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Cardiovascular System- Physiology PMU- 2nd Year 2nd Sem

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Cardiovascular System- Physiology PMU- 2nd Year 2nd Sem

Questão 1 de 146

1

The pacemaker of the heart is normally the:

Selecione uma das seguintes:

  • sino-atrial node

  • atrio-ventricular node

  • bundle of Hiss

  • mitral valve

  • left ventricle

Explicação

Questão 2 de 146

1

In electrocardiogram (ECG) the QRS complex represents:

Selecione uma das seguintes:

  • depolarisation of the atria

  • repolarization of the atria

  • depolarisation of the ventricles

  • repolarization of the ventricles

  • delay at the AV node

Explicação

Questão 3 de 146

1

An ECG would be useful for determining a patient's:

Selecione uma das seguintes:

  • heart murmur

  • stroke volume

  • cardiac output

  • blockage of conduction of electrical signals between the atria and the ventricles

  • none of the above

Explicação

Questão 4 de 146

1

Cardiac output (C.O.) is the:

Selecione uma das seguintes:

  • volume of blood pumped per minute by both ventricles

  • volume of blood flowing through the systemic circulation each minute

  • product of the number of heartbeats per minute and the volume pumped per beat

  • a and c

  • b and c

Explicação

Questão 5 de 146

1

According to the Frank-Starling mechanism of the heart

Selecione uma das seguintes:

  • with each systole the left ventricle ejects a larger volume of blood then the right ventricle

  • the intrinsic rate of the heart's pacemaker is 100 beats per minute

  • cardiac output increases with increased heart rate

  • stroke volume increases with increased venous return

  • both ventricles contact simultaneously

Explicação

Questão 6 de 146

1

Distinguishing characteristics of the veins include the following

Selecione uma das seguintes:

  • all veins carry deoxygenated blood

  • all veins carry blood towards the heart

  • all veins have thick elastic walls

  • a and b

  • b and c

Explicação

Questão 7 de 146

1

During exercise, there is an increased flow of blood to

Selecione uma das seguintes:

  • the brain

  • the kidneys

  • the muscles

  • b and c

  • a, b and c

Explicação

Questão 8 de 146

1

Which of the following does not contribute to the increased stroke volume (SV) during exercise

Selecione uma das seguintes:

  • increased contractility of the cardiac muscle

  • increased venous return

  • increased length of filling time during diastole

  • increased sympathetic stimulation of the ventricular muscle

  • increased end-diastolic volume

Explicação

Questão 9 de 146

1

The aortic valve

Selecione uma das seguintes:

  • prevents the backflow of blood into the aorta during ventricular diastole

  • prevents the backflow of blood into the left ventricle during ventricular diastole

  • prevents the backflow of blood into the left ventricle during ventricular ejection

  • prevents backflow of blood into the aorta during injection

  • closes when the first heart sound is heard

Explicação

Questão 10 de 146

1

In humans, blood loss causes

Selecione uma das seguintes:

  • venous constriction

  • decreased blood flow to the skin

  • a fall in the cardiac output

  • splenic contraction

  • a, b and c

Explicação

Questão 11 de 146

1

Angiotensin ll:

Selecione uma das seguintes:

  • as an octapeptide

  • is produced mainly in the lungs

  • causes thirst

  • stimulates the secretion of the antidiuretic hormone (ADH)

  • all of the above

Explicação

Questão 12 de 146

1

Which of the following organs has the greatest blood flow per 100 g of tissue?

Selecione uma das seguintes:

  • brain

  • heart muscle

  • skin

  • liver

  • kidney

Explicação

Questão 13 de 146

1

If the heart rate is 70 beats/min, then cardiac output is closer to:

Selecione uma das seguintes:

  • 3.45 l.min-1

  • 4.55 l.min-1

  • 5.25 l.min-1

  • 8.0 l.min-1

  • 9.85 l.min-1

Explicação

Questão 14 de 146

1

The ventricles are completely depolarized during which portion of the ECG?

Selecione uma das seguintes:

  • PQ interval

  • QRS complex

  • QT interval

  • ST segment

  • T wave

Explicação

Questão 15 de 146

1

Cardiac output (CO) of the right heart is what percentage of that of the left?

Selecione uma das seguintes:

  • 25%

  • 50%

  • 75%

  • 100%

  • 125%

Explicação

Questão 16 de 146

1

The action potential corresponds to which portion of the ECG?

Selecione uma das seguintes:

  • P wave

  • PQ interval

  • QRS complex

  • ST segment

  • QT interval

Explicação

Questão 17 de 146

1

Which effects are caused by sympathetic stimulation?

Selecione uma das seguintes:

  • increased force of heart contraction

  • increased heart metabolism

  • increased heart conductibility

  • decreased excitability

  • a, b, and c

Explicação

Questão 18 de 146

1

Which are the peculiarities of the action potential in cardiac muscle?

Selecione uma das seguintes:

  • long duration (0.3 s)

  • short duration (0.01 s)

  • high amplitude

  • plateau

  • a, and d

Explicação

Questão 19 de 146

1

Excitation from SA node to AV node is conducted by:

Selecione uma das seguintes:

  • Nodal fibers

  • Internodal fibers

  • Atrial cardiac cells

  • His bundle

  • b, and c

Explicação

Questão 20 de 146

1

When are all four valves closed?

