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Mean arterial pressure is


A) cardiac output times peripheral resistance.
B) end-diastolic volume minus end-systolic volume.
C) maximum cardiac output minus cardiac output when at rest.
D) heart rate times stroke volume.
E) stroke volume times peripheral resistance.

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

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Which of the following is a function of the heart skeleton?


A) Provides electrical insulation between the atria and ventricles.
B) Supplies support and reinforcement for the valves.
C) Provides a rigid site for cardiac muscle attachment.
D) All of the choices are functions of the heart skeleton.

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

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Blood flow through the coronary blood vessels decreases during myocardial contraction and increases during myocardial relaxation.

A) True
B) False

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Aortic stenosis results from


A) a hole in the interatrial septum.
B) a weakening of heart muscle.
C) a narrowed opening through the aortic valve.
D) low oxygen levels.
E) leakage from the AV valves.

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

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The great cardiac vein and middle cardiac vein empty into a venous cavity called the


A) pulmonary vein.
B) inferior vena cava.
C) superior vena cava.
D) coronary sinus.
E) coronary artery.

F) B) and E)
G) B) and C)

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An incompetent mitral valve may cause blood to back up into the


A) aorta.
B) left atrium.
C) left ventricle.
D) coronary circulation.
E) right atrium.

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

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If the heart receives more sympathetic stimulation than parasympathetic stimulation, the heart will


A) increase its rate and force of contraction.
B) contract with greater force but at a slower rate.
C) decrease both its rate and force of contraction.
D) contract with less force but at a faster rate.
E) decrease rate, but increase force of contraction.

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

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When ventricular pressure exceeds atrial pressure, the


A) ejection occurs.
B) atria pump blood into the ventricles.
C) ventricle is in diastole.
D) blood is pumped into the atrium.
E) AV valves close.

F) A) and E)
G) B) and E)

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What action is most responsible for the resting membrane potential in cardiac muscle cells?


A) movement of K+ through voltage-gated K+ channels
B) movement of Na+ through open Na+ channels
C) movement of Ca2+ through voltage-gated Ca2+ channels.
D) closing of Na+ and K+ voltage-gated channels

E) A) and D)
F) A) and C)

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What abnormal heart rhythm could be caused by an elevated body temperature, excessive sympathetic stimulation, or toxic conditions?


A) bradycardia
B) atrial fibrillation
C) second-degree AV node block
D) tachycardia

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

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Afterload is


A) the name given to an increase in end-diastolic volume.
B) the arterial pressure that the ventricles must overcome to eject blood.
C) the amount cardiac output must increase during exercise.
D) another name for venous return.
E) the extent to which ventricular walls are stretched.

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

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When left atrial pressure exceeds left ventricular pressure,


A) left ventricular ejection begins.
B) aortic blood pressure begins to rise.
C) the bicuspid (mitral) valve opens.
D) ventricular volume decreases.
E) the tricuspid valve opens.

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

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When a pacemaker potential in the SA node reaches threshold,


A) the permeability to K+ ions increases.
B) many voltage-gated Ca2+ channels open.
C) voltage-gated Ca2+ channels close.
D) RMP has been restored.
E) permeability of the cell does not change.

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

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Pressure in the right ventricle must exceed pressure in the ____ before the right ventricle can eject blood.


A) superior vena cava
B) coronary sinus
C) pulmonary trunk
D) aorta
E) pulmonary veins.

F) None of the above
G) All of the above

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The tricuspid valve is closed


A) during active filling of the ventricles.
B) when the mitral valve is open.
C) while the atria are contracting.
D) during ejection.
E) during passive filling of the ventricles.

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

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The first and second heart sounds are most directly related to


A) pulse pressure in the aorta.
B) the contraction of the atria.
C) vibrations that occur when the valves close.
D) contraction of the papillary muscles.
E) the flow of the blood.

F) B) and C)
G) C) and E)

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The dicrotic notch in the aortic pressure curve is due to the


A) increase in intraventricular pressure during ejection.
B) backflow of blood toward the ventricles.
C) closure of the left AV valve.
D) elasticity of the arterial wall.
E) closure of the semilunar valves.

F) C) and E)
G) None of the above

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What must occur during exercise to ensure adequate oxygen delivery to cardiac muscle?


A) There must be increased oxygen release to cardiac muscle
B) There must be decreased oxygen content to skeletal muscle
C) There must be a decreased heart rate
D) There must be increased coronary blood flow

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

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The inner lining of the pericardial cavity is the ____________ pericardium, whereas the outer part of the heart wall is called the epicardium or the _______________ pericardium.


A) fibrous; parietal
B) visceral; fibrous
C) parietal; visceral
D) visceral; parietal
E) fibrous; visceral

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

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The volume of blood pumped during each cardiac cycle is the


A) stroke volume.
B) cardiac output.
C) cardiac reserve.
D) end-systolic volume.
E) end-diastolic volume.

F) A) and E)
G) C) and E)

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