010-111 · Question #202
What is the order of "normal" electrical conduction of the heart?
The correct answer is A. SA Node, AV Node, Bundle of His, Bundle Branches, Purkinje Fibers. Normal cardiac electrical conduction follows a specific anatomical sequence originating at the SA node and terminating at the Purkinje fibers to coordinate ventricular contraction.
Question
What is the order of "normal" electrical conduction of the heart?
Options
- ASA Node, AV Node, Bundle of His, Bundle Branches, Purkinje Fibers
- BAV Node, SA Node, Bundle of His, Bundle Branches, Purkinje Fibers
- CAV Node, Bundle of His, Bundle Branches, Purkinje Fibers, SA Node
- DSA Node, AV Node, Bundle of His, Purkinje Fibers, Bundle Branches
How the community answered
(17 responses)- A82% (14)
- B6% (1)
- C12% (2)
Why each option
Normal cardiac electrical conduction follows a specific anatomical sequence originating at the SA node and terminating at the Purkinje fibers to coordinate ventricular contraction.
The SA node acts as the primary pacemaker and initiates each impulse, which then travels to the AV node where conduction is briefly delayed to allow atrial emptying. The impulse then passes through the Bundle of His, splits into the right and left bundle branches, and finally reaches the Purkinje fibers, which distribute the signal to the ventricular myocardium for coordinated contraction.
The AV node is not the origin of normal electrical conduction; the SA node initiates the impulse and the AV node receives it second.
This sequence incorrectly places the SA node last and reverses the relationship between the bundle branches and Purkinje fibers.
This sequence incorrectly places Purkinje fibers before the bundle branches; the bundle branches must first distribute the impulse to reach the Purkinje fibers.
Concept tested: Sequence of cardiac electrical conduction system
Source: https://www.ncbi.nlm.nih.gov/books/NBK537235/
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