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9700 · 8.3

The heart — practice questions

Practice and worked examples for 9700 The heart. Short previews only — attempt the full question in MarkScheme against the official scheme.

Worked example 1

Explain how the structure of the left ventricle differs from the right ventricle and relate this difference to their respective functions in the circulatory system.

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The left ventricle possesses a significantly thicker, more muscular wall compared to the right ventricle. This structural adaptation is critical for its function.

  • Left Ventricle Function: It must generate very high pressure (around 120 mmHg during systole) to pump oxygenated blood through the systemic circulation to the entire body, overcoming the high resistance of a vast network of arteries and arterioles.

  • Right Ventricle Function: It has a thinner, less muscular wall because its function is to pump deoxygenated blood only a short distance to the pulmonary circulation (the lungs) at a much lower pressure (around 25 mmHg during systole). This lower pressure is vital for two reasons:

    1. The pulmonary circuit has much lower resistance than the systemic circuit.
    2. A high pressure would damage the delicate capillary network in the lungs and could force fluid out of the capillaries into the alveoli, impairing gas exchange.

Worked example 2

A healthy adult at rest has a heart rate of 70 beats per minute and a stroke volume of 75 cm³ per beat. Calculate the cardiac output in dm³ per minute.

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To calculate the cardiac output, we use the formula:

Cardiac Output (CO) = Heart Rate (HR) × Stroke Volume (SV)

Step 1: Identify the given values and ensure consistent units.

  • Heart Rate (HR) = 70 beats/min
  • Stroke Volume (SV) = 75 cm³/beat

The question asks for the answer in dm³ per minute. We need to convert the stroke volume from cm³ to dm³. Since 1 dm=10 cm1 \text{ dm} = 10 \text{ cm}, then 1 dm3=(10 cm)3=1000 cm31 \text{ dm}^3 = (10 \text{ cm})^3 = 1000 \text{ cm}^3.

SV in dm3=75 cm31000 cm3/dm3=0.075 dm3/beat\text{SV in dm}^3 = \frac{75 \text{ cm}^3}{1000 \text{ cm}^3/\text{dm}^3} = 0.075 \text{ dm}^3/\text{beat}

Step 2: Apply the formula. Now substitute the values into the cardiac output formula:

CO=70 beats/min×0.075 dm3/beat\text{CO} = 70 \text{ beats/min} \times 0.075 \text{ dm}^3/\text{beat}

Step 3: Calculate the final answer.

CO=5.25 dm3/min\text{CO} = 5.25 \text{ dm}^3/\text{min}

Final Answer: The cardiac output is 5.25 dm³ per minute.