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Cardiovascular Exam

Total questions: 121

Worksheet time: 1hrs 1mins

Name
Class
Date
1.

Which statement best explains why the muscle wall of the left ventricle is thicker than that of the right ventricle?

a)

It pumps blood only to the lungs, which are nearby.

b)

It must generate higher pressure to pump blood to the entire body.

c)

It receives oxygen directly from the aorta, making it thicker.

d)

It stores extra blood before it enters the atria.

2.

Pulmonary circulation is defined as the movement of blood from the heart to the lungs for oxygenation and then back to the heart. Which pathway does this describe?

a)

Right ventricle → pulmonary arteries → lungs → left atrium

b)

Left ventricle → aorta → body tissues → right atrium

c)

Left atrium → coronary arteries → heart muscle → right ventricle

d)

Right atrium → vena cavae → body → left ventricle

3.

Cardiac circulation primarily serves which tissue with nutrients and oxygen?

a)

Lung tissue

b)

Brain tissue

c)

Heart muscle

d)

Skeletal muscle

4.

In cardiac circulation, venous blood from the heart muscle gathers in the coronary sinus and drains where?

a)

Into the left atrium through the mitral valve

b)

Directly through separate openings into the right atrium

c)

Into the superior vena cava

d)

Into the pulmonary veins

5.

Systemic circulation is best described as blood leaving the heart through the aorta to deliver oxygen and nutrients to what?

a)

Only the lungs

b)

All other parts of the human body

c)

Only the heart muscle

d)

Only the brain and kidneys

6.

Which valve controls blood flow from the right atrium to the right ventricle?

a)

Mitral (bicuspid) valve

b)

Tricuspid valve

c)

Aortic valve

d)

Pulmonary valve

7.

Which pair correctly matches the valve with the chambers it separates?

a)

Mitral valve: right atrium and right ventricle

b)

Tricuspid valve: left atrium and left ventricle

c)

Aortic valve: left ventricle and aorta

d)

Pulmonary valve: left ventricle and pulmonary artery

8.

Heart valves have "leaflets" called what?

a)

Chordae tendineae

b)

Papillary muscles

c)

Cusps

d)

Septae

9.

The mitral valve has how many cusps, giving rise to its other name?

a)

One cusp, called unicuspid

b)

Two cusps, called bicuspid

c)

Three cusps, called tricuspid

d)

Four cusps, called quadricuspid

10.

The tricuspid valve typically has how many cusps?

a)

Two

b)

Three

c)

Four

d)

Five

11.

Cord-like tissues that hold atrioventricular valves in place are called what?

a)

Chordae tendineae

b)

Purkinje fibers

c)

Coronary sinuses

d)

Papillae

12.

These cords are anchored within the ventricles by which muscles?

a)

Smooth muscles

b)

Papillary muscles

c)

Intercostal muscles

d)

Skeletal muscles

13.

Which arteries supply the heart muscle itself with the freshest blood from the aorta?

a)

Carotid arteries

b)

Pulmonary arteries

c)

Right and left coronary arteries

d)

Renal arteries

14.

Where is the main coronary artery located relative to the aortic valve?

a)

Far from the aortic valve in the descending aorta

b)

At the location of the aortic valve as the first blood vessel off the aorta

c)

Behind the pulmonary valve in the pulmonary trunk

d)

Within the right atrium next to the coronary sinus

15.

Which statement correctly contrasts pulmonary and systemic circulation?

a)

Pulmonary circulation delivers blood to body tissues; systemic circulation delivers blood to the lungs.

b)

Pulmonary circulation oxygenates blood in the lungs; systemic circulation distributes oxygenated blood to body tissues.

c)

Both pulmonary and systemic circulation only serve the heart muscle.

d)

Systemic circulation returns blood to the lungs for oxygenation; pulmonary circulation carries it to the aorta.

16.

