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Worksheets

Physio Final

Total questions: 71

Worksheet time: 36mins

Name
Class
Date
1.

This structure in the kidney is where the urine is concentrated

a)

Renal tubule

b)

Proximal convoluted tubule

c)

Loop of Henle

d)

Collecting ducts

2.

This step in urine formation controls the blood pH

a)

Glomerular filtration

b)

Tubular resorption

c)

Tubular secretion

d)

Glomerular filtration rate

3.

Where is Renin produced

a)

Kidneys

b)

Liver

c)

Lungs

d)

Gall bladder

4.

Which of the following occurs immediately following conversion of angiotensinogen to angitension I

a)

kidney releases renin

b)

ACE converts angiotensin I to angiotensin II

c)

Vasoconstriction increases blood pressure

d)

Aldosterone is released

5.

Chronic exercise (training) results in which of the following changes in GFR in older persons

a)

GFR increases

b)

GFR decreases

c)

GFR does not change

d)

Response is variable depending on age

6.

This layer of the intestinal wall allows for selective uptake of nutrients, electrolytes, and water

a)

epithelium

b)

lamina propria

c)

circular muscle

d)

longitudinal muscle

7.

Which of the following is a unique feature of the enteric nervous system

a)

contains neurons and glia

b)

Contains virtually every CNS neurotransmitter

c)

is able to function independently from the CNS

d)

there is nothing unique about the enteric nervous system

8.

how long is the transit time of food in the stomach

a)

2-4 hours

b)

4-6 hours

c)

24-72 hours

d)

72-100 hours

9.

What symptoms might you except if a patient had radiation to the lower GI tract

a)

nausea, vomiting, dyspepsia

b)

nausea, dyspepsia, abdominal pain

c)

nausea, vomiting, diarrhea

d)

vomiting, diarrhea, dyspepsia

10.

This type of effusion will contain a greater concentration of proteins and cellular debris

a)

Arachidonic acid Derivatives

b)

Histamine

c)

Platelet Activating Factor

d)

Cytokines

11.

Which of the following cells is present ONLY during an immune response and is NOT part of the inflammatory response

a)

neutrophils

b)

monocytes

c)

lymphocytes

d)

mast cells

12.

During this phase of an immune response, the system is dampened after the antigen is cleared

a)

recognition

b)

amplification

c)

effector

d)

termination

13.

Which intensity of exercise would likely result in suppression of NK cells

a)

brief but intense exercise

b)

very intense exercise

c)

moderately intense exercise

d)

brief but light intensity exercise

14.

Which intensity of exercise enhances immune function

a)

light exercise

b)

moderate exercise

c)

intense exercise

d)

all of the above

15.

This process of temperature regulation consist of a transfer of heat surfaces in direct contact with each other

a)

conduction

b)

convection

c)

radiation

d)

evaporation

16.

In response to being in a hot environment the subcutaneous blood vessels will do which of the following in order to assist with heat loss

a)

vasocontriction

b)

vasodilation

c)

no change

d)

burst

17.

Which of the following occurs in the cardiovascular system in response to being in a cold environment

a)

increase in sympathetic tone

b)

decrease in sympathetic tone

c)

increase in peripheral perfusion

d)

decrease in core perfusion

18.

At which altitude is there a greater than 30% reduction in aerobic capacity

a)

8,000 feet

b)

10,000 feet

c)

12,000 feet

d)

14,000 feet

19.

Which of the following are the characteristics displayed by an organism under a particular set of environmental factors

a)

chromosomes

b)

genotype

c)

phenotype

d)

heredity

20.

According to the HERITAGE study, genetics can explain how much of the variability in training response

a)

20%

b)

30%

c)

40%

d)

50%

21.

According to the TWIN studies which of the following factors is NOT influenced by genetics

a)

Lumbar ROM

b)

Heart rate

c)

grip strength

d)

sit and reach distance

22.

According to the HERITAGE study how many SNPs accounted for the variance in VO2max train-ability

a)

8

b)

12

c)

16

d)

20

23.

Which type of exercise is going to provide the best improvement in insulin sensitivity

a)

Aerobic

b)

Resistance

c)

Aquatic

d)

combined aerobic and resistance

24.

Which time of day is the greatest amount of growth hormone secreted

a)

early morning

b)

Mid-day

c)

afternoon

d)

night

25.

increases in growth hormone production and secretion is most related to which of the following exercise parameters

a)

duration

b)

mode (aerobic or resistance)

c)

frequency

d)

intensity

26.

