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Exploring Medical Language A Student

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Chapter 10: Cardiovascular, Immune, Lymphatic Systems and Blood
LaFleur: Exploring Medical Language, 10th Edition

MULTIPLE CHOICE

1. The pronunciation of the anatomic term for blood vessels that carry oxygen and
nutrient-containing blood away from the heart is a(n)
a.
b.
c.
d.

ANS: A REF: 352 OBJ: 1


TOP: Pronunciation of Anatomic Structures

2. The pronunciation of the anatomic term for transparent, colorless, tissue fluid that contains
lymphocytes and monocytes is called
a. (PLAZ-ma).
b. (limf).
c.
d. (blud).
ANS: B REF: 356 OBJ: 1
TOP: Pronunciation of Anatomic Structures

3. The combining form angi/o is defined as


a. vessel.
b. duct.
c. vein.
d. artery.
ANS: A REF: 358 OBJ: 2 TOP: Word Parts

4. The combining form that means heart is


a. atri/o.
b. phleb/o.
c. ventricul/o.
d. cardi/o.
ANS: D REF: 358 OBJ: 2 TOP: Word Parts

5. The combining form that means vein is


a. valv/o.
b. valvul/o.
c. phleb/o.
d. angi/o.
ANS: C REF: 358 OBJ: 2 TOP: Word Parts

6. The combining form atri/o is defined as


a. vessel.
b. heat.
c. atrium.
d. artery.
ANS: C REF: 358 OBJ: 2 TOP: Word Parts

7. The combining form thromb/o is defined as


a. sound.
b. heat.
c. electricity.
d. clot.
ANS: D REF: 360 OBJ: 2 TOP: Word Parts

8. The combining form isch/o is defined as


a. yellowish, fatty plaque.
b. sound.
c. deficiency, blockage.
d. clot.
ANS: C REF: 360 OBJ: 2 TOP: Word Parts

9. The prefix that means slow is


a. tachy-.
b. brady-.
c. hyper-.
d. meta-.
ANS: B REF: 361 OBJ: 2 TOP: Word Parts

10. The suffix -poiesis is defined as


a. removal.
b. pain.
c. hardening.
d. formation.
ANS: D REF: 361 OBJ: 2 TOP: Word Parts

11. The prefix pan- means


a. pertaining to.
b. all, total.
c. removal.
d. heat.
ANS: B REF: 361 OBJ: 2 TOP: Word Parts

12. The suffix that means abnormal reduction in number is


a. -algia.
b. -penia.
c. -sclerosis.
d. -apharesis.
ANS: B REF: 361 OBJ: 2 TOP: Word Parts
13. The suffix that means formation is
a. -poiesis.
b. -penia.
c. -apheresis.
d. -sclerosis.
ANS: A REF: 361 OBJ: 2 TOP: Word Parts

14. The suffix that means hardening is


a. -malacia.
b. -sclerosis.
c. -penia.
d. -poiesis.
ANS: B REF: 361 OBJ: 2 TOP: Word Parts

15. The term that means enlargement of the heart is


a. cardiomegaly.
b. hypertension.
c. atrioventricular defect.
d. cardiomyopathy.
ANS: A REF: 362 OBJ: 3
TOP: Disease and Disorder Terms Built from Word Parts

16. The term valvulitis is defined as inflammation of the


a. blood vessels of the heart.
b. pulmonary veins.
c. valves of the heart.
d. inner layer of the heart.
ANS: C REF: 363 OBJ: 3
TOP: Disease and Disorder Terms Built from Word Parts

17. The term that means inflammation of the sac surrounding the heart is
a. endocarditis.
b. pericarditis.
c. myocarditis.
d. angiocarditis.
ANS: B REF: 362 OBJ: 3
TOP: Disease and Disorder Terms Built from Word Parts

18. Hardening of the arteries is called


a. angiostenosis.
b. aortic stenosis.
c. arteriorrhexis.
d. arteriosclerosis.
ANS: D REF: 362 OBJ: 3
TOP: Disease and Disorder Terms Built from Word Parts
19. The term that means abnormal reduction of all blood cells is
a. leukocytopenia.
b. thrombocytopenia.
c. pancytopenia.
d. erythrocytopenia.
ANS: C REF: 363 OBJ: 3
TOP: Disease and Disorder Terms Built from Word Parts

20. A tumor composed of blood vessels is called


a. angioma.
b. thymoma.
c. lymphoma.
d. hematoma.
ANS: A REF: 362 OBJ: 3
TOP: Disease and Disorder Terms Built from Word Parts

21. The term cardiomyopathy is defined as


a. disease of the heart muscle.
b. enlargement of the heart.
c. inflammation of the heart muscle.
d. acute compression of the heart.
ANS: A REF: 362 OBJ: 3
TOP: Disease and Disorder Terms Built from Word Parts

22. The term lymphadenitis is defined as inflammation of


a. lymphatic vessels.
b. lymph glands.
c. lymph nodes.
d. lymph tissue.
ANS: C REF: 363 OBJ: 3
TOP: Disease and Disorder Terms Built from Word Parts

23. The term ischemia is defined as


a. deficiency in blood (flow).
b. disease of the heart muscle.
c. narrowing of mitral valve from scarring.
d. distended or tortuous veins.
ANS: A REF: 362 OBJ: 3
TOP: Disease and Disorder Terms Built from Word Parts

24. Chest pain that occurs when there is an insufficient supply of blood to the heart muscle is
called
a. cardiac tamponade.
b. heart failure.
c. coarctation of the aorta.
d. angina pectoris.
ANS: D REF: 367 OBJ: 3
TOP: Disease and Disorder Terms Not Built from Word Parts

25. The term arrhythmia means


a. abnormal variation in the heart rhythm.
b. heart abnormality present at birth.
c. vascular inflammatory disorder.
d. obstruction of an artery of the heart.
ANS: A REF: 367 OBJ: 3
TOP: Disease and Disorder Terms Not Built from Word Parts

26. The ballooning of a weakened portion of an arterial wall is called


a. aneurysm.
b. thromboangiitis obliterans.
c. varicosities.
d. emboli.
ANS: A REF: 367 OBJ: 3
TOP: Disease and Disorder Terms Not Built from Word Parts

27. A sudden cessation of cardiac output and effective circulation is called


a. angina pectoris.
b. myocardial infarction.
c. heart failure.
d. cardiac arrest.
ANS: D REF: 369 OBJ: 3
TOP: Disease and Disorder Terms Not Built from Word Parts

28. The inability of the heart to pump enough blood through the body to supply the tissues and
organs is called
a. coronary artery disease.
b. heart failure.
c. atrial fibrillation.
d. hypertensive heart disease.
ANS: B REF: 369 OBJ: 3
TOP: Disease and Disorder Terms Not Built from Word Parts

29. The condition that reduces the flow of blood through the coronary arteries to the myocardium
and is a common cause of heart failure and myocardial infarction is called
a. arrhythmia.
b. acute coronary syndrome.
c. heart failure.
d. coronary artery disease.
ANS: D REF: 369 OBJ: 3
TOP: Disease and Disorder Terms Not Built from Word Parts

30. A malignant disease characterized by an excessive increase in abnormal leukocytes formed in


the bone marrow is
a. Hodgkin disease.
b. anemia.
c. hemophilia.
d. leukemia.
ANS: D REF: 370 OBJ: 3
TOP: Disease and Disorder Terms Not Built from Word Parts

31. An acute infection caused by the Epstein-Barr virus characterized by swollen lymph nodes,
sore throat, fatigue, and fever is
a. rheumatic heart disease.
b. mitral valve stenosis.
c. infectious mononucleosis.
d. deep vein thrombosis.
ANS: C REF: 371 OBJ: 3
TOP: Disease and Disorder Terms Not Built from Word Parts

32. A disease of the arteries in the arms and legs resulting in narrowing or complete obstruction of
the artery is called
a. coronary artery disease.
b. hypertensive heart disease.
c. acute coronary syndrome.
d. peripheral arterial disease.
ANS: D REF: 370 OBJ: 3
TOP: Disease and Disorder Terms Not Built from Word Parts

