TEST BANK for Anatomy and Physiology: The Unity of Form and Function 9th Edition by Kenneth Saladin.

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ATLAS A TRUE/FALSE - Write 'T' if the statement is true and 'F' if the statement is false. 1) The frontal plane passes vertically through the body or an organ and divides it into equal right and left portions. ⊚ ⊚

true false

2) The cut of a guillotine (decapitation) is an example of a section done in the midsagittal plane. ⊚ ⊚

3)

The appendicular region consists of the head, neck, and trunk. ⊚ ⊚

4)

true false

The appendix is typically found in the right lower quadrant. ⊚ ⊚

5)

true false

true false

The liver is proximal to the diaphragm. ⊚ ⊚

true false

6) When the abdomen is divided into nine regions, the most superior horizontal line is called the midclavicular line. ⊚ ⊚

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true false

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7)

The most lateral and superior region of the abdomen is called the hypochondriac region. ⊚ ⊚

true false

8) The heart occupies a space called the pericardial cavity between the parietal and visceral pericardium. ⊚ ⊚

9)

true false

The cranial cavity contains the brain. ⊚ ⊚

true false

MULTIPLE CHOICE - Choose the one alternative that best completes the statement or answers the question. 10) The __________ cavity is inferior to the _____________ cavity. A) B) C) D) E)

11)

cranial; thoracic thoracic; abdominopelvic pericardial; pleural thoracic; peritoneal thoracic; cranial

The most superior segment of the upper limb is called the __________. A) B) C) D) E)

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digits manual region carpal region antebrachial region brachial region

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12) The __________ region of the left lower limb is proximal to the __________ region of the ipsilateral limb. A) B) C) D) E)

13)

carpal; manual femoral; crural antebrachial; brachial tarsal; crural brachial; femoral

The ______ wraps around the stomach, small intestine, and parts of the large intestine. A) B) C) D) E)

pleura pericardium meninges visceral peritoneum parietal peritoneum

14) The ___________ is an organ directly associated with the_________ and __________systems. A) B) C) D) E)

15)

stomach; digestive; reproductive pancreas; digestive; endocrine small intestine; digestive; integumentary testis; male reproductive; urinary ovary; female reproductive; lymphatic

Which one of the following is not in the correct anatomical position?

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A) B) C) D) E)

Arms at sides Standing upright Face and eyes facing forward Feet flat on the floor Palms facing hips

16) The plane that passes vertically through the body or an organ and divides it into anterior and posterior portions is called the __________ plane. A) B) C) D) E)

17)

The interscapular region is __________ tothe scapular region. A) B) C) D) E)

18)

sagittal frontal median transverse oblique

anterior posterior medial lateral superior

The sternum (breastbone) is __________ to the vertebral column. A) B) C) D) E)

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anterior posterior superior inferior medial

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19)

The __________ part of the small intestine is the part closest tothe stomach. A) B) C) D) E)

20)

The right shoulder is __________ and __________ to the umbilical region. A) B) C) D) E)

21)

dorsal ventral proximal distal medial

superior; lateral superior; medial inferior; lateral inferior; medial posterior; lateral

The trachea is __________ to the esophagus. A) B) C) D) E)

superior dorsal anterior posterior inferior

22) In the cat, the head is _________ to the tail. In the human, the head is ________ to the gluteal region (buttock). A) B) C) D) E)

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superior; superior anterior; superior posterior; dorsal ventral; distal anterior; posterior

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23)

The visceral pericardium is __________ to the parietal pericardium. A) B) C) D) E)

24)

The lumbar vertebrae are __________ to the thoracic vertebrae. A) B) C) D) E)

25)

anterior superior cephalic posterior inferior

Most of the stomach is located in the _________of the abdomen. A) B) C) D) E)

26)

lateral medial superficial deep anterior

right upper quadrant (RUQ) right lower quadrant (RLQ) left upper quadrant (LUQ) left lower quadrant (LLQ) left middle quadrant (LMQ)

The superolateral regions of the abdomen are called the _________ regions. A) B) C) D) E)

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epigastric inguinal hypochondriac hypogastric lateral abdominal

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27)

The urinary bladder is located in the __________ region. A) B) C) D) E)

epigastric umbilical hypogastric inguinal hypochondriac

28) In the appendicular region, the wrist is called the _________ region, and the ankle is called the ___________ region. A) B) C) D) E)

29)

The spineencloses the __________. A) B) C) D) E)

30)

manual; pedal brachial; crural crural; antebrachial carpal; tarsal metacarpal; metatarsal

thoracic cavity abdominal cavity pelvic cavity vertebral canal cranial cavity

The brain and spinal cord are protected by the _________.

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A) B) C) D) E)

31)

The thoracic cavity and abdominopelvic cavity are eachlined with ___________. A) B) C) D) E)

32)

an endothelium the pericardium the meninges a serous membrane amucous membrane

The left and right portions of the thoracic cavity are divided by the _________. A) B) C) D) E)

33)

pleura pericardium peritoneum serosa meninges

mediastinum diaphragm serous membrane meninges peritoneum

The __________ cavity contains the lungs, which are enfolded in the __________. A) B) C) D) E)

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thoracic; pleurae thoracic; pericardium thoracic; peritoneum abdominopelvic; peritoneum abdominopelvic; pleurae

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34) The most superficial wall of the pleural cavity is lined by the __________, whereas the outer surface of the lungs is covered by the __________. A) B) C) D) E)

35)

The heart is in the __________ cavity and is covered by the __________. A) B) C) D) E)

36)

thoracic; pleura thoracic; pericardium pericardial; pleura pericardial; peritoneum cranial; meninges

The surface of the heart is formed by a membrane called the __________. A) B) C) D) E)

37)

mesothelium; endothelium parietal pericardium; visceral pericardium visceral pleura; parietal pleura parietal pleura; visceral pleura visceral peritoneum; parietal peritoneum

parietal peritoneum visceral peritoneum parietal pericardium visceral pericardium parietal pleura

The abdominopelvic cavity contains a moist serous membrane called the __________. A) B) C) D) E)

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peritoneum pleura pericardium mediastinum meninges

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38)

The kidneys, ureters, adrenal glands, aorta, and inferior vena cava are all __________. A) B) C) D) E)

located within the peritoneal cavity retroperitoneal inside the visceral peritoneum within the pelvic cavity located within the thoracic cavity

39) The continuation of the peritoneum that binds the small intestine and suspends it from the abdominal wall is called the __________. A) B) C) D) E)

greater omentum mesentery mesocolon lesser omentum mediastinum

40) The fatty membrane that hangs like an apron from the inferolateral margin of the stomach and overlies the small intestine is called the __________. A) B) C) D) E)

greater omentum mesentery mesocolon lesser omentum mediastinum

41) The __________system provides protection, water retention, thermoregulation, and vitamin D production.

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A) B) C) D) E)

42)

The thymus, spleen, and tonsils are principal organs of the __________system. A) B) C) D) E)

43)

lymphatic muscular skeletal integumentary digestive

endocrine respiratory lymphatic circulatory muscular

The __________ and __________ systems control and coordinate every cell in a human. A) B) C) D) E)

muscular; nervous circulatory; lymphatic endocrine; nervous circulatory; endocrine muscular;skeletal

44) The __________system stores 99% of your calcium and is critical for blood cell formation. A) B) C) D) E)

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circulatory skeletal excretory muscular endocrine

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45) The __________ system exchanges oxygen and carbon dioxide with the air, whereas the __________ system transports oxygen and carbon dioxide throughout the body. A) B) C) D) E)

46)

respiratory; urinary circulatory; digestive respiratory; digestive circulatory; urinary respiratory; circulatory

The __________ system breaks down food and absorbs nutrients. A) B) C) D) E)

digestive urinary reproductive circulatory lymphatic

47) The __________system regulates blood volume and pressure, stimulates red blood cell formation, eliminates wastes and detoxifies the body, and controls fluid, electrolyte, and acidbase balance. A) B) C) D) E)

48)

urinary respiratory digestive muscular lymphatic

An image of a typical chest X-ray shows a(an) __________ view of the thoracic region.

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A) B) C) D) E)

sagittal frontal transverse oblique lateral

49) Inflammation of the membrane that lines the abdominopelvic cavity is called ___________. A) B) C) D) E)

50)

peritonitis pericarditis pleuritis meningitis arthritis

Peritonitis, a life-threatening condition, can be caused by a_____________. A) B) C) D) E)

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head injury heart attack ruptured appendix punctured lung verterbral fracture

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51) anatomical plane is labeled 2? A) B) C) D) E)

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Which

Transverse plane Frontal plane Sagittal plane Medial plane Coronal plane

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SECTION BREAK. Answer all the part questions. 52)

52.1) Version 1

Which abdominal region is labeled 1?

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A) B) C) D) E) F)

52.2) A) B) C) D) E) F)

52.3) A) B) C) D) E) F)

52.4)

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Epigastric region Hypochondriac region Lumbar region Inguinal region Umbilical region Hypogastric region

Which abdominal region is labeled 2? Epigastric region Hypochondriac region Lumbar region Inguinal region Umbilical region Hypogastric region

Which abdominal region is labeled 3? Epigastric region Hypochondriac region Lumbar region Inguinal region Umbilical region Hypogastric region

Which abdominal region is labeled 4?

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A) B) C) D) E) F)

52.5) A) B) C) D) E) F)

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Epigastric region Hypochondriac region Lumbar region Inguinal region Umbilical region Hypogastric region

Which abdominal region is labeled 5? Epigastric region Hypochondriac region Lumbar region Inguinal region Umbilical region Hypogastric region

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53)

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53.1) A) B) C) D) E)

53.2) A) B) C) D) E)

53.3) A) B) C) D) E)

53.4) A) B) C) D) E)

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Which body cavity is labeled 1? Pleural cavity Pericardial cavity Abdominal cavity Pelvic cavity Cranial cavity

Which body cavity is labeled 2? Pleural cavity Pericardial cavity Abdominal cavity Pelvic cavity Cranial cavity

Which body cavity is labeled 3? Pleural cavity Pericardial cavity Abdominal cavity Pelvic cavity Cranial cavity

Which body cavity is labeled 4? Pleural cavity Pericardial cavity Abdominal cavity Pelvic cavity Cranial cavity

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Answer Key Test name: Atlas A Test Bank 1) FALSE 2) FALSE 3) FALSE 4) TRUE 5) FALSE 6) FALSE 7) TRUE 8) FALSE 9) TRUE 10) E 11) E 12) B 13) D 14) B 15) E 16) B 17) C 18) A 19) C 20) A 21) C 22) B 23) D 24) E 25) C 26) C Version 1

21


27) C 28) D 29) D 30) E 31) D 32) A 33) A 34) D 35) B 36) D 37) A 38) B 39) B 40) A 41) D 42) C 43) C 44) B 45) E 46) A 47) A 48) B 49) A 50) C 51) A 52) Section Break 52.1) B 52.2) A 52.3) E 52.4) F Version 1

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52.5) D 53) Section Break 53.1) A 53.2) B 53.3) C 53.4) D

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ATLAS B TRUE/FALSE - Write 'T' if the statement is true and 'F' if the statement is false. 1) The plantar surface refers to the sole of the foot. ⊚ ⊚

true false

2) The heart occupies a space called the pericardial cavity between the parietal and visceral pericardia. ⊚ ⊚

true false

CHECK ALL THE APPLY. Choose all options that best completes the statement or answers the question. 3) Which of the following bones is/are part of the appendicular region? Check all that apply. A) B) C) D) E)

4)

Which of the following is/are considered part of the axial region? Check all that apply. A) B) C) D) E)

5)

Ilium (part of the hip bone) L5 vertebra (part of the spine) Humerus (upper arm bone) Sternum (breast bone) Femur (thigh bone)

Sternum Humerus Ribs Sacrum Scapula

Which of these directional terms are being used correctly? Select all that apply.

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A) B) C) D) E)

The wrist is distal to the elbow. The ears are lateral to the nose. The umbilicus (belly button) is superior to the chin. The ankle is proximal to the knee. The trachea is deep to the esophagus.

6) Which of the following structures is contained within the abdominopelvic cavity? Check all that apply. A) B) C) D) E)

Liver Lower esophageal sphincter Descending aorta Spleen Pancreas

7) Which of the following structures is found within the thoracic cavity? Check all that apply. A) B) C) D) E)

heart liver lungs fundus of the stomach descending aorta

8) Which of the following statements is correct regarding directional terms? Check all that apply. A) B) C) D) E)

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The sternum (breast bone) is anterior to the spine. The shoulder is proximal to the elbow. The umbilicus (belly button) is inferior to the chin. The spine is lateral to the shoulder. The hips are medial to the umbilicus (belly button).

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MULTIPLE CHOICE - Choose the one alternative that best completes the statement or answers the question. 9) Which of the following is not found in the axial region of the body? A) B) C) D)

10)

The most proximal region of the upper limb is called the __________ region. A) B) C) D) E)

11)

Cervical region Abdominal region Thoracic region Carpal region

palmar cubital carpal antebrachial brachial

The superolateral regions of the abdomen are called the __________ regions. A) B) C) D) E)

epigastric inguinal hypochondriac hypogastric lower quadrant

12) The duodenum is the region of the small intestine closest to the stomach. It is therefore referred to as the most __________ region of the small intestine.

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A) B) C) D) E)

13)

The right shoulder is __________ and __________ to the umbilical region. A) B) C) D) E)

14)

medial superficial superior dorsal distal

The __________ region is immediately medial to the coxal region. A) B) C) D) E)

16)

superior; lateral superior; medial inferior; lateral inferior; medial posterior; lateral

The tarsal region is __________ to the popliteal region. A) B) C) D) E)

15)

dorsal ventral proximal distal medial

inguinal hypochondriac umbilical popliteal cubital

Between the two scapulae is a region referred to as the __________ region.

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A) B) C) D) E)

scapular brachial interscapular lumbar cervical

17) In the appendicular region, the wrist is called the __________ region, and the ankle is called the __________ region. A) B) C) D) E)

18)

Which of these regions is not part of the upper limb? A) B) C) D) E)

19)

manual; pedal brachial; crural crural; antebrachial carpal; tarsal metacarpal; metatarsal

Plantar Carpal Cubital Brachial Palmar

The anatomical term for the upper arm region is __________. A) B) C) D)

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brachial carpal biceps crural

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20) The __________ wraps around and is directly adhered to the stomach, small intestine, and large intestine. A) B) C) D) E)

pleura pericardium meninges visceral peritoneum parietal peritoneum

21) The thoracic cavity is divided into right, left, and medial portions by a region called the _________. A) B) C) D) E)

mediastinum diaphragm serous membrane meninges peritoneum

22) A fatty membrane that hangs like an apron from the inferolateral margin of the stomach and overlies the small intestine is called the __________. A) B) C) D) E)

23)

greater omentum mesentery mesocolon lesser omentum mediastinum

Which of the following terms indicates the largest gluteus muscle?

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A) B) C) D) E)

24)

The _____ region of the left lower limb is proximal to the _____ region of the same limb. A) B) C) D) E)

25)

carpal; manual femoral; crural antebrachial; brachial tarsal; crural brachial; femoral

What is the Latin term for "lip"? A) B) C) D)

26)

Magnus Major Maximus Minimus Majorus

Labium Oris Buccal Mental

Which of the following muscles is not externally visible on the trunk of the body? A) B) C) D) E)

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Transverse abdominal Latissimus dorsi Trapezius Pectoralis major External oblique

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FILL IN THE BLANK. Write the word or phrase that best completes each statement or answers the question. 27) The forearm is more appropriately referred to as the __________ region.

28) The visceral __________ is the serous membrane covering the external surface of the lungs.

29)

The anterior pit of the elbow is called the __________ region.

30)

The posterior pit of the knee is called the __________ region.

31)

The cheek area is known as the __________ region.

ESSAY. Write your answer in the space provided or on a separate sheet of paper. 32) Lay people often misunderstand medical terminology. What do you think people really mean when they say they have “planter’s warts”?

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SECTION BREAK. Answer all the part questions.

33) CopyrightJoeDeGrandis/McGraw-HillEducation

33.1)

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Which letter represents the mental region?

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A) B) C) D) E)

A C D E F

33.2) A) B) C) D) E)

Which letter represents the auricular region? A C D E F

33.3) A) B) C) D) E)

Which letter represents the buccal region? A C D E F

33.4) A) B) C) D) E)

33.5) Version 1

Which letter represents the cervical region? A C D E F

Which letter represents the frontal region?

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A) B) C) D) E)

A C D E F

34) CopyrightJoeDeGrandis/McGraw-HillEducation

34.1)

Version 1

Which letter represents the linea alba?

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A) B) C) D) E)

A B C D E

34.2) A) B) C) D) E)

Which letter represents the costal margin? A B C D E

34.3) A) B) C) D) E)

Which letter represents the body of the sternum? A B C D E

34.4) A) B) C) D) E)

34.5) Version 1

Which letter represents the body of the clavicle? A B C D E

Which letter represents the trapezius muscle?

12


A) B) C) D) E)

A B C D E

35) CopyrightJoeDeGrandis/McGraw-HillEducation

35.1)

Version 1

Which letter represents the brachioradialis?

13


A) B) C) D) E)

A B C D E

35.2) A) B) C) D) E)

Which letter represents the teres major? A B C D E

35.3) A) B) C) D) E)

Which letter represents the infraspinatus? A B C D E

35.4) A) B) C) D) E)

35.5) Version 1

Which letter represents the erector spinae? A B C D E

Which letter represents the deltoid?

14


A) B) C) D) E)

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A B C D E

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Answer Key Test name: Atlas B Test Bank 1) TRUE 2) FALSE 3) [A, C, E] 4) [A, C, D] 5) [A, B] 6) [A, B, D, E] 7) [A, C, E] 8) [A, B, C] 9) D 10) E 11) C 12) C 13) A 14) E 15) A 16) C 17) D 18) A 19) A 20) D 21) A 22) A 23) C 24) B 25) A 26) A Version 1

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27) antebrachial 28) pleura 29) cubital 30) popliteal 31) buccal 32) Suggested Answer: It is a misunderstanding of the word plantar, the surface where such warts commonly occur. 33) Section Break 33.1) C 33.2) D 33.3) B 33.4) E 33.5) A 34) Section Break 34.1) E 34.2) D 34.3) C 34.4) B 34.5) A 35) Section Break 35.1) A 35.2) B 35.3) D 35.4) E 35.5) C

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CHAPTER 1 TRUE/FALSE - Write 'T' if the statement is true and 'F' if the statement is false. 1) Feeling for swollen lymph nodes is an example of auscultation. ⊚ ⊚

2)

We can see through bones with magnetic resonance imaging (MRI). ⊚ ⊚

3)

true false

Cells were first named by microscopist Robert Hooke. ⊚ ⊚

5)

true false

Histology is the study of structures that can be observed without a magnifying lens. ⊚ ⊚

4)

true false

true false

All functions of the body can be interpreted as the effects of cellular activity. ⊚ ⊚

true false

6) The hypothetico-deductive method is common in physiology, whereas the inductive method is common in anatomy. ⊚ ⊚

7)

true false

An individual scientific fact has more information than a theory.

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⊚ ⊚

8)

Evolutionary (Darwinian) medicine traces some of our diseases to our evolutionary past. ⊚ ⊚

9)

true false

A molecule of water is more complex than a mitochondrion (organelle). ⊚ ⊚

12)

true false

Organs are made of tissues. ⊚ ⊚

11)

true false

The terms development and evolution have the same meaning in physiology. ⊚ ⊚

10)

true false

true false

Homeostasis and occupying space are both unique characteristics of living things. ⊚ ⊚

true false

13) Negative feedback is a self-amplifying chain of events that tends to produce rapid change in the body. ⊚ ⊚

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true false

2


14) Positive feedback helps to restore normal function when one of the body's physiological variables gets out of balance. ⊚ ⊚

true false

15) Anatomists around the world adhere to a lexicon of standard international terms which stipulates both Latin names and accepted English equivalents. ⊚ ⊚

true false

16) Lou Gehrig disease is the eponym for Amyotropic Lateral Sclerosis, made famous by the "ice bucket challege." ⊚ ⊚

true false

17) Sometimes anatomical terms come from origins that do not lend any insight into their meaning. ⊚ ⊚

true false

MULTIPLE CHOICE - Choose the one alternative that best completes the statement or answers the question. 18) The study of normal body structures is called ___________. A) B) C) D) E)

19)

physiology anatomy pathology microscopy biology

The study of how the body functions is called ___________.

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A) B) C) D) E)

neuroanatomy anatomy chemistry histology physiology

20) Feeling structures with your fingertips is called __________, whereas tapping on the body and listening for sounds of abnormalities is called __________. A) B) C) D) E)

palpation; auscultation auscultation; percussion percussion; auscultation palpation; percussion percussion; palpation

21) Which of these is the best imaging technique for routinely examining the anatomical development of a fetus? A) B) C) D) E)

22)

Auscultation PET scan MRI Sonography Radiography

The study of the structure and function of cells is called __________. A) B) C) D) E)

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cytology gross anatomy exploratory physiology comparative physiology radiology

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23)

Ultrastructure refers to the detailed structure to the level of the ___________. A) B) C) D) E)

24)

The study of how hormones function is called ____________. A) B) C) D) E)

25)

molecule cell organelle tissue organ

neuroanatomy neurophysiology endocrinology histology pathophysiology

The study of mechanism of disease is called __________. A) B) C) D) E)

neuroanatomy neurophysiology endocrinology histology pathophysiology

26) The terms physics, physiology, and physician come from a term __________ proposed to distinguish natural causes from supernatural causes.

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A) B) C) D) E)

Hippocrates Plato Schwann Aristotle Avicenna

27) Who was a physician to the Roman gladiators, learned by dissection of animals, and saw science as a method of discovery? A) B) C) D) E)

Hippocrates Plato Schwann Aristotle Galen

28) Knownas "the father of modern anatomy," __________ was the first to publish accurate drawings of the body. A) B) C) D) E)

29)

Vesalius Maimonides Harvey Aristotle van Leeuwenhoek

The most influential medical textbook of the ancient era was written by __________. A) B) C) D) E)

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Hippocrates Aristotle Galen Vesalius Avicenna

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30) Who established a code of ethics for physicians and is considered the "father of medicine"? A) B) C) D) E)

Aristotle Hippocrates Galen Vesalius Hooke

31) What is the process of using numerous observations to develop general principles and predictions about a specific subject called? A) B) C) D) E)

Experimental design The deductive method The inductive method A hypothesis Statistical testing

32) Most people think that ulcers are caused by psychological stress. It was discovered that an acid-resistant bacterium, Heliobacter pylori, lives in the lining of the stomach. If these bacteria cause ulcers, then treatment with an antibiotic should reduce ulcers. This line of investigation is an example of __________. A) B) C) D) E)

hypothetical reasoning hypothetico-deductive reasoning the inductive method experimental design statistical analysis

33) The use of controls and statistical testing are two aspects of experimental design that help to ensure __________.

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A) B) C) D) E)

an adequate sample size objective and reliable results experimental bias psychosomatic effects treatment groups

34) Which process submits a scientist's ideas to the critical judgment of other specialists in the field before the research is funded or published? A) B) C) D) E)

Adjudication Statistical testing Falsification Peer review Hypothetico-deductive testing

35) A new drug apparently increases short-term memory. Students were divided randomly into two groups at the beginning of the semester. One group was given the memory pill once a day for the semester, and the other group was given a same-looking pill, but it was just sugar. The sugar pill is termed a(n) __________. A) B) C) D) E)

controlled pill placebo treatment pill variable effective dose

36) Two groups of people were tested to determine whether garlic lowers blood cholesterol levels. One group was given 800 mg of garlic powder daily for four months and exhibited an average 12% reduction in the blood cholesterol. The other group was not given any garlic and after four months averaged a 3% reduction in cholesterol. The group that was not given the garlic was the __________ group.

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A) B) C) D) E)

37)

peer test treatment control double-blind

An educated speculation or a possible answer to a question is called a(n) __________. A) B) C) D) E)

scientific method theory law hypothesis fact

38) Which of the following would contain the greatest amount of information that scientists consider to be true to the best of their knowledge? A) B) C) D) E)

A fact A law of nature A hypothesis An equation A theory

39) If a species of animal evolves over generations to grow a large fan-blade like growth on its back to catch the wind and cool its body, this would be an example of responding to __________. A) B) C) D) E)

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selection pressure adaptation natural selection climate change positive feedback

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40)

What is a change in the genetic composition of a population over time called? A) B) C) D) E)

41)

The constant appearance of new strains of influenza virus is an example of __________. A) B) C) D) E)

42)

a model evolution selection pressure survivorship success

What is the principal theory of how evolution works? A) B) C) D) E)

43)

Mutation Natural selection Selection pressure Evolution Adaptation

Natural pressure Selective pressure Darwinian pressure Natural adaptation Natural selection

Stereoscopic vision provides __________. A) B) C) D) E)

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opposable perception color perception depth perception bipedalism opposition of thumbs

10


44)

Most primates are __________, meaning they live in trees. A) B) C) D) E)

prehensile bipedal cursorial troglodytic arboreal

45) Which of the following was an adaptation thatevolved in connection with human upright walking? A) B) C) D) E)

Hair Fully opposable thumbs Stereoscopic vision Color vision Spinal and pelvic anatomy

46) A human isborn before his/her nervous system has matured. This is traceable to __________. A) B) C) D) E)

47)

their inability to regulate body temperature skeletal adaptations to bipedalism the arboreal habits of early primates the conditions of modern civilization the diet of early species of Homo

What is the species of modern humans?

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A) B) C) D) E)

Homo erectus Homo sapiens Homo habilis Neanderthal Australopithecus

48) An __________ is composed of two or more tissues types, whereas __________ are microscopic structures in a cell. A) B) C) D) E)

organ system; organs organ system; organelles organ; organelles organ; molecules organelle;molecules

49) Which of the following lists levels of human structure from the most complex to the simplest? A) B) C) D) E)

Organelle, cell, tissue, organ, organ system Organ system, organ, cell, tissue, organelle Organ system, organelle, tissue, cell, organ Organ system, organ, tissue, cell, organelle Organ, organ system, tissue, cell, organelle

50) Which of the followinglists examples of body structures from the simplest to the most complex? A) B) C) D) E)

Version 1

Mitochondrion, connective tissue, protein, stomach, adipocyte (fat cell) Protein, mitochondrion, adipocyte (fat cell), connective tissue, stomach Mitochondrion, connective tissue, stomach, protein, adipocyte (fat cell) Protein, adipocyte (fat cell), stomach, connective tissue, mitochondrion Protein, stomach, connective tissue, adipocyte (fat cell), mitochondrion

12


51) A(n) __________ is a group of similar cells and their intercellular materials in a discrete region of an organ performing a specific function. A) B) C) D) E)

52)

All of the following are human organ systems except __________. A) B) C) D) E)

53)

macromolecule organ system organelle organism tissue

skeletal endocrine epidermal reproductive lymphatic

All of the following are organs except __________. A) B) C) D) E)

teeth the skin nails the liver the digestive system

54) Taking apart a clock to see how it works is similar to __________ thinking about human physiology.

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13


A) B) C) D) E)

comparative evolutionary holistic inductive reductionist

55) Which of the following approaches understanding the human body by studying the interactions of its parts? A) B) C) D) E)

Naturalism Reductionism Vitalism Holism Rationalism

56) What is the view that not everything about an organism can be understood or predicted from the knowledge of its components; that is, the whole is greater than the sum of its parts? A) B) C) D) E)

Naturalism Reductionism Holism Materialism Science

57) The fact that most of us have five lumbar vertebrae, but some people have six and some have four, is an example of what type of variation among organisms? A) B) C) D) E)

Version 1

Cellular Holistic Physiological Anatomical Reductionist

14


58)

Why does a surgeon need to be familiar with different versions of anatomy? A) B) C) D) E)

59)

What are the simplest body structures considered alive? A) B) C) D) E)

60)

Cellular adaptation Holistic medicine Physiological variation Anatomical variation Evolutionary adaptation

Organ systems Organs Cells Organelles Molecules

Metabolism is the sum of all __________ change. A) B) C) D) E)

external physical external chemical internal chemical internal physical internal integrative

61) The change in size of the bone marrow (where blood cells are produced) as an infant matures is an example of __________, whereas the transformation of blood stem cells into white blood cells is an example of __________.

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15


A) B) C) D) E)

development; differentiation growth; development growth; differentiation differentiation; growth differentiation; development

62) A hemoglobin level of 12g/dL is normal for an adult female, but low for an adult male. What is this is an example of? A) B) C) D) E)

63)

Cellular adaptation Holistic medicine Physiological variation Anatomical variation Structural differentiation

Which of the following is not an aspectthat could result in physiological variation? A) B) C) D) E)

Age Gender Environment Physical activity These are all aspects that can cause physiological variation.

64) We live in an ever-changing environment outside of our body, yet our internal conditions remain relatively stable. This is called __________. A) B) C) D) E)

Version 1

homeostasis metastasis responsiveness adaptation evolution

16


65)

What are the three common components of a feedback loop? A) B) C) D) E)

Stimulus, integrating (control) center, and organ system Stimulus, receptor, and integrating (control) center Receptor, integrating (control) center, and effector Receptor, organ, and organ system Receptor, integrating (control) center, and organ system

66) During exercise, one generates excess heat and the body temperature rises. As a response, blood vessels dilate in the skin, warm blood flows closer to the body surface, and heat is lost. This is an example of__________. A) B) C) D) E)

negative feedback positive feedback dynamic equilibrium integration control set point adjustment

67) Blood glucose concentration rises after a meal and stimulates the pancreas to release the hormone insulin. Insulin travels in the blood and stimulates the uptake ofglucose by body cells from the bloodstream, thusreducing blood glucose concentration. This is an example of _________. A) B) C) D) E)

68)

negative feedback positive feedback dynamic equilibrium integration control set point adjustment

Negative feedback loops are __________.

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17


A) B) C) D) E)

homeostatic mechanisms not homeostatic mechanisms associated with "vicious circles" self-amplifying cycles usually harmful

69) When a woman is giving birth, the head of the baby pushes against her cervix and stimulates therelease of the hormone oxytocin. Oxytocin travels in the blood and stimulates the uterus to contract. Labor contractions become more and more intense until the baby is expelled. This is an example of __________. A) B) C) D) E)

70)

negative feedback positive feedback dynamic equilibrium integration control set point adjustment

Which of the following is most likely to cause disease? A) B) C) D) E)

Positive feedback Negative feedback Homeostasis Equilibrium Irritability

71) A physiological __________ is a difference in chemical concentration, electrical charge, physical pressure, temperature, or other variables between one point and another.

