The ___ are channels between cardiac muscles cells that are found within the intercalated discs
gap junctions
The contraction phase of the cardiac cycle is termed ___
systole
The network of nerve fibers found lining the ventricle walls are called ___
purkinjie fibers
A condition in which the myocardium is partially contracting in an disorganized manner with no effective pumping action is called ___
fibrillation
The serous membrane that surrounds the heart and contains the pericardial fluid is called ___
parietal pericardium
ventricle depolarization =
QRS wave
atrial depolarization =
P wave
ventricle repolarization =
T wave
time in which no action potentials are being generated =
TP interval
smaller heart chambers =
atria
inside lining of the heart chambers =
endocardium
carries blood to the cardiac muscle tissue between the atria and ventricles =
coronary artery
chambers that contain trabeculae carneae =
ventricles
makes up the interatrial septum
myocardium
empties into the right atrium =
coronary sinus
same as the epicardium =
visceral pericardium
The volume of blood ejected from each ventricle each heart beat is called the:
stroke volume
An increase in the afterload pressure results in:
stronger contractions by the ventricles
Which blood vessel has the highest concentration of oxygen?
pulmonary veins
Damage to which of tissues would affect the resistance of blood flow throughout the body?
smooth muscle
An ECG (EKG) provides information about:
electrical currents across the heart
Ventricular contraction
begins just after the Q wave
In order for blood to enter the heart
the atria must not only be at rest but the the atrial pressure must be lower than the veins
A and B
Which of the following is longer?
the absolute refractory period of cardiac muscle
The chordae tendineae:
prevent the AV valve flaps from folding into the atrium
During ventricular diastole, the:
ventricles fill with blood from the atria
The purpose of having valves in the cardiovascular system is to
ensure the blood flows in one direction
The difference between systolic and diastolic pressure is called the
pulse pressure
Which blood pressure readings would be indicative of hypertension?
150/95
The AV node is important because it
directs electrical impulses from the atria to the ventricles and delays the transmission of electrical impulses to the ventricles in order for the atria to finish contracting
A and B
Which blood vessel would contain the greatest volume of blood?
vena cava
Select the best statement about blood flow.
it moves slower in veins compared to the capillaries
Which statement best describes arteries?
all carry blood away from the heart
The portion of the cardiac conduction system located in the interventricular septum is the:
bundle branches
The delay in the AV node
ensures that the atria contract and empty their contents into the ventricles
What is not correct concerning the location of the heart
inferior to the diaphragm
The second sound of the heart occurs when:
the semilunar valves close
As a result of the extended absolute refractory period, cardiac muscle cannot exhibit
tetanus
A drug like Digitalis, which slows the heart rate, would be given to a patient to:
increase the venous return volume by slowing the heart rate
What is not associated with capillaries
ability to control blood pressure
Which of the following would increase the stroke volume?
when venous return is increased
Ventricle systole:
forces open the semilunar valves
Which statement is false?
medium veins have a MAP of around 60 mmHg
Which conditions would have the fastest effect on peripheral resistance?
decrease the diameter of a vessel
What will increase the heart rate?*
A and B*
A typical action potential of a myocardial contractile cell last ___ milliseconds
at least 200
The ECG of a person suffering from a complete AV heart block would show
more P waves than QRS waves
Whole blood is the combination of plasma and ___
formed elements
The rarest of the leukocytes is the ___
basophils
The term used to describe the production of blood cells is called ___
hematopoiesis
During childhood, T lymphocytes are programmed in the ___
thymus
How many polypeptide chains make up hemoglobin?
