Physiology 001 - Introduction to Human Physiology » Winter 2021 » Lecture Exam 3 (A)

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Question #1
In the clotting cascade, thrombin feeds back and further stimulates its own activation, which is a positive feedback mechanism.
A.   TRUE
B.   FALSE
Question #2
Which of the following statements regarding blood clotting is TRUE?
A.   Blood clotting occurs too rapidly in individuals with the disease hemophilia.
B.   A blood clot is a network of interlacing strands of fibrinogen.
C.   Injecting tissue plasminogen activator (t-PA) into a patient who is bleeding will aid blood clotting.
D.   Blood clotting is enhanced by prostaglandin I2 (PGI2) and nitric oxide.
E.   Blood clotting requires activation of thrombin.
Question #3
An electrocardiogram would be definitive for diagnosing diseases involving the valves of the heart.
A.   FALSE
B.   TRUE
Question #4
Increasing the mean arterial pressure or the pulse pressure in the carotid artery will cause decreased firing of action potentials in the afferent neurons associated with the baroreceptors.
A.   TRUE
B.   FALSE
Question #5
What is hemostasis?
A.   The set point for normal arterial blood pressure
B.   The maintenance of relatively stable conditions in the internal environment
C.   A protein inside red blood cells that binds oxygen with high affinity
D.   A disease in which blood clot formation is impaired
E.   The prevention or stoppage of blood loss
Question #6
Blood flow through most organs in the systemic circuit is regulated primarily by increasing or decreasing the __________ activity to arteriolar smooth muscles in the organ. Another form of regulation, called __________, depends upon the metabolic activity of the organ. Increased activity leads to increased interstitial fluid metabolites, which cause __________ of the arterioles. The former is a type of __________ regulation of blood flow; the latter is an example of __________ regulation.
A.   sympathetic; flow autoregulation; constriction; intrinsic; extrinsic
B.   parasympathetic; reactive hyperemia; dilation; extrinsic; intrinsic
C.   sympathetic; reactive hyperemia; dilation; intrinsic; extrinsic
D.   parasympathetic; active hyperemia; constriction; extrinsic; intrinsic
E.   sympathetic; active hyperemia; dilation; extrinsic; intrinsic
Question #7
Mr. Saunders has been diagnosed with bundle branch block following an infection in his heart. This means that action potential propagation through the bundle of His is compromised. Which of the following would be TRUE?,,
A.   There would be a slowing of the frequency of contraction of the ventricles.
B.   The ventricles would contract more frequently than the atria.
C.   The Purkinje fibers would not receive their typical action potential frequency from the bundle branches.
D.   The SA node would no longer set the pace for ventricular contraction.
E.   The atria and ventricles would no longer beat in synchrony.
Question #8
The left ventricle has a thicker wall than the right ventricle because the left ventricle has to pump blood against a higher pressure.
A.   FALSE
B.   TRUE
Question #9
The smooth muscle in arteriole walls can be stimulated either to contract or to relax, thereby either decreasing or increasing the amount of blood flowing through arteriolar beds.
A.   TRUE
B.   FALSE
Question #10
In the systemic circuit, which of these best describes active hyperemia?
A.   Increased blood pressure that drives blood more rapidly through tissues
B.   Increased metabolic activity that results in vasoconstriction
C.   Increased metabolic activity that results in vasodilation
D.   Decreased blood flow to tissues that results in vasoconstriction
E.   Decreased blood flow to tissues that results in vasodilation
Question #11
Consider the equation F = ΔP/R. It describes the flow (F) of fluid in a tube in which there is a pressure difference (ΔP) between the two ends and a resistance (R) to flow. Based on this equation, which is a correct conclusion?
A.   The flow of fluid in a tube depends upon the absolute pressure at the beginning of the tube.
B.   The greater the resistance to flow in a tube, the greater the rate of flow for any given pressure difference.
C.   If both the resistance and the pressure gradient in a tube increase, the flow must also increase.
D.   The rate of flow in a tube will decrease if the resistance to flow is decreased.
E.   The rate of fluid flow in a tube will increase if the pressure at the beginning is increased while the pressure at the end of the tube stays the same.