Selecione uma das seguintes:

  • during isovolumetric ventricular contraction

  • during isovolumetric ventricular relaxation

  • during ventricular systole

  • during atrial diastole

  • a, and b

Explicação

Questão 21 de 146

1

Effects of hypokalaemia:

Selecione uma das seguintes:

  • short PQ interval

  • ventricular extrasystoles

  • elevated ST segments

  • long QRS interval

  • long QT interval

Explicação

Questão 22 de 146

1

Hyperkalaemia:

Selecione uma das seguintes:

  • causes a prolonged QT interval

  • prolongs the QRS

  • causes ST segment elevation

  • potentiates digoxin toxicity

  • causes loss of P wave

Explicação

Questão 23 de 146

1

Left ventricular end-diastolic volume is:

Selecione uma das seguintes:

  • 10 - 30 ml

  • 30 - 50 ml

  • 50 - 70 ml

  • 70 - 100 ml

  • 100 - 130 ml

Explicação

Questão 24 de 146

1

Local metabolic control is most important in determining flow to the:

Selecione uma das seguintes:

  • skin

  • lungs

  • skeletal muscles

  • kidneys

  • liver

Explicação

Questão 25 de 146

1

The atrial component of ventricular filling is:

Selecione uma das seguintes:

  • 5%

  • 10%

  • 30%

  • 50%

  • 80%

Explicação

Questão 26 de 146

1

The lowest intrinsic discharge activity resides in the:

Selecione uma das seguintes:

  • SA node

  • AV node

  • Bundle branches

  • Purkinje fibers

  • Ventricular fibers

Explicação

Questão 27 de 146

1

Slowest conduction (velocity) occurs in the:

Selecione uma das seguintes:

  • Atrium

  • AV node

  • Bundle of His

  • Purkinje fibers

  • Ventricular muscle

Explicação

Questão 28 de 146

1

Which one of the following causes vasodilatation:

Selecione uma das seguintes:

  • TXA2

  • Serotonin (5-HT)

  • Endothelin

  • Neuropeptide Y

  • VIP

Explicação

Questão 29 de 146

1

The highest oxygen extraction is found in the:

Selecione uma das seguintes:

  • carotid body

  • heart

  • kidneys

  • brain

  • lungs

Explicação

Questão 30 de 146

1

The fastest conduction velocity is found in the:

Selecione uma das seguintes:

  • SA node

  • Atrial muscle

  • AV-node

  • Bundle of His

  • Ventricular conduction system (Purkinje system)

Explicação

Questão 31 de 146

1

Oxygen consumption at rest is the highest in the:

Selecione uma das seguintes:

  • brain

  • heart

  • liver

  • kidneys

  • skeletal muscles

Explicação

Questão 32 de 146

1

Coronary blood flow is:

Selecione uma das seguintes:

  • dominant in the left coronary artery in 60% of people

  • better supply to subendocardium during systole

  • better supply to subendocardium during diastole

  • better supply to left ventricle during systole

  • left > right during systole

Explicação

Questão 33 de 146

1

The velocity of blood flow is greatest in:

Selecione uma das seguintes:

  • capillaries

  • pulmonary vein during diastole

  • small arteries

  • inferior vena cava

  • the aorta

Explicação

Questão 34 de 146

1

Arterial baroreceptor afferents:

Selecione uma das seguintes:

  • reach the spinal cord via sympathetic nerves

  • utilize glycine as a neurotransmitter

  • primary synapse in C1 area of the medulla

  • activate GABA inhibitory interneurons

  • excite autonomic efferents in the anterolateral horn

Explicação

Questão 35 de 146

1

Isovolumetric contraction is associated with:

Selecione uma das seguintes:

  • immediate increase in heart rate due to cardiac sympathetics

  • cardiac output increased/unchanged

  • increased systolic blood pressure and decreased diastolic blood pressure

  • does not work

  • decrease stroke volume

Explicação

Questão 36 de 146

1

Baroreceptors are not located in:

Selecione uma das seguintes:

  • carotid sinus

  • carotid body

  • right atrium

  • aortic arch

  • large veins

Explicação

Questão 37 de 146

1

The volume of blood is the greatest in the:

Selecione uma das seguintes:

  • systemic capillaries

  • large veins

  • small arteries

  • the liver

  • the lungs

Explicação

Questão 38 de 146

1

The standard ECG setting is:

Selecione uma das seguintes:

  • speed 50 mm.s-1 50 mm/mv

  • speed so mm.s-1 25 mm/mV

  • speed 25 mm.s-1 25 mm/mV

  • speed 25 mm.s-1 50 mm/mV

  • none of the above

Explicação

Questão 39 de 146

1

Long term control of tissue blood flow includes:

Selecione uma das seguintes:

  • adenosine

  • nitric oxide

  • change in tissue vascularity

  • oxygen tension at the precapillary sphincter

  • aldosterone

Explicação

Questão 40 de 146

1

Turbulence is more likely with:

Selecione uma das seguintes:

  • small tube diameter

  • high density fluid

  • increased tube length

  • increased viscosity

  • none of the above

Explicação

Questão 41 de 146

1

The following would directly increase heart rate

Selecione uma das seguintes:

  • sympathetic stimulation

  • parasympathetic stimulation

  • decreased blood pressure

  • b, and c

  • none of the above

Explicação

Questão 42 de 146

1

At any given time the largest amount of blood in the body is carried by:

Selecione uma das seguintes:

  • veins

  • capillary beds

  • arterioles

  • aorta

  • vena cava

Explicação

Questão 43 de 146

1

The pacemaker of the heart is:

Selecione uma das seguintes:

  • AV node

  • Purkinje fibers

  • AV bundle

  • SA node

  • None of the above

Explicação

Questão 44 de 146

1

The T wave in an ECG indicates:

Selecione uma das seguintes:

  • Resting potential

  • Atrial depolarization

  • SA node excitation

  • Ventricle repolarization

  • Purkinje excitation

Explicação

Questão 45 de 146

1

End diastolic volume in human is about

Selecione uma das seguintes:

  • 140 ml

  • 50 ml

  • 70 ml

  • 100ml

  • 200ml

Explicação

Questão 46 de 146

1

Major functions of the lymphatic system are?

Selecione uma das seguintes:

  • provide route for return of extracellular fluid

  • act as drain off for inflammatory response

  • render surveillance, recognition , and protection against foreign materials via lymphocytes, phagocytes, and antibodies

  • a, and c

  • a, b, and c

Explicação

Questão 47 de 146

1

Blood pressure is the measure of:

Selecione uma das seguintes:

  • pressure exerted by the blood on the walls of the blood vessels

  • pressure exerted by the blood on the arteries

  • pressure exerted by the blood on the veins

  • pressure exerted by the blood on the aorta

  • none of the above

Explicação

Questão 48 de 146

1

Systolic Pressure is:

Selecione uma das seguintes:

  • an average of 120 mm Hg

  • lowers steadily during ventricle systole

  • the highest when blood is being pumped out of the left ventricle into the aorta

  • an average of 80 mm Hg

  • a, and c

Explicação

Questão 49 de 146

1

The working myocardium:

Selecione uma das seguintes:

  • is a functional syncitium

  • is comprised of cells whose cytoplasm communicates

  • plays the role of pacemaker of the heart

  • is comprised of cells, connected by structures that impede the ion flow

  • reacts to threshold irritants with different number of excited fibers

Explicação

Questão 50 de 146

1

The heart rate at rest is:

Selecione uma das seguintes:

  • 100 - 140 beats.min-1

  • 40 - 60 beats.min-1

  • approximately 50 beats.min-1

  • 60-90 beats.min-1

  • 20-40 beats.min-1

Explicação

Questão 51 de 146

1

The full compensatory pause is typical of:

Selecione uma das seguintes:

  • the atrial extrasystoles only

  • both the atrial and the ventricular extrasystoles

  • the ventricular extrasystoles only

  • extrasystoles during atrial fibrillation

  • extrasystoles during atrial flutter

Explicação

Questão 52 de 146

1

The duration of the cardiac cycle depends on:

Selecione uma das seguintes:

  • stroke volume

  • the time one systole to occur

  • the time one diastole to occur

  • the heart rate

  • the cardiac paused

Explicação

Questão 53 de 146

1

The rhythm of the heart is determined by:

Selecione uma das seguintes:

  • the bundle of His

  • the atrioventricular node

  • the sinus node

  • the Purkinje fibers

  • the Ieft and right bundle branches

Explicação

Questão 54 de 146

1

The increased heart rate is called:

Selecione uma das seguintes:

  • tachipnoe

  • bradycardia

  • atrial fibrillation

  • atrial flutter

  • tachycardia

Explicação

Questão 55 de 146

1

When the rhythm is determined by the AV node, the heart rate is:

Selecione uma das seguintes:

  • 60-90 beats.min-1

  • 20-40 beats.min-1

  • approximately 75 beats.min-1

  • 40-60 beats.min-1

  • 8-120 beats.min-1

Explicação

Questão 56 de 146

1

Automaticity is characteristic of:

Selecione uma das seguintes:

  • the cardiac muscle only

  • the striated muscles

  • some neurons and smooth muscle cells

  • all excitable tissues

  • the smooth muscle cells only

Explicação

Questão 57 de 146

1

The action potential of the cardiomyocytes passes through:

Selecione uma das seguintes:

  • slow depolarization and quick repolarization

  • rapid depolarization and slow repolarlzation

  • quick de- and repolarizations

  • slow de- and repolarizations

  • period of current electrical activity, expressed as slow waves and spike potentials

Explicação

Questão 58 de 146

1

P wave of the electrocardiogram reflects:

Selecione uma das seguintes:

  • repolarization of the atria

  • depolarization of the ventricles

  • depolarization of the atria

  • hyperpolarization of the atria

  • the time necessary for the impulse originating in SA. node to reach the Purkinje fibers

Explicação

Questão 59 de 146

1

Asynchronic contraction of the ventricles:

Selecione uma das seguintes:

  • is a phase of the ventricular systole

  • is a phase of the ventricular diastole

  • begins with closing the S.L. valves

  • begins with opening the S.L. valves

  • begins with opening the A.V. valves

Explicação

Questão 60 de 146

1

In the complete atriovenrticular block:

Selecione uma das seguintes:

  • the conductivity at the bundle of His is fully interrupted

  • there is a complete independence of the atrial and ventricular ECG stages

  • the atrial waves indicate normal heart rate, but the rate of ventricular ones is 20-40 beats.min-1

  • the duration of PQ interval is 0.12-0.20 s

  • a, b, and c

Explicação

Questão 61 de 146

1

The stroke volume of the heart at rest is:

Selecione uma das seguintes:

  • 60 - 90 beats.min-1

  • approximately 70 ml

  • 5.2 l

  • 0.500 I

  • 100-140 mmHg

Explicação

Questão 62 de 146

1

The electrical axes of the heart is determined by:

Selecione uma das seguintes:

  • the vectorial sum of QRS complexes in the standard leads

  • the vectorial sum of QRS complexes in the precordial leads

  • the vector's direction of the electrical forces of the ventricular muscle tissue

  • the supine or straight position of the body

  • the vector's direction of the electrical forces of the atrial muscle tissue

Explicação

Questão 63 de 146

1

The augmented unipolar leads are

Selecione uma das seguintes:

  • 1st, 2nd and 3rd

  • aVR, aVL and aVF

  • answers a, and b

  • V1, V2, V3, V4, V5 and V6

  • b, and d

Explicação

Questão 64 de 146

1

The auscultation of the mitral valve is performed at:

Selecione uma das seguintes:

  • 2nd sternal intercostal space, right of the sternum

  • 5th intercostal space, 2 cm inside of the medioclavicular line

  • 4th sternal intercostal space, right of the sternum

  • 2nd sternal intercostal space, left of the sternum

  • 3rd sternal intercostal space, left of the sternum

Explicação

Questão 65 de 146

1

The phase 'plateau' of the cardiomyocytes action potentials is due to:

Selecione uma das seguintes:

  • outflow of K+ from the cells

  • inflow of Na+ into the cells

  • inflow of K+ into the cells

  • slow inflow of Ca2+ into the cells

  • inflow of Na+ into the cells and outflow of K+ from the cells

Explicação

Questão 66 de 146

1

The extrasystoles are:

Selecione uma das seguintes:

  • increased heart rate of 250-230 imp-min-1

  • disturbances in conductivity

  • disturbances in excitability

  • extraordinary, only currently interrupting the cardiac rhythm, contractions of the cardiac muscle

  • c, and d

Explicação

Questão 67 de 146

1

The electrical axes of the heart is of the indifferent type when the angle with the isoelectric line is:

Selecione uma das seguintes:

  • +60 to +90 degrees

  • +30 to +60 degrees

  • from -90 degrees upward

  • +30 to -30 degrees

  • from -30 degrees downwards

Explicação

Questão 68 de 146

1

Which of the following is not a vasoconstrictor:

Selecione uma das seguintes:

  • norepinephrine

  • epinephrine

  • serotonin

  • angioitensin II

  • kinins

Explicação

Questão 69 de 146

1

At rest the diastolic arterial pressure is:

Selecione uma das seguintes:

  • 90-95 mmHg

  • 140-160 mmHg

  • 60-90 mmHg

  • 100-140 mmHg

  • 75 mmHg

Explicação

Questão 70 de 146

1

Which of the following doesn't affect blood pressure:

Selecione uma das seguintes:

  • cardiac output (C.O.)

  • minute respiratory volume

  • viscosity of blood

  • total peripheral vessel resistance

  • the volume of blood

Explicação

Questão 71 de 146

1

Throughout the isovolumetrtc relaxation of the ventricles:

Selecione uma das seguintes:

  • A.V. valves are opened, S.L. valves - opened

  • A.V. valves are closed, S.L. valves - opened

  • A.V. valves are opened, S.L. valves - closed

  • A.V. valves are closed, S.L. valves - closed

  • None of the above

Explicação

Questão 72 de 146

1

The first heart sound is:

Selecione uma das seguintes:

  • systolic, result of the ventricular contractions

  • systolic, result of the A.V. valves closing

  • systolic, result of the S.L valves closing

  • diastolic, result of the A.V. valves closing

  • a, and b

Explicação

Questão 73 de 146

1

Cardiac output (C.O.) depends on:

Selecione uma das seguintes:

  • vital capacity (VC)

  • stroke volume (SV)

  • heart rate (HR)

  • the preload and afterload

  • b, c and d

Explicação

Questão 74 de 146

1

The intracardial regulation of the heart is carried out by:

Selecione uma das seguintes:

  • integrated reflexes

  • neural regulatory mechanisms

  • humoral factors

  • adaptation to changes in venous return or resistance in the aorta

  • the automaticlty

Explicação

Questão 75 de 146

1

The heart stops in diastole because of:

Selecione uma das seguintes:

  • increased level of Ca2+ in the extracellular fluid

  • increased levels of catecholamines

  • increased levels of glucocorticoids

  • increased concentration of K+ the extracellular fluid

  • increased secretion of T3 and T4

Explicação

Questão 76 de 146

1

The peripheral chemoreceptors trigger:

Selecione uma das seguintes:

  • pressor and depressor reflexes

  • pressor reflexes only

  • the quick regulation of arterial blood pressure

  • depressor reflexes only

  • Hering-Breuer reflex

Explicação

Questão 77 de 146

1

The pulse pressure is:

Selecione uma das seguintes:

  • closer in value to the systolic than to the diastolic pressure

  • mean arithmetic of systolic and diastolic pressures

  • closer in value to the diastolic than to the systolic pressure

  • the difference between systolic and diastolic pressure

  • one third of the mean arterial pressure

Explicação

Questão 78 de 146

1

The cardiovascular center is situated in:

Selecione uma das seguintes:

  • hypothalamus

  • mesencephalon

  • the cortex

  • medulla oblongata

  • C8 - Th1-2 spinal cord segments

Explicação

Questão 79 de 146

1

In the pulmonary circulation blood leaves the:

Selecione uma das seguintes:

  • right ventricle and goes directly to the aorta

  • right ventricle and moves to the lungs

  • right atrium and goes directly to the left ventricle

  • right atrium and goes directly to the lungs

  • left ventricle and moves to the lungs

Explicação

Questão 80 de 146

1

In the systemic circulation, blood leaves the:

Selecione uma das seguintes:

  • left ventricle and goes directly to the aorta

  • right ventricle and goes directly to the aorta

  • right ventricle and moves to the lungs

  • lungs and moves to the left atrium

  • right atrium and goes directly to the lungs

Explicação

Questão 81 de 146

1

The cardiac cycle includes all of the following events except:

Selecione uma das seguintes:

  • the movement of impulses from the SA node to all regions of the heart wall

  • the closing and opening of the heart valves during each heart beat

  • the number of times the heart beats in one minute

  • the changes in pressure gradients in all chambers of the heart

  • the changes in blood volume in all chambers of the heart

Explicação

Questão 82 de 146

1

Which of the following chemicals does not regulate blood pressure?

Selecione uma das seguintes:

  • ADH

  • Atrial natriuretic peptide

  • Angiotensin II

  • Nitric acid

  • Epinephrine

Explicação

Questão 83 de 146

1

Exchange of nutrients and gases between the blood and tissue cells is the main function of:

Selecione uma das seguintes:

  • arterioles

  • arteries

  • veins

  • capillaries

  • venules

Explicação

Questão 84 de 146

1

Arterial blood pressure increases in response to all but which of the following?

Selecione uma das seguintes:

  • increasing stroke volume

  • increasing heart rate

  • rising blood volume

  • falling blood volume

  • all of the above

Explicação

Questão 85 de 146

1

The inferior vena cava brings blood from the lower regions of the body empties into the:

Selecione uma das seguintes:

  • left atrium

  • right atrium

  • aorta

  • left ventricle

  • right ventricle

Explicação

Questão 86 de 146

1

The pacemaker of the heart is the;

Selecione uma das seguintes:

  • Purkinje fibers

  • The bundle branches

  • Bundle of His

  • AV node

  • SA node

Explicação

Questão 87 de 146

1

The tricuspid valve is located between the:

Selecione uma das seguintes:

  • right and left atria

  • right and left ventricles

  • right atrium and right ventricle

  • left atrium and left ventricle

  • right ventricle and the aorta

Explicação

Questão 88 de 146

1

When the mitral valve closes, it prevents the backflow of blood from the:

Selecione uma das seguintes:

  • left atrium into the left ventricle

  • left ventricle into the left atrium

  • right atrium into the right ventricle

  • left ventricle into the aorta

  • right ventricle into the pulmonary trunk

Explicação

Questão 89 de 146

1

The vessels that carry oxygen to the myocardial cells are called:

Selecione uma das seguintes:

  • aortic arteries

  • pulmonary arteries

  • pulmonary veins

  • coronary veins

  • coronary arteries

Explicação

Questão 90 de 146

1

The myocardium functions as a functional syncytium due to:

Selecione uma das seguintes:

  • the presence of striations in the myocardium

  • branching of myocardlal cells

  • the presence of gap junctions

  • the presence of desmosomes

  • higher concentration of Ca2+

Explicação

Questão 91 de 146

1

Autorhythmic cardiac cells are found In all the following location except the:

Selecione uma das seguintes:

  • SA node

  • Interatrial septum

  • Purkinje cells

  • AV node

  • His bundle

Explicação

Questão 92 de 146

1

Coronary blood flow to the left ventricle increases during:

Selecione uma das seguintes:

  • early systole

  • myocardial hypoxia

  • hypothermia

  • stimulation of parasympathetic nerves in the heart

  • AV block

Explicação

Questão 93 de 146

1

Local metabolic activity is the chief factor determining the rate of blood flow to the:

Selecione uma das seguintes:

  • heart

  • skin

  • glands

  • lung

  • kidney

Explicação

Questão 94 de 146

1

The pressure:

Selecione uma das seguintes:

  • drop along large veins is similar to that along large arteries

  • drop across the hepatic penal bed is similar to that across the splenic vascular bed

  • in the hepatic portal vein exceeds that in the inferior vena cava

  • drop across the vascular bed in the foot is greater when a subject is in the vertical than when he is in the horizontal position

  • in foot veins is higher when walking than when standing still

Explicação

Questão 95 de 146

1

The second heart sound differs from the first heart sound in that it is

Selecione uma das seguintes:

  • related to turbelence set up by valve closure

  • longer lasting than the first sound

  • higher in frequency

  • occasionally in split

  • heard when the ventricles are contracting

Explicação

Questão 96 de 146

1

Pulmonary vascular resistance is

Selecione uma das seguintes:

  • is equal to that offered by the systemic circuit

  • decreased when alveolar oxygen pressure fails

  • expressed in units of volume flow per unit time per unit pressure gradients

  • decreased during exercise

  • regulated reflexvely by sympathetic vasoconstrictor nerves

Explicação

Questão 97 de 146

1

Veins:

Selecione uma das seguintes:

  • contain most of the blood volume

  • have a histaminergic vasodilator innervation

  • receive nutrition from vas vasorum arising from their lumen

  • respond to distension by dilation of their smooth muscle

  • do not contain valves

Explicação

Questão 98 de 146

1

In the heart:

Selecione uma das seguintes:

  • the left atrial wall is about three times thicker than the right atrial wall

  • systolic contraction normally begins in the left atrium

  • excitation spreads directly from atrial muscle cells to ventricular muscle cells

  • atrial and ventricular muscle contracts simultaneously in systole

  • the contracting ventricles shorten from apex to base

Explicação

Questão 99 de 146

1

When measuring blood pressure by the auscultatory method:

Selecione uma das seguintes:

  • the sounds that are heard are generated in the heart

  • the cuff pressure at which the first sounds are heard indicate systolic pressure

  • the cuff pressure at which the loudest sounds are heard indicate diastolic pressure

  • systolic pressure estimations tend to be lower than those made by the palpatory method

  • wider cuff's are required for smaller arms

Explicação

Questão 100 de 146

1

The absolute refractory period in the ventricles:

Selecione uma das seguintes:

  • is the period when the ventricles are completely still excitable

  • corresponds to the period of ventricular depolarization

  • corresponds approximately to the period of ventricular relaxation

  • is shorter than the corresponding period in atrial muscle

  • decreases during parasympathetic stimulation of the heart

Explicação

Questão 101 de 146

1

Vascular resistance:

Selecione uma das seguintes:

  • increases by 50 per cent When the vascular radius is halved

  • is related to the thickness of the wall of the vessel

  • is related to the vessel’s length

  • is affected by blood Hb concentration

  • is greater in the capillary bed than in the arteriolar bed

Explicação

Questão 102 de 146

1

Sympathetic drive to the heart is increased:

Selecione uma das seguintes:

  • in exercise

  • in relaxed position

  • in normotension

  • when parasympathetic drive is decreased

  • during a vasovagal attack

Explicação

Questão 103 de 146

1

Hyperaemia in skeletal muscle during exercise is normally associated with:

Selecione uma das seguintes:

  • release of sympathetic vasoconstrictor tone in the exercising muscles

  • capillary dilation due to relaxation of capillary smooth muscle

  • a fall in arterial pressure

  • reflex vasoconstriction in other vascular beds

  • an increase in venous pressure

Explicação

Questão 104 de 146

1

Sinuatrial node cells are:

Selecione uma das seguintes:

  • found in both atria

  • innervated by the somatic nerves

  • unable to generate impulses when completely denervated

  • connected to the AV node by fine bundles of purkinje tissue

  • able to generate impulses because their membrane potential is unstable

Explicação

Questão 105 de 146

1

The first heart sound corresponds in time with:

Selecione uma das seguintes:

  • closure of the aortic and pulmonary valves

  • the P wave of the electrocardiogram

  • a decline in atrial pressure

  • a rise in ventricular pressure

  • the A wave in central venous pressure

Explicação

Questão 106 de 146

1

The velocity of blood flow:

Selecione uma das seguintes:

  • in capillaries is low because they offer high resistance to flow

  • in veins is greater than in venules

  • can fall to zero in the ascending aorta during systole

  • is lower towards the centre of large blood vessels than at the periphery

  • in the circulation falls as the haematocrit falls

Explicação

Questão 107 de 146

1

The strength of contraction of left ventricular muscle increases when:

Selecione uma das seguintes:

  • end-diastolic ventricular filling pressure

  • serum potassium levels rise

  • blood calcium levels fall

  • blood magnesium levels fall

  • peripheral resistance is decreased

Explicação

Questão 108 de 146

1

During isometric ventricular contraction:

Selecione uma das seguintes:

  • the entry and exit valves of the ventricle are closed

  • pressure in the aorta rises

  • pressure in the atria falls

  • left coronary blood flow is going up

  • the rate of rise in pressure is greater in the right than in the left ventricle

Explicação

Questão 109 de 146

1

Cardiac output:

Selecione uma das seguintes:

  • is normally expressed as the output of one ventricle in liters/minute

  • is about 2.0 l at rest

  • is about 10.0 l at rest

  • rises in a cold environment

  • does not increase in exercise following denervatlon of the heart

Explicação

Questão 110 de 146

1

In the brachial artery:

Selecione uma das seguintes:

  • Pulse waves travel at the same velocity as blood

  • Pulse pressure falls with decreasing elasticity of the wall

  • Pressure rises markedly when the artery is occluded distally

  • Pressure falls when the arm is raised above head level

  • Pulse pressures have a smaller amplitude than aortic pulse pressures

Explicação

Questão 111 de 146

1

Arterioles offer more resistance to flow than other vessels since they have:

Selecione uma das seguintes:

  • thicker muscular walls

  • richer sympathetic innervation

  • smaller internal diameters

  • a smaller total cross-sectional area

  • a greater pressure drop along their length

Explicação

Questão 112 de 146

1

In the denervated heart, left ventricular stroke work increases when:

Selecione uma das seguintes:

  • the end-diastolic length of the ventricular fibres increase

  • peripheral resistance decreases

  • blood volume falls

  • right ventricular output decreases

  • the veins dilate

Explicação

Questão 113 de 146

1

With increasing distance from the heart, arterial:

Selecione uma das seguintes:

  • walls contain relatively more smooth muscle than elastic tissue

  • flow has a greater tendency to be turbulent

  • mean pressure tends to decrease slightly

  • pulse pressure tends to increase slightly

  • pO2 falls appreciably

Explicação

Questão 114 de 146

1

In the estimation of cardiac output using the Fick principle:

Selecione uma das seguintes:

  • pulmonary blood flow is measured

  • the pO2 of arterial and mixed venous blood are measured

  • oxygen uptake is estimated from alveolar pO2 measurements

  • pulmonary arterial blood is sampled to measure the oxygen in venous blood

  • pulmonary venous blood is sampled to measure the oxygen in arterial blood

Explicação

Questão 115 de 146

1

Systemic hypertension may be caused by:

Selecione uma das seguintes:

  • hypoxia due to chronic respiratory failure

  • excessive secretion of aldosterone

  • excessive secretion of insulin

  • myocardial thickening (hypertrophy) of the left ventricle

  • the rapid cardiac action of ventricular fibrillation

Explicação

Questão 116 de 146

1

Peripheral differs from central circulatory failure in that:

Selecione uma das seguintes:

  • hypovolaemia is unusual

  • it leads to underperfusion of the tissues

  • cardiac output is usually normal

  • central venous pressure is high

  • ventricular function is usually normal

Explicação

Questão 117 de 146

1

In atrial fibrillation:

Selecione uma das seguintes:

  • the electrocardlagram shows no evidence of atrial activity

  • ventricular rate is lower than atrial rate

  • respiratory sinus arrhythmia can usually be seen

  • the ventricular rate is higher than atrial rate

  • the QRS complexes have an abnormal configuration

Explicação

Questão 118 de 146

1

Pain due to poor coronary blood flow (angina) may be relieved by:

Selecione uma das seguintes:

  • Cutting the parasympathetic nerve trunks supplying the heart

  • Infecting CaCl2

  • Providing the patient with a cold environment

  • β-adrenoceptor stimulating drugs

  • Drugs causing peripheral vasodilation

Explicação

Questão 119 de 146

1

Aortic valve incompetence may cause:

Selecione uma das seguintes:

  • increase in arterial pulse pressure

  • systolic murmurs in the aortic valve area

  • hypertrophy of right ventricular muscle

  • decreased myocardial blood flow

  • right ventricular failure

Explicação

Questão 120 de 146

1

Ventricular extrasystoles:

Selecione uma das seguintes:

  • are usually associated with a normal QRS complex

  • from the same focus have similar QRS complexes

  • usually occur following a compensatory pause

  • can‘t be detected by ECG

  • indicate serious heart disease

Explicação

Questão 121 de 146

1

Pulmonary embolism (blood clots impacting in lung blood vessels) usually decreases:

Selecione uma das seguintes:

  • pulmonary vascular resistance

  • left atrial pressure

  • right atrial pressure

  • ventilation to perfusion ratios in the affected lung

  • pO2 in pulmonary venous blood

Explicação

Questão 122 de 146

1

Hardening of the arterial walls tends to raise:

Selecione uma das seguintes:

  • Arterial compliance

  • Systolic arterial pressure

  • Diastolic arterial pressure

  • Peripheral resistance

  • The frequency of breathing

Explicação

Questão 123 de 146

1

Left ventricular failure tends to cause an increase in:

Selecione uma das seguintes:

  • right atrial pressure

  • Ieft ventricular ejection fraction

  • pulmonary capillary pressure

  • lung compliance

  • pulmonary oedema when the patient stands up

Explicação

Questão 124 de 146

1

In otherwise healthy people, local tissue death follows obstruction of:

Selecione uma das seguintes:

  • an internal carotid artery

  • a renal artery

  • a femoral artery

  • a brachial artery

  • the hepatic portal vein

Explicação

Questão 125 de 146

1

The part of the circulation pumping blood to and from the lungs is known as the _____ circulation.

Selecione uma das seguintes:

  • systemic

  • pulmonary

  • coronary

  • respiratory

  • hepatic

Explicação

Questão 126 de 146

1

The plateau phase of the action potential in contractile myocardiocytes is due to:

Selecione uma das seguintes:

  • the slow movement of Na+ across the cell membrane

  • the influx of Ca2+

  • the increased membrane permeability to K+

  • the increased membrane permeability to Na+

  • a decrease in Ca2+ diffusing across membrane

Explicação

Questão 127 de 146

1

The valve between the right ventricle and the vessel that leaves it is the _____ valve.

