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1 | | The symptoms of an aneurysm that are experienced depend primarily on |
| | A) | its size |
| | B) | its location |
| | C) | both |
| | D) | neither |
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2 | | The visceral pericardium is also known as the |
| | A) | epicardium |
| | B) | myocardium |
| | C) | endocardium |
| | D) | fibrous pericardium |
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3 | | The uppermost or most superior part of the heart is the |
| | A) | septum |
| | B) | apex |
| | C) | base |
| | D) | great vessels |
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4 | | The largest part of the wall of the heart is the |
| | A) | myocardium |
| | B) | epicardium |
| | C) | interventricular septum |
| | D) | endocardium |
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5 | | Purkinje fibers are located beneath the |
| | A) | epicardium |
| | B) | myocardium |
| | C) | endocardium |
| | D) | parietal pericardium |
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6 | | The tricuspid valve is located |
| | A) | between the left atrium and ventricle |
| | B) | between the right atrium and ventricle |
| | C) | between the right ventricle and the pulmonary artery |
| | D) | between the left ventricle and the aorta |
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7 | | The right atrium receives blood from the |
| | A) | inferior and superior vena cavae |
| | B) | pulmonary veins |
| | C) | pulmonary artery |
| | D) | aorta |
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8 | | The valve between the chambers of the left side of the heart is the |
| | A) | semilunar valve |
| | B) | bicuspid (mitral valve) |
| | C) | aortic valve |
| | D) | tricuspid valve |
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9 | | Cardiac pain is due to |
| | A) | prolonged contraction of cardiac muscle |
| | B) | interruption of blood supply to cardiac muscle |
| | C) | damaged heart valves |
| | D) | inflammation of heart muscle and valves |
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10 | | Which of the following correctly describes the events of the cardiac cycle? |
| | A) | the right atrium and ventricle contract and relax , then the left atrium and ventricles contract and relax |
| | B) | contraction of the chambers of the left side of the heart, contraction of the chambers of the right, relaxation of the left, relaxation of the right |
| | C) | both atria contract, both ventricles relax, both ventricles contract, both atria relax |
| | D) | both atria contract, both ventricles contract, both atria contract, both atria relax |
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11 | | During a normal cardiac cycle |
| | A) | the ventricles receive 70% of the blood from the atria passively during ventricular diastole |
| | B) | as the ventricles fill, the pressure in them rises, the pressure in the atria falls until the pressure difference forces the AV valves to close |
| | C) | both |
| | D) | neither |
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12 | | The two major heart sounds are a result of |
| | A) | blood entering the atria in large volumes |
| | B) | opening and closing of heart valves |
| | C) | contraction of the myocardium |
| | D) | changes in the blood flow rate through the chambers of the heart |
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13 | | A mass of merged cells that function as a unit is called |
| | A) | smooth muscle |
| | B) | a functional syncytium |
| | C) | the sinoatrial node |
| | D) | the cardiac conduction system |
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14 | | The cells that initiate the stimulus for contraction of the heart muscle are located in the |
| | A) | sinoatrial node |
| | B) | atrioventricular node |
| | C) | Purkinje fibers |
| | D) | Bundle of His |
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15 | | Which of the following sequences correctly describes the conduction pathway of cardiac impulses? |
| | A) | SA node, AV node, Purkinje fibers, Bundle of His |
| | B) | AV node, SA node, Bundle of His, Purkinje fibers |
| | C) | Bundle of His, Purkinje fibers, AV node, SA node |
| | D) | SA node, AV node, Bundle of His, Purkinje fibers |
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16 | | The P wave on an ECG represents |
| | A) | atrial depolarization |
| | B) | atrial contraction |
| | C) | atrial repolarization |
| | D) | impulse transmission at the AV node |
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17 | | A straight line on a ECG represents |
| | A) | repolarization |
| | B) | loss of a pacemaker |
| | C) | lack of electrical activity |
| | D) | impulse conduction |
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18 | | Ventricular repolarization is represented by the |
| | A) | PR interval |
| | B) | S wave |