Question #12
Strong vasoconstriction of arterioles will probably result in greater filtration of fluid from the plasma of capillary beds downstream.
A.   FALSE
B.   TRUE
Question #13
During the cardiac cycle of an individual at rest
A.   the pressure of blood leaving the right ventricle is greater than that leaving the left ventricle.
B.   the volume of blood leaving the left side of the heart is greater than that leaving the right side.
C.   the duration of systole is greater than that of diastole.
D.   the contraction of the atria overlaps in time with the ventricular systole.
E.   the duration of diastole is greater than that of systole.
Question #14
Under normal circumstances, which of the following would result froman increase in transpulmonary pressure?
A.   Inhalation/inspiration
B.   Pneumothorax
C.   A collapsed lung
D.   Exhalation/expiration
E.   Emphysema
Question #15
A decrease in arterial P O2 stimulates increased ventilation by causing increased firing of action potentials in the afferent neurons from the carotid and aortic body chemoreceptors.
A.   TRUE
B.   FALSE
Question #16
The diameter of the airways in normal lungs is generally great enough that little resistance is offered to airflow.
A.   TRUE
B.   FALSE
Question #17
Which of the following statements regarding pulmonary surfactant is TRUE?
A.   It is secreted into the intrapleural space.
B.   It can only interact with other lipid molecules
C.   It increases airway resistance.
D.   It increases the compliance of the lungs.
E.   It is secreted by type I alveolar cells.
Question #18
At sea level, atmospheric PO2 is about 760 mmHg.
A.   FALSE
B.   TRUE
Question #19
An individual with emphysema might experience which of the following?,,
A.   Decreased arterial PC O2
B.   Increased arterial P CO2
C.   Increased arterial P O2
D.   Decreased arterial P O2
E.   Increased respiratory rate
Question #20
Increased plasma concentration of lactic acid stimulates increased ventilation primarily by means of central chemoreceptors.
A.   FALSE
B.   TRUE
Question #21
Which of the following are chemoreceptors?
A.   Receptors that mediate the Hering-Breuer reflex
B.   Receptors in the aortic and carotid bodies
C.   Hair cells in the cochlea
D.   Baroreceptors in the aortic and carotid arch
Question #22
Which of the following drugs, administered as an aerosol spray, would be most likely to help a patient during an asthmatic attack?
A.   Pulmonary surfactant
B.   A muscarinic agonist
C.   A β2-adrenergic agonist
D.   A β2-adrenergic antagonist
E.   Histamine
Question #23
Maria is a patient in the ward who was recently in a motor vehicle accident. Her injuries are causing her a lot of pain, and as a consequence to the morphine she’s been given, her respiratory rate is quite low. Which of the following is likely to be TRUE?
A.   The level of H + ions in her blood has increased.
B.   The level of O 2 in her blood has increased.
C.   The pH of her blood has increased.
D.   The alveolar O 2 level has increased toward atmospheric levels.
E.   The alveolar CO 2 has decreased to near atmospheric levels.
Question #24
Which of these results from hyperventilation?,,
A.   An increase in alveolar P CO2
B.   A decrease in alveolar P O2
C.   Increased alveolar P O2
D.   The same alveolar P CO2 as under normal conditions
E.   Decreased alveolar P CO2
Question #25
Doubling the frequency of breathing will cause a greater increase in alveolar ventilation than will doubling the depth of inspiration.
A.   FALSE
B.   TRUE
Question #26
A chemical that causes binding of a phagocyte to a microbe is called a chemotaxin.
