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Human Physiology 2Nd Edition Sherwood Test Bank Full Chapter PDF
Human Physiology 2Nd Edition Sherwood Test Bank Full Chapter PDF
Human Physiology 2Nd Edition Sherwood Test Bank Full Chapter PDF
MULTIPLE CHOICE
2. Which cardiac valve prevents regurgitation of blood from a right ventricle to atrium?
a. tricuspid
b. mitral
c. bicuspid
d. aortic valve
ANS: A PTS: 1 REF: 302 BLM: Remember
4. Why is the wall of the left ventricle thicker than the wall of the right ventricle?
a. The left ventricle must pump much more blood than the right ventricle so it must have
stronger walls.
b. The right ventricle must pump much more blood than the left ventricle so it has a larger
chamber to accommodate the blood and a correspondingly thinner wall.
c. The left ventricle must pump the same amount of blood into the high-resistance,
high-pressure systemic system as does the right ventricle into the low-resistance,
low-pressure pulmonary system.
d. The right ventricle must create higher tension within its walls.
ANS: C PTS: 1 REF: 302|303 BLM: Higher Order
5. Which structures join adjacent cardiac muscle cells end-to-end in the ventricles?
a. intercalated discs
b. sarcomeres
c. Purkinje fibres
d. sinoatrial nodes
ANS: A PTS: 1 REF: 305 BLM: Remember
11. The right half of the heart pumps blood through the pulmonary circuit. Through which circuit does the
left half pump blood?
a. diastolic
b. pulmonary
c. pulmonary
d. systemic
ANS: D PTS: 1 REF: 300|301 BLM: Remember
14. What is the proper sequence of blood flow through the circulatory system?
1) right atrium 6) pulmonary vein
2) left atrium 7) lungs
3) right ventricle 8) systemic tissues
4) left ventricle 9) aorta
5) pulmonary artery 10) venae cavae
a. 1–2–3–4–5–6–7–8–9–10
b. 10–2–4–5–7–6–1–3–9–8
c. 10–1–3–5–7–6–2–4–9–8
d. 10–1–2–3–4–5–7–6–9–8
ANS: C PTS: 1 REF: 301 BLM: Remember
15. What is the low-resistance pathway that permits electrical activity pass from cell to cell in myocardial
tissue?
a. desmosome
b. septum
c. gap junction
d. T-tubule
ANS: C PTS: 1 REF: 305 BLM: Higher Order
16. What component of the cardiac conduction system distributes electrical signals through the papillary
muscles directly?
a. AV nodes
b. AV bundle
c. bundle of His
d. Purkinjie fibres
ANS: D PTS: 1 REF: 305 BLM: Remember
18. On a normal ECG, a wave for repolarization of the atria is not recorded. Why?
a. The leads are not placed in a position to pick it up.
b. No repolarization of the atria occurs normally.
c. It occurs simultaneously with ventricular depolarization and is masked by the QRS
complex.
d. It does not travel through body fluids.
ANS: C PTS: 1 REF: 311-313 BLM: Higher Order
19. Which criteria must be met for the heart to function efficiently?
a. Excitation and consequently contraction of the cardiac muscle fibres of each heart
chamber should be coordinated to ensure efficient pumping.
b. The ventricles should be excited and contract before the onset of atrial contraction to
ensure that ventricular filling is complete.
c. The right side of the heart should contract first to ensure that oxygenated blood is
delivered to the heart before the left side contracts.
d. The fluid pressure in the pericardial cavity must be higher for the heart to function
efficiently
ANS: A PTS: 1 REF: 307-308 BLM: Higher Order
24. What is the normal direction of the impulse through the conduction system of the heart for each
cardiac cycle?
