A&P Exam 3

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122 Terms

1
What protein hydrolyses the fibrin clot?
plasmin
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2
What word mean the breakdown of the clot?
fibrinolysis
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3
What normal blood protein can activate plasminogen and is often used clinically to dissolve clots?
tissue plasminogen activator
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4
What two chemicals were mentioned in the video as being released by healthy endothelial cells near a site of injury that can inhibit the formation of the platelet plug?
nitric oxide & prostacyclin
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5
What are the two phases of a respiratory cycle?
inspiration & expiration
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6
What are two other names for factor III?
tissue factor & thromboplastin
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7
Why is it not dangerous to have a low number of small systemic venous clots break off and get lodged in lung arteries?
Many of the blood vessels & alveoli are not used at rest. Eventually the clots will be dissolved by fibrinolysis.
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8
What is the average resting minute ventilation?
6L/ min
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9
What structure is present in the respiratory zones of the airway, but not in the conducting zones?
alveoli
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10
What is the name of the primary defense mechanism against pathogen entry in the conducting zone of the airway?
mucus escalator
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11
What defense do we have against pathogen entry if the pathogens make it all the way to the alveoli?
macrophage that phagocytose pathogens
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12
What is the purpose of the plural sac?
to reduce friction
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13
What is the purpose of the nasal conchae?
to create turbulent airflow so that particles breathed in get trapped in the mucus
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14
When and why would it be beneficial for bronchiolar smooth muscle to contract?
When particles enter one part of the lung. Would prevent particles from getting into the air spaces for gas exchange.
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15
What are the six steps of respiration in order?
ventilation

gas exchange

transport in blood

gas exchange

cellular respiration

transport in blood
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16
What are the last cells to develop in a fetus that is necessary for survival outside the womb?
type II alveolar cells
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17
What is the primary determinate of the resistance to airflow in the pulmonary system?
radius of the airway
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18
What are two accessory muscles of inspiration that are not normally activated during relaxed breathing?
scalenes

pectoralis minor
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19
What two factors determine pulmonary compliance?
surfactant

elasticity of the lung
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20
What is the substance that decreases the surface tension of the water in the alveoli? What cells make this substance?
surfactants made by type II alveolar cells
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21
What are three endogenous chemicals that affect bronchiolar smooth muscle and for each state if it causes bronchoconstriction or bronchodilation.
bradykinin - bronchoconstriction

epinephrine - bronchodilation

leukotrienes - bronchoconstriction
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22
Once oxygen binds to one subunit of hemoglobin, the other subunits of hemoglobin have a lower affinity for oxygen.

True

False
False
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23
Increasing alveolar ventilation would tend to (select all that apply)

Decrease alveolar PCO2

Decreased alveolar PO2

Increased alveolar PCO2

Increased alveolar PO2
Decrease alveolar PCO2

Increased alveolar PO2
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24
How many hemoglobin subunits form the hemoglobin molecule?
4
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25
Approximately what percentage of the oxygen in the blood is bound to hemoglobin?
98%
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26
What is the normal average partial pressure of oxygen in the alveoli across the respiratory cycle?
105 mmHg
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27
What is the normal average partial pressure of carbon dioxide in the alveoli across the respiratory cycle?
40 mmHg
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28
What is the normal partial pressure of oxygen in the systemic arteries?
100 mmHg
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29
What is the normal partial pressure of carbon dioxide in the systemic arteries?
40 mmHg
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30
What is the normal partial pressure of oxygen in the systemic veins at rest?
40 mmHg
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31
What is the normal partial pressure of carbon dioxide in the systemic veins at rest?
46 mmHg
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32
What is the average dead space in the respiratory tract?
150 mL
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33
At rest, approximately how much of the oxygen in the arteries goes into the tissues in the capillaries?
25%
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34
What disorder is characterized by a decreased oxygen carrying capacity of the blood?
anemia
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35
What name is used for hemoglobin when oxygen is bound to it?
oxyhemoglobin
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36
What name is used for hemoglobin when oxygen is not bound to it?
deoxyhemoglobin
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37
What molecule does oxygen bind to in hemoglobin and what dietary mineral is a part of this molecule?
heme which contains iron
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38
What are the two components of physiological dead space?
alveolar dead-space

anatomical dead-space
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39
What two factors related to hemoglobin determine the total amount of oxygen in the blood?
percent saturation of hemoglobin

