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Fall 2009 Practice Exam 3

True/False
Indicate whether the sentence or statement is true or false.
 

 1. 

Red blood cell production is regulated by a hormone called erythrocytosin, which is secreted by the kidneys.
 

 2. 

The papillary muscle closes the AV valves during systole.
 

 3. 

An increased blood vessel diameter causes decreased flow.
 

 4. 

People require vitamins in part to aid in the blood clotting process.
 

 5. 

The stroke volume of the left ventricle is greater than the stroke volume of the right ventricle
 

 6. 

Lymph vessels and vein have valves, but arteries and capillaries do not.
 

 7. 

Elastic arteries dampen the systolic pressure and provide pressure during diastole.
 

 8. 

When describing how interstitial fluid interacts with the tissue cells it is said the cells should take a shower, not a bath.
 

Multiple Choice
Identify the letter of the choice that best completes the statement or answers the question.
 

 9. 

Which of the following is NOT true about red blood cells?
a.
they have a lifespan of about 120 days
c.
they are produced by the liver
b.
they contain no nucleus or mitochondria
d.
they can travel through the whole circulatory system in one minute
 

 10. 

Which of the following blood components has an immune function?
a.
albumin
c.
antibodies
b.
hemoglobin
d.
lipoproteins
 

 11. 

Which of the following lab tests is NOT useful for determining anemia?
a.
differential leukocyte count
c.
erythrocyte count
b.
hematocrit
d.
hemoglobin concentration
 

 12. 

Lead        is the most commonly used lead and is used to record the flow of electrical activity in normal atrial and ventricular depolarization.
a.
I
c.
III
b.
II
d.
AVF
 

 13. 

Which of the following is NOT a characteristic of veins?
a.
low blood pressure
d.
one-way valves
b.
high blood pressure
e.
high volume capacity
c.
large lumens
 

 14. 

Which of the Starlings forces would be affected by liver failure?
a.
tissue oncotic pressure
c.
capillary oncotic pressure
b.
capillary hydrostatic pressure
d.
tissue hydrostatic pressure
 

 15. 

If a tissue becomes very metabolically active it will:
a.
produce carbon dioxide that causes vasodilation of local blood vessels
c.
become hypoxic in the absence of local metabolic controls
b.
require increased blood flow to meet its metabolic needs
d.
all of the above
 

 16. 

What is the function of hematopoietic stem cells?
a.
produce antibodies
c.
kill bacteria
b.
produce blood cells
d.
stimulate immune system
 

 17. 

Theoretically, why is blood type O considered the universal donor?
a.
it has both A and B antigens
c.
it has only the B antigen
b.
it has only the A antigen
d.
it does not have A or B antigens
 

 18. 

Which of the following combinations would produce an Rh incompatibility problem during pregnancy?
a.
negative man and negative woman
c.
positive man and negative woman
b.
negative man and positive woman
d.
positive man and positive woman
 

 19. 

The formed elements that contribute to blood clotting are:
a.
erythrocytes
c.
platelets
b.
leukocytes
d.
antibodies
 

 20. 

The primary function of hemoglobin is to:
a.
store iron
c.
transport glucose
b.
give RBCs their color
d.
carry oxygen to peripheral tissues
 

 21. 

The role of bicarbonate ion in the blood is to serves as:
a.
a buffer for H+ ion
c.
a carrier of oxygen
b.
a buffer for OH- ion
d.
a carrier of lipids
 

 22. 

Thrombin
a.
is the first activator of clotting factors during clotting
c.
catalyzes the conversion of fibrinogen to fibrin
b.
is used only by the extrinsic pathway of clotting
d.
is found only in the liver
 

 23. 

During the cardiac cycle:
a.
the atria contract at the same time as the ventricles
c.
the AV valves open during systole
b.
the semilunar valves close after systole
d.
the ventricles contract during diastole
 

 24. 

The amount of blood in the ventricles just before contraction is:
a.
ejection fraction
c.
end diastolic volume
b.
end systolic volume
d.
mean arterial pressure
 

 25. 

Calcium in the heart:
a.
enters the myocardial cells during depolarization
c.
is responsible for excitation contraction coupling of the myocardium
b.
contributes to the depolarization of the myocardium
d.
all of the above
 

 26. 

Which of the following is more likely to cause a decrease in the stroke volume of the left ventricle in the absence of compensations?
a.
an increase in artery resistance
c.
an increase in the sympathetic activity to the heart
b.
an increase in end-diastolic volume
d.
an increase in venous return
 

 27. 

Which of the following is NOT one of the nonspecific defenses?
a.
antibody agglutination
c.
stomach acidity
b.
complement fixation
d.
antimicrobial enzymes in sweat and tears
 

 28. 

Which of the following is NOT a type of pathogen?:
a.
bacteria
d.
prion
b.
virus
e.
parasitic worm
c.
pollen
 

 29. 

Which of the following can NOT specifically recognize an antigen?
a.
macrophage
c.
killer T cell
b.
helper T cell
d.
B cell
 

 30. 

The process by which monocytes and other white blood cells roll along a capillary near the site of infection is called:
a.
margination
c.
chemotaxis
b.
diapedesis
d.
phagocytosis
 

 31. 

