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Final Exam

front 1

Five hemoglobin molecules can carry a total of _____ oxygen molecules.

back 1

20

front 2

Which of these is a granulocyte?

back 2

an eosinophil

front 3

Which blood type is considered the universal recipient?

back 3

O-

front 4

Pepsinogen, a digestive enzyme, is secreted by the

back 4

chief cells of the stomach.

front 5

Surgical cutting of the gingivae would occur around which structure of the body?

back 5

the teeth

front 6

What is the functional contractile unit of a skeletal muscle called?

back 6

a sarcomere

front 7

Respiratory acidosis can occur when

back 7

a person's breathing is shallow due to obstruction.

front 8

Histamines are secreted by

back 8

basophils.

front 9

The first artery to branch from the aortic arch is the

back 9

brachiocephalic trunk.

front 10

The baroreceptors in the carotid sinus and aortic arch are sensitive to which of the following?

back 10

changes in arterial pressure

front 11

Which statement is FALSE concerning adaptations to exercise?

back 11

Highly active muscle fibers contain fewer myofibrils.

front 12

The __________ unites with the common bile duct to form the ampulla of Vater.

back 12

main pancreatic duct

front 13

*A client’s kidneys are retaining large amounts of sodium. The nurse anticipates that the kidneys also are retaining large amounts of

back 13

chloride and bicarbonate.

front 14

Which of the following is NOT true of the respiratory tract from the medium bronchi to the aveoli?

back 14

Terminal bronchioles give rise to alveolar ducts which branch into respiratory bronchioles that end in alveolar sacs

front 15

Which of the following statements is FALSE?

back 15

The lungs receive blood from the pulmonary circuit only.

front 16

The blood protein albumin

back 16

is the most abundant blood protein that regulates osmotic pressure.

front 17

Select the CORRECT statement about the nephrons.

back 17

Podocytes are the branching epithelial cells that line the glomerulus of the nephron.

front 18

Name the muscle that prevents “winging” of the scapulae.

back 18

serratus anterior

front 19

Gastrin, histamine, endorphins, serotonin, cholecystokinin, and somatostatin are hormones or paracrines that are released directly into the lamina propria. Which of the following cell types synthesize and secrete these products?

back 19

enteroendocrine cells

front 20

Which of the following is a member of the hamstrings?

back 20

Semitendinosus

front 21

In general, the sheets of peritoneal membrane that hold the digestive tract in place are called

back 21

mesenteries.

front 22

Myoglobin

back 22

stores oxygen in muscle cells.

front 23

*A client is admitted to the hospital with a diagnosis of mitral stenosis. The nurse caring for the client understands that the narrowing of this valve impedes circulation of blood from the

back 23

left atrium to left ventricle.

front 24

Platelets

back 24

stick to the damaged area of a blood vessel and help seal the break.

front 25

The terminal portion of the large intestine is known as the

back 25

anal canal.

front 26

Bell's palsy is a dysfunction of cranial nerve VII (the facial nerve) that results in inability to control facial muscles on the affected side. Which muscle will NOT be affected as a result of this condition?

back 26

genioglossus

front 27

*A client in renal failure is hyponatremic (low in sodium). The nurse attributes this problem to the client’s insufficient production of

back 27

aldosterone.

front 28

Respiratory control centers are located in the

back 28

medulla oblongata and pons.

front 29

Paneth cells

back 29

secrete antimicrobial enzymes that kill bacteria.

front 30

The chief force pushing water and solutes out of the blood across the filtration membrane is

back 30

glomerular hydrostatic pressure.

front 31

Peristaltic waves are

back 31

waves of muscular contractions that propel contents from one point to another.

front 32

Which of these is NOT a normal plasma protein?

back 32

thromboplastin

front 33

*A clinic nurse is performing a cardiovascular assessment on a client. In preparing to assess the client’s apical pulse, the nurse places the stethoscope over the heart’s apex in which the of the following locations?

back 33

at the midclavicular line at the fifth left intercostal space

front 34

During vigorous exercise, there may be insufficient oxygen available to completely break down pyruvic acid for energy. As a result, the pyruvic acid is converted to

back 34

lactic acid.

front 35

Small muscle masses attached to the chordae tendineae are the

back 35

papillary muscles.

front 36

A prominent lateral muscle of the neck that can cause lateral rotation and flexion of the head is the

back 36

sternocleidomastoid muscle.

front 37

The function of goblet cells is to

back 37

produce mucus that protects parts of the digestive organs from the effects of powerful enzymes needed for digestion.

