- The pericardium:
a. is a double layered membrane surrounding the heart
b. is a double layered membrane which lines the thoracic cavity
c. has an inner layer which is the same as the epicardium
d. a and c
e. b and c
- The aorta exists the:
- left atrium
- left ventricle
- right atrium
- right ventricle
- none of the above
- The _______ valve separates the left atrium from the left ventricle
- aortic semilunar
- pulmonic semilunar
- tricuspid
- bicuspid (mitral)
- none of the above
- A pacemaker is a cell which:
- depolarizes first
- is "leakiest" to sodium
- establishes the rate at which the heart will contract
- all of the above
- none of the above
- A heart murmur is due to:
- valves which close very tightly
- valves which do not close completely
- a heart wall which is to rigid
- a heart wall which is to distensible
- an inability to hear the heart clearly
- Cardiac output is equal to:
- heart rate divided by stroke volume
- heart rate times the filling time
- heart rate times the EDV
- heart rate times the ESV
- none of the above
- Heart rate is regulated by:
- the cardiac inhibitor center
- the cardiac accelerator center
- epinephrine
- the vagus nerve
- all of the above
- The End Diastolic Volume (EDV) for a given heart is 140 ml and the End Systolic Volume (ESV) is 60 ml. The stroke volume for that heart would be:
- 70 ml
- 80 ml
- 60 ml
- 50 ml
- none of the above
- After running a mile you would expect that stroke volume would probably:
- increase because ESV would have decreased
- increase because EDV has increased
- decreased because heart rate has decreased
- decreased because filling time decreases
- none of the above
- ESV may be decreased by:
- decreasing contractility
- increasing filling time
- increasing contractility
- increasing ESV
- none of the above
- The major factor in keeping the outputs of both the left and right ventricles equal is:
- equal EDV
- equal ESV
- Starling's law of the heart
- increased heart rate
- all of the above
- Fibrillation may be stopped by:
- propping the feet higher than the head
- injection of epinephrine
- passing a powerful electric current through the heart
- injections of normal saline followed by bicarbonate
- all of the above
- Arterioles differ from elastic arteries in that:
- they are much smaller in diameter
- they have much more smooth muscle and much less elastic tissue
- they carry blood away from the heart
- a and b
- a and c
- An increase in diameter if the lumen of an arteriole would be referred to as:
- vasoconstriction
- vasodilatation
- increased peripheral resistance
- increased blood pressure
- none of the above
- The structure of capillaries consists of:
- a tunica media only
- a tunica adventitia only
- a tunica intima only
- a single layer of smooth muscle cells
- none of the above
- The internal carotid arteries divide to form the:
- anterior cerebral arteries
- middle cerebral arteries
- posterior cerebral arteries
- a and b
- a and c
- A blockage of a cerebral artery would result in a (an):
- heart attack
- stroke
- fever
- tumor
- none of the above
- The pressure in an artery is 120mm Hg. The total resistance offered to flow in that artery is equal to 10mm Hg. The flow would be _______ unit per time.
- 120
- 110
- 1/12
- 12
- none of the above
- The pressure at the beginning of an artery is 120mm Hg and at the end of that artery it is down to 60mm. The other 60mm of pressure was lost:
- in keeping the artery from collapsing
- as heat to the environment
- in overcoming the resistance offered to blood flow by that artery
- in creating resistance to blood flow in that artery
- none of the above
- Pulse pressure is equal to:
- systolic pressure plus diastolic pressure
- systolic pressure divided by two
- systolic pressure multiplied by two
- systolic pressure minus diastolic pressure
- none of the above
- Increased cardiac output will usually result in:
- increased peripheral resistance
- decreased peripheral resistance
- change in peripheral resistance
- decreased blood pressure
- none of the above
- Venous pressure in the feet would be highest in:
- a reclining person
- a sitting person
- a standing person
- a person standing on his / her head
- any of the above
- The major froce responsible for returning blood to the heart is generated by:
- the pumping action of the heart
- siphon action
- pumping action of the skeletal muscle
- unknown
- none of the above
- The build up of rough places inside of arteries which can restrict flow is known as:
- arteriosclerosis
- atherosclerosis
- hypercholesterolonemia
- scarring
- thrombosus
- Shock is defined as:
- insufficient cardiac output
- decreased blood pressure
- a nervous disorder
- a severe fright
- none of the above
- Hypertension is hazardous to good health because:
- it causes people to be to excitable
- it decreases the work load on the heart
- it increases the work load on the heart
- it can lead to collapsed arteries
- all of the above
- A person standing perfectly still for an extended period of time might faint because of:
- reduced blood pressure to the head region
- pooling of blood in the legs
- reduced cardiac output
- reduced venous return
- all of the above
- Which of the following is a function of lymph system?