A.   TRUE
B.   FALSE
Question #27
Chemotaxis
A.   is important only for adaptive immune responses.
B.   refers to the engulfing of microbes and foreign molecules by macrophages.
C.   is important only for innate immune responses.
D.   refers to dilation of blood vessels by chemicals released by damaged tissue cells.
E.   refers to the chemical attraction of neutrophils to a site of inflammation.
Question #28
Which of these correctly describes a systemic response to infection?
A.   Secretion of cortisol by the adrenal cortex is decreased.
B.   Appetite generally increases compared to normal.
C.   The body's set point temperature is reset so that body temperature is maintained lower than normal.
D.   There is reduced breakdown of triglycerides in adiopse tissue and a decrease in plasma free fatty acids compared to normal.
E.   The liver retains iron and zinc so plasma levels are decreased from normal.
Question #29
Adaptive immune responses differ from innate immune responses in that the former are mediated by lymphocytes.
A.   TRUE
B.   FALSE
Question #30
Which two cell types are primarily responsible for graft rejection?
A.   Natural killer cells and B cells
B.   Cytotoxic T cells and helper T cells
C.   B cells and helper T cells
D.   B cells and plasma cells
E.   Marcrophages and natural killer cells
Question #31
Which of the following cell types binds to antigens on plasma membranes of target cells and directly destroys the cells?
A.   Helper T cells (CD4 cells)
B.   B cells
C.   Cytotoxic T cells (CD8 cells)
D.   Neutrophils
E.   NK cells
Question #32
Which is NOT true about AIDS?
A.   It is caused by a virus that contains RNA.
B.   It is caused by a retrovirus.
C.   The HIVvirus preferentially enters and disables B cells.
D.   It is transmitted by intimate contact with infected blood, sexual intercourse with an infected partner, or by an infected mother to her breast-fed infant.
E.   Certain unusual cancers such as Kaposi's sarcoma co-occur with relatively high frequency.
Question #33
One therapy option for an individual with hepatitis C virus is a drug that mimics the action of interferons. Which would be NOT true in a patient taking this drug?
A.   None of these are true.
B.   The patient will have increased immunity to viral infections.
C.   Many cells of the body will increase their cellular production of antiviral proteins.
D.   The patient may have increased immunity to the progression of cancer tumors.
E.   The patient will have increased immunity to bacterial infections.
Question #34
Which type of allergy/hypersensitivity occurs independent of antibodies?
A.   Immune-complex hypersensitivity
B.   Immediate hypersensitivity
C.   Delayed hypersensitivity
D.   Cytotoxic hypersensitivity
Question #35
Which of the following statements regarding blood-type incompatibilities between a mother and her fetus is TRUE?
A.   An Rh-negative fetus may be at risk if its mother is Rh-positive.
B.   An Rh-positive fetus may be at risk if its mother is Rh-negative.
C.   The greatest risk to a fetus occurs when both mother and fetus are Rh-positive.
D.   A fetus with type B blood may be at risk if its mother has type O blood.
E.   The risk to anRh-positive fetus of an Rh-negative mother is lessened if she haspreviously carried anRh-negative fetus.
Question #36
Which of the following statements regarding protein digestion and absorption is TRUE?
A.   After absorption, the products of protein digestion are carried by blood directly to the liver.
B.   Free amino acids are the only product of protein digestion that can beabsorbed from the lumen into intestinal epithelial cells.
C.   The enzymes that digest protein are secreted in active form.
D.   Only the exocrine pancreas produces enzymes that can digest proteins.
E.   Pepsin digests protein mainly in the small intestine.
Question #37
The presence of acid and peptides in the stomach stimulates the gastric phase of gastrointestinal control.
A.   FALSE
B.   TRUE
Question #38
Neural regulation of digestive processes is accomplished exclusively by the enteric nervous system of the gastrointestinal tract.
A.   FALSE
B.   TRUE
Question #39
Which of these are secretions of the parietal cells of the gastric mucosa?
A.   HCl and gastrin
B.   gastrin and intrinsic factor
C.   pepsinogen and intrinsic factor
D.   HCl and pepsinogen
E.   HCl and intrinsic factor
Question #40
Which of the following would be most likely to cause metabolic alkalosis?