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18


A) B) C) D) E)

gradient barrier membrane imbalance feedback loop

72) Chemicals in a solution can move down a concentration gradient. This means the chemical will move from the area of__________ concentrationto the area of_________ concentration. A) B) C) D) E)

73)

higher; lower lower; higher equal; equal lower; lower higher; higher

Which of the following is not an example of a physiological gradient? A) B) C) D) E)

Tissue Thermal Concentration Pressure Electrical

74) What type of gradient causes the movement of ions due to both charge and concentration differences? A) B) C) D) E)

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Electrochemical gradient Thermal gradient Concentration gradient Pressure gradient Osmotic gradient

19


75) Modern anatomical language is based on what two languages because individuals speaking these languages made most of the early anatomical discoveries? A) B) C) D) E)

76)

The term fallopian tube (uterine tube) is an example of __________. A) B) C) D) E)

77)

a Latin root used in medical terminology the use of prefixes to name an anatomical structure the use of suffixes to name an anatomical structure an eponym an acronym

The lexicon of standard international anatomical terms is __________. A) B) C) D) E)

78)

Greek and Latin English and Japanese English and Spanish Roman and Latin Latin and Chinese

called Terminologia Anatomica (TA) called Nomina Anatomica (NA) formed from thousands of English word roots formed from thousands of Italian word roots formed from thousands of French word roots

The prefix hypo- means __________, whereas hyper- means __________.

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20


A) B) C) D) E)

79)

front; back right; left inside; outside clear; dark below; above

What does "hypercalcemia" mean? A) B) C) D) E)

Elevated calcium levels Lowered calcium levels Elevated sodium levels Lowered sodium levels Elevated potassium levels

80) DNA is an example of an __________, whereas PET scan is an example of an __________. A) B) C) D) E)

abbreviation; acronym acronym; abbreviation eponym; acronym acronym; eponym eponym; abbreviation

81) The plural of axilla (armpit) is __________, whereas the plural of appendix is __________. A) B) C) D) E)

Version 1

axillae; appendices axillides; appendages axillies; appendi axilli; appendices axilles; appendices

21


82)

The plural of villus (hair) is __________, whereas the plural of diagnosis is __________. A) B) C) D) E)

83)

Why is precise spelling important in anatomy? A) B) C) D) E)

84)

villuses; diagnosises villi; diagnoses villus; diagnosis villi; diagnosis villuses; diagnosis

It is important to practice language skills. There are many different ways to spell certain terms. Eponyms are difficult to memorize. There are many similar terms in anatomy that refer to different structures. It is easier to remember acronyms when spelled correctly.

The ileum is __________, whereasthe ilium is ____________. A) B) C) D) E)

Version 1

part of the hip bone; part of the small intestine part of the small intestine; part of the hip bone a bone in the wrist; a muscle of the back a muscle; a bone a bone; a muscle

22


85)

What is the name of the highlighted organ?

A) B) C) D) E)

Version 1

Small intestine Stomach Liver Large intestine Spleen

23


86)

What is the name of the highlighted organ?

A) B) C) D) E)

Version 1

Adrenal gland Spleen Liver Kidney Pancreas

24


SECTION BREAK. Answer all the part questions.

87)

87.1) A) B) C) D) E)

Which letter represents the receptor of this feedback loop? A B C D E

87.2) A) B) C) D) E)

Version 1

Which letter represents the effectorof this feedback loop? A B C D E

25


87.3) A) B) C) D) E)

87.4) A) B) C) D) E)

Version 1

Where in this feedback loop is homeostasis present? A B C D E

This feedback loop is an example of which of the following? Negative feedback Positive feedback Dynamic equilibrium Thermal gradient Natural selection

26


Version 1

27


88.1) A) B) C) D) E)

88.2) A) B) C) D) E)

88.3) A) B) C) D) E)

88.4)

Version 1

Which letter represents a pressuregradient? A B C D All of these represent a pressure gradient.

Which letter represents a thermalgradient? A B C D All of these represent a thermal gradient.

Glucose would move down which of these gradients? A B C D Glucose can move via all of these mechanisms.

Ions would move down which of these gradients?

28


A) B) C) D) E)

A B C D Ions can move via all of these mechanisms.

89)

a: U.H.B. Trust/The Image Bank/Getty Images; b: pang_oasis/Shutterstock; c: Miriam Maslo/Science Source; d: UHB Trust/Getty Images; e: ISM/Sovereign/Medical Images

89.1)

Version 1

Which image is produced using an X-ray?

29


A) B) C) D) E)

A B C D E

89.2) A) B) C) D) E)

Which image is produced using Computed Tomography? A B C D E

89.3) A) B) C) D) E)

Which image is produced using Magnetic Resonance Imaging? A B C D E

89.4) Which imaging technique would be used to determine the location of a blocked artery? A) B) C) D) E)

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A B C D E

30


89.5) Which imaging technique would be used to determine the metabolically active areas of the brain? A) B) C) D) E)

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A B C D E

31


90)

90.1)

Version 1

What level of structural hierarchy is represented by the letter E?

32


A) B) C) D) E)

90.2) A) B) C) D) E)

90.3) A) B) C) D) E)

90.4) A) B) C) D) E)

90.5) Version 1

Organelle Cell Tissue Organ Molecule

What level of structural hierarchy is represented by the letter H? Organ system Cell Tissue Organ Molecule

What is the study of the structure at E called? Cytology Histology Physiology Organismal biology Pathology

What is the study of the structure at F called? Cytology Histology Physiology Organismal biology Pathology

The integumentary system is an example of which level of structural hierarchy?

33


A) B) C) D) E)

A C E H I

90.6) A) B) C) D) E)

A lymph node is an example of which level of structural hierarchy? G C E H I

90.7) A) B) C) D) E)

Version 1

A ribosome is an example of which level of structural hierarchy? A C E H D

34


91)

91.1) A) B) C) D) E)

91.2) Version 1

This is an example of which of the following? Positive feedback Negative feedback Dynamic equilibrium Adaptation Natural selection

In this feedback loop, what is the receptor?

35


A) B) C) D) E)

91.3) A) B) C) D) E)

Version 1

Brain Oxytocin Uterus Ovaries Adrenal gland

In this feedback loop, what is the effector? Cervix Brain Oxytocin Uterine muscles Ovaries

36


Answer Key Test name: Chap 01_9e 1) FALSE 2) TRUE 3) FALSE 4) TRUE 5) TRUE 6) TRUE 7) FALSE 8) TRUE 9) FALSE 10) TRUE 11) FALSE 12) FALSE 13) FALSE 14) FALSE 15) TRUE 16) TRUE 17) TRUE 18) B 19) E 20) D 21) D 22) A 23) A 24) C 25) E 26) D Version 1

37


27) E 28) A 29) C 30) B 31) C 32) B 33) B 34) D 35) B 36) D 37) D 38) E 39) A 40) D 41) B 42) E 43) C 44) E 45) E 46) B 47) B 48) C 49) D 50) B 51) E 52) C 53) E 54) E 55) B 56) C Version 1

38


57) D 58) D 59) C 60) C 61) C 62) C 63) E 64) A 65) C 66) A 67) A 68) A 69) B 70) A 71) A 72) A 73) A 74) A 75) A 76) D 77) A 78) E 79) A 80) A 81) A 82) B 83) D 84) B 85) C 86) D Version 1

39


87) Section Break 87.1) B 87.2) D 87.3) E 87.4) A 88) Section Break 88.1) A 88.2) D 88.3) B 88.4) C 89) Section Break 89.1) A 89.2) C 89.3) D 89.4) B 89.5) E 90) Section Break 90.1) B 90.2) A 90.3) A 90.4) B 90.5) D 90.6) A 90.7) E 91) Section Break 91.1) A 91.2) A 91.3) D

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40


CHAPTER 2 TRUE/FALSE - Write 'T' if the statement is true and 'F' if the statement is false. 1) Minerals are organic elements extracted from the soil by plants. ⊚ ⊚

2)

Molecules composed of two or more atoms are called compounds. ⊚ ⊚

3)

true false

Potassium, sodium, and chlorine are trace elements. ⊚ ⊚

5)

true false

Hydrogen, deuterium, and tritium are three isotopes of hydrogen. ⊚ ⊚

4)

true false

true false

Ionic bonds break apart in water more easily than covalent bonds do. ⊚ ⊚

true false

6) A solution is a mixture of two or more substances that are physically blended but not chemically combined. ⊚ ⊚

7)

true false

The pH of blood plasma is approximately 7.4, which is slightly acidic.

Version 1

1


⊚ ⊚

8)

The high heat capacity of water makes it a very ineffective coolant. ⊚ ⊚

9)

true false

true false

In an exchange reaction, covalent bonds are broken and new covalent bonds are formed. ⊚ ⊚

true false

10) Chemical reactions in which larger molecules are broken down into smaller ones are called catabolic reactions. ⊚ ⊚

11)

The opposite of a dehydration synthesis reaction is a hydrolysis reaction. ⊚ ⊚

12)

true false

Unsaturated fatty acids have as much hydrogen as they can carry. ⊚ ⊚

13)

true false

true false

A dipeptide is a molecule with two peptide bonds. ⊚ ⊚

Version 1

true false

2


14) All amino acids have both a carboxyl group and an amino group attached to a central carbon. ⊚ ⊚

15)

ATP is the body's most important form of long-term energy storage. ⊚ ⊚

16)

true false

A molecule that is oxidized gains electrons and energy. ⊚ ⊚

17)

true false

true false

Minerals are organic molecules that must be obtained through food. ⊚ ⊚

true false

CHECK ALL THE APPLY. Choose all options that best completes the statement or answers the question. 18) Which of these is a cation? Check all that apply. A) B) C) D) E)

O 2 K+ Na+ Ca 2+ Cl -

MULTIPLE CHOICE - Choose the one alternative that best completes the statement or answers the question. 19) The most abundant element in the human body, by weight, is __________.

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3


A) B) C) D) E)

20)

Sodium has an atomic number of 11 and an atomic mass of 23. Sodium has __________. A) B) C) D) E)

21)

nitrogen hydrogen carbon oxygen calcium

12 neutrons and 11 protons 12 protons and 11 neutrons 12 electrons and 11 neutrons 12 protons and 11 electrons 12 electrons and 11 protons

The chemical properties of an atom are determined by its __________. A) B) C) D) E)

protons electrons neutrons protons and neutrons particles

22) Na (atomic no. 11) reacts with Cl (atomic no. 17) to become stable. In the reaction, Na will ____________, while Cl will ____________. A) B) C) D) E)

Version 1

accept one electron; give up one electron give up one proton; accept one proton share one electron with chlorine; share one electron with sodium become an anion; become a cation give up one electron; accept one electron

4


23) Oxygen has an atomic number of 8 and an atomic mass of 16. How many valence electrons does it have? A) B) C) D) E)

2 4 6 8 16

24) Oxygen has an atomic number of eight. When two oxygen atoms come together, they form a(n) __________ bond. A) B) C) D) E)

25)

When table salt, sodium chloride (NaCl), is placed in water __________. A) B) C) D) E)

26)

hydrogen nonpolar covalent polar covalent ionic Van der Waals

Na + and Cl - form ionic bonds with each other Na + and Cl - form polar covalent bonds with each other Na + and Cl - form hydrogen bonds with water ionic bonds between Na + and Cl - are broken Na + and Cl - become separated by their Van der Waals forces

The bonding properties of an atom are determined by its __________.

Version 1

5


A) B) C) D) E)

27)

What type of bond attracts one water molecule to another? A) B) C) D) E)

28)

An ionic bond A peptide bond A hydrogen bond A covalent bond A hydrolytic bond

__________ account for 98.5% of the body's weight. A) B) C) D) E)

29)

electrons protons positrons neutrons photons

Carbon, oxygen, hydrogen, sodium, potassium, and chlorine Carbon, oxygen, iron, sodium, potassium, and chlorine Carbon, nitrogen, hydrogen, sodium, potassium, and chlorine Carbon, oxygen, hydrogen, nitrogen, sodium, and potassium Carbon, oxygen, hydrogen, nitrogen, calcium, and phosphorus

__________ differ from one another in their number of neutrons and atomic mass. A) B) C) D) E)

Version 1

Cations Anions Isotopes Electrolytes Free radicals

6


30) When jumping into water you notice resistance. This resistance is caused by water's __________. A) B) C) D) E)

31)

adhesiveness cohesiveness hydrophobic tension hydrophilic tension osmotic equilibrium

Which of these is hydrophobic? A) B) C) D) E)

Glucose K + Cl Water Fat

32) Blood contains NaCl, protein, and cells. The NaCl is in a(n) __________, the protein is in a(n) __________, and the cells are in a __________. A) B) C) D) E)

33)

emulsion; solution; suspension solvent; emulsion; colloid colloid; suspension; solution suspension; colloid; solution solution; colloid; suspension

Which of these is the most appropriate to express the number of molecules per volume?

Version 1

7


A) B) C) D) E)

34)

A solution with pH 4 has __________ the H + concentration of a solution with pH 8. A) B) C) D) E)

35)

Molarity Volume Percentage Weight per volume Milliequivalents per liter

½ 2 times 4 times 10,000 times 1/10,000

Which of these has the highest H + concentration? A) B) C) D) E)

Lemon juice, pH = 2.3 Red wine, pH = 3.2 Tomato juice, pH = 4.7 Saliva, pH = 6.6 Household ammonia, pH = 10.8

36) In a workout your muscle cells produce lactate, yet you maintain a constant blood pH because _________. A) B) C) D) E)

Version 1

metabolic acids are neutralized in muscle cells before released into the blood metabolic bases are produced at the same rate by muscle cells to neutralize the acids the respiratory system removes excess H + from the blood before the pH is lowered the body contains chemicals called buffers that resist changes in pH endothelial cells secrete excess H + to prevent a decrease in pH

8


37) A solution that resists a change in pH when an acid or base is added to it is a(n) __________. A) B) C) D) E)

buffer catalyst reducing agent oxidizing agent colloid

38) A chemical reaction that removes electrons from an atom is called a(n)__________ reaction. A) B) C) D) E)

39)

reduction condensation hydrolysis anabolic oxidation

The most relevant free energy in human physiology is the energy stored in __________. A) B) C) D) E)

electrolytes ionized in water free radicals with an odd number of electrons radioisotopes the chemical bonds of organic molecules Van der Waals forces

40) The breakdown of glycogen (an energy-storage compound) is an example of a(n) __________ reaction.

Version 1

9


A) B) C) D) E)

41)

exergonic endergonic exchange synthesis equilibrium

Potential energy stored in bonds is released as__________ energy. A) B) C) D) E)

electromagnetic electrical chemical heat kinetic

42) The breakdown of glucose to yield carbon dioxide, oxygen, and ATP can be described as __________. A) B) C) D) E)

43)

anabolic and endergonic catabolic and exergonic anabolic and exergonic catabolic and endergonic anabolic and exothermic

Which one of the following would not increase the rate of a reaction? A) B) C) D) E)

Version 1

An increase in reactant concentrations A rise in temperature The presence of a catalyst The presence of an enzyme A decrease in reactant concentrations

10


44)

Which of the following terms encompasses all of the other ones? A) B) C) D) E)

Catabolism Anabolism Metabolism Oxidation reactions Reduction reactions

45) The breakdown of starch by digestive enzymes into glucose molecules is a(n) __________ reaction. A) B) C) D) E)

46)

Which of the following equations depicts an exchange reaction? A) B) C) D) E)

47)

synthesis decomposition exchange anabolic reduction

AB → A + B A + B → AB AB + CD → AC + BD AB → A - + B + A + B → AB → C + D

Which of these functional groups contains nitrogen? A) B) C) D) E)

Version 1

Carboxyl group Methyl group Hydroxyl group Amino group Phosphate group

11


48)

Which of the followingis not an organic compound? A) B) C) D)

49)

C 16H 18N 3ClS Na 2HPO 3(H 2O) CH 4 C 3H 7O 2N

5

A __________ reaction breaks a __________ down into its monomers. A) B) C) D) E)

hydrolysis; polymer dehydration synthesis; molecule dehydration synthesis; polymer polymer; molecule condensation; reactant

50) The formula of an amino group is __________; the formula of a carboxyl group is __________. A) B) C) D) E)

-COOH; -OH -CH 3; -NH 2 -OH; -SH -NH 2; -COOH -SH; -H 2PO 4

51) Table sugar is a disaccharide called __________ and is made up of the monomer(s) __________.

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12


A) B) C) D) E)

52)

Which of the following is a disaccharide? A) B) C) D) E)

53)

Fructose; sucrose Galactose; maltose Lactose; glycogen Glucose; starch Cellulose; glucose

In general, __________ have a 2:1 ratio of hydrogen to oxygen. A) B) C) D) E)

55)

Galactose Lactose Glucose Fructose Amylose

__________ is a monosaccharide, whereas __________ is a polysaccharide. A) B) C) D) E)

54)

maltose; glucose and sucrose sucrose; glucose and fructose lactose; glucose and galactose glycogen; glucose and fructose glucose; galactose and fructose

enzymes proteins lipids carbohydrates nucleic acids

Proteoglycans are composed of __________.

Version 1

13


A) B) C) D) E)

carbohydrates and fats nucleic acids and fats carbohydrates and proteins proteins and fats nucleic acids and proteins

56) Triglycerides consist of a 3-carbon compound called __________ bound to three __________. A) B) C) D) E)

57)

__________ are major components of cell membranes, and are said to be __________. A) B) C) D) E)

58)

pyruvate; fatty acids lactate; glycerols eicosanoid; steroids glycerol; fatty acids sterol; fatty acids

Triglycerides; hydrophobic Steroids; hydrophilic Bile acids; fat-soluble Eicosanoids; water-soluble Phospholipids; amphiphilic

Which of these molecules is hydrophobic? A) B) C) D) E)

Version 1

Glucose Cholesterol Amino acid Protein Disaccharide

14


59)

Proteins perform all of the following functions except __________. A) B) C) D) E)

catalyze metabolic reactions give structural strength to cells and tissues produce muscular and other forms of movement regulate transport of solutes into and out of cells store hereditary information

60) A drastic conformational change in a protein in response to extreme heat or pH is called __________. A) B) C) D) E)

61) 3282

contamination denaturation saturation sedimentation deconformation

Proteins are __________ built from __________ different amino acids.01_20_2015_CS-

A) B) C) D) E)

monomers; 10 molecules; 10 polymers; 20 macromolecules; 40 peptides; 25

62) The folding and coiling of a protein into a globular shape is the __________ structure of the protein.

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15


A) B) C) D) E)

63)

An enzyme issubstrate-specific because of the shape of its __________. A) B) C) D) E)

64)

Lactase Amylase Galactase Protease Sucrase

All enzymes are __________. A) B) C) D) E)

66)

active site receptor secondary structure terminal amino acid alpha chain

Lactose is the substrate of which enzyme? A) B) C) D) E)

65)

primary secondary tertiary quaternary denatured

cofactors proteins lipids carbohydrates nucleic acids

Nucleic acids are __________ of __________.

Version 1

16


A) B) C) D) E)

67)

ATP__________ endergonic and exergonic reactions. A) B) C) D) E)

68)

monomers; monosaccharides monomers; ATP polymers; nucleotides polymers; cAMP polymers; DNA

opposes decomposes reduces links dehydrates

An atom with 12 electrons, 13 neutrons, and 11 protons is a(n) __________. A) B) C) D) E) F)

anion cation free radical isotope both an anion and an isotope both an anion and a free radical

69) The concentration of a solution may be expressed by all of the following except _________. A) B) C) D)

Version 1

weight per volume percentage molarity pH

17


70)

The vibration of an ear drum is an example of __________ energy. A) B) C) D)

71)

In the following reaction, what is(are) the product(s)? CO 2 + H 2O ---> H 2CO 3 A) B) C) D)

72)

kinetic potential elastic radiant

H 2CO 3 CO 2 and H 2O CO 2 and H 2CO 3 H 2O and H 2CO 3

Which of the following will increase the rate of a chemical reaction? A) B) C) D)

An increase in reactant concentration An increase in product concentration A decreased temperature Enzyme inhibition

73) Carbon is very versatile in forming bonds with other atoms because it has __________ valence electrons. A) B) C) D)

four two eight six

74) Amylase is a digestive enzyme that breaks starches down into sugars through __________ reactions.

Version 1

18


A) B) C) D)

75)

Which of the following is not a nucleotide? A) B) C) D)

76)

RNA GTP ATP cAMP

Metabolism is the sum of __________ and __________. A) B) C) D) E)

77)

hydrolysis dehydration synthesis anabolic endergonic

inhalation; exhalation growth; differentiation anabolism; catabolism positive; negative feedback responsiveness; movement

Minerals do which of the following? A) B) C) D) E)

Version 1

Contribute to the structure of bones and teeth Act as fully functional enzymes Store energy within the body Act as the monomers of nucleic acids Form the nuclei of atoms

19


78)

What is indicated by the arrow? A) B) C) D) E)

Version 1

Electron Proton Neutron Anion Prion

20


79)

What is thecorrect condensed structural formula for ethyl ether? (What goes in the box labeled 1?) A) B) C) D) E)

Version 1

CH3OCH3 CH 3O CH 3CH 3OH C2H6O CH2CH2OH

21


80)

What is thecorrect molecular formula for ethyl ether? (What goes in the box labeled 2?) A) B) C) D) E)

Version 1

C2H6O C2 H 3 O CH 3O C 3H 6O C3 H 3 O

22


81)

What type of bond is labeled 1? A) B) C) D) E)

Version 1

Covalent Hydrogen Ionic Disulfide Van der Waals

23


82)

What type of bond is labeled 1? A) B) C) D) E)

Version 1

Single polar covalent bond Double polar covalent bond Single nonpolar covalent bond Double nonpolar covalent bond Triple covalent bond

24


83)

What type of bond is labeled 2? A) B) C) D) E)

Version 1

Hydrogen Polar covalent Nonpolar covalent bond Ionic Disulfide

25


84)

What type of reaction is shown here? A) B) C) D) E)

Dehydration synthesis reaction Hydrolysis reaction Exergonic reaction Catabolic reaction Oxidation reaction

85)

What type of reaction is shown here?

Version 1

26


A) B) C) D) E)

Hydrolysis reaction Dehydration synthesis reaction Endergonic reaction Anabolic reaction Reduction reaction

86)

What type of molecule is maltose? A) B) C) D) E) F)

Version 1

Disaccharide Monosaccharide Polysaccharide Polypeptide Oligopeptide Triglyceride

27


87) What molecule is shown here? A) B) C) D) E)

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ATP cAMP Lecithin Glucose Cholesterol

28


SECTION BREAK. Answer all the part questions. 88)

Version 1

29


88.1) A) B) C) D) E)

88.2) A) B) C) D) E)

88.3) A) B) C) D) E)

88.4)

Version 1

Which functional group is labeled 1? Hydroxyl Methyl Carboxyl Amino Phosphate

Which functional group is labeled 2? Hydroxyl Methyl Carboxyl Amino Phosphate

Which functional group is labeled 3? Hydroxyl Methyl Carboxyl Amino Phosphate

Which functional group is labeled 4?

30


A) B) C) D) E)

88.5) A) B) C) D) E)

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Hydroxyl Methyl Carboxyl Amino Phosphate

Which functional group is labeled 5? Hydroxyl Methyl Carboxyl Amino Phosphate

31


89)

89.1) A) B) C) D) E)

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Identify the structural component of ATP labeled 1. Triphosphate Adenine Ribose Adenosine cAMP

32


89.2) A) B) C) D) E)

89.3) A) B) C) D) E)

Version 1

Identify the structural component of ATP labeled 2. Triphosphate Adenine Ribose Adenosine cAMP

Identify the structural component of ATP labeled 3. Triphosphate Adenine Ribose Adenosine cAMP

33


Answer Key Test name: Chap 02_9e 1) FALSE 2) FALSE 3) TRUE 4) FALSE 5) TRUE 6) TRUE 7) FALSE 8) FALSE 9) TRUE 10) TRUE 11) TRUE 12) FALSE 13) FALSE 14) TRUE 15) FALSE 16) FALSE 17) FALSE 18) [B, C, D] 19) D 20) A 21) B 22) E 23) C 24) B 25) D 26) A Version 1

34


27) C 28) E 29) C 30) B 31) E 32) E 33) A 34) D 35) A 36) D 37) A 38) E 39) D 40) A 41) C 42) B 43) E 44) C 45) B 46) C 47) D 48) B 49) A 50) D 51) B 52) B 53) D 54) D 55) C 56) D Version 1

35


57) E 58) B 59) E 60) B 61) C 62) C 63) A 64) A 65) B 66) C 67) D 68) E 69) D 70) A 71) A 72) A 73) A 74) A 75) A 76) C 77) A 78) A 79) A 80) A 81) A 82) A 83) A 84) A 85) A 86) A Version 1

36


87) A 88) Section Break 88.1) A 88.2) B 88.3) C 88.4) D 88.5) E 89) Section Break 89.1) A 89.2) B 89.3) C

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37


CHAPTER 3 TRUE/FALSE - Write 'T' if the statement is true and 'F' if the statement is false. 1) If a cell doubled in diameter, it would have twice as much cytoplasm to maintain. ⊚ ⊚

true false

2) The most important advantage of the transmission electron microscope (TEM) over the light microscope (LM) is its higher resolution. ⊚ ⊚

true false

3) In the plasma membrane, glycolipids and glycoproteins face toward the cytoplasm, while peripheral proteins always face toward the ECF. ⊚ ⊚

4)

A cell's second messengers serve to transport material through cellular membranes. ⊚ ⊚

5)

true false

The greater the concentration gradient, the faster the diffusion rate. ⊚ ⊚

7)

true false

Microvilli and cilia differ in their function, but have the same internal structure. ⊚ ⊚

6)

true false

true false

Na +-K + ATPase is a countertransport antiport carrier, which always requires energy.

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1


⊚ ⊚

true false

8) The sodium-glucose transport protein (SGLT) is one example of an active transport process involving a uniport carrier. ⊚ ⊚

true false

9) One example of pinocytosis is the uptake of low-density lipoproteins (LDLs) by endothelial cells. ⊚ ⊚

true false

10) Facilitated diffusion requires energy and can transport molecules against a concentration gradient. ⊚ ⊚

11)

Both the nucleus and the mitochondrion are surrounded by a two-layermembrane. ⊚ ⊚

12)

true false

In most cells, the nucleus is the largest organelle. ⊚ ⊚

13)

true false

true false

Ribosomes are made of proteins and RNA. ⊚ ⊚

Version 1

true false

2


14)

The Golgi complex makes peroxisomes, but not lysosomes. ⊚ ⊚

true false

15) A crystal of calcium phosphate in the cytoplasm of a cell should be classified as an inclusion. ⊚ ⊚

true false

16) The sodium-potassium pump moves sodium out of the cell three ions at a time and returns potassium ions into the cell two ions at a time. ⊚ ⊚

true false

MULTIPLE CHOICE - Choose the one alternative that best completes the statement or answers the question. 17) Which of the following statementsis nota tenet of modern cell theory? A) its cells. B) C) D) E)

An organism's structure and all of its functions are ultimately due to the activities of All cells come only from preexisting cells. All cells occupy space. All organisms are composed of cells and cell products. The cell is the basic structural and functional unit of life.

18) Cells were first discovered when a scientist named __________ observed cell walls in cork under a microscope.

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3


A) B) C) D) E)

19)

Cells thatare thick in the middle and tapered toward the end are called __________ cells. A) B) C) D) E)

20)

Robert Hooke Theodor Schwann Louis Pasteur Galen Galileo

squamous stellate columnar spheroid fusiform

The flat-shaped cells found covering the skin are _________ in shape. A) B) C) D) E)

cuboidal columnar cylindrical squamous spherical

21) Most human cells range from 10 to 15 micrometers in diameter. What limits how large a cell can get? A) B) C) D) E)

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The cell's lifespan The nutrients available in the environment The relationship between the cell's volume and length The relationship between the cell's length and surface area The relationship between the cell's volume and surface area

4


22) Although the transmission electron microscope (TEM) can magnify much more than a light microscope, even at identical magnifications the TEM has the advantage of __________. A) B) C) D) E)

23)

The fluid outside of a cell is called __________. A) B) C) D) E)

24)

being able to produce photographs of the specimen being able to work in a vacuum being able to show individual molecules producing higher resolution working better with thinner tissue specimens

cytosol intracellular fluid extracellular fluid cytoplasm nucleoplasm

Which of the following is not one of the three basic components of a cell? A) B) C) D) E)

Cytoplasm Nucleus Plasma membrane Interstitial fluid None of these are basic components of a cell.

25) Most transmembrane proteins have ___________ regions facing the intra- and extracellular fluid, and __________ regions embedded in the phospholipid bilayer.

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5


A) B) C) D) E)

26)

hydrophilic; hydrophilic hydrophilic; hydrophobic hydrophobic; hydrophobic hydrophobic; hydrophilic lipophilic; lipophobic

The most abundant molecules in the plasma membrane are __________. A) B) C) D) E)

glycolipids phospholipids prostaglandins proteins cholesterol molecules

27) Proteins that do not protrude into the phospholipid bilayer, but adhere to the surface of the plasma membrane, are called __________. A) B) C) D) E)

28)

peripheral proteins channel proteins glycoproteins lipoproteins transmembrane proteins

A protein that is bound to a carbohydrate is called a _________. A) B) C) D) E)

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phosphoprotein proteocalyx glycoprotein lipoprotein phospholipid

6


29) The plasma membrane is mostly made of molecules that have hydrophilic heads and hydrophobic tails. These molecules are called _________. A) B) C) D) E)

proteoglycans glycolipids glycoproteins phospholipids lipoproteins

30) Membrane proteins that bind to signals by which cells communicate are called __________. A) B) C) D) E)

receptors enzymes carriers cell-identity markers cell-adhesion molecules

31) A receptor protein in the plasma membrane will not bind to just any chemical in the extracellular fluid, but only to certain ones. This property is called _________. A) B) C) D) E)

32)

selectivity specificity efficacy saturation fidelity

Channel protein gates respond to all these stimuli except __________.

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7


A) B) C) D) E)

chemical messengers ligands changes in electrical potential (voltage) across a cellular membrane physical deformation of a cellular membrane water in the extracellular fluid

33) What would be the consequence if the highlighted structures (reference leader lines) suddenly became nonpolar?

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8


A) The fatty acid "tails" would fall off. B) The phospholipids would flip upside down. C) The lipid bilayer would not be able to hold its shape in waterand the cell membrane would disassemble. D) Only a lipid monolayer would be possible. E) It would become impermeable to all solutes.

34) In its second-messenger role, cAMP activates enzymes called _________, whose job is to regulate other enzymes by adding phosphate groups to them. A) B) C) D) E)

transmembrane proteins peripheral proteins kinases glycocalyx blockers

35) In the glycocalyx, __________ act like identification tags that enable the body to distinguish its own cells from foreign and diseased cells. A) B) C) D) E)

glycoproteins lipoproteins cholesterol molecules phospholipids cell-adhesion molecules

36) The fuzzy coat of carbohydrates on the outer surface of the plasma membrane that functions in cell identification is called the __________.

