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What vessels typically carry blood away from the heart?
- capillaries
- veins
- venules
- arteries
Arteries
Place in order from superficial to deep the three tunics of a typical blood vessel.
A. tunica media, tunica intima, tunica externa
B. tunica externa, tunica intima, tunica media
C. tunica intima, tunica media, tunica externa
D. tunica externa, tunica media, tunica intima
tunica externa, tunica media, tunica intima
Which of the following arteries has the smallest diameter?
A. metarteriole
B. elastic artery
C. muscular artery
D. arteriole
metarteriole
Which blood vessel tunic is innervated by nerves from the sympathetic nervous system?
A. tunica adventitia
B. tunica externa
C. tunica intima
D. tunica media
Tunica Media
What type of vessel is built to handle the highest pressure of any vessel in the cardiovascular system?
A. arteriole
B. muscular artery
C. elastic artery
D. metarteriole
elastic artery
Which of the following is TRUE of veins?
A. Veins have smaller lumens than arteries.
B. Veins have thinner walls than arteries.
C. Veins have more smooth muscle than arteries.
D. have more elastic fibers than arteries.
Veins have thinner walls than arteries.
Which vessels serve as the blood reservoirs of the body?
muscular arteries
metarterioles
veins
arterioles
veins
Arteries in the systemic circuit carry oxygenated blood while arteries in the pulmonary circuit transport deoxygenated blood.
True
False
True
Veins regulate blood pressure and control blood flow to organs.
True
False
False
Compared to veins, arteries have __________.
thicker tunica media
more valves
larger lumen
lower pressure
Thicker tunica media
Which of the following describes an anastomosis?
A. vessels supplying the tunica media and tunica external of blood vessels
B. a special type of circuit in which veins feed a capillary bed
C. smallest arterioles which directly feed capillary beds
D. an artery empties directly into a vein without passing through a capillary bed
an artery empties directly into a vein without passing through a capillary bed
Which of the following will cause in increase in peripheral resistance?
Blood Vessel Length
Vessel Diameter
Blood Viscosity
Obstruction in Vessels
Obstruction in Vessels
Peripheral resistance includes all of the following EXCEPT:
blood vessel length.
vessel radius.
blood viscosity.
blood type.
Blood Type
Which vessels are the most compliant?
systemic veins
systemic arteries
systemic metarterioles
systemic arterioles
systemic veins
Which blood vessels experience the sharpest decrease in blood pressure?
systemic capillary beds
systemic venules
systemic arterioles
systemic veins
systemic arterioles
Which blood vessels handle the highest blood pressure?
systemic arteries
pulmonary veins
pulmonary arteries
systemic veins
systemic arteries
Which of the following vessels has the lowest blood pressure?
elastic arteries
capillary beds
inferior vena cava
aorta
inferior vena cava
Archie took several deep breaths of air. By breathing deeply, what mechanism did he assist to return blood to his heart?
skeletal muscle pump
respiratory pump
mean arterial pressure (MAP)
Korotkoff sounds
respiratory pump
Which of the following is NOT a mechanism used to return venous blood to the heart?
elastic fibers
skeletal muscle pump
venous valves
respiratory pump
elastic fibers
Vessels with a smaller radius will have an increased resistance to blood flow.
True
False
True
Which of these changes will result in increased blood pressure?
decreased blood viscosity
increased vessel radius
increased blood volume
decrease cardiac output
increased blood volume
Which of the following does NOT drive venous return?
low compliance
skeletal muscle pump
venous valves
smooth muscle in the walls of veins
low compliance
Which of the following vessels will have the lowest blood pressure?
artery
vein
venule
arteriole
Vein
The baroreceptor reflex response to high blood pressure is __________.
vasodilation and decreased cardiac output
vasodilation and increased cardiac output
vasoconstriction and decreased cardiac output
vasoconstriction and increased cardiac output
vasodilation and decreased cardiac output
If the chemoreceptors detect a decrease in blood oxygen concentration, they will trigger __________.
vasoconstriction and decreased cardiac output
vasodilation and increased cardiac output
vasodilation and decreased cardiac output
vasoconstriction and increased cardiac output
vasoconstriction and increased cardiac output
Which of the following is a cause of hypertension?
renal artery stenosis
decreased salt intake
dehydration
excess parasympathetic tone
renal artery stenosis
Which vessels vasoconstrict in response to epinephrine and norepinephrine?
venules
capillaries
coronary arterioles
systemic arterioles
systemic arterioles
Which of the following hormones decreases heart rate, and thus cardiac output and blood pressure?
acetylcholine
norepinephrine
angiotensin-II
epinephrine
acetylcholine
Increases in blood pressure are detected by:
baroreceptors.
chemorecepors.
nociceptors.
thermoreceptors.
baroreceptors.