Resistance training has been shown to increase estrogen and progesterone during which phase of the menstrual cycle

a)

follicular

b)

menstruation

c)

Luteal

d)

pre-menstruation

27.

in response to chronic exercise, circulating levels of estrogen and progesterone do which of the following

a)

increase in response to moderate to vigorous exercise

b)

decrease in response to moderate to vigorous exercise

c)

increase in response to light to moderate exercise

d)

decrease in response to light to moderate exercise

28.

During which phase of the menstrual cycle have ACL injuries been reported to be the lowest rate

a)

follicular

b)

menstruation

c)

luteal

d)

ovulation

29.

Which component of muscle structure is where the contractile unit of the muscle fiber is located

a)

fascicles

b)

muscle bundles

c)

myofibrils

d)

sarcomeres

30.

Which of the following proteins that comprise the contractile unit is responsible for attaching myosin to the Z disk

a)

Actin

b)

Alpha-actinin

c)

Nebulin

d)

Titin

31.

Which component of the myosin filament regulates a muscle contraction and the rate at which the contraction occurs

a)

light chain

b)

neck

c)

heavy chain

d)

globular head

32.

Once the neuronal stimulus reaches the nerve ending, which of the following compounds is released

a)

acetylcholine

b)

calcium

c)

sodium

d)

acetyl CoA

33.

This structure is where the action potential is carried deep into the muscle fibers

a)

sarcoplasmic reticulum

b)

synaptic cleft

c)

T tubule

d)

Motor end plate

34.

This sensor, that is also a protein, is primarily responsible for allowing calcium to move from inside to outside of the cell

a)

Ryanodine receptor (RyR)

b)

Dihydropyridine (DHPR)

c)

SERCA pump

d)

Calcium uniporter

35.

During the power stroke, the rate of contraction is determined by which of the following

a)

How many myosin heads are bound to actin

b)

How much calcium is available in the cytosol

c)

the speed at which inorganic phosphate is released

d)

How much overlap there is the sarcomere

36.

Which of the following best describes the benefit of increasing capillary density in response to endurance training

a)

decreased time needed for oxygen/carbon dioxide exchange to occur

b)

increased time available for oxygen/carbon dioxide exchange to occur

c)

decreased oxygen availability for metabolism

d)

increased oxygen availability for metabolism

37.

plateaus in muscle strength are primarily due to which structural muscle component

a)

muscle size

b)

pennation angle

c)

amount of contractile proteins

d)

number of neural connections

38.

This type of muscle hypertrophy primarily involves increases in enzymes and stored nutrients as well as increases in cellular water content

a)

Type I

b)

Type II

c)

Type III

d)

Type IV

39.

This type of muscle injury is characterized by symptoms of soreness or pain and decreased function, with an onset of between 24-48 hours following activity

a)

Type Ia

b)

Type Ib

c)

Type 2a

d)

Type 2b

40.

Which phase of muscle healing is characterized by rupture and necrosis of the muscle fibers

a)

Degeneration & Inflammation

b)

Regeneration

c)

Proliferation

d)

Remodeling

41.

Which phase of muscle healing is characterized by maturation of regenerated myofibers and fibrosis and scar tissue formation

a)

degeneration and inflammation

b)

regeneration

c)

proliferation

d)

remodeling

42.

During which phase of muscle healing are satellite cells and myoblasts/myotubes most prevalent

a)

Phase I

b)

Phase II

c)

Phase III

d)

Phase IV

43.

According to the literature which of the following is MOST effective in reducing the patient/client perceived soreness related to DOMS

a)

active recovery

b)

cold exposure

c)

massage

d)

myofascial release

44.

What exercise VO2max intensity is necessary to see an increase in norepinephrine during a single episode of exercise

a)

20% VO2max

b)

30% VO2max

c)

60% VO2max

d)

70% VO2max

45.

In response to exercise (both acute and chronic) what is the overall change in neurotransmitters

a)

baseline levels permanently decrease

b)

Baseline levels permanently increase

c)

Baseline levels temporarily decrease

d)

Baselines levels temporarily increase

46.

Which direction of axonal transport carries neurotransmitters and structural proteins

a)

anterograde flow

b)

retrograde flow

c)

bidirectional flow

d)

multidirectional flow

47.

the greatest effect of neural input on strength occurs between 0-4 weeks. This is primarily due to which of the following

a)

optimization of motor neuron recruitment

b)

Optimization of action potential generation

c)

Hypertrophy has not yet occurred

d)

Hypertrophy occurs earlier than neural input changes

48.

Which of the following types of exercise demonstrates an increase in strength when the muscle action is not actually performed

a)

isometric

b)

imagined practice

c)

neuromuscular re-education

d)

eccentric

49.

