A patient who suffers from severe disorder of water-salt metabolism experienced cardiac arrest in diastole. What is the most probable mechanism of cardiac arrest in diastole?
ECG of a patient shows prolongation of T-wave. This is caused by deceleration in ventricles of:
The minute blood volume in a patient with transplanted heart has increased as a result of physical activity. What regulative mechanism is responsible for these changes?
A 15-year-old teenager complains of lack of air, general weakness, palpitations. Heart rate is 130/min., BP is 100/60 mm Hg. ECG: QRS complex has normal shape and duration. The number of P waves and ventricular complexes is equal, T wave merges with P wave. What type of cardiac arrhythmia is observed in the teenager?
A patient has insufficient blood supply to the kidneys, which has caused the development of pressor effect due to constriction of arterial resistance vessels. This condition results from the vessels being strongly affected by the following substance:
In a healthy adult speed of the excitement conduction through the atrioventricular node is 0,02-0,05 m/sec. Atrioventricular delay enables:
A month after surgical constriction of rabbit's renal artery the considerable increase of systematic arterial pressure was observed. What of the following regulation mechanisms caused the animal's pressure change?
In course of an experiment a peripheral section of vagus of an expiremental animal is being stimulated. What changes will be observed?
A short-term physical load resulted in reflex increase of heart rate and systemic arterial pressure in a person. What receptor activation was the most contributory to inducing the pressor reflex?
Vagus branches that innervate heart are being stimulated during an experi- ment. This caused reduction of heart rate due to the intensification of the following process (through the cell membrane of cardiac pacemaker):
During ventricular systole, the cardiac muscle does not respond to additional stimulation because it is in the phase of:
n examination of the person it was revealed that minute volume of heart is 3500 mL, systolic volume is 50 mL. What is the frequency of cardiac contraction?
Introduction of a big dose of histamine to an experimental animal caused abrupt drop of arterial pressure as a result of:
A person has steady HR not exceeding 40 bpm. What is the pacemaker of the heart rhythm in this person?
Experimental stimulation of sympathetic nerve branches that innervate heart caused an increase in force of heart contractions because membrane of typical cardiomyocytes permitted an increase in:
A cardiac electric stimulator was implanted to a 75 year old man with heart rate of 40 bpm. Thereafter the heart rate rose up to 70 bpm. The electric stimulator has undertaken the function of the following heart part:
During the sports competition a boxer received a strong blow to the abdomen, which caused a knockout due to a brief drop in blood pressure. What physiological mechanisms are the cause of this condition?
Electrocardiogram analysis demonstrates that cardiac cycle of a human equals 1 second. It means that heart rate per minute equals:
patient complains of palpitations after stress. Pulse is 104/min., P-Q=0,12 seconds, there are no changes in QRS complex. What type of arrhythmia does the patient have?
Experimental stimulation of the sympathetic nerve branches that innervate the heart caused an increase in the force of heart contractions because the membrane of typical cardiomyocytes permitted an increase in:
During the fight, a man had a cardiac arrest due to the strong blow to the upper region of the anterior abdominal wall. Which of the following mechanisms has led to the cardiac arrest?
Examination of a man established that cardiac output equaled 3500 ml, systolic output - 50 ml. What is the man's heart rate pro minute?
A 49 year old woman spent a lot of time standing. As a result of it she got leg edema. What is the most likely cause of the edema?
The electrocardiogramme analysis demonstrated that the duration of man's heart cycle is 1sec. What is the heart rate per minute?
A 16-year-old girl fainted when she tried to quickly change her position from horisontal to vertical. What caused the loss of consciousness in the girl?
A patient is 44 years old. Laboratory examination of his blood revealed that content of proteins in plasma was 40 g/l. What influence will be exerted on the transcapillary water exchange?
Investigation of an isolated cardiac myocyte determined that it does not generate excitation impulses automatically, which means this cardiac myocyte was obtained from the following cardiac structure:
Electrocardiogram of a 45-year-old man showed absence of P-wave in all the leads. What part of the conducting system is blocked?
Short-term physical activity resulted in reflex amplification of heart rate and raise of systemic arterial pressure. What receptors activation was the main cause of pressor reflex realization?