a. AV node–SA node–bundle of His–Purkinje fibres
b. AV node–bundle of His–SA node–Purkinje fibres
c. bundle of His–AV node–Purkinje fibres–SA node
d. SA node–AV node–bundle of His–Purkinje fibres
ANS: D PTS: 1 REF: 306 BLM: Remember
34. The electrocardiogram is most useful in determining which component of cardiac output?
a. stroke volume
b. heart rate
c. ejection fraction
d. end-diastolic volume
ANS: B PTS: 1 REF: 311 BLM: Higher Order
36. What is the function of the ventricular conduction system of the heart?
a. to spread the action potential throughout the large ventricular mass to ensure a single,
coordinated contraction of the ventricles
b. to spread the action potential in the absence of sympathetic stimulation
c. to set the heart rate
d. to spread the action potential throughout the atria and ventricles
ANS: A PTS: 1 REF: 313 BLM: Higher Order
42. What is the term for the volume of blood ejected from each ventricle during a contraction?
a. end-diastolic volume
b. end-systolic volume
c. stroke volume
d. cardiac output
ANS: C PTS: 1 REF: 316 BLM: Remember
44. Which of the following factors will NOT increase cardiac output?
a. increased venous return
b. increased parasympathetic stimulation
c. increased preload
d. increased heart rate
ANS: B PTS: 1 REF: 318 BLM: Higher Order
45. What happens if the connection between the SA node and AV node becomes blocked?
a. The ventricles will beat faster.
b. The ventricles will contract more slowly.
c. The ventricular rate of contraction will not be affected.
d. The stroke volume will increase.
ANS: B PTS: 1 REF: 308 BLM: Higher Order
47. Which of the following does NOT negatively influence the myocardium’s contractility, thus increasing
ESV?
a. acetylcholine
b. preload
c. afterload
d. parasympathetic activity
ANS: B PTS: 1 REF: 316 BLM: Higher Order
48. What percentage of ventricular filling is normally accomplished before atrial contraction begins?
a. 0%
b. 20%
c. 80%
d. 50%
ANS: C PTS: 1 REF: 322 BLM: Remember
50. A condition in which the heart is contracting in an uncontrolled, rapid and irregular manner
_______________
a. is probably heart block.
b. is probably fibrillation.
c. can be treated with administration of an electrical current.
d. is called bradycardia.
ANS: B PTS: 1 REF: 308 BLM: Higher Order
51. Although the heart does not require the nervous system to initiate contraction events
_______________
a. it is parasympathetically innervated via cardiac nerve fibres.
b. it is parasympathetically innervated by vagus nerve fibres.
c. it is innervated by the sympathetic division of the autonomic nervous system only.
d. it is innervated by cortical nerve fibres.
ANS: B PTS: 1 REF: 308 BLM: Higher Order
54. Which of the following is correct for the first heart sound?
a. It occurs when the AV valves close.
b. It occurs when the semilunar valves close.
c. It signals the onset of ventricular systole.
d. It occurs when the AV valves close and signals the onset of ventricular systole.
ANS: D PTS: 1 REF: 316 BLM: Higher Order
55. A cardiac muscle cell contraction averages about how many msec in duration?
a. 50
b. 100
c. 150
d. 300
ANS: D PTS: 1 REF: 322 BLM: Remember
58. What is the term for the period lasting from closure of the AV valve to opening of the aortic valve?
a. isovolumetric ventricular contraction
b. isovolumetric ventricular relaxation
c. the rapid ejection phase
d. the rapid filling phase
ANS: A PTS: 1 REF: 316 BLM: Higher Order
61. What causes the dicrotic notch on the aortic pressure curve?
a. a disturbance set up during closure of the aortic valve
b. a disturbance set up during closure of the left atrioventricular valve
c. elastic recoil of the arterial walls during ventricular diastole
d. turbulent flow through a stenotic valve
ANS: C PTS: 1 REF: 316 BLM: Remember
63. What rhythm characterizes atrial flutter as impulses pass from the AV node to the ventricles?
a. 1:1
b. 2:1
c. 3:4
d. 5:2
ANS: B PTS: 1 REF: 308 BLM: Higher Order
64. What does a whistling murmur heard between the second and first heart sound indicate?
a. a stenotic AV valve
b. an insufficient AV valve
c. a stenotic aortic or pulmonary semilunar valve
d. an insufficient aortic or pulmonary semilunar valve
ANS: A PTS: 1 REF: 317 BLM: Higher Order
66. Twelve complete ECG patterns are recorded from a subject over 10 seconds. If this pattern continues,
what is the rate of the heartbeat in the subject?
a. 60 beats per minute
b. 72 beats per minute
c. 90 beats per minute
d. 108 beats per minute
ANS: B PTS: 1 REF: 311 BLM: Higher Order
67. If stroke volume is 80 mL and the heart rate is 70 beats per minute, what is the cardiac output?
a. 150 mL/min.
b. 560 mL/min.
c. 5,600 mL/min.
d. 8,700 mL/min.
