nerdexam
ACSM

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.

Exercise Leadership and Client Education

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)
  • A
    82% (14)
  • B
    6% (1)
  • C
    12% (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.

ASA Node, AV Node, Bundle of His, Bundle Branches, Purkinje FibersCorrect

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.

BAV Node, SA Node, Bundle of His, Bundle Branches, Purkinje Fibers

The AV node is not the origin of normal electrical conduction; the SA node initiates the impulse and the AV node receives it second.

CAV Node, Bundle of His, Bundle Branches, Purkinje Fibers, SA Node

This sequence incorrectly places the SA node last and reverses the relationship between the bundle branches and Purkinje fibers.

DSA Node, AV Node, Bundle of His, Purkinje Fibers, Bundle Branches

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/

Topics

#cardiac conduction system#SA node#AV node#Purkinje fibers

Community Discussion

No community discussion yet for this question.

Full 010-111 Practice