four
When monocytes migrate into the interstitial spaces to fight infection, they change to a different type of cell called ___
macrophages
NO exchange of gases occurs here =
segmental bronchi
Secrete a fluid containing surfactant =
Type ll cells
Where the respiratory zone of the lungs begins =
respiratory bronchioles
Composed of simple squamous epithelium =
Type l cells
Terminates in alveoli =
alveolar duct
composed of cuboidal cells
type ll cells
the respiratory membrane is composed of fused basement membrane of the capillary walls and ___
type l cells
TV + IRV + ERV + RV =
total lung capacity
ERV + RV =
functional residual capacity
TV + IRV + ERV =
vital capacity
TV + IRV
inspiratory capacity
Stem cell for all formed elements =
myeloid
Numbers of this cell will increase during a parasitic infection =
eosinophils
hemostasis
fast series of reactions for stoppage of bleeding
A phagocytic cell that is found in the tissues =
monocytes
Releases heparin in response to inflammation =
basophils
Most common white blood cell =
neutrophils
Produce antibodies to attack antigens =
B-lymphocytes
T/F: each hemoglobin molecule can only carry two molecules of oxygen
false
T/F: the immediate response to blood vessel injury is coagulation
False
T/F: when erythrocytes are destroyed, some of the heme is converted into bilirubin and then secreted as bile
true
T/F: basophils increase in number when parasitic invasions occurs
false
T/F: lymphocytes reside temporarily in lymphoid tissue, then move to other parts of the body
true
T/F: Peyer's patches are clusters of lymphoid tissue found primarily in the large intestine
false
T/F: as carbon dioxide enters systemic blood, it causes more oxygen to dissociate from hemoglobin (the Haldane effect), which in turn allows more CO2 to combine with hemoglobin and more bicarbonate ions to be generated (the Bohr effect)
false
T/F: a drop in blood pH is likely to cause a slower breathing rate
false
T/F: the parietal pleura lines the thoracic wall
true
Fred's blood was determined to be AB positive. What does this mean?
there are no antibodies to A, B, or to Rh antigens in the plasma
What organ in the body regulates erythrocyte production?
kidney
If a person is severely dehydrated you would expect to see all of the following EXCEPT ___
lower immunity
Leukocytes displaying red cytoplasmic granules when treated with Wright's stain are most likely ___
eosinophils
What would you except to have the least effect on hematocrit percentage?
prolonged or excessive fever
With a patient that is administered an injection of erythropoietin (EPO) you would except to see ___
increased hematocrit
A person with an extremely high count of neutrophils is likely suffering ___
a bacterial infection
The cells responsible for producing platelets are called ___
megakaryocytes
If you centrifuge (spin) whole blood you will find the band of white blood cells and platelets (the buffy coat) is much thinner than the packed red blood cells below it. This difference reflects the fact that ___
white blood cells are fewer in number than red blood cells
What is the average normal pH range of blood?
7.35-7.45
A patient with type A positive blood can, in theory, safely donate blood to someone with ___ blood
A positive or AB positive
What is NOT a part of the lymphatic system?
blood vessels
Peyer's patches are found in the distal portion of the ___
small intestine
Which lymphoid organs and tissues are characterized by a cortex and medulla?
lymphoid nodes and thymus only
What would NOT be classified as a lymphoid organ?
pancreas
When the lymphatic structures of a limb are blocked due to tumors, the result is ___
severe localized edema (swelling) distal to the blockage of that limb
Which of the following correctly describes the pathway of lymph?
lymphatic capillaries to lymphatic vessels to lymphatic trunks to lymphatic ducks
Select the correct statement about lymph transport
lymph transport depends on the movement of adjacent tissues, such as skeletal muscles
Which lymphoid organ atrophies as we age?
thymus
Although B and T lymphocytes originate in the bone marrow, T cells mature in the ___
thymus
The tonsils located at the base of the tongue are the ___
lingual tonsils
What provides the greatest surface area for gas exchange?
alveoli
Air moves out of the lungs when the pressure inside the lungs is ___
greater than the pressure in the atmosphere
Which law describes the relationship between the pressure and volume of a gas?