A.   Strenuous exercise
B.   Hyperventilation
C.   Severe vomiting
D.   Hypoventilation
E.   Severe diarrhea
Question #41
You’re going hiking and want to pack emergency food in case you get lost or the hike takes longer than you anticipate. Your goal is to pack a food that will have the biggest increase on your blood glucose level to be able to supply your hiking muscles with glucose for cellular respiration. Which of the following foods will lead to the biggest and most immediate increase in blood glucose?
A.   A snack rich in digestible polysaccharides such as a cooked potato
B.   All of these will have equal impacts on blood glucose level
C.   A snack rich in lipids, such as slices of cheese
D.   A snack rich in protein, such as a dried meat stick
E.   A snack rich in cellulose, such as a bag of celery
Question #42
Which of the following statements regarding neural regulation of gastrointestinal function is TRUE?
A.   If the autonomic nerves to the GI tract were cut, digestion and absorption of food could no longer take place.
B.   Networks of neurons in the wall of the GI tract innervate the wall's smooth muscle.
C.   There are no afferent neuronal pathways from the GI tract to the central nervous system.
D.   Smooth muscle of the GI tract is innervated by both sympathetic and somatic motor nerves.
E.   The nerve plexus of the GI tract exists in a single layer, just outside of the serosa.
Question #43
Voluntary control of defecation requires learning to keep the external anal sphincter smooth muscle contracted.
A.   FALSE
B.   TRUE
Question #44
The same hormone that stimulates pancreatic enzyme secretion stimulates pancreatic bicarbonate secretion.
A.   TRUE
B.   FALSE
Question #45
The breakdown products of dietary triglycerides are resynthesized into triglycerides by intestinal cells and pass from these cells into lacteals.
A.   FALSE
B.   TRUE
Question #46
Bile secreted by the liver contains the major enzymes for digesting fats.
A.   TRUE
B.   FALSE
Question #47
Amino acids are mainly absorbed across the epithelial wall in the stomach.
A.   FALSE
B.   TRUE
Question #48
Elizabeth suffers from a gastric ulcer. She experiences pain during the times when acid is released into the stomach. Which of the following times is Elizabeth likely to experience the most pain?
A.   During digestion of a high-carbohydrate meal, such as a bagel.
B.   During the digestion of a high-protein meal, such as a steak.
C.   During the digestion of a high-fat meal, such as greasy French fries.
D.   Elizabeth is likely to be in the same amount of pain all the time.
E.   During periods of hunger.
Question #49
A bacterium that has been associated with ulcers is
A.   Streptococcus pyogenes.
B.   Staphylococcus aureus.
C.   Clostridium difficile.
D.   Helicobacter pylori.
E.   Eschericia coli.
Question #50
The primary kind of motility in the small intestine during digestion of a meal is
A.   receptive relaxation.
B.   migrating motility complex.
C.   mass movement.
D.   peristalsis.
E.   segmentation.
Question #51
Which is TRUE regarding the regulation of heart rate?
A.   The slope of diastolic depolarization in SA node cell action potentialsdetermines the heart rate.
B.   The slope of diastolic depolarization in SA node cell action potentialsdetermines the heart rate. Stimulation of sympathetic nerves to the heart causes an increase in heart rate. A person whose heart lacks autonomic innervation has a faster heart rate at rest than a person with a normally innervated heart. Stimulation of parasympathetic nerves to the heart causes a slowing of heart rate.
C.   Stimulation of parasympathetic nerves to the heart causes a slowing of heart rate.
D.   Stimulation of sympathetic nerves to the heart causes an increase in heart rate.
E.   A person whose heart lacks autonomic innervation has a faster heart rate at rest than a person with a normally innervated heart.
Question #52
A beta-adrenergic receptor blocker will work to both lower the heart rate and the force of ventricular contraction.
A.   TRUE
B.   FALSE

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