Identify the correct route for venous return from the heart muscle described in the material.

a)

Cardiac veins → pulmonary veins → right atrium

b)

Cardiac veins → coronary sinus → right atrium

c)

Cardiac veins → superior vena cava → right atrium

d)

Cardiac veins → inferior vena cava → right atrium

17.

Which task of the heart is emphasized in the lesson overview?

a)

To store oxygen in the ventricles

b)

To pump blood through distinct circulatory systems

c)

To produce hormones for digestion

d)

To filter waste from blood like kidneys

18.

In the image of the heart with highlighted internal structures and an ECG panel, what tool is mentioned as the medical diagnostic device for electrical activity?

a)

EEG (electroencephalogram)

b)

ECG (electrocardiogram) often called an EKG

c)

EMG (electromyogram)

d)

Echo (echocardiogram)

19.

In heart anatomy, what is meant by saying the coronary arteries are end arteries? Choose the best definition.

a)

They form many large collateral loops that can bypass blockages easily.

b)

They terminate in capillary beds without significant alternate routes, so blockage can deprive tissue of blood.

c)

They drain directly into the coronary sinus rather than into veins.

d)

They only supply the atria and not the ventricles.

20.

Which statement best distinguishes a Right Dominant Heart from a Left Dominant Heart?

a)

Right dominant heart: posterior interventricular artery arises from the right coronary artery; left dominant heart: posterior interventricular artery arises from the circumflex artery.

b)

Right dominant heart: SA node supplied only by the left coronary; left dominant heart: SA node supplied only by the right coronary.

c)

Right dominant heart: coronary sinus drains to the left atrium; left dominant heart: coronary sinus drains to the right atrium.

d)

Right dominant heart: ventricles contract during diastole; left dominant heart: atria contract during systole.

21.

Which coronary artery branch most commonly supplies the sinoatrial (SA) node, the heart’s pacemaker?

a)

A branch of the right coronary artery dedicated to the SA node

b)

The great cardiac vein

c)

The coronary sinus

d)

The circumflex vein of Marshall

22.

What is the primary function of the coronary sinus?

a)

To deliver oxygenated blood to the left ventricle

b)

To collect deoxygenated blood from coronary veins and return it to the right atrium

c)

To initiate the heartbeat as the pacemaker

d)

To open and close the atrioventricular valves

23.

Where does the coronary sinus open into the heart?

a)

Into the left ventricle near the aortic valve

b)

Into the right atrium near the opening of the inferior vena cava and the right atrioventricular orifice

c)

Into the pulmonary trunk at the bifurcation

d)

Into the left atrium within the left atrioventricular groove

24.

Which statement correctly describes systole compared to diastole?

a)

Systole is the heart’s relaxation phase; diastole is contraction.

b)

Systole is the contraction phase generating higher pressure; diastole is the relaxation phase with lower pressure.

c)

Both systole and diastole are relaxation phases with equal pressures.

d)

Systole only occurs in the atria, while diastole only occurs in the ventricles.

25.

Normal blood pressure is about 120 mmHg during systole and about 80 mmHg during diastole. What best explains why systolic pressure is higher?

a)

Systole reflects ventricular contraction propelling blood forcefully into arteries.

b)

Diastole reflects ventricular contraction being stronger than systole.

c)

Systole occurs when the valves are closed, trapping blood.

d)

Diastole occurs only in the atria, increasing pressure there.

26.

Which description best defines the sinoatrial (SA) node?

a)

A venous reservoir that drains the heart

b)

The pacemaker region that initiates the heartbeat

c)

The valve guarding the coronary sinus opening

d)

A muscular ridge that separates the ventricles

27.

What are Purkinje fibers primarily responsible for in cardiac conduction?

a)

Collecting venous blood from the myocardium

b)

Delivering electrical impulses rapidly throughout the ventricular walls for coordinated contraction

c)

Regulating coronary artery diameter to control flow

d)

Producing lymphatic fluid for the pericardial cavity

28.