- return fluid to the circulation
- filtration and purification of tissue fluid
- production of lymphocytes
- all of the above
- none of the above
- Fluid leaves the capillary beds and moves into the tissue because
- hydrostatic pressure exceeds the osmotic pressure of the blood
- the capillaries are permeable to water and small molecules
- the osmotic pressure of the blood is greater than the hydrostatic pressure
- a and b
- all of the above
- When the normal pacemaker region of the heart is lost which of the following will occur?
- heart will beat arythmetically
- myocardium will immediately take over pacemaker function
- another portion of the conduction system will take over pacemaker function
- artira will contract 4 times for every ventricular contraction
- heart will stop beating
- Which of the following sequences is correct for the conduction of the contraction wave throughout the heart.
- AV node- SA node bundles of hiss-left and right bundles - purkinje fibers
- AV node- SA node bundle of hiss-purkinje fibers -left and right bundles
- SA node bundle of hiss-AV node left and right bundle purkinje fibers
- SA node atria AV node bundle of his left and right bundle purkinje fibers
- SA node atria AV node left and right bundles- bundle of hiss - purkinje finer
- The EKG represents
- the actual contraction of the heart
- the electrical changes which occur in the heart during the cardiac cycle
- the electrical changes which occur in the aorta during the cardiac cycle
- a and b
- and c
- The heart is considered a functional syncitium because
- the individual cells have no cell membranes separating them
- the resolute refractory period is very long
- the depolarization waves move across the heart musculature as if it were a single cell
- The depolarization wave moves from cell to cell in the same manner as it does in skeletal muscle
- all of the above
- Starling's law
- states that the heart pumps all of the blood which it receives
- states that with reference to the heart output equal input
- has as its physiological basis the fact that increasing the initial length of the muscle fibers results in increased force of contraction
- all of the above
- none of the above
- A coronary oculsion is:
- blockage in a coronary vessel
- often caused by a thrombosis
- a leading cause of "heart attacks"
- all of the above
- none of the above
- One of the major cause of both coronary oclusion and hypertension is
- increased sympathetic activity
- arteriosclerosis
- renal failure
- a and b
- b and c
- Angina pectoris is
- a pain felt in the center of the heart due to ischemia
- a pain generally referred to the chest surface and left arm due to cardiac ischemia
- a pain felt in the big toe due dilation of the metarterioles
- a weaking in the wall of the aorta
- none of the above
- During the cardiac cycle, the AV valves:
- open and close before the semilunar valves
- open and close after the semilunar valves
- open and close at the same time as do the semilunar valves
- open and close before the semilunar valves
- none of the above
- The aortic semilunar valve opens when
- the pressure in the left ventricle is greater than that of the right ventricle
- the pressure in the right ventricle is greater than that of the pulmonary artery
- the pressure in the left ventricle is greater than that in the aorta
- the pressure in the left ventricle is greater than that of left atrium
- the pressure in the left ventricle equals that of the left atria
- The first heart sound is due to
- opening of the AV valves
- closing of the AV valves
- opening of the semilunar valves
- closing of the semilunar valves
- leakage of the AV valves
- Arteries differ from veins in that
- veins lack the tunica itima
- veins lack the tunica media
- veins lack the tunica adventitia
- all of the above
- none of the above
- An increase in blood pressure would result in an _____ in activity of the barorectopers.
- increase
- decrease
- no change
- An increase in blood pressure would result in an ________ in activity of the vasomotor center.
