Deck 17: The Heart
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Deck 17: The Heart
1
Which of the following is NOT a function of the heart which helps to maintain homeostasis?
A) Routing blood
B) Generating blood pressure
C) Regulating blood supply
D) All of these are functions of the heart
A) Routing blood
B) Generating blood pressure
C) Regulating blood supply
D) All of these are functions of the heart
All of these are functions of the heart
2
The heart is located in the
A) Thoracic cavity between the lungs
B) Abdominal cavity between the stomach and liver
C) Pelvic cavity between the bladder and rectum
D) Thoracic cavity between the kidneys
A) Thoracic cavity between the lungs
B) Abdominal cavity between the stomach and liver
C) Pelvic cavity between the bladder and rectum
D) Thoracic cavity between the kidneys
Thoracic cavity between the lungs
3
The heart is surrounded by this sac
A) Peritoneum
B) Meninges
C) Pleura
D) Pericardium
A) Peritoneum
B) Meninges
C) Pleura
D) Pericardium
Pericardium
4
What membrane covers the surface of the heart?
A) Fibrous pericardium
B) Visceral pericardium
C) Parietal pericardium
D) None of these membranes are the covering of the heart's surface
A) Fibrous pericardium
B) Visceral pericardium
C) Parietal pericardium
D) None of these membranes are the covering of the heart's surface
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5
The heart wall is composed of three layers. Which of the following is NOT a layer of the heart wall?
A) Endocardium
B) Intercardium
C) Epicardium
D) Myocardium
A) Endocardium
B) Intercardium
C) Epicardium
D) Myocardium
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6
What is the name of the heart wall layer that forms the inner surface of the heart chamber?
A) Epicardium
B) Myocardium
C) Endocardium
D) Pericardium
A) Epicardium
B) Myocardium
C) Endocardium
D) Pericardium
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7
What are the muscular ridges that are found in the atria of the heart?
A) Trabeculae carneae
B) Pectinate muscles
C) Chordae tendineae
D) All of the above are muscular ridges in the atria of the heart
A) Trabeculae carneae
B) Pectinate muscles
C) Chordae tendineae
D) All of the above are muscular ridges in the atria of the heart
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8
The heart consists of
A) Two ventricles
B) Two atria
C) Two atria and two ventricles
D) Two atria and one ventricle
A) Two ventricles
B) Two atria
C) Two atria and two ventricles
D) Two atria and one ventricle
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9
What are the veins that carry blood to the heart?
A) Pulmonary veins
B) Inferior vena cava
C) Superior vena cava
D) All of these veins carry blood to the heart
A) Pulmonary veins
B) Inferior vena cava
C) Superior vena cava
D) All of these veins carry blood to the heart
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10
What are the two arteries that carry blood away from the heart?
A) Superior vena cava and aorta
B) Pulmonary trunk and aorta
C) Pulmonary trunk and pulmonary vein
D) Pulmonary trunk and inferior vena cava
A) Superior vena cava and aorta
B) Pulmonary trunk and aorta
C) Pulmonary trunk and pulmonary vein
D) Pulmonary trunk and inferior vena cava
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11
The right atrium receives blood from which of the following veins?
A) Superior vena cava
B) Inferior vena cava
C) Coronary sinus
D) All of these veins carry blood to the right atrium
A) Superior vena cava
B) Inferior vena cava
C) Coronary sinus
D) All of these veins carry blood to the right atrium
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12
What are the blood vessels that carry blood to the left atrium?
A) Pulmonary veins
B) Pulmonary arteries
C) Superior and inferior vena cava
D) All of these blood vessels carry blood to the left atrium
A) Pulmonary veins
B) Pulmonary arteries
C) Superior and inferior vena cava
D) All of these blood vessels carry blood to the left atrium
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13
Which one of the following is a depression in the right atrium that was the former opening between the left and right atria of the fetal heart?
