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The pulmonary circulation carries oxygenated blood from the lungs through the coronary circulation and then into the aorta.

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One important function of the intrinsic control of the heart (Frank-Starling law of the heart) is to equalize the left and right cardiac outputs.

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According to the Frank-Starling law of the heart, the shorter the initial length of the cardiac muscle fibers prior to contraction, the more forceful will be the subsequent contraction because the fibers are already partially contracted.

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A whistling murmur heard between the second and first heart sound would be indicative of


A) a stenotic AV valve
B) an insufficient AV valve
C) a myocardial infarction
D) an insufficient semilunar valve
E) No conclusions can be reached based on the information provided.

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Norepinephrine increases calcium permeability in cardiac muscle cells and thus increases the heart's contractility.

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A lumen that contains blood with a comparatively higher concentration of oxygen is in the


A) right ventricle
B) inferior vena cava
C) pulmonary artery
D) pulmonary vein
E) coronary veins

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Complete each of the following statements with increases, decreases, or has no effect on. An increase in the length of the cardiac muscle fibers prior to contraction ____________________ the number of heart sounds heard.

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The QRS complex represents


A) depolarization of the atria
B) depolarization of the ventricles
C) the AV nodal delay
D) repolarization of the ventricles
E) the time during which the heart is contracting

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Which valve(s) prevent regurgitation of blood from a right ventricle to the atrium?


A) tricuspid
B) mitral
C) pulmonary
D) tricuspid and pulmonary
E) all of these

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Parasympathetic innervation to the heart:


A) involves the vagus nerve
B) decreases the rate at which the pacemaker potential reaches threshold
C) decreases the strength of ventricular contraction
D) all of these
E) involves the vagus nerve and decreases the strength of ventricular contraction

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What percentage of ventricular filling is normally accomplished before atrial contraction begins?


A) 0%
B) 20%
C) 80%
D) 50%
E) 100%

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According to the Frank-Starling law of the heart,


A) Shortening cardiac muscle fibers prior to contraction causes a more forceful contraction.
B) Increasing venous return increases EDV, which leads to an increased stroke volume.
C) As cardiac output decreases, blood pools in the vasculature and increases arterial blood pressure.
D) The left ventricle must pump more blood than the right ventricle since the left ventricle must pump blood to more regions of the body.
E) The greater the stroke volume, the smaller the subsequent ESV, because as more blood is squeezed out, the heart cannot fill as completely.

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The wall of the left ventricle is thicker than the wall of the right ventricle because the


A) left ventricle must pump much more blood than the right ventricle so it must have stronger walls
B) right ventricle must pump much more blood than the left ventricle so it has a larger chamber to accommodate the blood and a correspondingly thinner wall
C) left ventricle must pump the same amount of blood into a higher-resistance, higher-pressure system
D) right ventricle must create higher tension within its walls
E) left ventricle must pump oxygenated blood, which requires more energy than pumping deoxygenated blood

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Depolarization occurs at the AV node


A) during the P wave
B) between the P wave and QRS complex
C) during the QRS complex
D) between the QRS complex and T wave
E) during the T wave

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Complete each of the following statements with increases, decreases, or has no effect on. Becoming more physically fit ____________________ a person's cardiac reserve.

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Complete each of the following statements with increases, decreases, or has no effect on. An increase in parasympathetic activity ____________________ the stroke volume.

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The systemic circulation


A) receives more blood than the pulmonary circulation does
B) receives blood from the left ventricle
C) is a low pressure system compared to the pulmonary circulation
D) receives blood from the right ventricle and is a high pressure system compared to the pulmonary circulation
E) receives more blood than the pulmonary circulation does, and receives blood from the left ventricle.

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If stroke volume is 80 ml and the heart rate is 70 beats per minute, the cardiac output is


A) 150 ml/min
B) 560 ml/min
C) 5,600 ml/min
D) 8,700 ml/min
E) none of these

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Select the incorrect statement about rheumatic fever.


A) It causes a heart murmur.
B) It is an autoimmune disease.
C) It is triggered by a streptococcus bacterium.
D) The heart conduction system is disrupted.
E) The heart valves become inflamed and scarred.

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The aortic valve prevents backflow of blood from entering the left ventricle during ventricular diastole.

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