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A&P ll Final Review

front 1

The ___ are channels between cardiac muscles cells that are found within the intercalated discs

back 1

gap junctions

front 2

The contraction phase of the cardiac cycle is termed ___

back 2

systole

front 3

The network of nerve fibers found lining the ventricle walls are called ___

back 3

purkinjie fibers

front 4

A condition in which the myocardium is partially contracting in an disorganized manner with no effective pumping action is called ___

back 4

fibrillation

front 5

The serous membrane that surrounds the heart and contains the pericardial fluid is called ___

back 5

parietal pericardium

front 6

ventricle depolarization =

back 6

QRS wave

front 7

atrial depolarization =

back 7

P wave

front 8

ventricle repolarization =

back 8

T wave

front 9

time in which no action potentials are being generated =

back 9

TP interval

front 10

smaller heart chambers =

back 10

atria

front 11

inside lining of the heart chambers =

back 11

endocardium

front 12

carries blood to the cardiac muscle tissue between the atria and ventricles =

back 12

coronary artery

front 13

chambers that contain trabeculae carneae =

back 13

ventricles

front 14

makes up the interatrial septum

back 14

myocardium

front 15

empties into the right atrium =

back 15

coronary sinus

front 16

same as the epicardium =

back 16

visceral pericardium

front 17

The volume of blood ejected from each ventricle each heart beat is called the:

back 17

stroke volume

front 18

An increase in the afterload pressure results in:

back 18

stronger contractions by the ventricles

front 19

Which blood vessel has the highest concentration of oxygen?

back 19

pulmonary veins

front 20

Damage to which of tissues would affect the resistance of blood flow throughout the body?

back 20

smooth muscle

front 21

An ECG (EKG) provides information about:

back 21

electrical currents across the heart

front 22

Ventricular contraction

back 22

begins just after the Q wave

front 23

In order for blood to enter the heart

back 23

the atria must not only be at rest but the the atrial pressure must be lower than the veins

A and B

front 24

Which of the following is longer?

back 24

the absolute refractory period of cardiac muscle

front 25

The chordae tendineae:

back 25

prevent the AV valve flaps from folding into the atrium

front 26

During ventricular diastole, the:

back 26

ventricles fill with blood from the atria

front 27

The purpose of having valves in the cardiovascular system is to

back 27

ensure the blood flows in one direction

front 28

The difference between systolic and diastolic pressure is called the

back 28

pulse pressure

front 29

Which blood pressure readings would be indicative of hypertension?

back 29

150/95

front 30

The AV node is important because it

back 30

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

front 31

Which blood vessel would contain the greatest volume of blood?

back 31

vena cava

front 32

Select the best statement about blood flow.

back 32

it moves slower in veins compared to the capillaries

front 33

Which statement best describes arteries?

back 33

all carry blood away from the heart

front 34

The portion of the cardiac conduction system located in the interventricular septum is the:

back 34

bundle branches

front 35

The delay in the AV node

back 35

ensures that the atria contract and empty their contents into the ventricles

front 36

What is not correct concerning the location of the heart

back 36

inferior to the diaphragm

front 37

The second sound of the heart occurs when:

back 37

the semilunar valves close

front 38

As a result of the extended absolute refractory period, cardiac muscle cannot exhibit

back 38

tetanus

front 39

A drug like Digitalis, which slows the heart rate, would be given to a patient to:

back 39

increase the venous return volume by slowing the heart rate

front 40

What is not associated with capillaries

back 40

ability to control blood pressure

front 41

Which of the following would increase the stroke volume?

back 41

when venous return is increased

front 42

Ventricle systole:

back 42

forces open the semilunar valves

front 43

Which statement is false?

back 43

medium veins have a MAP of around 60 mmHg

front 44

Which conditions would have the fastest effect on peripheral resistance?

back 44

decrease the diameter of a vessel

front 45

What will increase the heart rate?*

back 45

A and B*

front 46

A typical action potential of a myocardial contractile cell last ___ milliseconds

back 46

at least 200

front 47

The ECG of a person suffering from a complete AV heart block would show

back 47

more P waves than QRS waves

front 48

Whole blood is the combination of plasma and ___

back 48

formed elements

front 49

The rarest of the leukocytes is the ___

back 49

basophils

front 50

The term used to describe the production of blood cells is called ___

back 50

hematopoiesis

front 51

During childhood, T lymphocytes are programmed in the ___

back 51

thymus

front 52

How many polypeptide chains make up hemoglobin?

