Human Anatomy and Physiology : Circulatory and Lymphatic Physiology

Study concepts, example questions & explanations for Human Anatomy and Physiology

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Example Questions

Example Question #31 : Help With Heart Physiology

Which of the following factors influence cardiac output?

Possible Answers:

All of these factors influence cardiac output

Preload

Afterload

Heart rate

Correct answer:

All of these factors influence cardiac output

Explanation:

Cardiac output is defined as stroke volume times heart rate. Stroke volume (the volume of blood pumped out each heart beat) is influenced by preload (the volume of blood in the ventricles at the end of diastole) and afterload (the pressure that the heart must pump against to eject blood). Therefore, by definition, heart rate influences cardiac output, and so do preload and afterload, due to their influence on stroke volume. 

Example Question #32 : Help With Heart Physiology

Which area does not contain oxygen-rich blood?

Possible Answers:

Brachiocephalic trunk

Aorta

Pulmonary artery

Left ventricle

Left atrium

Correct answer:

Pulmonary artery

Explanation:

The pulmonary artery is the vessel that leaves the right ventricle and enters into the lung tissue to undergo oxygen exchange. The pulmonary artery is known to be the only artery in the body that does not carry oxygen-rich blood. 

An artery is defined as a vessel that leaves the heart and a vein is a vessel that returns to the heart. The pulmonary artery is the vessel carrying deoxygenated blood away from the heart. 

Example Question #33 : Help With Heart Physiology

Which of the following represents a reason why a "p-wave" of an ECG would be increased in duration?

Possible Answers:

Hyperkalemia

Enlarged ventricle

Enlarged atrium

Ventricular hypertrophy

Hypercalcemia

Correct answer:

Enlarged atrium

Explanation:

A "p-wave" in an ECG correlated to depolarization and contraction of the atria of the heart. The duration of the "p-wave" is associated with how low it takes an electrical signal to transfer across an atrium from the sinoatrial node to the atrioventricular node. Therefore, a prolonged "p-wave" can be commonly associated with an enlarged atrium because the electrical signal has further to travel across a dilated chamber.

Example Question #34 : Help With Heart Physiology

The heart contains what type of adrenergic receptor to respond to epinephrine from the sympathetic nervous system?

Possible Answers:

Beta 1 adrenergic

Alpha 1 adrenergic

Muscarinic cholinergic

Beta 2 adrenergic

Alpha 2 adrenergic

Correct answer:

Beta 1 adrenergic

Explanation:

Beta 1 receptors are the adrenergic receptor on the heart muscle that are responsive to epinephrine and norepinephrine released by the sympathetic nervous system.

Beta 2 adrenergic receptors are primarily located within the pulmonary tissue to cause bronchodilation during a sympathetic response.

Muscarinic cholinergic receptors are present on many tissue types, but are the receptors for acetylcholine rather than epinephrine or norepinephrine.

Alpha 1 adrenergic receptors are present on peripheral blood vessels and respond primarily to norepinephrine to cause vasoconstriction during a sympathetic response.

Alpha 2 adrenergic receptors are special receptors present on the preganglionic sympathetic neuron that help to depress a sympathetic response through negative feedback inhibition.

Example Question #34 : Help With Heart Physiology

Which valve allows blood to enter the right ventricle from the right atrium and prevents backflow of blood?

Possible Answers:

Semilunar valve

Bicuspid valve 

Tricuspid valve

Pectinate valve

Correct answer:

Tricuspid valve

Explanation:

The tricuspid (atrioventricular) valve separates the right atrium from the right ventricle and prevents back-flow during systole (heart contraction). The path of blood in the heart goes as follows: right atrium, tricuspid valve, right ventricle, pulmonary valve, pulmonary artery, lungs, pulmonary vein, left atrium, mitral valve, left ventricle, aortic valve, aorta, systemic circulation.

Example Question #35 : Help With Heart Physiology

Which limb lead will give the best view of atrial depolarization?

Possible Answers:

Lead I

Lead III

Augmented vector left (aVL)

Augmented vector right (aVR)

Lead II

Correct answer:

Lead II

Explanation:

Lead II is the limb lead that will show the best view of atrial depolarization. Remember, atrial depolarization starts at the sinoatrial node in the right atrium and spreads through the right and left atria. If you were to draw this on a heart, the net vector would be down (inferiorly) and to the left side of the heart. Also remember, lead II is the lead configuration that runs from the right arm to the left leg. aVR would show a good view of atrial depolarization (although it would be a negative deflection), but it is an augmented lead, not a limb lead. aVL is also an augmented lead.

Example Question #36 : Help With Heart Physiology

What is the primary factor responsible for changes in resistance in blood vessels?

Possible Answers:

Diameter of the blood vessels

Length of the blood vessels

Viscosity of the blood

Hematocrit

pH

Correct answer:

Diameter of the blood vessels

Explanation:

The diameter of the vessels is the primary determinant of resistance. Our three factors affecting resistance of a vessel are length, viscosity, and diameter. Length of the vessel and viscosity of the blood are relatively constant, so that just leaves diameter. Hematocrit is percentage of blood as red blood cells and would represent viscosity.

Example Question #38 : Circulatory Physiology

Cardiac output increases with the all but which of the following. 

Possible Answers:

increasing ejection fraction

increasing stroke volume

decrease ejection fraction

decreasing end systolic volume

Correct answer:

decrease ejection fraction

Explanation:

Cardiac output is directly proportion to both heart rate and stroke volume. Decreasing ejection fraction decreases stroke volume, which would decrease cardiac output, not increase it.

Example Question #31 : Circulatory And Lymphatic Physiology

The pulmonary veins carry oxygen-rich blood from the __________ to the __________

Possible Answers:

lungs . . . left atrium 

lungs . . . left ventricle 

right ventricle . . . lungs 

left atrium . . . lungs 

lungs . . . right atrium 

Correct answer:

lungs . . . left atrium 

Explanation:

The pulmonary veins carry oxygenated blood form the lungs to the left atrium of the heart. The pulmonary arteries carry deoxygenated blood from the right ventricle to the lungs. 

Example Question #32 : Circulatory And Lymphatic Physiology

What is the name of the blood vessel that carries newly oxygenated blood from the lung back to the heart?

Possible Answers:

Pulmonary artery

Pulmonary trunk

Aorta

Pulmonary vein

Superior vena cava

Correct answer:

Pulmonary vein

Explanation:

When blood needs to leave the heart to become oxygenated, it leaves the right ventricle through the pulmonary trunk, which then splits into the right and left pulmonary arteries. This blood goes to the lungs, becomes oxygenated, and comes back to the heart via the right and left pulmonary veins, which empty into the left atrium. The newly oxygenated blood travels through the left atrium and ventricle of the heart before it exits through the aorta to deliver freshly oxygenated blood to the rest of the body.

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