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Which of the following will depolarize immediately after the AV node depolarizes?


A) the AV bundle
B) Purkinje fibers
C) atrial myocardium
D) bundle branches in the ventricular septum
E) the SA node

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

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An increase in extracellular calcium generally increases


A) the heart rate.
B) the force of contraction.
C) autonomic stimulation of the heart.
D) sodium channel opening.
E) the frequency of the action potentials.

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

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Variations in respiratory rate is a symptom of


A) sinus arrhythmia.
B) ventricular tachycardia.
C) SA node block.
D) paroxysmal atrial tachycardia

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

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Energy for contraction of myocardial cells comes primarily from


A) aerobic respiration in the mitochondria.
B) anaerobic respiration in the cytosol.
C) glycolysis in the cytosol.
D) ATP that is stored while the heart is not contracting.
E) creatine phosphate.

F) A) and D)
G) C) and D)

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The heart


A) is a four-chambered muscular pump.
B) is posterior to the trachea.
C) is lined with an epithelial layer called epicardium.
D) lies mostly to the right of the midline of the sternum.
E) has a superior apex and an inferior base.

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

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The function of the pericardial fluid is to


A) reduce friction between the pericardial membranes.
B) lubricate the heart valves.
C) replace any blood that is lost.
D) provide oxygen and nutrients to the endocardium.
E) stimulate the heart.

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

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What occurs during the time between the first heart sound and the second heart sound?


A) ventricular systole
B) ventricular diastole
C) ventricular filling
D) atrial systole
E) the P wave of the ECG

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

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Which of the following layers forms the bulk of the heart wall?


A) epicardium
B) pericardium
C) endocardium
D) myocardium
E) visceral pericardium

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

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Which blood vessel carries blood from the left ventricle?


A) aorta
B) right atrium
C) pulmonary trunk
D) pulmonary arteries
E) pulmonary veins

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

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Which of the following will increase the heart rate?


A) a rise in pH
B) an increase in the level of carbon dioxide in the blood
C) an increase in the level of blood oxygen
D) an increase in blood pressure
E) a decrease in the level of carbon dioxide in the blood

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

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End-diastolic volume minus end-systolic volume is equal to


A) cardiac output.
B) cardiac reserve.
C) pulse volume.
D) venous return.
E) stroke volume.

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

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Which of the following sequences for the conducting system is correct?


A) AV node,AV bundle,SA node,Purkinje fibers,bundle branches
B) Purkinje fibers,bundle branches,AV node,AV bundle,SA node
C) SA node,AV node,AV bundle,bundle branches,Purkinje fibers
D) SA node,AV bundle,AV node,bundle branches,Purkinje fibers
E) AV node,SA node,bundle branches,AV bundle,Purkinje fibers

F) C) and D)
G) A) and C)

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Under resting conditions,the normal stroke volume is approximately ___________.


A) 55 mL
B) 70 mL
C) 110 mL
D) 125 mL
E) 180 mL

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

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Which of the following is NOT an enzyme given to someone experiencing a myocardial infarction to break up blood clots?


A) streptokinase
B) tissue plasminogen activator (t-Pa)
C) nitroglycerin
D) urokinase

E) A) and B)
F) None of the above

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Calcium channel blockers are frequently used to


A) increase the heart rate.
B) treat tachycardia or other arrhythmias.
C) speed up conduction of impulses through the AV node.
D) slow the closing of potassium ion channels.
E) treat bradycardia and low blood pressure.

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

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Which of these statements is true?


A) The left coronary artery is a branch of the left pulmonary vein.
B) The coronary sinus returns blood to the left atrium.
C) The coronary arteries arise from the pulmonary trunk.
D) The great cardiac vein collects blood from the left anterior surface of the heart.
E) The pulmonary arteries carry blood to the left atrium.

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

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During the ejection phase of the cardiac cycle,blood exits the left ventricle through the


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

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

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What event(s) occur during the QRS complex of an ECG?


A) depolarization of the atria
B) repolarization of the ventricles
C) depolarization of the atria and repolarization of the ventricles
D) depolarization of the ventricles and repolarization of the atria

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

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Which of the following statements regarding intrinsic regulation of the heart is true?


A) Stretching the SA node will decrease generation of action potentials in the node.
B) Decreased venous return increases cardiac output.
C) The heart's pumping effectiveness is greatly influenced by small changes in afterload.
D) If cardiac muscle fibers are slightly stretched,they have a stronger contraction force.
E) If cardiac muscle fibers are slightly stretched,they have a weaker contraction force.

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

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An incompetent pulmonary semilunar valve could result in less blood reaching the


A) lungs.
B) heart muscle.
C) right ventricle.
D) aorta.
E) right atrium.

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

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