concentration of hemoglobin in blood
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40
What are the three factors discussed in the video that determine the diffusion of a gas into a liquid? Which of these change significantly in the body?
liquid interface temperature

solubility of gas in the liquid

partial pressure of the gas in the air (changes in the body)
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41
Where is most of the iron in your body?
red blood cells
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42
About how long does a red blood cell stay in circulation?
120 days
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43
What is normal red blood cell turnover (as a percent of total circulating red blood cells)?
1% per day
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44
What is the single most common protein in the blood?
fibrinogen
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45
Other than fatigue, what other factor would prevent you from holding a very heavy weight up for very long?
blocked blood flow - decrease O2, increase metabolites
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46
What does desquamation mean? (how it is used)
normal loss of epithelial cells
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47
What word refers to the development of red blood cells, and where in the body does this process occur?
erythropoiesis in bone marrow
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48
What three factors were mentioned in lecture as contributing to arterial diastolic pressure?
total peripheral resistance

heart rate

systolic pressure
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49
What four factors during aerobic exercise contribute to the increase in venous return?
skeletal muscle pump

respiratory pump

sympathetic activity to veins

increased blood flow from dilated arterioles
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50
What two types of receptors are activated in muscles during exercise that send inputs into the medulla oblongata? What do each receptor type detect during exercise?
mechanoreceptors - muscle contraction

chemoreceptors - metabolites, decreased O2
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51
Describe the shape of a human red blood cell.
biconcave discs
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52
What is the advantage of not having a nucleus if you are a red blood cell?
increase surface area

easily foldable

leaves more room for hemoglobin
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53
In which ways can iron normally leave the body?
desquamanation

menstral blood
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54
What two vitamins are needed to make DNA were mentioned in the video? These vitamins are needed to make which nucleotide in DNA? Which of these vitamins can only be found in animal products?
folate

vitamin B12 - only in animal product

\*both needed to make thymine
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55
What hormone is needed to make red blood cells? What is the primary stimulus for its production?
erythropoietin - decreased oxygen delivery to kidney
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56
What is hemostasis?
stopping blood loss or maintaining blood volume
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57
What are the three steps of hemostasis in order?
vasoconstriction w/ contract stickiness

platelet plug

clotting
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58
Other than thromboxane A2, what other chemical was mentioned in the video as being secreted by activated platelets and what is its effect?
serotonin - vasodilation
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59
Increasing heart rate would tend toec

decrease diastolic pressure

decrease pulse pressure

increase diastolic pressure

increase pulse pressure
decrease pulse pressure

increase diastolic pressure
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60
During intense aerobic exercise diastolic pressure

decreases

increases

stays the same
decreases
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61
During intense muscle contraction total peripheral resistance

decreases

does not change

increases
increases
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62
The resetting of the baroreceptors during exercise is due to

central command

mechanoreceptors and chemoreceptors in the exercising muscle
central command
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63
Most of the iron used in making new red blood cells come directly from the diet.

True

False
false
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64
Free iron is damaging to cells.

True

False
true
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65
von Willebrand Factor is normally found in the blood.

True

False
true
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66
Increasing total peripheral resistance would tend to

decrease diastolic pressure

decrease pulse pressure

increase diastolic pressure

increase pulse pressure
increase diastolic pressure
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67
Increasing the stroke volume would tend to

decrease diastolic pressure

decrease pulse pressure

increase diastolic pressure

increase pulse pressure
increase diastolic pressure

increase pulse pressure
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68
Clots form around platelet plugs

True

False
true
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69
Factor VIIa must bind to platelets to be active

True

False
false
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70
If blood calcium levels are below normal, blood clotting will be limited.

True

False
false
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71
Which pathway usually starts the clotting cascade in the body?

extrinsic pathway

final common pathway

intrinsic pathway
extrinsic pathway
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72
More thrombin in made using the

extrinsic pathway

intrinsic pathway
intrinsic pathway
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73
Vitamin K is

fat soluble

water soluble
fat soluble
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74
A negative air flow occurs with

expiration

inspiration
inspiration
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75
At end-inspiration, the angle of the ribs is more _______________ compared to end-expiration

downward

upward
upward
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76
In normal breathing the intraplural pressure is

Always negative

Always positive

Negative during inspiration and positive during expiration

Positive during inspiration and negative during expiration
Always negative
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77
Surfactant

