1 Identify the circuit pumps blood from the heart, to the lungs, and back to the heart.A) systemic circuit B) cardiac circuit C) pulmonary circuit D) vascular circuit 2 Which of the following is NOT true of the heart's functions?A) Keeps blood flowing in one direction. B) Circulates blood based on the needs of the body. C) Mixes oxygen poor and oxygen rich blood. D) Creates blood pressure. 3 The heart secretes the hormone _____ that regulates _______.A) ADH; heart rate B) ADH; blood pressure C) ANH; heart rate D) ANH; blood pressure 4 Identify the outermost layer of the pericardial membranes.A) fibrous pericardium B) parietal pericardium C) visceral pericardium 5 Identify the thickest layer of the heart wall.A) endocardium B) epicardium C) myocardium 6 Place the layers of the heart and the coverings of the heart in order from the innermost layer to the outermost layer. Endocardium Epicardium Fibrous pericardium Myocardium Parietal pericardiumA) 1-4-2-3-5 B) 1-4-2-5-3 C) 2-3-1-4-5 D) 3-1-4-2-5 7 The visceral serous pericardium is also known as the:A) endocardium B) epicardium C) fibrous pericardium D) myocardium 8 Identify the chamber of the heart with the thickest wall.A) left atrium B) left ventricle C) right atrium D) right ventricle 9 Identify the vessels that return blood to the right atrium.A) coronary sinus, superior vena cava and inferior vena cava B) coronary sinus and right and left pulmonary veins C) right and left pulmonary arteries D) right and left pulmonary veins 10 Identify the vessel(s) that return blood to the left atrium.A) coronary sinus, superior vena cava and inferior vena cava B) coronary sinus and right and left pulmonary veins C) pulmonary trunk D) right and left pulmonary veins 11 The chamber of the heart that receives oxygen poor blood from the body is theA) left atrium. B) right atrium. C) left ventricle. D) right ventricle. 12 The chamber that pumps oxygen rich blood to the body is theA) left atrium. B) right atrium. C) left ventricle. D) right ventricle. 13 Identify the valve that separates the right atrium and the right ventricle.A) aortic semilunar B) bicuspid C) mitral D) tricuspid 14 Identify the vessel that carries blood to the left atrium.A) aorta B) pulmonary artery C) pulmonary vein D) superior vena cava 15 Identify the valve that prevents blood from flowing back into the right ventricle.A) aortic semilunar valve B) pulmonary semilunar valve C) tricuspid valve D) bicuspid valve 16 Identify the heart valve that is also called the mitral valve.A) aortic semilunar B) bicuspid C) pulmonary semilunar D) tricuspid 17 Identify the blood vessel that carries blood from the left ventricle.A) aorta B) pulmonary artery C) pulmonary vein D) superior vena cava 18 What structures anchor the AV (atrioventricular) valves to the walls of the ventricles?A) interventricular septum B) auricles C) chordae tendinae D) endocardium 19 What structures in the heart wall prevent the AV (atrioventricular) valves from opening up into the atria?A) papillary muscles B) auricles C) interventricular septum D) endocardium 20 The first sound of the heart beat results fromA) the closing of the semilunar valves. B) the closing of the atrioventricular valves. C) the contraction of the atria. 21 The heart wall receives blood from theA) blood flowing through it. B) coronary arteries. C) cardiac veins. D) pulmonary arteries. 22 A heart murmur is due toA) leaky valves. B) cardiac arrest. C) valves opening and closing. D) an extra heart beat. 23 Define artheroscleroisis.A) Abnormal hardening of arterial walls. B) Abnormal hardening of heart walls. C) Destruction of cardiac cells. D) Inflammation of the arterial walls. 24 Which of the following is NOT true of atherosclerosis?A) Can be caused by smoking B) Can be caused by (ital)Helicobacter pylori(/ital) C) Persons with IDDM are more at risk for atherosclerosis. D) It is NOT caused by an injury to an artery wall. 25 List the components of the cardiac conduction system in the correct sequence for impulse transmission.A) AV node, AV bundle, SA node, purkinje fibers B) AV bundle, AV node, SA node, purkinje fibers C) SA node, AV node, AV bundle, purkinje fibers D) purkinje fibers, AV bundle, SA node, AV node 26 What is the natural pacemaker of the heart?A) AV bundle B) SA node C) AV node D) Purkinje fibers 27 The SA node is located:A) at the base of the right atrium. B) in the upper right atrium C) in the interatrial septum D) in the interventricular septum 28 Explain the reason there is a delay in processing the electrical signal from the AV node to the AV bundle. To:A) allow the atria to complete their contraction prior to ventricular contraction B) ensure the right and left atria contract at the same time C) ensure the right and left ventricles contract at the same time D) prevent an ectopic pacemaker 29 The condition in which the AV node fails and the electrical stimulus does not reach the ventricles is called a(an)A) heart block. B) myocardial infarction. C) arrhythmia. D) ectopic pacemaker. 