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Example Questions
Example Question #42 : Circulatory And Respiratory Systems
Which of the following structures prevents blood flow to the lungs during development?
I. Ductus arteriosus
II. Ductus venosus
III. Foramen ovale
IV. Ligamentum arteriosum
III only
I and II
I and III
II, III, and IV
I and III
The lungs remain non-functional in the developing fetus. Instead, the fetus receives oxygen via gas exchange between maternal and fetal circulation in the placenta. To prevent inefficient blood flow to the lungs, blood is shunted in two ways. The ductus arteriosus shunts blood directly from the pulmonary artery to the aorta, allowing it to bypass the pulmonary circuit. After birth, this duct quickly collapses to become the adult structure known as the ligamentum arteriosum. The second shunt is the foramen ovale, which allows blood to pass directly from the right atrium to the left atrium. In adults, this structure becomes the fossa ovalis.
The ductus venosus is not found in the heart, and is used to direct blood from the umbilical vein to the inferior vena cava. This allows the oxygenated blood (returning from the placenta through the umbilical vein) to bypass systemic circulation and enter directly into the heart. The heart can then direct the blood through circulation.
Example Question #862 : Mcat Biological Sciences
Systolic blood pressure measures __________.
None of these answers
overall blood pressure in the brain
the force of blood flow from the heart to the arteries
force of blood flow during the "dub" heart sound
amount of dissolved salts in the blood
the force of blood flow from the heart to the arteries
Systolic blood pressure measures the force of blood exiting the heart into the arteries during contraction. This can measure how strong the heart tissue is. Diastolic pressure indicates the pressure when the heart is relaxed. Healthy systolic blood pressue is 120mmHg, and diastolic is 80mmHg.
Example Question #863 : Mcat Biological Sciences
Cardiac output is directly affected by __________.
resistance
stroke volume and heart rate
blood pressure
pressure
stroke volume and heart rate
Cardiac output is defined as the volume of blood pumped per minute. The two factors that will directly affect the cardiac output will be stroke volume (volume pumped per beat) and heart rate (beats per minute).
Example Question #841 : Biology
What is the definition of systole and diastole?
Systole—ventricular contraction
Diastole—ventricular relaxation
Systole—contraction of a heart chamber
Diastole—relaxation of a heart chamber
Systole—atrial contraction
Diastole—atrial relaxation
Systole—relaxation of a heart chamber
Diastole—contraction of a heart chamber
Systole—contraction of a heart chamber
Diastole—relaxation of a heart chamber
Systole can apply to either te atria or the ventricles and refers to the period during which the chambers contract. Diastole, in contrast, described the period of relaxation. During diastole, blood fills the relaxed chambers. During systole, blood is forced out of the chambers as they contract. Systole and diastole are coordinated between chambers such that both atria contract together (atrial systole) and both ventricles contract together (ventricular systole) in a rhythm that allows coordinated filling and emptying of the chambers without backflow or disruption.
Note that systolic blood pressure refers to blood pressure during ventricular systole, and diastolic blood pressure to pressure during ventricular diastole.
Example Question #51 : Circulatory And Respiratory Systems
Which of the following is true about cardiac muscle?
It is striated
It is voluntary
All of these are true about cardiac muscle
Each muscle cell contains multiple nuclei
It does not utilize sarcomeres
It is striated
The correct answer is "it is striated." Similiar to skeletal muscle, cardiac muscle is striated. It has only one nucleus per cell, and its action is involuntary. Futhermore, it is composed of sarcomeres, which give it its striated appearance.
Example Question #21 : Heart
Which of the following may occur if the mitral valve were to undergo ischemic damage?
Abnormal blood flow between the left ventricle and aorta
Abnormal blood flow between the left atrium and left ventricle
Abnormal blood flow between the right ventricle and pulmonary artery
Abnormal blood flow between the right atrium and right ventricle
Abnormal blood flow between the left atrium and left ventricle
The mitral (or bicuspid) valve is the atrioventricular valve that is located between the left atrium and left ventricle. Filling of the left ventricle requires that the valve stay open so that blood can enter into the ventricle from the left atrium. With ischemic damage to the valve, abnormal flow between the left atrium and ventricle will occur.
The aortic valve is located between the left ventricle and the aorta. The tricuspid valve separates the right atrium and right ventricle. The pulmonic valve is located between the right ventricle and pulmonary artery.
Example Question #22 : Heart
During strenuous exercise, the sympathetic nervous system functions to increase cardiac output in order to match the metabolic activity of the body. Which of the following is a mechanism of action to increase cardiac output?
Decreased blood pressure
Increased blood pressure
Decreased heart rate
Increased heart rate
Decreased stroke volume
Increased heart rate
The correct answer is increased heart rate.
Cardiac output is the volume of blood pumped by the heart per minute. This volume can be calculated by using two other cardiac measures: heart rate and stroke volume. Heart rate is the number of strokes/contractions per minute, while stroke volume is the volume of blood ejected per beat.
The only way to increase cardiac output is to increase either the heart rate or to increase the stroke volume.
Example Question #22 : Heart
What specialized area of tissue delays the proliferation of electrical stimulation in the heart, allowing the heart chambers to fill with blood?