Cardiac arrest occurred in a patient during a surgery of the small intestine. What regulatory mechamisms resulted in the cardiac arrest in this case?
A passenger of a fixed-run taxi has a sudden and expressed attack of tachycardia. A doctor travelling by the same taxi has managed to slow down his heart rate by pressing upon the eyeballs and thus causing the following reflex:
The patient’s ECG shows that in the second standard lead from the extremities the P waves are positive, their amplitude is 0,1 mV (norm is 0,05-0,25 mV), duration - 0,1 seconds (norm is 0,07-0,10 seconds). It can be concluded that the following process occurs normally in the cardiac atria:
After the trauma, the patient’s right n.vagus was damaged. Which violation of the cardiac activity is possible in this case?
Analysis of the ECG revealed the missing of several PQRST cycles. The remaining waves and complexes are not changed. Specify the type of arrhythmia:
A 49 y.o. woman consulted a doctor about heightened fatigue and dyspnea during physical activity. ECG: heart rate is 50/min, PQ is extended, QRS is unchanged, P wave quanity exceeds quantity of QRS complexes. What type of arrhythmia does the patient have?
Due to blood loss the circulating blood volume of a patient decreased. How will it affect the blood pressure in this patient?
A patient with constant headaches, pain in the occipital region, tinnitus, dizziness has been admitted to the cardiology department. Objectively: AP- 180/110 mm Hg, heart rate - 95/min. Radiographically, there is a stenosis of one of the renal arteries. Hypertensive condition in this patient has been caused by the activation of the following system:
Accelerated frequency of the heart rate and increased blood pressure were marked in the sportsman on the start before the competitions. Influence of what parts of the CNS can explain these changes?
During an experiment vagus branches that innervate heart are being stimulated. This has stopped conduction of excitement from the atria to the ventricles. The reason for it are electrophysical changes in the following structures:
During preparation of a patient to a heart surgery it was necessary to measure pressure in heart chambers. In one of them pressure varied from 0 mm Hg up to 120 mm Hg within one cardiac cycle. What heart chamber is it?
The calcium canals of cardiomyocytes have been blocked on an isolated rabbit’s heart. What changes in the heart’s activity can happen as a result?
In response to a change in body position from horizontal to vertical blood circulation system develops reflectory pressor reaction. Which of the following is its compulsory component?
While emotional excitement the heart rate in a 30-year-old person run up to 112 Bpm. What part of the conducting system of the heart caused it?
Person has stable HR, not more than 40 bpm. What is the pacemaker of the heart rhythm in this person?
The process of heart transplantation determined the viability of myocardial cells. The determination of what myocardium parameter is the most important?
In response to a change in body position from horizontal to vertical blood circulation system develops reflectory pressor reaction. Which of the following is its compulsory component?
ECG of a patient displays an abnormally long R wave (up to 0,18 s). This is caused by a decrease in the conduction velocity of the following heart structures:
ince a patient has had myocardial infarction, atria and ventricles contract independently from each other with a frequency of 60-70 and 35-40 per minute. Specify the type of heart block in this case:
A peripheral segment of vagus nerve on a dog's neck was being stimulated in course of an experiment. The following changes of cardiac activity could be meanwhile observed:
While preparing a patient to the operation the heart chambers’ pressure was measured. In one of them the pressure changed during one heart cycle from 0 to 120 mm Hg. What chamber of heart was it?
Blood minute volume of a 30 year old woman at rest is 5 l/m. What blood volume is pumped through the pulmonary vessels per minute?
On experiment on the dog the peripheral part of nervus vagus of the neck was irritated. What changes of the heart function would be observed?
A patient has extrasystole. ECG shows no P wave, QRS complex is deformed, there is a full compensatory pause. What extrasystoles are these?
Arterial pressure of a surgeon who performed a long operation rised up to 140/110 mm Hg. What changes of humoral regulation could have caused the rise of arterial pressure in this case?