ANS: C PTS: 1 REF: 316 BLM: Higher Order
68. If the cardiac output is 4,800 mL/min and the heart rate is 60 beats per minute, how many millilitres
does the stroke volume average?
a. 60
b. 70
c. 80
d. 120
ANS: C PTS: 1 REF: 318 BLM: Higher Order
72. Which of the following is the cranial nerve of the parasympathetic nervous system that signals the
heart?
a. cardiac
b. coronary
c. trigeminal
d. vagus
ANS: D PTS: 1 REF: 318 BLM: Remember
77. Which nerves to the heart alter cardiac output by increasing heart rate and increasing contractility?
a. motor
b. sensory
c. sympathetic
d. parasympathetic
ANS: C PTS: 1 REF: 312 BLM: Higher Order
78. The parasympathetic nervous system has little effect on what type of activity?
a. atrial
b. AV node
c. SA node
d. ventricular muscle
ANS: D PTS: 1 REF: 308 BLM: Higher Order
79. If the EDV were held constant, what could accomplish increased stroke volume?
a. increased sympathetic nerve activity to the heart
b. increased parasympathetic nerve activity to the heart
c. decreased contractility
d. increased arterial blood pressure
ANS: A PTS: 1 REF: 314 BLM: Higher Order
83. When does blood flow occur through the coronary circulation?
a. mainly during systole
b. mainly during diastole
c. almost equally during systole and diastole
d. only during ventricular isovolumetric contraction
ANS: B PTS: 1 REF: 314 BLM: Higher Order
84. What is a metabolic predictor of heart disease that is independent of one’s cholesterol/lipid profile?
a. HDL
b. VLDL
c. homocysteine
d. methionine
ANS: C PTS: 1 REF: 328 BLM: Remember
85. The second heart sound occurs when the semilunar valves close. What does this mark?
a. the start of the ejection period
b. the start of systole
c. the end of the ejection period
d. the start of isovolumetric contraction
ANS: C PTS: 1 REF: 302 BLM: Higher Order
86. A patient has an EDV of 85 mL and an ESV of 35 mL with a heart rate of 50. What is this patient’s
cardiac output?
a. 2000 mL/min or 2.0 L/min
b. 2500 mL/min or 2.5 L/min
c. 4500 mL/min or 4.5 L/min
d. 6500 mL/min or 6.5 L/min
ANS: B PTS: 1 REF: 314 BLM: Higher Order
87. If a mitral valve damaged by rheumatic fever fails to open completely, what is it called?
a. mitral stenosis
b. complete heart block
c. myocardial ischemia
d. mitral incompetence
ANS: A PTS: 1 REF: 317 BLM: Remember
88. Which of the following are compensatory mechanisms that come into play in order to maintain the
cardiac output for the failing heart?
a. decreased myocardial contractility
b. increased vagal stimulation
c. increased sympathetic stimulation
d. peripheral vasodilation
ANS: C PTS: 1 REF: 324 BLM: Higher Order
89. Patients with diastolic heart failure would present with ____________________
a. failure of the ventricles to fill normally.
b. decrease in cardiac contractility.
c. heart pumping out more blood than it should with each contraction.
d. heart muscle relaxing longer than it should with each contraction.
ANS: A PTS: 1 REF: 324 BLM: Higher Order
90. The plateau of the cardiac action potential results from the opening of voltage-gated slow ______
channels in the plasma membrane of the cardiac cell.
a. sodium
b. potassium
c. calcium
d. chloride
ANS: C PTS: 1 REF: 306 BLM: Remember
TRUE/FALSE
1. The pulmonary circulation carries oxygenated blood from the lungs to the body tissues.
ANS: F PTS: 1
ANS: T PTS: 1
3. The right ventricle pumps out blood low in oxygen content, whereas the left ventricle pumps out blood
high in oxygen content.
ANS: T PTS: 1
4. The aortic valve prevents backflow of blood from the aorta into the left ventricle during ventricular
diastole.
