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Human Physiology, 7/e
Stuart I Fox, Pierce College

Heart and Circulation

True/False Quiz

Please answer all questions



1

As blood flows through capillaries, the hydrostatic pressure of the blood forces some fluid out of the capillary walls and into the tissue spaces. (p. 366)
A)True
B)False
2

Tissue fluid is the same as interstitial fluid; and may form lymph fluid that returns to the venous blood through lymphatic vessels. (p. 366)
A)True
B)False
3

The lymph nodes within the lymphatic system are considered part of the excretory system. (p. 366)
A)True
B)False
4

Normal blood pH ranges from 7.35 to 7.45. (p. 368)
A)True
B)False
5

The most common and yet the smallest plasma protein is albumin, whose primary function is to draw water from the surrounding extracellular fluid (ECF) into the capillary plasma. (p. 365)
A)True
B)False
6

Alpha, beta, and gamma globulins are all plasma proteins produced by the liver; and they all function as antibodies in immune defense against foreign antigens. (p. 368)
A)True
B)False
7

Diapedesis is the movement like that of amoeba performed by leukocytes (white blood cells) as they pass through pores in the walls of the capillary to reach sites of infection. (p. 369)
A)True
B)False
8

The most abundant type of leukocyte, comprising 50% to 70% of all white blood cells in the blood, is the lymphocyte. (p. 370)
A)True
B)False
9

Neutrophils are actually enlarged monocytes that produce and secrete large amounts of antibodies into the blood when activated by antigens. (p. 370)
A)True
B)False
10

Leukopoiesis is stimulated by cytokines. (p. 371)
A)True
B)False
11

Erythropoietin is a hormone secreted by the kidneys in response to lowered blood oxygen concentrations, stimulating the erythrocyte stem cells in the bone marrow to divide. (p. 371)
A)True
B)False
12

Reticulocytes become normoblasts when the nucleus is expelled. (p. 372)
A)True
B)False
13

People who are blood type O must inherit the genotype ii and have both anti-A and anti-B antibodies present in their plasma. (p. 372)
A)True
B)False
14

People who are blood type AB develop tolerance to both A and B antigens and thus do not produce either anti-A or anti-B antibodies. (p. 373)
A)True
B)False
15

A prostaglandin derivative that is believed to normally prevent platelets from sticking to each other and to the endothelial lining of healthy blood vessels is called thromboxane A2. (p. 374)
A)True
B)False
16

The drug, aspirin, is an inhibitor of prostaglandin synthesis and would be expected to inhibit the platelet release reaction and thus slow the formation of a platelet plug. (p. 374)
A)True
B)False
17

Plasma is actually serum that is lacking the clotting factor protein called fibrinogen. (p. 375)
A)True
B)False
18

When repairs have been made to the vessel, the activated plasma enzyme that digests fibrin and dissolves the clot is called plasmin. (p. 376)
A)True
B)False
19

Heparin is the specific anticoagulant that must be given to a patient for several days before it becomes effective because it competes directly with the action of vitamin K. (p. 376)
A)True
B)False
20

In general, the kidneys regulate the carbon dioxide concentration of the blood and the lungs regulate the bicarbonate concentration of the blood. (p. 377)
A)True
B)False
21

Carbonic acid is referred to as a volatile acid because it can be converted into a gas and, thus, its blood concentration can be controlled by the lungs through proper ventilation. (p. 377)
A)True
B)False
22

Uncontrolled diabetes mellitus is a clinical condition that can result in a metabolic alkalosis. (p. 378)
A)True
B)False
23

The Henderson-Hasselbalch equation can be used to demonstrate that respiratory acidosis or alkalosis occurs when the bicarbonate concentrations in the blood are abnormal. (p. 378)
A)True
B)False
24

A muscular wall called a septum prevents the mixture of blood between the left and right sides of the heart. (p. 379)
A)True
B)False
25

The myocardial cells of the atria and ventricles are structurally and functionally separated from each other by a fibrous skeleton. Consequently, a special conducting tissue is needed to carry action potentials from the atria to the ventricles. (p. 379)
A)True
B)False
26

The pressures in the left and right ventricle are equal during all stages of the cardiac cycle. (p. 382)
A)True
B)False
27

The valves between the chambers of the heart open and close due to changes in pressure that occur within the chambers on either side of the valves. (p. 383)
A)True
B)False
28

Normally, both atria contract at the same time, followed shortly by both ventricles contracting at the same time. (p. 381)
A)True
B)False
29

The contraction of both atria is essential for life because it delivers about 80% of the total volume of blood to the ventricles for subsequent ejection. (p. 381)
A)True
B)False
30

