Lecture Mod 2 Flashcards

1
Q

Which cell will result from a lymphoid stem cell?
a. erythrocyte
b. T cell
c. basophil
d. eosinophil

A

T cell

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2
Q

Which of the following is a characteristic of basophils?
a. first on scene of an injury
b. associated with parasitic infections
c. pro-inflammatory
d. phagocytic

A

pro-inflammatory

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3
Q

Which clotting factor activates prothrombin activator?
a. factor X
b. factor III
c. factor XI
d. factor IX

A

Factor X

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4
Q

Capillaries can have a diameter that is smaller than that of the red blood cell.
a. true
b. false

A

True

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5
Q

Which phase of hemostasis is the most efficient in stopping bleeding?
a. coagulation
b. platelet plug formation
c. vascular phase
d. they are all equally efficient

A

Coagulation

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6
Q

Clotting factors are primarily produced in the _____.
a. spleen
b. heart
c. liver
d. kidney

A

Liver

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7
Q

Plasminogen is activated by _____.
a. T-PA
b. fibrin
c. thrombin
d. factor X

A

T-PA

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8
Q

Serum is plasma without _____.
a. albumin
b. globulins
c. globins
d. fibrinogen

A

Fibrinogen

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9
Q

Which of the following is NOT associated with secondary polycythemia?
a. high altitude
b. dehydration
c. cancer
d. lung disease

A

Cancer

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10
Q

Which of the following plays the largest role in determining plasma osmolarity?
a. albumins
b. globulins
c. fibrinogen
d. globins

A

albumins

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11
Q

People taking which medication/s to reduce blood clotting need to be careful to not eat
too many foods that are high in vitamin K?
a. heparin and Xarelto
b. coumadin and warfarin
c. coumadin and Xarelto
d. heparin and prostacyclin

A

coumadin and warfarin

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12
Q

Erythrocytes contain carbonic anhydrase which is essential for oxygen transport.
a. true
b. false

A

False

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13
Q

Eosinophils are often identified by their large pink granules and horseshoe shaped
nucleus.
a. true
b. false

A

True

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14
Q

Leukopenia is _____.
a. increased number of white blood cells
b. cancer of the white blood cells
c. decreased number of white blood cells

A

decreased number of white blood cells

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15
Q

What is the name of the molecule that is produced when heme binds oxygen?
a. carbaminohemoglobin
b. oxyhemoglobin

A

oxyhemoglobin

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16
Q

Which proteins are responsible for storing iron?
a. ferritin and transferrin
b. ferritin and hemosiderin
c. transferrin and hemosiderin

A

ferritin and hemosiderin

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17
Q

Megakaryocytes are crucial in the production of _____.
a. T cells
b. monocytes
c. platelets
d. erythrocytes

A

Platelets

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18
Q

The fluid portion of your blood is more than 90% water.
a. true
b. false

A

True

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19
Q

In a transfusion reaction, a primary reaction is when the donor red blood cells have
antigens that the recipient has antibodies for.
a. true
b. false

A

True

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20
Q

What causes the release of erythropoietin from the kidneys?
a. high blood pressure
b. low oxygen levels in the blood
c. high hematocrit
d. infection

A

low oxygen levels in the blood

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21
Q

Which leukocyte is first to respond to a bacterial infection?
a. neutrophil
b. lymphocyte
c. monocyte
d. basophil

A

Neutrophils

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22
Q

What is the function of thrombopoietin?
a. increase red blood cell production
b. increase white blood cell production
c. increase platelet production

A

increase platelet production

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23
Q

Which of the following can be given in a transfusion to a patient with type A- blood?
a. AB-
b. B+
c. A+
d. O-

A

O-

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24
Q

How long do mature red blood cells live for?
a. 90 days
b. 120 days
c. 150 days
d. 240 days

A

120 days

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25
Q

NOT all white blood cells can/are _____.
a. migrate out of the bloodstream
b. capable of amoeboid movement
c. navigate via chemotaxis
d. perform phagocytosis

A

perform phagocytosis

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26
Q

From each heme unit _____.
a. only the iron is recycled
b. amino acids are recycled
c. both iron and amino acids are recycled
d. neither iron nor amino acids are recycled

A

only the iron is recycled

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27
Q

Which of the following antibodies contributes to hemolytic disease of the newborn?
a. IgA
b. IgD
c. IgM
d. IgG
e. IgE

A

IgG

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28
Q

In the extrinsic coagulation pathway, damaged endothelial cells or peripheral tissues
release _____.
a. histamine
b. factor III
c. factor X
d. heparin

