Practice Exam for Test 2 Chapter 12

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Questions and Answers

Which of the following is NOT a property or function of blood plasma?

  • Transport of hormones
  • Being in osmotic balance with red blood cells
  • Having plasma proteins that exert an osmotic pressure favoring fluid absorption into the capillaries
  • Providing clotting factors that are ready to be activated
  • Production of erythrocytes (correct)

What is the term that describes the production of red blood cells?

  • Erythrocytosis
  • Erythropoiesis (correct)
  • Hemaglutination
  • Erythroblastosis
  • Hemostasis

Which is TRUE about the condition anemia?

  • It can be caused by kidney failure
  • It results in reduced oxygen-carrying capacity of the blood
  • It can be caused by too little iron in the diet
  • It can be caused by abnormal hemoglobin
  • All of the answers are true (correct)

A female has a blood test. One mL of her blood is drawn, spun in a centrifuge, and the plasma volume is measured and found to be 0.6 mL. Two months later the same patient returns to the doctor and, after doing another blood test, the doctor tells the patient that she has become anemic compared to her previous visit. Which of the following is most likely to be the woman's hematocrit on the second visit?

<p>35% (A)</p> Signup and view all the answers

A male patient complains of physical weakness and fatigue. A blood test shows his hematocrit to be 30%. Which of the following diagnoses is the least likely to explain his symptoms?

<p>Lung disease (A)</p> Signup and view all the answers

Where is most of the iron in a person's body located?

<p>In erythrocytes (D)</p> Signup and view all the answers

You have a patient who produces sufficient intrinsic factor but has pernicious anemia due to a dietary deficiency. Which of the following supplements should they take to improve symptoms?

<p>Vitamin B12 (B)</p> Signup and view all the answers

Consider the equation F = ΔP/R. It describes the flow (F) of fluid in a tube in which there is a pressure difference (ΔP) between the two ends and resistance (R) to flow. Based on this equation, which is a correct conclusion?

<p>The rate of fluid flow in a tube will increase if the pressure at the beginning is increased while the pressure at the end of the tube stays the same or is decreased. (B)</p> Signup and view all the answers

Which of the following changes would most increase the resistance to blood flow in a blood vessel?

<p>Reducing vessel diameter to one-half the original diameter (A)</p> Signup and view all the answers

Action potentials in the heart spread from cell to cell through

<p>gap junctions (B)</p> Signup and view all the answers

A patient had heart surgery to repair the pacemaker of the heart. Into which structure did the surgeon need access?

<p>Sinoatrial node (A)</p> Signup and view all the answers

Which is correct about the contraction sequence of the heart?

<p>The two atria contract at the same time, and as they are relaxing, the two ventricles contract together. (D)</p> Signup and view all the answers

Which of the following statements concerning the differences between action potentials in skeletal muscle cells and in ventricular cardiac muscle cells is TRUE?

<p>After sodium influx through voltage-gated channels occurs in ventricular cells, prolonged influx of calcium from the extracellular fluid occurs. No such calcium influx occurs in skeletal muscle cells. (C)</p> Signup and view all the answers

You are a synthetic chemist and have created a compound that appears to bind to acetylcholine receptors. When applied to the inside of the right atrium, what will the affect be?→

<p>Decreased heart rate (C)</p> Signup and view all the answers

The plateau of the action potential in cardiac ventricular cells results from the opening of voltage-gated long-lasting_________ channels in the plasma membrane of the cell.

<p>Ca+ (C)</p> Signup and view all the answers

Which of the following statements about membrane potentials in different types of cardiac cells is TRUE?

<p>Myocardial cells have a resting membrane potential of about -90 mV; pacemaker cells do not have a steady resting membrane potential. (A)</p> Signup and view all the answers

You are learning to read electrocardiograms. You know that the patient you are examining has a pathology affecting depolarization of the ventricles, therefore you’re looking for a change in what portion of the ECG

<p>The QRS complex (C)</p> Signup and view all the answers

Which of the following would be most likely to be determined with a patient's ECG recording?

<p>Failure of the AV node (D)</p> Signup and view all the answers

Which is TRUE about the comparison of excitation-contraction coupling in cardiac muscle with that in skeletal muscle?

