General Flashcards

1
Q

Capillaries are best described as ____________. A) thin walled vessels which permit exchange of materials between blood and interstitial fluid. B) thick walled vessels which convey blood away from the heart. C) thin walled vessels which convey blood toward the heart. D) thick walled vessels which carry blood rich in oxygen. E) thin walled vessels which carry blood deficient in oxygen.

A

A) thin walled vessels which permit exchange of materials between blood and interstitial fluid.

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2
Q

Valves are found _________. A) in the heart B) in the veins C) in the arteries D) A and B E) A, B, and C

A

D) A and B

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3
Q

The driving force of blood flow is a(n) __________ gradient. A) osmotic B) volume C) pressure D) gravity

A

C) pressure

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4
Q

Vascular resistance is related to the ____________. A) length of a blood vessel B) diameter of a blood vessel C) nature of the blood flow (turbulent vs lamellar) D) viscosity of the blood E) A, B, C, and D

A

E) A, B, C, and D

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5
Q

Each of the following changes will result in increased blood flow to a tissue EXCEPT ______. A) increased blood volume B) decreased vessel diameter C) increased blood pressure D) decreased peripheral resistance

A

B) decreased vessel diameter

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6
Q

As blood vessel length increases, ____________. A) resistance increases B) flow decreases C) friction decreases D) A and B E) A, B and C

A

D) A and B

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7
Q

The steep repolarization of phase 3 of the cardiac contractile cell’s action potential is due to which ion(s)? A) Ca2+ B) K+ C) Na+ D) A and B E) A and C

A

B) K+

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8
Q

Phase 2 (plateau) of the cardiac contractile cell action potential is due to a combination of _________. A) Na+ efflux and K+ influx B) Na+ influx and Ca++ influx C) Ca++ efflux and K+ influx D) Ca++ influx and K+ efflux

A

D) Ca++ influx and K+ efflux

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9
Q

The volume of blood ejected from each ventricle during a contraction is called the ________. A) end-diastolic volume B) end-systolic volume C) stroke volume D) cardiac output E) cardiac reserve

A

C) stroke volume

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10
Q

Each of the following factors will increase cardiac output EXCEPT _______. A) Increased venous return B) Increased parasympathetic stimulation C) Increased sympathetic stimulation D) Increased heart rate

A

B) Increased parasympathetic stimulation

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11
Q

Ventricular contraction begins just after ________ begins. A) P wave B) QRS complex C) T Wave D) PR segment E) ST segment

A

B) QRS complex

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12
Q

Ventricular repolarization occurs during ____. A) P wave B) QRS complex C) T Wave D) PR segment E) ST segment

A

C) T Wave

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13
Q

Atrial depolarization occurs during _____ A) P wave B) QRS complex C) T Wave D) PR segment E) ST segment

A

A) P wave

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14
Q

Each of the following conditions would increase the heart rate EXCEPT _______. A) increased sympathetic stimulation of nodal fibers B) increased parasympathetic stimulation of nodal fibers C) increased levels of epinephrine in the interstitial fluid surrounding the myocardium D) increased permeability of the myocardial membrane to sodium ion

A

B) increased parasympathetic stimulation of nodal fibers

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15
Q

If the blood pressure doubled at the same time that the peripheral resistance were doubled, the blood flow through a vessel would be _____. A) doubled B) halved C) 16 times greater D) 1/16 as much E) unchanged

A

E) unchanged

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16
Q

Abnormally slow conduction through the ventricles would change the ________in an EKG. A) P wave B) T wave C) QRS complex

A

C) QRS complex

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17
Q

The main site of variable resistance in the systemic circulation, contributing more than 60% of the total resistance are ____. A) muscular arteries B) elastic arteries C) arterioles D) venules E) veins

A

C) arterioles

18
Q

When a person rises quickly from a prone position, ____. A) the carotid baroreceptors become more active B) venous return is unchanged C) reflex vasoconstriction of the peripheral blood vessels occurs D) heart rate decreases

A

C) reflex vasoconstriction of the peripheral blood vessels occurs

19
Q

Parasympathetic stimulation of the sinoatrial (SA) node will _________. A) hyperpolarize the pacemaker cells B) decrease the heart rate C) increase the rate of depolarization D) A and B E) A and C

A

D) A and B

20
Q

Stretching a myocardial cell ___________. A) decreases the force of a contraction B) allows more Ca2+ to enter C) increases the force of contraction D) A and B E) B and C

A

E) B and C

21
Q

Ventricular repolarization in the human heart: a. begins in the same location and travels in the same direction as the depolarization wave. b. results from phase 2 of the fast action potential in myocytes. c. is represented by the T wave on the electrocardiogram. d. A and C

A

c. is represented by the T wave on the electrocardiogram.

