Test Bank for Textbook of Medical Physiology, 11th Edition: Arthur C.

Guyton

Test Bank for Textbook of Medical Physiology, 11th

Edition: Arthur C. Guyton

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Hall: Guyton and Hall Textbook of Medical Physiology, 12th Edition
Chapter 09: Cardiac Muscle; The Heart as a Pump and Function of the Heart Valves

Test Bank

Questions 1-3: A fifty-year-old man has a body weight of 110 kg, resting heart rate is 90
beats/minute, arterial pressure is 120/70 mmHg, arterial hematocrit is 35% and body
temperature is normal. His pressure-volume diagram of the left ventricle is shown below.

1. What is his resting cardiac output in 200

ml/minute?

Intraventricular Pressure
A. 900
150
B. 8,000

(mmHg)
C. 9,000
100 D
D. 10,000 C
E. 15,000
50
ANS: C
A B
2. What event occurs at point D in the 0 50 100 150 200
man’s pressure-volume relationship?
A. A-V valves close Left Ventricular Volume (ml)
B. Aortic valve opens
C. Aortic valve closes
D. A-V valves open
E. Third heart sound

ANS: C

3. What is his ventricular ejection fraction?

A. 33%
B. 50%
C. 60%
D. 67%
E. 80%

ANS: D

4. Which of the following will result in spastic contraction of the heart?

A. Excess calcium ions in the blood
B. Excess potassium ions in the blood
C. Excess sodium ions in the blood
D. Decreased sympathetic stimulation
E. Decreased norepinephrine concentration in the blood

Copyright © 2011, 2006 by Saunders, an imprint of Elsevier Inc.

Test Bank 9-2

ANS: A

Questions 5-7: A sixty-year-old woman has a body weight of 110 kg, resting cardiac output
is 9,000 ml/minute, arterial pressure is 90/50 mmHg, arterial hematocrit is 25% and body
temperature is normal. Her pressure-volume diagram of the left ventricle is shown below.

5. What is her resting heart rate in 200

beats/minute?

Intraventricular Pressure
A. 70
150
B. 80

(mmHg)
C. 90
100 D
D. 100 C
E. 110
50
ANS: C
A B
6. What event occurs at point A in the 0 50 100 150 200
woman’s pressure-volume relationship?
A. A-V valves close Left Ventricular Volume (ml)
B. Aortic valve opens
C. Aortic valve closes
D. A-V valves open
E. Third heart sound

ANS: D

7. If the woman is given a 500 ml whole blood transfusion over a 15 minute period, her
ventricular preload will increase. One minute after the transfusion is complete, what will
the new stroke volume be assuming her heart is normal?
A. 70 ml
B. 80 ml
C. 90 ml
D. 100 ml
E. 120 ml

ANS: A

Questions 8-9: A fifty-year-old man has a body weight of 110 kg, resting heart rate is 90
beats/minute, arterial pressure is 120/70 mmHg, arterial hematocrit is 35% and body
temperature is normal. His pressure-volume diagram of the left ventricle is shown below.

Copyright © 2011, 2006 by Saunders, an imprint of Elsevier Inc.

Test Bank for Textbook of Medical Physiology, 11th Edition: Arthur C. Guyton

Test Bank 9-3

8. When does the third heart sound occur in

the ventricular pressure-volume 200
relationship?

Intraventricular Pressure
A. At point D
150
B. Between point A and point B

(mmHg)
C. Between point B and point C
100 D
D. Between point C and point D C
E. Between point D and point A
50
ANS: B
A B
9. When does the second heart sound occur 0 50 100 150 200
in the ventricular pressure-volume
relationship? Left Ventricular Volume (ml)
A. At point D
B. Between point A and point B
C. Between point B and point C
D. Between point C and point D
E. Between point D and point A

ANS: A

Copyright © 2011, 2006 by Saunders, an imprint of Elsevier Inc.

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