<p>Extracellular Ca+ plays a major role in cardiac but not skeletal muscle. (A)</p> Signup and view all the answers

You and your lab partner are doing an experiment in physiology lab. Each of you has an isolated muscle cell and you are supposed to stimulate it with an electrode as soon as its absolute refractory period ends. You’re watching an electromyograph tracing to know when to use the electrode. Your partner has a cardiac muscle cell and you have a skeletal muscle cell. Which one of you will use your electrode more times in one minute?

<p>You will use the electrode more times in a minute than your partner will. (B)</p> Signup and view all the answers

Which of the following statements about the refractory period of neuronal or muscle membranes is TRUE?

<p>In ventricular cells, the absolute refractory period coincides with the period of increased Na+ and Ca+ permeability. (C)</p> Signup and view all the answers

Which of the following statements about the cardiac cycle is TRUE?

<p>Closure of the atrioventricular valves occurs at the beginning of ventricular systole. (C)</p> Signup and view all the answers

You and your colleague are medical technicians in a cardiac function lab. You are reading the ECG of a patient and your friend is trying to capture an image of the semilunar valves opening using an ultrasound. At what point should you tell your friend to start recording images?

<p>At the beginning of the QRS complex (C)</p> Signup and view all the answers

During the cardiac cycle of an individual at rest

<p>the duration of diastole is greater than that of systole. (D)</p> Signup and view all the answers

In a patient with an abnormally leaky aortic valve, what would you expect?

<p>Some backflow of blood into the left ventricle during ventricular diastole (B)</p> Signup and view all the answers

Which occurs during isovolumetric ventricular contraction?

<p>No blood enters or leaves the ventricles. (B)</p> Signup and view all the answers

What causes the opening and closing of the heart valves?

<p>A pressure difference on the two sides of the valve (B)</p> Signup and view all the answers

You’ve just been told by your doctor that you have a heart murmur between the first and second heart sounds. You go home to search for more information on this condition on the Internet and find that you have

<p>insufficiency of an AV valve or stenosis of a semilunar valve. (B)</p> Signup and view all the answers

Which best defines cardiac output?

<p>The product of the heart rate and the volume ejected from the ventricle during a cardiac cycle (@)</p> Signup and view all the answers

Sinoatrial node cells

<p>exhibit spontaneous depolarization that is speeded by activation of their beta-adrenergic receptors. (C)</p> Signup and view all the answers

Which is TRUE regarding the regulation of heart rate?

<p>All of the choices are true. (@)</p> Signup and view all the answers

What is described by the Frank-Starling mechanism of the heart?

<p>The relationship between length and tension in cardiac muscle cells (C)</p> Signup and view all the answers

According to the Frank-Starling mechanism of the heart

<p>stroke volume increases with increased venous return. (D)</p> Signup and view all the answers

During the course of a ride on a roller coaster, what would be FALSE regarding your heart?

<p>A decrease in the slope of the pacemaker potential (C)</p> Signup and view all the answers

You are dissecting a species of amphibian that has just been discovered in the rainforest. You find a blood vessel where the blood travels at a low pressure and velocity. If the frog is in an upright position, blood flow through this vessel would also be against gravity. Anatomically, what do you expect of this blood vessel?

<p>Valves that allow only one-way flow of blood (D)</p> Signup and view all the answers

Which of the following statements concerning regulation of blood flow is TRUE?

<p>In the systemic circuit, increased levels of metabolic waste products and decreased oxygen concentration in tissues promote hyperemia through the tissues. (A)</p> Signup and view all the answers

You’ve been sitting cross-legged on the floor of your dorm room while studying. As you stand up to go get a snack, you realize that you’ve lost feeling in one of your feet. A minute later, all feeling is restored. Being a physiology student, you understand that blood flow was occluded during the time that you were sitting, and that blood flow was restored as you stood up. What else is TRUE?

<p>The decreased oxygen content of the foot tissues and the increased levels of metabolic wastes both acted as vasodilators, increasing the flow of blood through the tissues upon standing. (A)</p> Signup and view all the answers

In the systemic circuit, which of these best describes active hyperemia?

<p>Increased metabolic activity that results in vasodilation (B)</p> Signup and view all the answers

Which of the following statements concerning control of blood flow through arterioles is TRUE?

<p>If the arterial blood pressure to an organ suddenly decreases, arterioles in the organ will dilate in response. (D)</p> Signup and view all the answers

Blood flow through most organs in the systemic circuit is regulated primarily by increasing or decreasing the_____activity to arteriolar smooth muscles in the organ. Another form of regulation, called _________, depends upon the metabolic activity of the organ. Increased activity leads to increased interstitial fluid metabolites, which cause_____of the arterioles. The former is a type of_____regulation of blood flow; the latter is an example of_____regulation.