30 What ECG wave accompanies ventricular depolarization?A) P wave B) QRS C) T wave 31 What wave of an ECG (EKG) represents depolarization of the atria?A) P wave B) QRS complex C) T wave D) PQ interval 32 The T wave on an ECG (EKG) represents:A) atrial depolarization B) atrial repolarization C) ventricular depolarization D) ventricular repolarization 33 A heart rate of less than 60 beats per minute is calledA) heart block. B) tachycardia. C) fibrillation. D) bradycardia. 34 A rapid, uncoordinated heart beat is calledA) heart block. B) tachycardia. C) fibrillation. D) bradycardia. 35 The contraction of the heart muscle is calledA) diastole. B) peristalsis. C) systole. D) spasm. 36 During atrial systole, the atria are ______, the ventricles are _______, the AV valves are ______ and the SL valves are _____.A) contracting; contracting; open; closed B) contracting; relaxing; open; closed C) relaxing; contracting; closed; open D) relaxing; contracting; open; closed 37 During ventricular systole, the atria are ______, the ventricles are _______, the AV valves are ______ and the SL valves are _____.A) contracting; contracting; open; closed B) contracting; relaxing; open; closed C) relaxing; contracting; closed; open D) relaxing; contracting; open; closed 38 What causes the semilunar valves to open?A) Increase in pressure in the pulmonary trunk and aorta. B) Increase in pressure in the ventricles. C) Decrease in pressure in the pulmonary trunk and aorta. D) Decrease in pressure in the atria. 39 The volume of blood pumped by a ventricle per minute is the ______.A) cardiac output B) stroke volume C) minute output D) cardiac load 40 Stroke volume is the volume of blood:A) in the ventricle prior to ejection. B) left in the ventricle following ejection. C) pumped by a ventricle during a single contraction. D) pumped by a ventricle during a minute. 41 Cardiac output is equal toA) stroke volume + heart rate. B) stroke volume / heart rate. C) heart rate X stroke volume. D) heart rate -- stroke volume. 42 The cardiac control center (cardioregulatory center) is located in theA) right atrium B) hypothalamus C) medulla oblongata D) carotid artery 43 If you stand up too quickly and blood pressure drops, baroreceptors in the carotid arteries will signal the cardioregulatory center to sendA) parasympathetic signals to increase heart rate. B) parasympathetic signals to decrease heart rate. C) sympathetic signals to decrease heart rate. D) sympathetic signals to increase heart rate. 44 Which of the following does NOT influence heart rate?A) body temperature B) emotions C) venous return D) All of the choices influence heart rate. 45 The sympathetic nervous system will ______ contraction strength of the heart, thus leading to a(n) ______ in stroke volume.A) decrease; decrease B) decrease; increase C) increase; increase D) increase; decrease 46 Frank Starlings law states that if more blood enters the heart,A) the weaker the contraction. B) the stronger the contraction. C) the faster the heart rate. D) blood volume does not affect the strength of the heart contraction. 47 Contraction of skeletal muscles will _____ venous return, thus ______ stroke volume.A) decrease; decrease B) decrease; increase C) increase; increase D) increase; decrease 48 Identify the structures blood will flow through as blood flows from the left ventricle.A) arteriole – artery- capillary - vein - venule B) artery – arteriole- capillary – venule -vein C) artery – capillary – arteriole – venule –vein D) vein- venule – capillary – artery – arteriole 49 Identify the type of vessel that functions in exchange of blood gases, nutrients, and wastes.A) arteries. B) arterioles. C) venules. D) capillaries. 50 The muscular layer of the blood vessel wall is theA) tunica externa. B) tunica media. C) tunica adventitia. D) tunica interna. 