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Which vein drains the posterior aspect of the ventricles of the heart


A) Great cardiac vein
B) Middle cardiac vein
C) Small cardiac vein
D) Circumflex vein

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

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The heart valves


A) stabilize and hold the arteries leaving the heart.
B) permit the passage of blood in one direction.
C) separate the right and left sides of the heart.
D) are only used in the fetal heart.
E) direct the conduction impulse through the heart muscle.

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

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Which feature permits the compression necessary to pump large volumes of blood out of the ventricles


A) Negative pressure inside the ventricles
B) Absence of oxygenated blood in the atria
C) Arrangement of cardiac muscle in the heart wall
D) Presence of skeletal muscle tissue in the heart skeleton
E) Presence of papillary muscles in the ventricles

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

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Though the autonomic innervation by autonomic centers in the brainstem cannot initiate a heartbeat,it can increase or decrease the heart rate.

A) True
B) False

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Which action leads to the closure of the right atrioventricular valve


A) Contraction of the right atrium
B) Contraction of the left atrium
C) Contraction of the right ventricle
D) Relaxation of the right ventricle
E) Relaxation of the left atrium

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

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What would you expect a cardiologist to recommend if there was substantial occlusion to a patient's left coronary artery but not the right coronary artery


A) Because there are multiple alternate paths for blood delivery,the cardiologist would not intervene.
B) Because this is a relatively small,unimportant artery,the cardiologist would not intervene.
C) Because this is an important artery,and alternate vascular paths are inadequate,the cardiologist would treat the condition.
D) Because occlusions require blood to be moved under greater pressure,the cardiologist would prescribe drugs to raise blood pressure.

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

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Typically,there are __________ papillary muscles that project from the wall of the left ventricle and attach to the tendinous cords that support the left AV valve.


A) three
B) two
C) a highly variable number of
D) six
E) no

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

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Each of the receiving chambers of the heart has a wrinkled flaplike extension;the one that is more visible from an anterior view is the


A) interatrial septum.
B) interventricular septum.
C) left auricle.
D) right auricle.

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

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Just prior to atrial contraction,


A) all four chambers are at rest and AV valves are open.
B) all four chambers are at rest and AV valves are closed.
C) all four chambers are contracting and all valves are open.
D) both ventricles are contracting and blood is being ejected into the major arteries.
E) both atria are contracting and blood is being ejected into the major arteries.

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

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Immediately prior to atrial contraction,blood continues to enter the atria from the venae cavae and pulmonary veins.

A) True
B) False

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Nodal cells contain fast voltage-gated calcium channels.

A) True
B) False

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Parasympathetic innervation influences the heart rate,but generally tends to have no direct effect on the force of contractions.

A) True
B) False

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Which correctly describes the heart's apex


A) Projects slightly anteroinferiorly toward the left side of the body
B) Projects slightly anteroinferiorly toward the right side of the body
C) Projects slightly posteroinferiorly toward the left side of the body
D) Projects slightly posteroinferiorly toward the right side of the body
E) Projects slightly posteroinferiorly toward the midline of the body

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

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Cardiac output is the amount of blood that is pumped


A) by a single ventricle in one hour.
B) by a single ventricle in one minute.
C) by both ventricles in one hour.
D) by both ventricles in one minute.
E) by the left ventricle into the aorta in one beat.

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

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The receiving chambers of the heart are the atria,and the forcefully pumping chambers of the heart are the ventricles.

A) True
B) False

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Atrial contraction occurs just before


A) isovolumetric relaxation.
B) atrial relaxation and ventricular filling.
C) ventricular ejection.
D) isovolumetric contraction.

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

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Metabolically,cardiac muscle relies on


A) aerobic metabolism using glycolysis of glycogen to meet most ATP demands.
B) aerobic metabolism using many mitochondria and a rich supply of myoglobin.
C) anaerobic metabolism using glycolytic enzymes to quickly generate ATP.
D) anaerobic metabolism using myoglobin,creatin kinase,and ketone bodies.

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

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What is the sequence of events in the transmission of an impulse through the heart muscle A: AV node B: AV bundle C: SA node D: Through the atria E: Through the ventricles F: Bundle branches G: Purkinje fibers


A) c,d,a,b,f,g,e
B) d,b,a,c,f,g,e
C) b,a,d,c,f,g,e
D) f,g,d,c,b,a,e
E) c,d,a,f,b,g,e

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

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Sympathetic innervation of the heart arises from the ________ segments of the spinal cord.


A) T1-T5
B) T3-T8
C) T5-T10
D) T6-T11
E) T11-L2

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

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Explain the factors that affect cardiac output.In your answer provide one example of a positive inotropic agent and one example of a positive chronotropic agent.For each of those examples,explain what specifically happens to the cells of the heart when they have their effect.

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CO = SV * HR,so a positive ino...

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