What is the main function of the atrioventricular (AV) node?

a)

To initiate atrial depolarization faster than the SA node

b)

To delay and relay electrical impulses from the atria to the ventricles

c)

To open the pulmonary semilunar valve

d)

To drain blood into the coronary sinus

29.

Which statement about the pericardium is most accurate?

a)

The heart is covered by the visceral pericardium, and the cardiac cavity is lined by the parietal pericardium; a small amount of fluid separates them to reduce friction.

b)

The heart is covered by the parietal pericardium only, with no fluid present.

c)

The pericardium is a vein that drains into the coronary sinus.

d)

The pericardium produces electrical impulses for the SA node.

30.

Which structure helps guard the opening of the coronary sinus into the right atrium?

a)

Chordae tendineae

b)

Papillary muscle

c)

Thebesian valve (endocardial fold)

d)

Ligamentum arteriosum

31.

Which veins are tributaries to the coronary sinus according to the description?

a)

Great cardiac vein, small and middle cardiac veins, and inferior vein of the left ventricle

b)

Superior vena cava, pulmonary veins, and azygos vein

c)

Internal thoracic vein, cephalic vein, and basilic vein

d)

Portal vein, splenic vein, and superior mesenteric vein

32.

Which layer directly lines the inside chambers of the heart and is continuous with the valves?

a)

Pericardium

b)

Epicardium

c)

Myocardium

d)

Endocardium

33.

What is the tough, protective sac that surrounds the heart?

a)

Pericardium

b)

Endocardium

c)

Interatrial septum

d)

Coronary sinus

34.

The epicardium is best described as which of the following?

a)

Outer surface layer of the heart

b)

Inner lining of the heart chambers

c)

Muscular middle layer of the heart

d)

Fibrous sac outside the heart

35.

Which structure separates the right and left atria?

a)

Interventricular septum

b)

Interatrial septum

c)

Coronary sinus

d)

Tricuspid valve

36.

Which structure separates the right and left ventricles?

a)

Interatrial septum

b)

Interventricular septum

c)

Bicuspid (mitral) valve

d)

Pulmonary valve

37.

Which statement best describes the coronary arteries?

a)

They carry oxygen-poor blood from the heart to the lungs

b)

They supply oxygen and nutrients to the heart muscle

c)

They drain deoxygenated blood into the coronary sinus

d)

They form the valves between atria and ventricles

38.

Which vessel collects most venous blood from the heart muscle before it enters the right atrium?

a)

Pulmonary vein

b)

Aorta

c)

Coronary sinus

d)

Superior vena cava

39.

Where does blood go immediately after leaving the coronary sinus?

a)

Left atrium

b)

Right atrium

c)

Left ventricle

d)

Pulmonary artery

40.

Which valve is located between the right atrium and right ventricle?

a)

Bicuspid (mitral) valve

b)

Aortic valve

c)

Tricuspid valve

d)

Pulmonary valve

41.

Which valve is located between the left atrium and left ventricle?

a)

Tricuspid valve

b)

Pulmonary valve

c)

Bicuspid (mitral) valve

d)

Coronary valve

42.

Which statement correctly contrasts the left and right sides of the heart in a double-pump model?

a)

Right side pumps to the body; left side pumps to the lungs

b)

Left side pumps oxygenated blood to the body; right side pumps deoxygenated blood to the lungs

c)

Both sides pump deoxygenated blood to the body

d)

Both sides pump oxygenated blood to the lungs

43.

Which pair correctly names the upper receiving chambers of the heart?

a)

Left and right ventricles

b)

Left and right atria

c)

Aorta and pulmonary trunk

d)

Coronary sinus and superior vena cava

44.

Which pair correctly names the lower pumping chambers of the heart?

a)

Left and right atria

b)

Left and right ventricles

c)

Aorta and vena cava

d)

Pulmonary veins

45.