front 38

Problems with fluid, electrolyte, and acid-base balance are particularly common in infants because of their

back 38

inefficient kidneys.

front 39

A falling blood pH and a rising carbon dioxide level to pneumonia or emphysema indicates

back 39

respiratory acidosis.

front 40

Which of the choices below reflects the balance (or imbalance) between the direction and amount of fluid that flows across the capillary walls?

back 40

hydrostatic and osmotic pressure

front 41

You have just eaten a meal high in complex carbohydrates. Which of the following enzymes will help to digest the meal?

back 41

amylase

front 42

The function of hepatic portal circulation is to

back 42

collect absorbed nutrients for metabolic processing or storage.

front 43

The latissimus dorsi muscle is classified as a

back 43

convergent muscle.

front 44

Which of the following chemicals does NOT help regulate blood pressure?

back 44

nitric acid

front 45

What is the role of tropomyosin in skeletal muscle?

back 45

Tropomyosin serves as a contraction inhibitor by blocking the myosin binding sites on the actin molecules.

front 46

The renal corpuscle is made up of

back 46

Bowman's capsule and the glomerulus.

front 47

Which respiratory-associated muscles would contract if you were to play the trumpet as loud as you could?

back 47

The internal intercostals and abdominal muscles would contract.

front 48

Which hormones or paracrine will inhibit gastric secretions?

back 48

secretin

front 49

When carbon dioxide loading occurs, the hemoglobin molecule is more appropriately referred to as

back 49

carbaminohemoglobin.

front 50

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

back 50

secondary active transport.

front 51

The pitch of a person's voice depends on all of the following EXCEPT

back 51

the orientation of the tongue.

front 52

Which of the following statements is FALSE?

back 52

The lungs occupy the space between the parietal and visceral pleurae.

front 53

You have just eaten a cracker. Which of the following glands would be active in initiating the digestion of this food?

back 53

the parotid glands

front 54

Paralysis of which muscle would make an individual unable to unlock the knee joint?

back 54

popliteus

front 55

Tidal volume is air

back 55

exchanged during normal breathing.

front 56

Epicardium and endocardium contain do not contain?

back 56

The adipose tissue.

front 57

__________ are phagocytic leukocytes that develop into macrophages outside of the blood stream.

back 57

Monocytes

front 58

Which muscle(s) is (are) contracted to inhale forcibly?

back 58

external intercostals and diaphragm

front 59

In an isotonic contraction, the muscle

back 59

changes in length and moves the "load".

front 60

Which of the choices below is NOT a function of the urinary system?

back 60

eliminates solid, undigested wastes and excretes carbon dioxide, water, salts, and heat

front 61

Chyme is created in the

back 61

stomach.

front 62

Which muscle would NOT be utilized to kick a soccer ball?

back 62

splenius

front 63

The term ductus venosus refers to

back 63

a special fetal vessel that allows umbilical blood to bypass the liver.

front 64

Which of the following is NOT true of saliva?

back 64

Saliva contains enzymes that begin the breakdown of proteins.

front 65

Which hormone causes an increased output of enzyme-rich pancreatic juice and stimulates gallbladder contraction to release bile?

back 65

cholecystokinin

front 66

All of the following are muscles of the rotator cuff EXCEPT the

back 66

teres major.

front 67

The lumbrical muscles lie between

back 67

the metacarpal bones.

front 68

Which of the events below does NOT occur when the semilunar valves are open?

back 68

ventricles are in diastole

front 69

*A client who has been diagnosed with pleurisy tells the nurse that it is painful to inhale. The nurse responds that this is an expected finding because

back 69

the inflamed pleura cannot glide against each other as would normally occur.

front 70

Striations of a skeletal muscle cell are produced by

back 70

the arrangement of myofilaments.

front 71

Which of the following is NOT a factor that helps create the stomach mucosal barrier?

back 71

production of aldosterone

front 72

Adductor magnus, adductor longus, and adductor brevis are parts of a large muscle mass of the

back 72

medial compartment of the thigh.

front 73

The bifurcation of the trachea lies posterior to the

back 73

ascending aorta.

front 74

The largest air passages that engage in gas exchange with the blood are the

back 74

respiratory bronchioles.

front 75

Which of the following is NOT a structure or impression of the right lung?

back 75

the lingula

front 76

The azygos vein

back 76

empties into the superior vena cava.

front 77

*A client has experienced a myocardial infarction. The nurse caring for the client understands that the client’s chest pain is due to tissue hypoxia in which of the following layers of the heart?