A) Ductus arteriosus
B) Chordae tendineae
C) Fossa ovalis
D) None of the these are correct
A) Ductus arteriosus
B) Chordae tendineae
C) Fossa ovalis
D) None of the these are correct
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14
What is the function of heart valves?
A) To separate the ventricles
B) To make sure that blood flows in both directions in the ventricles
C) To create turbulence in the ventricles
D) To prevent backflow of blood and ensure one-way flow of blood in the heart
A) To separate the ventricles
B) To make sure that blood flows in both directions in the ventricles
C) To create turbulence in the ventricles
D) To prevent backflow of blood and ensure one-way flow of blood in the heart
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15
Which of the following are heart valves?
A) Atrioventricular valves
B) Semilunar valves
C) Sinoatrial valves
D) Both the atrioventricular and semilunar valves
A) Atrioventricular valves
B) Semilunar valves
C) Sinoatrial valves
D) Both the atrioventricular and semilunar valves
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16
What is the name of the right atrioventricular valve?
A) Bicuspid valve
B) Pulmonary semilunar valve
C) Tricuspid valve
D) All of the above are correct
A) Bicuspid valve
B) Pulmonary semilunar valve
C) Tricuspid valve
D) All of the above are correct
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17
What is the name of the cone-shaped muscular pillars in the ventricles?
A) Pectinate muscles
B) Papillary muscles
C) Bicuspid valve
D) Chordae tendineae
A) Pectinate muscles
B) Papillary muscles
C) Bicuspid valve
D) Chordae tendineae
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18
What are the string-like structures that attach the atrioventricular valves to the heart wall?
A) Chordae tendineae
B) Pectinate muscles
C) Coronary sinuses
D) Ductus arteriosus
A) Chordae tendineae
B) Pectinate muscles
C) Coronary sinuses
D) Ductus arteriosus
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19
Which semilunar valve separates the left ventricle and the aorta?
A) Pulmonary semilunar valve
B) Aortic semilunar valve
C) Atrioventricular valve
D) Papillary valve
A) Pulmonary semilunar valve
B) Aortic semilunar valve
C) Atrioventricular valve
D) Papillary valve
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20
When the ventricles contract
A) The atrioventicular valves open and the semilunar valves open
B) The atrioventicular valves open and the semilunar valves close
C) The atrioventicular valves close and the semilunar valves open
D) The atrioventicular valves close and the semilunar valves close
A) The atrioventicular valves open and the semilunar valves open
B) The atrioventicular valves open and the semilunar valves close
C) The atrioventicular valves close and the semilunar valves open
D) The atrioventicular valves close and the semilunar valves close
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21
Which of the following is the correct flow of blood as blood moves from the body, through the heart, to the lungs?
1.Pulmonary semilunar valve
2.Pulmonary trunk
3.Right atrium
4.Right ventricle
5.Superior and inferior vena cava
6.Tricuspid valve
A) 5,3,6,4,1,2
B) 2,1,4,6,3,5
C) 5,3,4,6,1,2
D) 2,3,6,4,1,5
1.Pulmonary semilunar valve
2.Pulmonary trunk
3.Right atrium
4.Right ventricle
5.Superior and inferior vena cava
6.Tricuspid valve
A) 5,3,6,4,1,2
B) 2,1,4,6,3,5
C) 5,3,4,6,1,2
D) 2,3,6,4,1,5
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22
Which of the following is the correct flow of blood as blood moves from the lungs, through the heart, to the body?
Aortic semilunar valve Aorta
Bicuspid valve
Left atrium
Left ventricle
Pulmonary veins
A) 5,3,6,4,1,2
B) 2,1,5,3,4,6
C) 6,4,3,5,1,2
D) 6,4,5,3,2,1
Aortic semilunar valve Aorta
Bicuspid valve
Left atrium
Left ventricle
Pulmonary veins
A) 5,3,6,4,1,2
B) 2,1,5,3,4,6
C) 6,4,3,5,1,2
D) 6,4,5,3,2,1
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23
What two arteries do the left coronary artery branch into?