Boyle's law
The relationship between gas pressure and gas volume is described by ___
Boyle's law
Tidal volume is air ___
exchanged during normal breathing
What is NOT a factor that promotes oxygen binding to and dissociation from hemoglobin?
number of red blood cells
In the plasma, the quantity of oxygen in solution is ___
only about 1.5% of the oxygen carried in blood
The walls of the alveoli are composed of two types of cells, type l and type ll alveolar cells. The function of the type ll alveolar cells is to ___
secrete surfactant
The statement, "in a mixture of gases, the total pressure is the sum of the individual partial pressures of gases in the mixture" paraphrases
Dalton's law
What counteracts the movement of bicarbonate ions from the RBC?
chloride shifting
Intrapulmonary pressure is the ___
pressure within the alveoli of the lungs
What determines the direction of respiratory gas movement?
partial pressure gradient
The symptoms of hyperventilation may be averted by breathing into a paper bag because it ___
helps retain carbon dioxide in the blood
What is NOT part of the respiratory membrane of the lungs?
thick layer of mucus lining the cavity
The amount of air that can be inspired above the tidal volume is called ___
inspiratory reserve volume
The most powerful respiratory stimulus for breathing in a healthy person is ___
increase of carbon dioxide
For inspiration of air, which of the following happens first?
diaphragm descends, thoracic volume begins to increase, and rib cage rises
How is the bulk of carbon dioxide transported in blood?
as bicarbonate ions in plasma after first entering the red blood cells
T/F: fats significantly delay the emptying of the stomach through hormonal and neuronal signals
true
T/F: dentin anchors the tooth in place
false
T/F: the major means of propulsion through the alimentary canal is peristalsis
true
T/F: the soft palate reflexively opens the nasopharynx to allow the passage of food, which is now called a bolus
false
T/F: when swallowing, the glottis covers the epiglottis
true*
T/F: most gastric ulcers are due to excessive production of hydrochloric acid
false
T/F: all the chemical and mechanical phases of digestion from the mouth through the small intestine are directed toward changing food into forms that can pass through the epithelial cells lining the mucosa into the underlying blood and lymphatic vessels
true
T/F: food often contains bacteria, but the HCL of the stomach is effective in killing most ingested microbes
true
T/F: the digestive function of the liver is to produce digestive enzymes
false
T/F: the pancreas has both an endocrine and an exocrine function
true
T/F: the parietal peritoneum lines the abdominal pelvic cavity
true*
T/F: a stimulus for production of intestinal hormones is distention or irritation mucosa by hypertonic or acidic chyme
true
T/F: the largest amount of carbon dioxide is transported in the bloodstream in the form of carbonic anhydrase
false
T/F: increased temperature results in decreased O2 unloading from hemoglobin
false
Oxygenated hemoglobin releases oxygen more readily when the pH is less acidic
false
T/F: the macula densa cells are chemoreceptors that respond the changes in the water content to the filtrate
false
T/F: atrial natriuretic peptide inhibits sodium reabsorption
true
T/F: high blood pressure triggers granular cells of the juxtaglomerular complex to release renin
false
T/F: both the male and female urethras serve both the urinary and the reproductive systems
false
T/F: in the kidneys, the countercurrent mechanism involves the interaction between the flow of filtrate through the nephron loop of the juxtamedullary nephrons (the countercurrent multiplier) and the flow of blood through the limbs of adjacent blood vessels (the countercurrent exchanger). This relationship establishes and maintains an osmotic gradient extending from the cortex through the depths of the medulla that allows the kidneys to vary urine concentration dramatically
true
T/F: glomerular filtration is an ATP-driven process
false
T/F: the proximal convoluted tubule is the portion of the nephron that attaches to the collecting duct
false
T/F: the path urine takes after it is formed until it leaves the body is in the renal calyces, renal pelvis, urethra, urinary bladder, and finally the ureter
false
T/F: blood pressure in the renal glomerulus is lower than most parts of the body in order to conserve body water
false
T/F: incontinence is the inability to control voluntary micturition
true
T/F: if the GFR is too low, needed substances may pass so quickly through the renal tubules that they are not absorbed and instead are lost in the urine
false
The Bohr effect describes the tendency for hemoglobin to more readily unload oxygen under which condition?
decreased pH and increased pCO2
What are NOT a factor that promotes oxygen binding to and dissociation from hemoglobin?
number of red blood cells
What does NOT influence hemoglobin saturation?
nitric oxide
The symptoms of hyperventilation may be averted by breathing into a paper bag because it ___
helps retain carbon dioxide in the blood
What is NOT a stimulus for breathing?
rising blood pressure
What counteracts with the movement of bicarbonate ions from the RBC?
chloride shifting
What determines the direction of respiratory gas movement?