33. Which of the following is also called a heart attack?


a. Angina pectoris
b. Arrhythmia
c. Hypertensive heart disease
d. Myocardial infarction
ANS: D REF: 369 OBJ: 3
TOP: Disease and Disorder Terms Not Built from Word Parts

34. An inherited bleeding disorder most commonly caused by a deficiency of the coagulation
factor VIII is
a. Hodgkin disease.
b. leukemia.
c. anemia.
d. hemophilia.
ANS: D REF: 370 OBJ: 3
TOP: Disease and Disorder Terms Not Built from Word Parts

35. The term anemia is defined as


a. an excessive increase in abnormal leukocytes.
b. the dissolution of erythrocytes.
c. condition in which there is a reduction in the number of erythrocytes.
d. condition in which pathogenic microorganisms enter the bloodstream.
ANS: C REF: 370 OBJ: 3
TOP: Disease and Disorder Terms Not Built from Word Parts
36. A condition in which pathogenic microorganisms, usually bacteria, enter the bloodstream,
causing a systemic inflammatory response to the infection is called
a. phagocytosis.
b. sepsis.
c. vaccine.
d. immunodeficiency.
ANS: B REF: 370 OBJ: 3
TOP: Disease and Disorder Terms Not Built from Word Parts

37. Excision within the artery (of plaque from the arterial wall) is called
a. pericardiostomy.
b. phlebectomy.
c. atherectomy.
d. endarterectomy.
ANS: D REF: 375 OBJ: 4
TOP: Surgical Terms Built from Word Parts

38. The term that means incision into a vein is


a. splenectomy.
b. phlebotomy.
c. splenorrhaphy.
d. valvuloplasty.
ANS: B REF: 375 OBJ: 4
TOP: Surgical Terms Built from Word Parts

39. The term angioplasty is defined as the surgical


a. repair of a blood vessel.
b. repair of a valve.
c. excision of a vein.
d. repair of an artery.
ANS: A REF: 374 OBJ: 4
TOP: Surgical Terms Built from Word Parts

40. The term that means surgical puncture to aspirate fluid from the sac surrounding the heart is
a. phlebectomy.
b. pericardiocentesis.
c. angioplasty.
d. endarterectomy.
ANS: B REF: 375 OBJ: 4
TOP: Surgical Terms Built from Word Parts

41. The term thymectomy is defined as a(n) _____________ the thymus gland.
a. surgical fixation of
b. incision into
c. excision of
d. tumor of
ANS: C REF: 375 OBJ: 4
TOP: Surgical Terms Built from Word Parts

42. A surgical technique to bring a new blood supply to heart muscles by detouring around
blocked arteries is
a. embolectomy.
b. percutaneous transluminal coronary angioplasty.
c. coronary stent.
d. coronary artery bypass graft.
ANS: D REF: 377 OBJ: 4
TOP: Surgical Terms Not Built from Word Parts

43. An injection of a medication either intravenously or intraarterially to dissolve blood clots is


called
a. thrombolytic therapy.
b. catheter ablation.
c. aneurysmectomy.
d. coronary stent.
ANS: A REF: 378 OBJ: 4
TOP: Surgical Terms Not Built from Word Parts

44. The term femoropopliteal bypass is defined as


a. surgical excision of an aneurysm.
b. surgery to establish an alternate route of blood flow past a blocked femoral artery.
c. surgical removal of an embolus or clot.
d. supportive scaffold device placed in a femoral artery.
ANS: B REF: 378 OBJ: 4
TOP: Surgical Terms Not Built from Word Parts

45. The procedure to aspirate a sample of the liquid portion of the bone marrow, usually from the
ilium (upper hip bone), is called
a. bone marrow aspiration.
b. bone marrow transplant.
c. bone marrow biopsy.
d. catheter ablation.
ANS: A REF: 378 OBJ: 4
TOP: Surgical Terms Not Built from Word Parts

46. The procedure in which a balloon is advanced into a blood vessel to the area in which the
plaque has formed is called
a. percutaneous transluminal coronary angioplasty.
b. embolectomy.
c. coronary artery bypass graft.
d. coronary stent.
ANS: A REF: 378 OBJ: 4
TOP: Surgical Terms Not Built from Word Parts

47. An angioscope is a(n)


a. radiographic imaging of a blood vessel.
b. visual examination of a blood vessel.
c. instrument used for visual examination (of the inside) of a blood vessel.
d. radiographic image of an artery.
ANS: C REF: 381 OBJ: 5
TOP: Diagnostic Terms Built from Word Parts

48. A record of the electrical activity of the heart is called a(n)


a. echocardiogram.
b. sonogram.
c. electrocardiogram.
d. aortogram.
ANS: C REF: 382 OBJ: 5
TOP: Diagnostic Terms Built from Word Parts

49. The radiographic image of a vein is called a(n)


a. angioscopy.
b. venogram.
c. arteriogram.
d. angiography.
ANS: B REF: 382 OBJ: 5
TOP: Diagnostic Terms Built from Word Parts

50. The term echocardiogram is defined as the


a. instrument used to measure pulse waves and heartbeat.
b. record of the heart (structure and motion) using sound waves.
c. process of recording the electrical activity of the heart.
d. instrument used to examine chest sounds.
ANS: B REF: 382 OBJ: 5
TOP: Diagnostic Terms Built from Word Parts

51. A study that uses high-frequency sound waves for detection of blood flow within the vessels
is called
a. single-photon emission computed tomography.
b. impedance plethysmography.
c. Doppler ultrasound.
d. electrocardiogram.
ANS: C REF: 385 OBJ: 5
TOP: Diagnostic Terms Not Built from Word Parts

52. A blood test to monitor anticoagulation therapy for patients taking heparin is
a. C-reactive protein.
b. activated partial thromboplastin time.
c. lipid profile.
d. creatine phosphokinase.
ANS: B REF: 386 OBJ: 5
TOP: Diagnostic Terms Not Built from Word Parts
53. The blood test used to measure the volume of erythrocytes is
a. hemoglobin.
b. hematocrit.
c. platelet count.
d. homocysteine.
ANS: B REF: 387 OBJ: 5
TOP: Diagnostic Terms Not Built from Word Parts

54. The device used for measuring blood pressure is a


a. Doppler ultrasound.
b. sphygmocardiograph.
c. cardiac catheterization.
d. sphygmomanometer.
ANS: D REF: 386 OBJ: 5
TOP: Diagnostic Terms Not Built from Word Parts

55. A test that evaluates cardiac function during physical stress is a(n)
a. sestamibi test.
b. exercise stress test.
c. Doppler ultrasound.
d. impedance plethysmography.
ANS: B REF: 385 OBJ: 5
TOP: Diagnostic Terms Not Built from Word Parts

56. A test done to determine the time it takes for a blood clot to form is called
a. a complete blood count.
b. prothrombin time.
c. coagulation time.
d. sestamibi stress testing.
ANS: C REF: 386 OBJ: 5
TOP: Diagnostic Terms Not Built from Word Parts

57. A blood test used to determine the amount of protein in red blood cells that carries oxygen is
a. hemoglobin.
b. prothrombin time.
c. hematocrit.
d. coagulation time.
ANS: A REF: 386 OBJ: 5
TOP: Diagnostic Terms Not Built from Word Parts

58. The blood test for determining coagulation activity defects is called
a. platelet count.
b. prothrombin time.
c. complete blood count.
d. hemoglobin.
ANS: B REF: 387 OBJ: 5
TOP: Diagnostic Terms Not Built from Word Parts

59. The term cardiology means


a. pertaining to the heart and the blood.
b. study of the heart.
c. study of the blood.
d. study of the heart and the blood.
ANS: B REF: 391 OBJ: 6
TOP: Complementary Terms Built from Word Parts

60. The term hemostasis is defined as the


a. equilibrium of the body as a whole.
b. formation of erythrocytes.
c. stoppage of bleeding.
d. destruction of erythrocytes.
ANS: C REF: 391 OBJ: 6
TOP: Complementary Terms Built from Word Parts