Which option best explains where blood entering the right atrium typically comes from?

a)

Pulmonary veins carrying oxygen-rich blood

b)

Systemic veins such as the superior and inferior vena cava

c)

Coronary arteries bringing oxygen

d)

Aorta delivering high-pressure blood

46.

Which option best explains where blood entering the left atrium typically comes from?

a)

Pulmonary veins returning oxygen-rich blood from the lungs

b)

Systemic veins carrying deoxygenated blood

c)

Coronary sinus draining the myocardium

d)

Aorta feeding the chambers

47.

Which coronary vessels are arteries rather than veins?

a)

Great cardiac, middle cardiac, small cardiac

b)

Left coronary, right coronary, circumflex

c)

Coronary sinus, anterior cardiac veins, small cardiac

d)

Superior vena cava, inferior vena cava, coronary sinus

48.

Which statement best matches the function of the interatrial and intraventricular septa?

a)

They allow mixing of oxygenated and deoxygenated blood

b)

They separate the chambers to keep right and left heart flows distinct

c)

They act as valves to prevent backflow

d)

They are part of the pericardial sac

49.

Which structure acts as the heart’s natural pacemaker by initiating the electrical impulse that starts each heartbeat?

a)

Atrio-Ventricular (AV) node

b)

Bundle of His

c)

Sino-Atrial (SA) node

d)

Purkinje fibers

50.

What is the primary role of the Atrio-Ventricular (AV) node in the heart’s conduction system?

a)

It speeds up the impulse so the ventricles contract before the atria.

b)

It delays the impulse to allow the atria to finish contracting before the ventricles.

c)

It generates the first impulse that sets the heart rate.

d)

It distributes impulses through the ventricular walls for coordinated contraction.

51.

Which pathway conducts the impulse from the AV node down the interventricular septum toward the ventricles?

a)

Purkinje fibers

b)

Bundle of His

c)

SA node

d)

Papillary muscles

52.

Which structures rapidly spread the electrical signal throughout the ventricular walls to produce a coordinated ventricular contraction?

a)

Sino-Atrial node

b)

Aortic semilunar valve

c)

Purkinje fibers

d)

Cordae tendinea

53.

Which statement best defines an ECG for a patient undergoing the test?

a)

A painful procedure that uses needles to measure heart muscle movement

b)

A noninvasive method that measures the heart’s electrical activity during the cardiac cycle

c)

A scan that measures the heart’s blood flow using ultrasound

d)

A surgical test that directly inspects the heart’s chambers

54.

What useful information can doctors determine from an ECG?

a)

Whether the heart’s valves are physically torn

b)

Whether a patient’s heart rate is normal or abnormal and if parts of the heart are getting overworked

c)

Exactly how much oxygen is in each blood cell

d)

The total amount of blood pumped in a day

55.

What is another common abbreviation for an ECG and why does it exist?

a)

EHG, from the English term electro-heart graph

b)

EKG, from the Dutch term elektrokardiogram used by Einthoven

c)

ECX, from the Latin term electrocardius

d)

EKC, from the German term elektrocardium

56.

How is an ECG administered to measure heart activity without entering the body?

a)

By placing a stethoscope on the chest and recording sounds

b)

By using skin electrodes connected by wires to a machine that plots voltage over time

c)

By injecting dye into the bloodstream to trace pathways

d)

By using a thermometer to track heat changes in the heart

57.

In a standard 12-lead ECG, how are the leads obtained?

a)

Using 12 separate machines placed around the room

b)

Using 12 electrodes on the chest only

c)

Using 10 electrodes that provide 12 different electrical views of the heart

d)

Using 8 electrodes that create 10 views of the lungs

58.

Where are the electrodes placed for a typical 12-lead ECG?

a)

Eight on the back and two on the neck

b)

Six on the chest and one on each limb

c)

Ten on the abdomen

d)

Four on the chest and six on the scalp

59.

