Human Anatomy and Physiology : Circulatory and Respiratory Systems

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

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Example Questions

Example Question #11 : Help With Vascular And Lymphatic Injuries And Disorders

Which type of anemia is due to lack of vitamin B12? 

Possible Answers:

aplastic anemia 

hemorrhagic anemia 

iron deficiency anemia 

hemolytic anemia 

pernicious anemia 

Correct answer:

pernicious anemia 

Explanation:

Pernicious anemia is the type of anemia that is caused by lack of vitamin B12. Hemorrhagic anemia is caused by loss of blood. Iron deficiency anemia is caused by low hemoglobin and/or small red blood cells. Hemolytic anemia can result from hemolytic disease of the newborn. Aplastic anemia is when the bone marrow looses its capacity to produce red blood cells. 

Example Question #12 : Help With Vascular And Lymphatic Injuries And Disorders

Which of the following disorders is caused by a cancerous mutation of cells in the bone marrow that produce white blood cells? 

Possible Answers:

myeloma 

leukemia 

lymphoma 

hemophilia 

leukopenia 

Correct answer:

leukemia 

Explanation:

There are various types of leukemia, all which are caused by a cancerous mutation in the cells of the bone marrow that are producing white blood cells. This causes white cells in circulation to be non functional, yet continue to grow and divide. Myeloma is a type of cancer that also begins in the bone marrow, but affects plasma cells. Lymphoma is a blood cancer of the lymphocytes. Hemophilia is a hereditary bleeding disorder that results from the lack of a clotting factor. Leukopenia is when the bone marrow stops producing white blood cells, causing the body to be more susceptible to infection. 

Example Question #1 : Help With Heart Injuries And Disorders

A 22-year old male was brought to the shock trauma bay after sustaining a gunshot to the chest. His blood pressure on arrival was 78/36 with a pulse of 78 and two large-bore IVs were inserted to begin fluid resuscitation. He is unresponsive with decreased breath sounds and is immediately intubated. He is not a heavy man, but his heart sounds are muffled and you note distention of his jugular veins. Ultrasound does not reveal any fluid collections in the abdomen, but does reveal fluid in the pericardium. After a liter of fluid is given, his pressure is now 50 systolic by palpation and pulse is 52. What is your diagnosis?

Possible Answers:

Tension pneumothorax

Pelvic fracture

Cardiac tamponade

Splenic laceration

Acute myocardial infarction

Correct answer:

Cardiac tamponade

Explanation:

This man is deteriorating from cardiac tamponade, a condition in which blood is pooling around the heart and hindering its ability to fill during diastole (relaxation).

Doctors should suspect cardiac tamponade when a patient has hypotension, muffled heart sounds, and jugular venous distention (Beck's triad). Ultrasound will show a fluid collection in the pericardial sac surrounding the heart. Treatment is with immediate pericardiocentesis and fluid resuscitation.

Tension pneumothorax occurs when damage to the lung results in leakage of air into the pleural space. This causes equilibration of pressures between the lung and pleural space, leading to difficulty during inhalation. Positive pressure ventilation can help alleviate this condition. A splenic laceration will result in internal bleeding in the upper left quadrant of the abdomen. Pelvic fractures generally result from trauma during a fall or lateral impact and may cause damage to pelvic organs, but would not likely be linked to cardiac abnormalities. Acute myocardial infarction, or heart attack, occurs from blockage of or damage to the coronary arteries, resulting in a loss of blood flow to the tissues of the heart.

Example Question #1 : Help With Heart Injuries And Disorders

Besides the sinoatrial node, which of the following cardiac structures has the fastest rate of spontaneous depolarization? 

Possible Answers:

Purkinje fibers

Ventricular myocytes

Bundle of His

Atrioventricular node

Bachman's bundle

Correct answer:

Atrioventricular node

Explanation:

If the sinoatrial node becomes damaged and is unable to drive the rate of spontaneous depolarization in the heart (at its normal rate of 60-100 beats per minute), other cardiac pacemaker cells exist to ensure that the heart continues beating. The atrioventricular node is also known as the secondary pacemaker because these cells spontaneously discharge at a rate of 40-60 beats per minute. It is worth noting that if both the sinoatrial and atrioventricular nodes are damaged, the bundle branches, and Purkinje fibers are also capable of producing a spontaneous action potential at a rate of 30-40 beats per minute.