A) Anterior and posterior interventricular arteries
B) Posterior interventricular and circumflex arteries
C) Anterior interventricular and circumflex arteries
D) None of the answers are correct
A) Anterior and posterior interventricular arteries
B) Posterior interventricular and circumflex arteries
C) Anterior interventricular and circumflex arteries
D) None of the answers are correct
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24
What areas of the heart are supplied by the left coronary artery?
A) Right atrium, left ventricle and left posterior ventricle
B) Left atrium, left ventricle and right anterior ventricle
C) Right atrium, left ventricle and right posterior ventricle
D) Right atrium, right ventricle and left posterior ventricle
A) Right atrium, left ventricle and left posterior ventricle
B) Left atrium, left ventricle and right anterior ventricle
C) Right atrium, left ventricle and right posterior ventricle
D) Right atrium, right ventricle and left posterior ventricle
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25
Blood is drained from the heart muscle by which of the following blood vessels?
A) Coronary arteries
B) Superior vena cava
C) Pulmonary veins
D) Coronary sinus
A) Coronary arteries
B) Superior vena cava
C) Pulmonary veins
D) Coronary sinus
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26
What are the two myofilaments that are found in cardiac muscle?
A) Actin and fibrin
B) Fibrin and myosin
C) Actin and collagen
D) None of the above are correct
A) Actin and fibrin
B) Fibrin and myosin
C) Actin and collagen
D) None of the above are correct
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27
Which of the following is NOT a part of the cardiac muscle action potential?
A) Depolarization
B) Plateau phase of repolarization
C) Final repolarization phase
D) All of these are part of the action potential in cardiac muscle
A) Depolarization
B) Plateau phase of repolarization
C) Final repolarization phase
D) All of these are part of the action potential in cardiac muscle
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28
During depolarization, which of the following ion channels open?
A) Sodium
B) Potassium
C) Hydrogen
D) Both sodium and potassium channels open
A) Sodium
B) Potassium
C) Hydrogen
D) Both sodium and potassium channels open
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29
During depolarization,
A) Sodium channels open, potassium channels open and calcium channels open
B) Sodium channels open, potassium channels close and calcium channels open
C) Sodium channels close, potassium channels open and calcium channels open
D) None of the above are correct
A) Sodium channels open, potassium channels open and calcium channels open
B) Sodium channels open, potassium channels close and calcium channels open
C) Sodium channels close, potassium channels open and calcium channels open
D) None of the above are correct
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30
During final repolarization,
A) Sodium channels close, potassium channels open and calcium channels open
B) Sodium channels open, potassium channels close and calcium channels close
C) Sodium channels close, potassium channels open and calcium channels close
D) None of the above are correct
A) Sodium channels close, potassium channels open and calcium channels open
B) Sodium channels open, potassium channels close and calcium channels close
C) Sodium channels close, potassium channels open and calcium channels close
D) None of the above are correct
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31
Absolute refractory period in cardiac muscle extends from depolarization into the
A) Early repolarization phase
B) Plateau phase of repolarization
C) Final repolarization phase
D) None of the above is correct
A) Early repolarization phase
B) Plateau phase of repolarization
C) Final repolarization phase
D) None of the above is correct
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32
What is the pacemaker of the heart?
A) Purkinje fibers
B) Atrioventricular node
C) Atrioventricular valve
D) Sinoatrial node
A) Purkinje fibers
B) Atrioventricular node
C) Atrioventricular valve
D) Sinoatrial node
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33
When the SA node depolarizes and the heart contracts, which one of the following is directly determined by the SA node?
A) Heart rate
B) Peripheral resistance
C) Pulmonary rate
D) Vasoconstriction
A) Heart rate
B) Peripheral resistance
C) Pulmonary rate
D) Vasoconstriction
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34
What ion is primarily responsible for the depolarization of the SA node of the heart?
A) Sodium
B) Potassium
C) Chloride
D) Calcium
A) Sodium
B) Potassium
C) Chloride
D) Calcium
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35
When the SA node depolarizes, which of the following heart chambers contracts first?