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9


A) B) C) D) E)

brush border glycocalyx cholesterol coat phospholipid bilayer cell-adhesion molecule

37) __________ provide motility to a sperm cell, __________ act as sensory "antennae" in many cells, and ____________ increase a cell's surface area. A) B) C) D) E)

Cilia; microvilli; flagella Microvilli; cilia; flagella Microvilli; flagella; cilia Flagella; microvilli; cilia Flagella; cilia; microvilli

38) The plasma membrane of cells lining the small intestine has __________, which are specialized for absorption of nutrients. A) B) C) D) E)

flagella cilia microvilli a glycocalyx dynein arms

39) The term _____________ refers to a membrane that allows some things to pass through it, but not others. A) B) C) D) E)

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selectively permeable glycocalyx phospholipid bilayer specificity carrier-mediated

10


40)

Cellular membranes are permeable to __________, but impermeable to __________. A) B) C) D) E)

nutrients; wastes proteins; nutrients phosphates; wastes nutrients; proteins wastes; nutrients

41) ATP is consumed when __________ transfer solutes from one side of the membraneto the other. A) B) C) D) E)

receptors pumps cell-adhesion molecules channels cell-identity markers

42) __________ is the process in which __________ forces water and small solutes, such as salts, through narrow clefts between capillary cells. A) B) C) D) E)

Filtration; hydrostatic pressure Osmosis; hydrostatic pressure Active transport; osmotic pressure Active transport; hydrostatic pressure Osmosis; osmotic pressure

43) Water flows through a selectively permeable membrane in a process called __________, but water molecules cross the membrane more easily through channels of transmembrane proteins called __________.

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11


A) B) C) D) E)

osmosis; water pumps osmosis; aquaporins osmosis; uniport filtration; aquaporins filtration; water pumps

44) Insulin is taken up, via endocytosis,by the endothelial cells thatline bloodcapillaries.Then, it'stransported across the cell to the other side, where it is released. This transport is called __________. A) B) C) D) E)

pinocytosis receptor-mediated phagocytosis passive transport facilitated transport transcytosis

45) Sodium and glucose are transported together from the intestinal lumen into an intestinal cell. The carrier protein is a(n) __________ and the process is called __________. A) B) C) D) E)

symport; cotransport symport; countertransport antiport; countertransport antiport; cotransport uniport; facilitated diffusion

46) The sodium-potassium (Na +-K +) pump transports both sodium and potassium __________ their concentration gradients in a process called __________.

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12


A) B) C) D) E)

47)

What do facilitated diffusion and active transport have in common? A) B) C) D) E)

48)

Facilitated diffusion Simple diffusion Filtration Osmosis Active transport

Which of the following is not a method by which particles can leave a cell? A) B) C) D) E)

50)

Both involve transport of a solute up its concentration gradient. Both involve transport of a solute down its concentration gradient. Both involve the use of energy provided by ATP. Neither require ATP to function. Both are examples of carrier-mediated transport.

Which of the following processes could occur only through a cellular membrane? A) B) C) D) E)

49)

up; active transport up; facilitated transport up; cotransport down; active transport down; countertransport

Active transport Exocytosis Simple diffusion An antiport system Pinocytosis

White blood cells engulf bacteria by means of __________.

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13


A) B) C) D) E)

51)

Which of the following is not a function of the Na +-K + pump? A) B) C) D) E)

52)

phagocytosis cotransport pinocytosis active transport receptor-mediated endocytosis

Heat production Transport of Na + into the cell and K Secondary active transport Regulation of cell volume Maintenance of membrane potential

+

out of the cell

Which of these is an example of active transport?

A) The diffusion of oxygen from a place of high concentration to a place of lower concentration B) The facilitated diffusion of K + C) The transport of glucose down its concentration gradient D) The transport of Na + from a place of low concentration to a place of higher concentration E) The transport of Cl - following its concentration gradient

53)

Which of these brings nonspecific material into a cell? A) B) C) D) E)

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Phagocytosis Receptor-mediated endocytosis Transcytosis Pinocytosis Exocytosis

14


54)

Which of the following does not affect the rate of diffusion? A) B) C) D) E)

Temperature Size of molecules Presence of enzymes Steepness of the concentration gradient Membrane permeability

55) Which type of solution contains higher than normal amounts of osmotically active solutes? A) B) C) D) E)

Pure water Isotonic solution Hypotonic solution Hypertonic solution Equitonic solution

56) Which of the following is the type of transport that LDL (low-density lipoprotein) uses to enter a cell? A) B) C) D) E)

Phagocytosis Cotransport Receptor-mediated endocytosis Diffusion Countertransport

57) Two solutions are separated by a selectively permeable membrane. If solution A has a higher concentration of a nonpermeating solute than solution B, then __________.

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15


A) B) C) D) E)

the solute will pass down its concentration gradient from solution A to B the solute will pass down its concentration gradient from solution B to A water will pass down its concentration gradient from solution A to B water will pass down its concentration gradient from solution B to A neither the solute nor water will diffuse

58) A red blood cell is placed in a hypertonic solution. This means theconcentration of solutes in the solution is __________ than the concentration of solutes in the intracellular fluid, and will cause the cell to __________. A) B) C) D) E)

higher; swell lower; swell higher; shrink lower; shrink lower; burst

59) The number of particles of a solute in a solution is described by its__________. The ability of a solution to affect the fluid volume in a cell is referred to as its __________. A) B) C) D) E)

tonicity; osmolarity osmolarity; diffusion osmolarity; tonicity osmolarity; molarity tonicity; diffusion

60) A patient was severely dehydrated, losing a large amount of fluid. The patient was given intravenous fluids of normal saline. Normal saline is __________ to your blood cells and is about __________ NaCl.

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16


A) B) C) D) E)

isotonic; 9% isotonic; 0.9% hypertonic; 9% hypotonic; 0.9% hypotonic; 9%

61) Which of the following gives a cellstructural support, determines the shape of a cell, and directs the movement of substances through a cell? A) B) C) D) E)

62)

Which of the following is not associated with the composition of thecytoskeleton? A) B) C) D) E)

63)

Cholesterol The nucleus The plasma membrane The Golgi complex The cytoskeleton

Microfilaments Microtubules Cilia Intermediate filaments Terminal web

Which of the following is not a membranous organelle? A) B) C) D) E)

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Mitochondrion Ribosome Nucleus Endoplasmic reticulum Golgi complex

17


64) Among other functions, hepatocytes (liver cells) are specialized for detoxifying drugs or other chemicals. Hepatocytes have large amounts of __________. A) B) C) D) E)

65)

Which function would immediately cease if the ribosomes of a cell were destroyed? A) B) C) D) E)

66)

Exocytosis Active transport Ciliary action Protein synthesis Osmosis

Which organelle is most active in causing programmed cell death? A) B) C) D) E)

67)

DNA smooth endoplasmic reticulum microtubules cilia centrioles

Rough endoplasmic reticulum Nucleus Centriole Lysosome Mitochondrion

Muscle cells contain numerous __________ to serve their high demand for ATP. A) B) C) D) E)

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ribosomes lysosomes mitochondria inclusions Golgi vesicles

18


68)

Which organelle synthesizes steroids in the ovary and stores calcium in muscle cells? A) B) C) D) E)

69)

Smooth endoplasmic reticulum Rough endoplasmic reticulum Nucleus Mitochondrion Golgi complex

__________ play an important role in cell division, and are made of __________. A) B) C) D) E)

Mitochondria; microtubules Ribosomes; intermediate filaments Nucleoli; microfilaments Centrioles; microtubules Inclusions; centrosomes

70) __________ synthesize(s) carbohydrates and put(s) finishing touches on proteins synthesized at __________. A) B) C) D) E)

Smooth ER; rough ER The Golgi complex; rough ER Smooth ER; the Golgi complex The Golgi complex; smooth ER Ribosomes; smooth ER

71) Which of the following decomposes fatty acids, and detoxifies alcohol, free radicals, and drugs?

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19


A) B) C) D) E)

72)

Lysosomes Microvilli Inclusions Peroxisomes Golgi vesicles

Which of the following organelles is not involved in protein synthesis? A) B) C) D) E)

Smooth ER Rough ER The Golgi complex The nucleus Ribosomes

73) Which of the following organelles sorts, cuts, splices, and packages newly formed proteins into membrane-bound vesicles? A) B) C) D) E)

Smooth ER Rough ER Golgi complex Mitochondrion Nucleolus

74) Which of the following is a double-membraned organelle consisting of a matrix and cristae? A) B) C) D) E)

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Mitochondrion Rough ER Smooth ER Golgi complex Nucleolus

20


75)

Which of the following is not considered an inclusion? A) B) C) D) E)

76)

Lysosome Fat droplet Glycogen granule Bacterium Dust particle

What are accumulated cell products that are never enclosed in a unitmembrane called? A) B) C) D) E)

Organelles Inclusions Microtubules Microfilaments Centrioles

77) During an infection, plasma cells produce millions of antibodies per second. As antibodies are proteins, which organelle are plasma cells likely to have an abundance of? A) B) C) D) E)

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A B C D E

21


SECTION BREAK. Answer all the part questions.

78)

78.1) A) B) C) D) E)

78.2) A) B) C) D) E)

78.3)

Version 1

Cell A is __________ relative to its surrounding environment. hypertonic hypotonic isotonic equitonic in equilibrium

Cell C is __________ relative to its surrounding environment. hypertonic hypotonic isotonic equitonic in equilibrium

Which cell is at risk of lysing?

22


A) B) C) D) E)

A B C None of the cells All of the cells

79)

79.1) A) B) C) D) E)

79.2)

Version 1

Which cell shape is represented at F? Stellate Spheroidal Discoidal Squamous Fusiform

Which cell shape is represented at I?

23


A) B) C) D) E)

79.3) A) B) C) D) E)

Version 1

Stellate Speheroidal Discoidal Squamous Fusiform

Where is the cell shape at A found in the human body? Lining the esophagus Liver Brain Skeletal muscle Smooth muscle

24


80)

80.1) A) B) C) D) E)

White blood cells use which organelle to break down bacteria they have ingested? A B C D F

80.2) Spermatozoa require a lot of ATP in order to power their flagellum. Because of this, which organelle do they contain a large number of?

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25


A) B) C) D) E)

A B D E F

81)

81.1) A) B) C) D) E)

81.2)

Version 1

Which letter identifies the hydrophobic region of a transmembrane protein? A B C D E

Which letter identifies a cytoskeletal protein?

26


A) B) C) D) E)

A B C D E

81.3) A) B) C) D) E)

Which letter identifies a carbohydrate? A B C D E

82)

82.1) Which protein would be used to tell an immune system cell if a body cell is "self" or "nonself" (foreign)?

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27


A) B) C) D) E)

A C E F B

82.2) Which protein would bind a chemical messenger like the neurotransmitter acetylcholine? A) B) C) D) E)

A C E F B

82.3) A) B) C) D) E)

Version 1

Which protein would only open at certain voltages? A C E F D

28


83)

83.1) A) B) C) D) E)

Version 1

Solution A is __________ to solution B. hypotonic hypertonic isotonic in equilibrium with equitonic

29


83.2) A) B) C) D) E)

83.3) A) B) C) D) E) F)

Version 1

Which solutions are in equilibrium? C and D A and B A and C B and D A and D

In which solution is the osmotic pressure higher than the hydrostatic pressure? D A B C D None of the solutions

30


84)

84.1) A) B) C) D) E)

84.2)

Version 1

What molecule is found at the letter A? Na + K + ATP Glucose Ca 2+

What type of transport is pictured here?

31


A) B) C) D) E)

84.3) A) B) C) D) E)

Version 1

Active transport Facilitated diffusion Cotransport Simple diffusion Pinocytosis

What molecule is found at the letter C? Na + K + ATP Glucose Ca 2+

32


85)

85.1) A) B) C) D) E)

Version 1

Which letter represents a microfilament? A B C D E

33


85.2) A) B) C) D) E)

Which letter represents a structure made of the protein tubulin? A B C D E

85.3) A) B) C) D) E)

Version 1

Which letter represents a structure that is used to help form cilia and flagella? A B C D E

34


Answer Key Test name: Chap 03_9e 1) FALSE 2) TRUE 3) FALSE 4) FALSE 5) FALSE 6) TRUE 7) TRUE 8) FALSE 9) FALSE 10) FALSE 11) TRUE 12) TRUE 13) TRUE 14) FALSE 15) TRUE 16) TRUE 17) C 18) A 19) E 20) D 21) E 22) D 23) C 24) D 25) B 26) B Version 1

35


27) A 28) C 29) D 30) A 31) B 32) E 33) C 34) C 35) A 36) B 37) E 38) C 39) A 40) D 41) B 42) A 43) B 44) E 45) A 46) A 47) E 48) E 49) E 50) A 51) B 52) D 53) D 54) C 55) D 56) C Version 1

36


57) D 58) C 59) C 60) B 61) E 62) C 63) B 64) B 65) D 66) D 67) C 68) A 69) D 70) B 71) D 72) A 73) C 74) A 75) A 76) B 77) B 78) Section Break 78.1) A 78.2) B 78.3) A 79) Section Break 79.1) A 79.2) E 79.3) A 80) Section Break Version 1

37


80.1) A 80.2) E 81) Section Break 81.1) E 81.2) C 81.3) A 82) Section Break 82.1) C 82.2) A 82.3) E 83) Section Break 83.1) A 83.2) A 83.3) A 84) Section Break 84.1) A 84.2) A 84.3) C 85) Section Break 85.1) A 85.2) C 85.3) C

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38


CHAPTER 4 TRUE/FALSE - Write 'T' if the statement is true and 'F' if the statement is false. 1) Naked DNA is called chromatin. ⊚ ⊚

true false

2) DNA is composed of double-ring nitrogenous bases, whereas RNA is composed of single-ring nitrogenous bases. ⊚ ⊚

true false

3) A gene can be defined as an information-containing segment of RNA that codes for the production of a polypeptide. ⊚ ⊚

4)

true false

Although all cells synthesize phospholipids, there are no genes for phospholipids. ⊚ ⊚

true false

5) DNA never migrates from the nucleus to the cytoplasm to participate directly in protein synthesis. ⊚ ⊚

6)

true false

The enzyme RNA polymerase participates in translation. ⊚ ⊚

Version 1

true false

1


7)

There are three codons that do not code for any amino acid. ⊚ ⊚

true false

8) All proteins made by the ribosomes are exported from a cell for use elsewhere in the body. ⊚ ⊚

9)

true false

A cell starting prophase has 92 molecules of DNA in its nucleus. ⊚ ⊚

true false

10) After mitosis, each chromosome consists of two parallel filaments called sister chromatids. ⊚ ⊚

11)

Mitosis is responsible for embryonic development and tissue growth. ⊚ ⊚

12)

true false

Many genes occur in alternative forms called alleles. ⊚ ⊚

13)

true false

true false

Phenotype is the result of genetic influences only. ⊚ ⊚

Version 1

true false

2


14)

Oncogenes and tumor-suppressor genes have similar effects on cell division. ⊚ ⊚

15)

true false

Eye color is a normal polygenic trait. ⊚ ⊚

Version 1

true false

3


16)

Science SourceTrue or false: The human karyotype shown here is from a male. ⊚ ⊚

true false

MULTIPLE CHOICE - Choose the one alternative that best completes the statement or answers the question. 17) DNA is a polymer of __________, which consist of a sugar, a phosphate group, and a __________.

Version 1

4


A) B) C) D) E)

amino acids; nucleotide nucleic acids; nucleotide nucleotides; nitrogenous base nucleotides; nucleic acid proteins; nucleotide

18) If a DNA molecule were known to be 22% thymine (T), what would be the percentage of guanine (G) present? A) B) C) D) E)

19)

8% 11% 22% 28% 78%

Which of these is the correct sequence from simple to more complex? A) B) C) D) E)

Chromatin, carbon, nucleotide, nitrogenous base, DNA Carbon, nitrogenous base, nucleotide, chromatin, DNA Chromatin, DNA, nucleotide, nitrogenous base, carbon Carbon, nucleotide, nitrogenous base, chromatin, DNA Carbon, nitrogenous base, nucleotide, DNA, chromatin

20) A __________ is composed of a granular cluster of eight proteins called __________ with DNA wound around them. A) B) C) D) E)

Version 1

nucleosome; centrosomes nucleosome; histones chromosome; histones chromosome; centromeres centromere; chromatin

5


21)

What is the complementary DNA base sequence to the DNA strand TGCCAT? A) B) C) D) E)

TGCCAT UGCCAU ACGGTA ACGGUA ACCGTA

22) A __________ contains the necessary information for the production of a molecule of RNA. A) B) C) D) E)

23)

What is all of the DNA in a set of 23 chromosomes referred to as? A) B) C) D) E)

24)

genome gene nucleotide genetic code codon

A centromere A chromatid The karyotype The phenotype The genome

The human genome consists of approximately __________ pairs of nucleotides. A) B) C) D)

Version 1

3 billion 3 million 300,000 3000

6


25) Copying genetic information from DNA into RNA is called __________; using the information contained in mRNA to make a polypeptide is called __________. A) B) C) D) E)

26)

Which of the following is not directly involved in translation? A) B) C) D) E)

27)

transcription; translation translation; transcription DNA replication; translation DNA duplication; transcription DNA translation; RNA transcription

DNA mRNA tRNA rRNA Ribosomes

Transcription occurs in the __________, but most translation occurs in the __________. A) B) C) D) E)

nucleus; cytoplasm nucleus; nucleolus cytoplasm; nucleus nucleolus; cytoplasm nucleolus; rough endoplasmic reticulum

28) __________ are turned on or off by regulatory proteins in accordance with changing needs for the __________ they encode.

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7


A) B) C) D) E)

29)

Enzymes; products Ribosomes; proteins Genes; proteins Proteins; genes Genes; ribosomes

Anticodons, codons, and base triplets correspond to __________ respectively. A) B) C) D) E)

tRNA, DNA, and mRNA DNA, tRNA, and mRNA tRNA, mRNA, and DNA DNA, RNA, and pre-mRNA RNA, DNA, and pre-mRNA

30) After translation, a protein may undergo structural changes called __________ modifications. A) B) C) D) E)

splicing posttranscriptional posttranslational polyribosomal secretory

31) Since there are no genes coding for carbohydrates, nucleic acids, or lipids, how do cells produce them? A) B) C) D) E)

Version 1

Enzymes encoded by genes synthesize these products. Cells are born with all the products they need. Cells absorb these products by endocytosis. Cells import these products from older cells. Cells can produce carbohydrates, nucleic acids, and lipids out of proteins.

8


32) The genetic code is the link between the __________ and the __________ that they represent. A) B) C) D) E)

DNA molecule; 20 amino acids DNA molecule; 64 amino acids mRNA anticodons; 20 amino acids mRNA codons; 64 amino acids mRNA codons; 20 amino acids

33) You were able to radioactively tag and thereby trace an amino acid that is used to make insulin, a hormone that will be exported out of the cell. The pathway of the tagged amino acid would be __________. A) B) C) D) E)

free ribosome → cytosol → vesicle → extracellular fluid rough ER → Golgi complex → Golgi vesicle → extracellular fluid rough ER → smooth ER → Golgi complex → Golgi vesicle → extracellular fluid smooth ER → Golgi complex → Golgi vesicle → extracellular fluid smooth ER → Golgi complex → lysosome → extracellular fluid

34) The gene coding for a polypeptide made of 51 amino acids would have a minimum of _________ bases. A) B) C) D)

35)

20 51 102 153

Which of the following is the template for transcription?

Version 1

9


A) B) C) D) E)

36)

What is the product of translation? A) B) C) D) E)

37)

An mRNA A DNA molecule A tRNA An rRNA A cDNA

DNA polymerase is most active during which phase of the cell cycle? A) B) C) D) E)

39)

A newly synthesized amino acid A newly synthesized polypeptide A newly synthesized nucleic acid An mRNA A tRNA

Which molecule contains anticodons? A) B) C) D) E)

38)

The molecule that carries codons The molecule that carries anticodons The molecule that carries base triplets The molecule that carries amino acids The molecule that carries tRNA

S G 1 G 2 M G 0

The G 1, S, and G 2 phases of the cell cycle are collectively called __________.

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10


A) B) C) D) E)

40)

All of the following participate in DNA replication except __________. A) B) C) D) E)

41)

The S phase Telophase Metaphase Prophase Interphase

A mutation is __________. A) B) C) D) E)

43)

DNA ribosomes DNA ligase DNA helicase DNA polymerase

Cytokinesis overlaps with which phase of mitosis? A) B) C) D) E)

42)

interphase telophase cytokinesis prophase anaphase

a change in size or shape of a cell a beneficial change in DNA structure a harmful change in DNA structure a neutral change in DNA structure a change in DNA structure that might be beneficial, harmful, or neutral

DNA replication is called semiconservative because __________.

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11


A) B) C) D) E)

each daughter DNA consists of one new helix and one old helix each daughter DNA consists of one new nucleotide and one old nucleotide each daughter DNA consists of one new chromatid and one old chromatid each daughter cell receives one new chromatid and one old chromatid each daughter cell receives one new helix and one old helix

44) __________ opens up one segment of the DNA helix during replication; __________ adds complementary free nucleotides to the exposed DNA strand. A) B) C) D) E)

45)

Which of these cannot cause a mutation? A) B) C) D) E)

46)

DNA ligase; DNA helicase DNA helicase; DNA polymerase DNA ligase; DNA polymerase DNA helicase; DNA ligase DNA polymerase; DNA ligase

Radiation A virus A chemical A mistake made by the DNA polymerase A mistake made by the RNA polymerase

Cell division is stimulated by __________ and suppressed by __________. A) B) C) D) E)

Version 1

mitosis; cytokinesis mitosis; contact inhibition cell size; cytokinesis growth factors; contact inhibition cell size; contact inhibition

12


47)

The stage at which chromosomes aggregate along the equator of a cell is __________. A) B) C) D) E)

48)

prophase metaphase anaphase telophase interphase

Which of these processes occurs during a cell's first gap (G 1) phase? A) B) C) D) E)

DNA is semiconservatively replicated. The nuclear envelope breaks down. The cell synthesizes the enzymes that control mitosis. The cell synthesizes proteins and grows. The chromatin condenses into visible chromosomes.

49) Sister chromatids are pulled to opposite poles of a cell during __________ of the cell cycle. A) B) C) D) E)

the S phase the G 2 phase prophase metaphase anaphase

50) Chromatin shortens and thickens, coiling into compact rods during __________ of mitosis.

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13


A) B) C) D) E)

51)

telophase anaphase interphase prophase metaphase

Which of the following omits some stage(s) of the cell cycle? A) B) C) D) E)

G1, S, G2, mitosis Interphase, mitosis G1, DNA replication, G2, mitosis Prophase, metaphase, anaphase, telophase, cytokinesis Interphase, prophase, metaphase, anaphase, telophase, cytokinesis

52) A karyotype shows the __________ chromosomes sorted and isolated from a cell in __________. A) B) C) D) E)

53)

23; interphase 23; metaphase 46; prophase 46; metaphase 46; S phase

Which of these is not found in the karyotype of a normal human male? A) B) C) D) E)

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46 chromosomes 23 pairs of homologous chromosomes X and Y chromosomes 46 chromatids 92 DNA molecules

14


54) A cell finishing mitosis has __________ DNA molecules, while a cell finishing DNA replication has __________ DNA molecules. A) B) C) D) E)

46; 46 46; 92 46; 23 23; 46 23; 23

55) If one allele is not phenotypically expressed in the presence of another, we say that it is a __________ allele. A) B) C) D) E)

56)

Hemophilia is caused by a sex-linked recessive allele. This means that __________. A) B) C) D) E)

57)

homozygous heterozygous recessive dominant suppressed

women can be carriers but cannot get hemophilia the gene is found on the Y chromosome a man can give the allele to his son but not to his daughter a son who has hemophilia inherited the allele from his mother a son who has hemophilia inherited the allele from his father

Eye color is caused by genes at multiple loci. This phenomenon is called __________.

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A) B) C) D) E)

pleiotropy sex linkage polygenic inheritance incomplete dominance multiple carriers

58) Germ cells have __________ unpaired chromosomes and are thus called __________ cells. A) B) C) D) E)

23; somatic 23; haploid (n) 23; diploid (2n) 46; somatic 46; diploid (2n)

59) The allele for cleft chin (C) is dominant to the allele for uncleft chin (c). A male and female who are both heterozygous for cleft chin have a child. What is the chance that this child will have an uncleft chin? A) B) C) D) E)

0% 25% 50% 75% 100%

60) The alleles possessed by all members of a population collectively are called the __________.

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16


A) B) C) D) E)

species DNA population DNA gene pool genetic drift phenotype

61) In familial hypercholesterolemia, individuals with two abnormal alleles die of heart attacks in childhood, those with only one abnormal allele typically die as young adults, and those with two normal alleles have normal life expectancies. This exemplifies __________. A) B) C) D) E)

penetrance codominance pleiotropy complete dominance incomplete dominance

62) All of the body's nonreproductive cells, called __________, usually have 23 pairs of chromosomesand are thus called __________ cells. A) B) C) D)

63)

germ cells; haploid (n) germ cells; diploid (2n) somatic cells; haploid (n) somatic cells; diploid (2n)

Which of the following is not found in RNA? A) B) C) D)

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Thymine Uracil Ribose Guanine

17


64)

Genes produce their products __________. A) B) C) D)

65)

as their products are needed or not at a steady rate all the time only when the appropriate hormone is present when the transcription activator is inhibited by an extracellular signal

Cells undergo division when which of the following conditions have been met?

A) They have grown large enough and replicated their DNA. B) They are still growing and have ample nutrients. C) They are stimulated by growth factors and neighboring cells are squeezed tightly against them. D) They have grown large enough and neighboring cells are squeezed tightly against them.

66)

Name the process illustrated here. A) B) C) D) E)

Version 1

Transcription Translation Replication Splicing Mitosis

18


67)

What process is shown here? A) B) C) D) E)

Transcription Translation Replication Mitosis Splicing

68)

What process is shown here?

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19


A) B) C) D) E)

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Transcription Translation Replication Mitosis Splicing

20


69)

What type of nucleic acid is shown here?

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21


A) B) C) D) E)

Transfer RNA (tRNA) Messenger RNA (mRNA) Filamentous DNA (chromatin) Ribosomal RNA (rRNA) Sister chromatids

70) step of translation is pictured here?

Version 1

Which

22


A) B) C) D) E)

Version 1

Initiation Elongation Termination Modification Transcription

23


71)

Which step of translation is pictured here?

Version 1

24


A) B) C) D) E)

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Initiation Elongation Termination Modification Transcription

25


72)

Which step of translation is pictured here?

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26


A) B) C) D) E)

Initiation Elongation Termination Modification Transcription

73)

Based on the figure shown here, why do you think that DNA replication is referred to as "semiconservative"? A) Each daughter DNA consists of one new strand and one old strand. B) The incoming nucleotides are recycled. C) RNA is broken down to produce DNA. D) The genetic code is conserved in the daughter DNA. E) The parent DNA is broken down, and the free nucleotides are reassembled to form daughter DNA.

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27


74)

Which phase of mitosis is shown here? A) B) C) D) E)

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Metaphase Prophase Anaphase Telophase Interphase

28


75)

Which phase of mitosis is shown here? A) B) C) D) E)

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Metaphase Prophase Anaphase Telophase Interphase

29


76)

Phenylketonuria (PKU) is a rare genetic disorder resulting from inadequate levels of the enzyme phenylalanine hydroxylase (PAH). PAH is required to convert dietary phenylalanine to tyrosine. Use this information and the diagram above to determine which of the following statements is true. A) Blue eyes can be a symptom of PKU. B) PKU is only seen in individuals with brown eyes. C) PAH is called "Enzyme 2" in this figure. D) Increased melatonin levels is a common symptom of PKU. E) Environmental factors such as diet cannot affect genetically determined traits such as eye color.

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30


77)

Based on the information in the diagram above, which of the following statements is true? A) Human eye color is a polygenic trait. B) The blue eyed phenotype is dominant. C) Brown eyes are caused by a lack of phenylalanine in the diet. D) The gene for brown eyes codes for a pigment protein called melanin. E) Environmental factors such as diet cannot affect genetically determined traits such as eye color.

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31


78)

Which statement is true based on the table above? A) B) C) D) E)

More than one codon may represent the same amino acid. Each codon may represent multiple amino acids. Each codon may bind to several different anticodons. There are more types of amino acids than can be represented by unique codons. Each base triplet of DNA may code for up to three different amino acids.

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32


SECTION BREAK. Answer all the part questions.

79)

79.1) A) B) C) D) E)

79.2) A) B) C) D) E)

Version 1

Identify the component of the nucleotide labeled 1. Phosphate group Deoxyribose sugar Nitrogenous base Anticodon Amino acid

Identify the component of the nucleotide labeled 2. Phosphate group Deoxyribose sugar Nitrogenous base Anticodon Amino acid

33


79.3) A) B) C) D) E)

Identify the component of the nucleotide labeled 3. Phosphate group Deoxyribose sugar Nitrogenous base Anticodon Amino acid

80)

80.1) Version 1

Name the structure labeled 1. 34


A) B) C) D) E)

80.2) A) B) C) D) E)

80.3) A) B) C) D) E)

Version 1

Kinetochore Centromere Sister chromatids Histone Nucleosome

Name the "pinched in" region of the chromosome labeled 2. Kinetochore Centromere Sister chromatids Histone Nucleosome

Name the two rod-like structures labeled 3. Kinetochore Centromere Sister chromatids Histone Nucleosome

35


81)

81.1) A) B) C) D) E)

81.2) A) B) C) D) E)

Version 1

Identify the enzyme labeled 1. DNA helicase DNA polymerase DNA ligase RNA polymerase RNA primase

Identify the enzyme labeled 3. DNA helicase DNA polymerase DNA ligase RNA polymerase RNA primase

36


81.3) A) B) C) D) E)

Identify the enzyme labeled 4. DNA helicase DNA polymerase DNA ligase RNA polymerase RNA primase

82)

Version 1

37


82.1) A) B) C) D) E)

82.2) A) B) C) D) E)

82.3) A) B) C) D) E)

Version 1

Which phase of the cell cycle is labeled 1? First gap phase (G 1) Second gap phase (G 2) Synthesis phase (S) Mitotic phase (M) G-zero phase (G o)

Which phase of the cell cycle is labeled 2? First gap phase (G 1) Second gap phase (G 2) Synthesis phase (S) Mitotic phase (M) G-zero phase (G o)

Which phase of the cell cycle is labeled 3? First gap phase (G 1) Second gap phase (G 2) Synthesis phase (S) Mitotic phase (M) G-zero phase (G o)

38


Answer Key Test name: Chap 04_9e 1) FALSE 2) FALSE 3) FALSE 4) TRUE 5) TRUE 6) FALSE 7) TRUE 8) FALSE 9) TRUE 10) FALSE 11) TRUE 12) TRUE 13) FALSE 14) FALSE 15) TRUE 16) FALSE 17) C 18) D 19) E 20) B 21) C 22) B 23) E 24) A 25) A 26) A Version 1

39


27) A 28) C 29) C 30) C 31) A 32) E 33) B 34) D 35) C 36) B 37) C 38) A 39) A 40) B 41) B 42) E 43) A 44) B 45) E 46) D 47) B 48) D 49) E 50) D 51) D 52) D 53) D 54) B 55) C 56) D Version 1

40


57) C 58) B 59) B 60) C 61) E 62) D 63) A 64) A 65) A 66) A 67) E 68) B 69) A 70) A 71) B 72) C 73) A 74) A 75) C 76) A 77) A 78) A 79) Section Break 79.1) A 79.2) B 79.3) C 80) Section Break 80.1) A 80.2) B 80.3) C Version 1

41


81) Section Break 81.1) A 81.2) B 81.3) C 82) Section Break 82.1) A 82.2) C 82.3) B

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42


CHAPTER 5 TRUE/FALSE - Write 'T' if the statement is true and 'F' if the statement is false. 1) The clear gel that usually surrounds cells is called interstitial fluid. ⊚ ⊚

2)

Mesoderm gives rise to muscle, bone, and blood. ⊚ ⊚

3)

true false

true false

In an epithelium, there is almost no extracellular matrix. ⊚ ⊚

true false

4) Columnar cells lining the small intestine have a brush border of microvilli on the apical surface. ⊚ ⊚

5)

Nonkeratinized cells exfoliate from the surface of the skin. ⊚ ⊚

6)

true false

Connective tissues contain abundant cells that are on contact with one another. ⊚ ⊚

7)

true false

true false

Plasma cells produce the ground substance that forms the matrix of connective tissues.

