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Which of the following statements does not accurately describe the pericardium?


A) It is a double-walled membranous sac that encloses the heart.
B) It is composed of connective tissue and a surface layer of squamous cells.
C) It protects the heart against infection and inflammation from the lungs and pleural space.
D) It contains pain and mechanoreceptors that can elicit reflex changes in blood pressure and heart rate.

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

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Veins are less compliant than arteries.

A) True
B) False

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The cardiac electrical impulse normally begins spontaneously in the sinoatrial (SA) node because:


A) of its superior location in the right atrium.
B) it is the only area of the heart capable of spontaneous depolarization.
C) it has rich sympathetic innervation via the vagus nerve.
D) it depolarizes more rapidly than other automatic cells of the heart.

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

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Which chamber of the heart endures the highest pressures?


A) Right atrium
B) Left atrium
C) Left ventricle
D) Right ventricle

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

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Match the description with the corresponding terms. -Bainbridge reflex


A) Relationship among blood flow, pressure, and resistance
B) Increased heart rate from increased volume
C) Relationship of wall tension intraventricular pressure, internal radius, and wall thickness
D) Cycles of attachment, movement, and dissociation of thin filaments during the attachments of actin to myosin
E) Length-tension relationship of cardiac muscle

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

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The arteries in the peripheral vasculature system are less able to stretch and recoil than the arteries of the great vessels.

A) True
B) False

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Continuous increases in left ventricular filing pressures result in which disorder?


A) Mitral regurgitation
B) Mitral stenosis
C) Pulmonary edema
D) Jugular vein distention

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

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When the volume of blood in the ventricle at the end of diastole increases, the force of the myocardial contraction during the next systole will also increase.This is an example of which law or theory about the heart?


A) Laplace's law
B) Poiseuille's formula
C) Cross-bridge theory
D) Frank-Starling law

E) All of the above
F) None of the above

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Metabolic and hormonal agents produce changes in the heart and circulatory system faster than autonomic neural transmission.

A) True
B) False

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Match the description with the corresponding terms. -Poiseuille's formula


A) Relationship among blood flow, pressure, and resistance
B) Increased heart rate from increased volume
C) Relationship of wall tension intraventricular pressure, internal radius, and wall thickness
D) Cycles of attachment, movement, and dissociation of thin filaments during the attachments of actin to myosin
E) Length-tension relationship of cardiac muscle

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

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The aortic valve obstructs coronary blood flow by pushing against the openings of the coronary arteries during systole.

A) True
B) False

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The function of P cells found in the sinoatrial node and Purkinje fibers is that they:


A) are receptors for pain stimuli, such as the pain that occurs during infarction.
B) prolong the refractory period before the next contraction.
C) are assumed to be the site of impulse formation.
D) initiate repolarization of the myocardium.

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

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Myogenic regulation of blood vessel diameter and subsequent blood flow through a vessel is an example of _____ of blood vessels.


A) autonomic regulation
B) somatic regulation
C) autoregulation
D) metabolic regulation

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

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Match the intracardiac pressures with their description. -Produced because of descent of the tricuspid valve ring and by ejection of blood from both ventricles


A) a wave
B) v wave
C) c wave
D) x descent
E) y descent

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

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What is an expected change in the cardiovascular system that occurs with aging?


A) Arterial stiffening
B) Decreased left ventricular wall tension
C) Decreased aortic wall thickness
D) Arteriosclerosis

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

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Match the description with the corresponding terms. -Cross-bridge theory


A) Relationship among blood flow, pressure, and resistance
B) Increased heart rate from increased volume
C) Relationship of wall tension intraventricular pressure, internal radius, and wall thickness
D) Cycles of attachment, movement, and dissociation of thin filaments during the attachments of actin to myosin
E) Length-tension relationship of cardiac muscle

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

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Which natriuretic peptide inhibits antidiuretic hormone by increasing urine sodium loss?


A) Urodilatin
B) Brain natriuretic peptide (BNP)
C) Atrial natriuretic peptide (ANP)
D) C-type natriuretic peptide (CNP)

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

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As stated by the Frank-Starling law, there is a direct relationship between the _____ of the blood in the heart at the end of diastole and the _____ of contraction during the next systole.


A) pressure; force
B) volume; strength
C) viscosity; force
D) viscosity; strength

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

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The coronary sinus empties into the:


A) right atrium.
B) left atrium.
C) superior vena cava.
D) aorta.

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

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The _____ complex (wave) represents the sum of all ventricular muscle cell depolarizations.


A) PRS
B) QRS
C) QT interval
D) P

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

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