 26

Question
Increasing the frequency of stimuli to the heart decreases the tension of the sarcomeres.
Answer
  • True
  • False

Question 27

Question
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.
Answer
  • SERCA
  • exchanger
  • more
  • less
  • decreases

Question 28

Question
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.
Answer
  • Na+
  • Ca2+
  • K+
  • Ca2+
  • Na+
  • K+
  • Ca2+

Question 29

Question
What is the calcium transient?
Answer
  • 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

Question 30

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

Question 31

Question
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].
Answer
  • L-type
  • voltage
  • potential
  • action potential
  • calcium
  • sarcoplasmic reticulum

Question 32

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

Question 33

Question
What is the Treppe/staircase effect?
Answer
  • 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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