61. The term that means a condition of (body) temperature that is below (normal) is
a. hematopoiesis.
b. hemolysis.
c. hypothermia.
d. thrombolysis.
ANS: C REF: 391 OBJ: 6
TOP: Complementary Terms Built from Word Parts

62. The term that means removal of the liquid portion of the blood (from withdrawn blood) is
a. hematopoiesis.
b. hemolysis.
c. hemostasis.
d. plasmapheresis.
ANS: D REF: 391 OBJ: 6
TOP: Complementary Terms Built from Word Parts

63. A physician who studies and treats diseases of the blood is called a
a. hematologist.
b. hematology.
c. phlebology.
d. phlebologist.
ANS: A REF: 391 OBJ: 6
TOP: Complementary Terms Built from Word Parts

64. An anticoagulant agent is one that


a. narrows the lumen of blood vessels.
b. magnifies clotting defects.
c. causes hemorrhage.
d. slows the blood clotting process.
ANS: D REF: 396 OBJ: 6
TOP: Complementary Terms Not Built from Word Parts

65. The procedure used to puncture a vein with a needle to remove blood, instill a medication, or
start an intravenous infusion is
a. venipuncture.
b. vasoconstriction.
c. extravasation.
d. venogram.
ANS: A REF: 396 OBJ: 6
TOP: Complementary Terms Not Built from Word Parts

66. An excessive amount of any type of fat in the blood is called


a. hyperlipidemia.
b. hypercholesterolemia.
c. hypertriglyceridemia.
d. lipids.
ANS: A REF: 395 OBJ: 6
TOP: Complementary Terms Not Built from Word Parts

67. The term blood dyscrasia is defined as


a. pathological condition of the blood.
b. the rapid flow of blood.
c. blood pressure below normal.
d. agent or nerve that narrows the blood vessels.
ANS: A REF: 396 OBJ: 6
TOP: Complementary Terms Not Built from Word Parts

68. The phase in the cardiac cycle in which the ventricles relax between contractions is called
a. systole.
b. diastole.
c. fibrillation.
d. vasodilator.
ANS: B REF: 395 OBJ: 6
TOP: Complementary Terms Not Built from Word Parts

69. A lumen is a(n)


a. opening of a duct.
b. cavity or channel within a tube or tubular organ.
c. tight closure.
d. constricted vessel.
ANS: B REF: 396 OBJ: 6
TOP: Complementary Terms Not Built from Word Parts

70. The term systole is defined as


a. pressure exerted by the blood against the blood vessel wall.
b. a phase in the cardiac cycle in which the ventricles contract and eject blood.
c. blood pressure that is below normal.
d. a phase in the cardiac cycle in which the ventricles relax between contractions.
ANS: B REF: 396 OBJ: 6
TOP: Complementary Terms Not Built from Word Parts

71. Which of the following is the correct spelling of the term which means rapid loss of blood?
a. Hemorrage
b. Hemorhage
c. Hemmorhage
d. Hemorrhage
ANS: D REF: 396 OBJ: 6
TOP: Complementary Terms Not Built from Word Parts

72. An exaggerated life-threatening reaction to a previously encountered antigen is called


a. antibodies.
b. allergen.
c. anaphylaxis.
d. autoimmune disease.
ANS: C REF: 398 OBJ: 6
TOP: Complementary Terms Not Built from Word Parts

73. The abbreviation for disorder of the heart brought about by persistent high blood pressure is
a. MI.
b. AFib.
c. HHD.
d. DVT.
ANS: C REF: 400 OBJ: 7 TOP: Abbreviations

74. The abbreviation for record of the electrical activity of the heart is
a. CABG.
b. DVT.
c. ECG.
d. HHD.
ANS: C REF: 400 OBJ: 7 TOP: Abbreviations

75. A test to monitor anticoagulation therapy is


a. CBC.
b. Hct.
c. Hgb.
d. PT.
ANS: D REF: 400 OBJ: 7 TOP: Abbreviations

76. The abbreviation for a nuclear medicine scan that visualizes the heart from several different
angles is
a. SPECT.
b. PTCA.
c. TEE.
d. DSA.
ANS: A REF: 400 OBJ: 7 TOP: Abbreviations

77. The abbreviation for sudden symptoms of insufficient blood supply to the heart is
a. RBC.
b. ACS.
c. HF.
d. CCU.
ANS: B REF: 399 OBJ: 7 TOP: Abbreviations

78. Blood pressure may be reduced with the use of an agent that expands the diameter of blood
vessels, or a
a. venipuncture.
b. vaccine.
c. vasoconstrictor.
d. vasodilator.
ANS: D REF: 396 OBJ: 8 TOP: Practical Application

79. Because the collapse of a vein following coronary artery bypass surgery may occur, a
significant concern in the care of these patients postoperatively is a blood pressure reading
below normal or
a. hypertriglyceridemia.
b. hypertension.
c. hypothermia.
d. hypotension.
ANS: D REF: 396 OBJ: 8 TOP: Practical Application

80. Following illness with rheumatic fever, the child began showing signs of narrowing of the
mitral valve from scarring or
a. mitral valve stenosis.
b. tachycardia.
c. pericarditis.
d. aortic stenosis.
ANS: A REF: 369 OBJ: 8 TOP: Practical Application

81. To evaluate the patient’s anemia, the hematologist recommended a procedure to obtain a
sample of the solid portion of bone marrow for study or a
a. bone marrow transplant.
b. cardiac catheterization.
c. complete blood count.
d. bone marrow biopsy.
ANS: D REF: 378 OBJ: 8 TOP: Practical Application

82. The patient had shortness of breath and pain radiating down his left arm. An EKG showed
abnormalities. To further define the etiology of the patient’s symptoms, the cardiologist
passed a catheter into his heart from a vessel in the groin to examine the condition of the
heart, or
a. transesophageal echocardiogram.
b. exercise stress test.
c. cardiac catheterization.
d. sestamibi test.
ANS: C REF: 385 OBJ: 8 TOP: Practical Application

83. Because of one completely and two partially obstructed arteries, the patient was scheduled for
surgery to bring a new blood supply to the heart muscle by detouring around the obstructed
arteries called
a. CABG.
b. PTCA.
c. HTN
d. SPEC.
ANS: A REF: 377 OBJ: 8 TOP: Practical Application

MATCHING

Match each item with the correct description below.


a. pericardium
b. atria
c. semilunar valves
d. atrioventricular valves
e. myocardium
f. capillaries

1. pulmonary and aortic valves


2. middle, thick, muscular layer of the heart
3. microscopic blood vessels that connect arterioles with venules
4. consists of the tricuspid and mitral valves
5. two-layer sac surrounding the heart
6. upper chambers of the heart

1. ANS: C REF: 352 OBJ: 1 TOP: Anatomic Structure


2. ANS: E REF: 352 OBJ: 1 TOP: Anatomic Structure
3. ANS: F REF: 356 OBJ: 1 TOP: Anatomic Structure
4. ANS: D REF: 352 OBJ: 1 TOP: Anatomic Structure
5. ANS: A REF: 352 OBJ: 1 TOP: Anatomic Structure
6. ANS: B REF: 352 OBJ: 1 TOP: Anatomic Structure

Match each item with the correct description below.


a. arteries
b. epicardium
c. ventricles
d. veins
e. aorta
f. venae cavae

7. covers the heart


8. largest veins in the body
9. largest artery in the body
10. lower chambers of the heart
11. carries blood containing oxygen and other nutrients away from the heart (except for
pulmonary)
12. carries blood containing carbon dioxide and other waste products back to the heart (except for
pulmonary)

7. ANS: B REF: 352 OBJ: 1 TOP: Anatomic Structure


8. ANS: F REF: 353 OBJ: 1 TOP: Anatomic Structure
9. ANS: E REF: 353 OBJ: 1 TOP: Anatomic Structure
10. ANS: C REF: 352 OBJ: 1 TOP: Anatomic Structure
11. ANS: A REF: 352 OBJ: 1 TOP: Anatomic Structure
12. ANS: D REF: 353 OBJ: 1 TOP: Anatomic Structure

Match each item with the correct description below.


a.
b.
c.
d.