A) Right and left ventricles
B) Right and left atria
C) Right atria and right ventricle
D) Left atria and left ventricle
A) Right and left ventricles
B) Right and left atria
C) Right atria and right ventricle
D) Left atria and left ventricle
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36
What part of the conducting system of the heart delays the transmission of the action potential to allow the atria to contract before the ventricles?
A) Purkinje fibers
B) AV bundles
C) AV node
D) SA node
A) Purkinje fibers
B) AV bundles
C) AV node
D) SA node
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37
Which of the following is the correct sequence of structures in the heart's conducting system?
1.AV bundles
2.AV node
3.Purkinje fibers
4.SA node
A) 1,2,3,4
B) 4,2,3,1
C) 4,2,1,3
D) 2,4,1,3
1.AV bundles
2.AV node
3.Purkinje fibers
4.SA node
A) 1,2,3,4
B) 4,2,3,1
C) 4,2,1,3
D) 2,4,1,3
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38
Which one of the following conditions is life threatening?
A) Sinus rhythm
B) Ventricular fibrillation
C) AV block
D) Bradycardia
A) Sinus rhythm
B) Ventricular fibrillation
C) AV block
D) Bradycardia
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39
Which one of the following conditions is a heart rate less than 60 beats per minute?
A) Sinus rhythm
B) Ventricular fibrillation
C) AV block
D) Bradycardia
A) Sinus rhythm
B) Ventricular fibrillation
C) AV block
D) Bradycardia
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40
Which one of the following waves would be seen in a normal ECG?
A) P wave
B) T wave
C) QRS complex
D) All of the above would be seen in a normal ECG
A) P wave
B) T wave
C) QRS complex
D) All of the above would be seen in a normal ECG
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41
What wave of the ECG represents ventricular depolarization?
A) P wave
B) T wave
C) QRS complex
D) All of the above would represent ventricular depolarization in an ECG
A) P wave
B) T wave
C) QRS complex
D) All of the above would represent ventricular depolarization in an ECG
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42
What wave of the ECG represents ventricular repolarization?
A) P wave
B) T wave
C) QRS complex
D) All of the above would represent ventricular depolarization in an ECG
A) P wave
B) T wave
C) QRS complex
D) All of the above would represent ventricular depolarization in an ECG
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43
During the PR interval,
A) The ventricles contract
B) The atria contract
C) The atria and ventricles are at rest
D) Both the atria and ventricles contract
A) The ventricles contract
B) The atria contract
C) The atria and ventricles are at rest
D) Both the atria and ventricles contract
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44
Which of the following is the correct sequence of events during ventricular systole?
AV valves close
Blood is ejected into the pulmonary trunk and aorta
Semilunar valves open
Ventricles begin to relax and enter into ventricular diastole
Ventricles contract and blood pressure in ventricles increase
A) 4,2,3,1,5
B) 5,2,3,1,4
C) 5,1,3,2,4
D) 4,1,3,5,2
AV valves close
Blood is ejected into the pulmonary trunk and aorta
Semilunar valves open
Ventricles begin to relax and enter into ventricular diastole
Ventricles contract and blood pressure in ventricles increase
A) 4,2,3,1,5
B) 5,2,3,1,4
C) 5,1,3,2,4
D) 4,1,3,5,2
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45
Which of the following is the correct sequence of events during ventricular diastole? When ventricular blood pressure become less than atrial pressure, AV valves open
Atria contract and force their blood into the ventricles
Semilunar valves close
Ventricles relax and blood pressure in ventricles decrease
A) 4,3,1,2
B) 2,3,1,4
C) 1,3,2,4
D) 4,1,3,2
Atria contract and force their blood into the ventricles
Semilunar valves close
Ventricles relax and blood pressure in ventricles decrease
A) 4,3,1,2
B) 2,3,1,4
C) 1,3,2,4
D) 4,1,3,2
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46
Which one of the following events does NOT occur during ventricular systole?