ANS: T PTS: 1
5. The tricuspid prevents regurgitation of blood from the right ventricle back into the right atrium.
ANS: T PTS: 1
ANS: F PTS: 1
ANS: F PTS: 1
8. The function of the chordae tendineae and papillary muscles is to hold the AV valves wide open
during diastole to ensure complete ventricular filling.
ANS: F PTS: 1
9. The AV valve controls the amount of blood entering the atrium from the venous system.
ANS: F PTS: 1
10. The semilunar valves are positioned between the atria and ventricles.
ANS: F PTS: 1
11. The functional syncytia of the myocardium are offered by the intercalated discs.
ANS: T PTS: 1
12. Cardiac tamponade refers to failure of the AV node to transmit the action potential from the atria to the
ventricles.
ANS: F PTS: 1
ANS: T PTS: 1
14. The only point of electrical contact between the atria and the ventricles is the AV valve.
ANS: F PTS: 1
15. The action potential spreads through the atria by gap junctions, but there are no gap junctions present
in the ventricles, so the impulse must be propagated throughout the ventricular myocardium by the
bundle of His and Purkinje system.
ANS: F PTS: 1
16. The bundle of His and Purkinje system facilitate the rapid spread of the action potential throughout the
ventricles.
ANS: T PTS: 1
17. The action potential impulse passes through the AV node between the P wave and QRS complex.
ANS: T PTS: 1
ANS: F PTS: 1
19. When ECF K+ levels fall below normal, the heart becomes weak, flaccid, and dilated.
ANS: T PTS: 1
ANS: F PTS: 1
21. With 2:1 rhythm, the atrial rate is very rapid and the ventricular rate is normal or above normal,
whereas with 2:1 block, the atrial rate is normal but the ventricular rate is below normal
22. The plateau phase of the action potential in a contractile cardiac muscle cell occurs as a result of
activation of slow Ca2+ channels.
ANS: T PTS: 1
23. The semilunar valves close to prevent the backflow of blood into the ventricles.
ANS: T PTS: 1
24. The ventricles always depolarize at the same rate as the SA node depolarizes.
ANS: F PTS: 1
ANS: F PTS: 1
ANS: T PTS: 1
27. The atria and the ventricles contract at the same time to ensure efficient pumping action.
ANS: F PTS: 1
ANS: F PTS: 1
29. Ventricular filling occurs more rapidly early in diastole than it does later in diastole.
ANS: T PTS: 1
ANS: F PTS: 1
31. Ventricular ejection occurs once the afterload has been overcome.
ANS: T PTS: 1
32. The refractory period in cardiac muscle is much shorter than the refractory period in skeletal muscle to
ensure that the heart can quickly be restimulated to produce alternate periods of contraction and
relaxation.
ANS: F PTS: 1
33. Gap junctions are absent between atrial and ventricular cells.
ANS: T PTS: 1
34. The long refractory period of cardiac muscle prevents tetanic contractions of the heart.
ANS: T PTS: 1
ANS: F PTS: 1
36. The heart undergoes tetanic contraction during sympathetic stimulation to squeeze out more blood.
ANS: F PTS: 1
37. All of the blood within the ventricles is ejected during ventricular systole.
ANS: F PTS: 1
38. Contraction of the spirally arranged cardiac muscle fibres produces a wringing effect for efficient
pumping.
ANS: T PTS: 1
39. The AV and semilunar valves are never open at the same time.
ANS: T PTS: 1
40. The end-diastolic volume is the maximum amount of blood in the ventricle after ventricular filling is
complete.
ANS: T PTS: 1
41. A pacemaker potential depends on the increased inward current of calcium ions.
ANS: T PTS: 1
42. The first heart sound signals the onset of ventricular systole.
ANS: T PTS: 1
ANS: T PTS: 1
ANS: F PTS: 1
45. The stroke volume is the total volume of blood ejected by both ventricles per minute.
ANS: F PTS: 1
ANS: T PTS: 1
47. Normally, the stroke volume of the right side of the heart is the same as the stroke volume of the left
side of the heart.
ANS: T PTS: 1
48. One important function of the intrinsic control of the heart (Frank–Starling law of the heart) is to
maintain the left and right cardiac outputs in balance.
ANS: T PTS: 1
49. The rate of appearance of the QRS and T waves is unaffected if the heart develops a complete heart
block.