Complement produces particles which coat a microorganism creating a target for macrophages and neutrophils to phagocytose the organism. This phenomenon is called:
a.
chemotaxis
c.
agglutination
b.
neutralization
d.
opsonization
 

 32. 

The virally infected cell:
a.
produces complement to help other cells guard against infection
c.
usually dies before the virus has a chance to replicate
b.
produces histamines that initiate complement
d.
produces interferon to help other cells guard against infection
 

 33. 

The vessels that allow some leakage of fluid out into the interstitial space are called:
a.
arteries
c.
capillaries
b.
veins
d.
lymph vessels
 

 34. 

Which of the following blood vessels contains smooth muscle that regulates blood flow through capillary beds?
a.
arteries
c.
capillaries
b.
arterioles
d.
all of the above
 

 35. 

The muscular layer found in the walls of vessels is thickest in:
a.
arteries
c.
capillaries
b.
veins
d.
lymphatic vessels
 

 36. 

Plasma oncotic pressure is mostly achieved by:
a.
interstitial pressure
c.
blood proteins
b.
hydrostatic pressure
d.
immunoglobulins
 

 37. 

Edema may result from:
a.
decreased blood viscosity
c.
decrease in blood pressure
b.
leakage of plasma proteins into interstitium
d.
fever
 

 38. 

Of the following changes, which would cause an increase in the rate of fluid flow out of the capillaries?
a.
a decrease in capillary oncotic pressure
d.
an increase in arterial blood pressure
b.
a decrease in interstitial oncotic pressure
e.
a & d
c.
an increase in plasma protein concentration
 

 39. 

Blood pressure:
a.
is greatest in the veins
c.
is lowest in the veins
b.
is pulsatile in the arteries
d.
increases as cardiac output decreases
 

 40. 

Which of the following chemicals is a major vasoconstrictor?
a.
angiotensin converting enzyme
c.
renin
b.
heparin
d.
angiotensin II
 

 41. 

What tissue tends to receive continuous blood flow in all conditions.
a.
brain
c.
digestive tract
b.
skeletal muscle
d.
reproductive organs
 

 42. 

Which of the following changes would cause an increase in the resistance to blood flow through a vessel?
a.
an increase in diameter of a blood vessel
c.
a decrease in hematocrit
b.
an increase in blood viscosity
d.
all of the above
 

 43. 

Of the following changes, which would tend to cause an increase in arterial pressure?
a.
vasodilation of systemic organs
c.
a decrease in heartrate
b.
an increase in stroke volume
d.
a decrease in total peripheral resistance
 

 44. 

Which of the following does NOT increase when arterial blood pressure falls?
a.
sympathetic nervous system activity
c.
heartrate
b.
parasympathetic nervous system activity
d.
myocardial contractility
 

Matching
 
 
Match the following components of the circulatory system to their actions.
a.
heart
c.
arteries
b.
blood
d.
lymphatic vessels
 

 45. 

carry blood toward tissues
 

 46. 

double pump of blood
 

 47. 

carries interstitial fluid away from tissues
 

 48. 

carries oxygen, nutrients, wastes, hormones, etc. to tissues
 
 
Match the following white blood cells to their characteristics.
a.
fights parasitic worms
c.
make antibodies
b.
most common type of white blood cell
d.
involved in allergic reactions
 

 49. 

eosinophils
 

 50. 

lymphocytes
 

 51. 

neutrophils
 
 
Match the following.
a.
ADH
c.
atrial natriuretic peptide
b.
aldosterone
d.
angiotensin
 

 52. 

secreted in response to low blood pressure
 

 53. 

secreted in response to increased blood osmolarity
 

 54. 

directly causes vasoconstriction
 

 55. 

causes salt and water retention at the kidneys
 
 
Match the effect on the cardiovascular system with the following. Assuming no compensatory mechanisms.
a.
increase
c.
no effect
b.
decrease
 

 56. 

Effect of sympathetic influence on the cardiac output
 

 57. 

Effect of parasympathetic stimulation on the heartrate
 

 58. 

Effect of arteriosclerosis on the stroke volume
 

 59. 

Effect of blood loss on blood pressure
 

Short Answer
 

 60. 

Name two anticoagulent drugs. (2)                                         
 

 61. 

Increasing the                               will increase the end-diastolic volume and thus stroke volume. This can achieved by increasing                         . (2)
 

 62. 

A lack of oxygen carrying capacity in the blood is known as                       
 

 63. 

During a routine visit to the MD, she notices a murmur associated with the lub sound of your heart. What did she detect?


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 64. 

For the following ECG, state the following: heartrate. Is the rhythm regular or irregular? Is there a P wave for every QRS and vice-versa? What is the P-R interval? What is the QRS period? What is your conclusion? (3) Note: each large box is 0.2 sec.


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 65. 

Describe and illustrate the positive feedback loop associated with blood clotting. (2)













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 66. 

The body has multiple means of ensuring adequate cardiac output in order to perfuse body tissues. Draw a flow chart that illustrates at least three of the various mechanisms the body uses to maintain cardiac output. (6)
 



 
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