13. develop in bone marrow and carries oxygen


14. responsible for aiding in the clotting process
15. fluid portion of the blood that remains after a clot has formed
16. combats infection and responds to inflammation

13. ANS: B REF: 354 OBJ: 1 TOP: Anatomic Structure


14. ANS: C REF: 354 OBJ: 1 TOP: Anatomic Structure
15. ANS: A REF: 354 OBJ: 1 TOP: Anatomic Structure
16. ANS: D REF: 354 OBJ: 1 TOP: Anatomic Structure

Match each item with the correct description below.


a. (PLAZ-ma)
b.
c.
d.

17. where blood is cleansed of microorganisms


18. filters lymph to keep substances such as bacteria and other foreign agents from entering the
blood
19. 90% water and comprises approximately 55% of the total blood volume
20. plays an important role in the development of the body’s immune system

17. ANS: B REF: 356 OBJ: 1 TOP: Anatomic Structure


18. ANS: D REF: 356 OBJ: 1 TOP: Anatomic Structure
19. ANS: A REF: 354 OBJ: 1 TOP: Anatomic Structure
20. ANS: C REF: 356 OBJ: 1 TOP: Anatomic Structure

Match each item with the correct description below.


a. thym/o
b. lymph/o
c. -apheresis
d. lymphaden/o
e. ather/o
f. arteri/o
21. thymus gland
22. yellowish, fatty plaque
23. lymph node
24. lymph, lymph tissue
25. removal
26. artery

21. ANS: A REF: 358 OBJ: 2 TOP: Word Parts


22. ANS: E REF: 360 OBJ: 2 TOP: Word Parts
23. ANS: D REF: 358 OBJ: 2 TOP: Word Parts
24. ANS: B REF: 358 OBJ: 2 TOP: Word Parts
25. ANS: C REF: 361 OBJ: 2 TOP: Word Parts
26. ANS: F REF: 358 OBJ: 2 TOP: Word Parts

Match each item with the correct description below.


a. aort/o
b. myel/o
c. splen/o
d. -ac
e. ventricul/o
f. ech/o

27. aorta
28. sound
29. bone marrow
30. spleen
31. ventricle
32. pertaining to

27. ANS: A REF: 358 OBJ: 2 TOP: Word Parts


28. ANS: F REF: 360 OBJ: 2 TOP: Word Parts
29. ANS: B REF: 358 OBJ: 2 TOP: Word Parts
30. ANS: C REF: 358 OBJ: 2 TOP: Word Parts
31. ANS: E REF: 358 OBJ: 2 TOP: Word Parts
32. ANS: D REF: 361 OBJ: 2 TOP: Word Parts

Match each item with the correct description below.


a. ischemia
b. atrial fibrillation
c. atherectomy
d. bruit
e. vaccine
f. hypercholesterolemia

33. excision of fatty plaque from a blocked artery


34. cardiac arrhythmia characterized by chaotic, rapid electrical impulses in the atria
35. deficiency of blood flow
36. caused by turbulent blood flow through arteries or veins
37. induces immunity to prevent an infectious disease
38. excessive amount of cholesterol in the blood

33. ANS: C REF: 374 OBJ: 3|4|5|6 TOP: Medical Terms


34. ANS: B REF: 368 OBJ: 3|4|5|6 TOP: Medical Terms
35. ANS: A REF: 362 OBJ: 3|4|5|6 TOP: Medical Terms
36. ANS: D REF: 394 OBJ: 3|4|5|6 TOP: Medical Terms
37. ANS: E REF: 398 OBJ: 3|4|5|6 TOP: Medical Terms
38. ANS: F REF: 395 OBJ: 3|4|5|6 TOP: Medical Terms

Match each item with the correct description below.


a. angiography
b. myocarditis
c. electrocardiograph
d. murmur
e. thrombophlebitis
f. cardiogenic

39. inflammation of a vein associated with a clot


40. radiographic imaging of blood vessels
41. caused by turbulent blood flow through the heart
42. instrument used to record the electrical activity of the heart
43. originating in the heart
44. inflammation of the muscle of the heart

39. ANS: E REF: 362 OBJ: 3|4|5|6 TOP: Medical Terms


40. ANS: A REF: 381 OBJ: 3|4|5|6 TOP: Medical Terms
41. ANS: D REF: 396 OBJ: 3|4|5|6 TOP: Medical Terms
42. ANS: C REF: 382 OBJ: 3|4|5|6 TOP: Medical Terms
43. ANS: F REF: 391 OBJ: 3|4|5|6 TOP: Medical Terms
44. ANS: B REF: 362 OBJ: 3|4|5|6 TOP: Medical Terms

Match each item with the correct description below.


a. occlude
b. phlebitis
c. myelopoiesis
d. hematocrit
e. antigen
f. valvuloplasty

45. substance that triggers an immune response when introduced into the body
46. surgical repair of a valve (cardiac or venous)
47. inflammation of a vein
48. used in the diagnosis and evaluation of an anemic patient
49. formation of bone marrow
50. to close tightly, to block
45. ANS: E REF: 398 OBJ: 3|4|5|6 TOP: Medical Terms
46. ANS: F REF: 375 OBJ: 3|4|5|6 TOP: Medical Terms
47. ANS: B REF: 362 OBJ: 3|4|5|6 TOP: Medical Terms
48. ANS: D REF: 387 OBJ: 3|4|5|6 TOP: Medical Terms
49. ANS: C REF: 391 OBJ: 3|4|5|6 TOP: Medical Terms
50. ANS: A REF: 396 OBJ: 3|4|5|6 TOP: Medical Terms

Match each item with the correct description below.


a. myocardial infarction
b. embolus
c. angiostenosis
d. phlebectomy
e. coronary stent
f. aortogram

51. blood clot or foreign material that enters the bloodstream


52. narrowing of a blood vessel
53. radiographic image of the aorta
54. supportive scaffold device used to prevent closure of an artery
55. also called a heart attack
56. excision of a vein

51. ANS: B REF: 370 OBJ: 3|4|5|6 TOP: Medical Terms


52. ANS: C REF: 362 OBJ: 3|4|5|6 TOP: Medical Terms
53. ANS: F REF: 382 OBJ: 3|4|5|6 TOP: Medical Terms
54. ANS: E REF: 378 OBJ: 3|4|5|6 TOP: Medical Terms
55. ANS: A REF: 369 OBJ: 3|4|5|6 TOP: Medical Terms
56. ANS: D REF: 375 OBJ: 3|4|5|6 TOP: Medical Terms

Match each item with the correct description below.


a. ECHO
b. Hct
c. BP
d. CRP
e. CAD
f. Hgb

57. blood pressure


58. hematocrit
59. c-reactive protein
60. hemoglobin
61. echocardiogram
62. coronary artery disease

57. ANS: C REF: 399 OBJ: 7 TOP: Abbreviations


58. ANS: B REF: 400 OBJ: 7 TOP: Abbreviations
59. ANS: D REF: 400 OBJ: 7 TOP: Abbreviations
60. ANS: F REF: 400 OBJ: 7 TOP: Abbreviations
61. ANS: A REF: 400 OBJ: 7 TOP: Abbreviations
62. ANS: E REF: 399 OBJ: 7 TOP: Abbreviations

Match each item with the correct description below.


a. DSA
b. EKG
c. DVT
d. AV
e. HTN
f. AICD

63. electrocardiogram
64. atrioventricular
65. digital subtraction angiography
66. deep vein thrombosis
67. hypertension
68. automated implantable cardiac defibrillator

63. ANS: B REF: 400 OBJ: 7 TOP: Abbreviations


64. ANS: D REF: 399 OBJ: 7 TOP: Abbreviations
65. ANS: A REF: 400 OBJ: 7 TOP: Abbreviations
66. ANS: C REF: 400 OBJ: 7 TOP: Abbreviations
67. ANS: E REF: 400 OBJ: 7 TOP: Abbreviations
68. ANS: F REF: 399 OBJ: 7 TOP: Abbreviations
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[Contents]

Stories from the Na Moolelo mai ka


Legend of Laieikawai. Kaao no Laieikawai.