back 77

myocardium

front 78

Which of the following statements is MOST accurate?

back 78

Myofilaments slide during isotonic contractions.

front 79

Which of the following statements about the molecular structure of myofilaments is TRUE?

back 79

The head of the myosin molecule binds to an active site on G actin.

front 80

*A nurse is caring for a client who is retaining carbon dioxide (CO2) as a result of respiratory disease. The nurse anticipates that as the client’s CO2 level rises, the client’s pH level should

back 80

fall.

front 81

Which of the following statements is an INCORRECT statement?

back 81

The male urethra serves both the urinary and reproductive systems at the same time.

front 82

Which three muscles elevate the mandible?

back 82

masseter, temporalis, and medial pterygoid

front 83

To auscultate the aortic semilunar valve, you would place your stethoscope in the

back 83

2nd intercostal space right of the sternum.

front 84

The walls of the alveoli are composed of two types of cells, type I and type II pneumocytes. The function of type II is to

back 84

secrete surfactant.

front 85

*A client who is experiencing respiratory difficulty asks the nurse, “Why is it so much easier to breath out than in?” In providing a response, the nurse explains that breathing is easier on exhalation because

back 85

the respiratory muscles relax.

front 86

Which of the following arteries will supply the tissues of the lungs?

back 86

bronchial arteries

front 87

Which of the below structures anchors the tooth in the bony alveolus of the jaw?

back 87

periodontal ligament

front 88

______ gives erythrocytes flexibility to change shape as necessary.

back 88

Spectrin

front 89

The kidney hormone __________ stimulates RBC production.

back 89

erythropoietin

front 90

Cardiac muscle has all of the following EXCEPT

back 90

terminal cisternae.

front 91

Which of the following describes the infrahyoid muscles?

back 91

They consist of the sternohyoid, thyrohyoid, and omohyoid muscles.

front 92

*A nurse instructor asks a nursing student to describe the structure and function of the coronary arteries. Which of the following responses by the student indicates a need to further research anatomy and physiology related to the heart?

back 92

“The left coronary artery branches into the circumflex and posterior interventricular artery.”

front 93

An anaerobic metabolic pathway that results in the production of two net ATPs per glucose plus two pyruvic acid molecules is

back 93

glycolysis.

front 94

The larynx contains

back 94

the thyrohyoid membrane.

front 95

The most abundant formed elements seen in most stained blood films are

back 95

erythrocytes.

front 96

*A chest x-ray report states that the client has an apical pneumothorax of the left lung. The nurse caring for this client monitors the status of breath sounds in that area by placing the stethoscope

back 96

just under the left clavicle.

front 97

The nose serves all the following functions

back 97

Cleansing and humidifying the air, as a passageway for air movement, and
warming the air.

front 98

Which tunic of an artery is most responsible for maintaining blood pressure and continuous blood circulation?

back 98

tunica media

front 99

What part of the sarcolemma contains acetylcholine receptors?

back 99

motor end plate

front 100

All of the following are branches of the external carotid EXCEPT the

back 100

vertebral artery.

front 101

*A nurse is providing a simple overview of the anatomy of the liver and gallbladder for a client hospitalized with biliary obstruction. The nurse explains that normally the liver stores bile in the gallbladder, which is connected to the liver’s biliary system by the

back 101

cystic duct.

front 102

Select the CORRECT statement regarding blood cell formation.

back 102

Red marrow is the main site of blood cell formation throughout adult life.

front 103

What is the functional role of the T tubules?

back 103

to conduct contractile impulses to the deepest regions of the muscle cell and to every sarcomere.

front 104

Which of the following is NOT directly associated with the renal corpuscle?

back 104

an interlobar artery

front 105

When a muscle fiber contracts

back 105

the Z-lines move closer together.

front 106

Microcirculation includes all of the following structures EXCEPT

back 106

distributing arteries.

front 107

A(n) _____ is a muscle that provides the major force for producing a specific movement.

back 107

agonist

front 108

Which of the following muscles is involved in frowning?

back 108

the depressor anguli oris

front 109

Compared to skeletal muscle, cardiac muscle

back 109

has gap junctions that allow it to act as a functional syncytium.

front 110

The body’s water volume is closely tied to the level of which of the following ions?

back 110

sodium ions

front 111

The __________ supply the brain with blood.

back 111

internal carotid arteries

front 112

Which pair of muscles are important in male reproduction?

back 112

bulbospongiosus and ischiocavernosus

front 113

Which of the following statements is TRUE?