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1


⊚ ⊚

8)

Fibrocartilage is found in intervertebral discs. ⊚ ⊚

9)

true false

Smooth and cardiac muscles are under involuntary control. ⊚ ⊚

14)

true false

Dendrites in a neuron send outgoing signals to other cells. ⊚ ⊚

13)

true false

Neurons are a major type of cell found in nervous tissue. ⊚ ⊚

12)

true false

Adipose connective tissue is a type of dense connective tissue. ⊚ ⊚

11)

true false

Blood consists of cells and a ground substance made of formed elements. ⊚ ⊚

10)

true false

true false

One function of muscle tissue is to provide heat production.

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2


⊚ ⊚

true false

15) Desmosomes are more effective than tight junctions in preventing substances from passing between cells. ⊚ ⊚

true false

16) The duct of an endocrine gland leads into the bloodstream rather than onto an epithelial surface. ⊚ ⊚

17)

The secretory product of a gland is produced by its parenchyma, not its stroma. ⊚ ⊚

18)

true false

Adult stem cells are usually pluripotent. ⊚ ⊚

20)

true false

Most growth in childhood is the result of hyperplasia. ⊚ ⊚

19)

true false

true false

The process of a cell changing types to respond to its environment is called neoplasia. ⊚ ⊚

Version 1

true false

3


21)

Rapid cell death caused by a complete cutting off of blood supply is called gangrene. ⊚ ⊚

true false

22) Scar tissue helps to hold an organ together but does not restore normal function of the damaged tissue. ⊚ ⊚

true false

MULTIPLE CHOICE - Choose the one alternative that best completes the statement or answers the question. 23) The four primary tissue types found in adult organs include all of the following except _________ tissue . A) B) C) D) E)

24)

The clear gel inside a cell is called __________. A) B) C) D) E)

25)

connective fibrous nervous epithelial muscular

matrix ground substance interstitial fluid cytosol tissue fluid

The __________ gives rise to the __________.

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4


A) B) C) D) E)

mesoderm; digestive glands endoderm; muscular system and skeletal system ectoderm; nervous system and epidermis endoderm; mesoderm mesoderm; endoderm

26) The middle primary germ layer is called __________, which gives rise to a gelatinous material called __________, which then gives rise to different types of connective tissue such as bone, cartilage, and blood. A) B) C) D) E)

27)

ectoderm; stem cells mesoderm; mesenchyme endoderm; mesenchyme mesoderm; fibroblasts ectoderm; mesenchyme

A thin, stained slice of tissue mounted on a microscope is called a __________. A) B) C) D) E)

fixative histological section spread stain smear

28) The histological section that divides a specimen along its long axis is called a(n) __________ section. A) B) C) D) E)

Version 1

cross oblique transverse sagittal longitudinal

5


29) The covering of body surfaces and the lining of body cavities is composed of __________ tissue. A) B) C) D) E)

30)

The basement membrane is found between __________ and __________. A) B) C) D) E)

31)

interstitial muscle adipose epithelial nervous

epithelium; connective tissue epithelium; extracellular material epithelium; intracellular material extracellular material; intracellular material interstitial fluid; extracellular fluid

Which of the following is not a feature of epithelia? A) B) C) D) E)

Abundant extracellular material Avascular Basement membrane Specialized intercellular junctions Polarity

32) Rapid diffusion of oxygen and carbon dioxide through the air sacs (alveoli) of the lungs takes place through __________ epithelium.

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6


A) B) C) D) E)

simple squamous simple cuboidal simple columnar keratinized stratified squamous nonkeratinized stratified squamous

33) Most kidney tubules are made of __________ epithelialtissue, which isspecialized for absorption and secretion. A) B) C) D) E)

simple columnar stratified columnar pseudostratified columnar simple cuboidal stratified cuboidal

34) __________ epithelium provides a moist and slippery surface and is well suited to resist stress, as seen in the __________. A) B) C) D) E)

Stratified; tongue Keratinized; tongue Nonkeratinized; skin Keratinized; skin Nonkeratinized; vagina

35) An epithelium whose cells are tall and narrow, with each one touching the basement membrane and reaching the apical surface, is called __________ epithelium. A) B) C) D) E)

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stratified squamous stratified cuboidal simple cuboidal simple columnar pseudostratified columnar

7


36) __________ epithelium is the most widespread epithelium in the body, whereas __________ epithelium is rare. A) B) C) D) E)

Simple columnar; stratified columnar Stratified squamous; stratified columnar Pseudostratified; stratified squamous Simple cuboidal; stratified squamous Stratified squamous; simple squamous

37) A brush border of microvilli is foundin __________ epithelium, which can befound in the __________. A) B) C) D) E)

pseudostratified; nasal cavity simple cuboidal; esophagus simple columnar; small intestine stratified squamous; anal canal stratified squamous; esophagus

38) All cells in __________ epitheliumreach the basement membrane, but only cells that reach the free surface have cilia. A) B) C) D) E)

pseudostratified columnar simple columnar stratified columnar stratified cuboidal stratified squamous

39) Found in the urinary bladder, __________ resembles __________, but the apical cells are rounded, not flattened.

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8


A) B) C) D) E)

urothelium; stratified squamous epithelium stratified squamous epithelium; pseudostratifiedepithelium stratified squamous epithelium; stratified columnarepithelium simple columnar epithelium; pseudostratifiedepithelium urothelium; simple cuboidalepithelium

40) An epithelium with a single layer of tall cells would be classified as which type of epithelium? A) B) C) D) E)

Stratified squamous epithelium Simple squamous epithelium Stratified cuboidal epithelium Simple columnar epithelium Urothelium

41) Some simple columnar and pseudostratified columnar epithelia have _________ cells, which produce aprotective mucous coating over the mucous membranes. A) B) C) D) E)

fibrous blood basal keratinized goblet

42) __________ is associated with rapid transport of substances through a membrane, whereas __________ is associated with resistance to abrasion. A) B) C) D) E)

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Simple columnar epithelium; urothelium Simple squamous epithelium; stratified squamous epithelium Simple cuboidal epithelium; pseudostratified epithelium Pseudostratified epithelium; simple squamous epithelium Pseudostratified epithelium; simple cuboidalepithelium

9


43) Which of the following is not a feature that almost all connective tissues have in common? A) B) C) D) E)

44)

Most cells are not in direct contact with each other. Ground substance is so scarce that it is not visible with a light microscope. Cells usually occupy less space than the extracellular material. Protein fibers are usually present in the ground substance. Most connective tissuesare highly vascular.

Fibroblasts and protein fibers are associated with both __________ and __________. A) B) C) D) E)

dense regular; dense irregular connective tissues plasma; formed elements elastic cartilage; hyaline cartilage spongy bone; compact (dense) bone adipose tissue; reticular tissue

45) New triglycerides are constantly beingsynthesized and stored, while others are hydrolyzed and released into the circulation by thecells foundin __________. A) B) C) D) E)

blood fibrous connective tissue adipose tissue reticular tissue urothelial tissue

46) The rubbery matrix of cartilage is secreted by __________, whereas _________ produce the fibers and ground substance that form the matrix of fibrous connective tissue.

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10


A) B) C) D) E)

47)

Where are chondrocytes and osteocytes located? A) B) C) D) E)

48)

chondroblasts; plasma cells mast cells; fibroblasts osteocytes; chondroblasts chondroblasts; fibroblasts adipocytes; plasma cells

In bone In cartilage In muscle In lacunae In plasma

Collagenous fibers are very abundant in __________. A) B) C) D) E)

blood and hyaline cartilage blood, adipose tissue, and osseous tissue ligaments, bones, and the most superficial portion of the skin tendons, ligaments, and the deeper portion of the skin areolar tissue, tongue, and bones

49) A connective tissue fiber refers to a(n) __________, a nerve fiber refers to a(n) __________, and a muscle fiber refers to a(n) __________. A) B) C) D) E)

Version 1

entire cell; organelle; tissue organelle; entire cell; part of a cell organelle; entire cell; complex of macromolecules complex of macromolecules; entire cell; part of a cell complex of macromolecules; part of a cell; entire cell

11


50) Marfan syndrome is a hereditary defect of elastin fibers. People with this syndrome have __________. A) B) C) D) E)

hyperextensible joints a small cranium elastic bones stronger bones viscous blood

51) Which of the following does notaccount for the gelatinous consistency of connective tissue ground substance? A) B) C) D) E)

Glycosaminoglycans (GAGs) Proteoglycans Chondroitin sulfate Hyaluronic acid Collagen

52) Glycosaminoglycans (GAGs) help give the ground substance some of its qualities, including _________. A) B) C) D) E)

helping to transfer charges in the nervous system holding water and maintaining electrolyte balance giving bone its brittle, inorganic structure providing the major structural support of tendons and ligaments acting as an energy reserve for muscle contraction

53) An example of a highly vascular tissue is __________ tissue. An example of a tissuethat is not highly vascular is __________.

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12


A) B) C) D) E)

54)

Which of the following is not a feature that connective tissues have in common? A) B) C) D) E)

55)

dense regular connective tissue dense irregular connective tissue elastic cartilage fibrocartilage ligaments

Which of the following is not a type of fibrous connective tissue? A) B) C) D) E)

57)

Very conspicuous fibers The presence of fibroblasts The presence of collagen Ground substance with a gelatinous to rubbery consistency A calcified matrix

The shape of a person's external ear is due to the presence of __________. A) B) C) D) E)

56)

epithelial; cartilage muscular; osseous tissue dense regular connective; dense irregular connective tissue areolar; cartilage nervous; osseous tissue

Reticular tissue Hyaline cartilage Dense regular connective tissue Dense irregular connective tissue Areolar tissue

Blood functions to __________.

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13


A) B) C) D) E)

allow for heart contraction and relaxation store energy for the heart provide support to the heart line the heart chambers transport nutrients to the tissues

58) __________ exhibits a lot of apparently empty space, and is found in many serous membranes. A) B) C) D) E)

59)

Which type of connective tissue is abundant in the walls of arteries, and in the airway? A) B) C) D) E)

60)

Blood Areolar tissue Osseous tissue Dense irregular connective tissue Adipose tissue

Dense irregular connective tissue Elastic tissue Dense regular connective tissue Cartilage Smooth muscle

Which of the following is not a category of connective tissue? A) B) C) D) E)

Version 1

Connective tissue proper Supporting connective tissue Fluid connective tissue Aerobic connective tissue Cartilage

14


61) __________ tissues respond quickly to outside stimuli by means of changes in membrane potential. A) B) C) D) E)

62)

Nervous tissue consists predominantly of two cell types, neurons and __________. A) B) C) D) E)

63)

Excitable Responsive Adipose Epithelial Connective

fibroblasts chondrocytes neuroglia myocytes osteocytes

Which of the following parts of a neuron receive and process information? A) B) C) D) E)

Cell body Axon Synapse Dendrite Telodendrion

64) Astronauts in zero gravity are able to move food through their digestive tracts because __________.

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15


A) smooth muscle produces waves of contractions that propel material through the digestive tract B) skeletal muscle puts pressure on the digestive tract C) cardiac muscle maintains a high pressure that moves material through the digestive tract D) striated muscle creates a pressure gradient that forces material from one end of the digestive tract to the other E) skeletal muscle sphincters contract and allow materials to move through thedigestive tract

65)

Skeletal muscle is described as __________. A) B) C) D) E)

66)

striated and voluntary striated and involuntary nonstriated and voluntary nonstriated and involuntary fibrous and containing ground substance

Which type of muscle tissue is found in the walls of hollow organs? A) B) C) D) E)

Smooth muscle Cardiac muscle Skeletal muscle Organ muscle Elastic muscle

67) In the intestine, __________ ensure(s) that most digested nutrients pass through the epithelial cells and not between them.

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16


A) B) C) D) E)

the plasma membrane desmosomes tight junctions gap (communicating) junctions ground substance

68) How would the genetic inheritance of a gene producing abnormal gap junctions affect muscle tissue? A) All types of muscle tissue would function normally. B) All types of muscle tissue would function abnormally. C) Cardiac muscle and some smooth muscle would function abnormally. Skeletal muscle would be unaffected. D) Skeletal muscle would function abnormally. Smooth muscle and cardiac muscle would be unaffected. E) Skeletal muscle and cardiac muscle would function abnormally. Smooth muscle would be unaffected.

69)

__________ secrete __________ into __________. A) B) C) D) E)

Goblet cells; mucus; the blood Endocrine glands; hormones; ducts Exocrine glands; hormones; ducts Endocrine glands; hormones; the blood Exocrine glands; mucus; the blood

70) Glands that have branched ducts and secretory cells that form sacs at one end of the ducts are classified as ___________ glands.

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17


A) B) C) D) E)

areolar simple acinar simple coiled tubular compound acinar compound tubuloacinar

71) Mucin is secreted by __________ glands, which combines with water to form a thick and sticky product. _________ glands produce a relatively watery fluid. A) B) C) D) E)

mucous; Serous eccrine; Holocrine apocrine; Mixed endocrine; Exocrine serous; Mucous

72) __________ glands (such as tear glands) have vesicles that release their secretion via exocytosis. __________ glands (such as oil-producing glands) secrete a mixture of disintegrated cells and their products. A) B) C) D) E)

Endocrine; Exocrine Mucous; Serous Exocrine; Apocrine Mucous; Cutaneous Eccrine; Holocrine

73) The membrane that lines the lumenal surfaces of the digestive, respiratory, urinary, and reproductive tracts consists of __________.

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18


A) B) C) D) E)

simple squamous epithelium and dense irregular connective tissue areolar and dense irregular connective tissue epithelium and lamina propria areolar tissue and lamina propria simple squamous epithelium and areolar tissue

74) Most membranes are composed of two or three tissue types. However, an example of an exception is the ___________ membrane. A) B) C) D) E)

mucous serous synovial cutaneous basement

75) The membrane that lines passageways that open to the exterior environment is called __________. A) B) C) D) E)

the lamina propria endothelium a synovial membrane a serous membrane (serosa) a mucous membrane (mucosa)

76) After six months of lifting weights at the gym, you notice that some of your muscles have increased in size. This increase in size is due to __________ of muscle cells. A) B) C) D) E)

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hyperplasia neoplasia hypertrophy metaplasia atrophy

19


77) Most biologists see embryonic stem (ES) cells as a possible treatment for diseases that result from the loss of functional cells. This possibility is based on the fact that ES cells are __________ stem cells. A) B) C) D) E)

unipotent multipotent pluripotent totipotent omnipotent

78) The pseudostratified columnar epithelium of the bronchi in smokers may transform into stratified squamous epithelium. This is an example of__________. A) B) C) D) E)

neoplasia metaplasia atrophy differentiation hyperplasia

79) It is normal for breasts to shrink after lactation ceases. This is a consequence of __________ in human breast cells. A) B) C) D) E)

80)

necrosis apoptosis atrophy infarction gangrene

With regard to the healing of a skin wound, macrophages ___________.

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20


A) B) C) D) E)

81)

release histamine to increase blood flow to the area produce and secrete collagenous fibers phagocytize and digest tissue debris stimulate epithelial cells to multiply make capillaries more permeable allowing white blood cells to migrate into the area

The replacement of damaged tissue with scar tissue is called _________. A) B) C) D) E)

necrosis apoptosis gangrene regeneration fibrosis

SECTION BREAK. Answer all the part questions.

82)

82.1)

Version 1

Which tissue would be found lining the lumen of the trachea?

21


A) B) C) D) E)

A B C D E

82.2) A) B) C) D) E)

Which tissue would be found lining the lumen of the vagina? A B C F E

82.3) A) B) C) D) E)

Version 1

Which tissue would be found lining the lumen of the small intestine? A B C D E

22


83)

83.1) A) B) C) D) E)

83.2) A) B) C) D) E)

Version 1

Where in the human body would this tissue be found? Calcaneal tendon Heart wall Dermis of the skin Lining the lumen of the aorta Intervertebral disc

What is a function of this tissue? To connect bone to bone To regulate blood pressure To connect an epithelium to underlying tissue To resist compression To protect against abrasion

23


84)

84.1) A) B) C) D) E)

Where would this tissue be found in the human body? Epiglottis Patellar ligament Joint capsule At the ends of long bones Spinal cord

84.2)

What is a function of this tissue?

A) B) C) D) E)

To provide flexible support To pump blood throughout the body To maintain a patent airway To conduct electrical impulses To connect muscle to bone

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24


85)

85.1) A) B) C) D) E)

85.2) A) B) C) D) E)

Version 1

Where in the human body would this tissue be found? Biceps brachii Wall of the heart Dermis of the skin Wall of a blood vessel Patellar tendon

What is a function of this tissue? To generate heat To move food through the digestive tract To pump blood throughout the body To connect the epidermis to the dermis below To resist compression

25


86)

86.1) A) B) C) D) E)

86.2) A) B) C) D) E)

Version 1

Where in the human body would this tissue be found? Spinal cord Beneath the epithelium in a serous membrane In a joint capsule Within blood vessels The stroma of the spleen

What is the function of this tissue? To conduct electrical impulses To resist pulling in several directions To absorb nutrients To connect an epithelium to deeper structures To absorb nutrients

26


87) Version 1

27


87.1) A) B) C) D) E)

87.2) A) B) C) D) E)

87.3) A) B) C) D) E)

Version 1

Which gland(s) produce(s) hormones? A B Both A and B Neither A or B C

Which gland(s) produce(s) digestive enzymes? A B Both A and B Neither A or B A, B, and C

Which mode of secretion is pictured at C? Eccrine Holocrine Endocrine Paracrine Apocrine

28


88)

88.1) A) B) C) D) E)

88.2) A) B) C) D) E)

88.3)

Version 1

Where in the human body would this membrane be found? Lining the lumen of the digestive tract Lining the lumen of an artery Lining the pericardial cavity In the skin Lining a joint cavity

What is the name of the layer at B in this membrane? Lamina propria Serosa Mesothelium Epithelium Dermis

What type of tissue is found at B?

29


A) B) C) D) E)

88.4) A) B) C) D) E)

Version 1

Areolar Dense irregular Elastic cartilage Nervous Smooth muscle

What type of gland is pictured at D? Unicellular exocrine Unicellular endocrine Multicellular exocrine Multicellular endocrine Unicellular apocrine

30


Answer Key Test name: Chap 05_9e 1) TRUE 2) TRUE 3) TRUE 4) TRUE 5) FALSE 6) FALSE 7) FALSE 8) TRUE 9) FALSE 10) FALSE 11) TRUE 12) FALSE 13) TRUE 14) TRUE 15) FALSE 16) FALSE 17) TRUE 18) TRUE 19) FALSE 20) FALSE 21) FALSE 22) TRUE 23) B 24) D 25) C 26) B Version 1

31


27) B 28) E 29) D 30) A 31) A 32) A 33) D 34) E 35) D 36) B 37) C 38) A 39) A 40) D 41) E 42) B 43) B 44) A 45) C 46) D 47) D 48) D 49) E 50) A 51) E 52) B 53) D 54) E 55) C 56) B Version 1

32


57) E 58) B 59) B 60) D 61) A 62) C 63) A 64) A 65) A 66) A 67) C 68) C 69) D 70) D 71) A 72) E 73) C 74) C 75) E 76) C 77) D 78) B 79) B 80) C 81) E 82) Section Break 82.1) B 82.2) C 82.3) A 83) Section Break Version 1

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83.1) A 83.2) A 84) Section Break 84.1) A 84.2) A 85) Section Break 85.1) A 85.2) A 86) Section Break 86.1) A 86.2) A 87) Section Break 87.1) A 87.2) B 87.3) A 88) Section Break 88.1) A 88.2) A 88.3) A 88.4) A

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34


CHAPTER 6 TRUE/FALSE - Write 'T' if the statement is true and 'F' if the statement is false. 1) The skin carries out the first step in the synthesis of vitamin D. ⊚ ⊚

2)

Living keratinocytes exfoliate from the epidermis as tiny specks called dander. ⊚ ⊚

3)

true false

Albinism is the genetic lack of melanin that results in a milky white coloration of the ⊚ ⊚

7)

true false

Melanin, hemoglobin, and carotene give color to the skin. ⊚ ⊚

6) skin.

true false

The youngest keratinocytes are found in the stratum basale. ⊚ ⊚

5)

true false

The deeper of the two layers of the skin is the hypodermis. ⊚ ⊚

4)

true false

true false

Embarrassment can be perceived by an abnormal coloration of the skin called cyanosis.

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1


⊚ ⊚

8)

Freckles are elevated patches with an abnormal coloration of the skin. ⊚ ⊚

9)

true false

Straight hair is round, wavy hair is oval, and curly hair is relatively flat. ⊚ ⊚

10)

true false

true false

Hair and nails are composed of collagen. ⊚ ⊚

true false

11) Merocrine sweat glands are associated with hair follicles in the pubic and anal regions, axilla, areola, and beard. ⊚ ⊚

true false

12) Pattern baldness is relatively rare in women because women have lower testosterone levels than men. ⊚ ⊚

13) skin.

true false

The acidity of sweat contributes to the acid mantle that inhibits bacterial growth in the ⊚ ⊚

Version 1

true false

2


14)

Debridement is not necessary to infection control. ⊚ ⊚

true false

15) The three forms of skin cancer are defined by the types of cells from which they originate. ⊚ ⊚

true false

MULTIPLE CHOICE - Choose the one alternative that best completes the statement or answers the question. 16) Which of the following is not part of the skin? A) B) C) D) E)

17)

Which of the following is not found in the epidermis? A) B) C) D) E)

18)

Epidermis Papillary layer Hypodermis Stratum basale Dermis

Melanocytes Fibroblasts Stem cells Keratinocytes Tactile cells

Skin covering the __________ has sweat glands but no hair follicles or sebaceous glands.

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3


A) B) C) D) E)

19)

Most of the skin is __________ mm thick. A) B) C) D) E)

20)

Stratum basale Stratum spinosum Stratum corneum Dermis Hypodermis

Which of the skin layers below is the most superficial? A) B) C) D) E)

22)

0.01 to 0.02 0.1 to 0.2 1 to 2 10 to 20 100 to 200

In which of the following skin layers would a subcutaneous injection be administered? A) B) C) D) E)

21)

forearm buttocks abdomen fingertips back

Basal lamina Epidermis Papillary layer Reticular layer Hypodermis

Which of the following best describes the composition of the dermis?

Version 1

4


A) B) C) D) E)

23)

Collagen and living keratinocytes Collagen and dead keratinocytes Collagen and fibroblasts Elastic fibers and melanocytes Elastic fibers and dendritic cells

What type of tissue is found in the most superficial layer of skin? A) B) C) D) E)

Simple squamous epithelium Stratified squamous epithelium Dense irregular connective tissue Areolar connective tissue Dense regular connective tissue

24) Looking at aslide of thin skin under the microscope, you note that the stratum basale is the __________ layer of the epidermis in from the surface. A) B) C) D) E)

25)

second third first fifth fourth

Which of the following cells is largely responsible for skin color? A) B) C) D) E)

Version 1

Dendritic cell Keratinocyte Melanocyte Tactile cell Dead keratinocyte

5


26)

Which layer of the epidermis consists of up to 30 layers of dead cells? A) B) C) D) E)

27)

Which of the following are associated with the sense of touch? A) B) C) D) E)

28)

Fibroblasts Melanocytes Keratinocytes Dendriticcells Tactile cells

The fastest rate of mitosis happens in the __________. A) B) C) D) E)

29)

Stratum basale Stratum spinosum Stratum granulosum Stratum lucidum Stratum corneum

stratum basale stratum spinosum stratum granulosum stratum lucidum stratum corneum

Which of the following cells stand guard against toxins, microbes, and other pathogens? A) B) C) D) E)

Version 1

Keratinocytes Melanocytes Adipocytes Dendritic cells Tactile cells

6


30)

Fingerprints left on things we touch are associated with our __________. A) B) C) D) E)

31)

Calluses or corns are the result of accelerated multiplication by ___________. A) B) C) D) E)

32)

melanocytes keratinocytes fibroblasts tactile cells red blood cells

The __________ is absent from most epidermis. A) B) C) D) E)

33)

dermal papillae dermal connective tissue stratum basale subcutaneous tissue subcutaneous adipose

stratum basale stratum spinosum stratum granulosum stratum lucidum stratum corneum

Leather is made of the __________ layer of the dermis. A) B) C) D) E)

Version 1

areolar keratin reticular collagen papillary

7


34)

The hypodermis is characterized byan abundance of which tissue? A) B) C) D) E)

35)

Statified squamous epithelium Smooth muscle Nervous tissue Adipose tissue Dense irregular connective tissue

The skin discoloration most likely to suggest physical abuse is __________. A) B) C) D) E)

pallor albinism erythema hematoma jaundice

36) The reddish color of the skin of the lips is primarily due to the presence of which pigment? A) B) C) D) E)

37)

Hemoglobin Myoglobin Melanin Carotene Keratin

Which skin color is most likely to result from anemia?

Version 1

8


A) B) C) D) E)

38)

Increased bilirubin levels cause a skin discoloration called __________. A) B) C) D) E)

39)

UV radiation exposure the quantity of hemoglobin carried in the blood the quantity of melanin produced the number of melanocytes the number of keratinocytes

A __________ is an elevated patch of melanized skin. A) B) C) D) E)

41)

erythema jaundice pallor bronzing cyanosis

Ethnic differences in skin color are primarily caused by differences in ___________. A) B) C) D) E)

40)

Pallor Erythema Hematoma Albinism Jaundice

hemangioma mole freckle flexion line friction ridge

A pilus is a __________.

Version 1

9


A) B) C) D) E)

42)

What type of hair is present prenatally and usually replaced by birth? A) B) C) D) E)

43)

bulb root shaft dermal papilla medulla

The base where a hair follicle originates in the skin is known as the __________. A) B) C) D) E)

45)

Lunule Peach fuzz Terminal hair Vellus Downy (Lanugo)

Blood vessels in the __________ provide a hair with its sole source of nutrition. A) B) C) D) E)

44)

hair hair follicle tiny muscle that moves a hair sensory nerve fiber around the base of a hair gland associated with a hair follicle

hair bulb hair root shaft medulla cuticle

The contraction of the arrector muscles in humans causes __________.

Version 1

10


A) B) C) D) E)

46)

A hair cycle consists of three developmental stages in which order? A) B) C) D) E)

47)

Anagen, telogen, and catagen Anagen, catagen, and telogen Catagen, anagen, and telogen Catagen, telogen, and anagen Telogen, anagen, and catagen

Each hair grows in an oblique epithelial tube called a __________. A) B) C) D) E)

48)

hairs to stand on end, trapping an insulating layer of warm air next to the skin generation of heat to raise the body temperature hairs to stand on end to make the individual appear bigger hairs to stand on end with no apparent function increased ability to feel pain

hair follicle vellum pilus bulb shaft

Excessive hairiness is called __________. A) B) C) D) E)

Version 1

telogenism anagenism catagenism alopecia hirsutism

11


49) The narrow zone of dead skin overhanging the proximal end of a nail is called the __________. A) B) C) D) E)

50)

What is the white opaque "moon" often found at the proximal end of a fingernail called? A) B) C) D) E)

51)

Free edge Nail body Eponychium Lunule Nail root

Variations in hair color arise from differing amounts of __________. A) B) C) D) E)

52)

eponychium lunule nail plate nail body nail root

collagen and elastic filaments keratin and melanin carotene and hemoglobin carotene and collagen eumelanin and pheomelanin

Mitosis in the __________ accounts for growth of the nail. A) B) C) D) E)

Version 1

nail plate nail fold eponychium hyponychium nail matrix

12


53)

The oil of your scalp is secreted by __________ glands associated with the hair follicles. A) B) C) D) E)

merocrine sweat apocrine sweat sebaceous ceruminous eccrine sweat

54) Secretions from __________ glands contribute to the acid mantle that inhibits bacterial growth on the skin. A) B) C) D) E)

55)

mammary ceruminous sebaceous apocrine sweat eccrine sweat

__________ is/are formed partly from the secretions of glands in the external ear canal. A) B) C) D) E)

Sebum Cerumen Sweat Scents Mucus

56) Looking at a slide of axillary skin under the microscope, you notice the presence of __________ glands that are absent on slides of the scalp.

Version 1

13


A) B) C) D) E)

57)

Which cutaneous glands are concerned with cooling the body? A) B) C) D) E)

58)

merocrine apocrine sebaceous ceruminous perspiration

Ceruminous glands Sebaceous glands Merocrine glands Apocrine glands Exothermic glands

The __________ glands are a source of sex pheromones. A) B) C) D) E)

ceruminous merocrine mammary sebaceous apocrine

59) Mammary glands are modified __________ glands that develop within the female breasts. A) B) C) D) E)

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merocrine apocrine ceruminous sebaceous eccrine

14


60)

Which two strata of the epidermis are most susceptible to cancer? A) B) C) D) E)

Stratum corneum and stratum lucidum Stratum basale and stratum corneum Stratum spinosum and stratum basale Stratum granulosum and stratum spinosum Stratum lucidum and stratum granulosum

61) The "ABCD rule" for recognizing early signs of malignant melanoma refers to which of the following characteristics of the lesion? A) B) C) D) E)

62)

The least common, but most deadly, type of skin cancer is __________. A) B) C) D) E)

63)

Asymmetry, border irregularity, color, and diameter Asymmetry, brightness, color, and diameter Aspect, brightness, color, and distance Aspect, border irregularity, color, and distance Area, border irregularity, color, and density

basal cell carcinoma squamous cell carcinoma melanoma skin lymphoma skin sarcoma

Basal cell carcinoma initially affects cells of the stratum __________. A) B) C) D) E)

Version 1

spinosum germinativum corneum basale lucidum

15


64)

__________ burns involve the epidermis, all of the dermis, and often some deeper tissue. A) B) C) D) E)

65)

The most immediate threat to the life of a patient with severe burns is __________. A) B) C) D) E)

66)

fluid loss eschar heat loss pain infection

The skin is a barrier to all of the following except __________. A) B) C) D)

67)

First-degree Second-degree Third-degree Partial-thickness Malignant

metals such as mercury infectious organisms water UV rays

In whom are fully developed mammary glands found? A) B) C) D)

Version 1

In lactating females In lactating and non-lactating females In non-lactating females In non-lactating females and males

16


68)

Which structure is highlighted in the cadaver skin?

© The McGraw-Hill Companies, Inc. A) B) C) D) E)

Version 1

Epidermis Subcutaneous layer Dermis Hypodermis Sebaceous layer

17


69)

Which structure is highlighted in the cadaver skin and picture?