A) Ventricular pressure increases
B) AV valves close
C) Semilunar valves open
D) All of these events occur during ventricular systole
A) Ventricular pressure increases
B) AV valves close
C) Semilunar valves open
D) All of these events occur during ventricular systole
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47
Which one of the following events does NOT occur during ventricular diastole?
A) Ventricular pressure decreases
B) AV valves close
C) Semilunar valves close
D) All of these events occur during ventricular diastole
A) Ventricular pressure decreases
B) AV valves close
C) Semilunar valves close
D) All of these events occur during ventricular diastole
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48
Which one of the following is the highest blood pressure in the aorta?
A) Pulmonary pressure
B) Systolic pressure
C) Diastolic pressure
D) None of the above are the highest blood pressure in the aorta
A) Pulmonary pressure
B) Systolic pressure
C) Diastolic pressure
D) None of the above are the highest blood pressure in the aorta
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49
What is the approximate diastolic blood pressure in the aorta?
A) 272 mm Hg
B) 120 mm Hg
C) 80 mm Hg
D) 25 mm Hg
A) 272 mm Hg
B) 120 mm Hg
C) 80 mm Hg
D) 25 mm Hg
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50
Which of the following is responsible for the first heart sound of "lubb"?
A) Aortic semilunar valve closing
B) Tricuspid valve closing
C) Pulmonary semilunar valve closing
D) Both the aortic and pulmonary semilunar valves closing
A) Aortic semilunar valve closing
B) Tricuspid valve closing
C) Pulmonary semilunar valve closing
D) Both the aortic and pulmonary semilunar valves closing
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51
Which of the following is responsible for the second heart sound of "dupp"?
A) Aortic semilunar valve closing
B) Tricuspid valve closing
C) Pulmonary semilunar valve closing
D) Both the aortic and pulmonary semilunar valves closing
A) Aortic semilunar valve closing
B) Tricuspid valve closing
C) Pulmonary semilunar valve closing
D) Both the aortic and pulmonary semilunar valves closing
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52
What is the cause of heart murmurs?
A) An elevated systolic blood pressure
B) Faulty heart valves
C) AV block
D) None of the above are correct
A) An elevated systolic blood pressure
B) Faulty heart valves
C) AV block
D) None of the above are correct
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53
An incompetent bicuspid valve causes
A) Pulmonary edema
B) Peripheral edema
C) Hypotension
D) Arrhythmia
A) Pulmonary edema
B) Peripheral edema
C) Hypotension
D) Arrhythmia
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54
The mean arterial pressure is determined by
A) MAP=SVXHR
B) MAP=SVXPR
C) MAP=COXPR
D) MAP=COXHR
A) MAP=SVXHR
B) MAP=SVXPR
C) MAP=COXPR
D) MAP=COXHR
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55
The cardiac output is affected by all of the following EXCEPT
A) Peripheral resistance
B) Heart rate
C) Stroke volume
D) All of the above affect the cardiac output
A) Peripheral resistance
B) Heart rate
C) Stroke volume
D) All of the above affect the cardiac output
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56
What is the law that states an increase in the resting length of a cardiac muscle fiber will result in a greater force of contraction of a cardiac muscle fiber?
A) All-or-none law of cardiac muscle
B) Ohm's law of the heart
C) Starling's law of the heart
D) Boyle's law of the heart
A) All-or-none law of cardiac muscle
B) Ohm's law of the heart
C) Starling's law of the heart
D) Boyle's law of the heart
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57
Which one of the following extrinsic factors decreases heart rate?
A) Epinephrine
B) Norepinephrine
C) Sympathetic stimulation
D) Parasympathetic stimulation
A) Epinephrine
B) Norepinephrine
C) Sympathetic stimulation
D) Parasympathetic stimulation
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58
Blood pressure is monitored in the aorta by pressure receptors called
A) Photoreceptors
B) Baroreceptors
C) Meissner's corpuscles
D) None of the above are correct
A) Photoreceptors
B) Baroreceptors
C) Meissner's corpuscles
D) None of the above are correct
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59
When blood pressure increases, which one of the following events occur?