Central chemoreceptors detect a decrease in pH in interstitial fluids in the brain. What is the response of the medulla to maintain delivery of oxygen to cells?
A. A feedback loop is initiated that indirectly increases sympathetic activity which results in vasoconstriction and a rise in blood pressure.
B. A feedback loop is initiated that indirectly increases parasympathetic activity which results in vasoconstriction and a rise in blood pressure.
C. A feedback loop is initiated that indirectly decreases sympathetic activity which results in vasodilation and a decrease in blood pressure.
D. A feedback loop is initiated that indirectly increases parasympathetic activity which results in vasodilation and a decrease in blood pressure.
A feedback loop is initiated that indirectly increases sympathetic activity which results in vasoconstriction and a rise in blood pressure.
What hormone is released to decrease blood pressure?
antidiuretic hormone (ADH)
atrial natriuretic peptide (ANP)
angiotensin-II
aldosterone
atrial natriuretic peptide (ANP)
Which organ(s) regulate blood volume by altering the amount of fluid released in urine?
liver
pancreas
spleen
kidneys
kidneys
Hypertension is defined as:
excess aldosterone.
high blood pressure.
high blood sugar.
low blood pressure.
high blood pressure.
Baroreceptors that detect changes in blood pressure are located in the superior and inferior vena cava.
True
False
False
Continuous capillaries are labeled _____.
With Tight Junctions Between Cells.
Fenestrations.
Thin Walls, Smooth Muscle Cells.
Irregular Basil Lamina, Large Pores, Spaces Between Endothelial Cells.
Which Tight Junctions Between Cells.
By which method can large substances cross the endothelial cells and exit a capillary?
facilitated diffusion
transcytosis
diffusion
osmosis
transcytosis
What type of capillaries have large pores within their endothelial cells and are the leakiest?
closed capillaries
fenestrated capillaries
continuous capillaries
sinusoidal capillaries
sinusoidal capillaries
Fenestrations in capillaries are small pores that allow water and small substances to move freely through these pores.
True
False
True
Calculate the Net Filtration Pressure if the Hydrostatic pressure is 40 mm Hg and the Colloid osmotic pressure is 25 mm Hg.
- 15 mm Hg
15 mm Hg
25 mm Hg
65 mm Hg
15 mm Hg
Colloid osmotic pressure (COP) is an osmotic pressure gradient equal to __________.
Hydrostatic pressure + Net filtration pressure
Capillary OP - interstitial OP
Interstitial OP + Capillary OP
Interstitial OP - Capillary OP
Capillary OP - interstitial OP
Water crosses capillary beds by:
transcytosis.
diffusion.
filtration.
facilitated diffusion.
filtration.
Blood pressure is equivalent to:
net filtration pressure
hydrostatic pressure.
oncotic pressure.
colloid osmotic pressure.
hydrostatic pressure.
At the arteriolar end of the capillary, which pressure is the greatest?
interstitial fluid osmotic pressure
oncotic pressure
colloid osmotic pressure
capillary hydrostatic pressure
capillary hydrostatic pressure
Which pressure remains the same along the length of the capillary?
interstitial fluid osmotic pressure
interstitial fluid hydrostatic pressure
colloid osmotic pressure
capillary hydrostatic pressure
colloid osmotic pressure
Which pressure is created by the presence of large proteins in the blood, such as albumin?
hydrostatic pressure
interstitial fluid osmotic pressure
colloid osmotic pressure
interstitial fluid hydrostatic pressure
Determine the process that will occur when net filtration pressure is negative.
absorption
diffusion
osmosis
filtration
absorption
Which of the following situations creates edema?
a decrease in the capillary hydrostatic pressure gradient
an increase in the colloid osmotic pressure
an increase in the capillary hydrostatic pressure gradient
a negative net filtration pressure (NFP)
an increase in the capillary hydrostatic pressure gradient
The majority of the arterial supply to the head and neck comes from the __________.
common carotid arteries
common iliac arteries
internal jugular veins
brachiocephalic artery
common carotid arteries
The heart is situated in the middle of the thoracic cavity in a region known as the:
mediastinum.
cardiac notch.
pleural cavity.
dorsal cavity.
mediastinum.