© The McGraw-Hill Companies, Inc. A) B) C) D) E)

Version 1

Epidermis Sebaceous gland Dermis Hypodermis Subcutaneous layer

18


70)

Which accessory structure is highlighted in the picture?

© The McGraw-Hill Companies, Inc. A) B) C) D) E)

Version 1

Sebaceous Piloerector Dermis Hypodermis Hair

19


71)

Which structure is highlighted in the picture and cadaver?

<p><span style=" font-size: xxsmall;">{MISSING IMAGE} © The McGraw-Hill Companies, Inc. A) B) C) D) E)

Version 1

Epidermis Piloerector muscle Dermis Hypodermis Hair follicle

20


72)

Which structure is highlighted on this section of a cadaver finger?

© The McGraw-Hill Companies, Inc. A) B) C) D) E)

Version 1

Free edge Nail bed Lunule Eponychium Nail fold

21


SECTION BREAK. Answer all the part questions. 73)

73.1) Examine this picture of the skin, paying close attention to the cutaneous vasculature.What impact might the location of the blood vessels have on the life history of keratinocytes?

Version 1

22


A) Keratinocytes in the deepest layers of the epidermis (close to the dermis) are the only ones that receive enough nutrients and oxygen to undergo mitosis. B) The stratum corneum is the thickest layer of the epidermis because it receives the most oxygen and nutrients. C) Keratinocytes in the stratum granulosum receive the most nutrients and therefore undergo the fastest mitosis, thus producing the stratum corneum. D) New keratinocytes produced by stem cells in the stratum corneum migrate downward through the epidermis because they are attracted to a chemical factor released from the dermal blood vessels. E) Keratonocytes in the stratum spinosum and stratum graulosum are dead because they do not receive enough oxygen and nutrients.

73.2) Examine this picture of the skin, paying close attention to the cutaneous innervation.What impact might the location of the nerve fibers have on sensation? A) Unlike first-degree burns, third-degree burns destroy the nerve fibers in the dermis and may therefore be painless. B) Since there are no nerve fibers in the skin, it cannot convey or respond to any sensory information. C) Sensory receptors in the uppermost layers of the epidermis (stratum corneum) respond to heat and cold, making it important for thermoregulation. D) A shallow scrape that penetrates into the stratum granulosum may be more painful than a deeper cut that reaches the dermis. E) Due to the relative density of nerve fibers in the different layers of the skin, the epidermis is much more sensitive than the underlying dermis.

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23


74)

74.1) A) B) C) D) E)

74.2) A) B) C) D) E)

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Identify the cutaneous gland labeled 1. Apocrine sweat gland Eccrine sweat gland Sebaceous gland Ceruminous gland Mammary gland

Identify the cutaneous gland labeled 2. Apocrine sweat gland Eccrine sweat gland Sebaceous gland Ceruminous gland Mammary gland

24


74.3) A) B) C) D) E)

Identify the cutaneous gland labeled 3. Apocrine sweat gland Eccrine sweat gland Sebaceous gland Ceruminous gland Mammary gland

74.4) Use this picture to carefully examine the structure of the apocrine and sebaceous gland ducts. Which of the following statements is true? A) Both types of glands release their products into hair follicles. B) The apocrine gland duct opens directly onto the skin surfaceand the sebaceous gland empties into a hair follicle. C) The sebaceous gland duct opens directly onto the skin surfaceand the apocrine gland empties into a hair follicle. D) Both types of glands have ducts that open directly onto the skin surface through pores. E) Neither type of gland has a duct.

74.5) Use this picture to carefully examine the secretory portions of these three types of cutaneous glands. (Note: "Lumina" is the plural form of "lumen.") Which of the following statements is true? A) Both types of sweat gland have lumina, but the sebaceous gland does not. B) The sebaceous gland and the eccrine sweat glands have lumina, but the apocrine sweat gland does not. C) All three types of gland have large, clear lumina. D) None of the three types of gland has a clear lumen. E) Although all three glands have clear lumina, the lumen of the sebaceous gland is the largest.

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25


74.6) Use this picture to carefully examine the histology of the apocrine and sebaceous glands, then choose the correct words to complete the following sentence. The secretory portion of apocrine sweat glands is made up of __________ epithelium, and thesecretory portion of sebaceous glands is made up of __________ epithelium. A) B) C) D) E)

simple cuboidal; stratified cuboidal simple cuboidal; simple squamous simple squamous; stratified squamous stratified squamous; simple cuboidal stratified columnar; simple squamous

75)

a: Dennis Strete/McGraw-Hill Education; b: David M. Phillips/Science Source, c. Susumu Nishinaga/Science Source

75.1)

Version 1

Name the layer of skin labeled 1.

26


A) B) C) D) E)

75.2) A) B) C) D) E)

Papillary dermis Reticular dermis Stratum corneum Hypodermis Epithelium

Name the layer of skin labeled 2. Papillary dermis Reticular dermis Stratum corneum Hypodermis Epithelium

75.3) Examine the picture showing the two layers of the dermis, then choose the correct words to complete this sentence. The papillary layer of the dermis is made up of __________ , and the reticular layer of the dermis is made up of __________ . A) B) C) D) E)

75.4)

Version 1

areolar tissue; dense irregular connective tissue dense regular connective tissue; areolar tissue areolar tissue; reticular connective tissue dense irregular connective tissue; adipose tissue epithelial tissue; adipose tissue

How does the structure of the papillary dermis relate to its functional properties?

27


A) Bundles of densely packed collagen fibers help the skin withstand stretching in many different directions. B) The sparse network of branching reticular fibers provides a scaffolding to help store large numbers of white blood cells. C) Multiple layers of large, round adipocytes store fat. D) The loosely organized tissue allows the diffusion of nutrients and the movement of white blood cells between the dermis and the avascular epidermis. E) The clear, glassy matrix provides cushioning and support.

75.5) Use this picture to examine and compare the tissue structure in the papillary and reticular layers of the dermis. Which of the following best describes your observations? A) The reticular layer is thicker and more fibrous. The papillary layer is a thinner zone of more loosely organized tissue containing many "wandering" white blood cells. B) The papillary layer is a thick layer of tightly packed dead skin cells, while the reticular layer is much thinner and more fragile. C) The papillary layer is dominated by large, empty-looking cells, while the reticular layer is made of a loose network of fibers infiltrated with white blood cells. D) Both layers contain packed, parallel fibers, but the papillary dermis is thicker and much denser. E) Both layers consist of a loose arrangement of thin, branching fibers in abundant ground substance.

75.6)

How does the structure of the reticular dermis relate to its functional properties?

A) Bundles of densely packed collagen fibers help the skin withstand stretching in many different directions. B) The loose network of branching reticular fibers provides a scaffolding to help store large numbers of white blood cells. C) Multiple layers of large, round adipocytes store fat. D) The loosely organized tissue allows the diffusion of nutrients and the movement of white blood cells between the dermis and the avascular epidermis. E) The clear, glassy matrix provides cushioning and support.

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28


Version 1

29


Answer Key Test name: Chap 06_9e 1) TRUE 2) FALSE 3) FALSE 4) TRUE 5) TRUE 6) TRUE 7) FALSE 8) FALSE 9) TRUE 10) FALSE 11) FALSE 12) TRUE 13) TRUE 14) FALSE 15) TRUE 16) C 17) B 18) D 19) C 20) E 21) B 22) C 23) B 24) E 25) C 26) E Version 1

30


27) E 28) A 29) D 30) A 31) B 32) D 33) C 34) D 35) D 36) A 37) A 38) B 39) C 40) B 41) A 42) E 43) D 44) A 45) D 46) B 47) A 48) E 49) A 50) D 51) E 52) E 53) C 54) E 55) B 56) B Version 1

31


57) C 58) E 59) B 60) C 61) A 62) C 63) D 64) C 65) A 66) A 67) A 68) C 69) A 70) E 71) D 72) B 73) Section Break 73.1) A 73.2) A 74) Section Break 74.1) A 74.2) B 74.3) C 74.4) A 74.5) A 74.6) A 75) Section Break 75.1) A 75.2) B 75.3) A Version 1

32


75.4) D 75.5) A 75.6) A

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33


CHAPTER 7 TRUE/FALSE - Write 'T' if the statement is true and 'F' if the statement is false. 1) Bones, cartilage, and ligaments are tissues and organs of the skeletal system. ⊚ ⊚

2)

Most blood cells are produced in the red marrow of bones. ⊚ ⊚

3)

true false

A vertebra is considered alongbone. ⊚ ⊚

4)

true false

true false

Osteoid tissue is similar to bone except for a lack of minerals. ⊚ ⊚

true false

5)

Osteogenic cells are bone stem cells that differentiate into osteoblasts and osteoclasts. ⊚ true ⊚ false

6)

Red bone marrow is important in the production of new bone cells. ⊚ ⊚

7)

true false

Concentric lamellae within an osteon are connected by lacunae.

Version 1

1


⊚ ⊚

8)

true false

The hematopoietic tissue in a bone is otherwise known as myeloid tissue. ⊚ ⊚

true false

9) Intramembranous ossification is common in children, whereas endochondral ossification is typical in young adults. ⊚ ⊚

10)

A radiograph (X-ray) of a child's hand will show epiphysial lines. ⊚ ⊚

11)

true false

true false

Bones grow in diameter by interstitial growth. ⊚ ⊚

true false

12)

Hypercalcemia is rare, but hypocalcemia can result from a wide variety of conditions. ⊚ true ⊚ false

13)

Hypercalcemia causes depression of the nervous system. ⊚ ⊚

Version 1

true false

2


14)

Parathyroid hormone (PTH) binds to receptors on osteoblasts. ⊚ ⊚

15)

true false

Osteomalacia results in bone brittleness. ⊚ ⊚

true false

16) Osteoporosis often leads to an exaggerated thoracic spinal curvature, which iscalled kyphosis. ⊚ true ⊚ false

17)

Closed reduction is the surgical realignment of the parts of a broken bone. ⊚ true ⊚ false

18)

Adding pins and plates to a fracture to aid repair is called traction. ⊚ ⊚

true false

MULTIPLE CHOICE - Choose the one alternative that best completes the statement or answers the question. 19) Which of the following tissues is not found as part ofa long bone?

Version 1

3


A) B) C) D) E)

20)

Osseous tissue Nervous tissue Adipose tissue Cartilage Transitional epithelium

Which of the following is not a function of the skeleton? A) B) C) D) E)

Storage ofcalcium and phosphate ions Storage ofred blood cells Providing support for most muscles Protecting the brain Protecting the spinal cord

21) The ___________ is an example of bone as an organ; ___________ bone is an example of bone as a tissue. A) B) C) D) E)

22)

femur; spongy spongy; femur skull; marrow compact; sesamoid red marrow; compact

Osseous tissue is a(an) ____________ tissue. A) B) C) D) E)

Version 1

connective epithelial dense regular dense irregular reticular

4


23)

The cortex of the long bone's diaphysis is made of _________. A) B) C) D) E)

marrow compact bone spongy bone dense regular connective tissue articular cartilage

24) The thin layer of slightly denser spongy bone that separates anadult'sepiphysis from the diaphysis is called the __________. A) B) C) D) E)

25)

The center cavity of the diaphysis of a long bone is called the __________. A) B) C) D) E)

26)

periosteum metaphysis growth plate epiphysial line diaphysial line

marrow cavity central canal nutrient foramen canaliculus epiphysis

The expanded head at each end of a long bone is called the__________. A) B) C) D) E)

Version 1

epiphysis diaphysis articular cartilage periosteum endosteum

5


27) A longbone is covered externally with a sheath called the__________, whereas the marrow cavity is lined with the__________. A) B) C) D) E)

epiphysis; diaphysis diaphysis; epiphysis compact bone; spongy bone periosteum; endosteum endosteum; periosteum

28) When ____________ become enclosed in lacunae, they become cells called _____________. A) B) C) D) E)

29)

Bone-forming cells are called __________. A) B) C) D) E)

30)

osteogenic cells; osteoblasts osteoblasts; osteoclasts osteoblasts; osteocytes osteocytes; osteoclasts osteocytes; osteoblasts

osteogenic (osteoprogenitor) cells osteoblasts osteoclasts osteocytes osteons

Which of the following is an inorganic component of the bone matrix?

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6


A) B) C) D) E)

Proteoglycans Glycoproteins Collagen Hydroxyapatite Glycosaminoglycans

31) The hardness of bone comes from __________, whereas __________ provide(s) some degree of flexibility. A) B) C) D) E)

hydroxyapatite and other minerals; proteins collagen and elastic fibers; minerals glycoproteins; proteoglycans calcium carbonate; calcium phosphate proteins; collagen

32) The plasma membrane of __________ have a ruffled border with many deep infoldings, whereas __________ have long, thin, fingerlike cytoplasmic processes. A) B) C) D) E)

33)

osteoclasts; osteocytes osteocytes; osteoclasts osteoblasts; osteoclasts osteoblasts; osteocytes osteocytes; osteogenic cells

Which one of the following bone cells would have the greatest number of lysosomes? A) B) C) D) E)

Version 1

Osteoblasts Osteoclasts Osteocytes Osteogenic cells Stem cells

7


34)

Spicules and trabeculae are found in __________. A) B) C) D) E)

35)

compact bone bone matrix yellow bone marrow red bone marrow spongy bone

It is common to find __________ in compact bone, but they arenot seen in spongy bone. A) B) C) D) E)

lamellae osteoclasts lacunae central canals osteocytes

36) The spaces found within the concentric lamellae are called __________, and they contain __________. A) B) C) D) E)

37)

canaliculi; osteoblasts osteons; stem cells lacunae; osteocytes lacunae; osteoclasts central canals; osteocytes

Red bone marrow does not contain __________.

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8


A) B) C) D) E)

myeloid tissue yellow bone marrow hematopoietic tissue white blood cells red blood cells

38) What would you find in the marrow cavity of the diaphysis of an adult humerus (arm bone)? A) B) C) D) E)

39)

Periosteum Hematopoietic tissue Red bone marrow Yellow bone marrow Compact bone

Intramembranous ossification produces the __________. A) B) C) D) E)

irregular bones of the vertebrae flat bones of the skull long bones of the limbs short bones of the wrist short bones of the ankle

40) In endochondral ossification, the precursor connective tissue is __________, which is replaced by bone. A) B) C) D) E)

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embryonic mesenchyme fibrous membranes hyaline cartilage transitional epithelium fibrocartilage

9


41) The __________ is a marginal zone of the epiphysial plate where, in children and adolescents, bone can be seen replacing the hyaline cartilage. A) B) C) D) E)

metaphysis primary ossification center secondary ossification center osteoid tissue epiphysial line

42) Achondroplastic dwarfism is a hereditary condition, in which the long bones of the limbs fail to elongate normally because of reduced hyperplasia and hypertrophy of cartilage in the __________. A) B) C) D) E)

43)

Mature bones are remodeled throughout life via a process known as__________. A) B) C) D) E)

44)

primary ossification center secondary ossification center primary bone marrow secondary bone marrow epiphysial plate

intramembranous ossification endochondral ossification interstitial growth appositional growth metaphysical growth

Chondrocytes multiply in the zone of __________ of themetaphysis.

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10


A) B) C) D) E)

45)

Bone elongation is a result of __________. A) B) C) D) E)

46)

reserve cartilage cell proliferation cell hypertrophy calcification bone deposition

cartilage growth muscle growth osseous tissue growth fibrous membrane addition dense irregular connective tissue addition

Wolff's law of bone explains the effect of __________. A) B) C) D) E)

different diets on bone elongation mechanical stress on bone remodeling temperature on bone growth age on bone thickening sex on bone widening

47) A growing long bone in a child has only two areas of cartilage at the epiphysis. These two areas are the __________. A) B) C) D) E)

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elastic cartilage and epiphysial plate epiphysial plate and epiphysial line primary and secondary ossification centers fibrocartilage and articular cartilage articular cartilage and epiphysial plate

11


48) Which of the following exemplifies a positive feedback process happening in bone mineral deposition? A) B) C) D) E)

The first few crystals that form attract more calcium and phosphate. Osteoblasts neutralize inhibitors that prevent bone resorption. Osteoclasts secrete acid phosphatase that digests collagen. Collagen is digested by enzymes and hydroxyapatite by hydrochloric acid. Solubility product is reached in the tissue fluids.

49) The process of dissolving bone and returning its minerals to the bloodstream is known as _________. A) B) C) D) E)

50)

Arteriosclerosis is one example of ectopic ossification, which means __________. A) B) C) D) E)

51)

mineralization mineral deposition crystallization resorption ossification

the solubility product has been reached artery mineralization by osteoblasts abnormal calcification of a tissue accumulation of collagenous fibers in blood vessels ossification of an entire blood vessel

Phosphate is necessary for all of the following except __________.

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12


A) B) C) D) E)

52)

Calcium plays an essential role in all of the following except __________. A) B) C) D) E)

53)

emotional disturbances depression of the nervous system muscle weakness sluggish reflexes muscle spasms

Which of the following is not a function of parathyroid hormone (PTH)? A) B) C) D) E)

55)

muscle contraction exocytosis blood clotting DNA synthesis communication among neurons

Hypocalcemia can cause __________. A) B) C) D) E)

54)

ATP DNA phospholipids RNA amino acids

Promote calcium reabsorption by the kidneys Stimulate osteoclast activity Lower blood calcium Promote calcitriol synthesis Inhibit osteoblast activity

Which of the following does not put women at risk for hypocalcemia?

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13


A) B) C) D) E)

Lactation Pregnancy Removal of the parathyroid glands Removal of the thyroid gland Lack of exposure to UV radiation

56) Synthesized by the combined action of the skin, kidneys, and liver, _________ is important to the deposition of bone. A) B) C) D) E)

57)

growth hormone testosterone estrogen calcitonin calcitriol

Blood Ca 2+ deficiency stimulates __________ secretion, which leads to __________. A) B) C) D) E)

calcitonin; more urinary phosphate reabsorption calcitriol; more urinary phosphate excretion parathyroid hormone; increased osteoclast activity growth hormone; increased osteoblast activity thyroid hormone; less urinary calcium excretion

58) If a thyroid tumor secreted an excessive amount of calcitonin, we would expect ___________. A) B) C) D) E)

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an elevated level of osteoclast activity an elevated level of osteoblast activity a reduced rate of endochondral ossification a rise in blood calcium concentration increasingly brittle bones

14


59)

The most common bone disease is __________. A) B) C) D) E)

osteomyelitis osteoporosis osteosarcoma osteomalacia rickets

60) Osteoporosis is most common in elderly women because of the lack of ___________, which would otherwise inhibit ____________. A) B) C) D) E)

dietary calcium; estrogen production osteoblasts; osteoclast activity estrogen; osteoclast activity parathyroid hormone; osteocyte activity exercise; osteoblast activity

61) The result of blood calcium and phosphate levels being too low for normal deposition is a softness of the bones called __________ in children and __________ in adults. A) B) C) D) E)

osteomalacia; rickets rickets; osteomalacia osteoporosis; osteomalacia osteomyelitis; osteosarcoma osteomyelitis; osteomalacia

62) A fracture in which the bone is broken into three or more pieces is called a __________ fracture.

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15


A) B) C) D) E)

63)

linear pott comminuted greenstick compound

Bone protrudes through the skin in a fracture called __________. A) B) C) D) E)

complete incomplete closed open displaced

64) A break in a bone that is already weakened by some other disease is called a(n) __________ fracture. A) B) C) D) E)

greenstick open closed pathologic displaced

65) Patches of fibrocartilage formed in the healing of a fracture are called __________, whereas the bony collar formed around the fracture is called __________. A) B) C) D) E)

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fracture hematoma; granulation tissue granulation tissue; soft callus fracture hematoma; hard callus granulation tissue; hard callus soft callus; hard callus

16


66) Which of the following is the correct sequence of events in the healing of a bone fracture? A) Bone remodeling → soft callus formation → hard callus formation → hematoma formation B) Bone remodeling → hard callus formation → soft callus formation → hematoma formation C) Hematoma formation → soft callus formation → hard callus formation → bone remodeling D) Hematoma formation → hard callus formation → soft callus formation → bone remodeling E) Soft callus formation → hard callus formation → hematoma formation → bone remodeling

67)

A soft callus forms during ___________. A) B) C) D) E)

68)

In appositional bone growth, new bone is deposited around a __________. A) B) C) D) E)

69)

endochondral ossification intramembranous ossification bone growth at the metaphysis the remodeling of bone the healing of a fracture

blood vessel collection of osteoblasts central core of existing bone small nerve lymphatic

Appositional bone growth is a process that __________.

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17


A) B) C) D) E)

70)

forms new bone on the surface of older bone eliminates blood vessels from bone reduces the number of osteons replaces older bone with new bone forms new bone from fibrocartilage

New bone is deposited by cells known as __________. A) B) C) D) E)

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osteoblasts periosteum endosteum tunnel cells osteoclasts

18


SECTION BREAK. Answer all the part questions.

71)

71.1)

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Where would red bone marrow be found in this adult femur?

19


A) B) C) D) E)

71.2) A) B) C) D) E)

71.3) A) B) C) D) E)

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A B C D E

If this were the femur of a ten-year-old child, where would red marrow be found? E B and C C B B and E

What type of growth occurs at E? Interstitial Appositional Intrastitial Periosteal Endosteal

20


72)

72.1) A) B) C) D) E)

Which cell is responsible for bone deposition? A B C D E

72.2) A) B) C) D) E)

72.3)

Version 1

Which cell is responsible for bone resorption? A B C D E

Which cell is stimulated by the hormones calcitriol and PTH?

21


A) B) C) D) E)

A B C D E

73)

73.1) A) B) C) D) E)

In which stage of ossification is an epiphysial plate present? A B C D E

73.2) A) B) C) D) E)

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In which stage of ossification does the primary marrow cavity appear? A B C D E

22


73.3) A) B) C) D) E)

What tissue does stage A primarily consist of? Hyaline cartilage Elastic cartilage Compact bone Spongy bone Osteoid

74)

74.1) A) B) C) D) E)

74.2)

Version 1

Which hormone(s) is(are) represented by B? Calcitriol Calcitonin Parathyroid hormone Calcitriol and parathyroid hormone Calcitriol and calcitonin

Hypersecretion of which hormone(s) would result in hypocalcemia?

23


A) B) C) D) E)

74.3) A) B) C) D) E)

A B C D B and C

Which hormone(s) is(are) represented by A? Calcitriol Calcitonin Parathyroid hormone Calcitriol and parathyroid hormone Calcitriol and calcitonin

75)

75.1) A) B) C) D) E)

75.2)

Version 1

What tissue is the callus at B largely formed from? Fibrocartilage Elastic cartilage Mesenchyme Compact bone Spongy bone

What is the blood clot at A called?

24


A) B) C) D) E)

Version 1

Hematoma Soft callus Hard callus Thrombus Embolus

25


Answer Key Test name: Chap 07_9e 1) TRUE 2) TRUE 3) FALSE 4) TRUE 5) FALSE 6) FALSE 7) FALSE 8) TRUE 9) FALSE 10) FALSE 11) FALSE 12) TRUE 13) TRUE 14) TRUE 15) FALSE 16) TRUE 17) FALSE 18) FALSE 19) E 20) B 21) A 22) A 23) B 24) D 25) A 26) A Version 1

26


27) D 28) C 29) B 30) D 31) A 32) A 33) B 34) E 35) D 36) C 37) B 38) D 39) B 40) C 41) A 42) E 43) D 44) B 45) A 46) B 47) E 48) A 49) D 50) C 51) E 52) D 53) E 54) C 55) D 56) E Version 1

27


57) C 58) B 59) B 60) C 61) B 62) C 63) D 64) D 65) E 66) C 67) E 68) A 69) A 70) A 71) Section Break 71.1) B 71.2) B 71.3) A 72) Section Break 72.1) B 72.2) E 72.3) E 73) Section Break 73.1) D 73.2) B 73.3) B 74) Section Break 74.1) B 74.2) B 74.3) A Version 1

28


75) Section Break 75.1) A 75.2) A

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29


CHAPTER 8 TRUE/FALSE - Write 'T' if the statement is true and 'F' if the statement is false. 1) Condyles are found in the axial skeleton only. ⊚ ⊚

2)

Trochanters are unique to the femur. ⊚ ⊚

3)

true false

Sutures are found between the cranial bones. ⊚ ⊚

7)

true false

The optic canal is part of thesphenoid bone. ⊚ ⊚

6)

true false

Healthy paranasal sinuses are filled with mucus. ⊚ ⊚

5)

true false

The mastoid process cannot be palpated on a living person. ⊚ ⊚

4)

true false

true false

The atlantoaxial joint is the joint between C1 and C2. ⊚ ⊚

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true false 1


8)

All ribs articulate with the sternum. ⊚ ⊚

9)

Men have one rib fewer than women. ⊚ ⊚

10)

true false

Medial and lateral condyles of the femur are involved in the hip joint. ⊚ ⊚

14)

true false

The pubic symphysis can be palpated as a hard prominence above the genitalia. ⊚ ⊚

13)

true false

There are three bones in the thumb. ⊚ ⊚

12)

true false

The styloid process of the radius can be palpated proximal to the thumb. ⊚ ⊚

11)

true false

true false

The ischium is posterior to the pubis and inferior to the ilium. ⊚ ⊚

Version 1

true false

2


CHECK ALL THE APPLY. Choose all options that best completes the statement or answers the question. 15) Several bones are closely associated with the skull, but not considered part of it. Select the accurate statements about them. Check all that apply. A) The auditory ossicles are named the malleus, incus, and stapes. B) Forensic pathologists look for a fractured hyoid as evidence of strangulation. C) The hyoid bone serves for attachment of several muscles that control the maxilla, tongue, and larynx. D) The hyoid is one of the few bones that does not articulate with any other. E) There are three auditory ossicles in each middle-ear cavity and the hyoid bone beneath the chin.

MULTIPLE CHOICE - Choose the one alternative that best completes the statement or answers the question. 16) The average number of bones in the adult skeleton is __________. A) B) C) D) E)

56 106 156 206 256

17) All the bones below belong to the axial skeleton, except the __________, which belongs to the appendicular skeleton. A) B) C) D) E)

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frontal bone mandible scapula thoracic vertebra stapes

3


18)

A rounded knob that articulates with another bone is called a(n)__________. A) B) C) D) E)

19)

Any bony prominence is called a(n) ___________. A) B) C) D) E)

20)

epicondyle tubercle fossa head process

Why does an adult not have as many bones as a child? A) B) C) D) E)

21)

condyle sulcus alveolus foramen sinus

Osteoporosis leads to bone loss with age. Some separate bones gradually fuse with age. Many bones are replaced by cartilage with age. Bones are reabsorbed with age. Osteoclast activity overcomes osteoblast activity with age.

What is a sesamoid bone? A) B) C) D) E)

Version 1

A bone growing within some cartilages in response to pressure A bone that forms within some tendons in response to stress A bone that forms in the cranium in response to trauma A bone made of hyaline cartilage A bone made of dense regular connective tissue

4


22) A hole through a bone that usually allows passage for nerves and blood vessels is called a(n) _________. A) B) C) D) E)

23)

Which of the bones below does not belong to the appendicular skeleton? A) B) C) D) E)

24)

Clavicle Patella Ethmoid Ulna Fibula

Most of the bones of the skull are connected by immovable joints called __________. A) B) C) D) E)

25)

canal alveolus fissure foramen sinus

sinuses syndesmoses symphyses fissures sutures

Sinuses are absent from which bone?

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5


A) B) C) D) E)

26)

All of the following are found on the temporal bone except the __________. A) B) C) D) E)

27)

Sphenoid Frontal Temporal Maxilla Ethmoid

zygomatic process mastoid process external acoustic meatus sella turcica mandibular fossa

Which of the following are not considered facial bones? A) B) C) D) E)

Parietal bones Maxillae Lacrimal bones Nasal bones Palatine bones

28) The __________ houses the pituitary gland (hypophysis) and is found in the __________. A) B) C) D) E)

Version 1

foramen magnum; occipital bone sella turcica; sphenoid bone lambdoid suture; parietal bones supraorbital margin; frontal bone occipital condyle; occipital bone

6


29)

Which of the following bones is a single unpaired bone? A) B) C) D) E)

30)

The __________ suture separates the temporal bone from the parietal bone. A) B) C) D) E)

31)

coronal squamous lambdoid sagittal frontal

Which bone is a part of the skull and not just associated with it? A) B) C) D) E)

32)

Ethmoid Parietal Maxilla Zygomatic Palatine

Incus Malleus Hyoid Stapes Vomer

Fontanelle are __________ in an infant. A) B) C) D) E)

Version 1

spaces between the unfused cranial bones cartilages covering cranial bones fibrous connective tissues lining the cranial cavity fibrous connective tissues lining the orbits fibrous connective tissues lining paranasal sinuses

7


33)

All of these contribute to the wall of the orbit except the __________ bone. A) B) C) D) E)

34)

Which of the following bones is adjacent to both the coronal and lambdoid sutures? A) B) C) D) E)

35)

Occipital bone Sphenoid bone Parietal bone Zygomatic bone Frontal bone

Which bone helps form the coronal, lambdoid, and squamous sutures of the skull? A) B) C) D) E)

36)

sphenoid frontal maxilla zygomatic nasal

Occipital bone Sphenoid bone Parietal bone Temporal bone Frontal bone

Which of the following bones forms the bulk of the hard palate? A) B) C) D) E)

Version 1

Nasal bone Mandible Ethmoid bone Maxilla Lacrimal bone

8


37)

Which of the following articulates with the vertebral column? A) B) C) D) E)

38)

From superior to inferior, how many individual vertebrae are there of each type? A) B) C) D) E)

39)

12; 7; 5; 5; 4 12; 5; 5; 7; 4 7; 5; 5; 12; 4 7; 12; 5; 5; 4 7; 5; 5; 4; 12

Which of the followingis the most common spinal curvature deformity? A) B) C) D) E)

40)

Mandibular fossa Mastoid process Occipital condyle Foramen magnum Zygomatic arch

Scoliosis Hyperlordosis Hyperkyphosis Osteosis Herniation

Which intervertebral disc is largest? A) B) C) D) E)

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The one between C2 and C3 The one between C7 and T1 The one between T4 and T5 The one between T12 and L1 The one between L4 and L5

9


41)

Which of the following is not found on a typical vertebra? A) B) C) D) E)

42)

Which of the following is only found on the axis vertebra? A) B) C) D) E)

43)

Spinous process Transverse processes Vertebral head Vertebral foramen Vertebral body

Transverse foramen Spinous process Dens (odontoid process) Vertebral arch Superior articular facet

Which of the following is not true ofa thoracic vertebra?

A) The body has facets as points of articulation for ribs. B) It usually has a facet at the end of each transverse process for attachment of a rib. C) The body is more massive than those of cervical vertebrae but less than those of lumbar vertebrae. D) The spinous process is pointed and angled sharply downward. E) It has a pair of transverse foramina.

44) The __________ belongs to the thoracic cage, whereas the __________ belongs to the pectoral girdle.

