Skip to Main ContentReview Questions
1. Which of the following is not important in preventing backflow of blood?
2. Which valve separates the left atrium from the left ventricle?
3. Which of the following lists the valves in the order through which the blood flows from the vena cava through the heart?
4. Which chamber initially receives blood from the systemic circuit?
5. The ________ layer secretes chemicals that help to regulate ionic environments and strength of contraction and serve as powerful vasoconstrictors.
6. The myocardium would be the thickest in the ________.
7. In which septum is it normal to find openings in the adult?
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1. Describe how the valves keep the blood moving in one direction.
Solution: When the ventricles contract and pressure begins to rise in the ventricles, there is an initial tendency for blood to flow back (regurgitate) to the atria. However, the papillary muscles also contract, placing tension on the chordae tendineae and holding the atrioventricular valves (tricuspid and mitral) in place to prevent the valves from prolapsing and being forced back into the atria. The semilunar valves (pulmonary and aortic) lack chordae tendineae and papillary muscles, but do not face the same pressure gradients as do the atrioventricular valves. As the ventricles relax and pressure drops within the ventricles, there is a tendency for the blood to flow backward. However, the valves, consisting of reinforced endothelium and connective tissue, fill with blood and seal off the opening preventing the return of blood.
2. Why is the pressure in the pulmonary circulation lower than in the systemic circulation?
Solution: The pulmonary circuit consists of blood flowing to and from the lungs, whereas the systemic circuit carries blood to and from the entire body. The systemic circuit is far more extensive, consisting of far more vessels and offers much greater resistance to the flow of blood, so the heart must generate a higher pressure to overcome this resistance. This can be seen in the thickness of the myocardium in the ventricles.
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