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What is an expected change in the cardiovascular system that occurs with aging?


A) Arterial stiffening
B) Decreased left ventricular wall tension
C) Decreased aortic wall thickness
D) Arteriosclerosis

E) None of the above
F) C) and D)

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Which event occurs during phase 1 of the normal myocardial cell depolarization and repolarization?


A) Repolarization when potassium moves out of the cells
B) Repolarization when sodium rapidly enters into the cells
C) Early repolarization when sodium slowly enters the cells
D) Early repolarization when calcium slowly enters the cells

E) B) and D)
F) None of the above

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The resting heart rate in a healthy person is primarily under the control of which nervous system?


A) Sympathetic
B) Parasympathetic
C) Somatic
D) Spinal

E) A) and B)
F) All of the above

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The cardiac electrical impulse normally begins spontaneously in the sinoatrial (SA) node because it:


A) Has a superior location in the right atrium.
B) Is the only area of the heart capable of spontaneous depolarization.
C) Has rich sympathetic innervation via the vagus nerve.
D) Depolarizes more rapidly than other automatic cells of the heart.

E) A) and B)
F) None of the above

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The right lymphatic duct drains into which structure?


A) Right subclavian artery
B) Right atrium
C) Right subclavian vein
D) Superior vena cava

E) None of the above
F) B) and D)

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The Bainbridge reflex is thought to be initiated by sensory neurons in which cardiac location?


A) Atria
B) Aorta
C) Sinoatrial (SA) node
D) Ventricles

E) A) and C)
F) All of the above

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What is the ratio of coronary capillaries to cardiac muscle cells?


A) 1:1 (one capillary per one muscle cell)
B) 1:2 (one capillary per two muscle cells)
C) 1:4 (one capillary per four muscle cells)
D) 1:10 (one capillary per ten muscle cells)

E) C) and D)
F) A) and D)

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As stated in the Frank-Starling law,a direct relationship exists between the _____ of the blood in the heart at the end of diastole and the _____ of contraction during the next systole.


A) Pressure; force
B) Volume; strength
C) Viscosity; force
D) Viscosity; strength

E) A) and B)
F) C) and D)

Correct Answer

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Which chamber of the heart endures the highest pressures?


A) Right atrium
B) Left atrium
C) Left ventricle
D) Right ventricle

E) None of the above
F) A) and D)

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Continuous increases in left ventricular filing pressures result in which disorder?


A) Mitral regurgitation
B) Mitral stenosis
C) Pulmonary edema
D) Jugular vein distention

E) None of the above
F) A) and D)

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Match the description with the corresponding terms. -Cross-bridge theory


A) Relationship among blood flow, pressure, and resistance
B) Increased heart rate from increased volume
C) Relationship of wall tension, intraventricular pressure, internal radius, and wall thickness
D) Cycles of attachment, movement, and dissociation of thin filaments during the attachments of actin to myosin
E) Length-tension relationship of cardiac muscle

F) All of the above
G) None of the above

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Which function of the cardiovascular system is often affected by ischemia?


A) Cardiac output (CO)
B) Stroke volume (SV)
C) Heart rate (HR)
D) Cardiac index (CI)

E) C) and D)
F) None of the above

Correct Answer

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What is the major determinant of the resistance that blood encounters as it flows through the systemic circulation?


A) Volume of blood in the systemic circulation
B) Muscle layer of the metarterioles
C) Muscle layer of the arterioles
D) Force of ventricular contraction

E) B) and C)
F) A) and D)

Correct Answer

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Match the description with the corresponding terms. -Bainbridge reflex


A) Relationship among blood flow, pressure, and resistance
B) Increased heart rate from increased volume
C) Relationship of wall tension, intraventricular pressure, internal radius, and wall thickness
D) Cycles of attachment, movement, and dissociation of thin filaments during the attachments of actin to myosin
E) Length-tension relationship of cardiac muscle

F) None of the above
G) A) and B)

Correct Answer

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What is the effect of epinephrine on b₃ receptors on the heart?


A) Decreases coronary blood flow.
B) Supplements the effects of both b1 and b2 receptors.
C) Increases the strength of myocardial contraction.
D) Prevents overstimulation of the heart by the sympathetic nervous system.

E) B) and D)
F) A) and D)

Correct Answer

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What causes depolarization of a cardiac muscle cell to occur?


A) Decrease in the permeability of the cell membrane to potassium
B) Rapid movement of sodium into the cell
C) Decrease in the movement of sodium out of the cell
D) Rapid movement of calcium out of the cell

E) None of the above
F) A) and C)

Correct Answer

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Which complex (wave) represents the sum of all ventricular muscle cell depolarizations?


A) PRS
B) QRS
C) QT interval
D) P

E) B) and C)
F) A) and D)

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Which intracardiac pressure is produced because of the descent of the tricuspid valve ring and by the ejection of blood from both ventricles?


A) V wave
B) C wave
C) Y descent
D) X descent

E) A) and C)
F) All of the above

Correct Answer

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What is the major effect of a calcium channel blocker such as verapamil on cardiac contractions?


A) Increases the rate of cardiac contractions.
B) Decreases the strength of cardiac contractions.
C) Stabilizes the rhythm of cardiac contractions.
D) Stabilizes the vasodilation during cardiac contractions.

E) All of the above
F) A) and B)

Correct Answer

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Match the description with the corresponding terms. -Laplace's law


A) Relationship among blood flow, pressure, and resistance
B) Increased heart rate from increased volume
C) Relationship of wall tension, intraventricular pressure, internal radius, and wall thickness
D) Cycles of attachment, movement, and dissociation of thin filaments during the attachments of actin to myosin
E) Length-tension relationship of cardiac muscle

F) C) and D)
G) A) and B)

Correct Answer

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