A patient with hypertensic crisis has increased content of angiotensin II in blood. Angiotensin pressor effect is based on:
A peripheral segment of vagus nerve on a dog’s neck was being stimulated in course of an experiment. The following changes of cardiac activity could be meanwhile observed:
The speed of excitement conduction through the atrioventricular node in a healthy adult is 0,02-0,05 mps. What does artrioventricular delay supply?
A 45 year old patient was admitted to the cardiological department. ECG data: negative P wave overlaps QRS complex, diastolic interval is prolonged after extrasystole. What type of extrasystole is it?
Examination of an isolated cardiomyocyte revealed that it didn’t generate excitation impulses automatically. This cardiomyocyte was obtained from:
n isolated cell of human heart automatically generates excitation impulses with frequency 60 times pro minute. What structure does this cell belong to?
A 41-year-old man has a history of recurrent attacks of heartbeats (paroxysms), profuse sweating, headaches. Examination revealed hypertension, hyperglycemia, increased basal metabolic rate, and tachycardia. These clinical presentations are typical of the following adrenal pathology:
ECG study showed that the T -waves were positive in the standard extremity leads, their amplitude and duration were normal. The right conclusion would be that the following process runs normally in the heart ventricles:
An animal experiment is aimed at studying the cardiac cycle. All the heart valves are closed. What phase of the cycle is characterized by this status?
A patient has delayed conduction of excitement through the atrioventricular node. What changes of ECG will be observed
An aged man had raise of arterial pressure under a stress. It was caused by activation of:
An attack of tachycardia that occurred in a patient was stopped by pressing on his eyeballs. Which of the following reflexes underlies this phenomenon?
A 35-year-old male developed acute heart failure while running for a long time. What changes in the ionic composition can be observed in the cardiac muscle?
Patient’s systolic blood pressure is 90 mm Hg, diastolic - 70 mm Hg. Such blood pressure is caused by decrease of the following factor:
A hypertensive glucose solution was introduced to a patient. It will intensify water movement:
In an elderly person the change in heart force and vessels physical properties were detected; they can be clearly observed on graphic recording of carotid pulse waves. What method was applied?
A sportsman spontaneously held breath for 40 seconds, which resulted in an increase in heart rate and systemic arterial pressure. Changes of these indicators are due to activation of the following regulatory mechanisms:
Atria of an experimental animal were superdistended by blood that resulted in decreased reabsorption of Na+ and water in renal tubules. This can be explained by the influence of the following factor upon kidneys:
Heart rate of a man permanently equals 40 beats pro minute. What is the pacemaker?
The heart rate and the systemic arterial blood pressure of a man have increased due to voluntary respiratory delay for 40 c. Realisation of what regulation mechanism caused these changes?
Vagus branches that innervate heart are being stimulated in course of an experiment. As a result of it the excitement conduction from atria to the ventricles was brought to a stop. It is caused by electrophysical changes in the following structures:
As a result of a home injury, a patient suffered a significant blood loss, which led to a fall in blood pressure. Rapid blood pressure recovery after the blood loss is provided by the following hormones:
Electrocardiogram of a young man reveals deviation of his electrical axis ofheart to the left. This phenomenon can becaused by:
ECG of a patient with hyperfunction of thyroid gland showed heart hurry. It is indicated by depression of the following ECG element:
On examination of the person it was revealed that minute volume of heart is 3500mL, systolic volume is 50 mL. What is the frequency of cardiac contraction?
Processes of repolarisation are disturbed in ventricular myocardium in examined person. It will cause amplitude abnormalities of configuration and duration of the wave:
A 67-year-old man was delivered to the cardiology unit with complaints of periodical pain in the heart, dyspnea after even insignificant physical exertion, cyanosis, and edemas. ECG revealed additional contractions of the heart ventricles. Name this type of rhythm disturbance:
A 67-year-old patient complains of periodic heartache, dyspnea during light physical activities. ECG reveals extraordinary contractions of heart ventricles. Such arrhythmia is called:
A patient under test was subjected to a moderate physical stress. His minute blood volume amounted 10 l/min. What blood volume was pumped through his lung vessels every minute?
Systemic arterial pressure of an adult dropped from 120/70 to 90/50 mm Hg that led to reflectory vasoconstriction. The vasoconstriction will be maximal in the following organ:
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