A

factor III

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29
Q

Which of the following blood types would have B antigens, anti-A antibodies, and D
antigen?
a. A+
b. B-
c. B+
d. A-

A

B+

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30
Q

What type of anemia is pernicious anemia?
a. iron deficient anemia
b. aplastic anemia
c. vitamin deficient anemia
d. blood loss anemia

A

vitamin deficient anemia

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31
Q

If you were to calculate cardiac output correctly, what would be your final units?
a. ml/beat
b. beats/min
c. ml/min
d. beats/ml

A

ml/min

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32
Q

Pressure and volume have a/n ______ relationship.
a. direct
b. inverse

A

Inverse

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33
Q

_____ causes valves to open during the cardiac contraction cycle.
a. A pressure gradient
b. A chemical gradient
c. Papillary muscle relaxation
d. Papillary muscle contraction

A

A pressure gradient

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34
Q

If someone develops pulmonary edema, which of the following likely failed?
a. right atrium
b. right ventricle
c. left atrium
d. left ventricle

A

Left ventricle

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35
Q

A first-degree AV block is a shockable rhythm.
a. true
b. false

A

False

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36
Q

Beta blockers and calcium channel blockers are often used in the treatment of hypertension
because they are _____.
a. negative inotropes
b. positive inotropes
c. negative chronotropes
d. positive chronotropes

A

Negative inotropes

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37
Q

What happens during S1?
a. AV valves close
b. AV valves open
c. semilunar valves close
d. semilunar valves open

A

AV valves close

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38
Q

Blood pressure rises during diastole and falls during systole.
a. true
b. false

A

False

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39
Q

What sets a normal sinus rhythm?
a. AV node
b. bundle of His
c. Purkinje fibers
d. SA node

A

SA node

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40
Q

Atrial systole is associated with _____.
a. atrial filling
b. ventricular filling
c. atrial relaxation
d. ventricular contraction

A

Ventricular filling

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41
Q

Cardiac conductive cells require stimulation to generate an action potential.
a. true
b. false

A

False

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42
Q

During exercise _____.
a. stroke volume is low and EDV is low
b. stroke volume is high and EDV is high
c. stroke volume is high and EDV is low
d. stroke volume is high and EDV is high

A

stroke volume is high and EDV is high

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43
Q

Why does heart failure causes an increase in heart rate?
a. increasing heart rate helps compensate for the decreased stroke volume
b. increasing heart rate causes a decrease in cardiac output
c. because there is a higher stroke volume

A

increasing heart rate helps compensate for the decreased stroke volume

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44
Q

The action potential of a cardiac contractile cell includes hyperpolarization.
a. true
b. false

A

False

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45
Q

During isovolumetric contraction _____.
a. all 4 valves are open
b. the AV valves are open and semilunar valves are closed
c. all 4 valves are closed
d. the semilunar valves are open and the AV valves are closed

A

all 4 valves are closed

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46
Q

Pulmonary edema is most often the result of right sided heart failure.
a. true
b. false

A

False

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47
Q

Potassium is a _____.
a. negative chronotrope
b. positive chronotrope

A

negative chronotrope

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48
Q

What is the spontaneous depolarization rate of the SA node?
a. 60-100 impulses per minute
b. 40-60 impulses per minute
c. 30-40 impulses per minute
d. 10-20 impulses per minute

A

60-100 impulses per minute

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49
Q

Where does the left atrium receive blood from?
a. pulmonary veins
b. pulmonary arteries
c. superior vena cava
d. aorta

A

Pulmonary veins

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50
Q

Which of the following is a function of intercalated discs?
a. transmit electrical signals between cardiac muscle cells
b. prevent cardiac muscle cells from stretching
c. anchor cardiac muscle cells to the fibrous skeleton
d. to prevent too much tension generation in cardiac muscle cells

A

transmit electrical signals between cardiac muscle cells

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51
Q

Why is it important for cardiac contractile cells to have a longer absolute refractory period than
skeletal muscle cells?
a. to allow for atrial filling
b. to prevent wave summation and tetanus from occurring
c. the cardiac muscle cells contract more frequently so need longer to relax
d. to help pump blood out of the ventricles

A

to prevent wave summation and tetanus from occurring

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52
Q

he sympathetic division can have a direct effect on contractility.
a. true
b. false

A

True

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53
Q

Which valves are open during ventricular diastole?
a. tricuspid and bicuspid
b. aortic and pulmonary

