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BIO-202/BIO-211 Exam 2

Total questions: 20

Worksheet time: 20mins

Name
Class
Date
1.

A 62-year-old patient presents to the emergency room with shortness of breath, fatigue, and heart palpitations. The patient is evaluated by the ER physician who orders an echocardiogram and electrocardiogram (EKG). The physician listens to the patient's heart and hears a murmur. Based on the results of the tests, the patient is diagnosed with mitral regurgitation. In mitral regurgitation, the mitral valve does not close properly, causing the blood to flow backwards. What chamber of the heart do you expect the blood to flow back into?

a)

Right atrium

b)

Right ventricle

c)

Left atrium

d)

Left ventricle

2.

What portion of the cardiac conduction system serves as a electrical gateway, which allows the atria to contract before the ventricles?

a)

SA node

b)

AV node

c)

Bundle of His

d)

Purkinje Fibers

3.

A 55-year-old retired firefighter visits his cardiologist complaining of occasional dizziness and a slow heart rate. His symptoms have worsened over the past few months, especially when exercising. A physical examination reveals a resting heart rate of 45 beats per minute. The cardiologist finds out that the issue causing bradycardia is related to the cardiac pacemaker cells. What ion channel opens FIRST in the pacemaker cells to cause the pre-potential depolarization?

a)

Voltage-gated sodium channels producing a funny current (If)

b)

Mechanically-gated sodium channels

c)

Voltage-gated calcium channels allowing rapid depolarization

d)

Mechanically-gated calcium channels

4.

What is the purpose of the entry of calcium into the cardiomyocte in the plateau phase of the cardiomyocyte action potential?

a)

Initiation of the action potential

b)

Rapid repolarization

c)

Sustained contraction and prolonged refractory period

d)

Sodium channel inhibition

5.

A 68-year-old female visits her doctor after experiencing frequent episodes of palpitations, dizziness, and shortness of breath. She describes a sensation of her heart "fluttering" in her chest. She also mentions occasional fatigue and lightheadedness. A patient care technician performs an EKG and obtains the following results. How would you describe this rhythm?

a)

Sinus rhythm

b)

Atrial fibrillation (A-fib)

c)

Ventricular fibrillation (V-fib)

d)

Premature ventricular contractions (PVCs)

6.

What is the volume remaining in the ventricles following the ventricular ejection phase during the cardiac cycle?

a)

End diastolic volume (EDV)

b)

Stroke volume (SV)

c)

End systolic volume (ESV)

d)

Cardiac output (CO)

7.

A BIO-202 student was inspired by Lauren's constant yapping about running (sorry!) and went on a run to calm their anxiety before exam 2. During the run, the student's cardioaccelatory center sent a signal to the SA node to produce a sympathetic response. What receptor is being stimulated, what neurotransmitter binds to that receptor, and what is the change in heart rate?

a)

B1 adrenergic receptor, norepinephrine binds, and the heart rate (HR) DECREASES

b)

Muscarinic cholinergic receptor, acetylcholine binds, and the heart rate (HR) DECREASES

c)

B1 adrenergic receptor, norepinephrine binds, and the heart rate (HR) INCREASES

d)

Muscarinic cholinergic receptor, acetylcholine binds, and the heart rate (HR) INCREASES

8.

A 58-year-old presents to the clinic and has been experiencing persistent fatigue and occasional chest discomfort when climbing stairs. He has a history of high cholesterol. During a routine check-up, his doctor notes elevated cholesterol, which resulted in narrowing of the blood vessels due to plaque buildup. How would this affect afterload and contractility?

a)

Afterload would increase and contractility would decrease

b)

Afterload would decrease and contractility would increase

c)

Afterload would decrease and contractility would decrease

d)

Afterload would increase and contractility would increase

9.

Which pressure in capillary filtration would increase if an individual has hypertension?

a)

Capillary hydrostatic pressure (CHP)

b)

Interstitial fluid hydrostatic pressure (IFHP)

c)

Colloid osmotic pressure (COP)

d)

Interstitial fluid osmotic pressure (IFOP)

10.

Which hormone(s) work to decrease blood pressure by increasing sodium and water loss from the kidneys?

a)

Aldosterone

b)

ADH

c)

ANP/BNP

d)

Vasopressin

11.

A 23-year-old alcoholic patient presents to the ER with complaints of fatigue, nausea, vomiting, and yellowing of the skin and eyes, or jaundice. The patient is diagnosed with liver failure and his albumin levels are 1.0 g/dL, which is below the normal range of albumin, at 3.4 to 5.4 g/dL. What would change about the patient's capillary filtration, and would you see edema?

a)

Increased CHP

No edema

b)

Decreased CHP

Edema Present

c)

Increased COP

No edema

d)

Decreased COP

Edema Present

12.

A 25-year-old female was stung by a bee while hiking. Within minutes, she developed redness, swelling, and itching around the sting site. She also noticed that her skin felt warm and slightly swollen in other areas. A doctor explained that her body's immune system had released histamine in response to the sting. What effect does histamine have on the blood vessels?

a)

It constricts blood vessels, reducing blood flow

b)

It dilates blood vessels, increasing permeability

c)

It thickens blood vessel walls to prevent leakage

d)

It decreases blood pressure by slowing heart rate

13.

A 43-year-old male presents to the clinic and states that his legs have been swollen, puffy, and the skin feels very tight around the swollen area. The patient is prescribed a diuretic, which functions to increase water excretion through urination. Additionally, the doctor recommends that the patient should exercise more. Why would exercise be helpful for edema?

a)

Exercise increases lymphatic return because of skeletal muscle contraction

b)

Exercise increases blood pressure, which pushes more fluid out of tissues

c)

Exercise causes blood vessels to constrict, preventing fluid leakage

d)

Exercise decreases hydration levels, reducing swelling

14.

Which cells are the antigen-presenting cells? (Select multiple)

a)

B-cells

b)

Macrophages

c)

T-cells

d)

Dendritic cells

15.

In the classical pathway of the complement system, the bacteria is first targeted with antibodies, which stimulates C-proteins to bind. Which of the following is NOT an action of the C3a and C3b proteins?

a)

Release granzymes that induce cell apoptosis

b)

Degranulation of mast cells releasing histamine

c)

Cytolysis through membrane attack complexes (MACs)

d)

Opsonization

16.

TRUE OR FALSE: Interferons increase antigen presentation by increasing MCH I expression.

a)

TRUE

b)

FALSE

17.

A 12-year-old recently recovered from a viral infection. His doctor explained that a special type of immune cell played a key role in destroying virus-infected cells. These cells recognize infected cells and release toxic molecules to kill them. The doctor mentioned that these immune cells are also known by another name. What the other name for cytotoxic T-cells?

a)

CD2

b)

CD4

c)

CD6

d)

CD8

18.

Which antibody is primarily found in granular secretions such as the mucus, semen, and saliva to attack pathogens before they gain access to internal tissues?

a)

IgE

b)

IgG

c)

IgA

d)

IgM

19.

Which of the following is an example of active immunity?

a)

A baby receives antibodies from the mother's breastmilk

b)

An antibody is injected into a patient for cancer treatment

c)

Immunization by vaccination with a dead or weakened antigen from the pathogen

d)

I have no idea :(

20.

TRUE OR FALSE: MCH II present antigens when the cell is infected

a)

TRUE

b)

FALSE