Final Exam Flashcards
The _________blank secretes a hormone that increases the body’s metabolic rate, promotes alertness, quickens reflexes, and stimulates the fetal nervous system.
thyroid gland
pancreas
adrenal gland
parathyroid gland
thymus
Thyroid gland
A female’s first pregnancy is normal but her second pregnancy results in hemolytic disease of the newborn (HDN). The second child needed a transfusion to completely replace the agglutinating blood. The mother is most likely type _________blank and both children are most likely _________blank.
A, Rh-negative; B, Rh-positive
A, Rh-positive; B, Rh-negative
O, Rh-negative; AB, Rh-negative
AB, Rh-positive; O, Rh-negative
AB, Rh-positive; O, Rh-positive
A, Rh-negative; B, Rh-positive
_________blank are secreted by one cell into the tissue fluid, diffuse to nearby cells in the same tissue, and stimulate their physiology.
Neurotransmitters
Neuromodulators
Hormones
Parahormones
Paracrines
Paracrines
The _________blank valve regulates the flow of blood between the right ventricle and the vessels leading to the lungs.
right atrioventricular
left atrioventricular
aortic
pulmonary
mitral
pulmonary
Which of the following is the correct abbreviation for the hormone that stimulates the anterior pituitary to secrete ACTH?
CRH
GHRH
GHIH
APRH
TRH
CRH
The _________blank performs the work of the heart.
fibrous skeleton
pericardial cavity
endocardium
myocardium
epicardium
myocardium
What are the least abundant of the formed elements?
Platelets
Basophils
Erythrocytes
Neutrophils
Eosinophils
Basophils
What type of shock occurs when bacterial toxins trigger vasodilation and increase capillary permeability?
Compensated
Anaphylactic
Neurogenic
Cardiogenic
Septic
Septic
Which of the following is not true of a patient with anemia?
Multiple Choice
Their blood viscosity is increased.
They are lethargic.
Their blood osmolarity is reduced.
Their resistance to blood flow is reduced.
More fluid transfers from their bloodstream into their intercellular spaces.
Their blood viscosity is increased.
Which of the following is not normally found in plasma?
Multiple Choice
Glycogen
Fibrinogen
Glucose
Urea
Albumin
Glycogen
Which of the following might be injected into a patient who is prone to forming blood clots and therefore at risk of a heart attack or stroke?
Multiple Choice
Thromboplastin
Fibrinogen
Fibrin
Heparin
Factor X
Heparin
Which of the following would not decrease the blood colloid osmotic pressure (COP)?
Multiple Choice
Severe liver failure
A diet predominantly based on red meat
Starvation
An extremely low-protein diet
Hypoproteinemia
A diet predominantly based on red meat
A nurse takes your blood pressure and tells you the numbers are 110/70. What are your blood pressures?
Systolic = 110 mmHg, Diastolic = 70 mmHg, Pulse Pressure = 40 mmHg, MAP = 83 mmMg
Systolic = 110 mmHg, Diastolic = 70 mmHg, Pulse Pressure = 40 mmHg, MAP = 90 mmMg
Diastolic = 110 mmHg, Systolic = 70 mmHg, Pulse Pressure = 40 mmHg, MAP = 107 mmMg
Diastolic = 110 mmHg, Systolic = 70 mmHg, Pulse Pressure = 40 mmHg, MAP = 90 mmMg
Diastolic = 110 mmHg, Systolic = 40 mmHg, Pulse Pressure = 70 mmHg, MAP = 90 mmMg
Systolic = 110 mmHg, Diastolic = 70 mmHg, Pulse Pressure = 40 mmHg, MAP = 83 mmMg
Atrial systole begins _________blank.
Multiple Choice
immediately before the P wave
During the P wave.
during the Q wave
during the S-T segment
immediately after the T wave
During the P wave.
hich of the following are powerful vasoconstrictors?
Multiple Choice
Norepinephrine and antidiuretic hormone (ADH)
Norepinephrine and natriuretic peptides
Norepinephrine and angiotensin II
Epinephrine and aldosterone
Epinephrine and antidiuretic hormone (ADH)
Norepinephrine and angiotensin II
When the left ventricle contracts, the _________blank valve closes and the _________blank valve is pushed open.