Both the left and right atria receive blood from:
arteries.
veins.
the lungs.
the ventricles.
veins.
The pulmonary circuit involves blood flow from the heart to and from the:
body.
liver.
brain.
lungs.
Lungs
The right side of the heart receives:
deoxygenated blood from the pulmonary circuit.
deoxygenated blood from the systemic circuit.
oxygenated blood from the pulmonary circuit.
oxygenated blood from the systemic circuit.
deoxygenated blood from the systemic circuit.
The left side of the heart is often called the systemic pump due to blood flow to the body.
True
False
True
The apex of the heart is __________.
posterior
superior
inferior
anterior
inferior
The heart is actually (one, two, or three) pumps?
one pump
two pumps
three pumps
Two Pumps
Which chamber receives blood from the superior and inferior vena cavae?
left ventricle
left atrium
right ventricle
right atrium
right atrium
Which heart chamber receives blood from the pulmonary veins?
left atrium
left ventricle
right atrium
right ventricle
left atrium
Which heart chamber pumps unoxygenated blood out the pulmonary trunk?
left ventricle
right atrium
right ventricle
left atrium
right ventricle
Which chamber pumps oxygenated blood out the aorta to the systemic circuit?
right atrium
left ventricle
left atrium
right ventricle
left ventricle
Coronary circulation involves the delivery of oxygenated blood to the:
heart.
lungs.
liver.
brain.
Heart
The right and left coronary arteries receive blood from the:
cava.
aorta.
pulmonary trunk.
coronary sinus.
Aorta
What is the function of the valves in the heart?
invert during contraction of the ventricles
prevent backflow of blood through the heart
eliminate pressure variances within the heart
promote contraction of the ventricles
prevent backflow of blood through the heart
Which of the following vessels carries oxygenated blood?
pulmonary artery
pulmonary trunk
superior vena cava
pulmonary vein
pulmonary vein
What muscles, present in the ventricles, anchor by tendon-like chords called chordae tendineae?
pectinate muscles
trabeculae carneae
ligamentum arteriosum
papillary muscles
papillary muscles
What valve prevents the backflow of blood from the right ventricle into the right atrium?
pulmonary valve
left atrioventricular valve (mitral or bicuspid valve)
aortic valve
right atrioventricular valve (tricuspid valve)
right atrioventricular valve (tricuspid valve)
Which vessel is guarded by a semilunar valve at its base?
pulmonary trunk
superior vena cava
coronary sinus
pulmonary vein
pulmonary trunk
Blood in the right atrium should travel next past the:
pulmonary trunk to the pulmonary capillaries.
tricuspid valve and into the right ventricle.
pulmonary valve and into the pulmonary trunk.
mitral valve and into the left ventricle.
tricuspid valve and into the right ventricle.
Where should the left ventricle send blood?
left atrium
aorta
coronary sinus
pulmonary trunk
aorta
What vessel(s) deliver oxygenated blood to the left atrium?
pulmonary veins
aorta
pulmonary arteries
pulmonary trunk
pulmonary veins
What vessel delivers oxygenated blood to systemic capillaries for gas exchange?
aorta
pulmonary trunk
coronary artery
circumflex artery
Aorta
The left ventricle has greater muscle mass than the right ventricle since it pumps against greater resistance.
True
False
True
The cardiac chamber with the thickest wall is the __________.
right atrium
left ventricle
left atrium
right ventricle
left ventricle
Blood returning from the lungs enters the __________.
right ventricle
left atrium
left ventricle
right atrium
left atrium
Blood from the systemic circuit returns to the heart via the __________.
vena cavae
pulmonary arteries
cardiac veins
pulmonary veins
vena cavae
Blood that leaves the right ventricle enters the __________.
pulmonary veins
aorta
vena cavae
pulmonary trunk
pulmonary trunk
The highlighted portion of this ECG trace corresponds to __________.
the duration of atrial depolarization and AV node delay
atrial repolarization
ventricular repolarization
ventricular depolarization and plateau phase
the duration of atrial depolarization and AV node delay
What characteristic differentiates cardiac muscle cells from skeletal muscle cells?
sarcoplasmic reticulum
excitability
striations
intercalated discs
intercalated discs
The rapid influx of sodium ions into contractile cells creates a positive membrane potential inside the cell and initiates the:
plateau phase.
repolarization phase.
rapid depolarization phase.
initial repolarization phase.
rapid depolarization phase.