During the isovolumetric contraction and isovolumetric relaxation phases, all four valves in the heart (both sets of AV and semilunar valves) are closed. (p. 382)
A)True
B)False
31

During inhalation particularly, the first heart sound may be "split" into two separate sounds as the tricuspid and mitral heart valves close individually. (p. 383)
A)True
B)False
32

A streptococcus bacterial throat infection in susceptible persons may lead to rheumatic fever and rheumatic endocarditis, resulting in damage to the heart valves and detectable murmurs. (p. 383)
A)True
B)False
33

Simple septal defects are usually congenital, resulting in the flow of blood from the right side of the heart to the left side of the heart due to the higher pressure on the right side. (p. 383)
A)True
B)False
34

The fact that the heart of a frog will continue to beat outside of its body without communication by nerves or hormones, as long as the myocardial cells remain alive is called automaticity.(p. 385)
A)True
B)False
35

An ectopic pacemaker (or ectopic focus) is a cluster of myocardial cells located away from the SA node that take over and regulate the cardiac pace. (p. 386)
A)True
B)False
36

The rate of impulse conduction from the SA node is slowed through the AV node, causing a time delay before the ventricles are excited. (p. 386)
A)True
B)False
37

Myocardial contractions cannot be summed because of the long refractory periods. (p. 387)
A)True
B)False
38

Following contraction all of the Ca2+ is transported into the sarcoplasmic reticulum by active transport. .(p. 384)
A)True
B)False
39

The body is a good conductor of electricity because tissue fluids contain a high concentration of ions that move in response to changes in the membrane potentials, thereby creating current. (p. 387)
A)True
B)False
40

Lead II bipolar leads records the cardiac electrical activity between the left arm and the left leg. (p. 389)
A)True
B)False
41

There are a total of six standard ECG leads that "view" the changing pattern of the heart's electrical activity from different angles. (p. 389)
A)True
B)False
42

The electrocardiogram (ECG) wave patterns designated P, QRS, and T are recordings of action potentials from specific regions in the heart. (p. 388)
A)True
B)False
43

Compared to larger arteries, smaller arteries and arterioles are less elastic and have a thicker layer of smooth muscle for their diameters. (p. 392)
A)True
B)False
44

Fenestrated capillaries are characterized by great distances between endothelial cells that can appear as little cavities or sinusoids in organs like the liver, spleen, and bone marrow. (p. 394)
A)True
B)False
45

Varicose veins result from extra blood accumulating in the veins of the legs over a long period of time so that the veins stretch and the valves can no longer prevent blood from flowing backwards. (p. 395)
A)True
B)False
46

Atherosclerosis, accompanied by heart disease and stroke, is responsible for about 50% of the deaths in the United States, Europe, and Japan. (p. 396)
A)True
B)False
47

"Fatty streaks" are gray-white areas that protrude from the tunica intima into the lumen of arteries and are present in children to a small degree in the aorta and coronary arteries by the age of ten. (p. 396)
A)True
B)False
48

In the progression of atherosclerosis, neutrophils may engulf lipids passing through endothelium of arteries and become "foamy cells." (p. 396)
A)True
B)False
49

Familiar hypercholesteremia results from a genetic defect that does not allow for proper removal of LDLs. (p. 396)
A)True
B)False
50

Persons having higher plasma LDL-cholesterol concentrations and lower plasma HDL-cholesterol concentrations appear to have a lower risk of developing atherosclerosis. (p. 398)
A)True
B)False
51

About 40%-50% of the calories eaten in a typical fast-food restaurant are derived from the ingestion of fat. (p. 398)
A)True
B)False
52

Ischemia is an inadequate flow of blood (and an inadequate supply of oxygen) to any tissue. (p. 398)
A)True
B)False
53

A cardiac rate slower than 60 beats per minute indicates tachycardia; whereas a rate faster than 100 beats per minute is described as bradycardia. (p. 399)
A)True
B)False
54

Because of the importance of the atrial contraction to the filling of the ventricles with blood, fibrillation of the atria with electrical circus rhythms recycling through the myocardium is life threatening. (p. 399)
A)True
B)False
55

In the condition known as first-degree AV node block, damage to the AV node causes slowing of impulse conduction through the heart and the P-R interval exceeds 0.20 seconds in duration. (p. 400)
A)True
B)False
56

Like veins, the walls of lymphatic vessels have the same three layers and contain valves to prevent the backward flow of lymph. (p. 401)
A)True
B)False
57

Lymph is formed by the filtration of plasma from blood capillaries that flows between tissues cells as interstitial fluid and later returns via lymphatic vessels to the blood, completing the cycle. (p. 401)
A)True
B)False
58

Lymph node germinal centers are the sites of pathogen removal by resident phagocytes in the lymphatic system. (p. 402)
A)True
B)False