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The cardiac electrical impulse normally begins spontaneously in the SA node because


A) of the superior location of the SA node in the right atrium.
B) the SA node is the only area of the heart capable of spontaneous depolarization.
C) of the rich sympathetic innervation of the SA node.
D) this area produces action potentials more rapidly than any other portion of the conduction system.
E) of action potentials from the cardioregulatory center.

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

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Regurgitation of blood flow through the aortic semilunar valve would give rise to


A) the first heart sound.
B) the second heart sound.
C) a heart murmur.
D) an extra heart beat.
E) end-systolic volume.

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

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During hemorrhagic shock in which blood pressure is decreased,which of the regulatory mechanisms is most important is increasing cardiac output to help maintain blood pressure?


A) increased sympathetic stimulation of the heart
B) increase venous return
C) increase in parasympathetic stimulation of the heart
D) increase vagal stimulation of the heart
E) increase in the amplitude of the heart sounds

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

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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) All of the above
G) None of the above

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A stab wound into the heart can result in cardiac tamponade.This means that


A) blood enters the pleural cavity.
B) the heart is compressed by blood in the pericardial sac.
C) the electrical conduction system of the heart is damaged.
D) the left coronary artery has been damaged or cut.
E) the heart has lost all of its blood.

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

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Baroreceptor reflexes


A) are triggered by increased blood osmolality.
B) correct changes in blood pH.
C) do not impact the activity of the heart.
D) are of minor importance in humans.
E) can change heart rate.

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

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The product of the stroke volume times the heart rate is known as the


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

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

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Identify the structures that contribute to the slow onset of contraction and prolonged contraction phase in cardiac muscle tissue.


A) Desmosomes
B) Gap junctions
C) Intercalated discs
D) T-tubules
E) Terminal cisternae

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

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

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The ion primarily responsible for depolarization in pacemaker cells is ______________,whereas the ion primarily responsible for this in other cardiac cells is _____________.


A) sodium; calcium
B) calcium; sodium
C) potassium; sodium
D) calcium; potassium

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

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All of the following characteristics of the sarcoplasmic reticulum in cardiac muscle cells are true except ________________.


A) it is more irregular than that in skeletal muscle cells.
B) it is in close association wit the transverse tubules.
C) it is involved in the storage and release of calcium
D) it has enlarged terminal cisternae like skeletal muscle cells.

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

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Within normal limits,an increase in preload leads to


A) an increase in cardiac output and force of left ventricular contraction.
B) a decrease in cardiac output and force of left ventricular contraction.
C) an increase in cardiac output and a decrease in force of left ventricular contraction.
D) a decrease in cardiac output and an increase in the force of left ventricular contraction.
E) a decrease in stroke volume and heart rate.

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

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The valve located between the right ventricle and the pulmonary trunk is the


A) aortic semilunar valve.
B) pulmonary semilunar valve.
C) tricuspid valve.
D) mitral valve.
E) bicuspid valve.

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

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Action potentials pass from one myocardial cell to another through areas of low electrical resistance called


A) gap junctions.
B) fibrous heart rings.
C) electromagnetic discs.
D) sarcolemma sclerotic plaques.
E) tight junctions.

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

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If cardiac muscle cells are unable to repolarize,this would cause


A) cardiac output to increase.
B) no harm.These cells can spontaneously depolarize anyway.
C) the heart rate to decrease.It might cause cardiac arrest.
D) an increased demand on mitochondria to produce more ATP.
E) tachycardia.

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

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A patient has been diagnosed with mild heart disease.Tests show that some of the coronary arteries are partially occluded.Which of the following is the best course of action to treat the disease?


A) Angioplasty
B) Coronary bypass surgery
C) Electrocardiogram
D) Tissue plasminogen activation
E) Angiogram

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

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All cardiac veins empty into the _________,which then empties into the _______.


A) coronary sinus; left atrium
B) coronary sinus; right atrium
C) great cardiac vein; right atrium
D) great cardiac vein; superior vena cava
E) inferior vena cava; left atrium

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

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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 C)
G) All of the above

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

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