partial pressure gradient
What statement about CO2 is FALSE?
more CO2 dissolves in the blood plasma than is carried in the RBCs
What incorrectly describes mechanisms of CO2 transport?
attached to the heme part of hemoglobin
Blood cells and plasma proteins are physically prevented from passing through the filtration membrane. This has the following effect on filtration.
increasing osmotic pressure in the glomerular capillaries that reduce the amount of filtration
What is NOT a function of the urinary system?
regulation of lymphocyte production
What would happen if the capsular hydrostatic pressure were increased above normal?
net filtration would decrease
The factor that promotes filtrate formation at the glomerulus is the ___
glomerular hydrostatic pressure
Hydrostatic pressure is the primary driving force of plasma through the filtration membrane into the capsular space. All but one of the following statements reflects why hydrostatic pressure is so high in the glomerular capillaries. Select the one statement that does NOT explain the high pressure with in the glomerular capillaries.
the volume of the plasma in the efferent arteriole is higher when compared to the afferent arteriole
What is the salt level-monitoring part of the nephron?
macula densa
The ureters are composed of ___ epithelium
transitional
If the diameter of the afferent arterioles leading to the glomerulus increases (vasodilation), what is NOT likely to occur?
systemic blood pressure will decrease
What is NOT reabsorbed by the proximal convoluted tubule?
creatinine
What is NOT a method by which the cells of the renal tubules can raise blood pH?
by secreting sodium ions
What is NOT associated with the renal corpuscle?
vasa recta
If the diameter of the efferent arterioles leading away from the glomerulus increases (vasodilation), which of the following is NOT likely to occur
systemic blood pressure will decrease
An increase in the permeability of the cells of the collecting tubule of water is due to a(n) ___
increase in the production of ADH
Except for potassium ions, tubular secretion of most unwanted substances occurs in the ___
proximal convoluted tubule
Reabsorption of high levels of glucose and amino acids in the filtrate is accomplished by ___
secondary active transport
If blood pressure drops very low (MAP is below 80 mmHg) renin enzyme will be secreted by granular cells. What is NOT likely to occur?
kidney perfusion will increase
The function of angiotensin ll is to ___
constrict arterioles and increase blood pressure
The fluid found in the glomerular space is similar to plasma except that is does NOT contain a significant amount of ___
plasma proteins
What acts as the trigger for the initiation of micturition (voiding)?
stretching of the bladder wall
What is NOT a function of the juxtaglomerular complex?
podocyte cells
The kidneys are stimulated to produce renin ___
by a decrease in the blood pressure
Nervous stimulation of gastric secretion is provided by ___
the vagus nerve and enteric plexus
The chemical and mechanical processes of food breakdown are called ___
digestion
Pepsinogen, an inactive digestive enzyme, is secreted by the ___
chief cells of the stomach
What produces intrinsic factor?
parietal cells
What stomach secretion is necessary for normal hemoglobin production in RBCs?
intrinsic factor
From the esophagus to the anal canal, the walls of every organ of the alimentary canal are made up of the same four basic layers. Arrange them in order from the lumen.
mucosa, submucosa, muscularis externa, and serosa
What is true concerning the number and type of permanent teeth?
there are 32 permanent teeth and the wisdom teeth are the last to emerge
What is NOT true of saliva?
contains acids which aid in chemical digestion
Chemical digestion reduces large complex molecules to simpler compounds by the process of ___
catabolism
What is least involved in the mechanical breakdown of food, digestion, or absorption?
the esophagus
The lamina propria is composed of ___
loose connective tissue
What is NOT a factor that helps create the stomach mucosal barrier?
renin
What would likely be absorbed in the stomach?
a serving of alcohol
Which vitamin requires intrinsic factor in order to be absorbed?