51 The layer of blood vessels consisting of an endothelial layer with a basement membrane is the tunica:A) arteriole B) externa C) interna D) media 52 Place the layers of a blood vessel in order from innermost to outermost layer.A) tunica externa – tunica intima – tunica media B) tunica externa – tunica media – tunica intima C) tunica intima – tunica externa – tunica media D) tunica intima – tunica media – tunica externa 53 Which of the following is NOT true of artery structure and function?A) Arteries carry blood toward the heart. B) The tunica media is thicker in arteries. C) Smaller arteries called arterioles control blood pressure. D) Arteries expand and recoil as the heart beats. 54 Which of the following is NOT an aspect of capillary structure and function?A) Capillaries are microscopic blood vessels. B) Capillaries serve as sites for the exchange of gases between the blood and tissue fluid. C) Capillaries receive blood from arterioles. D) Blood flow through capillaries is very fast. 55 Which of the following is NOT a characteristic of veins?A) Have valves. B) Receive blood from venules. C) Transport oxygen poor blood. D) Transport blood toward the heart. 56 The fluid that surrounds the cells of the body is called:A) blood B) lymph C) plasma D) tissue fluid 57 Compared to tissue fluid, the osmotic pressure of blood is typically _____; thus water moves into the _____.A) greater; capillary B) greater; tissue fluid C) lower; capillary D) lower; tissue fluid 58 Identify the process that allows for the movement of carbon dioxide between the blood and the tissue fluid.A) active transport B) diffusion C) filtration D) osmosis 59 Identify the process that allows for the movement of fluid into the capillary at its venous end.A) Active transport B) Diffusion C) Filtration D) Osmosis 60 Identify the factor that accounts for the movement of water and dissolved nutrients out of the arterial end of a capillary.A) blood pressure B) osmotic pressure C) diffusion D) active transport 61 Inflammation of veins, called ________, is a serious condition because a thromboembolism may occur.A) phlebitis B) varicose veins C) hemorrhoids D) pulmonary embolism 62 Blood flows the fastest inA) venules. B) arteries. C) capillaries. D) arterioles. 63 Blood pressure is highest in the _____ and lowest in the _____.A) aorta; capillaries. B) aorta; vena cavae C) capillaries; vena cavae. D) arterioles; capillaries 64 A measure of the arterial blood pressure over time is theA) mean arterial blood pressure B) stroke volume. C) peripheral resistance. D) pulse pressure. 65 If the diameter of a blood vessel decreases, then the resistance will _____, thus blood pressure will _____.A) decrease; decrease B) decrease; increase C) increase; increase D) increase; decrease 66 Identify the factors that affect peripheral resistance.A) Arterial diameter and length B) Cardiac output and blood volume. C) Heart rate and stroke volume. D) Venous diameter and stroke volume 67 Identify the two primary factors that determine blood pressure.A) Arterial diameter and length B) Cardiac output and peripheral resistance C) Heart rate and stroke volume D) Venous diameter and stroke volume 68 Venous return does NOT depend onA) skeletal muscle contraction. B) respiration. C) speed of blood flow. D) total blood volume. 69 The skeletal muscle pump refers to skeletal muscles compressing against the walls of _____ to increase ______.A) arteries; blood flow to the lower extremities B) arteries: blood flow to the head C) veins: blood flow to the lower extremities D) veins; return of blood to the heart 70 The respiratory pump _____ the pressure difference between the abdominal region and the thoracic region thus leading to a(n) ______ in venous return.A) decrease; decrease B) decrease; increase C) increase; decrease D) increase; increase 71 The vasomotor center that controls the diameter of blood vessels is located in theA) medulla oblongata. B) pons. C) cerebrum. D) cerebellum. 72 In response to a decrease in blood pressure, heart rate will _____ and the arterioles will ______.A) increase; dilate. B) decreases; dilate. C) decreases; constrict. D) increases; constrict. 73 In response to a decrease in blood pressure, heart rate will _____ and the arterioles will ______.A) increase; dilate. B) decreases; dilate. C) decreases; constrict. D) increases; constrict. 