<p>sympathetic; active hyperemia; dilation; extrinsic; intrinsic (A)</p> Signup and view all the answers

If the arterial blood pressure in the brain is suddenly decreased, the flow through arterioles in the brain will immediately fall and then which of these will occur next?

<p>Blood flow will return toward its original level due to flow autoregulation. (@)</p> Signup and view all the answers

Normally, the hydrostatic pressure difference between capillary fluid and interstitial fluid favors movement of fluid_________ a tissue capillary. The protein osmotic pressure difference between capillary fluid and interstitial fluid normally favors movement of fluid_________ a tissue capillary.

<p>out of; into (D)</p> Signup and view all the answers

In a patient with decreased production of plasma proteins, which of the following would be TRUE?

<p>More fluid than usual will flow out of the capillary based on the osmotic pressure. (A)</p> Signup and view all the answers

Which of the following statements concerning the capillaries is FALSE?

<p>Increasing capillary hydrostatic pressure decreases the likelihood that filtration will occur. (A)</p> Signup and view all the answers

Which of the following correctly compares the factors involved in bulk flow of fluid in systemic and pulmonary capillaries?

<p>The hydrostatic pressure inside pulmonary capillaries is significantly lower. (C)</p> Signup and view all the answers

A patient comes in to your office with dramatically high blood pressure. Which of the following symptoms might turn up in your exam?

<p>Tissue swelling due to increased fluid leaving the capillaries. (A)</p> Signup and view all the answers

You have a patient who is showing signs of edema (tissue swelling) all over the body. In addition to visible swelling in the hands, feet, and face, you can also see evidence of swelling around internal organs when viewing his CAT scan images. Thinking about what you know about the factors that regulate fluid flow from the blood vessels, which of the following causes of edema is most likely?

<p>Low plasma protein concentration due to liver failure (B)</p> Signup and view all the answers

Distinguishing characteristics of veins include which of the following?

<p>All veins carry blood toward the heart. (B)</p> Signup and view all the answers

What determines the movement of blood in systemic veins?

<p>All of the these (@)</p> Signup and view all the answers

Person A is resting in a chair for a long period of time; the calf and thigh muscles are totally relaxed. Nearby, Person B is also resting in a chair, but is wiggling, kicking, tapping, and vibrating their legs; resulting in a pattern where the calf and thigh muscles are alternating between relaxed and contracted states. If all else is equal, who has the higher stroke volume, Person A or Person B?

<p>Person B has a higher stroke volume. (B)</p> Signup and view all the answers

A hard-working sales clerk is in a busy department store. They have stood completely still behind the check-out counter for an 8-hour shift. At the end of the shift the clerk feels somewhat dizzy and guesses that their blood pressure is quite low. All of the following factors normally contribute to homeostatic blood pressure regulation. Which one is most likely contributing to the clerk's symptoms?

<p>Decreased skeletal muscle pump (A)</p> Signup and view all the answers

A hard-working sales clerk is in a busy department store. They have stood completely still behind the check-out counter for an 8-hour shift. At the end of the shift the clerk feels somewhat dizzy and guesses that their blood pressure is quite low. When they get home they also notice that their ankles are swollen. What physiological issue is most likely to blame in this scenario?

<p>High hydrostatic pressure in lower leg capillaries (C)</p> Signup and view all the answers

Which of the following is a result of increased sympathetic stimulation of vascular smooth muscle?

<p>Venous return of blood to the heart increases. (@)</p> Signup and view all the answers

An individual has had too many alcoholic drinks. Alcohol is a systemic vasodilator and it increases urine volume, thereby decreasing blood volume. In order to maintain cardiac output, what can their body do?

<p>Increase heart rate (B)</p> Signup and view all the answers

Which of the following factors would NOT tend to increase systemic arterial blood pressure?

<p>Increased parasympathetic stimulation (C)</p> Signup and view all the answers

After a long fever, a person is sweating profusely. They end up requiring several changes of clothing before the skin begins to dry off. After this sweating event, what can we expect of their physiological state?

<p>Hypotension (B)</p> Signup and view all the answers

An individual donates a pint of blood to a blood bank. A few minutes later, which of the following would be increased compared to pre-donation values?