back 113

The vestibular folds help to close the glottis during swallowing.

front 114

*A nurse is listening to a cardiologist explain the results of a cardiac catheterization to a client and family. The physician tells the client that a blockage is present in the large blood vessel that supplies the anterior wall of the left ventricle. The nurse interprets that the physician is referring to which of the following arteries?

back 114

left anterior descending coronary artery

front 115

Complete the statement.
Platelets contain ___________________

back 115

no data

front 116

Which of the following is NOT a part of the juxtaglomerular apparatus?

back 116

type I pneumocytes

front 117

Allergies stimulate an increased _____ count.

back 117

eosinophil

front 118

Which of the following two organs function as the most important physiological buffer systems?

back 118

the lungs and kidneys

front 119

The absorptive effectiveness of the small intestine is enhanced by increasing the surface area of the mucosal lining. Which of the following accomplish this task?

back 119

plicae circulares and intestinal villi

front 120

The pectoralis major muscle attaches to all of the following areas EXCEPT

back 120

the xiphoid process.

front 121

Which vitamin is important in the formation of blood clotting proteins?

back 121

vitamin K

front 122

The hepatic portal vein is formed by the joining of the gastric veins, splenic vein, and the

back 122

superior mesenteric vein.

front 123

Which of the following muscles is least likely to contract while performing a back-bend?

back 123

latissimus dorsi muscle.

front 124

Which of the following muscles inverts the foot?

back 124

tibialis posterior

front 125

The septal papillary muscle is found in the

back 125

right ventricle.

front 126

The major function of the sarcoplasmic reticulum in muscle contractions is to

back 126

regulate intracellular calcium concentration.

front 127

The ________ contains hexagonal lobules with sinusoids (lined with macrophages) that lead to a central venous structure.

back 127

Liver

front 128

*A client has been diagnosed with gastroesophageal reflux disease (GERD). The nurse interprets that the client has dysfunction of which of the following parts of the digestive system?

back 128

lower esophageal sphincter

front 129

Which statement is NOT true of the position of the kidneys in the body?

back 129

They are superior and posterior to the liver and spleen.

front 130

The fossa ovalis

back 130

is a shallow depression in the interatrial septum.

front 131

Blood in the posterior interventricular artery flows into myocardial blood capillaries and then drains into the

back 131

middle cardiac vein.

front 132

*A hospitalized client has been diagnosed with heart failure as a complication of hypertension. In explaining the disease process to the client, the nurse identifies which of the following chambers of the heart as primarily responsible for the client’s symptoms?

back 132

left ventricle

front 133

Which of the following muscles is a medial rotator of the thigh?

back 133

pectineus

front 134

*A client is experiencing delayed gastric emptying. The nurse determines that dysfunction of the following structures is responsible for the client’s symptoms?

back 134

pyloric sphincter

front 135

Which of the following is an ESSENTIAL role played by bacteria of the large intestine?

back 135

synthesize vitamin K and B-complex vitamins

front 136

A motor neuron and the muscle cells that it stimulates is referred to as a

back 136

motor unit.

front 137

Which nerve runs along the lateral mediastinum between the pericardium of the heart and the lungs.

back 137

phrenic nerve

front 138

The lamina propria

back 138

is a component of the mucosa.

front 139

Select the CORRECT statement about the pharynx.

back 139

The auditory tubes drain into the nasopharynx.

front 140

Which of the following are composed of actin?

back 140

thin filaments

front 141

*A nurse is caring for a hospitalized client diagnosed with pancreatitis. The nurse anticipates that the enzyme _____ will remain normal in the client.

back 141

lactase

front 142

Which of the following is characteristic of ALL leukocytes?

back 142

They are nucleated.

front 143

Fenestrated capillaries

back 143

are more permeable than continuous capillaries.

front 144

The T wave of a normal electrocardiogram indicates

back 144

ventricular repolarization.

front 145

All of the following are functions of muscles EXCEPT

back 145

regulating protein decomposition.

front 146

Which muscle would be an antagonist to the extensor digiti minimi muscle?

back 146

the flexor digitorum superficialis

front 147

Which cells of the kidneys are chemoreceptors that respond to changes in solute content of the filtrate?

back 147

macula densa cells

front 148

The term hypotonic hydration refers to

back 148

a condition that may result from renal insufficiency or drinking extraordinary amounts of water.

front 149

What is the role of calcium ions in muscle contraction?

back 149

Ca2+ ions bind to regulatory sites on troponin to remove contraction inhibition.