22
Q

AV valves of the heart open and close because of: a. nervous impulses to papillary muscles b. passive recoil of valves c. changes in pressure in adjacent chambers d. mechanical stretching of the fibers attached to the valves as the myocardium contracts and relaxes

A

c. changes in pressure in adjacent chambers

23
Q

The region of the heart that normally has the highest rate of spontaneous action potentials is the: a. Purkinje fibers b. Atrioventricular (AV) node c. Bundle of HIS d. Sinoatrial (SA) node

A

d. Sinoatrial (SA) node

24
Q

Which of the following is most closely equal to increased left ventricular afterload? a. increased end-diastolic volume b. increased end-diastolic pressure c. increased end-systolic pressure d. increased stroke volume

A

c. increased end-systolic pressure

25
Q

Due to differences in opposing forces, there is usually a net _____ occurring at the arteriolar end of most capillaries coupled with net ___ at the venous end. a. absorption; filtration b. filtration; absorption

A

b. filtration; absorption

26
Q

When the baroreceptors respond to a decrease in blood pressure, the: a. heart rate slows b. peripheral resistance increases c. peripheral resistance decreases d. A and C

A

b. peripheral resistance increases

27
Q

Dilation of the arterioles in a single organ would lead to: a. an increase in pressure in the large arteries of that organ b. an increase in capillary pressure in that organ. c. a decrease in both capillary and venous pressures in that organ d. a decrease in blood flow to that organ resulting from the decreased blood pressure

A

b. an increase in capillary pressure in that organ.

28
Q

In an individual whose large elastic arteries (e.g., aorta) have relatively normal diameters, but a severely reduced compliance. You would expect: a. an elevated diastolic pressure b. a greatly reduced venous pressure c. a reduced systolic pressure d. an elevated pulse pressure

A

d. an elevated pulse pressure

29
Q

Increasing venous return increases cardiac output by: a. decreasing end diastolic volume b. increasing the stroke volume c. decreasing the ejection fraction d. A, B and C

A

b. increasing the stroke volume

30
Q

If blood pressure doubled at the same time that peripheral resistance doubled, the blood flow through a vessel would be: a. doubled b. halved c. 16 times greater d. unchanged

A

d. unchanged

31
Q

Contrast the following: (i) velocity of blood flow in capillaries (ii) velocity of blood flow in aorta a. (ii) > (i) b. (i) = or nearly = (ii) c. (i) > (ii)

A

a. (ii) > (i)

32
Q

Joan rose quickly from her bed to answer the front doorbell. In response to rising, her baroreceptors: a. decreased firing b. had no change in their firing rate c. increased firing

A

a. decreased firing

33
Q

In hyperemia, there is increased blood flow to the tissues. Reactive hyperemia is caused by: a. allergens such as bee venom or pollen b. decreased parasympathetic stimulation of the arterioles c. a local accumulation of metabolites due to reduced blood flow d. A, B and C

A

c. a local accumulation of metabolites due to reduced blood flow

34
Q

The swollen belly of a child that has insufficient dietary protein (malnutrition) is due to edema (fluid retention in the interstitium, ISV). This occurs because: a. the oncotic pressure of the blood is increased due to a lack of proteins (albumin) b. the resulting loss of red blood cells (anemia) decreases mean arterial pressure (MAP) c. lymph drainage is blocked d. the oncotic pressure in the blood is reduced due to a lack of proteins (albumin)

A

d. the oncotic pressure in the blood is reduced due to a lack of proteins (albumin)

35
Q

To compensate for blood loss due to a large hemorrhage (25% of blood volume), blood flow would: a. decrease to the brain but near normal to the kidneys b. be near normal to the brain and to the kidneys c. decrease to both the brain and the kidneys d. be near normal to the brain but decreased to the kidneys

A

d. be near normal to the brain but decreased to the kidneys

36
Q

In hypertension, the systolic blood pressure is chronically raised above 139 mmHg. Fluid will pool in the feet because of: a. a decrease in lymph b. an increase in oncotic pressure c. a decrease in total peripheral resistance (TPR) d. an increase in hydrostatic pressure

A

d. an increase in hydrostatic pressure

37
Q

Use the figure below to answer question 2:

As the heart rate increases from 70/min to 150/min, it is expected that the:

a. maximum membrane potential in phase 0 will increase.
b. duration of phase 2 will decrease.
c. duration of phase 1 will increase.
d. absolute refractory period will lengthen.

A

b. duration of phase 2 will decrease.

38
Q

Which is TRUE of the cardiac muscle cell action potential shown below?

a. Slow repolarization in Phase 3 is due to opening of the funny sodium channels
b. Phase 0 is caused by a rapid increase in sodium influx
c. Slow depolarization in phase 4 is due to sympathetic nerve stimulation
d. Phase 0 is caused by the opening of calcium channels

A

d. Phase 0 is caused by the opening of calcium channels

39
Q

In an electrocardiogram (ECG), the ventricular conduction time is denoted by:

a. P-wave duration
b. T-wave duration
c. QRS complex duration
d. PR interval

A

d. PR interval

40
Q

What is the ejection fraction for the left ventricle depicted in the P-V loop?

a. 100%
b. 80%
c. 60%
d. 50%

A

c. 60%