ANS: F PTS: 1
50. The extent of ventricular filling is the preload of the heart, whereas the magnitude of the arterial blood
pressure is the afterload of the heart.
ANS: T PTS: 1
ANS: F PTS: 1
52. Parasympathetic stimulation slows the rate of depolarization of the SA node and thus decreases the
heart rate.
ANS: T PTS: 1
ANS: T PTS: 1
ANS: F PTS: 1
55. Parasympathetic stimulation of the AV node increases the speed of transmission of the impulse
through the AV node.
ANS: F PTS: 1
56. Stroke volume is determined by the extent of venous return and parasympathetic activity.
ANS: F PTS: 1
ANS: T PTS: 1
58. Stroke volume can vary by alterations in both intrinsic and extrinsic control mechanisms.
ANS: T PTS: 1
59. The average resting heart rate is normally established by the rhythm of the AV node.
ANS: F PTS: 1
60. The amount of blood pumped out of the heart during each beat is known as the cardiac output.
ANS: F PTS: 1
ANS: T PTS: 1
ANS: F PTS: 1
63. The cardiac output is the same as the cardiac reserve of the heart.
ANS: F PTS: 1
64. According to the Frank–Starling law of the heart, the shorter the initial length of the cardiac muscle
fibres prior to contraction, the more forceful will be the subsequent contraction because the fibres are
already partially contracted.
ANS: F PTS: 1
65. According to the Frank–Starling law of the heart, the greater the stroke volume, the smaller the
subsequent end-diastolic volume will be, because as more blood is squeezed out, the heart cannot fill
as completely during the next diastole.
ANS: F PTS: 1
ANS: T PTS: 1
67. Cardiac muscle receives its blood supply primarily during ventricular systole when blood is being
pumped out into the aorta.
ANS: F PTS: 1
68. The heart muscle receives its oxygen and nutrients directly from the blood within its chambers during
ventricular diastole.
ANS: F PTS: 1
69. Most blood flow through the coronary vessels occurs during ventricular systole when the heart is
driving blood forward.
ANS: F PTS: 1
70. Angina pectoris develops from the abundance of oxygen of blood in the coronary circulation.
ANS: F PTS: 1
71. The heart utilizes glucose almost exclusively for energy production.
ANS: F PTS: 1
ANS: F PTS: 1
73. Not all forms of LDL are equally harmful to the heart.
ANS: T PTS: 1
COMPLETION
1. The condition in which the pericardial sac becomes distended with excess fluid to the point that it
impinges upon cardiac filling is known as ____________________.
PTS: 1
2. Ninety-nine percent of the cardiac fibres are specialized for ____________________ whereas the
remainder are specialized for ____________________.
ANS:
contraction, conducting the action potential
initiating, conducting the action potential
PTS: 1
ANS: SA node
PTS: 1
4. The ____________________ ensures that atrial excitation and contraction are complete before
ventricular excitation and contraction commence.
PTS: 1
5. Compared to cardiac muscle tissue, skeletal muscle tissue has a(n) ____________________ duration
for its refractory period.
ANS: shorter
PTS: 1
6. A swishy murmur heard between the second and first heart sounds is indicative of a(n)
____________________ (stenotic or insufficient) ____________________ (AV or semilunar) valve.
PTS: 1
PTS: 1
PTS: 1
9. The ____________________ is the volume of blood in the ventricle when ejection is complete.
PTS: 1
10. The ____________________ is the volume of blood in the ventricle when filling is complete.
PTS: 1
11. ____________________ is the insufficient circulation of oxygenated blood to cardiac muscle in order
to maintain its aerobic metabolism.
ANS: Ischemia
PTS: 1
ANS:
the size of the occluded vessel, the extent of collateral circulation
the extent of collateral circulation, the size of the occluded vessel,
PTS: 1
PTS: 1
14. The ____________________ extracts cholesterol from the blood and converts it into
____________________, which are secreted into the bile.
PTS: 1
15. The ATHS gene has been identified for susceptibility to ____________________.
ANS: atherosclerosis
PTS: 1
16. Vitamins ____________________ and ____________________ have been shown to slow plaque
deposition.