- increase
- decrease
- no charge
- Shock refers to
- loss of blood pressure
- decrease in cardiac output
- a neurological "short circuit"
- a severe trauma
- none of the above
- The 2 major phases of cardiac activity are
- systole and contraction
- diastole and relaxation
- systole and diastole
- contraction and relaxation
- c and d
- The valves are prevented from swinging back into the atria during ventricular systole by:
- the chordae teninae
- the papillary muscles
- the semilunar valves
- a and b
- a and c
- Which of the following pathways is correct for a drop of blood in the capillaries of the small intestines to feed back tot he right side of the heart.
- splenic vein- hepatic vein- inf. cava
- spelinic vein- portal vein- inf. Cava
- splenic vein- inf. mesentenic- hepatic vein- inf cava
- sup. Mesenteric vein hepatic vein- inf cava
- sup. Mesenteric vein - portal vein- heptic vein - inf cava
- In the foetal circulation, blood is shunted by the pulmonary circulation into the systemic circulation by
- the ductus arteriosus
- the foramen ovale
- the ductus venosus
- all of the above
- a and b
- The 2 branches of the circulatory system are
- the systemic and lymphatic
- the pulmonary and lymphatic
- the systemic and pulmonary
- the systemic and coronary
- none of the above
- The 3 layers of the heart are
- epicardium, myocardium, endocardium
- epicardium, myocardium, theocardium
- myocardium, endocardium, mucocardium
- all of the above
- none of the above
- Oxygen rich blood is carried to the fetus from the placenta by
- the umbilical cord
- the ductus venosus
- the foremant ovale
- the ductus arteriosus
- none of the above
- The pulmonary circulation
- begins at the right heart and ends at the left heart side
- begins at the left heart side and ends at the right heart side
- begins at the right heart and ends at the right heart
- begins at the left heart and ends at the left heart
- one of the above
53. The heart muscles receives blood for its own use from
- the walls of the left ventricle
- the walls of the right ventricle
- the walls of the left atrium
- the walls of the right atrium
- the coronary circulation
54. Tentany and Summation are 2 phenomena which occurs in skeletal muscle but not in cardiac muscle because of the
- length of the absolute refractory period
- nature of the intercalated disks
- pericardial membranes
- conduction system
- all of the above
55. The heart beat probably results from:
- cells which spontaneously depolarize because they are leaky to potassium
- cells which spontaneously depolarize because they are leaky to calcium
- cells which spontaneously depolarize because they are leaky to sodium
- nervous stimulation from the sympathetic nerves
- nervous stimulation from the parasympathetic nerves
56. The correct pathway for a drop of blood on its passage through the heart beginning at the right atrium would be:
- RA-RN-aorta- lungs- pulmonary veins- La-Lv pulmonary artery
- RA-LN -aorta- lungs-pulmonary veins LA-LV aorta
- RA-LV- aorta- lungs- pulmonary veins LV-LA aorta
- RA-RV -pulmonary artery- lungs- pulmonary veins- LA-LV- aorta
- None of the above
57. An increase in peripheral resistance would result in
- a decease in blood pressure
- an increase in blood pressure
- no change in blood pressure
- a or b depending on whether standing or sitting
- none of the above
58. The lymphatic system functions to
- return tissue fluid to the circulation
- cleans the tissue fluid
- play a role in the immune response
- all of the above
- none of the above
59. A heart block is
- a blockage in the conductance system
- a major source of heart disorders
- usually reflected by 2, 4, or more beats of the atria for every ventricular bet (providing the block is at the AV node and is partial)
- all of the above
60. Generally, speaking, venous pressure is:
- less than arterial pressure
- greater than arterial pressure
- no different than arterial pressure
- higher in the morning than in the evening
- higher in the head than the feet
Bio2402: Anatomy & Physiology II - EXAM 2B
Choose the best answer.
