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The first and second heart sounds are most directly related to


A) pulse pressure in the aorta.
B) the contraction of the atria.
C) vibrations that occur when the valves close.
D) contraction of the papillary muscles.
E) the flow of the blood.

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

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Opening and closing of the heart valves is caused by ________.


A) breathing
B) gravity
C) valves contracting and relaxing
D) osmotic gradients
E) pressure gradients

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

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Small changes in ________ will have a large impact on the heart's pumping effectiveness, while large changes in ________ do not impact the effectiveness much.


A) afterload; preload
B) preload; afterload
C) contractility; preload
D) afterload; contractility
E) contractility; afterload

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

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When left atrial pressure exceeds left ventricular pressure,


A) left ventricular ejection begins.
B) aortic blood pressure begins to rise.
C) the bicuspid (mitral) valve opens.
D) ventricular volume decreases.
E) the tricuspid valve opens.

F) B) and E)
G) C) and D)

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The heart skeleton is fibrous connective tissue that acts as an electrical barrier between the atria and ventricles. If this structure was not functional, which of the following conditions might occur?


A) Increase in pericardial fluid in the pericardial space
B) Occlusion of the coronary arteries
C) Spread of ectopic stimuli from the atria to the ventricles
D) Blood flow from the right atrium to the left atrium

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

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What vessel exits the left ventricle?


A) Pulmonary trunk
B) Pulmonary vein
C) Aorta
D) Pulmonary artery

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

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Within normal limits, an increase in preload leads to


A) an increase in cardiac output and force of left ventricular contraction.
B) a decrease in cardiac output and force of left ventricular contraction.
C) an increase in cardiac output and a decrease in the force of left ventricular contraction.
D) a decrease in cardiac output and an increase in the force of left ventricular contraction.
E) a decrease in stroke volume and heart rate.

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

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Which of the following terms is mismatched with its description?


A) Endocardium - covers the inner surfaces of the heart
B) Myocardium - cardiac muscle
C) Trabeculae carneae - found on the interior walls of ventricles
D) Pectinate muscles - muscles that close valves
E) Chordae tendineae - connective tissue strings that connect to cusps of valves

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

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Blood vessels enter and exit from the ________ of the heart.


A) apex
B) base
C) auricles
D) trigone
E) inferior aspect

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

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From the right ventricle, blood flows directly into the ________.


A) aorta
B) right atrium
C) pulmonary trunk
D) pulmonary arteries
E) pulmonary veins

F) A) and E)
G) B) and E)

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The P wave of an electrocardiogram indicates


A) atrial depolarization.
B) atrial repolarization.
C) ventricular depolarization.
D) ventricular repolarization.
E) threshold.

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

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The epicardium


A) covers the surface of the heart.
B) lines the walls of the ventricles.
C) is known as the fibrous pericardium.
D) attaches inferiorly to the diaphragm.
E) is also called endocardium.

F) A) and E)
G) A) and C)

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The baroreceptor reflex would cause which of the following events to occur if the reflex was caused by an increase in blood pressure?


A) Increased parasympathetic stimulation of the heart
B) Increased heart rate
C) Increased cardiac output
D) Increased force of contraction
E) Increased sympathetic stimulation of the heart

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

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The action potentials are slowed at the AV node to allow the


A) ventricles to repolarize.
B) ventricles to completely empty of blood.
C) pacemaker to reset for the next beat.
D) atria to complete their contraction.
E) atria to begin their contraction.

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

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Angina pectoris is chest pain caused by reduced


A) stimulation of the myocardium.
B) blood supply to cardiac muscle.
C) fluid in the pericardial sac.
D) contractility of the heart.
E) action potentials from SA node.

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

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The function of the pericardial fluid is to


A) reduce friction between the pericardial membranes.
B) lubricate the heart valves.
C) replace any blood that is lost.
D) provide oxygen and nutrients to the endocardium.
E) stimulate the heart.

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

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An incompetent mitral valve may cause blood to back up into the


A) aorta.
B) left atrium.
C) left ventricle.
D) coronary circulation.
E) right atrium.

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

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Mitral valve prolapse (MVP) generates a murmur associated with the ________ heart sound that occurs when the ________.


A) lubb (S1) ; atria contract
B) dupp (S2) ; atria relax
C) lubb (S1) ; ventricles contract
D) dupp (S2) ; ventricles relax
E) lubb (S1) ; ventricles relax

F) B) and E)
G) A) and E)

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A knowledge of heart location would NOT be important for which of the following?


A) Blood pressure readings
B) Stethoscope positioning
C) Electrocardiogram
D) Cardiopulmonary resucitation

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

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All cardiac veins empty into the ________, which then empties into the ________.


A) coronary sinus; left atrium
B) coronary sinus; right atrium
C) great cardiac vein; right atrium
D) great cardiac vein; superior vena cava
E) inferior vena cava; left atrium

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

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