back 52

four

front 53

When monocytes migrate into the interstitial spaces to fight infection, they change to a different type of cell called ___

back 53

macrophages

front 54

NO exchange of gases occurs here =

back 54

segmental bronchi

front 55

Secrete a fluid containing surfactant =

back 55

Type ll cells

front 56

Where the respiratory zone of the lungs begins =

back 56

respiratory bronchioles

front 57

Composed of simple squamous epithelium =

back 57

Type l cells

front 58

Terminates in alveoli =

back 58

alveolar duct

front 59

composed of cuboidal cells

back 59

type ll cells

front 60

the respiratory membrane is composed of fused basement membrane of the capillary walls and ___

back 60

type l cells

front 61

TV + IRV + ERV + RV =

back 61

total lung capacity

front 62

ERV + RV =

back 62

functional residual capacity

front 63

TV + IRV + ERV =

back 63

vital capacity

front 64

TV + IRV

back 64

inspiratory capacity

front 65

Stem cell for all formed elements =

back 65

myeloid

front 66

Numbers of this cell will increase during a parasitic infection =

back 66

eosinophils

front 67

hemostasis

back 67

fast series of reactions for stoppage of bleeding

front 68

A phagocytic cell that is found in the tissues =

back 68

monocytes

front 69

Releases heparin in response to inflammation =

back 69

basophils

front 70

Most common white blood cell =

back 70

neutrophils

front 71

Produce antibodies to attack antigens =

back 71

B-lymphocytes

front 72

T/F: each hemoglobin molecule can only carry two molecules of oxygen

back 72

false

front 73

T/F: the immediate response to blood vessel injury is coagulation

back 73

False

front 74

T/F: when erythrocytes are destroyed, some of the heme is converted into bilirubin and then secreted as bile

back 74

true

front 75

T/F: basophils increase in number when parasitic invasions occurs

back 75

false

front 76

T/F: lymphocytes reside temporarily in lymphoid tissue, then move to other parts of the body

back 76

true

front 77

T/F: Peyer's patches are clusters of lymphoid tissue found primarily in the large intestine

back 77

false

front 78

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)

back 78

false

front 79

T/F: a drop in blood pH is likely to cause a slower breathing rate

back 79

false

front 80

T/F: the parietal pleura lines the thoracic wall

back 80

true

front 81

Fred's blood was determined to be AB positive. What does this mean?

back 81

there are no antibodies to A, B, or to Rh antigens in the plasma

front 82

What organ in the body regulates erythrocyte production?

back 82

kidney

front 83

If a person is severely dehydrated you would expect to see all of the following EXCEPT ___

back 83

lower immunity

front 84

Leukocytes displaying red cytoplasmic granules when treated with Wright's stain are most likely ___

back 84

eosinophils

front 85

What would you except to have the least effect on hematocrit percentage?

back 85

prolonged or excessive fever

front 86

With a patient that is administered an injection of erythropoietin (EPO) you would except to see ___

back 86

increased hematocrit

front 87

A person with an extremely high count of neutrophils is likely suffering ___

back 87

a bacterial infection

front 88

The cells responsible for producing platelets are called ___

back 88

megakaryocytes

front 89

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 ___

back 89

white blood cells are fewer in number than red blood cells

front 90

What is the average normal pH range of blood?

back 90

7.35-7.45

front 91

A patient with type A positive blood can, in theory, safely donate blood to someone with ___ blood

back 91

A positive or AB positive

front 92

What is NOT a part of the lymphatic system?

back 92

blood vessels

front 93

Peyer's patches are found in the distal portion of the ___

back 93

small intestine

front 94

Which lymphoid organs and tissues are characterized by a cortex and medulla?

back 94

lymphoid nodes and thymus only

front 95

What would NOT be classified as a lymphoid organ?

back 95

pancreas

front 96

When the lymphatic structures of a limb are blocked due to tumors, the result is ___

back 96

severe localized edema (swelling) distal to the blockage of that limb

front 97

Which of the following correctly describes the pathway of lymph?

back 97

lymphatic capillaries to lymphatic vessels to lymphatic trunks to lymphatic ducks

front 98

Select the correct statement about lymph transport

back 98

lymph transport depends on the movement of adjacent tissues, such as skeletal muscles

front 99

Which lymphoid organ atrophies as we age?

back 99

thymus

front 100

Although B and T lymphocytes originate in the bone marrow, T cells mature in the ___

back 100

thymus

front 101

The tonsils located at the base of the tongue are the ___

back 101

lingual tonsils

front 102

What provides the greatest surface area for gas exchange?

back 102

alveoli

front 103

Air moves out of the lungs when the pressure inside the lungs is ___

back 103

greater than the pressure in the atmosphere

front 104

Which law describes the relationship between the pressure and volume of a gas?