Decreases pulmonary compliance

Does not affect pulmonary compliance

Increases pulmonary compliance
Increases pulmonary compliance
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78
Without surfactant

Only the largest alveoli would inflate during inspiration

Only the smallest alveoli would inflate during inspiration

No alveoli would inflate during inspiration

Surfactant doesn't affect which alveoli inflate
Only the largest alveoli would inflate during inspiration
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79
Bronchioles are larger during

expiration

inspiration
inspiration
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80
Which would have a larger effect on alveolar ventilation?c

Doubling the respiratory rate

Doubling the tidal volume

Doubling either would have the same effect on alveolar ventilation
Doubling the tidal volume
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81
The partial pressure of oxygen in the blood is a measure of

Both concentration of oxygen and pressure exerted by oxygen in the blood

The concentration of oxygen in the blood

The pressure exerted by oxygen in the blood
The concentration of oxygen in the blood
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82
Increasing altitude would directly tend to (select all that apply)

Decrease alveolar PCO2

Decrease alveolar PO2

Increase alveolar PCO2

Increase alveolar PO2
Decrease alveolar PO2
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83
Increasing metabolism would tend to (select all that apply)

Decrease alveolar PCO2

Decrease alveolar PO2

Increase alveolar PCO2

Increase alveolar PO2
Decrease alveolar PO2

Increase alveolar PCO2
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84
As blood flows through the last half of a pulmonary capillary at rest, it does not receive any oxygen from the alveolus.

True

False
true
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85
A decrease in oxygen concentration in pulmonary arterioles causes them to

Pulmonary arterioles are not very sensitive to oxygen concentration

Vasoconstrict

Vasodilate
Vasoconstrict
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86
A decrease in carbon dioxide concentration in pulmonary arterioles causes them to

Pulmonary arterioles are not very sensitive to carbon dioxide concentration

Vasoconstrict

Vasodilate
Pulmonary arterioles are not very sensitive to carbon dioxide concentration
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87
A decrease in oxygen concentration in bronchioles causes them to

Bronchioles are not very sensitive to oxygen concentration

Bronchoconstrict

Bronchodilate
Bronchioles are not very sensitive to oxygen concentration
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88
A decrease in carbon dioxide concentration in bronchioles causes them to

Bronchioles are not very sensitive to carbon dioxide concentration

Bronchoconstrict

Bronchodilate
Bronchoconstrict
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89
Decreasing the arterial PO2 from 100 mmHg to 60 mmHg results in a 40% decrease in the amount of oxygen in the blood.

True

False
false
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90
In regular aerobic exercisers, the baroreceptor reflex resets to a higher mean arterial pressure before the person starts exercising.

True

False
true
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91
The increase in mean arterial pressure during a moderate aerobic exercise is due to the normal operation of the baroreceptor reflex.

True

False
false
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92
Where is iron primarily stored in the body?

pancreas

stomach

lungs

liver

bone marrow

heart

kidney

spleen
liver
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93
What organ is the primary destroyer of damaged red blood cells in normal individuals?

bone marrow

pancreas

stomach

spleen

heart

lungs 

liver

kidney
spleen
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94
What organ produces erythropoietin?

kidney

heart

lungs

stomach

pancreas

spleen

liver

bone marrow
kidney
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95
Most of the clotting factors in the blood are produced by

the heart

the endothelial cells

the liver

the kidney

the bone marrow

the lungs

the spleen

the brain
the liver
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96
Which vitamin was mentioned in the videos as being required to produce the clotting factors.

cyanocobalamin

vitamin D

vitamin K

niacin

vitamin C

folate

thiamine

vitamin E
vitamin K
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97
Which of the following can be found in circulation? (select all that apply)

tissue factor pathway inhibitor

thrombomodulin

protein C

antithrombin III

plasminogen

heparin
tissue factor pathway inhibitor

protein C

antithrombin III

plasminogen
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98
Which of the following are found on the surface of endothelial cells? (select all that apply)

plasminogen

tissue factor pathway inhibitor

thrombomodulin

antithrombin III

heparin

protein C
thrombomodulin

heparin
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99
If transpulmonary pressure increases the volume of the lung would tend to

decrease

increase
increase
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100
What limits aerobic capacity in healthy individuals?

minute ventilation

cardiac output
cardiac output
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