- The systemic circuit of the circulation sends blood to the
- brain
- hand
- foot
- liver
- more than one is correct
- The heart is found in a space termed the
- peritoneum
- mediastinum
- pelvic cavity
- perithecium
- none of the above
- The pulmonary artery exits
- left atrium
- right atrium
- left ventricle
- right ventricle
- none of the above
- The pulmonary veins enter the
- left atrium
- right atrium
- left ventricle
- right ventricle
- none of the above
- The innermost layer of the heart is the
- epicardium
- myocardium
- endocardium
- visceral pericardium
- more than one is correct
- The tough fibrous layer of membrane forms the
- visceral pericardium
- parietal pericardium
- epicardium
- endocardium
- myocardium
- Beginning in the vena cava, the first valve that a drop of blood will pass through on its way through the heart will be the
- vena caval valve
- bicuspid valve
- pulmonic semilunar valve
- tricuspid valve
- aortic semilunar valve
- The valves that separate the ventricles from the two major arteries are the
- atrioventricular valves
- semilunar valves
- tricuspid valves
- mitral valves
- bicuspid valves
- Valves function in the heart to
- expedite the back flow of blood
- block blood flow from the atrium to the pulmonary veins
- block blood flow from the atrium to the vena cava
- prevent the back flow of valves
- more than one is correct
- The chordae tendineae are anchored to the
- papillary muscles
- atrial myocardium
- walls of the vena cava
- walls of the pulmonary veins
- more than one is correct
- The all or none principal as applied to the heart states
- the heart must receive a nerve impulse before contraction can occur
- the nerve impulse received by the heart varies in amplitude
- the contraction strength of the heart varies with the amplitude of the depolarization wave
- when the heart begins to contract completely or not at all
- none of the above
- The heart is considered to be a functional syncitum because
- action potentials cannot move from cell to cell
- action potentials can move only through the septal material
- action potentials can move across the heart as is it were a single cell.
- action potentials move across the myocardium as fi it were composed of many cells
- none of the above
- The connecting units which permits free movement of the depolarization wave across the intercalculated disks is (are) the
- desmosomes
- gap junctions
- tight junction
- brush junctions
- more than one of the above is correct
- Compared to skeletal muscle, the refractory period of cardiac muscle is
- slightly longer
- slightly shorter
- much longer
- much shorter
- about the same
- The initiation of the heart depolarization probably results from
- a slow inward leak of sodium
- a slow inward leak of potassium
- a slow inward leak of calcium
- a rapid outward flow of sodium
- more than one is correct
- The cell which first depolarizes in the heart is termed the
- early bird
- pacemaker
- hyperpolarized cell
- AV node
- Bundle of His
- The heart beat originates in the
- SA node
- AV node
- Left bundle
- Purkingee fiber
- STP node
- The last conducting elements of the cardiac conducting system are (is) the
- right bundle
- left bundle
- center bundle
- Purkingee fibers
- AV node
- If the normal pacemaker of the heart is lost, the ______ will take over next.
- bundle of His
- SA node
- AV node
- Left bundle
- Right bundle
- The P wave of a typical EKG represents the
- depolarization of the ventricles
- repolarization of the atria
- repolarization of the ventricles
- depolarization of the atria
- none of the above
- The depolarization of the ventricles is represented by the
- P wave
- T wave
- P - T wave
- QRS wave
- None of the above
- Which of the following can be determined from an EKG?