CHAPTER I. MOKUNA I.

Relating to No Aiohikupua.—No
Aiohikupua.—To Haunaka.
Haunaka.

Aiohikupua 1 was a very strong He kanaka ikaika o Aiohikupua i


man, both in boxing and ke kui a me ka mokomoko. Ia ia i
wrestling. When he set sail from holo ai mai Maui aku a pae ma
Maui and landed at Kauhola, in Kauhola i Kohala, e mokomoko
Kohala, he found the people ana o Hinakahua. Kahi o na
gathered at Hinakahua, where kanaka a pau e piha ana. Ilaila o
they were holding their Ihuanu, he kanaka ikaika no
customary games of boxing, Kohala i ke kui.
wrestling and other manly
exhibitions of strength. At this
place he met Ihuanu, a very
expert and strong boxer who
belonged to that district, Kohala.

When Aiohikupua and his A pae o Aiohikupua ma Kohala,


companions came ashore in pii aku la lakou e ike i ka
Kohala they proceeded up to see mokomoko. A hiki lakou, oili mai
the wrestling. When they arrived la o Ihuanu, a kahea mai la:
at the grounds, Ihuanu came out “Owai mai ma kela aoao e
and challenged: “Who is to come mokomoko mai me a’u,” aohe
from that side and meet me, kanaka aa mai, ua makau ia o
wrestling?” No one was seen to Ihuanu e na mea a pau loa. A
come and accept the challenge pau ka olelo ana a Ihuanu, huli
because they were all afraid of ae la ia a olelo mai ia
him. After this Ihuanu turned to Aiohikupua: “E ka malihini, e
Aiohikupua and said: “Say, pono paha ke lealea.” A lohe o
stranger, you had better join in Aiohikupua i keia leo o Ihuanu,
the fun.” When Aiohikupua heard hele aku la ia a kokoke, a olelo
the invitation he went up to aku la: “E ke kamaaina! ua noi
Ihuanu and said: “Say, son of the mai oe ia’u, e lealea kaua. A eia
soil, you have asked me to join hoi ka’u ia oe. I elua ma kou
you in the fun, and this is what I aoao, hui pu me oe, akolu.
wish to say to you: Get two Alaila, akolu oukou, e aho ia
others beside yourself on your mikomiko iho ka malihini.” A lohe
side, making three of you. With o Ihuanu i keia olelo a
that number the stranger will feel Aiohikupua, olelo mai la ia: “He
it worth while to join you.” When oi oe o ke kanaka olelo hookano.
Ihuanu heard this from Owau no ka oi mamua o na mea
Aiohikupua, he made reply: “You a pau o Kohala nei, a ke olelo
are a very conceited man. I am mai nei oe i ekolu aku makou ma
the best man among all the kekahi aoao, a i hookahi oe. He
people of Kohala, and here you keu oe o ke kanaka wahahee,
have asked that there must be heaha la oe i kuu manao.”
three of us on one side to meet
you alone on your side. You are
the most conceited 2 man that I
have ever seen. What are you to
me?”

Aiohikupua then boasted, saying I aku o Aiohikupua i kana olelo


to Ihuanu: “I am not going to kaena i mua o Ihuanu: “Aole au
stand up and box with you e ku aku ana e kui me oe, ke ku
unless you have three on your ole mai oukou ekolu i mua o’u. A
side. And what do I care for you heaha la oe a me ka lehulehu
and the people that have ia’u? e hiki ia’u ke hoolilo i keia
gathered here? I can turn this aha i mea ole, i loko o kuu lima
crowd into nothing with my left hema.” A no keia olelo a
hand.” Because of these words Aiohikupua, hele mai la kekahi
of Aiohikupua, one of the strong koa ikaika a ma ke kua o
men in Kohala who had come to Aiohikupua. Olelo mai la: “E! mai
witness the games came up olelo aku oe ia Ihuanu, o ko
behind Aiohikupua and said to Kohala oi no kela, aohe puko
him: “Say, don’t get Ihuanu momona ia ia.” Ia wa, huli ae la
angry, for he is the strongest o Aiohikupua a papale ae la. Ia
man in Kohala; there is nothing wa no make loa ua kanaka ala.
kept away from him when he Hele mai la kekahi mau koa a
asks.” At this Aiohikupua pushed ma ke kua o Ihuanu, a olelo mai
him to one side 3 whereby the la: “E Ihuanu, ke ike nei makou,
man was killed. Upon seeing aole e lanakila ana ko kakou
this, one of the warriors came up aoao i keia la. Ma kuu manao
behind Ihuanu and said to him: paa, o ka malihini ke lanakila
“Say, Ihuanu, we see that our ana. No ka mea, ua make ko
side will not be victorious this kakou kanaka, i pale wale ia mai
day. I am sure the stranger will nei no, o ka make ia. Nolaila, ke
win out, because one of our noi aku nei au e hui ka aha, e
companions is killed by just pau ka mokomoko ana, a me
receiving a mere push. kou aa ana i ka malihini, a e
Therefore I beg of you that the aloha olua me ka lulu lima ana,
crowd be dispersed and the alaila oe ola.” Ma keia olelo, ua
games brought to an end and hoaa ia ko [409]Ihuanu huhu wela
you withdraw your challenge and loa. Nolaila, olelo aku o Ihuanu:
meet the stranger in a kindly way “E ko’u poe kanaka, mai
and shake hands, and in that hopohopo, ma ka make ana o
way save yourself.” 4 By these kela kanaka o kakou, ma ke pale
words the hot anger in Ihuanu ana o ka lima. Aole anei au i
was [408]rekindled, and so he hana pela, mamua aku nei, a
replied: “Say, my men, don’t be heaha la ko oukou mea i makau
afraid because of the death of ai? Nolaila, ina hopo oukou,
that man from the push he alaila, e huna aku i ko oukou
received. Did I not do the very mau maka i ke aouli. A i lohe
same thing some few days ago? aku oukou, ua lanakila o Ihuanu,
Then why should you all be e hoomanao oukou i kuu puupuu
afraid? But if you are afraid, then o Kanikapihe, ka ai a ke kumu i
go and hide your faces in the koe ia oukou, aole i ao ia. No ka
sky; and if you should hear that mea, ke ike nei au aole e
Ihuanu is victorious, remember it lanakila mai oia maluna o’u, no
was by the blow known as ka mea, ua kani ka pola o kuu
Kanikapihe, 5 the blow the malo i ka hope.” I aku na hoa
teacher has not instructed you mokomoko ia Ihuanu: “Ua pau
of, for I see he will not be able to ka makou olelo ia oe, aohe olelo
overcome me, for I hear the end i koe, ku ia i mua o ko hoa.
of my loin cloth snap 6 behind Malama o pakele oe i ka ai a ko
me.” His companions then said kumu i koe ia makou, a pela no
to him: “We have nothing more hoi ka pola o ko malo.” Alaila,
to say to you, we have done our nee aku la na hoa ma waho o ka
part. Stand up then and face aha mokomoko.
your opponent; perhaps you will
be saved by means of the blow
your teacher has not instructed
us of, and perhaps the end of
your loin cloth did tell you the
truth.” 7 With this the companions
of Ihuanu retired to the outer
edge of the crowd.

