Question 1
3 marksThe figure shows a vertical section through a human heart, seen from the front, with the tissues that conduct waves of electrical activity.
Give the letter of the structure that:
- starts each wave of electrical activity
- delays the wave of electrical activity before it passes to the ventricles
- carries the wave of electrical activity through the walls of the ventricles, from the apex upwards.
Model answer
Starts each wave: A (sinoatrial node, SAN)
Delays the wave: B (atrioventricular node, AVN)
Carries the wave through the ventricle walls from the apex upwards: D (Purkyne fibres)
Explanation
The SAN in the wall of the right atrium sets the rhythm; its wave of electrical activity spreads across the atria, which contract. The non-conducting tissue stops the wave reaching the ventricles directly, so it passes through the AVN, which delays it, then down the bundle of His (C) in the septum to the apex and up through the Purkyne fibres in the ventricle walls. Confusing the bundle of His with the Purkyne fibres in the walls is a common error.
Mark scheme
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1 mark
A
1 mark for each correct letter, in the order asked. If more than one letter is given for a structure, do not award that mark. If the answer names the structures instead of giving letters, credit a name only if it clearly matches the correct letter (sinoatrial node / SAN for A).
-
1 mark
B
B is the atrioventricular node (AVN). Accept AVN.
-
1 mark
D
D is the Purkyne fibres / Purkyne tissue in the ventricle walls. Accept Purkinje. Do not accept C (the bundle of His, which carries the wave down the septum to the apex).