74 Which of the following would cause blood pressure to decrease?A) increased peripheral resistance B) increased heart rate C) epinephrine D) atrial natriuretic factor 75 Identify the hormone(s) that will increase blood volume and thus blood pressure.A) ADH and ANH B) ADH and aldosterone C) ANH D) Aldosterone and ANH 76 Identify the hormone(s) that will decrease blood volume and thus blood pressure.A) ADH and ANH B) ADH and aldosterone C) ANH D) Aldosterone and ANH 77 Angiotensin II increases blood pressure by increasing:A) arteriole constriction and stimulating the release of aldosterone. B) arteriole dilation and increasing cardiac output. C) heart rate and stroke volume. D) heart rate and arteriole constriction 78 Place the events of the angiotensin/aldosterone pathway in order of occurrence. Formation of angiotensin II Increase in blood voluume Reabsorption of sodium and water Secretion of aldosterone Secretion of reninA) 1, 5, 3, 4 and 2 B) 2, 3, 5, 1 and 5 C) 2, 5, 4, 1, and 3 D) 5, 1, 4, 3, and 2 79 Two of the more common pulse points are the:A) common carotid artery and the radial artery B) common carotid artery and the ulnar artery C) jugular artery and radial artery D) ulnar artery and temporal artery. 80 Pulse is defined as a(n):A) alternating expansion and recoil of an arterial wall B) heart contraction C) pressure exerted against an arterial wall when the left ventricle contracts D) pressure exerted against an arterial well when the left ventricle relaxes 81 Identify the blood vessel that is generally used to determine blood pressure with a sphygmomanometer.A) radial artery. B) subclavian artery. C) brachial artery. D) carotid artery. 82 The path of systemic circulation begins at the:A) left atrium B) left ventricle C) right atrium D) right ventricle 83 List the sections of the aorta beginning with the section that leaves the heart.A) aortic arch, ascending aorta and descending aorta B) ascending aorta, aortic arch and descending aorta C) descending aorta, aortic arch and ascending aorta D) descending aorta, ascending aorta and aortic arch 84 Identify the vessels that branch of the ascending aorta.A) Brachiocephalic, left common carotid and left subclavian arteries B) Common iliac arteries C) Inferior vena cava, superior vena cava and coronary sinus. D) Left and right coronary arteries 85 Identify the vessels that branch of the aortic arch.A) Brachiocephalic, left common carotid and left subclavian arteries B) Common iliac arteries C) Inferior vena cava, superior vena cava and coronary sinus. D) Left and right coronary arteries 86 The end of the descending aorta branches into the:A) celiac artery B) common iliac arteries C) renal arteries D) superior mesenteric artery 87 The main systemic arteries branch off of theA) coronary artery. B) aorta. C) subclavian artery. D) carotid artery. 88 Identify the main vessels that deliver oxygen rich blood to the head.A) jugular veins B) subclavian arteries. C) common carotid arteries. D) brachiocephalic veins. 89 What vessels deliver oxygen rich blood to the legs?A) external iliac arteries B) internal iliac veins C) inferior vena cava D) hepatic portal veins 90 What vessels drain oxygen poor blood from the brain, head, and neck?A) jugular veins B) subclavian veins C) common carotid arteries D) brachiocephalic arteries 91 What vessels drain blood from the kidneys?A) hepatic veins B) jugular veins. C) renal veins D) internal iliac arteries 92 The common iliac artery is in which blood circuit?A) pulmonary B) coronary C) systemic D) pelvic 93 Blood from the stomach and intestines is transported to the liver by the:A) aorta B) hepatic artery C) hepatic portal vein D) renal artery 94 The opening between the two atria in the fetus is the _____.A) ductus venosus B) ductus arteriosus C) foramen ovale D) circle of Willis 95 Identify the vessel that transports oxygen rich blood to the fetus.A) ductus arteriosus B) ductus venosus C) umbilical arteries D) umbilical vein 96 Identify the fetal structures that help circulation to by-pass the lungs.A) ductus arteriosus and ductus venosus B) ductus arteriosus and foramen ovale C) foramen ovale and umbilical arteries D) umbilical arteries and umbilical vein 97 With age, the size of the heart typically _____ and the resting heart rate _____.A) decreases; decreases B) decreases; increases C) increases; increases D) increases; decreases