- heart rate
- heart rhythmically
- presence of ischemia
- presence of scar tissue
- more than one is correct
- The AV valves close when the pressure in the
- atria exceeds that of the ventricles
- ventricles exceeds that of the atria
- aorta exceeds that of the pulmonary artery
- atria exceeds that of the vena cava
- none of the above
- When the aortic pressure exceeds that of the left ventricle, the
- AV valve close
- AV valves open
- Semilunar valves open
- Semilunar valves close
- None of the above
- The first heart sound is due to the
- closing of the semilunar valves
- opening of the semilunar valves
- closing of the AV valves
- opening of the AV valves
- more than one is correct
- The total volume of blood pumped per minute per ventricle best defines
- stroke volume
- stroke rate
- cardiac output
- cardiac cycle
- none of the above
- Sympathetic stimulation of the heart results in
- decreased heart rate
- decreased stroke volume
- increased heart rate
- slow down of pacemaker activity
- none of the above
- The stroke volume may be increased by
- parasympathetic stimulation
- decreased levels of norepinephrine
- increased levels of epinephrine
- decreased levels of sympathetic stimulation
- more than one is correct
- All tings being equal, an increase in venous return will cause an increase in
- cardiac output
- EDV
- Stroke volume
- Heart rate
- More than one is correct
- The major factor in decreasing ESV is
- increased contractility
- decreased contractility
- Marey's law
- Starling's law
- The Peter principle
- The EDV is 150 and the ESV is 75. Heart rate is 80 BPM. Cardiac output will be
- 5000 ml
- 3000 ml
- 5500ml
- 6000 ml
- none of the above
- The maintenance of proper balance in terms of volume output between the 2 sides of the heart is a function of
- Marey's law
- Starling's Law
- Thielengerde's law
- Dolland's law
- Krivanik's law
- The circunflex artery is derived from the
- right coronary artery
- left coronary artery
- anterior intervenricular artery
- coronary sinus
- none of the above
- Parial blockage of a coronary artery results in
- angina pectoris
- heart murmur
- 3:1 blocks
- PVC
- Ectopic focus
- The loss of rhythmic contraction by the heart that frequently follows a heart attack is known as
- ectopic focus
- PVC
- Fibrillation
- Defibrillation
- Angina pectoris
- The sequence of blood in the body usually follows the sequence
- artery, vennule, capillary
- artery-capillary-vein
- artery-capillary-artery-capillary vein
- artery-sinus-capillary-vein
- capillary-artery-vein
- Which of the following lacks a tunica intima?
- elastic arteries
- muscular arteries
- arterioles
- capillaries
- none of the above
- The vessel type which has a tunica media made up of smooth muscle exclusively is the
- muscular artery
- elastic artery
- arteriole
- vein
- capillary
- An increase in the diameter for the lumen (opening) of a blood vessel would be termed
- vasoconstriction
- vasodilatation
- vasomodulation
- vasomotor
- none of the above
- Metarterioles connect
- arteries to sinuses
- arterioles to vennules
- sinuses to veins
- capillaries to veins
- none of the above
- Flow into the capillary bed is controlled by the
- vennule
- metarteriole
- precapillary sphincter
- postcapillary sphincter
- elastic arteries
- Which of the following does not contribute to the hepatic portal system
- superior mesenteric vein
- superior mesenteric artery
- inferior mesenteric vein
- splenic vein
- hepatic portal vein
- The basilar artery is formed from
- the fusion of the common carotids
- the fusion of the internal carotids
- the fusion of the vertebral arteries
- the fusion of the posterior communication arteries
- none of the above
- Blood is shunted from the pulmonary artery to the aorta in the fetus by the
- foramen ovale
- ductus arteriosus
- ductus venosus
- ligamentum arteriosus
- more than one of the above is correct
- Blood flows faster in the aorta that in the capillaries because
- the capillaries are smaller in diameter than the aorta
- the aorta is larger in diameter than the capillaries
- resistance to flow is greater in the aorta
- resistance to flow is greater in the capillaries
- the total cross sectional area of the capillaries exceeds that of the aorta
- In order for flow to occur
- pressure must exceed resistance
- resistance must exceed pressure
- flow rate must be greater that both pressure and resistance
- resistance divided by pressure must always exceed 1
- more than one of the above is correct
- Mean arterial pressure is equal to
- cardiac output divided by resistance
- cardiac output plus resistance
- cardiac output minus resistance
- cardiac output times resistance
- none of the above
- The resistance offered to blood flow by a vessel may be increased by
- increasing the diameter of the vessel
- decreasing the diameter of the vessel
- vasodilation
- decreasing the length of the vessel
- more than one of the above is correct
- Which of the following is usually the larger number?
- systolic pressure
- diastolic pressure
- mean arterial pressure
- pulse pressure
- none of the above
- Of the following factor known to affect blood pressure, which is the most important in maintaining diastolic pressure?