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10


A) B) C) D) E)

45)

The manubrium is part of what bone? A) B) C) D) E)

46)

true floating false pelvic cartilaginous

The __________ can be easily palpated between the clavicles. A) B) C) D) E)

48)

Clavicle Sternum Scapula A rib Vertebra

Rib 7 is a __________ rib. A) B) C) D) E)

47)

sternum; clavicle clavicle; sternum vertebra T5; vertebra T1 scapula; clavicle scapula; sternum

xiphoid process suprasternal notch body of the sternum costal cartilage costal groove

The spinous process has a bifid tip in most __________ vertebrae.

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11


A) B) C) D) E)

cervical thoracic lumbar sacral coccygeal

49) In a herniated disc, the ring of fibrocartilage called the __________ ruptures and the __________ oozes out. A) B) C) D) E)

50)

Which of the followingdo costal cartilages connect? A) B) C) D) E)

51)

nucleus pulposus; anulus fibrosus lamina; nucleus pulposus anulus fibrosus; nucleus pulposus anulus fibrosus; body nucleus pulposus; lamina

The clavicles with the sternum The true ribs with the scapula The floating ribs with xiphoid process The false ribs with the viscera and peritoneum The ribs with the sternum

Which of the following is not part of the pectoral girdle? A) B) C) D) E)

Version 1

The glenohumeral joint The acromioclavicular joint The sternoclavicular joint The sacroiliac joint The clavicle and scapula

12


52)

The acromion is an anatomicalfeature of the __________. A) B) C) D) E)

53)

The antebrachium contains the __________. A) B) C) D) E)

54)

radius and ulna humerus carpals and metacarpals scapula and clavicle phalanges

The glenoid cavity of the __________ articulates with the head of the __________. A) B) C) D) E)

55)

clavicle scapula ulna scaphoid pollex

scapula; sternum radius; humerus humerus; scapula sternum; humerus scapula; humerus

One hand of an adult has __________ bones. A) B) C) D) E)

Version 1

15 18 25 27 28

13


56) A young girl falls off her bike and lands on her hand, breaking the medial bone of her antebrachium. Which bone did she break? A) B) C) D) E)

57)

Which of the following is found in the palm of your hand? A) B) C) D) E)

58)

Carpal Metacarpal Tarsal Metatarsal Phalanx

Which of the following is a sesamoid bone? A) B) C) D) E)

59)

Her carpal Her metacarpal Her humerus Her radius Her ulna

Metatarsal Tarsal Tibia Fibula Patella

Which of the following is not considered a weight-bearing bone?

Version 1

14


A) B) C) D) E)

60)

Spines of the __________ form a part of the pelvic outlet. A) B) C) D) E)

61)

humerus femur patella tibia hip bone

A newbornpasses through the__________ of its mother during birth. A) B) C) D)

63)

sacrum pubis ischium ilium pubic symphysis

The acetabulum articulates with the __________. A) B) C) D) E)

62)

Femur Tibia Fibula Talus Calcaneus

obturator foramen pelvic outlet acetabulum false pelvis

Male and female pelves differ in all of the following features except __________.

Version 1

15


A) B) C) D) E)

64)

The __________ does not belong to the femur. A) B) C) D) E)

65)

the male pelvis is more massive the male pelvic outlet is smaller the female pubic arch is usually greater than 100 degrees the female coccyx is tilted posteriorly the female sacrum is longer

anterior border fovea capitis medial condyle greater trochanter lesser trochanter

You cannot palpate the __________ on a living person. A) B) C) D) E)

lateral malleolus tibial tuberosity medial surface of the fibula anterior border of the tibia calcaneus

66) There are __________ bones in a newborn compared with the average number in an adult. A) more B) fewer C) the same number of

67)

What are the three auditory ossicles?

Version 1

16


A) B) C) D)

The malleus, incus, and stapes The superior, middle, and inferior nasal conchae The hyoid, mandible, and maxilla The temporal, sphenoid, and ethmoid bones

68) The __________ is a U-shaped bone that sits above the larynx yet does not articulate with any other bone. A) B) C) D)

hyoid bone mandible maxilla zygomatic bone

69) Which cranial bone(s) are separate right and left bones at birth but generally fuse by the age of 5? A) B) C) D)

Frontal bone and mandible Frontal bone and maxilla Mandible and maxilla Frontal bone and occipital bone

70) One difference between the male and female pelvis is that the subpubic angle of a female is generally __________. A) B) C) D)

greater than 100 degrees less than 90 degrees greater than 120 degrees less than 20 degrees

71) Identify the bone highlighted in green (reference leader line).{MISSING IMAGE}McGraw-Hill Education Version 1

17


A) B) C) D) E)

Maxilla Mandible Sphenoid Palatine bone Frontal bone

72) Identify the bone highlighted in green (reference leader line).{MISSING IMAGE}McGraw-Hill Education A) B) C) D) E)

Maxilla Mandible Sphenoid Palatine bone Frontal bone

73) Identify the bone highlighted in green (reference leader line).{MISSING IMAGE}McGraw-Hill Education A) B) C) D) E)

Version 1

Maxilla Mandible Sphenoid Palatine bone Frontal bone

18


74)

This picture shows a vertebra from the __________ region of the spinal column.

McGraw-Hill Education A) B) C) D) E)

Version 1

Cervical Lumbar Thoracic Sacral Caudal

19


75)

This picture shows a vertebra from the __________ region of the spinal column.

McGraw-Hill Education A) B) C) D) E)

Cervical Lumbar Thoracic Sacral Caudal

76) Name the portion of the hip bone highlighted green in this picture (reference leader line).{MISSING IMAGE}McGraw-Hill Education A) B) C) D) E)

Version 1

Ilium Ischium Pubis Symphysis Sacrum

20


77) Name the portion of the hip bone highlighted green in this picture (reference leader line).{MISSING IMAGE}McGraw-Hill Education A) B) C) D) E)

Ilium Ischium Pubis Coccyx Sacrum

78) Name the portion of the hip bone highlighted green in this picture (reference leader line).{MISSING IMAGE}McGraw-Hill Education A) B) C) D) E)

Ilium Ischium Pubis Coccyx Sacrum

79) Name the bone highlighted green in this picture (reference leader line).{MISSING IMAGE}McGraw-Hill Education A) B) C) D) E) F)

Radius Ulna Humerus Medial phalanx Metacarpal Lateral phalanx

80) Name the bone highlighted green in this picture (reference leader line).{MISSING IMAGE}McGraw-Hill Education

Version 1

21


A) B) C) D) E) F)

Radius Ulna Humerus Medial phalanx Metacarpal Lateral phalanx

81) Name the bone highlighted green in this picture (reference leader line).{MISSING IMAGE}McGraw-Hill Education A) B) C) D) E)

Scaphoid Lunate Hamate Triquetrum Capitate

82) The part of the humerus highlighted in green (reference leader lines) is called the ______.{MISSING IMAGE}McGraw-Hill Education A) B) C) D) E)

Trochlea Capitulum Head Greater tubercle Lesser tubercle

83) Name the bone highlighted green in this picture (reference leader lines).{MISSING IMAGE}McGraw-Hill Education

Version 1

22


A) B) C) D) E)

Talus Calcaneus Navicular Intermediate cuneiform Capitate

84) Name the bone highlighted green in this picture (reference leader lines).{MISSING IMAGE}McGraw-Hill Education A) B) C) D) E)

Version 1

Talus Calcaneus Navicular Intermediate cuneiform Capitate

23


85)

Which letter corresponds to the temporal bone?

A) B) C) D) E)

Version 1

A B C D E

24


86)

The end of the clavicle is labeled 1 is called the __________ end.

A) B) C) D) E)

Version 1

sternal acromial costal distal mandibular

25


87)

The end of the clavicle is labeled 1 is called the __________ end.

A) B) C) D) E)

Version 1

sternal acromial costal proximal coronal

26


88)

Which letter corresponds to the trochleaon this diagram of the distal humerus?

A) B) C) D) E)

Version 1

A B C D E

27


89)

Identify the indentation labeled 1 on this drawing of the distal humerus.

A) B) C) D) E)

Version 1

Coronoid fossa Radial fossa Olecranon fossa Intertubercular sulcus Trochlear notch

28


90)

Identify the indentation labeled 2 on this drawing of the distal humerus.

A) B) C) D) E)

Version 1

Coronoid fossa Radial fossa Olecranon fossa Intertubercular sulcus Trochlear notch

29


91)

Identify the indentation labeled 3 on this drawing of the distal humerus.

A) B) C) D) E)

Version 1

Coronoid fossa Radial fossa Olecranon fossa Intertubercular sulcus Trochlear notch

30


92)

Which of the following is a metacarpal bone?

A) B) C) D) E)

Version 1

A B C D E

31


93)

Which bone is labeled 1 in this diagram of the wrist?

A) B) C) D) E)

Version 1

Pisiform Triquetrum Hamate Scaphoid Trapezium

32


94)

Which bone is labeled 6 in this diagram of the wrist?

A) B) C) D) E)

Version 1

Capitate Lunate Hamate Scaphoid Trapezoid

33


95)

Which of these bones is the hamate?

A) B) C) D) E)

Version 1

A B C D E

34


96)

The region of the hip bone labeled 1 is called the __________.

A) B) C) D) E)

Version 1

ilium ischium pubis acetabulum coccyx

35


97)

The region of the hip bone labeled 2 is called the __________.

A) B) C) D) E)

Version 1

ilium ischium pubis acetabulum coccyx

36


98)

The region of the hip bone labeled 3 is called the __________.

A) B) C) D) E)

Version 1

ilium ischium pubis acetabulum coccyx

37


99) This diagram shows the distal end of the femur. Which letter indicates the lateral condyle?

A) B) C) D) E)

100)

Which of the following sutures connects the greatest number of bones? A) B) C) D)

101)

A B C D E

Sagittal suture Squamous suture Lambdoid suture Coronal suture

Which of the following is the most lateral bone in the forearm?

Version 1

38


A) B) C) D)

102)

Radius Ulna Tibia Fibula

When you are sitting, your body weight rests on which of the following? A) B) C) D) E)

Version 1

Ischial tuberosity Acetabulum Greater sciatic notch Iliac crest Pubic symphysis

39


103)

What is shown in this picture?

A) B) C) D) E)

Version 1

Posterior view of the right scapula Posterior view of the left scapula Anterior view of the right scapula Anterior view of the left scapula Superior view of the left scapula

40


104)

What is shown in this picture?

A) B) C) D) E)

Version 1

Posterior view of the right scapula Posterior view of the left scapula Anterior view of the right scapula Anterior view of the left scapula Medial view of the right scapula

41


105)

What is shown in this picture?

A) B) C) D) E)

Version 1

Posterior view of the right scapula Posterior view of the left scapula Anterior view of the right scapula Anterior view of the left scapula Lateral view of the right scapula

42


106)

What is shown in this picture?

A) B) C) D) E)

Version 1

Posterior view of the right scapula Posterior view of the left scapula Anterior view of the right scapula Anterior view of the left scapula Lateral view of the right scapula

43


107)

What is shown in this picture?

McGraw-Hill Education Version 1

44


A) B) C) D) E)

Version 1

Anterior view of right hand Anterior view of left hand Posterior view of right hand Posterior view of left hand Anterior view of the left foot

45


108)

What is shown in this picture?

McGrawHill Education

Version 1

46


A) B) C) D) E)

109)

Anterior view of right hand Anterior view of left hand Posterior view of right hand Posterior view of left hand Anterior view of the left foot

What is shown in this picture?

McGraw-Hill Education

Version 1

47


A) B) C) D) E)

110)

Anterior view of right hand Anterior view of left hand Posterior view of right hand Posterior view of left hand Anterior view of the left foot

What is shown in this picture?

McGraw-Hill Education

Version 1

48


A) B) C) D) E)

111)

What is shown in this picture?

A) B) C) D) E)

112)

Anterior view of right hand Anterior view of left hand Posterior view of right hand Posterior view of left hand Anterior view of the left foot

Anterior view of the left humerus Anterior view of the right humerus Posterior view of the left humerus Posterior view of the right humerus Superior view of the left humerus

What is shown in this picture?

Version 1

49


A) B) C) D) E)

113)

What is shown in this picture?

A) B) C) D) E)

114)

Anterior view of the left humerus Anterior view of the right humerus Posterior view of the left humerus Posterior view of the right humerus Superior view of the right humerus

Anterior view of the left humerus Anterior view of the right humerus Posterior view of the left humerus Posterior view of the right humerus Superior view of the left humerus

What is shown in this picture?

Version 1

50


A) B) C) D) E)

115)

What is shown in this picture?

A) B) C) D) E)

116)

Anterior view of the left humerus Anterior view of the right humerus Posterior view of the left humerus Posterior view of the right humerus Superior view of the right humerus

Anterior view of the left femur Anterior view of the right femur Posterior view of the left femur Posterior view of the right femur Superior view of the left femur

What is shown in this picture?

Version 1

51


A) B) C) D) E)

117)

What is shown in this picture?

A) B) C) D) E)

118)

Anterior view of the left femur Anterior view of the right femur Posterior view of the left femur Posterior view of the right femur Superior view of the right femur

Anterior view of the left femur Anterior view of the right femur Posterior view of the left femur Posterior view of the right femur Superior view of the left femur

What is shown in this picture?

Version 1

52


A) B) C) D) E)

119)

Anterior view of the left femur Anterior view of the right femur Posterior view of the left femur Posterior view of the right femur Superior view of the right femur

What is shown in this picture?

A) B) C) D) E)

Version 1

Superior view of the right clavicle Superior view of the left clavicle Inferior view of the right clavicle Inferior view of the left clavicle Lateral view of the left clavicle

53


120)

What is shown in this picture?

A) B) C) D) E)

121)

Superior view of the right clavicle Superior view of the left clavicle Inferior view of the right clavicle Inferior view of the left clavicle Lateral view of the right clavicle

What is shown in this picture?

Version 1

54


A) B) C) D) E)

122)

Superior view of the right clavicle Superior view of the left clavicle Inferior view of the right clavicle Inferior view of the left clavicle Lateral view of the left clavicle

What is shown in this picture?

A) B) C) D) E)

Version 1

Superior view of the right clavicle Superior view of the left clavicle Inferior view of the right clavicle Inferior view of the left clavicle Lateral view of the left clavicle

55


123)

What is shown in this picture?

A) B) C) D) E)

Version 1

Lateral view of the left hip (coxal) bone Lateral view of the right hip (coxal) bone Medial view of the left hip (coxal) bone Medial view of the right hip (coxal) bone Posterior view of the right hip (coxal) bone

56


124)

What is shown in this picture?

A) B) C) D) E)

Version 1

Lateral view of the left hip (coxal) bone Lateral view of the right hip (coxal) bone Medial view of the left hip (coxal) bone Medial view of the right hip (coxal) bone Anterior view of the right hip (coxal) bone

57


125)

What is shown in this picture?

A) B) C) D) E)

Version 1

Lateral view of the left hip (coxal) bone Lateral view of the right hip (coxal) bone Medial view of the left hip (coxal) bone Medial view of the right hip (coxal) bone Posterior view of the left hip (coxal) bone

58


126)

What is shown in this picture?

A) B) C) D) E)

Version 1

Lateral view of the left hip (coxal) bone Lateral view of the right hip (coxal) bone Medial view of the left hip (coxal) bone Medial view of the right hip (coxal) bone Posterior view of the right hip (coxal) bone

59


127) A 72-year-old female patient with a history of mild osteoporosis is experiencing back stiffness, pain, and fatigue, especially in the thoracic region. Examination reveals pronounced rounding of the upper back. What is your diagnosis? A) B) C) D) E)

Hyperkyphosis Scoliosis Hyperlordosis Herniated disc Lumbar spondylosis

SECTION BREAK. Answer all the part questions.

128)

Version 1

60


128.1) A) B) C) D) E)

Frontal bone Parietal bone Zygomatic bone Temporal bone Occipital bone

128.2) A) B) C) D) E)

Name the bone labeled 3.

Maxilla Mandible Vomer Manubrium Palatine bone

128.4)

Version 1

Name the bone labeled 2.

Zygomatic bone Sphenoid bone Ethmoid bone Palatine bone Lacrimal bone

128.3) A) B) C) D) E)

Name the bone labeled 1.

Name the bone labeled 4.

61


A) B) C) D) E)

Maxilla Mandible Vomer Manubrium Palatine bone

129)

129.1)

Version 1

The ribs labeled 1 on this diagram are known as the __________.

62


A) B) C) D) E)

floating ribs true ribs lumbar ribs sacral ribs xiphoid ribs

129.2) A) B) C) D) E)

floating ribs true ribs lumbar ribs false ribs xiphoid ribs

129.3) A) B) C) D) E)

Version 1

The ribs labeled 2 on this diagram are known as the __________.

The ribs labeled 3 on this diagram are known as the __________.

floating ribs true ribs lumbar ribs false ribs xiphoid ribs

63


130)

130.1)

Version 1

Identify the scapular feature labeled 1.

64


A) B) C) D) E)

Acromion Coracoid process Glenoid cavity Olecranon Styloid process

130.2) A) B) C) D) E)

Acromion Coracoid process Coronoid process Conoid tubercle Condylar process

130.3) A) B) C) D) E)

Version 1

Identify the scapular feature labeled 2.

Identify the scapular feature labeled 3.

Glenoid cavity Suprascapular notch Scapular fossa Olecranon fossa Acetabulum

65


131)

131.1) A) B) C) D) E)

Olecranon Coronoid process Styloid process Acromion Coracoid process

131.2) A) B) C) D) E)

Name the feature labeled 2 on this diagram.

Radial tuberosity Deltoid tuberosity Lateral epicondyle Medial epicondyle Ulnar tuberosity

131.3)

Version 1

Name the feature labeled 1 on this diagram.

Name the feature labeled 3 on this diagram.

66


A) B) C) D) E)

Trochlear notch Radial fossa Ulnar notch of the radius Olecranon fossa Intertubercular sulcus

131.4) A) B) C) D) E)

Olecranon Coronoid process Styloid process Acromion Coracoid process

131.5) A) B) C) D) E)

Version 1

Name the feature labeled 4 on this diagram.

Name the feature labeled 5 on this diagram.

Radial tuberosity Deltoid tuberosity Lateral epicondyle Medial epicondyle Ulnar tuberosity

67


132)

132.1)

Version 1

Identify the feature labeled 1.

68


A) B) C) D) E)

Iliac fossa Pelvic inlet Auricular surface Pubic symphysis Infraspinous fossa

132.2) A) B) C) D) E)

Acetabulum Glenoid cavity Sciatic notch Olecranon Inferior articular facet

132.3) A) B) C) D) E)

Version 1

Identify the feature labeled 3.

Ischial tuberosity Pubic symphysis Sacroiliac joint Ischial spine Posterior inferior iliac spine

132.4) A) B) C) D) E)

Identify the feature labeled 2.

Identify the hole labeled 4.

Obturator foramen Pelvic inlet Foramen magnum Sacral foramen Transverse foramen

69


133)

133.1) A) B) C) D) E)

fovea capitis macula lutea internal meatus obturator foramen sciatic notch

133.2) A) B) C) D) E)

The bump labeled 2 is called the __________.

greater trochanter lateral epicondyle styloid process greater tubercle tibial tuberosity

133.3)

Version 1

The small pit labeled 1 is called the __________.

The bony ridge labeled 3 is called the __________.

70


A) B) C) D) E)

intertrochanteric line intertrochanteric crest linea aspera intertubercular ridge arcuate line

134)

134.1) A) B) C) D) E)

The ridge labeled 1 in this diagram is called the __________.

intercondylar eminence tibial tuberosity intertrochanteric crest intertrochanteric line arcuate line

134.2) The articular surfaces labeled 2 and 3 on this figure are the medial and lateral __________. Version 1

71


A) B) C) D) E)

condyles epicondyles malleoli trochanters tubercles

134.3) A) B) C) D) E)

The bump labeled 4 on this figure is called the __________.

tibial tuberosity gluteal tuberosity trochlear surface conoid tubercle lesser median tubercle

134.4) The sheet of connective tissue labeled 5 on this figure is called the __________ membrane. A) B) C) D) E)

Version 1

interosseous synovial femoral intercondylar intertubercular

72


Answer Key Test name: Chap 08_9e 1) FALSE 2) TRUE 3) FALSE 4) FALSE 5) TRUE 6) TRUE 7) TRUE 8) FALSE 9) FALSE 10) TRUE 11) FALSE 12) TRUE 13) FALSE 14) TRUE 15) [A, B, D, E] 16) D 17) C 18) A 19) E 20) B 21) B 22) D 23) C 24) E 25) C 26) D Version 1

73


27) A 28) B 29) A 30) B 31) E 32) A 33) E 34) C 35) C 36) D 37) C 38) D 39) A 40) E 41) C 42) C 43) E 44) A 45) B 46) A 47) B 48) A 49) C 50) E 51) D 52) B 53) A 54) E 55) D 56) E Version 1

74


57) B 58) E 59) C 60) C 61) B 62) B 63) E 64) A 65) C 66) A 67) A 68) A 69) A 70) A 71) A 72) A 73) D 74) A 75) C 76) A 77) B 78) C 79) A 80) B 81) A 82) A 83) A 84) C 85) C 86) A Version 1

75


87) B 88) D 89) A 90) B 91) C 92) D 93) A 94) A 95) B 96) A 97) B 98) C 99) D 100) B 101) A 102) A 103) A 104) D 105) B 106) C 107) A 108) C 109) B 110) D 111) A 112) C 113) D 114) B 115) D 116) A Version 1

76


117) C 118) B 119) A 120) C 121) D 122) B 123) A 124) B 125) D 126) C 127) A 128) Section Break 128.1) A 128.2) A 128.3) A 128.4) B 129) Section Break 129.1) A 129.2) D 129.3) B 130) Section Break 130.1) A 130.2) B 130.3) A 131) Section Break 131.1) A 131.2) A 131.3) A 131.4) B 131.5) E Version 1

77


132) Section Break 132.1) A 132.2) A 132.3) A 132.4) A 133) Section Break 133.1) A 133.2) A 133.3) A 134) Section Break 134.1) A 134.2) A 134.3) A 134.4) A

Version 1

78


CHAPTER 9 TRUE/FALSE - Write 'T' if the statement is true and 'F' if the statement is false. 1) An articulation is any point at which two bones meet. ⊚ ⊚

2)

Bony joints are the most common type of joints. ⊚ ⊚

3)

true false

A meniscus is a type of bursa seen in the space between the femur and tibia. ⊚ ⊚

7)

true false

A synostosis is the most moveable type of joint. ⊚ ⊚

6)

true false

Symphyses are the most common type of fibrous joints. ⊚ ⊚

5)

true false

Fibrous joints are joints at which two bones are united by hyaline cartilage. ⊚ ⊚

4)

true false

true false

Bursae are structures associated with fibrous, cartilaginous, and synovial joints. ⊚ ⊚

Version 1

true false 1


8) Synovial fluid is rich in albumin and hyaluronic acid, which give it a viscous texture similar to egg white. ⊚ ⊚

9)

The forearm acts as a third-class lever during flexion of the elbow. ⊚ ⊚

10)

true false

Hinge joints, such as the tibiofemoral joint, are monoaxial. ⊚ ⊚

14)

true false

Under normal circumstances, the wrist can be hyperextended, but the elbow cannot. ⊚ ⊚

13)

true false

Circumduction is limited to ball-and-socket joints. ⊚ ⊚

12)

true false

A joint with mechanical advantage greater than 1.0 has increased speed. ⊚ ⊚

11)

true false

true false

All synovial joints allow movement in multiple planes. ⊚ ⊚

Version 1

true false 2


15)

The shoulder is the only multiaxial, ball-and-socket joint in the human body. ⊚ ⊚

true false

16) The coxal joint is a ball-and-socket joint, in whichthe head of the humerus articulates with the glenoid cavity of the scapula. ⊚ ⊚

17)

The elbow has both pivot and hinge joints. ⊚ ⊚

18)

true false

true false

The main stabilizer of the shoulder isthe biceps brachii muscle. ⊚ ⊚

true false

MULTIPLE CHOICE - Choose the one alternative that best completes the statement or answers the question. 19) The study of joint structure, function, and dysfunction is called __________. A) B) C) D) E)

20)

kinesiology arthrology osteology biomechanics synostology

Which of the following is not amajor joint category?

Version 1

3


A) B) C) D) E)

21)

The least movable joints are _____________ joints. A) B) C) D) E)

22)

symphysis synovial syndesmosis gomphosis synchondrosis

Unlike other joints, a __________ does not join two bones to one another. A) B) C) D) E)

24)

symphysis synchondrosis syndesmosis gomphosis synostosis

The most movable joints are ___________ joints. A) B) C) D) E)

23)

Elastic Synovial Cartilaginous Fibrous Bony

suture syndesmosis gomphosis cartilaginous joint bony joint

What do sutures, gomphoses, and syndesmoses have in common?

Version 1

4


A) B) C) D) E)

25)

The joint between the diaphyses of theradius and ulna is a __________. A) B) C) D) E)

26)

suture gomphosis syndesmosis synchondrosis symphysis

Coronal, sagittal, and lambdoid are examples of __________. A) B) C) D) E)

27)

These are joints found only in the appendicular skeleton. These are joints found only in the axial skeleton. These are all bony joints. These are all fibrous joints. These are cartilaginous joints.

syndesmoses gomphoses serrate sutures plane sutures lap sutures

The joint between the left and right parietal bones is called the __________. A) B) C) D) E)

Version 1

lambdoid suture sagittal suture coronal suture parietal joint cranial joint

5


28) The joint between the first costal cartilage and the sternum is a __________, whereas the other costal cartilages are joined to the sternum by __________ joints. A) B) C) D) E)

29)

The epiphysis and diaphysis of a long bone in a child are bound by a __________. A) B) C) D) E)

30)

synchondrosis symphysis serrate suture lap suture plane suture

The joint between theL2 and L3 vertebraeis a __________. A) B) C) D) E)

31)

syndesmosis; synovial synchondrosis; synovial synostosis; cartilaginous synarthrosis; cartilaginous symphysis; cartilaginous

synostosis gomphosis synchondrosis symphysis syndesmosis

Some joints become synostoses by replacing__________ with __________. A) B) C) D) E)

Version 1

fibers; cartilage cartilage; fibers bone; cartilage bone; fibers fibers; bone

6


32)

Which of the following is not ananatomical component of a synovial joint? A) B) C) D) E)

Articular cartilage The joint cavity The interosseous membrane The fibrous capsule The synovial membrane

33) The smooth, connective tissue lining that covers the opposing bony surfaces of a synovial joint is called __________. A) B) C) D) E)

34)

A(n) __________ is a sac of fluid associated with a synovial joint. A) B) C) D) E)

35)

articular cartilage a ligament the fibrous capsule a synovial membrane the joint cavity

articular sac synovial vesicle bursa meniscus articular cavity

Which part of a synovial joint may be reinforced by ligaments and tendons?

Version 1

7


A) B) C) D) E)

36)

Which is not a part of all synovial joints? A) B) C) D) E)

37)

The humeroulnar joint The talocrural joint The knee joint Any metacarpophalangeal joint The atlanto-occipital joint

Which of the following is true regarding joints that are first-class levers? A) B) C) D) E)

39)

Labrum Articular capsule Synovial membrane Articular cartilage Synovial fluid

Which of the following is a first-class lever? A) B) C) D) E)

38)

Articular capsule Synovial membrane Articular cartilage Meniscus Bursa

Their mechanical advantage may be either greater or less than 1.0. Their mechanical advantage is always less than 1.0. Their output force is always greater than the input force. Their resistance is between the joint (fulcrum) and the distal end of the bone (effort). The joint (fulcrum) is at the opposite end from the tendinous attachment(effort).

Which of the following is not a factor that determines the range of motion of a joint?

Version 1

8


A) B) C) D) E)

40)

One example of a multiaxial joint is the __________ joint. A) B) C) D) E)

41)

ball-and-socket saddle hinge pivot condylar

The union of theproximal and middle phalanges form __________ joints. A) B) C) D) E)

43)

proximal radioulnar metatarsophalangeal humeroulnar humeroscapular atlantoaxial

The proximal radioulnar joint is a __________ joint. A) B) C) D) E)

42)

The shapes of the bone surfaces The length of the bone The stiffness of the ligaments The strength of the ligaments The action of the muscles associated with the joint

pivot plane (gliding) hinge saddle condylar (ellipsoid)

The metacarpophalangeal joints at the base of the fingers are ___________ joints.

Version 1

9


A) B) C) D) E)

44)

ball-and-socket condylar pivot hinge plane (gliding)

Which is not a type of synovial joint? A) B) C) D) E)

Suture Ball and socket Saddle Pivot Condylar

45) When you walk up the stairs, your hip and knee joints __________ to lift your body weight. A) B) C) D) E)

rotate abduct adduct flex extend

46) When you hold out your hands with the palms up, __________ your wrists will tip your palms toward you. A) B) C) D) E)

Version 1

hyperextending circumducting rotating flexing abducting

10


47) Raising an arm to one side of the body to stop a taxi is an example of __________ of the shoulder. A) B) C) D) E)

abduction adduction circumduction rotation protraction

48) Suppose you cup your hands to hold some water. To limit the amount of leaking through your hands, this action would most likely require __________. A) B) C) D) E)

49)

pronation of the forearm circumduction of the wrists opposition of the thumb abduction of the fingers adduction of the fingers

While standing, looking up at the stars requires__________. A) B) C) D) E)

elevation of the mandible extension of the neck hyperextension of the neck abduction of the neck dorsiflexion of the neck

50) If you stand on tiptoes to reach something high, you are performing __________at the ankle.

Version 1

11


A) B) C) D) E)

plantar flexion abduction opposition dorsiflexion eversion

51) With the elbow and wristextended, painting a circle on a canvas requires __________ of the shoulder. A) B) C) D) E)

52)

When doing a pushup, your shoulders __________ as your body ispushed upward. A) B) C) D) E)

53)

rotation circumduction extension flexion elevation

protract retract supinate hyperextend elevate

A monoaxial joint, like the elbow, is capable of which one of the following movements? A) B) C) D) E)

Version 1

Circumduction Supination and pronation Flexion and extension Rotation Abduction

12


54) Raising your hand and placing it on the shoulder of a person standing in front of you, requires __________ of the shoulder. A) B) C) D) E)

abduction adduction extension flexion elevation

55) Showing your palm to someone who is in front of you,as if to tell them "Stop," requires __________. A) B) C) D) E)

dorsiflexion of the hand hyperextension of the wrist abduction of the wrist flexion of the wrist hyperextension of the metacarpophalangeal joints

56) To tip the soles of the feet medially, so they face each other, requires __________. Tipping them out laterally so they face away from each other is __________. A) B) C) D) E)

57)

dorsiflexion; plantar flexion inversion; eversion medial excursion; lateral excursion opposition; reposition retraction; protraction

The temporomandibular joint is a(n) __________ joint.