While Ihuanu was boasting Ia Ihuanu e olelo kaena ana i


before the people, Aiohikupua mua o ka aha, oili mai la o
came out of the crowd and stood Aiohikupua a ma ke alo o Ihuanu
in the presence of Ihuanu, then ku iho la, a upoipoi na lima, me
clapped his arms around his ka olelo aku ia Ihuanu: “E
body and said to Ihuanu: “Say, Ihuanu, kui ia i kuu piko a
Ihuanu, strike sixteen blows at pololei, i eha kauna kui.” (Ua like
my middle.” When Ihuanu heard me umikumamaono puupuu.) A
this from Aiohikupua he turned lohe o Ihuanu i keia olelo a
and surveyed the crowd that was Aiohikupua, huli ae la o Ihuanu a
around them and when he saw a puni ka aha mokomoko. A ike
small boy, who was being held in aku la i kekahi keiki opiopio e hii
the arms of a certain person, he ia mai ana, kahea aku la ia, e
called out: “Let that small boy hele mai e kui ia Aiohikupua.
come and strike Aiohikupua.” Wahi a na olelo kaena a Ihuanu:
Continuing, Ihuanu said “Na keia keiki opiopio oe e kui.”
boastingly: “Let this small boy A lohe o Aiohikupua i keia olelo
strike you.” 8 When Aiohikupua a Ihuanu. Pii ae la kona huhu a
heard this from Ihuanu, his anger ke poo o kalakala. Huli aku la o
welled up within him until his Aiohikupua a olelo i ka aha
very hair stood on end; he then kanaka. “Owai ke kanaka i aa
turned to the people and said: mai i ko Kauai keiki nei, nolaila,
“What man is willing to face the ke olelo nei au. He hiki i kuu
boy from Kauai? I will therefore akua ke haawi mai ia’u e lanakila
at this time say, that my god is maluna o ko oukou kanaka
able to give me the victory over ikaika i keia la. A e hoolilo hoi i
your strong man this day and to ke poo i milimili na kuu poe
make his head a plaything for my hoewaa.” A mahope o keia mau
canoe men.” After making the olelo a Aiohikupua, pule iho la ia
above remarks, he prayed to his i kona mau akua, penei:
god as follows:

Lanipipili, Lanioaka, Lanipipili, Lanioaka,


Lanikahuliomealani. Lanikahuliomealani,
Say, Hekilikaakaa, E Hekilikaakaa,
Say, Nakolowailani, E Nakolowailani,
Recognize your offspring, E ike i ka oukou pulapula,
Look at your child E nana i ka oukou Kama,
And present me with the head of E haawi mai ke poo o Ihuanu
Ihuanu, I ike keia aha apau loa,
That the multitude might see Owau ka lanakila maluna,
That I am the conqueror. Amama, ua noa.
It is ended, the kapu is
released. 9

At the close of the prayer, A pau ka pule, olelo aku o


Aiohikupua asked his opponent: Aiohikupua, ua makaukau anei
“Are you ready, Ihuanu, to strike oe e Ihuanu e kui mai ia’u? Olelo
at me?” Ihuanu replied: “I will not mai o Ihuanu: “Aole au e kui ia
strike you. I want you to strike at oe, nau e kui mai ia’u.” A lohe ke
me.” When the boxing teacher of kumu kui a Ihuanu, hele mai la a
Ihuanu heard what his pupil had ma ka aoao. I mai la: “E! i olelo
answered he came up to his side hou mai e kui oe, kui ia, no ka
and said to him: “If he should mea, o ka manawa iho la no ia.”
again ask you to strike him do Mahope o laila, ninau hou o
it, 10 because this is the proper Aiohikupua ia Ihuanu, e waiho
time.” Shortly after this mai ana o Ihuanu i ka puupuu,
Aiohikupua again requested of hu ka makani, aole nae i ku o
Ihuanu to strike him. At this Aiohikupua, [411]no ka mea, ua
request, Ihuanu let drive at his alo ia, a hala ae la ka Ihuanu
opponent but did not hit him, for puupuu. A hala ka Ihuanu
[410]Aiohikupua was on his guard puupuu, e poho lalo ae ana o
and dodged. After dodging this Aiohikupua i kana puupuu, komo
blow from Ihuanu, Aiohikupua i ka houpo, a hula ma ke kua. Ia
struck at his opponent, hitting wa kaikai o Aiohikupua ia Ihuanu
him just below the chest so me ke koali i ka lima, a kiola aku
strong that the fist of Aiohikupua la ma waho o ka aha. Uwa ae la
went clear through and came out ka pihe, hui ka aha. Lalau iho la
at the back. Aiohikupua then o Aiohikupua i ke poo o Ihuanu a
raised up his arm, with the body lawe ae la na na hoewaa, a hoi
of Ihuanu on it, twirled the body aku la i na waa, a holo aku la a
around over his head and then pae ma Paauhau i Hamakua.
threw it outside of the rows of
people that were standing
around. At sight of this great
strength a mighty shout came
from the people and after this
they began to disperse. After this
Aiohikupua went over to the
place where the body of Ihuanu
was lying and cut off his head
and took it to his canoe men 11,
and they all returned to their
double canoe, which they
boarded and set sail for
Hamakua, landing at Paauhau.

relating to haunaka. no haunaka.

Haunaka was the strongest man, O ko Paauhau kanaka oi ia i ke


in boxing and wrestling, in the kui a me ka mokomoko, he
whole of Paauhau and he was at kanaka ikaika loa ma ia hana. A
this time very famous. In fact his ua laha ae kona kaulana a puni
fame had traversed over the o Hamakua.
whole district of Hamakua.

When the canoe of Aiohikupua Ia lakou e piha ana ma


touched at the landing at Paauhau, lele aku la o
Paauhau, he jumped ashore and Aiohikupua a pae i uka. Ninau
asked of the people of the place, aku la i ke kamaaina: “Heaha
saying: “What is that shouting in keia uwa o uka?” I mai la ke
the uplands?” One of the men kamaaina: “He mokomoko na
said: “The people are gathered Haunaka, koonei mokomoko
there to witness the champion nui.” Pii aku la o Aiohikupua a
wrestler, Haunaka, the strongest hiki. Kahea mai la o Haunaka:
man in the district.” When “Hele mai.” A hiki o Aiohikupua i
Aiohikupua heard this he mua o Haunaka, olelo aku la o
proceeded to the place where Aiohikupua. “Aole e eha ke keiki
the games were being held. As o Kauai ia oe. He lala kamahele
soon as he arrived, Haunaka no ka laau ku pali.” Ia
called out to him: “Come here.” Aiohikupua e kamailio ana, hele
When Aiohikupua came in the mai la kekahi kanaka i ike ia ia i
presence of Haunaka, he said: Kohala nei, a kahea ae la ia
“You will never be able to hurt Haunaka. “E Haunaka a me ka
the boy from Kauai for he is like aha. O ke kanaka no nei nana i
the branch of a tree that stands kui mai nei o Ihuanu, i Kohala, a
on the side of a cliff.” While make loa. O kai nei puupuu, ua
Aiohikupua was saying this one like me ka pololu ka oi, nolaila,
of the men who had seen him in aole oukou e ola.” A lohe o
Kohala came up and said to Haunaka, hele mai la ia a aloha
Haunaka: “Say, Haunaka and ia Aiohikupua, a pau ae la ka
the company gathered here, this mokomoko, hoi mai la o
is the very man who struck Aiohikupua a holo i Hilo, e imi i
Ihuanu, in Kohala, and killed ka wahine ia Laieikawai.
him. This man’s blow is sharp
like the point of a spear; you
people will therefore have no
chance against him.” When
Haunaka heard this he came up
to Aiohikupua and extended his
greetings. 12 At the conclusion of
the games Aiohikupua returned
to his canoe and set sail for Hilo,
on his way in search of his lover,
Laieikawai.

CHAPTER II. MOKUNA II.

Relating to No Kihanuilulumoku.—
Kihanuilulumoku.— Ulili a me Aikeehiale.
Ulili and Aikeehiale.

Kihanuilulumoku 13 was the god O Kihanuilulumoku, he ’kua ia no


of Kahalaomapuana and her Kahalaomapuana ma, i Paliuli
sisters, who were living in Paliuli. kahi i noho ai. He oi kona waha i
This god had a very large and ka nui a me ke akea, e pa ka
wide mouth. When opened the lehelehe luna i ka lani, a o ka
upper lip would touch the heaven lehelehe lalo i ka honua. A he
while the lower lip touched the ikaika loa ia mamua o na mea a
ground. This god was very pau loa, a he koa, a he kiai no
powerful and nothing could Paliuli kahi o Laieikawai e noho
overcome him. He was also very ana. I ka wa e noho ana na
brave and he was placed as the kaikuahine o Aiohikupua i Paliuli,
watchman at Paliuli, where oia o Kahalaomapuana ma, e
Laieikawai was residing. kiai ia. Hiki aku la o Aiohikupua a
pae i kai o Keaau i Puna.