Selecione uma das seguintes:

  • tricuspid AV

  • bicuspid AV

  • mitral

  • pulmonary semilunar

  • aortic semilunar

Explicação

Questão 128 de 146

1

If the connections between the parasympathetic division of the ANS and the heart were cut, then

Selecione uma das seguintes:

  • heart rate would decrease

  • stroke volume would decrease

  • cardiac output would decrease

  • heart rate would increase

  • heart activity would remain unchanged

Explicação

Questão 129 de 146

1

Fenestrated capillaries:

Selecione uma das seguintes:

  • have pores in their walls

  • are located in most tissue

  • permit only one-way exchange of materials

  • have a layer of smooth muscle in their walls

  • are found in the liver and kidneys

Explicação

Questão 130 de 146

1

Absolute refractory period in the heart:

Selecione uma das seguintes:

  • corresponds to the duration of relaxation

  • lasts till half of cardiac contraction

  • shorter than refractory period in skeletal muscle

  • lasts till cardiac contraction

  • last only 10 ms

Explicação

Questão 131 de 146

1

First heart sound occurs during the period of:

Selecione uma das seguintes:

  • isometric relaxation

  • isotonic relaxation

  • isovolumetric contraction

  • isovolumetric relaxation

Explicação

Questão 132 de 146

1

Which of these vessels does not have sympathetic control:

Selecione uma das seguintes:

  • cerebral

  • splanchnic

  • cardiac

  • cutaneous

  • muscle

Explicação

Questão 133 de 146

1

Blood brain barrier is made up of:

Selecione uma das seguintes:

  • astrocytes

  • oligodendrocytes

  • oligodendroglia

  • microglia

  • others

Explicação

Questão 134 de 146

1

Positive bathmotropic effect on heart is produced by:

Selecione uma das seguintes:

  • stimulation of vagus nerve

  • stimulation of sympathetic nerves

  • atropin

  • sectioning of vagus

  • K+

Explicação

Questão 135 de 146

1

Which of the following conducting systems has the slowest conducting velocity:

Selecione uma das seguintes:

  • SA node

  • Atrial muscle

  • Purkinje fibres

  • AV node

  • Hiss bundle

Explicação

Questão 136 de 146

1

In heart, within physiological limits the force of contraction is directly proportional to the:

Selecione uma das seguintes:

  • Pacemaker activity

  • AV nodal delay

  • Initial length of the cardiac muscle

  • Respiratory rate

  • ST-segment

Explicação

Questão 137 de 146

1

The diacrotic notch on aortic pressure curve is caused by:

Selecione uma das seguintes:

  • closure of mitral valve

  • closure of tricuspid valve

  • closure of atrial valve

  • closure of pulmonary valve

  • opening the atrial valve

Explicação

Questão 138 de 146

1

The PR interval of ECG corresponds to:

Selecione uma das seguintes:

  • ventricular repolarization

  • atrial repolarization and conduction through AV node

  • repolarization of AV node and bundle of His

  • depolarization of SA node

Explicação

Questão 139 de 146

1

Increased vagal tone causes:

Selecione uma das seguintes:

  • hypertension

  • tachycardia

  • bradycardia

  • increase in cardiac output

  • increase in stroke volume

Explicação

Questão 140 de 146

1

Which of the following is not increased during exercise;

Selecione uma das seguintes:

  • stroke volume

  • total peripheral resistance

  • systolic BP

  • heart rate

  • muscle blood flow

Explicação

Questão 141 de 146

1

Which of the following takes longest time to return to normal after 1L of blood is removed from a normal individual:

Selecione uma das seguintes:

  • number of RBC in peripheral blood

  • plasma volume

  • renin secretion

  • blood pressure

  • number of WBC in peripheral blood

Explicação

Questão 142 de 146

1

In a patient with mitral stenosis one would expect to hear:

Selecione uma das seguintes:

  • continuous murmur

  • a systolic murmur loudest over the base of heart

  • a diastolic murmur loudest over the apex of heart

  • a diastolic murmur loudest over the base of heart

  • systolic murmur over the apex of heart

Explicação

Questão 143 de 146

1

The ‘S' wave in ECG is below isoelectric line because of:

Selecione uma das seguintes:

  • repolarization of ventricles

  • change in direction of the impulse when the base of the ventricles are getting depolarised

  • depolarisation of apex of heart

  • repolarisation of apex of heart

  • depolarisation of atria

Explicação

Questão 144 de 146

1

Lymph flow from the foot is:

Selecione uma das seguintes:

  • increased when an individual rises from the supine to standing position

  • increased by massaging the foot

  • increased when capillary permeability is decreased

  • decreased by exercise

  • decreased by massaging the foot

Explicação

Questão 145 de 146

1

The "T" wave in ECG is above the isoelectric line because of:

Selecione uma das seguintes:

  • depolarisation of ventricles

  • depolarisation of bundle of His

  • change in the direction of repolarisation from the wave of depolarization of the ventricles

  • repolarisation of purkinje fibres

  • depolarisation of atria

Explicação

Questão 146 de 146

1

Restoration of the blood volume after haemorrhage is aided by:

Selecione uma das seguintes:

  • contraction of venous reservoirs

  • a fall in capillary pressure in certain vascular beds

  • arteriolar vasodilation

  • mobilization of intracellular fluid into the circulation

  • in increase in the osmotic pressure of the plasma proteins

Explicação