ANS:
A, C
C, A
PTS: 1
ANS: thrombus
PTS: 1
ANS: endothelium
PTS: 1
19. The ____________________ are the kinds of blood vessels that experience congestion for congestive
heart failure.
ANS: veins
PTS: 1
ANS: increases
PTS: 1
ANS: increases
PTS: 1
ANS: decreases
PTS: 1
ANS: increases
PTS: 1
24. An increase in cardiac sympathetic activity ____________________ the permeability of the SA node
to K ions.
ANS: decreases
PTS: 1
25. An increase in cardiac sympathetic activity ____________________ the rate of depolarization of the
SA node.
ANS: increases
PTS: 1
ANS: decreases
PTS: 1
ANS: decreases
PTS: 1
28. The ____________________ is the difference between cardiac output at rest and maximal CO.
PTS: 1
ANS: increases
PTS: 1
ANS: increases
PTS: 1
31. An increase in the length of the cardiac muscle fibres prior to contraction ____________________ the
stroke volume.
ANS: increases
PTS: 1
ANS: increases
PTS: 1
33. An increase in cardiac sympathetic activity ____________________ the contractility of the ventricles.
ANS: increases
PTS: 1
PTS: 1
ANS: increases
PTS: 1
ANS: increases
PTS: 1
ANS: decreases
PTS: 1
ANS: increases
PTS: 1
MATCHING
Match the term with the correct characteristic by using the answer code:
a. gap junction
b. HDL
c. functional syncytium
d. heart valve
e. pericardial sac
f. LDL
g. adenosine
1. encircles the heart and secretes a lubricating fluid
2. carries cholesterol to cells
3. prevents backflow of blood
4. area of low electrical resistance that allows an action potential to spread from one cardiac cell to
surrounding cells
5. muscle mass that becomes excited and contracts as a unit
6. induces coronary vasodilation
7. carries cholesterol away from cells
1. ANS: E PTS: 1
2. ANS: F PTS: 1
3. ANS: D PTS: 1
4. ANS: A PTS: 1
5. ANS: C PTS: 1
6. ANS: G PTS: 1
7. ANS: B PTS: 1
Match the EKG feature with the correct characteristic by using the answer code:
a. P wave
b. QRS complex
c. T wave
d. PR interval
e. TP interval
f. ST segment
8. ventricular depolarization
9. time during which ventricles are contracting and emptying
10. atrial depolarization
11. time during which atria are repolarizing
12. time during which impulse is travelling through the AV node
13. time during which ventricles are filling
8. ANS: B PTS: 1
9. ANS: F PTS: 1
10. ANS: A PTS: 1
11. ANS: B PTS: 1
12. ANS: D PTS: 1
13. ANS: E PTS: 1
Match the cardiovascular feature with the correct characteristic by using the answer code:
a. angina pectoris
b. embolus
c. atherosclerosis
d. thrombus
14. consists of abnormal smooth muscle cells, cholesterol deposits, scar tissue, and possible calcium
deposits plaque
15. referred cardiac pain
16. freely floating clot
17. abnormal clot attached to a vessel wall
Indicate the effects of sympathetic and parasympathetic stimulation on the heart by using the answer
code (options may be used more than once or not at all):
a. effect caused by sympathetic stimulation
b. effect caused by parasympathetic stimulation
c. not brought about by either sympathetic or parasympathetic stimulation
18. increases the heart rate
19. decreases the contractility of the atrial muscle
20. increases the AV nodal delay
21. decreases the rate of depolarization to threshold of the SA node
22. increases the contractility of the atrial and ventricular muscle
23. decreases the contractility of the ventricular muscle
Indicate which factor involved in the initiation and spread of cardiac excitation is being identified by
using the answer code (options may be used more than once or not at all):
a. SA node
b. AV node
c. bundle of His and Purkinje system
d. gap junctions
24. has the fastest rate of pacemaker activity
25. allows the impulse to spread from cell to cell
26. delays conduction of the impulse
27. the only point of electrical contact between the atria and ventricles
28. the normal pacemaker of the heart
29. rapidly conducts the impulse down the ventricular septum and throughout much of the ventricular
musculature
Indicate which ion is involved in each event being described by using the answer code (options may be
used more than once or not at all):
a. K+
b. Na+
c. Ca2+
30. Inactivation of _____ channels brings about the slow drift of membrane potential to threshold in the
cardiac autorhythmic cells.