back 104

Boyle's law

front 105

The relationship between gas pressure and gas volume is described by ___

back 105

Boyle's law

front 106

Tidal volume is air ___

back 106

exchanged during normal breathing

front 107

What is NOT a factor that promotes oxygen binding to and dissociation from hemoglobin?

back 107

number of red blood cells

front 108

In the plasma, the quantity of oxygen in solution is ___

back 108

only about 1.5% of the oxygen carried in blood

front 109

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 ___

back 109

secrete surfactant

front 110

The statement, "in a mixture of gases, the total pressure is the sum of the individual partial pressures of gases in the mixture" paraphrases

back 110

Dalton's law

front 111

What counteracts the movement of bicarbonate ions from the RBC?

back 111

chloride shifting

front 112

Intrapulmonary pressure is the ___

back 112

pressure within the alveoli of the lungs

front 113

What determines the direction of respiratory gas movement?

back 113

partial pressure gradient

front 114

The symptoms of hyperventilation may be averted by breathing into a paper bag because it ___

back 114

helps retain carbon dioxide in the blood

front 115

What is NOT part of the respiratory membrane of the lungs?

back 115

thick layer of mucus lining the cavity

front 116

The amount of air that can be inspired above the tidal volume is called ___

back 116

inspiratory reserve volume

front 117

The most powerful respiratory stimulus for breathing in a healthy person is ___

back 117

increase of carbon dioxide

front 118

For inspiration of air, which of the following happens first?

back 118

diaphragm descends, thoracic volume begins to increase, and rib cage rises

front 119

How is the bulk of carbon dioxide transported in blood?

back 119

as bicarbonate ions in plasma after first entering the red blood cells

front 120

T/F: fats significantly delay the emptying of the stomach through hormonal and neuronal signals

back 120

true

front 121

T/F: dentin anchors the tooth in place

back 121

false

front 122

T/F: the major means of propulsion through the alimentary canal is peristalsis

back 122

true

front 123

T/F: the soft palate reflexively opens the nasopharynx to allow the passage of food, which is now called a bolus

back 123

false

front 124

T/F: when swallowing, the glottis covers the epiglottis

back 124

true*

front 125

T/F: most gastric ulcers are due to excessive production of hydrochloric acid

back 125

false

front 126

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

back 126

true

front 127

T/F: food often contains bacteria, but the HCL of the stomach is effective in killing most ingested microbes

back 127

true

front 128

T/F: the digestive function of the liver is to produce digestive enzymes

back 128

false

front 129

T/F: the pancreas has both an endocrine and an exocrine function

back 129

true

front 130

T/F: the parietal peritoneum lines the abdominal pelvic cavity

back 130

true*

front 131

T/F: a stimulus for production of intestinal hormones is distention or irritation mucosa by hypertonic or acidic chyme

back 131

true

front 132

T/F: the largest amount of carbon dioxide is transported in the bloodstream in the form of carbonic anhydrase

back 132

false

front 133

T/F: increased temperature results in decreased O2 unloading from hemoglobin

back 133

false

front 134

Oxygenated hemoglobin releases oxygen more readily when the pH is less acidic

back 134

false

front 135

T/F: the macula densa cells are chemoreceptors that respond the changes in the water content to the filtrate

back 135

false

front 136

T/F: atrial natriuretic peptide inhibits sodium reabsorption

back 136

true

front 137

T/F: high blood pressure triggers granular cells of the juxtaglomerular complex to release renin

back 137

false

front 138

T/F: both the male and female urethras serve both the urinary and the reproductive systems

back 138

false

front 139

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

back 139

true

front 140

T/F: glomerular filtration is an ATP-driven process

back 140

false

front 141

T/F: the proximal convoluted tubule is the portion of the nephron that attaches to the collecting duct

back 141

false

front 142

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

back 142

false

front 143

T/F: blood pressure in the renal glomerulus is lower than most parts of the body in order to conserve body water

back 143

false

front 144

T/F: incontinence is the inability to control voluntary micturition

back 144

true

front 145

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

back 145

false

front 146

The Bohr effect describes the tendency for hemoglobin to more readily unload oxygen under which condition?

back 146

decreased pH and increased pCO2

front 147

What are NOT a factor that promotes oxygen binding to and dissociation from hemoglobin?

back 147

number of red blood cells

front 148

What does NOT influence hemoglobin saturation?

back 148

nitric oxide

front 149

The symptoms of hyperventilation may be averted by breathing into a paper bag because it ___

back 149

helps retain carbon dioxide in the blood

front 150

What is NOT a stimulus for breathing?