A

tricuspid and bicuspid

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54
Q

Which of the following dose not empty directly into the right atrium?
a. pulmonary veins
b. superior vena cava
c. inferior vena cava
d. coronary sinus

A

pulmonary veins

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55
Q

our heart “skipping a beat” is due to a premature ventricular contraction.
a. true
b. false

A

True

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56
Q

Both ventricles normally eject the same volume of blood.
a. true
b. false

57
Q

The parasympathetic division has a negligible effect on contractility.
a. true
b. false

58
Q

Caffeine can cause a premature ventricular contraction.
a. true
b. false

59
Q

Which of the following is referred to as the “pacemaker” of the heart?
a. Purkinje fibers
b. bundle of His
c. AV node
d. SA node

60
Q

The way to a man’s heart is through his left 3rd and 4th intercostals.
a. true
b. false

61
Q

When do semilunar valves open?
a. during ventricular ejection
b. during ventricular filling
c. during isovolumetric contraction
d. during atrial systole

A

during ventricular ejection

62
Q

What happens during the p-wave in an EKG?
a. atrial repolarization
b. ventricular depolarization
c. atrial depolarization
d. ventricular repolarization

A

atrial depolarization

63
Q

Which of the following structures prevents backflow of blood into the left atrium?
a. aortic valve
b. pulmonary valve
c. tricuspid valve
d. bicuspid valve

A

bicuspid valve

64
Q

All of the following are true with regards to the difference between arteries and veins
EXCEPT _____.
a. arteries have valves, veins do not
b. arteries have thicker walls compared to veins
c. veins are less elastic than arteries
d. veins have a large, irregular lumen

A

arteries have valves, veins do not

65
Q

Blood colloidal osmotic pressure drives_____.
a. filtration
b. reabsorption

A

reabsorption

66
Q

Central chemoreceptors respond to changes in all of the following EXCEPT _____.
a. calcium ion levels in the CSF
b. pressure of carbon dioxide in the CSF
c. pressure of oxygen in the CSF
d. pH of the CSF

A

calcium ion levels in the CSF

67
Q

Which of the following controls blood flow into capillaries?
a. elastic arteries
b. arterioles
c. muscular arteries
d. venules

A

Arterioles

68
Q

Increased blood viscosity raises blood pressure by increasing resistance.
a. true
b. false

69
Q

Which of the following types of blood vessel would have the thickest tunica media?
a. arterioles
b. elastic arteries
c. muscular arteries
d. large veins

A

muscular arteries

70
Q

Which of the following hormones decreases blood pressure by promoting loss of sodium
and water?
a. aldosterone
b. antidiuretic hormone
c. epinephrine
d. atrial natriuretic peptide

A

atrial natriuretic peptide

71
Q

Osmotic pressures push water away from the pressure.
a. true
b. false

72
Q

The least common type of capillaries are _____.
a. continuous
b. collateral
c. fenestrated
d. sinusoidal

A

sinusoidal

73
Q

A high sodium diet can contribute to hypertension.
a. true
b. false

74
Q

Someone passes out after witnessing a gruesome car crash, what could have happened?
a. neurogenic shock
b. hypovolemic shock
c. septic shock
d. endotoxic shock

A

neurogenic shock

75
Q

Blood flow to the brain decreases when the peripheral tissues have a high blood
demand.
a. true
b. false

76
Q

The purpose of valves in veins is to _____.
a. ensure one way blood flow
b. help with bi-directional flow
c. regulate blood pressure
d. increase lymphatic drainage

A

ensure one way blood flow

77
Q

During a medical emergency, the blood pressure in both arms is taken and is different
between the two arms. This is indicative that the patient is likely suffering from _____.
a. a heart attack
b. an aneurysm
c. anemia
d. epilepsy

A

an aneurysm

78
Q

Where would you find sinusoidal capillaries?
a. teeth
b. lymph nodes
c. liver
d. intestines

79
Q

Vasoconstriction decreases perfusion.
a. true
b. false

80
Q

What is the relationship between pressure and resistance in the venous system?
a. low pressure and high resistance
b. low pressure and low resistance
c. high pressure and high resistance
d. high pressure and low resistance

A

low pressure and low resistance

81
Q

Capillary hydrostatic pressure is the main force that drives filtration.
a. true
b. false

82
Q

Net filtration pressure = capillary hydrostatic pressure - blood colloidal osmotic
pressure.
a. true
b. false

83
Q

You would expect to find _____ capillaries in the bone marrow.
a. continuous
b. fenestrated
c. sinusoidal

