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245 A&P Quiz 1B

Total questions: 40

Worksheet time: 21mins

Name
Class
Date
1.

What is the mean pulmonary capillary pressure?

a)
4-6 mmHg
b)
15-20 mmHg
c)
25-30 mmHg
d)

15 mmHg

2.

What is the mean arterial pressure that drives the systemic circulation?

a)
MAP = systolic pressure + 1/3(diastolic pressure - systolic pressure)
b)

95 mm Hg

c)
MAP = systolic pressure + diastolic pressure
d)
MAP = diastolic pressure - 1/3(systolic pressure - diastolic pressure)
3.

Which part of the heart divides muscle fibers into an inflow tract and an outflow tract?

a)
aortic valve
b)
pulmonary valve
c)
atrial septum
d)

Ventricle

4.

What is the name of the dense fibrous tissue that provides an anchorage for attachments of atrial and ventricular musculature and valvular tissue in the heart?

a)
endocardium
b)
myocardium
c)
pericardium
d)

Annuli fibrosi cordis

5.

What ensures one-way blood flow through the heart?

a)
blood vessels
b)
lungs
c)
muscles
d)

4 heart valves

6.

Which valves open during ventricular relaxation, allowing blood to flow from the atria to the relaxed ventricles?

a)
Mitral valves
b)
Semilunar valves
c)
Pulmonary valves
d)
Atrioventricular (AV) valves
7.

Contraction of the left ventricle is slightly earlier than the contraction of the right ventricle.

a)

True

b)

False

8.

When do semilunar valves open?

a)
When the heart is at rest.
b)
When the atria contract.
c)
When the pressure in the arteries exceeds the pressure in the ventricles.
d)

When intraventricular pressure exceeds aortic and pulmonary pressure

9.

What is the primary function of pulmonic and aortic semilunar valves?

a)
Regulate blood pressure
b)
Control heart rate
c)
Filter impurities from the blood
d)

To prevent backflow into the right and left ventricles

10.

What happens after ventricular contraction and ejection?

a)
The ventricles contract and pump blood into the atria during systole.
b)
The ventricles remain contracted and do not relax.
c)
The ventricles fill with blood from the veins during systole.
d)

Intraventricular pressure falls and the pulmonic and aortic semilunar valves close,

11.

Which phase of the cardiac cycle is characterized by the first detectable rise in left ventricular pressure and the closure of the atrioventricular valves?

*See Alipoon's phases vs. book phases

https://www.youtube.com/watch?v=IS9TD9fHFv0&t=131s

a)
ventricular ejection
b)

Phase 2: Isovolumic contraction

c)
ventricular relaxation
d)
ventricular filling
12.

What does the PR interval measure in the cardiac cycle?

a)

The time from onset of atrial activation to onset of ventricular activation

b)

x

13.

In a normal cardiac cycle, what is the typical range for the PR interval?

a)
0.05 to 0.10 seconds
b)
0.25 to 0.30 seconds
c)
0.12 to 0.20 seconds
d)
0.40 to 0.50 seconds
14.

What is the ST interval in the cardiac cycle primarily associated with?

a)
ventricular depolarization
b)
atrial repolarization
c)
atrial depolarization
d)

The electrically neutral period between ventricular depolarization and repolarization

15.

What is the duration of the QT interval, which represents ventricular depolarization and repolarization?

a)
From the start of the QRS complex to the end of the T wave
b)

0.4 to 0.44 seconds

c)
From the start of the R wave to the end of the T wave
d)
From the start of the P wave to the end of the T wave
16.

Which nerve innervates various parts of the heart, including the atria, ventricles, SA node, and AV nodes, and can result in decreased heart rate when strongly stimulated?

a)
Glossopharyngeal nerve
b)
Phrenic nerve
c)
Spinal accessory nerve
d)
Vagus nerve
17.

Which part of the nervous system is responsible for enhancing myocardial performance by increasing the influx of Ca++ during an action potential plateau and increasing both contractile strength and heart rate?

a)
parasympathetic nervous system
b)
central nervous system
c)
sympathetic nervous system
d)
autonomic nervous system
18.

What is the role of sympathetic nerve fibers in enhancing myocardial performance?

a)
Sympathetic nerve fibers decrease heart rate, contractility, and conduction velocity.
b)

They increase contractile strength by increasing Ca++ influx during an action potential plateau.

c)
Sympathetic nerve fibers only increase heart rate but have no effect on contractility and conduction velocity.
d)
Sympathetic nerve fibers have no effect on heart rate, contractility, and conduction velocity.
19.