B12
The bolus is liquefied in the ___ and it is now called chyme
stomach
The capillaries that nourish the epithelium and absorb digested nutrients lie in the ___
lamina propria
When we ingest large molecules such as lipids, carbohydrates, and proteins, they must undergo catabolic reactions whereby enzymes split these molecules. This series of reactions is called ___
chemical digestion
What part of the tooth bears the force and resists the friction of chewing?
enamel
Major regions of the large intestine include the
ascending/descending colon, cecum, transverse colon, sigmoid colon, rectum
Which water-soluble vitamin cannot be absorbed by the intestinal mucosa unless it has been bound to intrinsic factor?
vitamin B12
Steroid hormones include what?
sex and adrenal cortical hormones
In Type II diabetes, insulin levels are frequently normal, yet the target cells are less sensitive to the effects of insulin. This suggests that the target cells
may lack enough insulin receptors
The fold of skin that covers the tip of the penis is the
prepuce
The neck or narrowing portion of the uterus is called the:
cervix
The structure responsible for producing 60% of the ejaculate fluid and is slightly alkaline is:
the seminal vesicle
In regards to tissue composition, the penis is to the male as the ___ is to the female
clitoris
Which of the following will occur immediately after ovulation?
the endometrium enters its secretory phase
A sperm or egg is sometimes referred to as a "Haploid" cell. What does this contain?
23 chromosomes
When stimulated by a specific hormone, there is a marked increase in the activity of G proteins in the membrane. The hormone is probably
a peptide
The link between the first messenger and the second messenger in a cell is referred to as
a G protein
When the level of ADH is decreased:
more urine is produced
The erectile tissue that directly surrounds the urethra in the male is called the:
corpus spongiosum
The inside lining of the uterus is termed:
endometrium
The ability of a specific tissue or organ to respond to the presence of a hormone is dependent on
the presence of the appropriate receptors on the cells of the target tissue or organ
What is an incorrect statement about hormones
they are used to communicate between different organisms
What hormone binds with a receptor inside the cell?
testosterone
The homologous chromosomes become separated during ___ of meiosis
anaphase l
Which of the following is not a tropic hormone?
growth hormone
One of the least complicated of the endocrine release mechanisms directly responds to changing blood levels of ions and nutrients. Which of the following describes this mechanism?
humoral stimulation
The small paired glands at the base of the penis that produce a lubricating secretion are the
bulbourethral glands
To increase blood calcium levels in the blood, the body would increase the
parathyroid hormone*
Nurse Nancy should except a client with hypothyroidism to report which health concerns
puffiness of the face and hands
Which hormone does not act on another endocrine gland?
growth hormone
An increase in estrogen within the body has the most effect of which stage in the ovarian cycle?
the follicular phase*
An enlargement of the thyroid gland is a condition known as ___
goiter
Menstruation is initiated by
a drop in estrogen and progesterone*
A reduction in iodine within the diet could affect production of which of the following hormones?
thyroid hormone
Three of the four answers listed below have two sets of chromosomes. Select the exception.
gamete
Hormones can alter cellular operations by doing all the following, except:
permeability of a nuclear membrane
If a parent cell has 16 chromosomes and undergoes meiosis, the resulting cells will have how many chromosomes?
8
The hypothalamus hormone that controls the release of aldosterone is
angiotensin ll
The Luteal phase occurs during days
10-14
The adrenal glands are located:
atop both kidneys
The release of an egg from the follicle in the ovary is termed:
ovulation
In which phase does independent assortment take place in meiosis?
metaphase l
Which of the following is NOT a function of cholecystokinin (CCK)?
increased production of stomach acid
Bile salts surround fat soluble molecules creating Micelles. This role of bile salts is best described as ___.
liquid emulsification
Fat absorption through the plasma membrane of the epithelial cells
occurs by simple diffusion because lipids are able to penetrate the hydrophobic fatty acid tails within the plasma membrane
Which of the following is NOT characteristic of the large intestine?
is longer than the small intestine
What is an essential role plated by large intestine bacteria?
synthesizes vitamin K
A ruptured appendix is life threatening because ___
it is likely to cause massive infection of the abdominal pelvic
When we ingest large molecules such as lipids, carbohydrates, and proteins, they must undergo catabolic reactions whereby enzymes split these molecules. This series of reactions is called ___
chemical digestion
During the defecation reflex, the
the internal anal sphincter relaxes and the external anal sphincter contracts
Functions of the large intestine include
reabsorption of water and compaction of feces
An expanded pouch in the region of the ileum at the ileocecal valve is the
cecum