Multiple Choice
mitral; pulmonary
right AV; pulmonary
right AV; aortic
mitral; aortic
aortic; pulmonary
mitral; aortic
Which of the following is not a characteristic of diabetes mellitus?
Multiple Choice
Hypoglycemia
Polyuria
Polyphagia
Polydipsia
Glycosuria
Hypoglycemia
The plateau in the action potential of cardiac muscle results from the action
Multiple Choice
Na+ Inflow
K+ inflow
K+ outflow
fast Ca2+ channels
slow Ca2+ channels
Slow Ca2+ channels
The _________blank is the pacemaker that initiates each heart beat.
Multiple Choice
sympathetic division of the nervous system
autonomic nervous system
sinuatrial (SA) node
atrioventricular (AV) node
cardiac conduction system
Sinuatrial (SA) node
Why are pregnant Rh- females given an injection of Rh immune globulin?
Multiple Choice
Antibodies in the injection bind fetal RBC antigens so they cannot stimulate her immune system to produce anti-D antibodies.
Antibodies in the injection bind fetal RBC antigens so they cannot stimulate her immune system to produce anti-A and anti-B antibodies.
Antibodies in the injection bind fetal RBC antigens so they cannot stimulate her immune system to produce anti-A antibodies.
Antibodies in the injection bind fetal RBC antigens so they cannot stimulate her immune system to produce anti-O antibodies.
Antibodies in the injection bind fetal RBC antigens so they cannot stimulate her immune system to produce anti-B antibodies.
Antibodies in the injection bind fetal RBC antigens so they cannot stimulate her immune system to produce anti-D antibodies.
What is the mean arterial pressure for a person with 110 and 65 mm Hg as systolic and diastolic pressure, respectively?
Multiple Choice
45 mm Hg
80 mm Hg
87.5 mm Hg
90 mm Hg
175 mm Hg
80 mm Hg
Which of the following is most likely to cause anemia?
Multiple Choice
High altitude
Air pollution other than by carbon monoxide
Renal disease
Smoking
Any factor that creates a state of hypoxemia
Renal disease
Which of the following would decrease the velocity of blood flow?
Multiple Choice
Increased viscosity
Increased blood pressure
Increased vessel radius
Increased afterload
Decreased vasomotion
Increased viscosity
In people who stand for long periods, blood tends to pool in the lower limbs and this may result in varicose veins. What causes the varicose veins?
Multiple Choice
An aneurysm or weak point in an artery
An aneurysm or weak point in a vein
Failure of the venous valves
Failure of the lymphatic valves
A ruptured aneurysm in a vein
Failure of the venous valves
Which is the correct sequence of events of the cardiac cycle?
Multiple Choice
Ventricular filling → isovolumetric contraction → isovolumetric relaxation → ventricular ejection
Ventricular filling → isovolumetric relaxation → isovolumetric contraction → ventricular ejection
Ventricular filling → ventricular ejection → isovolumetric contraction → isovolumetric relaxation
Ventricular filling → isovolumetric relaxation → ventricular ejection → isovolumetric contraction
Ventricular filling → isovolumetric contraction → ventricular ejection → isovolumetric relaxation
Ventricular filling → isovolumetric contraction → ventricular ejection → isovolumetric relaxation
The _________blank secretes growth hormone, which is also known as somatotropin.
Multiple Choice
posterior pituitary
anterior pituitary
hypothalamus
thyroid
thymus
Anterior pituitary
he _________blank secrete(s) a hormone as a response to hypocalcemia.
Multiple Choice
thymus
thyroid gland
parathyroid glands
pineal gland
pituitary gland
parathyroid glands
Which is the correct path of an electrical excitation from the pacemaker to a cardiomyocyte in the left ventricle (LV)?