Bundle branches
Bundle of His
Atrioventricular node
Purkinje fibers
Sinoatrial node
Atrioventricular node
The atrioventricular (AV) node is located in the lower intratrial septum and receives impulses from the sinoatrial node. The sinoatrial node is termed the pacemaker of the heart and is located in the wall of the right atrium. It initiates normal heart beats and is innervated by the vagus nerve, which helps control the rate of impulses. Once an impulse causes the atria to contract, it travels to the atrioventricular node. Once the AV node receives the impulse, cellular mechanisms initiate a delay. This prevents simultaneous atrial and ventricular systole, allowing the ventricles to receive the blood exiting the contracted atria. Following the delay, the impulse travels from the AV node to the bundle of His.nThe bundle of His is a pathway for electrical signals to be transmitted to the ventricles. The Purkinje fibers spread through the myocardium and distribute electical stimuli to cause contraction of the ventricular myocardium. The bundle branches supply the two ventricles with electrical stimuli.
Example Question #851 : Biology
Both the sympathetic and the parasympathetic nervous systems are essential for homeostasis and for survival. For example, when we are trying to run away from a threat, the sympathetic nervous system is in full effect to allow us to escape from danger. However, when there is no obvious threat, the parasympathetic nervous system tends to be more in control.
There are similarities and differences between the sympathetic and the parasympathetic nervous systems. In preganglionic nerve fibers, both the sympathetic and the parasympathetic nervous system utilize the neurotransmitter acetylcholine. Closer to the target organ, the parasympathetic nervous system remains dependent on acetylcholine whereas norepinephrine and epinephrine are the predominant neurotransmitters utilized by the sympathetic nervous system.
When norepinephrine and epinephrine bind to their receptors, different effects are carried out based on the type of receptor, affinity, and location of the receptor. For example, epinephrine has a higher affinity for the beta-2 receptor. When epinephrine binds to the beta-2 receptor, common effects include vasodilation and bronchodilation. Norepinephrine has a stronger affinity for the alpha-1, alpha-2 and beta-1 receptors. When norepinephrine binds to its receptor, common effects on the body include vasoconstriction (alpha-1), increased heart rate (beta-1) and uterine contraction (alpha-1).
In patients with heart failure, the physician might prescribe a beta blocker to help with the condition. How will a beta blocker be useful in patients with heart failure?
Blocking the beta-2 receptor, which prevents the heart from having to work as hard.
Blocking the beta-1 receptor, which will cause vasoconstriction.
Blocking the beta-2 receptor, which will make the heart work harder.
Blocking the beta-1 receptor, which will make the heart work harder.
Blocking the beta-1 receptor, which prevents the heart from having to work as hard.
Blocking the beta-1 receptor, which prevents the heart from having to work as hard.
The heart has the beta-1 receptor on its surface. When norepinephrine binds to beta-1 receptors on the heart, the effect is an increase in heart rate. In patients with a heart problem, increasing the heart rate might exhaust the heart and provoke heart failure. By blocking this receptor with a beta blocker, agonists to the beta-1 receptor cannot increase the heart rate.
Example Question #25 : Circulatory System
Carbonic anhydrase is a very important enzyme that is utilized by the body. The enzyme catalyzes the following reaction:
A class of drugs that inhibits this enzyme is carbonic anhydrase inhibitors (eg. acetazolamide, brinzolamide, dorzolamide). These drugs are commonly prescribed in patients with glaucoma, hypertension, heart failure, high altitude sickness and for the treatment of basic drugs overdose.
In patients with hypertension, carbonic anhydrase inhibitors will prevent the reabsorption of sodium chloride in the proximal tubule of the kidney. When sodium is reabsorbed back into the blood, the molecule creates an electrical force. This electrical force then pulls water along with it into the blood. As more water enters the blood, the blood volume increase. By preventing the reabsorption of sodium, water reabsorption is reduced and the blood pressure decreases.
When mountain climbing, the atmospheric pressure is lowered as the altitude increases. As a result of less oxygen into the lungs, ventilation increases. From the equation above, hyperventilation will result in more being expired. Based on Le Chatelier’s principle, the reaction will shift to the left. Since there is more bicarbonate than protons in the body, the blood will become more basic (respiratory alkalosis). To prevent such life threatening result, one would take a carbonic anhydrase inhibitor to prevent the reaction from shifting to the left.
Carbonic anhydrase inhibitors are useful in patients with a drug overdose that is acidic. The lumen of the collecting tubule is nonpolar. Due to the lumen's characteristic, molecules that are also nonpolar and uncharged are able to cross the membrane and re-enter the circulatory system. Since carbonic anhydrase inhibitors alkalize the urine, acidic molecules stay in a charged state.
How can taking a carbonic anhydrase inhibitor help a patient with signs of heart failure?
By increasing the Sodium reabsorption
By increasing the blood pressure
By lowering the blood pressure
By increasing the heart contractibility
By increasing the water reabsorption
By lowering the blood pressure
As mentioned in the passage, carbonic anhydrase inhibitors will prevent the reabsorption of sodium and water at the proximal tubule. By preventing water reabsorption, the blood volume decreases. Lowering the blood volume will lower the blood pressure. The heart is constantly pushing blood against a pressure. The higher the blood pressure is, the more work the heart will have to do to push the blood out. Therefore, by lowering the blood pressure, the heart does not have to work as hard.
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