Example Question #11 : Circulatory And Respiratory Systems

Aortic valve replacement is necessary if the valve becomes leaky, which is also known as __________.

Possible Answers:

aortic regurgitation

aortic stenosis

pulmonary embolism

pulmonary hypertension

Correct answer:

aortic regurgitation

Explanation:

Aortic regurgitation is the term for leaky, insufficient valves. Aortic regurgitation can be repaired via a valve replacement procedure. Aortic stenosis is hardening of the arteries. Pulmonary embolisms is a blockage in one of the pulmonary arteries. Hypertension is also known as high blood pressure.

Example Question #12 : Circulatory And Respiratory Systems

When this protein is found in the blood, it can be indicative of a myocardial infarction.

Possible Answers:

Keratin 

Elastin 

Troponin 

Myosin 

Hemoglobin 

Correct answer:

Troponin 

Explanation:

Troponin is a complex of proteins that play an important role in skeletal and cardiac muscle contraction. Troponin is released into the bloodstream when there is damage to the heart. This is a common diagnostic laboratory test for patients with heart problems or chest pain. 

Example Question #4 : Help With Heart Injuries And Disorders

What condition is caused when the heart demands more oxygen than the coronary circulation is able to supply? 

Possible Answers:

Premature ventricular contraction 

Congestive heart failure 

Myocardial ischemia 

Atrial fibrillation 

Coronary artery disease 

Correct answer:

Myocardial ischemia 

Explanation:

Myocardial ischemia occurs when the heart demands more oxygen than the coronary arteries can supply. Ischemia means lack of blood. The ability for the coronary circulation to deliver oxygen may be reduced due to the formation of a blood clot, embolism, or atherosclerosis. Premature ventricular contraction and atrial fibrillation are irregular heart beats that can result in arrhythmias and, in some cases more serious complications. Coronary artery disease involves damage (usually via plaque deposition) to the arteries that supply the heart muscle. Congestive heart failure involves any one or more issues with the strength of the heart muscle.

Example Question #13 : Circulatory And Respiratory Systems

A person suffering from mitral valve regurgitation is likely to have blood flowing back into which chamber of the heart?

Possible Answers:

Right atrium

Left atrium

Right auricle

Left ventricle

Right ventricle

Correct answer:

Left atrium

Explanation:

The heart has four chambers divided into left and right sides. The mitral valve is located between the left atrium and right ventricle. The path of blood is from the pulmonary veins to the left atrium, and then to left ventricle finally leaving through the aorta and the rest of the body. If the mitral valve is malfunctioning by not closing fully, blood could only flow back into the left atrium as the mitral valve separates the left atrium and left ventricle. Note that the mitral valve is also known as the left atrioventricular valve, and the bicuspid valve.

Example Question #14 : Circulatory And Respiratory Systems

What is a heart murmur?

Possible Answers:

A defect caused by trauma to the chest cavity

A speech disorder that causes someone to murmur

A silent heart attack

An extra or unusual sound during a heartbeat

Correct answer:

An extra or unusual sound during a heartbeat

Explanation:

A heart murmur is an extra or unusual sound heard during a heartbeat. It can be harmless or abnormal. A heart murmur is most often caused by heart valve disease and does not necessarily require treatment.

Example Question #15 : Circulatory And Respiratory Systems

What is endocarditis?

Possible Answers:

An infection of the membrane lining the lungs and chest cavity

An infection of the liver

An infection of the sinus cavities

An infection of the inner lining of the heart chambers and valves

Correct answer:

An infection of the inner lining of the heart chambers and valves

Explanation:

Endocarditis is an infection of the inner heart chambers and valves. It can also be used to describe an inflammation of the endocardium due to other problems. It is treated with antibiotics and can require surgery to remove or repair infected tissue.

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