While the sisters of Aiohikupua, O ka nui o na waa o Aiohikupua


Kahalaomapuana and her ma keia holo ana, he iwakalua
sisters, were acting as the kaulua, elua kanaha [413]kaukahi,
guards of Laieikawai in Paliuli, he kanaha waa peleleu nui, a he
Aiohikupua arrived in Puna and mau waa ohua ka nui. A he nui
landed at Keaau. hoi na kanaka koa ma keia holo
ana a Aiohikupua, a me na lii.
Na mea kaua a pau loa, a me ka
ilio aikanaka a Aiohikupua, o
Kalahumoku ka inoa.

The number of canoes on this A mahope o ka pae ana o na


expedition under the command waa o Aiohikupua ma Keaau, pii
of Aiohikupua, was [412]twenty aku la ia me kona kuhina i Paliuli
double canoes, eighty single e nana ia Laieikawai. A hiki o
canoes and forty large war Aiohikupua me kona kuhina i
canoes, besides several single Paliuli, e noho ana na
ones carrying the servants. 14 kaikuahine o Aiohikupua, he
Aiohikupua had a large army mau kiai no Laieikawai.
with him on this expedition and
with him were several chiefs.
These warriors were all well
armed and Aiohikupua had with
him his man-eating dog, called
Kalahumoku.

After the army had disembarked Olelo mai la lakou: “E


from the canoes at Keaau, Aiohikupua, e hoi oe ano, he
Aiohikupua with his chief adviser kapu o uka nei.” Hoopaa aku o
went up to Paliuli to see Aiohikupua. I mai o
Laieikawai. When they arrived at Kahalaomapuana: “Ina oe e paa
Paliuli, they saw the sisters of loa mai, make oe ano.” A lohe o
Aiohikupua guarding Laieikawai. Aiohikupua, a hoi mai la me ka
When the sisters saw their huhu wela loa. A hiki i Keaau,
brother, they said to him: “Say, kena aku la he umi kanaka, e pii
Aiohikupua, you must go back at e pepehi i na kaikuahine a make.
once for a kapu has been placed
over this place.” Aiohikupua
would not listen to this order, but
insisted on staying.
Kahalaomapuana 15 then said to
him: “If you insist on remaining
here you will be killed.” When
Aiohikupua heard this he turned
and went back, filled with bitter
anger. When he reached Keaau
he ordered ten men to go up and
put his sisters to death. 16

While Aiohikupua was giving his Ia Aiohikupua e olelo ana i na


orders to the men, Waka, the kanaka e pii, ike mai la o Waka,
grandmother of Laieikawai, by ke kupunawahine o Laieikawai i
her supernatural powers, was keia hana a Aiohikupua. Hai aku
aware of what Aiohikupua was la o Waka ia Kahalaomapuana,
up to, so she told the facts to ko Laieikawai kuhina nui, a lohe
Kahalaomapuana, the chief ia, pule aku la ia ia
adviser of Laieikawai. When she Kihanuilulumoku, penei:
heard this she prayed to
Kihanuilulumoku as follows:

Say, Kihanuilulumoku, E Kihanuilulumoku,


Our all powerful god; Ko makou akua mana,
Watch for the enemy, Nana ia ke kupu,
The mischievous people of the Ka eu o ka aina nei la,
land, Pepehi ia a make,
And put them to death A holo ke olohelohe,
Sparing none. E ao nae oe ia Kalahumoku,
Be watchful however of I ka ilio aikanaka a Aiohikupua,
Kalahumoku, Hemahema oe pau kakou,
The man-eating dog of Kulia ko ikaika a pau i luna,
Aiohikupua. Amama, ua noa, lele wale.
If you are careless we are lost;
Let all your strength be at your
command.
It is ended, the kapu is removed.

By early dawn of the next Ia po a wanaao, hiki na koa he


morning, the ten warriors, with umi i uka, me ke kuhina o
the chief adviser of Aiohikupua, Aiohikupua. Mahope o ko lakou
arrived at Paliuli. After their hiki ana i Paliuli, nehe ana ka
arrival the trees were heard to be laau a me ka makani i ke alelo o
rustling and the wind began to Kihanuilulumoku. Ia lakou e
moan, caused by the tongue of hoomau ana i ka hele, kaa loa
Kihanuilulumoku. After they had lakou i waena o ka waha o ua
advanced along the way they got moo nei. Ia wa, maluna ke a
further and further into the luna, he poi ana iho na luna, pau
middle of the mouth of the lizard loa lakou nei i loko, aohe
[god, Kihanuilulumoku], the ahailono i koe aku, e lohe ai o
upper jaw then came down and Aiohikupua.
the men were shut up in the
mouth and were swallowed; no
one escaped to carry the tidings
to Aiohikupua.
After waiting for two days for the Elua la i hala o ke kali ana o
return of his men, Aiohikupua Aiohikupua, aohe hoi mai o kela
again sent up more men, twenty poe, nolaila, hoouna aku la ia he
of the best of his warriors, and iwakalua poe koa loa ona, e pii e
orders were given them to go pepehi i na kaikuahine. Pii aku
and put his sisters to death. la, lakou a hiki, hamo mai la no
When the men reached Paliuli ka moo pau i ka ai ia.
the lizard caught and ate them
all. 17

The chief waited until the Kakali hou ke ’lii, a hala hou he
expiration of one day, when he la, hoouna hou i na koa he
again sent up more men, forty kanaha ka nui, a hiki no i uka,
warriors, and on their arrival at pau no i ka make i ka moo. Ma
Paliuli, the lizard killed these keia hoi ole mai o na koa, kupu
also. Because [414]of the ae la ko Aiohikupua [415]manao e
continued absence of his men hoouna i kana mau elele mama
the thought entered Aiohikupua loa, i maopopo ke kumu o ka hoi
to dispatch his fleetest ole ana mai i kai nei.
messengers to find out the
cause of the non-return of his
men.

ulili and aikeehiale. ulili a me aikeehiale.

Ulili and Aikeehiale were the O laua na elele mama a


fleetest of Aiohikupua’s Aiohikupua. Ia laua e pii ana ma
messengers. 18 While they were ke alanui, halawai mai la he
going along the road they met a kanaka, a ninau mai la: “E pii
man who inquired: “Where are ana olua i hea?” “E pii ana maua
you two going?” They replied: e nana i ko makou poe, aohe hoi
“We are going up to see about ae nei.” Olelo mai la kela: “Ua
our people, for they have not make aku la i ka moo aikanaka o
returned.” The man said: “They uka nei, oia o Kihanuilulumoku.”
have been killed by the man- A pau ke kamailio ana, pii aku la
eating lizard who lives up here, laua, nehe mai ana ka lau o ka
called Kihanuilulumoku.” At the laau, e hele ana ma o a ma o, e
conclusion of this conversation, hu ana ka makani noonoo iho la
the two messengers continued laua i ka olelo a ke kanaka. Ia
on their way up. Not very long wa, lele laua i luna me ko laua
after this they heard the rustling kino manu. I nana ae ka hana,
of the leaves and the low malu ana maluna. A ike laua o
murmuring of the wind, which ke a luna, e oni ae ana laua i
reminded them of the luna loa a pakele aku la i ka
conversation they just had with moo. A hala laua maluna o ke a
the man. The two messengers luna, o ka moo, i nana iho ka
then changed themselves into hana, hele ana ka laau o lalo,
the form of birds and flew up. me he oo palau la ka owe o ka
When they reached a good ways honua, a he mea weliweli loa ia
up they looked about them and laua ke nana iho. Nolaila,
saw that the rays of the sun were mapopo ia laua ua pau na
hidden, and in looking to see the kanaka o lakou i ka make i ka
cause of this they saw it was the moo, nolaila, hoi aku la laua a
upper jaw of the mouth of the olelo ia Aiohikupua i ka laua mea
lizard. At sight of this they i ike ai. Ia wa, kii o Kalahumoku,
continued flying until they ka ilio ai kanaka a Aiohikupua.
reached a point above the jaw.
From this position they looked
down and saw the trees and
earth uprooted as though a large
oo 19 was tearing up the ground,
causing them to tremble
because of its terribleness. By
what they saw they made sure
that all their men had been killed
by the lizard. The two then
returned to Aiohikupua and
related what they had seen.
When Aiohikupua heard this he
sent for Kalahumoku, his man-
eating dog.