In response to swelling following a whiplash injury, which part if the nerve cell is damaged

a)

axon

b)

dendrite

c)

nucleus

d)

Schwann cell

50.

Which of the following cells are unique to the neuroimmune response

a)

neutrophils

b)

monocytes

c)

T & B cells

d)

Microglia

51.

Which of the following pressures is sufficient to slow the flow of axoplasm

a)

5 mmHg

b)

10 mmHg

c)

20 mmHg

d)

30 mmHg

52.

Proximal nerve regeneration occurs at what rate

a)

1-2 mm/day

b)

2-3 mm/day

c)

3-4 madam

d)

4-5 mm/day

53.

Following a TBI, how long is the recommended rest period before resuming aerobic exercise

a)

24-48 hours

b)

48-72 hours

c)

2-3 days

d)

4-5 days

54.

Which of the following is a key difference between skeletal and cardiac muscle

a)

has a striated appearance

b)

contains myosin and actin filaments

c)

contracts in an all-or-none manner

d)

Contains intercalated discs

55.

Which of the following is contributor to vasodilation during exercise

a)

low carbon dioxide

b)

low oxygen in muscles

c)

building of ATP

d)

hormonal decreases

56.

When the sympathetic (adrenergic) nervous system is stimulated during exercise, which of the following is true

a)

alpha 1 receptors in smooth muscle elicit vasodilation

b)

Beta 1 receptors in the heart decrease the heart rate

c)

alpha 1 receptors in smooth muscle elicit vasoconstriction

d)

M2 receptors in the atria decrease heart rate

57.

This reflex is responsible for monitoring oxygen and carbon dioxide content and pH of the blood

a)

baroreceptors

b)

chemoreceptors

c)

Endocrine receptors

d)

mechanoreceptors

58.

Transit time occurs in less than 1 second because of which of the following

a)

large lung alveolar surface area AND thin alveolar membrane

b)

Large lung alveolar surface area AND which alveolar membrane

c)

Small lung alveolar surface area AND thin alveolar membrane

d)

small lung alveolar surface area AND thick alveolar membrane

59.

Which of the following is a clinical concern following bed rest, due to the cardiovascular changes

a)

decreased heart rate

b)

orthostatic hypertension

c)

increase in preload

d)

orthostatic hypotension

60.

Which phase of healing is characterized by proteolytic enzymes, ROS, and chemotactic factors, and removal of damaged cells and debris

a)

clotting

b)

inflammation

c)

proliferation

d)

healing

61.

In response to supine positioning, which of the following is true

a)

oxygen intake increases with prolonged bed rest

b)

change in muscle orientation contributes to decreased muscle efficiency

c)

abdominal contents shift away from the diaphragm

d)

positioning increases physiological dead space

62.

During an ischemic event in the heart, prior to reperfusion, which cells become activated and migrate to the area of injury

a)

neutrophils and endothelial cells

b)

platelets and neutrophils

c)

macrophages and endothelial cells

d)

platelets and macrophages

63.

Which phase of lung healing is characterized by production of epithelial dysfunction and damage

a)

initiation

b)

amplification

c)

response

d)

injury

64.

which nerve cells has a primary function to produce molecules preventing axon growth in the CNS

a)

microglia

b)

neurons

c)

astrocytes

d)

oligodendrocytes

65.

When inflammation occurs following neuronal injury, which cells respond first

a)

microglia

b)

leukocytes

c)

Schwann cells

d)

Neutrophils

66.

In order for their to be the best chance of peripheral nerve regeneration following a laceration which of the following has to occur

a)

preservation of the basement membrane

b)

growth cone meeting the endoneurial tube

c)

complete clearing of all nerve cell debris

d)

nerve cells do not regenerate

67.

During chemotherapy induced peripheral neuropathy, which of the following are involved in the neuronal inflammation

a)

altered calcium homeostasis

b)

Microglia release TNF-alpha

c)

altered mitochondria function

d)

loss of peripheral sensory fibers

68.

During exercise which of the following components changes the least

a)

heart rate

b)

stroke volume

c)

a-vO2 diff

d)

resting heart rate

69.

Which of the following controls cardiac contraction, regulates HR, and blood pressure

a)

Central Nervous System

b)

Enteric Nervous System

c)

Somatic Nervous System

d)

Autonomic Nervous System

70.

This component of ventilation exchange is responsible for preventing lung collapse and keeping the alveoli open

a)

Expiratory reserve volume

b)

Tidal Volume

c)

Vital capacity

d)

residual volume

71.

During exercise, blood flow is increased to which of the following

a)

kidneys

b)

other internal organs

c)

bones

d)

central nervous system (brain)