Which waves make up one round of the cardiac cycle on an ECG?

a)

P wave, QRS complex, and T wave

b)

A wave, B complex, and C wave

c)

Q wave, R wave, and S wave only

d)

Delta wave and gamma wave

60.

What does the P wave on an ECG represent?

a)

Electrical activity of ventricular contraction

b)

Electrical signal that begins at the SA node and passes to the AV node, leading to atrial stimulation

c)

Recovery period between contraction and relaxation

d)

Return to baseline after ventricular depolarization

61.

What immediate effect does the electrical signal traveling from the SA node to the AV node have on the heart’s chambers?

a)

It relaxes the ventricles, stopping blood flow

b)

It stimulates the atria to contract, pushing blood into the ventricles

c)

It opens the heart valves permanently

d)

It causes the aorta to constrict

62.

Which statement correctly describes the PR interval on an ECG?

a)

The time between the end of the QRS complex and the start of the T wave

b)

The time between the start of the P wave and the start (first deflection) of the QRS complex

c)

The time from the peak of the R wave to the end of the T wave

d)

The duration of the T wave alone

63.

What does the QRS complex primarily reflect?

a)

Electrical signals leading to ventricular contraction

b)

Atrial relaxation

c)

The heart’s recovery to baseline

d)

Movement of blood into the atria

64.

Which pathway correctly traces the electrical signal after it reaches the AV node?

a)

Directly to the aorta and pulmonary artery

b)

To the atrioventricular bundle (bundle of His), down bundle fibers to Purkinje fibers

c)

Back to the SA node for recycling

d)

Straight to the ventricles without specialized pathways

65.

What mechanical action in the heart is stimulated by the conduction through the Purkinje fibers?

a)

Atrial relaxation and valve closure

b)

Ventricular contraction pushing blood into the pulmonary artery and aorta

c)

Coronary artery dilation only

d)

Complete stop of heart movement

66.

Which description correctly defines the ST interval (ST segment)?

a)

Time between the P wave and the start of the QRS complex

b)

Time between the end of the QRS complex and the start of the T wave, representing the period of zero potential between ventricular depolarization and repolarization

c)

Time from the beginning of the T wave to the next P wave

d)

Time of atrial repolarization clearly visible on the ECG

67.

What does the T wave represent on an ECG?

a)

Ventricular depolarization leading to contraction

b)

Atrial depolarization only

c)

Electrical activity returning to baseline—ventricular repolarization

d)

Mechanical relaxation of the atria

68.

If an ECG shows an unusually wide QRS complex, which process is most likely affected based on what the QRS represents?

a)

Atrial depolarization is delayed

b)

Ventricular depolarization and conduction through bundle branches are altered

c)

Ventricular repolarization is faster than normal

d)

The SA node stopped initiating signals

69.

Why does the electrical signal on an ECG appear slightly before the heart’s muscle movement?

a)

Because the ECG records mechanical motion first

b)

Because electrical activation triggers contraction, so the electrical event precedes the physical movement

c)

Because the ECG records blood pressure changes, which lag behind motion

d)

Because electrodes cause a delay in sensing

70.

During a 12-lead ECG, how many different views of the heart’s electrical activity are produced, and with how many electrodes?

a)

12 views using 12 electrodes

b)

10 views using 10 electrodes

c)

12 views using 10 electrodes

d)

8 views using 6 electrodes

71.

Which heart condition is identified on an ECG by the absence of a normal P wave with QRS complexes occurring at irregular intervals?

a)

Atrial fibrillation

b)

Atrial flutter

c)

Ventricular fibrillation

d)

Myocardial infarction

72.

On an ECG, a sawtooth pattern of the P wave most closely indicates which condition?

a)

Atrial flutter

b)

Atrial fibrillation

c)

ST elevation

d)

Ventricular fibrillation

73.