A

sinusoidal

84
Q

Which of the following is the most significant contributor to peripheral resistance?
a. blood viscosity
b. blood vessel length
c. blood volume
d. blood vessel diameter

A

blood vessel diameter

85
Q

Veins are capacitance vessels that contain 65-70% of blood.
a. true
b. false

86
Q

Cardiovascular centers are located in the _____.
a. pituitary gland
b. hypothalamus
c. medulla oblongata
d. cerebellum

A

medulla oblongata

87
Q

he baroresponse to hypertension includes all of the following EXCEPT _____.
a. cardioinhibitory center stimulation
b. cardioacceleratory center inhibition
c. sympathetic nervous system stimulation
d. vasomotor center inhibition

A

sympathetic nervous system stimulation

88
Q

The longer a blood vessel is, the rate of blood flow _____.
a. increases
b. decreases
c. does not change

89
Q

Mean arterial pressure is measured by _____.
a. diastolic pressure + 1/3 pulse pressure
b. systolic pressure - diastolic pressure
c. (systolic pressure * pulse pressure)/diastolic pressure
d. pulse pressure - stroke volume

A

diastolic pressure + 1/3 pulse pressure

90
Q

Epinephrine and norepinephrine are vasoconstrictors of all blood vessels.
a. true
b. false

91
Q

Which of the following best describes how skeletal muscle contractions assist in venous
return to the heart?
a. they compress nearby veins, pushing the blood toward the heart against gravity
b. they increase arterial pressure, forcing more blood into the veins
c. they relax the smooth muscle in vein walls, reducing resistance to blood flow
d. they do not help with venous return

A

they compress nearby veins, pushing the blood toward the heart against gravity

92
Q

Plasma protein concentration is higher in capillaries compared to interstitial fluid. This
causes the ______ to be higher in the blood than the interstitial fluid.
a. capillary hydrostatic pressure
b. interstitial fluid hydrostatic pressure
c. blood colloid osmotic pressure
d. interstitial fluid colloid osmotic pressure

A

blood colloid osmotic pressure

93
Q

How does damage to the cardioinhibitory center change heart rate? Why?

A

heart rate increases; sympathetic dominance

94
Q

All of the following will increase heart rate EXCEPT _____.

A

hyperkalemia

95
Q

All of the following are negative inotropes EXCEPT _____.

A

epinephrine

96
Q

Hypotension will increase afterload.

97
Q

The Starling Law of the heart states that greater _____ will cause greater contraction strength.

98
Q

Heart rate times stroke volume gives you cardiac output.

99
Q

Baroreceptors measure blood pressure.\

100
Q

The difference between the end diastolic volume and the end systolic volume is the stroke volume.

101
Q

Diastole is contraction of the heart.

102
Q

A heart murmur is due to abnormal or turbulent blood flow through the heart.

103
Q

During ventricular systole all of the following would occur EXCEPT _____.
ventricular blood pressure will exceed aortic blood pressure
all heart valves will be briefly closed
ventricular blood pressure will exceed atrial blood pressure
the semilunar valves will be forced shut

A

the semilunar valves will be forced shut

104
Q

The first heart sound (S1) is due to _____.
opening of the AV valves
closing of the AV valves
opening of the semilunar valves
closing of the semilunar valves

A

closing of the AV valves

105
Q

The volume of blood when the ventricles contain the least amount of blood is called the _____.
end systolic volume
end diastolic volume
ejection fraction
stroke volume

A

end systolic volume

106
Q

What is the importance of the 100-msec delay at the AV node?
it allows for full ventricular filling
It gives the AV valves time to close slowly.
it gives the semilunar valves time to open slowly.

A

it allows for full ventricular filling

107
Q

Why is resting heart rate lower than the intrinsic rate set by the SA node?
The AV node slows the heart to a rate.
the parasympathetic division dominates at rest.
the sympathetic division dominates at rest.

A

the parasympathetic division dominates at rest.

108
Q

On an ECG reading, what does the P wave indicate?
atrial depolarization
atrial contraction
ventricular contraction
ventricular depolarization

A

atrial depolarization

109
Q

What factor could cause in increase in the size of the QRS complex on an ECG recording?
a decrease in blood volume
a decrease in blood pressure
an increase in heart rate
an increase in heart size

A

an increase in heart size

110
Q

Calcium ions bind to the troponin in cardiac muscle to cause tropomyosin to move and expose active sites on actin.. T/F

111
Q

Which is NOT true for cardiac muscle?
cardiac muscle depends on fermentation
cardiac muscle cells usually have a single nucleus
cardiac muscle cells have a long refractory period
cardiac muscle cells have myoglobin

A

cardiac muscle depends on fermentation

112
Q

Which layer of the pericardium is also known as the epicardium?
parietal pericardium
pericardial sac
fibrous pericardium
visceral pericardium

A

visceral pericardium

113
Q

Why is the left ventricle more muscular than the right ventricle?
it pumps a larger volume of blood.
the papillary muscles are stronger
it contracts with greater force.

