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As soon as left ventricular pressure exceeds the pressure in the aorta, the


A) AV valves open.
B) aortic semilunar valve opens.
C) atria pump blood into the ventricles.
D) ventricles pump blood into the atria.
E) pulmonary semilunar valve closes.

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

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Which of the following is NOT a major opening into the right atrium?


A) Pulmonary vein
B) Inferior vena cava
C) Superior vena cava
D) Coronary sinus

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

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End-diastolic volume minus end-systolic volume is equal to


A) cardiac output.
B) cardiac reserve.
C) pulse volume.
D) venous return.
E) stroke volume.

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

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The peripheral chemoreceptors that respond to oxygen levels of the blood and regulate heart activity are located in


A) the left ventricle.
B) the infundibulum of the hypothalamus.
C) structures near the carotids and aortic arch.
D) the medulla oblongata.
E) the right ventricle.

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

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What abnormal heart rhythm could be caused by an elevated body temperature, excessive sympathetic stimulation, or toxic conditions?


A) Bradycardia
B) Atrial fibrillation
C) Second-degree AV node block
D) Tachycardia

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

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Regurgitation of blood flow through the aortic semilunar valve would give rise to


A) the first heart sound.
B) the second heart sound.
C) a heart murmur.
D) an extra heart beat.
E) end-systolic volume.

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

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Which of the following pairs concerning action potentials in cardiac muscle is mismatched?


A) Opening of Na+ channels - depolarization
B) Closing of Ca2+ channels - plateau phase
C) Opening of K+ channels - rapid repolarization
D) Closure of Na+ channels - early repolarization
E) Opening of Ca2+ channels - plateau phase

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

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All of the following structural changes found in the heart occur with the normal aging process, except


A) hypertrophy of the left ventricle.
B) decreased elasticity of large vessels.
C) decreased valve flexibility.
D) increased elasticity of large vessels.
E) atrophy of conduction cells.

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

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Blood does not enter or leave the ventricles during the period called


A) ejection.
B) rapid filling.
C) atrial systole.
D) isovolumetric contraction.
E) active and passive filling.

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

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During isovolumetric contraction, the pressure in the ventricles ________.


A) falls rapidly
B) rises rapidly
C) remains constant
D) rises and then falls
E) falls and then rises

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

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Excess K+ in cardiac tissue causes


A) an increased heart rate.
B) a rapid repolarization of cardiac cells.
C) a decrease in the frequency of action potentials in the conduction system.
D) an increase in stroke volume.
E) an increase in the frequency of action potentials.

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

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A direct connection between arteries is called a/an ________.


A) auricle
B) sulcus
C) sinus
D) anastamosis

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

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What action is most responsible for the resting membrane potential in cardiac muscle cells?


A) Movement of K+ through voltage-gated K+ channels
B) Movement of Na+ through open Na+ channels
C) Movement of Ca2+ through voltage-gated Ca2+ channels.
D) Closing of Na+ and K+ voltage-gated channels

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

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Which of the following statements regarding intrinsic regulation of the heart is true?


A) Stretching the SA node will decrease generation of action potentials in the node.
B) Decreased venous return increases cardiac output.
C) The heart's pumping effectiveness is greatly influenced by small changes in afterload.
D) If cardiac muscle cells are slightly stretched, they have a stronger contraction force.
E) If cardiac muscle cells are slightly stretched, they have a weaker contraction force.

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

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Which of the following is NOT an enzyme given to someone experiencing a myocardial infarction to break up blood clots?


A) Streptokinase
B) Tissue plasminogen activator (t-Pa)
C) Nitroglycerin
D) Urokinase

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

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The long absolute refractory period of cardiac muscle cells


A) ensures a short twitch.
B) prevents tetanus.
C) makes the heart prone to arrhythmias.
D) prevents the occurrence of ectopic focuses.
E) causes the pacemaker potential.

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

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Diagnostic tests done on a patient show that many coronary arteries, including the left main coronary artery are severely narrowed. Which of the following is the best course of action to treat this patient?


A) Angiogram
B) Angioplasty
C) Coronary bypass surgery
D) Electrocardiogram
E) Urokinase injections

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

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Mean arterial pressure is


A) cardiac output times peripheral resistance.
B) end-diastolic volume minus end-systolic volume.
C) maximum cardiac output minus cardiac output when at rest.
D) heart rate times stroke volume.
E) stroke volume times peripheral resistance.

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

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Which of the following blood vessels receives blood directly from the right ventricle?


A) Pulmonary trunk
B) Ascending aorta
C) Superior vena cava
D) Inferior vena cava
E) Right pulmonary vein

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

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Chemoreceptors sensitive to blood oxygen levels are primarily located in the


A) medulla oblongata.
B) carotid arteries.
C) right atrium.
D) left ventricle.
E) jugular veins.

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

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