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A patient is prescribed a calcium channel blocker to prevent angina (chest pain), by decreasing the demand for oxygen. Explain why.

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By preventing the influx of calcium ions...

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An older woman complains of shortness of breath and intermittent fainting spells. Her doctor runs various tests and finds that the atrioventricular (AV) node is not functioning properly. What is the suggested treatment?

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The suggested treatment is surgery to implant an artificial pacemaker.

Select the correct statement about cardiac output.


A) Decreased venous return will result in increased end diastolic volume.
B) Stroke volume increases if end diastolic volume decreases.
C) A slow heart rate increases end diastolic volume, stroke volume, and force of contraction.
D) If a semilunar valve were partially obstructed, the end systolic volume in the affected ventricle would be decreased.

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

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C

Which of the following receive(s) blood during ventricular systole?


A) pulmonary arteries only
B) aorta only
C) pulmonary veins only
D) both the aorta and pulmonary trunk

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

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Cardiac muscle has more mitochondria and depends less on a continual supply of oxygen than does skeletal muscle.

A) True
B) False

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Anastomoses among coronary arterial branches provide collateral routes for blood delivery to the heart muscle.

A) True
B) False

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True

The atrioventricular (AV) valves are closed__________ .


A) when the ventricles are in systole
B) by the movement of blood from atria to ventricles
C) while the atria are contracting
D) when the ventricles are in diastole

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

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Which of the following is NOT part of the intrinsic conduction system of the heart?


A) sinoatrial (SA) node
B) atrioventricular (AV) valve
C) atrioventricular (AV) node
D) bundle branches

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

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Which is most responsible for the synchronized contraction of cardiac muscle tissue?


A) small motor units
B) branching cells
C) desmosomes
D) gap junctions

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

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Which is NOT a vessel that brings blood directly into the right atrium?


A) pulmonary vein
B) superior vena cava
C) coronary sinus
D) inferior vena cava

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

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Exercise results in skeletal muscles compressing veins which encourages blood to return to the heart. In this scenario, which of the following is correct?


A) end diastolic volume (EDV) decreases
B) venous return decreases
C) stroke volume decreases
D) preload increases

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

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During the period of ventricular filling__________, .


A) the atria remain in diastole
B) the aortic and pulmonary semilunar valves are open
C) blood flows mostly passively from the atria through the atrioventricular (AV) valves into the ventricles
D) pressure in the heart is at its peak

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

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Select the correct statement about the structure of the heart wall.


A) Connective tissue in the heart wall aids in the conduction of the action potential.
B) The fibrous cardiac skeleton forms the bulk of the heart.
C) The heart chambers are lined by the endomysium.
D) The myocardium is the layer of the heart that actually contracts.

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

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During exercise, which of the following would occur on an electrocardiogram (ECG) compared to an individual at rest?


A) the time from one R to the R of the next heartbeat would decrease
B) the P-R interval would decrease
C) the S-T segment would decrease
D) the T wave would decrease

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

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Which of the following is NOT an age-related change affecting the heart?


A) thinning of the valve flaps
B) atherosclerosis
C) fibrosis of cardiac muscle
D) decline in cardiac reserve

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

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The Frank-Starling Law states that, if other factors are constant, a __________.


A) higher end diastolic volume will produce a higher stroke volume
B) higher stroke volume will produce a higher end diastolic volume
C) higher stroke volume will produce a lower end diastolic volume
D) higher end diastolic volume will produce a lower stroke volume

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

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What is the difference between the auricles and the atria?

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Auricles are the flaplike appendages att...

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Norepinephrine acts on the heart by__________ .


A) causing a decrease in stroke volume
B) causing threshold to be reached more quickly
C) decreasing heart contractility
D) blocking the action of calcium

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

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Which chambers of the heart contain oxygenated blood?


A) right and left ventricles
B) right atrium and ventricle
C) left atrium and ventricle
D) right and left atria

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

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The left side of the heart pumps the same volume of blood as the right.

A) True
B) False

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