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Typically, there are ________ papillary muscles that project from the wall of the left ventricle and attach to the tendinous cords that support the left AV valve.


A) three
B) two
C) a highly variable number of
D) six
E) no

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

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Deep to the interventricular sulci is the thick muscular wall that divides the left and right ventricles, known as the interventricular ________.

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What part of the cardiac conduction system is located in the posterior wall of the right atrium, adjacent to the entrance of the superior vena cava?


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

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

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The left and right coronary arteries


A) are interconnected with several high-volume anastomoses allowing for well-perfused alternate blood paths.
B) are functional end arteries because the blockage of one of them leads to tissue death in the area it supplies.

C) A) and B)
D) undefined

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What would you expect a cardiologist to recommend if there was substantial occlusion to a patient's left coronary artery but not the right coronary artery?


A) Because there are multiple alternate paths for blood delivery, the cardiologist would not intervene.
B) Because this is a relatively small, unimportant artery, the cardiologist would not intervene.
C) Because this is an important artery, and alternate vascular paths are inadequate, the cardiologist would treat the condition.
D) Because occlusions require blood to be moved under greater pressure, the cardiologist would prescribe drugs to raise blood pressure.

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

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A chemical that alters heart rate is known as a(n) ________ agent.

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Parasympathetic and sympathetic influence on heart rate is controlled by reflexes.

A) True
B) False

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Select all that occur during the plateau phase of an action potential on a cardiac muscle cell. A) Calcium is entering the cell. B) Potassium is exiting the cell. C) Sodium is entering the cell. D) Calcium is exiting the cell.

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Which vein drains the posterior aspect of the ventricles of the heart?


A) Great cardiac vein
B) Middle cardiac vein
C) Small cardiac vein
D) Circumflex vein

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

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B

How many half-moon shaped, pocketlike cusps are found in each semilunar valve?


A) 1
B) 2
C) 3
D) 4
E) 6

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

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C

Which correctly describes the heart's apex?


A) Projects slightly anteroinferiorly toward the left side of the body
B) Projects slightly anteroinferiorly toward the right side of the body
C) Projects slightly posteroinferiorly toward the left side of the body
D) Projects slightly posteroinferiorly toward the right side of the body
E) Projects slightly posteroinferiorly toward the midline of the body

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

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The posterior interventricular artery is a branch off of the


A) superior vena cava.
B) left marginal artery.
C) right coronary artery.
D) left coronary artery.
E) coronary sinus.

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

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According to the Frank-Starling law


A) the more calcium available to the heart cell, the more forcefully it will contract.
B) as the volume of blood entering the heart increases, ventricular contractions become more forceful.
C) the faster the heart rate, the larger the stroke volume.
D) the greater the resistance from the arteries, the higher the blood pressure.

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

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Each of the receiving chambers of the heart has a wrinkled flaplike extension; the one that is more visible from an anterior view is the


A) interatrial septum.
B) interventricular septum.
C) left auricle.
D) right auricle.

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

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Blood flow to the heart wall courses through coronary vessels in a steady stream.

A) True
B) False

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During ventricular contraction


A) only the AV valves open.
B) only the AV valves close.
C) only the semilunar valves close.
D) the semilunar valves close and the AV valves open.
E) the semilunar valves open and the AV valves close.

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

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To initiate a cardiac muscle cell contraction, calcium


A) binds to calmodulin.
B) binds to troponin.
C) binds to actin.
D) binds to the Z-disc.
E) binds to tropomyosin.

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

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B

The numerous ________ within the intercalated discs prevent cardiac muscle fibers from pulling apart.

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Which are differences between cardiac muscle tissue and skeletal muscle tissue? A: The sarcoplasmic reticulum in cardiac muscle is less extensive. B: The sarcoplasmic reticulum in cardiac muscle is more organized. C: Cardiac muscle has intercalated discs; skeletal muscle does not. D: Cardiac muscle has 1 or 2 nuclei per cell; skeletal muscle has multiple nuclei per cell. E: Cardiac muscle has more well-defined terminal cisternae.


A) a, c, d
B) a, c, e
C) b, c, e
D) a, b, e
E) b, d, e

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

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Sympathetic innervation of the heart arises from the ________ segments of the spinal cord.


A) T1-T5
B) T3-T8
C) T5-T10
D) T6-T11
E) T11-L2

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

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