Multiple Choice
Sinuatrial (SA) node → atrioventricular (AV) bundle → atrioventricular (AV) node → subendocardial branches → cardiomyocyte in LV
Atrioventricular (AV) node → subendocardial branches → atrioventricular (AV) bundle → sinuatrial (SA) node → cardiomyocyte in LV
Atrioventricular (AV) node → sinuatrial (SA) node → atrioventricular (AV) bundle → subendocardial branches → cardiomyocyte in LV
Sinuatrial (SA) node → atrioventricular (AV) node → atrioventricular (AV) bundle → subendocardial branches → cardiomyocyte in LV
Sinuatrial (SA) node → atrioventricular (AV) node → subendocardial branches → atrioventricular (AV) bundle → cardiomyocyte in LV
Sinuatrial (SA) node → atrioventricular (AV) node → atrioventricular (AV) bundle → subendocardial branches → cardiomyocyte in LV
Hypertension is commonly considered to be a chronic resting blood pressure higher than __________blank.
Multiple Choice
180/90
190/80
120/70
130/80
200/90
130/80
Which of the following is not a steroid hormone?
Multiple Choice
Insulin
Cortisol
Progesterone
Aldosterone
Estradiol
Insulin
Antidiuretic hormone (ADH) targets the _________blank.
Multiple Choice
kidneys
adrenal gland
anterior pituitary
hypothalamus
pancreas
Kidneys
Erythrocytes transport oxygen and _________blank.
Multiple Choice
defend the body against pathogens
initiate blood clotting
regulate erythropoiesis
transport nutrients
transport some carbon dioxide
transport some carbon dioxide
During the exhaustion stage of the general adaptation syndrome (stress response), stress overwhelms homeostasis. One characteristic of this stage is that _________blank.
Multiple Choice
glycogen supplies are depleted
energy demands are met primarily by fat metabolism
fermentation is not enough to provide the necessary ATP
energy demands are met primarily by protein metabolism
energy demands are met primarily by carbohydrate metabolism
energy demands are met primarily by protein metabolism
Diabetes insipidus is caused by _________blank.
Multiple Choice
epinephrine hypersecretion
cortisol hypersecretion
aldosterone hypersecretion
antidiuretic hormone (ADH) hyposecretion
antidiuretic hormone (ADH) hypersecretion
antidiuretic hormone (ADH) hyposecretion
A person with type A blood can safely donate RBCs to someone of type _________blank and can receive RBCs from someone of type _________blank.
Multiple Choice
O; AB
AB; O
A; B
B; A
O; O
AB; O
A person with type AB blood has _________blank RBC antigen(s).
Multiple Choice
no
anti-A and anti-B
anti-A
anti-B
A and B
A and B
Which of the following is not an endocrine organ?
Multiple Choice
Spleen
Pineal gland
Thymus
Neurohypophysis
Testis
Spleen
Opening and closing of the heart valves is caused by _________blank.
Multiple Choice
breathing
gravity
valves contracting and relaxing
osmotic gradients
pressure gradients
pressure gradients
Which of the following does not lead to edema?
Multiple Choice
Obstruction of lymphatic vessels
Liver disease
Famine
Hyperproteinemia
Hypertension
Hyperproteinemia
The hypothalamo-hypophyseal portal system connects the hypothalamus to the _________blank.
Multiple Choice
neurohypophysis
pineal gland
cerebral cortex
adenohypophysis
thalamus
adenohypophysis
In a normal ECG, the deflection that is generated by ventricular repolarization is called the _________blank.
Multiple Choice
R wave
QRS wave
P wave
S wave
T wave
T wave
The resistance stage in the general adaptation syndrome (stress response) is dominated by _________blank.
Multiple Choice
cortisol
epinephrine
norepinephrine
angiotensin
aldosterone
cortisol
Which circuit carries blood from the right ventricle to the lungs for gas exchange and returns it to the left atrium of the heart?
Multiple Choice
Pulmonary
Systemic
Coronary
Fetal
Lymphatic
Pulmonary
Which of the following has the most important effect on blood velocity?
Multiple Choice
Blood viscosity
Vessel radius
Blood osmolarity
Hematocrit
Vessel length
Vessel radius
Which of the following is the last step in the sequence of events happening when cyclic AMP acts as a second messenger?