back 150

rising blood pressure

front 151

What counteracts with the movement of bicarbonate ions from the RBC?

back 151

chloride shifting

front 152

What determines the direction of respiratory gas movement?

back 152

partial pressure gradient

front 153

What statement about CO2 is FALSE?

back 153

more CO2 dissolves in the blood plasma than is carried in the RBCs

front 154

What incorrectly describes mechanisms of CO2 transport?

back 154

attached to the heme part of hemoglobin

front 155

Blood cells and plasma proteins are physically prevented from passing through the filtration membrane. This has the following effect on filtration.

back 155

increasing osmotic pressure in the glomerular capillaries that reduce the amount of filtration

front 156

What is NOT a function of the urinary system?

back 156

regulation of lymphocyte production

front 157

What would happen if the capsular hydrostatic pressure were increased above normal?

back 157

net filtration would decrease

front 158

The factor that promotes filtrate formation at the glomerulus is the ___

back 158

glomerular hydrostatic pressure

front 159

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.

back 159

the volume of the plasma in the efferent arteriole is higher when compared to the afferent arteriole

front 160

What is the salt level-monitoring part of the nephron?

back 160

macula densa

front 161

The ureters are composed of ___ epithelium

back 161

transitional

front 162

If the diameter of the afferent arterioles leading to the glomerulus increases (vasodilation), what is NOT likely to occur?

back 162

systemic blood pressure will decrease

front 163

What is NOT reabsorbed by the proximal convoluted tubule?

back 163

creatinine

front 164

What is NOT a method by which the cells of the renal tubules can raise blood pH?

back 164

by secreting sodium ions

front 165

What is NOT associated with the renal corpuscle?

back 165

vasa recta

front 166

If the diameter of the efferent arterioles leading away from the glomerulus increases (vasodilation), which of the following is NOT likely to occur

back 166

systemic blood pressure will decrease

front 167

An increase in the permeability of the cells of the collecting tubule of water is due to a(n) ___

back 167

increase in the production of ADH

front 168

Except for potassium ions, tubular secretion of most unwanted substances occurs in the ___

back 168

proximal convoluted tubule

front 169

Reabsorption of high levels of glucose and amino acids in the filtrate is accomplished by ___

back 169

secondary active transport

front 170

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?

back 170

kidney perfusion will increase

front 171

The function of angiotensin ll is to ___

back 171

constrict arterioles and increase blood pressure

front 172

The fluid found in the glomerular space is similar to plasma except that is does NOT contain a significant amount of ___

back 172

plasma proteins

front 173

What acts as the trigger for the initiation of micturition (voiding)?

back 173

stretching of the bladder wall

front 174

What is NOT a function of the juxtaglomerular complex?

back 174

podocyte cells

front 175

The kidneys are stimulated to produce renin ___

back 175

by a decrease in the blood pressure

front 176

Nervous stimulation of gastric secretion is provided by ___

back 176

the vagus nerve and enteric plexus

front 177

The chemical and mechanical processes of food breakdown are called ___

back 177

digestion

front 178

Pepsinogen, an inactive digestive enzyme, is secreted by the ___

back 178

chief cells of the stomach

front 179

What produces intrinsic factor?

back 179

parietal cells

front 180

What stomach secretion is necessary for normal hemoglobin production in RBCs?

back 180

intrinsic factor

front 181

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.

back 181

mucosa, submucosa, muscularis externa, and serosa

front 182

What is true concerning the number and type of permanent teeth?

back 182

there are 32 permanent teeth and the wisdom teeth are the last to emerge

front 183

What is NOT true of saliva?

back 183

contains acids which aid in chemical digestion

front 184

Chemical digestion reduces large complex molecules to simpler compounds by the process of ___

back 184

catabolism

front 185

What is least involved in the mechanical breakdown of food, digestion, or absorption?

back 185

the esophagus

front 186

The lamina propria is composed of ___

back 186

loose connective tissue

front 187

What is NOT a factor that helps create the stomach mucosal barrier?

back 187

renin

front 188

What would likely be absorbed in the stomach?

back 188

a serving of alcohol

front 189

Which vitamin requires intrinsic factor in order to be absorbed?

back 189

B12

front 190

The bolus is liquefied in the ___ and it is now called chyme

back 190

stomach

front 191

The capillaries that nourish the epithelium and absorb digested nutrients lie in the ___

back 191

lamina propria

front 192

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 ___

back 192

chemical digestion

front 193

What part of the tooth bears the force and resists the friction of chewing?