<p>Heart rate and total peripheral resistance (B)</p> Signup and view all the answers

An individual donates a pint of blood to a blood bank. A few minutes later, which of the following would be decreased compared to pre-donation values?

<p>The percentage of cardiac output flowing to the kidneys (D)</p> Signup and view all the answers

An individual donates a pint of blood to a blood bank. A few minutes later, which of the following would be increased compared to pre-donation values?

<p>Heart rate (A)</p> Signup and view all the answers

Following hemorrhage, reflexes are triggered that attempt to compensate for the blood loss. As a result of the blood loss and the reflex mechanisms, which of the following will be TRUE, compared to pre-hemorrhage values?

<p>Cardiac output will be decreased and total peripheral resistance will be increased. (D)</p> Signup and view all the answers

How would a hemorrhage immediately affect the activity of the baroreceptors?

<p>The baroreceptors would decrease their rate of firing to all medullary cardiovascular center cell types. (C)</p> Signup and view all the answers

Which of the following is most likely to occur when a soldier stands at attention—very still, with legs and spine straight?

<p>Increased storage of blood in the veins of the feet and legs (C)</p> Signup and view all the answers

During exercise, there is a decreased flow of blood to

<p>the abdominal organs. (C)</p> Signup and view all the answers

You just ate a huge, delicious breakfast and now are going to head out for your morning run. As you try picking up the pace, you find running to be quite difficult because

<p>blood flow to the abdominal organs is dominant (A)</p> Signup and view all the answers

Which of the following does NOT contribute to increased stroke volume during exercise?

<p>Increased length of filling time during diastole (C)</p> Signup and view all the answers

Which is the most likely effect of physical endurance training on a person's cardiac performance?

<p>An increase in maximal stroke volume (B)</p> Signup and view all the answers

Which of these correctly states differences between a trained athlete and a sedentary individual at rest?

<p>The athlete would have a lower heart rate and larger stroke volume. (A)</p> Signup and view all the answers

Which of the following does NOT describe hypertension?

<p>It is usually a result of chronically elevated cardiac output. (C)</p> Signup and view all the answers

Arterial systolic pressure occurs_________ while arterial diastolic pressure occurs_________.

<p>during the middle of the phase of ventricular ejection; just before the semilunar valve opens (@)</p> Signup and view all the answers

Which of the following drugs might be prescribed to alleviate hypertension?

<p>Beta-adrenergic receptor antagonists (B)</p> Signup and view all the answers

Which of the drug treatments listed below is INCORRECTLY matched to a mode of action in treating hypertension?

<p>Antagonists of parasympathetic receptors—reduce TPR by decreased stimulation of arteriolar smooth muscle (C)</p> Signup and view all the answers

Atherosclerosis is

<p>the major cause of heart attacks. (A)</p> Signup and view all the answers

What is hemostasis?

<p>The prevention or stoppage of blood loss (B)</p> Signup and view all the answers

Which of the following occurs first in hemostasis?

<p>Platelet aggregation (B)</p> Signup and view all the answers

Platelets participate in hemostasis by

<p>aggregating to form a plug and releasing chemicals that promote vasoconstriction. (D)</p> Signup and view all the answers

Which is an intermediary protein that enables platelets to adhere to collagen?

<p>von Willebrand factor (vWF) (C)</p> Signup and view all the answers

In a patient with a mutation that causes an inactive von Willebrand factor (vWF), which of the following would be TRUE?

<p>Platelets will not adhere to collagen. (A)</p> Signup and view all the answers

Which of the following statements regarding blood clotting is TRUE?

<p>Blood clotting requires activation of thrombin. (A)</p> Signup and view all the answers

Which of the following statements about blood clotting is FALSE?

<p>It is the formation of a thrombus. (A)</p> Signup and view all the answers

Which of the following statements regarding the dissolving of blood clots is FALSE?

<p>It involves aggregation of soluble fibrin fragments into fibrin. (@)</p> Signup and view all the answers

Which of the following is NOT an anticoagulant or stimulator of blood clot dissolution?

<p>Vitamin K (A)</p> Signup and view all the answers

Which correctly describes functions of protein C?

<p>It inhibits clot formation and inactivates factors Va and VIIIa. (@)</p> Signup and view all the answers

Flashcards

Capital of France (example flashcard)

Paris

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