Multiple Choice
G protein activates adenylate cyclase
cAMP activates protein kinases
Adenylate cyclase produces cAMP
G protein is activated by the binding of a hormone to the receptor
Enzymes are activated or deactivated by the action of protein kinases
Enzymes are activated or deactivated by the action of protein kinases
Where in the body are hemopoietic stem cells found?
Multiple Choice
Yellow bone marrow
Thymus
Red bone marrow
Spleen
Liver
Red bone marrow
What is the function of antidiuretic hormone?
Multiple Choice
It causes the release of hormones from the adrenal cortex.
It acts on the hypothalamus to decrease appetite.
It causes smooth muscle contraction in the female reproductive tract.
It causes vasodilation.
It increases water retention from renal tubules.
It increases water retention from renal tubules.
When the aortic semilunar valve closes and blood bounces off of it, it produces the _________blank heart sound that is ultimately related to when the _________blank.
Multiple Choice
lubb (S1); atria contract
dupp (S2); atria relax
lubb (S1); ventricles contract
dupp (S2); ventricles relax
lubb (S1); ventricles relax
dupp (S2); ventricles relax
Which of the following best describes a hormone?
Multiple Choice
A chemical messenger transported by the bloodstream that stimulates target cells in another organ often a good distance away.
Chemical messengers that diffuse from their point of origin locally to affect other cells physiology.
Chemical messengers that travel across a synapse to stimulate another cell.
Junctions between cells interconnecting their cytoplasm.
A chemical messenger that is triggered by the binding of a ligand on the cell surface and causes a change in DNA transcription.
A chemical messenger transported by the bloodstream that stimulates target cells in another organ often a good distance away.
Aspirin and ibuprofen block the _________blank.
Multiple Choice
release of arachidonic acid from the plasma membrane
action of phospholipase A1
action of phospholipase A2
action of lipoxygenase
action of cyclooxygenase
action of cyclooxygenase
What is the most abundant protein in plasma?
Multiple Choice
Insulin
Creatine
Bilirubin
Albumin
Creatinine
Albumin
Growth hormone (GH) hypersecretion causes gigantism when it begins in childhood, but it is more likely to cause _________blank when it begins in adulthood.
Multiple Choice
myxedema
Graves disease
Cushing syndrome
goiter
acromegaly
acromegaly
Which of the following does not contribute to venous return?
Multiple Choice
The difference of pressure between venules and the venae cavae
The expansion of the thoracic cavity during inhalation
The suction created by the atria slightly expanding during ventricular systole
Widespread vasodilation
Contraction of skeletal muscles of the limbs
Widespread vasodilation
What is the abbreviation for the hormone also known as vasopressin?
Multiple Choice
ADH
ACTH
TRH
DHEA
GnRH
ADH
The Frank-Starling law of the heart states that stroke volume is proportional to _________blank.
Multiple Choice
the end-systolic volume
the end-diastolic volume
the afterload
the heart rate
contractility
the end-diastolic volume
Atrial depolarization causes the _________blank.
Multiple Choice
P wave
QRS complex
T wave
first heart sound
quiescent period
P wave
The ABO blood group is determined by _________blank in the plasma membrane of RBCs.
Multiple Choice
glycolipids
glycoproteins
antibodies
antigen-antibody complexes
agglutinins
glycolipids
A bee sting can trigger a massive release of histamine, which causes __________blank and a(n) __________blank in arterial blood pressure.
Multiple Choice
vasodilation; decrease
vasodilation; increase
vasoconstriction; decrease
vasoconstriction; increase
vasoconstriction; oscillation
vasodilation; decrease
What is the most important force driving reabsorption at the venous end of a capillary?
Multiple Choice
Oncotic pressure
Tissue fluid colloid osmotic pressure
Blood colloid osmotic pressure
Interstitial hydrostatic pressure
Blood hydrostatic pressure
Blood colloid osmotic pressure
Which of the following decreases blood pressure?
