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The term systole means


A) closure.
B) conduction.
C) contraction.
D) opening.
E) relaxation.

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

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The time period between the P wave and the QRS complex is lengthened. Which of the following is likely not functioning correctly?


A) SA node.
B) AV node.
C) bundle of His.
D) Purkinje system.
E) ventricular myocardium.

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

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Compare and contrast intrinsic and extrinsic controls of cardiac activity.

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Intrinsic control of stroke volume (the ...

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An increased ESV ____________________ the stroke volume.

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The aortic valve


A) prevents the backflow of blood into the aorta during ventricular diastole.
B) prevents the backflow of blood into the left ventricle during ventricular diastole.
C) prevents the backflow of blood into the right ventricle during ventricular diastole.
D) closes when the first heart sound is heard.
E) none of these answers.

F) None of the above
G) All of the above

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The second heart sound is produced by the


A) opening of the AV valves.
B) closing of the AV valves.
C) opening of the semilunar valves.
D) closing of the semilunar valves.
E) blood rushing through the AV valves during diastole, creating a turbulent flow.

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

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An increase in cardiac sympathetic activity ____________________ the contractility of the ventricles.

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The heart chamber that received blood from the vena cava is the:


A) right ventricle.
B) left ventricle.
C) left atrium.
D) right atrium.
E) both (c) and (d)

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

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The bundle of His and Purkinje system facilitate the rapid spread of the action potential throughout the ventricles.

A) True
B) False

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Using the following answer code, indicate which pressure relationship exists during the time in question. -during ventricular diastole


A) aortic pressure > ventricular pressure > atrial pressure
B) ventricular pressure > aortic pressure > atrial pressure
C) aortic pressure > atrial pressure > ventricular pressure
D) ventricular pressure > atrial pressure > aortic pressure
E) atrial pressure > ventricular pressure > aortic pressure

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

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Which heart component is influence by NE but not by ACh?


A) ventricular.
B) AV node.
C) heart rate.
D) SA node.
E) none of the above

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

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Describe the cardiac cycle.

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During ventricular filling, the AV valve...

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Use the answer code below to complete the following statements. -The volume of blood ejected by each ventricle each minute is known as the _____.


A) stroke volume
B) end-diastolic volume
C) cardiac output
D) heart rate
E) end-systolic volume
F) sympathetic activity

G) B) and E)
H) A) and E)

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Stroke volume is determined by the extent of venous return and parasympathetic activity.

A) True
B) False

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The long refractory period of cardiac muscle prevents tetanic contractions of the heart.

A) True
B) False

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According to the Frank-Starling law of the heart,


A) the shorter the initial length of the cardiac muscle fibers prior to contraction the more forceful will be the subsequent contraction, because the fibers are already partially contracted.
B) increasing the venous return increases the end-diastolic volume, which leads to an increased stroke volume, so the heart normally pumps out all of the blood returned to it.
C) as cardiac output is reduced, blood pools in the vasculature so that arterial blood pressure increases.
D) the output of the left side of the heart must always exceed that of the right side of the heart because the right side only pumps blood to the lungs, whereas the left side must pump blood to the rest of the body.
E) the greater the stroke volume, the smaller will be the subsequent end-diastolic volume because as more blood is squeezed out, the heart cannot fill as completely.

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

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A whistling murmur heard between the second and first heart sound would be indicative of


A) a stenotic AV valve.
B) an insufficient AV valve.
C) a stenotic aortic or pulmonary semilunar valve.
D) an insufficient aortic or pulmonary semilunar valve.
E) no conclusions can be reached based on the information provided.

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

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All of the following decrease overall cardiac function except


A) acetylcholine.
B) NE
C) afterload.
D) parasympathetic activity.
E) vagal activity.

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

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Most ventricular filling is accomplished during atrial contraction.

A) True
B) False

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Indicate the proper order of the events during the cardiac cycle by placing numbers in the blanks preceding the events in sequence. The first and last events are already so indicated as a guide. Indicate the proper order of the events during the cardiac cycle by placing numbers in the blanks preceding the events in sequence. The first and last events are already so indicated as a guide.

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1, 8, 11, ...

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