A

it contracts with greater force.

114
Q

The right atrium sends deoxygenated blood through an AV valve.
T/F

115
Q

The right AV valve is also known as the bicuspid valve.
T/F

116
Q

The epicardium is continuous with the endothelium.
t/f

117
Q

The ridges of muscle inside the auricles and right atrium are called pectinate muscles. t/f

118
Q

Which of the following best describes the clotting factors of the extrinsic cascade?
factor XII -> factor XI -> factor IX -> factor VIII -> factor X
factor XI -> factor XII -> factor IX -> factor X
factor III -> factor VII -> factor X

A

factor III -> factor VII -> factor X

119
Q

The extrinsic and intrinsic clotting cascades will be activated at the same time. t/f

120
Q

The term “diapedesis” refers to the ability of leukocytes to _____.
phagocytize bacteria
mature in the thymus
kill virus infected cells
migrate through capillary walls

A

migrate through capillary walls

121
Q

What is the fate of the proteins in a hemoglobin molecule?
they are converted to bilirubin and excreted in the bile.
they are filtered by the kidneys into the urine.
they are stripped of their heme and converted into biliverdin.
they are disassembled into their component amino acids.

A

they are disassembled into their component amino acids.

122
Q

Myeloid stem cells differentiate into lymphocytes.
t/f

123
Q

Cirrhosis can be a result of chronic liver disease in which the tissue becomes fibrotic. How could this impact the blood
it can decrease the ability to fight infection.
it can cause a decrease in the ability to clot.
it can decrease the viscosity and osmottic pressure of blood.
all of these are true.

A

all of these are true.

124
Q

Albumin contributes the most to blood colloid osmotic pressure.
t/f

125
Q

Serum is plasma without albumin.
t/f

126
Q

Why does blood pressure increase during exercise?
because of decreased sympathetic tone
because heart rate increases
because stroke volume increases

A

because heart rate increases
because stroke volume increases

127
Q

The myogenic response to blood pressure is a type of _____ control.
central
neural
endocrine
local

128
Q

Why does most filtration take place at the arterial end of a capillary?
fenestrations are larger in diameter.
blood colloid osmotic pressure is greater there.
capillary hydrostatic pressure is higher at the arterial end.
there are more solutes to be filtered there.

A

capillary hydrostatic pressure is higher at the arterial end.

129
Q

The blood colloid osmotic pressure (BCOP) is created by _____.
RBC
PLT
WBC
Plasma proteins

A

plasma proteins

130
Q

Which of the following regarding capillary exchange is true?
HP = NFP - BCOP
NFP = BCOP + BHP
BCOP = NFP - BHP
NFP = BHP - BCOP

A

NFP = BHP - BCOP

131
Q

How is mean arterial pressure (MAP) determined?
it is the difference between systolic and diastolic pressure.
it is systolic pressure + pulse pressure.
it is diastolic pressure + (pulse pressure divided by 3).

A

it is diastolic pressure + (pulse pressure divided by 3).

132
Q

Which of the following statements is FALSE regarding blood flow?
blood flow is inversely proportional to blood viscosity.
blood flow is directly proportional to blood turbulence.
blood flow is inversely proportional to resistance.
blood flow is directly proportional to vessel width.

A

blood flow is directly proportional to blood turbulence.

133
Q

Which of the following will have the greatest impact on blood flow?
blood turbulence
vessel diameter
vessel length
blood viscosity

A

vessel diameter

134
Q

Which layer of the vessel wall causes vasomotion?
tunica media
tunica intima
tunica exerna

A

tunica media

135
Q

The vessels known as “resistance vessels” that regulate flow into capillary beds are _____.
veins
arterioles
venules
arteries

A

arterioles

136
Q

Cardiac conduction cell action potential
Resting potential
Depolarization ion
Automacity

A

No true resting potential
Ca+
Self-excitable

137
Q

Cardiac contractile cell action potential
Resting potential
Depolarization ion
Automacity

A

Stable resting potential
Na+
Needs conduction impulse