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In a normal electrocardiogram, the


A) P wave results from repolarization of the atria.
B) QRS complex results from ventricular depolarization.
C) P wave occurs after the QRS complex but before the T wave.
D) T wave represents depolarization of the atria.
E) repolarization of the atria is clearly visible.

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

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Which statement correctly identifies the phase of the cardiac cycle that occurs when the pressure in the ventricles is lower than the pressure in the great arteries but greater than the pressure in the atria?


A) Passive ventricular filling
B) Period of ejection
C) Period of isovolumetric contraction
D) Active ventricular filling

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

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The plateau phase seen during the action potential of a cardiac muscle cell is due to the


A) sodium-potassium pump.
B) opening of Na+ channels.
C) continuing to have open Ca2+ channels.
D) closure of Cl− channels.
E) closing of Ca2+ channels.

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

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When the aortic semilunar valve closes and blood bounces off of it, it produces the ________ heart sound that is ultimately related to when the ________.


A) lubb (S1) ; atria contract
B) dupp (S2) ; atria relax
C) lubb (S1) ; ventricles contract
D) dupp (S2) ; ventricles relax
E) lubb (S1) ; ventricles relax

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

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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) C) and D)

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Which vessels empty blood into the left atrium?


A) Aorta
B) Right atrium
C) Pulmonary trunk
D) Pulmonary arteries
E) Pulmonary veins

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

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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) A) and C)
G) All 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 B)
G) None of the above

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The ________ carry blood toward the lungs.


A) pulmonary arteries and veins
B) pulmonary trunk and arteries
C) pulmonary trunk and veins
D) superior and inferior venae cavae
E) aorta and pulmonary arteries

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

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The ________ valve guards the entrance to the ________, which carries ________ blood to the lungs.


A) bicuspid; aorta; oxygenated
B) mitral; pulmonary trunk; oxygenated
C) pulmonary semilunar; pulmonary trunk; deoxygenated
D) aortic; aorta; deoxygenated

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

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The cardioregulatory center of the brain is located in the


A) hypothalamus.
B) medulla oblongata.
C) cerebellum.
D) cerebrum.
E) diencephalons.

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

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Obstruction of the ________ will cause a more severe myocardial infarction (MI) than the obstruction of any of the others.


A) left marginal vein
B) left coronary artery (LCA)
C) posterior interventricular vein
D) anterior interventricular branch
E) circumflex branch

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

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The right side of the heart receives blood from the body and pumps through the ________ circulation to the lungs.


A) hepatic
B) pulmonary
C) peripheral
D) systemic

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

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Most of the ventricle filling occurs ________.


A) during atrial systole
B) when the AV valve is closed
C) during ventricular systole
D) during atrial diastole
E) during isovolumetric contraction

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

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When comparing cardiac muscle cells and skeletal muscle cells,


A) the rate of action potential propagation is faster in cardiac muscle.
B) both possess intercalated discs.
C) only skeletal muscle has a plateau phase in its contraction cycle.
D) action potentials are conducted from cell to cell only in cardiac muscle.
E) both are voluntary.

F) B) and E)
G) C) 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 fibers.
B) it is in close association with the transverse tubules.
C) it is involved in the storage and release of Ca2+.
D) it has enlarged terminal cisternae like skeletal muscle fibers.

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

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Assume that the left ventricle of a child's heart has an EDV=90mL, and ESV=60mL, and a cardiac output of 2,400 mL/min. His SV is ________ mL/beat, and his HR is ________ bpm.


A) 30; 80
B) 40; 60
C) 80; 30
D) 150; 16
E) 16; 150

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

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When sodium channels are fully open, the membrane of the ventricular cardiac muscle cells ________.


A) sharply hyperpolarizes
B) sharply repolarizes
C) sharply depolarizes
D) plateaus
E) has no response

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

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Energy for contraction of cardiac muscle 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) B) and C)
G) A) and E)

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