As a result of the long refractory period in the contractile cell refractory period, cardiac muscle can NOT exhibit:
tetany.
treppe.
oxygen debt.
fatigue.
tetany.
What normally serves as the pacemaker of the entire heart?
sinoatrial (SA) node
Purkinje fiber system
atrioventricular (AV) bundle
atrioventricular (AV) node
sinoatrial (SA) node
Determine the impact if the connection between the sinoatrial (SA) node and the atrioventricular (AV) node becomes blocked.
The atria will contract more forcefully.
The ventricular rhythm will not change.
The ventricles will beat more slowly.
The ventricles will beat faster.
The ventricles will beat more slowly.
Place the following parts of the cardiac conduction system in the order in which they transmit the action potential.
1) atrioventricular (AV) bundle
2) Purkinje fibers
3) sinoatrial (SA) node
4) right and left bundle branches
5) contractile cells of cardiac muscle tissue
6) atrioventricular (AV) node
3, 6, 1, 4, 2, 5
3, 1, 6, 4, 5, 2
3, 6, 4, 1, 2, 5
3, 1, 6, 4, 2, 5
3, 6, 1, 4, 2, 5
What is NOT part of the cardiac conduction system?
atrioventricular (AV) node
sinoatrial sinoatrial (SA) node
atrioventricular (AV) bundle
atrioventricular (AV) valve
atrioventricular (AV) valve
The right and left atria depolarize and contract following the arrival of the action potential from the:
atrioventricular (AV) bundle.
sinoatrial (SA) node.
atrioventricular (AV) node.
Purkinje fibers.
sinoatrial (SA) node.
The P wave on an electrocardiogram (ECG) represents the depolarization of cells in the:
atrioventricular (AV) node.
atria.
ventricles.
sinoatrial (SA) node.
atria.
Which wave on the electrocardiogram (ECG) represents ventricular depolarization?
T wave
QRS wave
R-R interval
P wave
QRS wave
Which part of the electrocardiogram (ECG) would most be affected by abnormally slow depolarization of the ventricles?
R-T interval
QRS wave
T wave
P wave
QRS wave
Which of the following can be used to measure heart rate?
Q-T interval
R-R interval
P-R interval
S-T segment
R-R interval
What activity is occurring in the heart during the Q-T interval on an electrocardiogram (ECG)?
A. The ventricular cells are undergoing action potentials.
B. The AV node delay occurs as the action potential spreads from the SA node to the atria to the ventricles.
C. The ventricular cells are repolarizing.
D. The atrial cells are undergoing action potentials.
The ventricular cells are undergoing action potentials.
The cells that rhythmically and spontaneously generate action potentials in the heart are called __________.
ventricular cells
atrial cells
pacemaker cells
contractile cells
pacemaker cells
The main pacemaker of the heart is the __________.
Purkinje fiber system
SA node
AV node
sympathetic nervous system
SA node
The T wave of an ECG corresponds to __________.
atrial depolarization
atrial repolarization
ventricular repolarization
ventricular depolarization
ventricular repolarization
The electrical impulse is __________ as it passes through the AV node, because the atria need to contract __________ ventricles.
delayed; after
accelerated; after
delayed; before
accelerated; before
delayed; before
The aortic valve closes when __________.
A. pressure in the left ventricle raises above aortic pressure
B. pressure in the left ventricle falls below aortic pressure
C. pressure in the left ventricle raises above atrial pressure
D. pressure in the left ventricle falls below atrial pressure
pressure in the left ventricle falls below aortic pressure
High pressured blood in the ventricles:
forces the AV valves open.
forces both the AV valves and semilunar valves open.
forces both the AV valves and semilunar valves shut.
forces the semilunar valves open.
forces the semilunar valves open.
During what phase does blood flow from the ventricles into the pulmonary trunk and aorta?
isovolumetric relaxation phase
ventricular filling
ventricular ejection phase
isovolumetric contraction phase
ventricular ejection phase
Which of the following is NOT one of the functions of blood?
to transport and exchange gases
blood clotting
to maintain body temperature
to protect vital organs
to protect vital organs
Which of the following is a plasma protein?
tissue factor
electrolytes
albumin
hemoglobin
albumin
How much blood does the average adult have?
1.5 L
7 L
5 L
3 L
5 L
When blood is centrifuged, what is found in the buffy coat?
platelets and leukocytes
leukocytes and erythrocytes
erythrocytes and platelets
plasma and leukocytes
platelets and leukocytes