A) Increased sympathetic stimulation of heart with increased heart rate
B) Increased parasympathetic stimulation of heart with decreased heart rate
C) Increased sympathetic stimulation of heart with decreased heart rate
D) None of the above are correct
A) Increased sympathetic stimulation of heart with increased heart rate
B) Increased parasympathetic stimulation of heart with decreased heart rate
C) Increased sympathetic stimulation of heart with decreased heart rate
D) None of the above are correct
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60
Which one of the following is increased when the adrenal glands release epinephrine and norepinephrine?
A) Heart rate
B) Stroke volume
C) Blood pressure
D) All of the above are increase with epinephrine and norepinephrine
A) Heart rate
B) Stroke volume
C) Blood pressure
D) All of the above are increase with epinephrine and norepinephrine
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61
Which one of the following chemicals has no effect on the heart rate?
A) PH
B) Oxygen
C) Nitrogen
D) All of the above are required for blood clotting
A) PH
B) Oxygen
C) Nitrogen
D) All of the above are required for blood clotting
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62
What is the effect of a significant decrease in oxygen on the heart?
A) Increased heart rate
B) Decreased heart rate
C) No change in heart rate
A) Increased heart rate
B) Decreased heart rate
C) No change in heart rate
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63
What is the effect of increased oxygen on the heart?
A) Increased heart rate
B) Decreased heart rate
C) No change in heart rate
A) Increased heart rate
B) Decreased heart rate
C) No change in heart rate
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64
What is the effect of increased carbon dioxide on the heart?
A) Increased heart rate
B) Decreased heart rate
C) No change in heart rate
A) Increased heart rate
B) Decreased heart rate
C) No change in heart rate
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65
What is the effect of increased pH on the heart?
A) Increased heart rate
B) Decreased heart rate
C) No change in heart rate
A) Increased heart rate
B) Decreased heart rate
C) No change in heart rate
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66
What is the effect of decreased potassium ion on the heart?
A) Increased heart rate
B) Decreased heart rate
C) No change in heart rate
A) Increased heart rate
B) Decreased heart rate
C) No change in heart rate
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67
What is the effect of increased calcium ion on the heart?
A) Increased heart rate
B) Decreased heart rate
C) No change in heart rate
A) Increased heart rate
B) Decreased heart rate
C) No change in heart rate
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68
What is the effect of decreased temperature on the heart?
A) Increased heart rate
B) Decreased heart rate
C) No change in heart rate
A) Increased heart rate
B) Decreased heart rate
C) No change in heart rate
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69
Which one of the following is a change in the heart that is associated with age?
A) Hypertrophy of the heart
B) Increased maximum heart rate
C) Increased cardiac output
D) All of the above are seen in elderly people
A) Hypertrophy of the heart
B) Increased maximum heart rate
C) Increased cardiac output
D) All of the above are seen in elderly people
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70
Which one of the following is a change in the heart that is associated with age?
A) Arrhythmias of the heart
B) Decreased maximum heart rate
C) Decreased cardiac output
D) All of the above are seen in elderly people
A) Arrhythmias of the heart
B) Decreased maximum heart rate
C) Decreased cardiac output
D) All of the above are seen in elderly people
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71
The heart forms a partition with the trachea and esophagus called the mediastinum.
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72
The heart is the size of your closed fist.
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73
The base of the heart is the rounded point of the lower heart.
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74
The auricles are the primary receiving chambers of the heart.
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75
The pulmonary trunk divides into the left and right pulmonary veins and carries blood to the lungs.
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76
The atria are chambers that receive blood from the veins.
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77
The left and right ventricles are separated by the interatrial septum.
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78
The left atrioventricular valve is called the bicuspid or mitral valve.
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79
The heart is supplied with blood from the coronary sinuses.
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80
The heart is supplied with blood from the blood that flows through it.
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