Multiple Choice
Norepinephrine
Antidiuretic hormone
Angiotensin II
Aldosterone
Natriuretic peptides
Natriuretic peptides
Which term refers to relaxation of the heart?
Multiple Choice
Diastole
Systole
Asystole
Fibrillation
Bradycardia
Diastole
What type of shock can be produced by hemorrhage, severe burns, or dehydration?
Multiple Choice
Anaphylactic
Cardiogenic
Hypovolemic
Venous pooling
Neurogenic
Hypovolemic
The hormone called _________blank plays an important role in synchronizing physiological function with the cycle of daylight and darkness.
Multiple Choice
calcitonin
melanin
melatonin
hepcidin
inhibin
melatonin
During isovolumetric contraction, the pressure in the ventricles _________blank.
Multiple Choice
falls rapidly
rises rapidly
remains constant
rises and then falls
falls and then rises
rises rapidly
Stroke volume is increased by _________blank.
Multiple Choice
high arterial blood pressure
negative inotropic agents
increased venous return
increased afterload
dehydration
increased venous return
The _________blank are the superior chambers of the heart and the _________blank are the inferior chambers of the heart.
Multiple Choice
visceral layers of the serous percardiaum; parietal layers of the serous pericardium
ventricles; atria
atria; ventricles
left ventricles; right ventricles
left atria; right atria
atria; ventricles
Viscosity and osmolarity will both increase if the amount of __________blank in the blood increases.
Multiple Choice
erythrocytes
protein
water
erythrocytes and protein
protein and water
erythrocytes and protein
Many hours after a meal, alpha (α) cells in the pancreatic islets secrete _________blank, which _________blank blood glucose.
Multiple Choice
glucagon; lowers
glucagon; raises
insulin; lowers
insulin; raises
glucocorticoids; raises
glucagon; raises
What might account for a soldier experiencing syncope after standing at attention for a long period of time?
Multiple Choice
Increased respiratory rate
Vasoconstriction
Increased heart rate
Venous pooling
Hypertension
Venous pooling
The _________blank secrete(s) _________blank, which promotes Na+ and water retention.
Multiple Choice
adrenal medulla; epinephrine
pancreas; cortisol
kidneys; corticosterone
adrenal cortex; aldosterone
thyroid; calcitonin
adrenal cortex; aldosterone
Which of the following statements about TIAs and CVAs is true?
Multiple Choice
TIAs are often early warning signs of an impending stroke.
TIAs are the result of brain tissue death caused by ischemia.
A CVA usually results from spasms of diseased cerebral arteries.
TIAs often result in blindness and paralysis.
TIA and CVA are two terms for the same condition.
TIAs are often early warning signs of an impending stroke.
What is the final product of the breakdown of the organic nonprotein moiety of hemoglobin?
Multiple Choice
Biliverdin
Bilirubin
Globin
Heme
Iron
Bilirubin
Which of the following statements about diabetes mellitus is false?
Multiple Choice
The body produces autoantibodies that destroy the pancreatic beta cells in type I DM.
Target cells are unresponsive to insulin in type II DM.
Both type I and type II DM are characterized by lack of, or low levels of, insulin.
Diabetic neuropathy is a common long-term effect of DM.
Type II DM is more common than type I DM.
Both type I and type II DM are characterized by lack of, or low levels of, insulin.
The pacemaker potential is a result of _________blank.
Multiple Choice
Na+ inflow
Na+ outflow
K+ inflow
K+ outflow
Ca2+ inflow
Na+ inflow
An individual has type B, Rh-positive blood. The individual has _________blank antigen(s) and can produce anti-_________blank antibodies.
Multiple Choice
A and D; B
B and D; A
B; A and D
A; B and D
D; A and B
B and D; A
The heart is enfolded within a space called the _________blank.
Multiple Choice
pericardial cavity
mediastinum
abdominal cavity
pleural cavity
myocardium
pericardial cavity
Alternative routes of blood supply are called __________blank.
Multiple Choice
metarterioles
capillary beds
preferred channels
thoroughfare channels
anastomoses
anastomoses