CHAPTER III. MOKUNA III.

Relating to No Kalahumoku.—Ke
Kalahumoku.—Battle Kaua Ana o ka Ilio me
Between the Dog and ka Moo.
Lizard.

Kalahumoku 20 was a man-eating He ilio ai kanaka o Kalahumoku


dog from Kahiki. He had two no Kahiki mai. Elua ano, he ’kua,
natures, that of a god and that of he kanaka. He ilio mana, he ilio
a human being. As a dog he had ikaika loa ma ka hakaka ana.
supernatural powers and was
possessed of very great strength
in fighting.

When the dog came into his I aku o Aiohikupua, e pii oe e


presence Aiohikupua said: “You pepehi i ka moo a make, alaila,
go up and kill the lizard, and luku oe i o’u mau kaikuahine a
after that go and kill all my pau i ka make. A pau ka
sisters.” After Aiohikupua had Aiohikupua olelo, hai aku ka ilio i
issued these orders the dog then kona manao, i na ’lii a me na
turned and addressed the chiefs kanaka a pau loa, penei:
and all the men as follows:

You must all keep looking to the E nana oukou i uka,


uplands, I pii ka ohu a pololei i luna,
And if you should see the fog go A hina ka ohu ma ka lulu,
straight up Ua halawai au me
And then lean over toward the Kihanuilulumoku,
lee side, Manao ae oukou ua hoaikane
Know that I have met maua,
Kihanuilulumoku, A i hina ka ohu i ka makani,
And you can be assured that we Ua hakaka maua,
have become friends. Alaila, pule oukou i ke ’kua ia
But if the fog should lean toward Lanipipili.
the windward Nana ae oukou a i hina ka ohu i
Know that we are being engaged kai nei, [417]
in battle; Ua lanakila ka moo,
Then you must pray to the god Aka hoi i pii ka ohu a moe i ke
Lanipipili. 21 kuahiwi,
After that look again and if you Ua hee ka moo ia’u,
should see the fog lean toward A ua lanakila au maluna,
the sea, here, [416] Nolaila, e hoomau oukou i ka
Know that the lizard has won pule no’u.
out.
But if, however, the fog should
lean toward the mountain
Know that I have defeated the
lizard,
And I have conquered over it.
Therefore, you must continue
praying for me.
the battle between ke kaua ana o ka ilio
the dog and lizard. me ka moo.

When Kalahumoku arrived at A hiki o Kalahumoku i uka o


Paliuli, he found the lizard Paliuli, e moe ana ka moo,
sleeping, so he continued on up nolaila, hala ka moo mahope
leaving the lizard behind him and nei, kaa loa ka ilio i kahi o na kiai
after some time he came to the e noho ana.
place where the guards were
stationed.

Shortly after this the lizard, A no ka hohono o ka ilio puoho


Kihanuilulumoku, smelt the dog ae la o Kihanuilulumoku, a ala
and so it awoke from its sleep ae la, hanu aku la a loaa o
and followed on after Kalahumoku. Wehe ae la o
Kalahumoku until they met. Kihanuilulumoku i kona waha e
Kihanuilulumoku then opened nahu, ia wa, hoike o
wide its mouth to bite, when Kalahumoku i kona mau niho oi
Kalahumoku showed its sharp loa. Ia wa laua i lele ai me ka
teeth. The two then jumped at weliweli loa, e nahu ana kekahi i
each other and a terrible battle kekahi, aole i liuliu iho, lanakila
was fought, biting one another. ka moo maluna o Kalahumoku.
Not very long after this the lizard Pau na pepeiao a mumuku,
conquered over Kalahumoku; his moku ka huelo.
ears were cut off and his tail was
bitten off short.

While the two were engaged in Ia laua ala e kaua ana, he mea
this conflict, Aiohikupua and his mau ia Aiohikupua ma, ka nana i
men watched the fog. They saw ka ohu. Pii ae la ka ohu a pololei
it rise up straight, and after it had i luna, moe i kai, manao iho la no
reached some distance in the o Aiohikupua, ua pio o
sky, it leaned toward the sea, Kalahumoku.
which caused Aiohikupua to
think that Kalahumoku was
defeated.

Sometime after this the dog Mahope o laila, hoi mai la ka ilio
arrived and when they looked at a hiki, i nana aku ka hana, ua
it they saw that its ears were cut mumuku na pepeiao, ua
off and the tail was cut off short. poomoku ka huelo. Pau ae la ka
This ended the desire of manao i ka noho, nolaila, hoi mai
Aiohikupua to stay in Puna and la lakou ma na waa i Kauai, me
he and his men boarded their ka loaa ole o Laieikawai. Pela
canoes and returned to Kauai, iho la ka make hewa o ko
without obtaining Laieikawai. Aiohikupua manao pepehi i kona
Thus was the plan of Aiohikupua mau kaikuahine. [418]
to kill his sisters defeated. 22 [407]

1 This was the champion athlete of


Kauai, known to some as
Aiwohikupua, a high chief, who was on
his way to Puna to win the affections of
Laieikawai, at Paliuli. ↑
2 Kanaka wahahee, rendered literally
would be “deceitful” man, but
“conceited” is the truer term in its use
here, i.e., representing himself other
than his true self. ↑
3 A summary act for, possibly, an
intended friendly caution. ↑
4 This is very Hawaiian-like, and at its
repetition with his next antagonist
the advice is followed. ↑
5 Kani-ka-pihe, ringing the voice of
sorrow. Used also as an exultant
term. ↑
6 This expression, made use of in
several stories, would seem to
indicate it as an accepted premonition
of sure victory. ↑
7 Leaving the boaster, sarcastically, to
his own conceit. ↑
8 Belittling each other in taunting
fashion. ↑
9 Petitioning his gods for the double
purpose of strengthening his own
side and intimidating his opponent. ↑
10 His teacher discerns signs of fear, or
waning confidence, and bids him to
seize his opportunity. ↑
11 In accordance with his prayer. ↑
12 Aiohikupua’s skill has quicker
recognition than at Kohala, seeing
his fame had preceded him. ↑
13 Kihanuilulumoku, the dragon-god
defender of Paliuli and protector of
Laieikawai. ↑
14 Quite a fleet for the enforcement of a
lover’s suit. ↑
15 Kahalaomapuana was the youngest
of the Aiohikupua sisters who had
been appointed guards of Laieikawai,
of which she was the chief
superintendent, hence the authoritative
one to deal with all intruders. ↑
16Chagrined at being thus thwarted in
his plans he seeks to be avenged
upon his sisters. ↑
17This moo, or lizard-god, must have
been of dragon character to have
swallowed warriors by the score. The
question naturally arises where the idea
of mammoth lizard of Hawaiian tradition
originates, seeing the only varieties of
lizard known to the islands are of the
skink and gecko species, neither of
which exceed six inches to the tip of the
tail. ↑
18 These messengers had the
supernatural power of changing to
the form of birds. Ulili is the Wandering
Tattler; the other is not identified. ↑
19 Oo, the Hawaiian gardening
implement of spade character. ↑
20 Kalahumoku, Aiohikupua’s
supernatural dog-man defender. ↑
21 Lanipipili, one of the gods appealed
to in the Kohala contest. ↑
22Make hewa, rendered “defeated,”
has in its use here the sense of
uselessness of the attempt. ↑

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