The effects of sympathetic stimulation depend on:

a)
  • α or β adrenergic receptors

b)
  • Norepinephrine or epinephrine neurotransmitter

20.

β adrenergic receptors are more prevalent in the cardiovascular structures than α adrenergic receptors.

a)

True

b)

False

21.

Which adrenergic receptor is mostly found in the conduction system, atrial and ventricular myocardium, and Purkinje fibers?

a)
alpha-1 adrenergic receptor
b)
beta-1 adrenergic receptor
c)
beta-2 adrenergic receptor
d)
muscarinic acetylcholine receptor
22.

What is the primary effect of norepinephrine binding to β1 receptors in the heart?

a)
Decreased heart rate and contractility
b)
Increased heart rate and contractility
c)
No effect on heart rate and contractility
d)
Increased heart rate and decreased contractility
23.

In which part of the heart are β2 receptors more plentiful?

a)
atria
b)
ventricles
c)
pericardium
d)

Coronary arterioles

24.

What is the primary effect of epinephrine binding to β2 receptors in coronary arterioles?

a)
vasoconstriction
b)
bronchoconstriction
c)
increased heart rate
d)

Dilation of coronary arteries

25.

Which adrenergic receptor is primarily responsible for causing vasoconstriction in the coronary arteries when norepinephrine binds to it?

a)
beta-2 adrenergic receptor
b)
alpha-1 adrenergic receptor
c)
alpha-2 adrenergic receptor
d)
beta-1 adrenergic receptor
26.

What is the main effect of norepinephrine binding to α2 receptors located in sympathetic ganglia and nerve terminals?

a)
Activation of sympathetic ganglia
b)
Inhibition of acetylcholine release
c)
Inhibition of norepinephrine release
d)
Stimulation of norepinephrine release
27.

Which four factors affect cardiac performance directly?

a)

Preload

b)

Afterload

c)

Heart rate

d)

Myocardial contractility

28.

What is preload in the context of cardiac physiology?

a)
The amount of blood pumped out of the ventricles during systole
b)
The electrical activity of the heart
c)
The force of contraction of the ventricles
d)

The pressure generated in the left ventricle at the end of diastole

29.

What determines left ventricular preload?

a)
Arterial pressure
b)

End diastolic volume

c)
Cardiac output
d)
Heart rate
30.

What is afterload related to in cardiac physiology?

a)

Resistance or impedance to ejection of blood from the left ventricle

b)
Volume of blood in the atria during systole
c)
Contraction of the ventricles during diastole
d)
Rate of blood flow through the coronary arteries
31.

How does low aortic pressure affect afterload?

a)
has no effect
b)
fluctuates
c)
increases
d)

decreases the afterload

32.

What is the definition of heart rate?

a)
The amount of blood pumped by the heart per minute.
b)

The number of cardiac cycles per minute.

c)
The rate at which the heart contracts and relaxes.
d)
The number of breaths taken per minute.
33.

What is the term for the force of contraction that ejects a certain amount of blood volume during systole?

a)

Myocardial contractility

b)
cardiac output
c)
blood pressure
d)
heart rate
34.

Which of the following are considered inotropic agents affecting myocardial contractility?

a)
negative inotropic agents
b)
chronotropic agents
c)
vasodilators
d)

positive inotropic agents:

Epinephrine, norepinephrine, dopamine, and dobutamine

35.

How is cardiac output expressed in terms of measurement?

a)

Liters per minute

b)
amount of blood pumped per hour
c)
rate of blood flow per second
d)
pressure exerted by the heart on the blood vessels
36.

What are the two factors that determine cardiac output?

a)
cholesterol level and blood glucose level
b)
heart rate and stroke volume
c)
blood pressure and respiratory rate
d)
body temperature and oxygen saturation
37.

What is the formula for calculating cardiac output?

a)
heart rate plus stroke volume
b)
heart rate divided by stroke volume
c)
heart rate minus stroke volume
d)
stroke volume multiplied by heart rate
38.

What is the normal range for cardiac output in a healthy individual?

a)
2 to 6 liters per minute
b)

5 liters per minute

c)
6 to 10 liters per minute
d)
10 to 14 liters per minute
39.

How is ejection fraction calculated?

a)

Stroke volume divided by end diastolic volume

b)

x

40.

What does the ejection fraction measure?

a)
Amount of oxygen in the blood
b)
Heart rate during exercise
c)
Thickness of the heart's walls
d)

The amount of blood ejected by the ventricle in relation to end diastolic volume