Which statement best describes ventricular fibrillation as seen on an ECG?

a)

Chaotic, rapid baseline with no organized QRS complexes

b)

Regular rhythm with missing P waves

c)

Normal P-QRS-T pattern with slight ST depression

d)

Sawtooth P waves preceding each QRS

74.

Elevation of the ST segment on certain leads can be a sign of which condition?

a)

Myocardial infarction (heart attack)

b)

Atrial fibrillation

c)

Atrial flutter

d)

Sinus bradycardia

75.

Which best explains why ECGs are important in cardiology?

a)

They assess the heart’s electrical conduction to diagnose and monitor conditions

b)

They directly measure the amount of oxygen in the blood

c)

They visualize coronary arteries without imaging

d)

They replace the need for medications

76.

Which symptom is most likely to lead a clinician to order an ECG?

a)

Chest pain or shortness of breath

b)

Vision changes only

c)

Skin rash without other symptoms

d)

Joint stiffness after exercise

77.

Which statement about atrial fibrillation outcomes is supported by the material?

a)

Untreated AFib increases risk of death and stroke

b)

AFib always causes ST elevation

c)

AFib eliminates QRS complexes

d)

AFib is the same as atrial flutter

78.

Which waveform component corresponds to the ventricles relaxing after repolarization?

a)

T wave phase following QRS

b)

P wave before QRS

c)

PR interval only

d)

Sawtooth P wave

79.

Which heart condition most directly results from blocked coronary arteries preventing adequate blood flow to heart muscle?

a)

Myocardial infarction

b)

Atrial flutter

c)

Ventricular fibrillation always

d)

Sinus arrhythmia

80.

Which best describes the role of ECG in monitoring treatments like pacemakers and medications?

a)

ECG tracks electrical effects of treatments on heart rhythm

b)

ECG measures blood sugar levels directly

c)

ECG replaces physical exams entirely

d)

ECG is only used during surgery

81.

If an ECG shows ST depression on multiple leads, which process is most likely occurring in the heart tissue?

a)

Ischemia causing reduced oxygen to tissue

b)

Hyperoxygenation of myocardium

c)

Complete atrioventricular block

d)

Immediate ventricular fibrillation

82.

Which statement correctly compares atrial fibrillation and atrial flutter?

a)

AFib lacks normal P waves; flutter shows sawtooth P waves

b)

AFib and flutter show identical patterns

c)

Flutter lacks QRS complexes; AFib does not

d)

AFib always shows ST elevation; flutter shows ST depression

83.

Which ECG feature remains present during atrial fibrillation even though P waves are absent?

a)

QRS complexes at irregular intervals

b)

Consistent sawtooth P waves

c)

Elevated ST segments on all leads

d)

Wide, regular T waves only

84.

What is a likely immediate effect of ventricular fibrillation on the patient’s ability to function?

a)

Severe inability to pump blood effectively

b)

Mild increase in heart rate only

c)

Improved cardiac output

d)

No change unless ST elevation occurs

85.

Which of the following is NOT listed as a heart condition ECGs can help identify or monitor?

a)

Blocked arteries

b)

Heart failure

c)

High blood pressure only

d)

Arrhythmias

86.

In future technology, ECG might noninvasively detect episodes of which metabolic condition, especially relevant for people with diabetes?

a)

Hypoglycemia (low blood sugar)

b)

Hypercalcemia (high calcium)

c)

Hypernatremia (high sodium)

d)

Ketonemia (high ketones)

87.

Which structure acts as the heart’s primary pacemaker by initiating rhythmic electrical impulses?

a)

Sinoatrial (SA) node

b)

Atrioventricular (AV) node

c)

Bundle of His

d)

Purkinje fibers

88.

If the heart’s primary pacemaker becomes damaged, what can happen to keep the heartbeat going?

a)

Other specialized cardiac cells can generate pacemaker activity at a slower rate

b)

The heart immediately stops beating with no backup mechanism

c)

Skeletal muscle cells take over as the pacemaker

d)

Only the brain can replace the pacemaker function via motor neurons

89.