- blood volume
- cardiac output
- elasticity
- viscosity
- gravity
- An increase in blood pressure will cause
- a decrease in baroreceptor activity
- an increase in vasomotor activity
- vasoconstriction
- a decrease in cardiac, accelerator activity
- more than one of the above is correct
- An increase in vasomotor activity causes
- an increase in peripheral resistance
- vasoconstriction
- an increase in blood pressure
- decreased vasodilation
- more than one of the above is correct
- An increase in peripheral resistance will result in
- decreased blood pressure
- increased baroreceptor activity
- increased vasomotor activity
- increased cardiac accelerator activity
- none of the above is correct
- Increased baroreceptor activity
- decreases vasomotor activity
- increases cardiac inhibitory center activity
- decreases cardiac accelerator center activity
- decreases peripheral resistance
- more than one of the above is correct
- Angiotensin causes
- increased water and salt retention
- increased vasoconstriction
- increased blood pressure
- increased blood flow
- more than one of the above is correct
- Local control of blood flow results from
- vasomotor activity
- the Angiotensin system
- reduced baroreceptor activity
- tissue control of arteriole diameter
- more than one of the above is correct
- Venous pressure is greater in the feet of a standing person that in their should because of
- increased vasomotor activity
- increased Angiotensin levels
- increased peripheral resistance in the feet
- gravity acting on the column of blood
- more than one of the above is correct
- Blood returns to the heart by means of
- siphon action
- milking action of the skeletal muscles
- changes in thoracic pressure
- body motion
- more than one of the above is correct
- Fainting will result whenever
- a person becomes overly tired
- a person stands in one position for too long
- a severe shock occurs
- blood pressure in the brain is too low for adequate perfusion
- blood flow to the brain is much greater than is requires for normal activity
- Under normal conditions, approximately ___ of the blood volume is found in the systemic arteries.
- 64%
- 15%
- 7%
- 5%
- 9%
- At the capillaries, fluid moves from the blood to the tissues when,
- hydrostatic pressure is less than osmotic pressure
- hydrostatic pressure is greater than osmotic pressure
- hyfrostatic pressure equals osmotic pressure
- capillary permeablitlty increases above normal
- capillary permeability decreases to below normal
- Tissue fluid is drawn back into capillary when
a. the osmotic pressure becomes less than the hydrostatic pressure
- osmotic pressure exceeds hydrostatic pressure
- capillary permeability is less than that of the lymphatics
- capillary permeability is greater than that of the lymphatics
- none of the above
- The lymphatic system begins with
- lymphatic arteries
- lymphatic veins
- lymphatic organs
- lymph nodes
- lymphatic capillaries
- A major function of the lymphatic system is
- generation of erythrocytes
- generation of granulocytes
- filtration of tissue fluid
- production of complement
- none of the above
- Which of the following systolic pressures would be considered hypertensive?
- 110
- 120
- 130
- 140
- 150
- Hypertension due to unknown causes is termed?
- renal
- essential
- crypto
- necessary
- unknown
- Which of the following are associated with atherosclerosis?
- outgrowth of smooth muscle
- elevated cholesterol levels in the plasma
- occlusion of arteries
- heart attacks
- more than on eof the above is correct
- Reduced cardiac output best describes
- edema
- atherosclerosis
- arteriosclerosis
- shock
- none of the above
- A dramatic reduction in plamsa proteins can result in
- atherosclerosis
- arteriosclerosis
- edema
- heartbreak of psoriasis
- more than one is correct
- Regular aerobic exercise results in
- increased cardiac output
- increased stroke volume
- decreased blood pressure
- increased cardiac efficiency
- more than one is correct
- According to Marey's law, when heart rate is high
- blood pressure will be high
- blood pressure will be low
- blood pressure will not be affected
- pulse pressure will be weak
- the pulse will be slow
- Echocardiography utilizes
- X-rays
- Electrical pickups
- Position emission
- Ultrasound
- None of the above
- Which of the following is s risk factor of heart disease?
- high plamsa cholesterol
- cigarette smoking
- obesity
- lack of exercise
- more than one is correct
- Which of the following arteries can be used to check the pulse?
- temporal
- facial
- brachial
- popiteal
- more than one is correct
- Which of the following is not associated with aging?
- loss of extensibility
- reduction in cardiac muscle cell size
- reduced cardiac output
- increase in coronary artery disease
- increase in cardiac muscle cell strength