31. Explosive increase in membrane permeability to _____ brings about the rapidly rising phase of the
action potential in contractile cardiac cells.
32. Slow inward diffusion of _____ is largely responsible for the plateau portion of the cardiac action
potential.
33. The rapid falling phase of the cardiac action potential is brought about primarily by the outward
diffusion of _____.
34. Changes in cytosolic _____ concentration bring about changes in the strength of cardiac contraction.
35. Parasympathetic stimulation increases the permeability of the SA node to _____, whereas sympathetic
stimulation decreases the permeability to this same ion.
Indicate which valve abnormality is being described by using the answer code (options may be used
more than once or not at all):
a. valvular stenosis
b. valvular insufficiency
36. produces a “gurgling” murmur
37. produces a “whistling” murmur
38. valve does not close completely
39. valve does not open completely
Indicate which pressure relationship exists during the time in question by using the answer code
(options may be used more than once or not at all):
a. aortic pressure > ventricular pressure > atrial pressure
b. ventricular pressure > aortic pressure > atrial pressure
c. aortic pressure > atrial pressure > ventricular pressure
d. ventricular pressure > atrial pressure > aortic pressure
e. atrial pressure > ventricular pressure > aortic pressure
40. during ventricular diastole
41. when the atrioventricular valve closes
42. during isovolumetric ventricular contraction
43. when the aortic valve opens
44. when ventricular ejection is occurring
45. when the aortic valve closes
46. during isovolumetric ventricular relaxation
47. when the atrioventricular valve opens
Complete the following statements by using the answer code (options may be used more than once or
not at all):
a. stroke volume
b. end-diastolic volume
c. cardiac output
d. heart rate
e. end-systolic volume
f. sympathetic activity
48. The volume of blood ejected by each ventricle each minute is known as the _____.
49. The two main determinants of cardiac output are stroke volume and _____.
50. The volume of blood ejected by each ventricle each beat is known as the _____.
51. The stroke volume may be calculated by end-diastolic volume minus _____.
52. The maximum volume of blood that the ventricle contains after filling is complete is the _____.
53. The minimum volume of blood that the ventricle contains after emptying is complete is the _____.
54. Stroke volume can be increased by increasing end-diastolic volume and _____.
55. The number of times the heart contracts each minute is the_____.
56. Heart rate can be increased by increasing _____.
Match heart characteristic with correct anatomical structure by using the answer code (options may
be used more than once or not at all):
a. tricuspid valve
b. myocardium
c. aortic semilunar valve
d. AV node
e. sinoatrial node
57. contains Purkinjie
58. its cells have slow Ca2+ channels
59. the ventricles’ left is much thicker
60. its fast Ca2+ channels help initiate
61. during systole, it is forced closed by papillary muscle action
62. overcomes the afterload of the circuits
63. its closing partially creates the heart sound “lub”
64. contraction of this generates blood pressure
65. electrically connects the atria to the ventricles
ESSAY
ANS:
Answers will vary.
PTS: 1
ANS:
Answers will vary.
PTS: 1
3. Describe generation of pacemaker action potentials and the cardiac conduction pathway.
ANS:
Answers will vary.
PTS: 1
ANS:
Answers will vary.
PTS: 1
ANS:
Answers will vary.
PTS: 1
PROBLEM
1. Indicate the proper order of the events during the cardiac cycle by placing numbers in the blanks
preceding the events in sequence. The first and last events are already indicated as a guide.
ANS:
1, 8, 11, 3, 5, 12, 7, 2, 4, 9, 10, 6, 5
PTS: 1
2. Compare the magnitude of the items in question by using the answer code (options may be used more
than once or not at all):
a. A is greater than B
b. B is greater than A
c. A and B are equal
A). volume of blood pumped out by the left side of the heart
B) volume of blood pumped out by the right side of the heart
A) volume of blood in the left ventricle when the aortic valve opens
B) volume of blood in the left ventricle when the aortic valve closes
A) volume of blood in the left ventricle when the left AV valve opens
B) volume of blood in the left ventricle when the left AV valve closes
ANS:
b, c, a, a, b, c, a, a, b, b, c, a, b, c, a, b
PTS: 1