What is the main advantage of gap junctions between cardiac muscle cells?

a)

They allow rapid electrical coupling so the heart contracts as a coordinated unit

b)

They store extra calcium for stronger contractions

c)

They form thick connective tissue that prevents overstretching

d)

They slow electrical signals to save energy

90.

In typical skeletal muscle, the resting potential is about −70 mV and the threshold is about −55 mV. Cardiac pacemaker cells do not have a true resting potential. What best describes this difference?

a)

Pacemaker cells slowly depolarize on their own toward threshold

b)

Pacemaker cells remain fixed at −70 mV without change

c)

Pacemaker cells require external nerves to reach threshold

d)

Pacemaker cells hyperpolarize to −90 mV before every beat

91.

The plateau phase of the cardiac action potential depends on high levels of which ion in the sarcoplasmic reticulum and extracellular fluid?

a)

Calcium (Ca2+)

b)

Sodium (Na+)

c)

Potassium (K+)

d)

Chloride (Cl−)

92.

Why is the plateau phase critical for proper heart function?

a)

It prolongs contraction, allowing time for coordinated pumping of blood

b)

It makes contractions shorter so the heart can beat faster

c)

It stops calcium entry to prevent any contraction

d)

It only helps the atria while the ventricles rest

93.

Compared with skeletal muscle, which has a total refractory period of about 1 millisecond, what is true about the refractory period of cardiac muscle?

a)

It is much longer, preventing tetany and ensuring rhythmic beats

b)

It is identical, allowing sustained tetanic contractions

c)

It is shorter, enabling the heart to tetanize

d)

It varies randomly from beat to beat without a pattern

94.

Which term best describes the procedure of puncturing a vein to draw blood or deliver medication?

a)

Arteriotomy

b)

Venipuncture

c)

Phlebotomy training

d)

Capillary sampling

95.

Which vessel type typically carries blood away from the heart?

a)

Veins

b)

Arteries

c)

Venules

d)

Capillaries

96.

Which vessel type typically carries blood toward the heart?

a)

Arteries

b)

Arterioles

c)

Capillaries

d)

Veins

97.

Where are capillaries primarily located, and what is their main function?

a)

Inside the heart; to generate blood pressure

b)

Between arteries and veins in body tissues; to allow exchange of gases and nutrients

c)

In the lungs only; to store oxygen

d)

Under the skin; to regulate body temperature

98.

Which statement correctly differentiates arteries from veins?

a)

Arteries have valves; veins do not

b)

Veins have thicker muscular walls than arteries

c)

Arteries carry blood away from the heart; veins carry blood toward the heart

d)

Both arteries and veins always carry oxygenated blood

99.

Which layer of an artery contains smooth muscle that adjusts vessel diameter?

a)

Tunica intima

b)

Tunica media

c)

Tunica externa

d)

Endocardium

100.

Which outer protective layer of an artery is composed mostly of connective tissue?

a)

Tunica externa

b)

Tunica media

c)

Tunica intima

d)

Myocardium

101.

Which inner layer of an artery provides a smooth lining to reduce friction as blood flows?

a)

Tunica media

b)

Tunica externa

c)

Tunica intima

d)

Endothelium of the myocardium

102.

Which condition involves a balloon-like bulge in a weakened arterial wall that can rupture?

a)

Aneurism

b)

Hemorrhage

c)

Varicose vein

d)

Ischemia

103.

Which term refers to active bleeding due to broken blood vessels?

a)

Aneurism

b)

Hemorrhage

c)

Phlebitis

d)

DVT

104.

Which condition describes enlarged, twisted superficial veins often in the legs due to valve failure?

a)

Varicose veins

b)

Arteriosclerosis

c)

Atherosclerosis

d)

Ischemia

105.