Version 1

13


A) B) C) D) E)

58)

osseous cartilaginous bony fibrous synovial

The jaw joint is the articulation of the __________ and the __________. A) B) C) D) E)

mandible; temporal bone mandible; sphenoid bone mandible; zygomatic bone mandible; maxilla maxilla; zygomatic

59) The rotator cuff tendons enclose the shoulder joint on all sides except _______________, which partly explains the nature of most shoulder dislocations. A) B) C) D) E)

60)

anteriorly posteriorly superiorly inferiorly medially

Which of the following structures is not found in the shoulder? A) B) C) D) E)

Version 1

The glenohumeral ligament The transverse humeral ligament The coracohumeral ligament The radioulnar ligament The rotator cuff

14


61)

The __________ bursa is not an accessorystructure ofthe glenohumeral joint. A) B) C) D) E)

62)

The __________ is not found in the elbow. A) B) C) D) E)

63)

subdeltoid subcoracoid subpatellar subacromial subscapular

humeroulnar joint humeroradial joint proximal radioulnar joint distal radioulnar joint anular ligament

The __________ is not part of the tibiofemoral joint. A) B) C) D) E)

lateral meniscus anterior cruciate ligament (ACL) tibial (medial) collateral ligament fibular (lateral) collateral ligament posterior tibiofibular ligament

64) The ligament that attaches the lateral femoral epicondyle to the fibula is called the __________. A) B) C) D) E)

Version 1

anterior cruciate ligament (ACL) posterior cruciate ligament (PCL) fibular (lateral) collateral ligament (LCL) tibial (medial) collateral ligament (MCL) patellar ligament

15


65) The fibrocartilage pad between the medial condyle of the femur and the medial condyle of the tibia is called the __________. A) B) C) D) E)

anterior cruciate ligament (ACL) posterior cruciate ligament (PCL) infrapatellar bursa medial meniscus lateral meniscus

66) The talocrural joint is formed by the union of the __________, the _________,and the _________. A) B) C) D) E)

67)

femur; calcaneus;talus femur; tibia; patella tibia; fibula; talus tibia; fibula; calcaneus tibia; calcaneus; talus

A meniscus could be found in which joint? A) B) C) D) E)

Knee Temporomandibular Elbow Shoulder Ankle

68) Radial (lateral) and ulnar (medial) collateral ligaments restrict side-to-side movements of the __________ joint.

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16


A) B) C) D) E)

69)

Which of the followingis the most stable joint? A) B) C) D) E)

70)

The hip The knee The elbow The shoulder The wrist

The _________ deepens the socket of the hip joint and helps stabilize the joint. A) B) C) D) E)

72)

Coxal joint Glenohumeral joint Tibiofemoral joint Humeroulnar joint Humeroradial joint

Which of the following is the largest and most complex diarthrosis in the body? A) B) C) D) E)

71)

shoulder elbow wrist hip knee

fovea capitis greater trochanter lesser trochanter acetabular labrum ischial tuberosity

Which of the followingstructures prevents knee hyperextension?

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17


A) B) C) D) E)

The anterior cruciate ligament (ACL) The posterior cruciate ligament (PCL) The fibular (lateral) collateral ligament The medial meniscus The lateral meniscus

SECTION BREAK. Answer all the part questions.

73)

73.1) A) B) C) D) E)

73.2) Version 1

All of these joints are structurally classified as __________ joints. fibrous synostoses cartilaginous synovial diarthroses

What type of joint is found at B? 18


A) B) C) D) E)

73.3) A) B) C) D) E)

Gomphosis Suture Syndesmosis Cartilaginous Synovial

What type of joint is found at C? Gomphosis Suture Syndesmosis Cartilaginous Synovial

74)

74.1)

Version 1

What type of suture is found at A?

19


A) B) C) D) E)

74.2) A) B) C) D) E)

Serrate Lap Plane Miter Butt

What type of suture is found at A? Serrate Lap Plane Dovetail Butt

75) Version 1

20


75.1) A) B) C) D) E)

75.2) A) B) C) D) E)

Version 1

What type of joint is found at A? Synchondrosis Symphysis Syndesmosis Synostosis Synarthrosis

What tissue is the joint at B largely made of? Fibrocartilage Hyaline cartilage Elastic cartilage Osteoid Mesenchyme

21


76)

76.1) A) B) C) D) E)

76.2)

Version 1

What is the structure at E composed of? Hyaline cartilage Compact bone Fibrocartilage Serous membrane Dense regular connective tissue

What is contained within the space at A?

22


A) B) C) D) E)

76.3) A) B) C) D) E)

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Synovial fluid Serous fluid Mucus Perilymph Blood

What does the structure at B connect? Bone to bone Muscle to bone Membrane to bone Cartilage to cartilage Muscle to cartilage

23


77)

77.1) A) B) C) D) E)

77.2)

Version 1

The atlanto–occipital joint of the neck is an example of which lever(s)? A B C A and B B and C

In which lever is the resistance in the middle?

24


A) B) C) D) E)

77.3) A) B) C) D) E)

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A B C A and B B and C

Flexing your elbow is an example of which lever type(s)? A B C A and B B and C

25


78)

78.1) A) B) C) D) E)

78.2)

Version 1

Which joints allow for movement in two planes? C, E, and F E and F B and C C and D B and F

Which joint(s) is(are) monaxial?

26


A) B) C) D) E)

78.3) A) B) C) D) E)

Version 1

B and D A B and C D B and F

Which joint(s) allow(s) for circumduction? A C B and C C and D B

27


Answer Key Test name: Chap 09_9e 1) TRUE 2) FALSE 3) FALSE 4) FALSE 5) FALSE 6) FALSE 7) FALSE 8) TRUE 9) TRUE 10) FALSE 11) FALSE 12) TRUE 13) TRUE 14) FALSE 15) FALSE 16) FALSE 17) TRUE 18) TRUE 19) B 20) A 21) E 22) B 23) C 24) D 25) C 26) C Version 1

28


27) B 28) B 29) A 30) D 31) E 32) C 33) A 34) C 35) A 36) A 37) E 38) A 39) B 40) D 41) D 42) C 43) B 44) A 45) E 46) D 47) A 48) E 49) C 50) A 51) B 52) A 53) C 54) D 55) B 56) B Version 1

29


57) E 58) A 59) D 60) D 61) C 62) D 63) E 64) C 65) D 66) C 67) A 68) B 69) A 70) B 71) D 72) A 73) Section Break 73.1) A 73.2) A 73.3) C 74) Section Break 74.1) A 74.2) B 75) Section Break 75.1) A 75.2) A 76) Section Break 76.1) A 76.2) A 76.3) A Version 1

30


77) Section Break 77.1) A 77.2) B 77.3) C 78) Section Break 78.1) A 78.2) A 78.3) A

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31


CHAPTER 10 TRUE/FALSE - Write 'T' if the statement is true and 'F' if the statement is false. 1) A sacral fracture affecting the S3 and S4 nerve roots would result in a person having difficulty with evacuation of the bowels. ⊚ ⊚

2)

Injury to the deep fibular nerve would cause inability to extend one's toes. ⊚ ⊚

3)

true false

true false

The triceps surae consists of three muscles in the lower limb. ⊚ ⊚

true false

MULTIPLE CHOICE - Choose the one alternative that best completes the statement or answers the question. 4) The study of the muscular system is known as __________. A) B) C) D) E)

5)

kinesiology pathophysiology myology biology neurology

Which of the following is not a function of the muscular system?

Version 1

1


A) B) C) D) E)

6)

What term best describes the relationship between the pronator quadratus and supinator? A) B) C) D) E)

7)

Stability Heat production Control of openings Secretion Breathing

Fixators Antagonists Synergists Prime movers Depressors

Muscle fibers are arranged in bundles called ___________. A) B) C) D) E)

compartments fascicles retinacula aponeuroses groups

8) Which of the following describes muscular tissue emerging directly from bone rather than being separated from it by an obvious tendon? A) B) C) D)

9)

Direct attachment Indirect attachment Inverted attachment Aponeurosis

The rectus femoris is an example of what muscle shape?

Version 1

2


A) B) C) D) E)

10)

Groups of muscles are separated by which of the following? A) B) C) D) E)

11)

Fusiform Parallel Triangular Elongated Pennate

Epimysium Fascicles Perimysium Fascia Endomysium

Which term below best describes the deltoid? A) B) C) D) E)

Fusiform Intrinsic Involuntary Extrinsic Parallel

12) Which term best describes the relationship of the deltoid and SITS muscles during shoulder abduction? A) B) C) D) E)

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Prime movers Antagonists Synergists Fixators Adductors

3


13)

The semitendinosus is an example of what muscle shape? A) B) C) D) E)

14)

Which of the following muscles is the prime mover for inhalation? A) B) C) D) E)

15)

Internal intercostals External intercostals Diaphragm Stylohyoid Hyoglossus

Which of the following extensors of the head is the most superficial? A) B) C) D) E)

16)

Triangular Fusiform Sphincter Convergent Pennate

Trapezius Semispinalis capitis Splenius capitis Sternocleidomastoid Temporalis

The occipital and frontal bellies of occipitofrontal are connected via the __________. A) B) C) D) E)

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galea retinaculum galea aponeurotica galea cranium galea orbicularis galea neurotica

4


17)

Which of the following muscles of facial expression is not innervated by the facial nerve? A) B) C) D) E)

18)

A point of convergence for several muscles of the lower face is the __________. A) B) C) D) E)

19)

retinaculum aponeurotica modiolus nuchal line galea

The ________ attaches to the zygomatic arch and also to the angle of the mandible. A) B) C) D) E)

20)

Orbicularis oculi Zygomaticus major Corrugator supercilii Levator palpebrae superioris Buccinator

masseter buccinator temporalis genioglossus stylohyoid

Which one of these muscles helps to open the mouth (depress the mandible)? A) B) C) D) E)

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Zygomaticus major Digastric Sternohyoid Depressor anguli oris Hyoglossus

5


21)

The palatoglossus is innervated by which nerve(s)? A) B) C) D) E)

Hypoglossal Accessory Vagus Hypoglossal and accessory Accessory and vagal

22) Which of the following muscles of mastication would be responsible for mandibular elevation? A) B) C) D) E)

23)

The aponeurosis of the external oblique forms the ________ at its inferior margin. A) B) C) D) E)

24)

Temporalis Lateral pterygoid Stylohyoid Zygomaticus major Zygomaticus minor

linea alba rectus sheath linea semilunaris medial retinaculum inguinal ligament

The deepest muscle of the abdominal wall is the __________.

Version 1

6


A) B) C) D) E)

transverse abdominal internal oblique rectus abdominis latissimus dorsi pectoralis minor

25) While sitting at your desk, you drop your pencil onto the floor. You bend over to pick up the pencil. In order to straighten up and continue your exam you must use which of the following muscles? A) B) C) D) E)

26)

Tibialis anterior Erector spinae Semimembranosus Tibialis anterior and semimembranosus Extensor hallucis longus

Which of the following muscles is not externally visible on the trunk of the body? A) B) C) D) E)

Transverse abdominal Latissimus dorsi Trapezius Pectoralis major External abdominal oblique

27) Unilateral contraction of which muscle causes ipsilateral flexion of the lumbar vertebral column? A) B) C) D) E)

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Multifidus Latissimus dorsi External intercostals Serratus anterior Quadratus lumborum

7


28) In lifting a heavy weight from the floor, one should use the power of the __________ in order to avoid straining the lower back. A) B) C) D) E)

biceps brachii and brachialis gastrocnemius and soleus external and internal abdominal obliques knee and hip extensors trapezius and latissimus dorsi

29) In a whiplash injury, the neck undergoes forced hyperextension then hyperflexion, injuring multiple muscles in the neck. Which of the following muscles would be injured during the hyperextension phase of the injury? A) B) C) D) E)

Trapezius Splenius capitis Sternocleidomastoid Semispinalis capitis Levator scapulae

30) Tendinous intersections divide the __________ into segments that are externally visible on the abdomen of a well-muscled person. A) B) C) D) E)

vastus lateralis serratus anterior rectus abdominis quadriceps femoris transverse abdominal

31) The rectus abdominis is a __________ muscle, while the rectus femoris is a __________ muscle.

Version 1

8


A) B) C) D) E)

fusiform; parallel parallel; bipennate convergent; unipennate bipennate; parallel multipennate; convergent

32) Which of the following correctly states the proximal and distal attachments of the sternocleidomastoid? A) Sternal manubrium and lateral one-third of clavicle; mastoid process and lateral half of superior nuchal line B) Sternal manubrium and medial half of clavicle; mastoid process and medial onethird of superior nuchal line C) Sternal manubrium and medial one-third of clavicle; mastoid process and lateral half of superior nuchal line D) Sternal manubrium and lateral half of clavicle; mastoid process and lateral one-third of superior nuchal line E) Mastoid process and lateral half of superior nuchal line; sternal manubrium, medial one-third of clavicle

33) The muscles that laterally rotate and depress the scapula, as in shrugging and lowering the shoulders, are the __________. A) B) C) D) E)

34)

trapezius and serratus anterior pectoralis minor and serratus anterior levator scapulae and rhomboideus trapezius and rhomboideus trapezius and latissimus dorsi

Which cranial nerve innervates the sternocleidomastoid and trapezius?

Version 1

9


A) B) C) D) E)

35)

Abducens Facial Vagus Accessory Trigeminal

Which muscle(s) of respiration is(are) innervated by the phrenic nerve? A) B) C) D) E)

Diaphragm External intercostals Internal intercostals Innermost intercostals Pectoralis major

36) After taking their wedding vows, a bride and groom often ceremonially use which of the following muscles before walking away from the altar? A) B) C) D) E)

Depressor anguli oris Orbicularis oris Levator labii superioris Platysma Quadriceps femoris

37) Which muscle attaches to the manubrium and the thyroid cartilage, and aids in singing low notes? A) B) C) D) E)

Version 1

Omohyoid Thyrohyoid Sternothyroid Stylohyoid Lateral pterygoid

10


38)

Some people suffer involuntary urination due toincompetence of what muscle? A) B) C) D) E)

External urethral sphincter Bulbospongiosus Compressor urethrae Ischiocavernosus Levator ani

39) A baseball pitcher who injures one of his SITS muscles most commonly sustains tears to the tendon of which muscle? A) B) C) D) E)

40)

Which of the following is true regarding the levator scapulae? A) B) C) D) E)

41)

Supraspinatus Infraspinatus Teres minor Subscapularis Deltoid

It is innervated by the phrenic nerve. It elevates the scapula if the scapula is fixed. It rotates the scapula and depresses the apex of the shoulder. It flexes the neck if the scapula is fixed. It protracts the scapula if the humerus is fixed.

Which of the following is an intrinsic muscle of the hand?

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11


A) B) C) D) E)

42)

The serratus anterior is innervated by which nerve? A) B) C) D) E)

43)

Accessory Dorsal scapular Long thoracic Lateral pectoral Axillary

Which muscle acting on the arm assists in deep inspiration? A) B) C) D) E)

44)

Extensor carpi radialis brevis Adductor pollicis Extensor pollicis longus Extensor indicis Abductor pollicis longus

Pectoralis major Trapezius Teres minor Diaphragm Deltoid

A butcher who cuts the distal portion of his fingers may cut the __________ tendon. A) B) C) D) E)

Version 1

flexor pollicis longus flexor carpi ulnaris palmaris longus adductor pollicis flexor digitorum profundus

12


45) When a nurse draws blood, it is not uncommon for the needle to penetrate which muscle near the cubital region? A) B) C) D) E)

46)

The antagonist to the triceps brachii is the __________. A) B) C) D) E)

47)

Pronator quadratus Semimembranosus Pronator teres Buccinator Supinator

deltoid anconeus biceps brachii supinator teres minor

Which of the following best describes the insertion of the extensor digitorum? A) B) C) D) E)

It indirectly inserts on all digits of the hand. It indirectly inserts on all digits of the hand except the thumb. It directly inserts on all digits of the hand. It directly inserts on all digits of the hand except the thumb. It directly inserts on the index finger only.

48) Tennis elbow is a common term describing injury to the attachmentofwhich of the following?

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13


A) B) C) D) E)

Extensor hallucis longus Pronator quadratus Extensor carpi radialis longus Subscapularis Flexor digitorum profundus

49) An injury that results in complete functional loss of the ulnar nerve will affect which of the following muscles? A) B) C) D) E)

Abductor digiti minimi Abductor pollicis brevis Flexor carpi radialis Brachioradialis Extensor indicis

50) Carpal tunnel pressure is sometimes relieved by surgically excising part or all of which structure? A) B) C) D) E)

51)

Palmar aponeurosis Extensor retinaculum Flexor retinaculum Extensor aponeurosis Median nerve

What is the longest muscle in the human body? A) B) C) D) E)

Version 1

Iliopsoas Sartorius Erector spinae Semitendinosus Semimembranosus

14


52)

Which of the following muscles is in the medial compartment of the thigh? A) B) C) D) E)

53)

Which of the following muscles attaches on the head of the fibula? A) B) C) D) E)

54)

Soleus Adductor longus Piriformis Vastus medialis Semimembranosus

Extensor digitorum longus Tibialis anterior Popliteus Biceps femoris Semitendinosus

Which muscle is innervated by the tibial nerve? A) B) C) D) E)

Extensor digitorum longus Tibialis anterior Semimembranosus Fibularis longus Vastus lateralis

55) Which of the following muscles is responsible for medially rotating the tibia on the femur when the knee is flexed?

Version 1

15


A) B) C) D) E)

56)

Which of the following muscles adducts and medially rotates the thigh? A) B) C) D) E)

57)

Piriformis Semitendinosus Adductor brevis Vastus medialis Sartorius

Gracilis Piriformis Adductor magnus Rectus femoris Sartorius

Which of the following musclesis innervated by the obturator nerve? A) B) C) D) E)

Gracilis Biceps femoris Tibialis anterior Soleus Sartorius

58) A clinician induces contraction of the gastrocnemius and soleus and notices that the foot does not plantar flex as expected. Which of the following would be a logical diagnosis? A) B) C) D) E)

Version 1

Peroneal nerve injury Ruptured calcaneal tendon Anterior compartment syndrome Shinsplints Lateral plantar nerve injury

16


59) A male sustains a crushing injury to his foot. After weeks of care, he begins to notice that he cannot bend the little toe on his right foot. Which of he following would be a logical diagnosis? A) B) C) D) E)

Atrophy of the flexor hallucis brevis Atrophy of the fibularis brevis Atrophy of the soleus Atrophy of the flexor digiti minimi Atrophy of the adductor hallucis

60) A heavyset middle-aged insurance salesman, who doesn't exercise often, accepts his friend's invitation to a pickup basketball game. When attempting a jump shot, he falls to the ground in pain, grasping at the calf of his leg. There is an enormous bulge in his leg immediately below the popliteal fossa, and he is unable to plantar flex that foot. Most likely he has injured his __________ and the bulge is __________. A) B) C) D) E)

quadriceps tendon; his rectus femoris calcaneal tendon; his triceps surae patellar ligament; his fibularis longus tibia; a previously undetected bone tumor hamstrings; a large hematoma (blood clot)

61) An Olympic sprinter readies for a race. After the sound of the starting gun, he propels himself forward from the starting block and immediately grimaces in pain, grabbing for the back of his thigh. Within 48 hours he begins noticing extensive bruising on the back of his thigh extending into the back of the knee. He now has difficulty rising from a seated position and flexing his knee. Bending at the waist generates more pain. Which muscle is likely injured? A) B) C) D) E)

Version 1

Gluteus maximus Popliteus Biceps femoris Gastrocnemius Iliopsoas

17


62) After childbirth, a woman begins experiencing tremendous pain in her groin, making it difficult for her to walk. An X-ray shows a fracture extending from her symphysis pubis to the inferior ramus of the pubis. As a result of the fracture, which group of muscles might be impaired? A) B) C) D) E)

Hip flexors Thigh abductors Hip extensors Lateral rotators Thigh adductors

63) A skydiver's parachute fails to deploy. After some struggle, his reserve chute deploys in time to save his life. However, his landing is harder than normal and he feels his knee slightly hyperextend. He shakes it off and goes about his normal routine. Later that day he begins experiencing knee pain. Two days later he notices that his knee "pops" when he crouches and soon discovers he has dislocated his femur on the knee. What muscle was likely injured initially? A) B) C) D) E)

Popliteus Tensor fasciae latae Soleus Sartorius Quadriceps femoris

64) A skateboarder falls and lands directly on his buttocks and lower back. He does not feel much pain and continues skating. After a couple of days he begins experiencing right hip pain and notices his right foot and leg are rotated to the right. A doctor diagnoses a muscle spasm. Which of the following muscles is most likely causing the leg and foot rotation? A) B) C) D) E)

Version 1

Quadratus lumborum Tibialis posterior Piriformis Adductor longus Sacrospinalis

18


65) An __________ muscle is contained within a region whereas an __________ muscle acts upon one region but has an attachmentelsewhere. A) B) C) D)

intrinsic; extrinsic extrinsic; intrinsic innate; extraneous extraneous; innate

66) You hear a loud noise behind you and look back over your left shoulder. Which of the following is true? A) B) C) D)

This was a contralateral contraction of your right sternocleidomastoid muscle. This was a contralateral contraction of your left sternocleidomastoid muscle. This was an ipsilateral contraction of your right sternocleidomastoid muscle. This was an ipsilateral contraction of your left sternocleidomastoid muscle.

67) Short ribs are a cut of beef often used for barbeque. "Back ribs" are taken from the area near the spine where the meat tends to be thinner. Which muscle forms the meat on this type of rib? A) B) C) D) E)

68)

Intercostal muscles Diaphragm Rectus abdominus External abdominal oblique Trapezius

What is a retinaculum?

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19


A) A band of connective tissue that covers and stabilizes a group of tendons B) A particularly thick fascia that separates functional muscle groups into compartments C) A thick, sheet-like tendon D) A sheath of connective tissue that wraps muscle fibers together to form fascicles E) A thin sleeve of connective tissue that surrounds each muscle fiber.

69)

The skeletal muscles are innervated by __________. A) B) C) D) E)

spinal nerves and cranial nerves spinal nerves only cranial nerves only spinal nerves and autonomic nerves cranial nerves and autonomic nerves

70) Which of these muscles attaches to both the thyroid cartilage of the larynx and to the hyoid bone? A) B) C) D) E)

71)

Thyrohyoid Sternothyroid Sternohyoid Stylohyoid Sternothyroid

The muscles of the head and neck are innervated by the __________. A) B) C) D) E)

Version 1

cranial nerves spinal nerves muscle fibers aponeuroses muscle capillaries

20


72)

What type of muscle is this?

A) B) C) D) E)

Version 1

Fusiform Parallel Triangular Bipennate Multipennate

21


73)

What type of muscle is this? A) B) C) D) E)

Version 1

Fusiform Parallel Triangular Bipennate Multipennate

22


74)

What type of muscle is this? A) B) C) D) E)

Version 1

Fusiform Parallel Triangular Bipennate Multipennate

23


75)

Which muscle has this type of fascicle orientation?

A) B) C) D) E)

Version 1

Rectus femoris Biceps brachii Deltoid Orbicularis oris Pectoralis major

24


76)

Which muscle has this type of fascicle orientation?

A) B) C) D) E)

Version 1

Rectus femoris Biceps brachii Deltoid Orbicularis oris Pectoralis major

25


77)

Together,the group of muscles shown here is referred to as the __________.

A) B) C) D) E)

Version 1

Rotator cuff Hamstrings Quadriceps Lateral rotators Iliopsoas

26


78)

The structure labeled 1 is an example of __________.

A) B) C) D) E)

Version 1

a retinaculum an aponeurosis an interosseous membrane a tendon a ligament

27


79)

Based on their position and attachments, how would you classify the muscles shown

here? A) B) C) D) E)

Version 1

Adductors Lateral rotators Flexors Extensors Pronators

28


80)

What is the name of the muscle highlighted in purple?

A) B) C) D) E)

Version 1

Iliacus Psoas major Pectineus Rectus femoris Gluteus maximus

29


81)

What is the name of the muscle highlighted in purple?

A) B) C) D) E)

Version 1

Iliacus Psoas major Pectineus Rectus femoris Gluteus maximus

30


82)

Name the muscle highlighted in this picture.

A) B) C) D) E)

Version 1

Rhomboid major Trapezius Erector spinae Latissimus dorsi Sternocleidomastoid

31


83)

Name the muscle highlighted in this picture.

A) B) C) D) E)

Version 1

Rhomboid major Trapezius Erector spinae Latissimus dorsi Sternocleidomastoid

32


84)

Name the muscle highlighted in this picture.

A) B) C) D) E)

Version 1

Buccinator Masseter Zygomaticus major Zygomaticus minor Risorius

33


85)

Name the muscle highlighted in this picture.

A) B) C) D) E)

Version 1

Trapezius Sternocleidomastoid Latissimus dorsi Deltoid Rhomboid minor

34


86)

Name the muscle highlighted in this picture.

A) B) C) D) E)

Version 1

Internal intercostals External intercostals Internal obliques External obliques Serratus anterior

35


87)

Name the muscle highlighted in this picture.

A) B) C) D) E)

Version 1

Internal intercostals External intercostals Internal obliques External obliques Serratus anterior

36


SECTION BREAK. Answer all the part questions.

88)

88.1) A) B) C) D) E)

88.2) A) B) C) D) E)

Version 1

Based on this figure, which two muscles have direct attachments? The brachialis and the lateral head of the triceps brachii The brachialis and the biceps brachii The brachialis and the long head of the triceps brachii The lateral and long heads of the triceps brachii The biceps brachii and the long head of the triceps brachii

Based on this figure, which two muscles have indirect attachments? The brachialis and the lateral head of the triceps brachii The brachialis and the biceps brachii The brachialis and the long head of the triceps brachii The lateral and long heads of the triceps brachii The biceps brachii and the long head of the triceps brachii

37


89)

Based only on the names of these muscles, what do you think their actions are?

89.1) A) B) C) D) E)

89.2) A) B) C) D) E)

Version 1

What is the action of the depressor labii inferioris? Lowers the bottom lip Flexes the smallest finger Aids in urine retention Elevates the scapula Extends the wrist

What is the action of the flexor digiti minimi bevis? Lowers the bottom lip Flexes the smallest finger Aids in urine retention Elevates the scapula Extends the wrist

38


90)

90.1) A) B) C) D) E)

Version 1

Name the layer of connective tissue labeled 1. Fascia Epimysium Perimysium Endomysium Retinaculum

39


90.2) A) B) C) D) E)

90.3) A) B) C) D) E)

Name the layer of connective tissue labeled 2. Fascia Epimysium Perimysium Endomysium Retinaculum

Name the layer of connective tissue labeled 3. Fascia Epimysium Perimysium Endomysium Retinaculum

91)

Version 1

40


91.1) A) B) C) D) E)

91.2) A) B) C) D) E)

91.3) A) B) C) D) E)

91.4)

Version 1

Name the arm muscle labeled 1. Long head of triceps brachii Lateral head of triceps brachii Medial head of triceps brachii Brachialis Biceps brachii

Name the arm muscle labeled 2. Long head of triceps brachii Lateral head of triceps brachii Medial head of triceps brachii Brachialis Biceps brachii

Name the arm muscle labeled 3. Long head of triceps brachii Lateral head of triceps brachii Medial head of triceps brachii Brachialis Biceps brachii

Name the arm muscle labeled 4.

41


A) B) C) D) E)

Long head of triceps brachii Lateral head of triceps brachii Medial head of triceps brachii Brachialis Biceps brachii

92)

92.1) A) B) C) D) E)

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Name the facial muscle labeled 1. Orbicularis oculi Orbicularis oris Levator palpebrae superioris Occipitalis Corrugator supercilli

42


92.2) A) B) C) D) E)

92.3) A) B) C) D) E)

92.4) A) B) C) D) E)

92.5) A) B) C) D) E)

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Name the facial muscle labeled 2. Zygomaticus minor Zygomaticus major Levator labii superioris Risorius Buccinator

Name the facial muscle labeled 3. Zygomaticus minor Zygomaticus major Levator labii superioris Risorius Buccinator

Name the facial muscle labeled 4. Zygomaticus minor Zygomaticus major Masseter Risorius Buccinator

Name the facial muscle labeled 5. Orbicularis oris Orbicularis oculi Masseter Risorius Buccinator

43


93)

This figure shows a cross section through the upper arm.

93.1) Use your three-dimensional understanding of arm anatomy to identify the muscle labeled 1 in this figure. A) B) C) D) E)

Biceps brachii Brachialis Triceps brachii Brachioradialis Pronator teres

93.2) Use your three-dimensional understanding of arm anatomy to identify the muscle labeled 2 in this figure.

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A) B) C) D) E)

Biceps brachii Brachialis Triceps brachii Brachioradialis Pronator teres

93.3) Use your three-dimensional understanding of arm anatomy to identify the muscle labeled 3 in this figure. A) B) C) D) E)

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Biceps brachii Brachialis Triceps brachii Brachioradialis Pronator teres

45


Answer Key Test name: Chap 10_9e 1) TRUE 2) TRUE 3) FALSE 4) C 5) D 6) B 7) B 8) A 9) E 10) D 11) B 12) C 13) B 14) C 15) A 16) B 17) D 18) C 19) A 20) B 21) E 22) A 23) E 24) A 25) B 26) A Version 1

46


27) E 28) D 29) C 30) C 31) B 32) C 33) A 34) D 35) A 36) B 37) C 38) A 39) A 40) D 41) B 42) C 43) A 44) E 45) C 46) C 47) B 48) C 49) A 50) C 51) B 52) B 53) D 54) C 55) B 56) C Version 1

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57) A 58) B 59) D 60) B 61) C 62) E 63) A 64) C 65) A 66) A 67) A 68) A 69) A 70) A 71) A 72) A 73) B 74) C 75) A 76) C 77) A 78) A 79) A 80) A 81) B 82) A 83) B 84) A 85) A 86) A Version 1

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87) E 88) Section Break 88.1) A 88.2) E 89) Section Break 89.1) A 89.2) B 90) Section Break 90.1) A 90.2) B 90.3) C 91) Section Break 91.1) A 91.2) B 91.3) E 91.4) D 92) Section Break 92.1) A 92.2) A 92.3) B 92.4) C 92.5) A 93) Section Break 93.1) A 93.2) B 93.3) C

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CHAPTER 11 TRUE/FALSE - Write 'T' if the statement is true and 'F' if the statement is false. 1) Extensibility refers to the ability of a muscle to stretch. ⊚ ⊚

2)

A skeletal muscle fiber (cell) contains a single nucleus. ⊚ ⊚

3)

true false

true false

The sarcoplasmic reticulum is the smooth endoplasmic reticulumof a muscle fiber. ⊚ ⊚

true false

4) A dark band formed by parallel thick filaments that partly overlap the thin filaments is known as an H band. ⊚ ⊚

true false

5) Clinically, dystrophin is the most important noncontractile protein to occur in muscle fibers. ⊚ ⊚

6)

true false

A deficiency of acetylcholine receptors leads to muscle paralysis in myasthenia gravis. ⊚ ⊚

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true false

1


7) The sliding filament theory of muscle contraction has emerged from research only in the last 10 to 15 years. ⊚ ⊚

true false

8) Skeletal muscle are attached to bones in a way that aligns proteins in an overly stretched (lengthened) position. This lengthening facilitates the shortening of contractions. ⊚ ⊚

9)

An isometric contraction does not change muscle length. ⊚ ⊚

10)

true false

true false

Some smooth muscle is autorhythmic. ⊚ ⊚

true false

MULTIPLE CHOICE - Choose the one alternative that best completes the statement or answers the question. 11) All muscle types will respond to an electrical stimulus because all muscle cells are _________. A) B) C) D) E)

12)

excitable contractile striated involuntary isometric

Skeletal muscle is called ___________, because it is usually subject to conscious control.

