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Coronary artery disease can diminish myocardial blood flow resulting in the death of myocardial cells. This condition is known as a myocardial


A) attack.
B) angina.
C) necrosis.
D) cirrhosis.
E) infarction.

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

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Blood in the superior vena cava will enter the _____.


A) aorta
B) right atrium
C) pulmonary trunk
D) pulmonary arteries
E) pulmonary veins

F) C) and E)
G) D) and E)

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Which of these statements is true?


A) The left coronary artery is a branch of the left pulmonary vein.
B) The coronary sinus returns blood to the left atrium.
C) The coronary arteries arise from the pulmonary trunk.
D) The great cardiac vein collects blood from the left anterior surface of the heart.
E) The pulmonary arteries carry blood to the left atrium.

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

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In the cardiac cycle,


A) the right atrium and the right ventricle contract simultaneously.
B) the left atrium contracts before the right atrium.
C) all four chambers of the heart contract at the same time.
D) all four chambers of the heart are in diastole at the same time.

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

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As soon as left ventricular pressure exceeds the pressure in the aorta, the


A) AV valves open.
B) aortic semilunar valve opens.
C) atria pump blood into the ventricles.
D) ventricles pump blood into the atria.
E) pulmonary semilunar valve closes.

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

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The baroreceptor reflex would cause which of the following events to occur if the reflex was caused by an increase in blood pressure?


A) increased parasympathetic stimulation of the heart
B) increased heart rate
C) increased cardiac output
D) increased force of contraction
E) increased sympathetic stimulation of the heart

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

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Match the drug with its effects. -nitroglycerin


A) binds to epinephrine receptors
B) prevents clot formation
C) can reduce calcium diffusion rate into myocardial cells
D) frequently given to people with restricted coronary blood flow in order to reduce preload
E) used to treat high blood pressure

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

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  -The figure illustrates the cardiac action potential. What does  B  represent? A)  early repolarization phase B)  plateau phase C)  final repolarization phase D)  depolarization phase -The figure illustrates the cardiac action potential. What does "B" represent?


A) early repolarization phase
B) plateau phase
C) final repolarization phase
D) depolarization phase

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

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Concerning heart sounds, which of the following is correct?


A) The first heart sound occurs at the beginning of ventricular systole.
B) The second heart sound is heard when the AV valves are closing.
C) The first heart sound is the sound of the semilunar valves closing.
D) The second heart sound occurs when blood flows into the superior vena cava.
E) The first heart sound occurs at the beginning of ventricular diastole.

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

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Which of the following is a function of the heart skeleton?


A) Provides electrical insulation between the atria and ventricles.
B) Supplies support and reinforcement for the valves.
C) Provides a rigid site for cardiac muscle attachment.
D) All of the choices are functions of the heart skeleton.

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

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  -This chamber pumps to the coronary circuit. -This chamber pumps to the coronary circuit.

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All cardiac veins empty into the _________, which then empties into the _______.


A) coronary sinus; left atrium
B) coronary sinus; right atrium
C) great cardiac vein; right atrium
D) great cardiac vein; superior vena cava
E) inferior vena cava; left atrium

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

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The AV valve that is located on the same side of the heart as the origin of the aorta is the


A) bicuspid or mitral valve.
B) tricuspid valve.
C) aortic semilunar valve.
D) pulmonary semilunar valve.
E) coronary sinus valve.

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

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Match the structure with the appropriate description. -bicuspid valve


A) located between the right atrium and the right ventricle
B) has only two valve flaps
C) located at the opening to the aorta
D) a depression in the atrial septum
E) ridges and columns on the interior walls of ventricles

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

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Energy for contraction of myocardial cells comes primarily from


A) aerobic respiration in the mitochondria.
B) anaerobic respiration in the cytosol.
C) glycolysis in the cytosol.
D) ATP that is stored while the heart is not contracting.
E) creatine phosphate.

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

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The first and second heart sounds are most directly related to


A) pulse pressure in the aorta.
B) the contraction of the atria.
C) vibrations that occur when the valves close.
D) contraction of the papillary muscles.
E) the flow of the blood.

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

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Match the structure with the appropriate description. -trabeculae carneae


A) located between the right atrium and the right ventricle
B) has only two valve flaps
C) located at the opening to the aorta
D) a depression in the atrial septum
E) ridges and columns on the interior walls of ventricles

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

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Use the following key to mark the most correct answer. -(1) thickness of the right ventricular wall; (2) thickness of the left ventricular wall


A) Choose A if the first item is greater than the second item.
B) Choose B if the first item is less than the second item.
C) Choose C if the first item is equal or nearly equal to the second item.

D) B) and C)
E) A) and C)

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Which of the following phrases would apply to cardiac muscle cells?


A) are organized in parallel columns or bundles
B) contain actin but no myosin
C) develop a significant oxygen debt during systole
D) are multinucleated like skeletal muscle cells
E) possess special cell-to-cell contacts called intercalated discs

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

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Chemoreceptors sensitive to blood carbon dioxide levels are primarily located in the


A) medulla oblongata.
B) carotid arteries.
C) right atrium.
D) left ventricle.
E) jugular veins.

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

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