Which term describes hardening and loss of elasticity of arterial walls, often with age?

a)

Aneurism

b)

Arteriosclerosis

c)

Phlebitis

d)

Hypotension

106.

Which condition is specifically the build-up of fatty plaques within arteries that can narrow the lumen?

a)

Atherosclerosis

b)

Arteriosclerosis

c)

Phlebitis

d)

TIA

107.

What is ischemia?

a)

Excess blood flow to tissues causing swelling

b)

Inadequate blood supply to tissues leading to oxygen shortage

c)

Formation of clots in deep veins of the legs

d)

Inflammation of arteries due to infection

108.

Transient Ischemic Attack (TIA) is best described as which event?

a)

A brief, reversible reduction of blood flow to the brain causing short-lived neurological symptoms

b)

Permanent blockage of a coronary artery causing heart attack

c)

Chronic high blood pressure with no symptoms

d)

A rupture of the aorta resulting in immediate hemorrhage

109.

Which phrase matches cerebrovascular incident (stroke)?

a)

Temporary muscle spasm in leg arteries

b)

Disorder of veins returning blood to the heart

c)

Loss of brain function due to interrupted blood flow

d)

Widening of capillaries in the skin

110.

Hypertension is defined as which condition?

a)

Abnormally low blood pressure

b)

Abnormally high blood pressure

c)

Normal blood pressure with occasional spikes

d)

Blocked lymphatic drainage

111.

Hypotension is defined as which condition?

a)

Abnormally high blood pressure

b)

Abnormally low blood pressure

c)

Normal blood pressure after exercise

d)

Clot formation in the deep veins

112.

Deep vein thrombosis (DVT) primarily involves which problem?

a)

Plaque build-up in coronary arteries

b)

Clot formation in deep veins, often in the legs

c)

Swelling of arterioles in the hands

d)

Rupture of cerebral arteries

113.

Peripheral Vascular Disease (PVD) most commonly means which situation?

a)

A disease of vessels outside the heart and brain causing poor limb circulation

b)

Inflammation of the heart valves only

c)

A disorder limited to pulmonary arteries

d)

An infection of capillaries in the skin

114.

Intermittent claudication is best described as which symptom pattern?

a)

Sudden chest pain during sleep

b)

Leg pain during activity that improves with rest due to reduced blood flow

c)

Persistent abdominal cramps unrelated to activity

d)

Headache triggered by high altitude

115.

Phlebitis refers to which condition?

a)

Inflammation of a vein

b)

Inflammation of an artery

c)

Hardening of capillaries

d)

Enlargement of the aorta

116.

Which arteries first branch from the aorta to supply the heart itself?

a)

Renal arteries

b)

Carotid arteries

c)

Coronary arteries

d)

Subclavian arteries

117.

Which sequence correctly names the three major branches of the aortic arch to reach the head and upper limbs?

a)

Coronary, renal, femoral

b)

Brachiocephalic trunk, left common carotid, left subclavian

c)

Right subclavian, left coronary, celiac trunk

d)

Inferior vena cava, superior vena cava, pulmonary trunk

118.

Which arteries branching from the abdominal aorta primarily supply the stomach, spleen, and liver?

a)

Celiac trunk and its branches

b)

Common iliac arteries

c)

Pulmonary arteries

d)

Carotid arteries

119.

Which arteries supply the kidneys directly from the abdominal aorta?

a)

Femoral arteries

b)

Renal arteries

c)

Mesenteric arteries

d)

Subclavian arteries

120.

Starting at the common iliac arteries, which vessel directly continues down the thigh to reach the knee region?

a)

Brachial artery

b)

Femoral artery

c)

Radial artery

d)

Carotid artery

121.

Which veins return blood from abdominal organs to the inferior vena cava primarily through the hepatic portal system and then the hepatic veins?

a)

Pulmonary veins

b)

Hepatic veins after portal circulation

c)

Jugular veins

d)

Great saphenous veins