back 193

enamel

front 194

Major regions of the large intestine include the

back 194

ascending/descending colon, cecum, transverse colon, sigmoid colon, rectum

front 195

Which water-soluble vitamin cannot be absorbed by the intestinal mucosa unless it has been bound to intrinsic factor?

back 195

vitamin B12

front 196

Steroid hormones include what?

back 196

sex and adrenal cortical hormones

front 197

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

back 197

may lack enough insulin receptors

front 198

The fold of skin that covers the tip of the penis is the

back 198

prepuce

front 199

The neck or narrowing portion of the uterus is called the:

back 199

cervix

front 200

The structure responsible for producing 60% of the ejaculate fluid and is slightly alkaline is:

back 200

the seminal vesicle

front 201

In regards to tissue composition, the penis is to the male as the ___ is to the female

back 201

clitoris

front 202

Which of the following will occur immediately after ovulation?

back 202

the endometrium enters its secretory phase

front 203

A sperm or egg is sometimes referred to as a "Haploid" cell. What does this contain?

back 203

23 chromosomes

front 204

When stimulated by a specific hormone, there is a marked increase in the activity of G proteins in the membrane. The hormone is probably

back 204

a peptide

front 205

The link between the first messenger and the second messenger in a cell is referred to as

back 205

a G protein

front 206

When the level of ADH is decreased:

back 206

more urine is produced

front 207

The erectile tissue that directly surrounds the urethra in the male is called the:

back 207

corpus spongiosum

front 208

The inside lining of the uterus is termed:

back 208

endometrium

front 209

The ability of a specific tissue or organ to respond to the presence of a hormone is dependent on

back 209

the presence of the appropriate receptors on the cells of the target tissue or organ

front 210

What is an incorrect statement about hormones

back 210

they are used to communicate between different organisms

front 211

What hormone binds with a receptor inside the cell?

back 211

testosterone

front 212

The homologous chromosomes become separated during ___ of meiosis

back 212

anaphase l

front 213

Which of the following is not a tropic hormone?

back 213

growth hormone

front 214

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?

back 214

humoral stimulation

front 215

The small paired glands at the base of the penis that produce a lubricating secretion are the

back 215

bulbourethral glands

front 216

To increase blood calcium levels in the blood, the body would increase the

back 216

parathyroid hormone*

front 217

Nurse Nancy should except a client with hypothyroidism to report which health concerns

back 217

puffiness of the face and hands

front 218

Which hormone does not act on another endocrine gland?

back 218

growth hormone

front 219

An increase in estrogen within the body has the most effect of which stage in the ovarian cycle?

back 219

the follicular phase*

front 220

An enlargement of the thyroid gland is a condition known as ___

back 220

goiter

front 221

Menstruation is initiated by

back 221

a drop in estrogen and progesterone*

front 222

A reduction in iodine within the diet could affect production of which of the following hormones?

back 222

thyroid hormone

front 223

Three of the four answers listed below have two sets of chromosomes. Select the exception.

back 223

gamete

front 224

Hormones can alter cellular operations by doing all the following, except:

back 224

permeability of a nuclear membrane

front 225

If a parent cell has 16 chromosomes and undergoes meiosis, the resulting cells will have how many chromosomes?

back 225

8

front 226

The hypothalamus hormone that controls the release of aldosterone is

back 226

angiotensin ll

front 227

The Luteal phase occurs during days

back 227

10-14

front 228

The adrenal glands are located:

back 228

atop both kidneys

front 229

The release of an egg from the follicle in the ovary is termed:

back 229

ovulation

front 230

In which phase does independent assortment take place in meiosis?

back 230

metaphase l

front 231

Which of the following is NOT a function of cholecystokinin (CCK)?

back 231

increased production of stomach acid

front 232

Bile salts surround fat soluble molecules creating Micelles. This role of bile salts is best described as ___.

back 232

liquid emulsification

front 233

Fat absorption through the plasma membrane of the epithelial cells

back 233

occurs by simple diffusion because lipids are able to penetrate the hydrophobic fatty acid tails within the plasma membrane

front 234

Which of the following is NOT characteristic of the large intestine?

back 234

is longer than the small intestine

front 235

What is an essential role plated by large intestine bacteria?

back 235

synthesizes vitamin K

front 236

A ruptured appendix is life threatening because ___

back 236

it is likely to cause massive infection of the abdominal pelvic

front 237

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 ___

back 237

chemical digestion

front 238

During the defecation reflex, the

back 238

the internal anal sphincter relaxes and the external anal sphincter contracts

front 239

Functions of the large intestine include

back 239

reabsorption of water and compaction of feces

front 240

An expanded pouch in the region of the ileum at the ileocecal valve is the

back 240

cecum