| | C) | R wave |
| | D) | T wave |
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19 | | Concentrations of which of the following electrolytes has a direct effect on the myocardium? |
| | A) | calcium and potassium |
| | B) | potassium and bicarbonate |
| | C) | calcium and chloride |
| | D) | sodium and chloride |
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20 | | The middle layer of arterial walls is composed of |
| | A) | endothelial tissue |
| | B) | cardiac muscle |
| | C) | smooth muscle |
| | D) | fibrous connective tissue |
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21 | | The vessel that participates directly in the exchange of substances between the cell and the blood is the |
| | A) | arteriole |
| | B) | artery |
| | C) | capillary |
| | D) | venule |
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22 | | The amount of blood that flows into capillaries is regulated by |
| | A) | constriction and dilation of capillaries |
| | B) | arterioles |
| | C) | the amount of intercellular tissue |
| | D) | precapillary sphincters |
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23 | | Deposits of fatty materials on the inside of arterial walls are called |
| | A) | scars |
| | B) | plaques |
| | C) | lipomas |
| | D) | tumors |
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24 | | Plasma proteins help retain water in the blood by maintaining |
| | A) | osmotic pressure |
| | B) | hydrostatic pressure |
| | C) | a vacuum |
| | D) | all of the above |
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25 | | The middle layer of the walls of veins differs from arteries in that |
| | A) | it contains more connective tissue |
| | B) | it contains less smooth muscle |
| | C) | this layer is thicker in the vein |
| | D) | it contains some striated muscle |
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26 | | The maximum pressure in the artery, occurring during ventricular contraction is |
| | A) | diastolic pressure |
| | B) | systolic pressure |
| | C) | mean arterial pressure |
| | D) | pulse pressure |
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27 | | The factors that maintain blood pressure include |
| | A) | cardiac output |
| | B) | blood volume |
| | C) | peripheral resistance |
| | D) | all of the above |
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28 | | Starling's law is related to which of the following cardiac structures? |
| | A) | interventricular septum |
| | B) | conduction system |
| | C) | muscle fibers |
| | D) | heart valves |
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29 | | Tissues depend on an intact circulatory system to supply nutrients and oxygen and to remove accumulated wastes. |
| | A) | True |
| | B) | False |
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30 | | The pericardial cavity contains fluid that reduces the friction produced by the motion of the heart as it contracts. |
| | A) | True |
| | B) | False |
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31 | | The ventricles are the upper chambers of the heart; the atria are the lower chambers. |
| | A) | True |
| | B) | False |
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32 | | When the papillary muscles contract, they pull the leaves of the bicuspid and tricuspid valves down into the ventricles. |
| | A) | True |
| | B) | False |
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33 | | The wall of the right ventricle is thicker than that of the left ventricle. |
| | A) | True |
| | B) | False |
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34 | | The skeleton of the heart is composed of dense, fibrous, connective tissue which provides places of attachment for heart valves and muscle fibers. |
| | A) | True |
| | B) | False |
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35 | | Blood is supplied to the myocardium by the coronary arteries, the first branches of the aorta. |
| | A) | True |
| | B) | False |
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36 | | Most of the blood from the atria enters the ventricles during atrial contraction. |
| | A) | True |
| | B) | False |
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37 | | The pressure increases during ventricular contract, closing the AV valves when intraventricular pressure exceeds intraatrial pressure. |
| | A) | True |
| | B) | False |
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38 | | The AV node is the pacemaker of the heart under normal conditions. |
| | A) | True |
| | B) | False |
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39 | | Atrial repolarization is not seen as a separate wave on the ECG. |
| | A) | True |
| | B) | False |
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40 | | Increasing temperature slows the heart rate. |
| | A) | True |
| | B) | False |
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