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DOH EMT Paramedic (DOH-EMTParamedic) Practice Tests & Test Prep by Exam Edge - Free Test


Our free DOH EMT Paramedic (DOH-EMTParamedic) Practice Test was created by experienced educators who designed them to align with the official Department of Health (DOH) Abu Dhabi content guidelines. They were built to accurately mirror the real exam's structure, coverage of topics, difficulty, and types of questions.

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DOH EMT Paramedic - Free Test Sample Questions

Under normal conditions the chief pacemaker of the heart is which of the following?





Correct Answer:
sinoatrial node
under normal physiological conditions, the sinoatrial (sa) node is recognized as the chief pacemaker of the heart. this is due to the inherent properties of the cells within the sa node that allow it to reach the threshold for depolarization more rapidly than other potential pacemaker cells found in the heart.

the sa node is located in the right atrium of the heart, near the entrance of the superior vena cava. this strategic position allows it to effectively coordinate the heart's electrical activity, initiating each heartbeat and setting the pace for the entire heart. the electrical impulses generated by the sa node are transmitted through the atria, causing them to contract and propel blood into the ventricles.

if the sa node did not function at its normal rapid rate, other areas of the heart, such as the atrioventricular (av) node or the purkinje fibers, might assume the role of the pacemaker. however, these secondary pacemakers typically have a slower firing rate compared to the sa node. the inherent rapid firing rate of the sa node usually ensures that it dominates over these slower pacemakers, thus maintaining a consistent and optimal heart rate.

the dominance of the sa node is vital for coordinated cardiac function and effective blood circulation throughout the body. the synchronized contraction of the heart muscles, which depends on the timely initiation of electrical impulses by the sa node, is crucial for maintaining blood pressure and delivering oxygen and nutrients to tissues.

in summary, the sinoatrial node’s ability to reach depolarization threshold quickly, its strategic anatomical location, and its faster inherent pacemaking capability make it the primary pacemaker of the heart under normal conditions. these factors ensure that it overrides other slower pacemakers, thereby sustaining the rhythmic and efficient pumping action of the heart essential for healthy physiological function.