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2


A) B) C) D) E)

13)

excitable contractile striated voluntary isometric

Which of the following is not a characteristic of a muscle cell? A) B) C) D) E)

Plasticity Contractility Conductivity Extensibility Excitability

14) When a skeletal muscle lengthens, its __________ helps resist excessive stretching and subsequent injury to the muscle. A) B) C) D) E)

15)

thick filaments collagen actin troponin-tropomyosin complex varicosities

Which of the following is a property of collagen? A) B) C) D) E)

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Contractility Excitability Elasticity Expendability Impermeability

3


16)

A bundle of muscle fibers is known as a __________. A) B) C) D) E)

fascicle sarcomere myofibril myofilament motor unit

17) A myofilament that runs through the core of a thick filament and anchors it to a Z disc is called a(n) __________. A) B) C) D) E)

18)

The sarcolemma of a resting muscle fiber is most permeable to __________. A) B) C) D) E)

19)

myofibril thin filament T tubule sarcolemma elastic filament

calcium potassium sodium lithium magnesium

What is the purpose of the triad? A) B) C) D) E)

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The triad stores sodium. The triad synthesizes ATP. The triad maintains the resting membrane potential. The triad removes acetylcholine from the synaptic cleft. The triad allows for Ca 2+ release when a muscle fiber is excited.

4


20)

The triads of a muscle fiber consist of __________. A) B) C) D) E)

21)

Which of the following is predominately made up of myosin? A) B) C) D) E)

22)

G actin F actin The thin filament The thick filament The elastic filament

Which of the following marks the boundaries of a sarcomere? A) B) C) D) E)

23)

two A bands and one I band two T tubules and one terminal cistern two terminal cisternsand one T tubule two thin myofilaments and one thick myofilament two thick myofilaments and one thin myofilament

I bands H bands Zdiscs M lines A bands

Which of the following contains overlapping thick and thin filaments? A) B) C) D) E)

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A band H band I band M line Z discs

5


24) In skeletal muscle, the term that describes the alternating light and dark bands is ___________. A) B) C) D) E)

25)

The protein that acts as a calcium receptor in skeletal muscle is __________. A) B) C) D) E)

26)

F actin tropomyosin troponin titin dystrophin

Where is dystrophin, the protein that is defective in muscular dystrophy, normally found? A) B) C) D) E)

27)

strabismus striations tetanus myofibrils myoblasts

Between the outermost myofilaments and the sarcolemma of a muscle fiber As a transmembrane protein of the sarcolemma In the Z discs of skeletal and cardiac muscle In the dense bodies of smooth muscle Bridging the gap between the sarcolemma and axon terminal

How many somatic motor neurons stimulate one muscle fiber?

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A) B) C) D) E)

0 1 2 3 4

28) The process of engagingmore motor units to increase the strength of a muscle contraction is called __________. A) B) C) D) E)

wave summation recruitment temporal summation incomplete tetanus complete tetanus

29) As you are lifting a box, someone places extra weight on top of it. For your muscle to continue contracting and lifting the box, the muscle must __________. A) B) C) D) E)

recruit more muscle fibers lower its threshold reduce its wave summation shift from isometric to isotonic contraction shift from slow-twitch to fast-twitch mode

30) To stimulate muscle contraction, acetylcholine is released from the ___________ into the synaptic cleft. A) B) C) D) E)

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synaptic vesicles postsynaptic membrane folds sarcoplasmic reticulum sarcolemma terminal cisterns

7


31) The axon terminal releases acetylcholine into the synaptic cleft, which is received by receptors on the motor end plate. Which structure does this describe? A) B) C) D) E)

32)

What happens when acetylcholine stimulates its receptors in the neuromuscular junction? A) B) C) D) E)

33)

The release of Ca 2+ from the sarcoplasmic reticulum decreases. The permeability of the sarcolemma to Na + increases. The positive charge on the sarcolemma decreases. The threshold of the muscle fiber lowers. The inhibitory effect of acetylcholinesterase is overridden.

Which of the following best describes the resting membrane potential (RMP)? A) B) C) D) E)

34)

A sarcomere The thick filament The varicosity of a smooth muscle cell The neuromuscular junction of a skeletal muscle A motor unit

The intracellular environment is negatively charged. The intracellular environment has more positively charged sodium. The extracellular environment is negatively charged. It has a voltage of about +75 mV. It is dependent upon the absorption of potassium ions by the muscle fiber.

The absence or inhibition of acetylcholinesterase at a synapse would lead to __________.

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A) B) C) D) E)

flaccid paralysis tetanus atrophy numbness muscle wasting

35) The toxin of Clostridium tetanitravels within somatic motor neurons and affects the functioning of their presynaptic neurons. What effect does this have on smooth muscle? A) B) C) D) E)

36)

Which statement best describes the goal of medications used to treat myasthenia gravis? A) B) C) D) E)

37)

Flaccid paralysis Spastic paralysis Lockjaw No effect Myocardial atrophy

To increase the number of acetylcholine receptors To decrease the number of synaptic vesicles To promote multiple motor unit summation To inhibit Ca 2+ release from the sarcoplasmic reticulum To inhibit the function of cholinesterase

Which muscle type depends solely on the sarcoplasmic reticulum as its calcium source? A) B) C) D) E)

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Skeletal muscle Smooth muscle Cardiac muscle Skeletal and smooth muscle Smooth and cardiac muscle

9


38) During muscle contraction, a single myosin head consumes ATP at a rate of about __________ ATP per second. A) B) C) D) E)

1 3 5 7 9

39) During muscle contraction, binding sites for myosin are uncovered by the movement of __________. A) B) C) D) E)

40)

What is released when myosin heads attach to actin filaments? A) B) C) D) E)

41)

tropomyosin troponin actin ADP titin

Phosphate Troponin ATP Tropomyosin Titin

Cross bridges form between binding sites on actin myofilaments and __________.

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A) B) C) D) E)

42)

myosin heads troponin tropomyosin calcium ions myosin tails

An action potential for a muscle cell is propagated along the __________. A) B) C) D) E)

sarcolemma sarcoplasm sarcomere tropomyosin sarcoplasmic reticulum

43) Increased calcium ion permeability of the presynaptic terminal cell membrane is caused by __________. A) B) C) D) E)

44)

an action potential an increased concentration of calcium ions sodium ions acetylcholine acetylcholinesterase

During muscle contraction, calcium ions bind to __________. A) B) C) D) E)

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troponin tropomyosin actin myosin titin

11


45) When acetylcholinesterase outlasts the release ofacetylcholine from the synaptic vesicles, the skeletal muscle __________. A) B) C) D) E)

46)

A skeletal muscle generates the greatest tension when it is __________. A) B) C) D) E)

47)

contracts gets stronger relaxes releases Ca 2+ opens its Na + channels

greatly stretched before being stimulated partially stretched before being stimulated fully relaxed before being stimulated well-rested and low in creatine phosphate high in lactate concentration

The minimum stimulus needed to cause muscle contraction is called the __________. A) B) C) D) E)

threshold latent period twitch motor unit innervation

48) A muscle twitch produces external tension and moves an object by shortening the muscles during the _____ phase.

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12


A) B) C) D) E)

contraction latent twitch relaxation reload

49) If one nerve stimulus arrives at a muscle fiber so soon that the fiber does not relax at all from the previous twitch, the most likely result will be __________. This can only be achieved in the laboratory. A) B) C) D) E)

fatigue spasm incomplete tetanus complete tetanus wave summation

50) If one nerve stimulus arrives at a muscle fiber so soon that the fiber has only partially relaxed from the previous twitch, the most likely result will be __________. A) B) C) D) E)

51)

fatigue spasm incomplete tetanus complete tetanus flaccid paralysis

Shortening a muscle while itmaintains constant tension is called __________. A) B) C) D) E)

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complete tetanus incomplete tetanus an isokinetic contraction an isometric contraction an isotonic contraction

13


52)

Which of the following is true concerning isotonic eccentric contraction? A) B) C) D) E)

53)

The muscle shortens but tension remains constant. The muscle lengthens but tension remains constant. The muscle tenses and shortens. The muscle tenses but length remains unchanged. The muscle lengthens and tension declines.

Which of the following is true concerning isotonic concentric contraction? A) B) C) D) E)

The muscle shortens but tension remains constant. The muscle lengthens but tension remains constant. The muscle tenses and shortens. The muscle tenses but length remains unchanged. The muscle lengthens and tension declines.

54) Athletes who train at high altitudes increase their red blood cell count, which increases their oxygen supply during exercise. Increased oxygen supply results in __________. A) B) C) D) E)

increased glycolysis increased use of myokinase longer aerobic respiration longer anaerobic fermentation reduced ATP consumption

55) Which of the following individuals would have more mitochondria in her skeletal muscle?

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A) B) C) D) E)

A 50-year-old sedentary computer programmer A 22-year-old soccer player A long-term hospice patient A model on a reduced-calorie diet A newborn

56) In order formuscle to continue contracting during anaerobic fermentation, which of the following is essential? A) B) C) D) E)

57)

Aerobic respiration produces approximately __________ ATPs per glucose. A) B) C) D) E)

58)

Cholinesterase inhibitors Protease Myokinase Acetylcholinesterase Acid phosphatase

12 24 32 48 100

The transfer of phosphate from CP to ADP is catalyzed by __________. A) B) C) D) E)

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myokinase creatinine cAMP creatine kinase ATP

15


59) Which of the following systems would provide energy for a racquetball player while playing a point? A) B) C) D) E)

The respiratory system The glycolysis system The phosphagen system The anaerobic system The glycogen-lactate system

60) A volleyball player depends on the gastrocnemius muscles for plantar flexion, whereas a marathon runner depends more on the soleus muscles for the same action. What characteristic of the soleus muscles makes this so? A) B) C) D) E)

They havesmaller mitochondria. They have more glycogen in them. They don't have as many blood capillaries per gram of tissue. They make more use of aerobic respiration. They break ATP down to ADP and P i faster.

61) 80% of the lactate produced by skeletal muscle is converted to pyruvate by the __________. A) B) C) D) E)

kidneys liver muscle tissue sarcoplasmic reticulum neuromuscular junction

62) Which of the following is not a purpose of the excess postexercise oxygen consumption (EPOC) in muscle?

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A) B) C) D) E)

63)

Why does one continue to breathe heavy after rigorous physical activity has stopped? A) B) C) D) E)

64)

The diaphragm is waiting for its acetylcholine to run out. The body requires more oxygen to restore levels of ATP and creatine phosphate. The lungs can't stop breathing until the heart rate slows down. Myosin heads need more oxygen to fully detach from actin. The kidneys require oxygen to dispose of excess lactate.

Which of the following has the largest mitochondria? A) B) C) D) E)

65)

To neutralize carbon dioxide buildup To replenish the phosphagen system To oxidize lactate To serve elevated metabolic rate To restore resting levels of ATP and CP

Slow oxidative fibers Fast glycolytic fibers Cardiac muscle Smooth muscle Intermediate fibers

Which fibers are primarily responsible for producing lactate? A) B) C) D) E)

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Type I slow oxidative fibers Type IIA intermediate glycolytic fibers Type IIB fast glycolytic fibers Type I slow-twitch fibers Red fibers

17


66) Michael Jordan was arguably the best player in professional basketball history. Scientifically, one would expect him to have highly developed __________ fibers. A) B) C) D) E)

67)

Loss of muscle mass from lack of activity is called __________. A) B) C) D) E)

68)

myopathy dystrophy apathy atrophy tetanus

Resistance exercise will most likely cause muscle to __________. A) B) C) D) E)

69)

red white intermediate fast twitch slow oxidative

myopathy dystrophy apathy atrophy hypertrophy

The training regimen of a competitive weight lifter is designed partly to __________. A) B) C) D) E)

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convert certain parallel muscles into stronger pennate muscles increase the average number of myofibrils per muscle fiber convert white muscle tissue to red muscle increase the size of his motor units lower the threshold for muscle excitation

18


70)

Cardiac muscle has very little capacity for regeneration because it lacks __________. A) B) C) D) E)

71)

Where would you expect to find numerous gap junctions in muscular tissue? A) B) C) D) E)

72)

satellite cells an endomysium sarcomeres dense bodies somatic nerve fibers

The sarcoplasmic reticulum of skeletal muscle The A bands of skeletal and cardiac muscle The sarcolemma of skeletal muscle The intercalated discs of cardiac muscle Multiunit smooth muscle

Which muscle(s) can contract without the need for nervous stimulation? A) B) C) D) E)

Skeletal muscle only Smooth muscle only Cardiac muscle only Smooth and cardiac muscle Skeletal, smooth, and cardiac muscle

73) Why is the contraction strength of smooth muscle relatively independent of its resting length?

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A) B) C) D) E)

74)

It gets nearly all of its Ca 2+ from the extracellular fluid. It does not have intercalated discs. It does not have sarcomeres. It is regulated by a length-tension relationship. It is involuntary muscle.

Which of the following is an accurate comparison of skeletal muscle tosmooth muscle?

A) Smooth muscle contracts more slowly but relaxes more rapidly. B) Smooth muscle contracts more rapidly but relaxes more slowly. C) Smooth muscle contracts and relaxes more slowly. D) Smooth muscle consumes more ATP to maintain a given level of muscle tension. E) Smooth muscle depends on a nerve fiber to supply the calcium needed for contraction.

75)

Which of the following would be caused by a contraction of smooth muscle? A) B) C) D) E)

Goose bumps Blood leaving the left ventricle of the heart Elevating the eyebrows Blinking the eyelids Deep inspiration

76) Drugs called calcium channel blockers may be used to lower blood pressure by causing arteries to vasodilate. How do you suppose these drugs work?

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A) They prevent calcium from entering the sarcoplasmic reticulum of smooth muscle. B) They stimulate the calcium pump in smooth muscle, thus removing calcium from the calmodulin. C) They prevent calcium from exiting the sarcoplasmic reticulum in skeletal muscle. D) They prevent calcium from entering cardiac muscle, thus slowing down the heart rate. E) They prevent calcium from entering smooth muscle, thus allowing the muscle to relax.

77)

What is the purpose of motor nerve varicosities as they relate to smooth muscle?

A) They link the thin filaments to the inside of the sarcolemma in smooth muscle. B) They reabsorb the decomposition products of acetylcholine after acetylcholinesterase breaks it down. C) Theyenable each cardiomyocyte to directly stimulate its neighbors. D) They release neurotransmitter molecules onto smooth muscle cells. E) They prevent unitary smooth muscle cells from pulling apart.

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SECTION BREAK. Answer all the part questions.

78)

78.1) A) B) C) D) E)

78.2) A) B) C) D) E)

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What is stored within the organelle at C? Calcium ions Sodium ions Creatine phosphate Glycogen Oxygen

What is the organelle at A primarily composed of? Proteins Carbohydrates Lipids Nucleic acids Glycoproteins

22


78.3) A) B) C) D) E)

What is the structure at E primarily composed of? Phospholipids Proteins Glycoproteins Adipose Dense regular connective tissue

79)

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23


79.1) A) B) C) D) E)

Where do calcium ions bind during a muscle contraction? D A B C E

79.2) A) B) C) D) E)

Between what two structures does a cross-bridge form? B and C A and C B and D B and E A and D

79.3) A) B) C) D) E)

Where do calcium ions bind during a muscle contraction? D A B C D

80)

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80.1) A) B) C) D) E)

80.2) A) B) C) D) E)

80.3) A) B) C) D) E)

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What is the term for the structure at C? Sarcomere Myofibril H zone Motor unit A band

Which letter represents an A (dark) band? B A C D None of these choices

What is name of the structure in the middle of D? Z disc H band M line A band I band

25


81)

81.1) A) B) C) D) E)

81.2)

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What is contained within the structure at B? Acetylcholine Calcium ions Sodium ions Acetylcholinesterase Dopamine

When the structure at D opens, what does it let into the cell?

26


A) B) C) D) E)

81.3) A) B) C) D) E)

Sodium ions Calcium ions Potassium ions Acetylcholine Both sodium and potassium ions

What is contained in the space at E? Sarcoplasm Acetylcholine Nucleoplasm Extracellular fluid Acetylcholinesterase

82)

82.1) A) B) C) D) E)

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What type of contraction is pictured at A? Isometric Isotonic eccentric Isotonic concentric Complete tetanus Spastic paralysis

27


82.2) A) B) C) D) E)

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In which contraction(s) is the muscle maintaining tension while getting longer? C B A A and B B and C

28


Answer Key Test name: Chap 11_9e 1) TRUE 2) FALSE 3) TRUE 4) FALSE 5) TRUE 6) TRUE 7) FALSE 8) FALSE 9) TRUE 10) TRUE 11) A 12) D 13) A 14) B 15) C 16) A 17) E 18) B 19) E 20) C 21) D 22) C 23) A 24) B 25) C 26) A Version 1

29


27) B 28) B 29) A 30) A 31) D 32) B 33) A 34) B 35) D 36) E 37) A 38) C 39) A 40) A 41) A 42) A 43) A 44) A 45) C 46) B 47) A 48) A 49) D 50) C 51) E 52) B 53) A 54) C 55) B 56) C Version 1

30


57) C 58) D 59) C 60) D 61) B 62) A 63) B 64) C 65) C 66) B 67) D 68) E 69) B 70) A 71) D 72) D 73) C 74) C 75) A 76) E 77) D 78) Section Break 78.1) A 78.2) A 78.3) A 79) Section Break 79.1) A 79.2) A 79.3) C 80) Section Break Version 1

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80.1) A 80.2) A 80.3) A 81) Section Break 81.1) A 81.2) A 81.3) A 82) Section Break 82.1) A 82.2) A

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CHAPTER 12 TRUE/FALSE - Write 'T' if the statement is true and 'F' if the statement is false. 1) The nervous system employs exclusively electrical means to send messages, whereas the endocrine system communicates by means of chemical messengers. ⊚ ⊚

2)

Most neurons have multiple dendrites. ⊚ ⊚

3)

true false

Ependymal cells line the inner cavities of the CNS. ⊚ ⊚

7)

true false

Oligodendrocytes serve the same purpose in the CNS that satellite cells do in the PNS. ⊚ ⊚

6)

true false

Unipolar neurons have only a single process leading away from the neurosoma. ⊚ ⊚

5)

true false

Neurons move material away from the neurosoma by retrograde transport. ⊚ ⊚

4)

true false

true false

In the brain, neurons are more abundant than neuroglia.

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1


⊚ ⊚

8)

An action potential never occurs in dendrites. ⊚ ⊚

9)

true false

true false

When a neuron is stimulated, Na + gates open and allow Na + to exit the cell. ⊚ ⊚

true false

10) In a myelinated fiber, only the initial segment in the trigger zone has voltage-regulated channels. ⊚ ⊚

11)

true false

Norepinephrine is a monoamine. ⊚ ⊚

true false

12) Acetylcholine triggers the synthesis of the second messenger cAMP only in neurons of the PNS. ⊚ ⊚

13)

true false

Nitric oxide (NO) acts as a neuromodulator by altering synaptic function. ⊚ ⊚

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true false

2


14)

Any two EPSPs will override one IPSP. ⊚ ⊚

15)

true false

Memories are formed by neural pathways of modified synapses. ⊚ ⊚

true false

MULTIPLE CHOICE - Choose the one alternative that best completes the statement or answers the question. 16) The __________ division carries signals to the smooth muscle in the large intestine. A) B) C) D) E)

17)

The __________ division tends to prepare the body for action. A) B) C) D) E)

18)

visceral sensory somatic sensory visceral motor somatic motor afferent

sensory afferent motor afferent somatic motor parasympathetic sympathetic

Which of the following are effectors?

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3


A) B) C) D) E)

19)

What is another name for the autonomic nervous system? A) B) C) D) E)

20)

Receptors Stimuli Reflexes Glands Sense organs

Visceral sensory division Somatic sensory division Visceral motor division Somatic motor division Central nervous system

Nerves are __________ of the nervous system. A) B) C) D) E)

organs tissues organ systems organelles cells

21) Some __________ neurons are specialized to detect stimuli, whereas __________ neurons send signals to the effectors of the nervous system. A) B) C) D) E)

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efferent; afferent afferent; efferent motor; sensory efferent; interafferent; inter-

4


22)

About 90% of the neurons in the nervous system are __________ neurons. A) B) C) D) E)

23)

What is the most common type of neuron? A) B) C) D) E)

24)

Multipolar Bipolar Unipolar Anaxonic Dendritic

The term "nerve fiber" refers to a(n) __________. A) B) C) D) E)

25)

sensory motor afferent efferent inter-

nerve cell organelle in nerve cells organ axon bundle of macromolecules in nerve cells

Most metabolic and regulatory functions in a neuron happen where? A) B) C) D) E)

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The axon The neurosoma The dendrites The axon hillock The Schwann cell

5


26)

Which glial cell is found wrapped around nerve fibers in the PNS? A) B) C) D) E)

27)

In which part of a neuron is the postsynaptic membrane usually found? A) B) C) D) E)

28)

Axon terminal Axon Dendrite Perikaryon Axon collateral

What is the primary site on a neuronfor receiving signals from other neurons? A) B) C) D) E)

29)

Oligodendrocytes Schwann cells Satellite cells Nodes of Ranvier Ependymal cells

The axon terminals The axons The axon collaterals The neurosomas The dendrites

Which cells form myelin in the spinal cord? A) B) C) D) E)

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Schwann cells Astrocytes Satellite cells Oligodendrocytes Microglia

6


30)

A myelin sheath is composed primarily of __________. A) B) C) D) E)

31)

Conduction of a nerve impulse would be the fastest in which of the following? A) B) C) D) E)

32)

lipids carbohydrates glycoproteins proteins polysaccharides

A large diameter myelinated fiber A small diameter myelinated fiber A large unmyelinated fiber A small unmyelinated fiber A small fiber with multiple Schwann cells

In order to regenerate, a peripheral nerve fiber must have which of the following? A) B) C) D) E)

All dendrites intact At least half the length of the fiber intact At least the entire axon and neurilemma intact The neurosoma and at least some neurilemma intact At least part of the neurosoma intact

33) Which of the following ions has the greatest influence on the resting membrane potential?

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7


A) B) C) D) E)

34)

Where do most local potentials form in a neuron? A) B) C) D) E)

35)

Sodium Chloride Calcium Phosphate Potassium

The dendrites The neurosomas The axon hillock The trigger zone The Schwann cells

In a neuron, the opening of sodium gates typically leads to __________. A) B) C) D) E)

repolarization of the plasma membrane hyperpolarization of the plasma membrane depolarization of the plasma membrane drifting of plasma membrane voltage toward a more negative value plasma membrane voltage returning to the resting membrane potential

36) Which of the following will cause the plasma membrane to hyperpolarize when at its RMP? A) B) C) D) E)

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An inflow of sodium An inflow of potassium An inflow of calcium An inflow of chloride An outflow of chloride

8


37) Local potentials are __________, meaning they vary in magnitude according to the strength of the stimulus. A) B) C) D) E)

38)

An inhibitory local potential causes which of the following? A) B) C) D) E)

39)

Depolarization ofthe plasma membrane Hyperpolarization ofthe plasma membrane Repolarization of the plasma membrane Neutralization ofthe plasma membrane Drifting ofthe membrane potential toward the resting membrane potential

Which of the following is most likey to cause a rapid depolarization? A) B) C) D) E)

40)

stabile graded self-propagating excitatory inhibitory

Opening of chloride channels Opening of sodium channels Opening of potassium channels Inactivation of sodium channels Closing of sodium channels

A neuron receives a stimulus. Which of the following events happens next? A) B) C) D) E)

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A local potential develops Threshold is reached Hyperpolarization of the membrane Repolarization of the membrane A resting membrane potential is established

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41)

In an action potential, which event directly follows repolarization? A) B) C) D) E)

42)

Local potentials are __________, whereas action potentials are __________. A) B) C) D) E)

43)

Threshold is reached Hyperpolarization of the membrane Depolarization of the membrane Hypopolarization of the membrane The resting membrane potential is reinstated

irreversible; reversible self-propagating; local graded; all or none nondecremental; decremental produced by voltage-regulated channels; produced by gated channels

What causes hyperpolarization of a neuronal membrane? A) B) C) D) E)

Sodium ions enter the cell. Sodium ions leave the cell. Potassium ions enter the cell. Potassium leave the cell. Both sodium and potassium ions leave the cell.

44) When the voltage of a plasma membrane shifts from +35 mV toward 0 mV, the cell is __________.

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A) B) C) D) E)

45)

During the absolute refractory period which of the following is true?

A) B) threshold. C) D) stimulus. E)

46)

depolarizing repolarizing hyperpolarizing reaching the threshold exiting the threshold

If a neuron reaches threshold, the action potential goes to completion. The neuron fires at its maximum voltage if a stimulus depolarizes the neuron to The signal grows weaker with distance. It is possible to trigger a new action potential, but only with an unusually strong No stimulus of any strength will trigger a new action potential.

A traveling wave of excitation is known as a(n) __________. A) B) C) D) E)

local potential graded potential action potential nerve signal depolarizing signal

47) What would be the best explanation for why myelinated fibers conduct signals faster than unmyelinated fibers? A) B) C) D) E)

There are no sodium channels in unmyelinated fibers. Myelinated fibers contain more sodium ions. Myelinated fibers have more sodium-potassium pumps in their membranes. Active transport of sodium and potassium is faster in myelinated fibers. Electrical signals spread faster through insulated (myelinated) regions of axon.

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48)

All of the following are typical characteristics of neurotransmitters except __________. A) B) C) D) E)

49)

A cholinergic synapse uses __________as its neurotransmitter. A) B) C) D) E)

50)

they are synthesized by a presynaptic neuron they are released in response to stimulation they are released into the bloodstream before reaching the postsynaptic cell they bind to specific receptors on the postsynaptic cell they alter the physiology of the postsynaptic cell

monoamine acetylcholine epinephrine norepinephrine catecholamine

What is the most common inhibitory neurotransmitter in the brain? A) B) C) D) E)

γ-Aminobutyric acid (GABA) Noradrenaline Epinephrine Acetylcholine Norepinephrine

51) Which of these happens first in a cholinergic synaptic transmission? rev: 11_02_2017_QC_CS-107911

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A) B) C) D) E)

52)

Acetylcholine diffuses across the synaptic cleft. A postsynaptic potential is produced. Sodium enters the postsynaptic cell. The synaptic vesicles release acetylcholine. Acetylcholine binds to ligand-regulated gates.

Which of these happens first in an adrenergic synaptic transmission? A) B) C) D) E)

ATP is converted to cyclic AMP. Adenylate cyclase is activated. G protein dissociates from the NE receptor. G protein binds to adenylate cyclase. Cyclic AMP induces several effects in the cell.

53) Some antidepressant drugs act by inhibiting monoamine oxidase (MAO). What is the function of this enzyme? A) B) C) D) E)

It binds to chloride gates. It breaks down monoamines. It blocks sodium channels. It converts ATP to cyclic AMP. It degrades acetylcholine.

54) Which of these does not contribute to the cessation of the signal in a synaptic transmission? A) B) C) D) E)

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Synaptic vesicles secrete neurotransmitter by exocytosis. Neurotransmitter escapes from the synapse into the nearby extracellular fluid. Neurotransmitters are no longerreleased. The axon terminal reabsorbs some neurotransmitters by endocytosis. Enzymes in the postsynaptic cell break down some neurotransmitters.

13


55)

Which neurotransmitter excites skeletal muscle and inhibits cardiac muscle? A) B) C) D) E)

56)

Inhibitory postsynaptic potentials (IPSPs) are associated with which of the following? A) B) C) D) E)

57)

Depolarization of the cell membrane Repolarization of the cell membrane Hyperpolarization of the cell membrane No change in the cell membrane potential No change of the threshold

The opening of __________ gates produces an __________. A) B) C) D) E)

58)

Norepinephrine Dopamine Histamine Acetylcholine β-Endorphin

chloride; IPSP sodium; IPSP calcium; IPSP potassium; EPSP calcium and sodium; IPSP

Which of these is an example of an EPSP in a typical neuron? A) B) C) D) E)

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A voltage change from 0 mV to +0.35 mV A voltage change from -70 mV to -69.5 mV A voltage change from -69.5 mV to -70 mV A voltage change from +35 mV to 0 mV A voltage change from -70 mV to -70.5 mV

14


59) A neuron can receive thousands of EPSPs from different neurons, and responds by triggering or not triggering an action potential. This addition and response to the net effect of postsynaptic potentials is called __________. A) B) C) D) E)

60)

What is the opposite of presynaptic inhibition? A) B) C) D) E)

61)

temporal summation neural summation spatial summation neuronal coding recruitment

Coding Integration Recruitment Summation Facilitation

What type of neural circuit is best for producing a prolonged output? A) B) C) D) E)

A converging circuit A diverging circuit A reverberating circuit A presynaptic pool An autonomic pool

62) Even though all action potentials are the same, the brain can differentiate a variety of stimuli by source and intensity. The mechanism by which the nervous system converts these action potentials into meaningful information is called neural __________.

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A) B) C) D) E)

recruitment pooling integration facilitation coding

63) Parkinson disease is a progressive loss of motor function due to the degeneration of specific neurons. These neurons secrete an inhibitory neurotransmitter that prevents excessive activity in motor centers of the brain. What neurotransmitter is this? A) B) C) D) E)

Serotonin Dopamine Acetylcholine GABA Glutamate

64) Accumulation of Ca 2+ in the axon terminalis called __________, and probably plays an important role in __________. A) B) C) D) E)

synaptic facilitation; short-term memory neural coding; immediate memory postsynaptic potential; long-term memory neural coding; short-term memory long-term potentiation; long-term memory

65) While both systems maintain homeostasis, how does the nervous system differ from the endocrine system?

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A) The nervous system releases neurotransmitters between cells, while the endocrine system releases hormones into the blood. B) The nervous system releases neurotransmitters into the blood, while the endocrine system releases hormones between cells. C) The nervous system releases hormones between cells, while the endocrine system releases neurotransmitters into the blood. D) The nervous system releases hormones into the blood, while the endocrine system releases neurotransmitters between cells. E) Both systems release hormones between cells, but only the nervous system releases neurotransmitters into the blood.

66)

Which statement about the nervous and endocrine systems is true?

A) Both systems are dedicated to maintaining stable internal conditions by detecting and responding to stimuli. B) The endocrine system helps maintains stable internal conditions, while the nervous system is dedicated to affecting change. C) The nervous system helps maintains stable internal conditions, while the endocrine system is dedicated to affecting change. D) The nervous system monitors internal conditions but cannot alter them. To affect change, it must activate the endocrinesystem. E) The endocrine system monitors internal conditions but cannot alter them. To affect change, it must activate the nervous system.

67)

What property of neurons allows them to respond to changes in the environment? A) B) C) D) E)

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Excitability Conductivity Secretion Permeability Convergence

17


68) If a neuron is prevented from sending a neurotransmitter across a synapse to another cell, which neuron property is being inhibited? A) B) C) D) E)

69)

How does a neuron transport enzymes produced in the neurosomato its axon terminals? A) B) C) D) E)

70)

Along microtubules By diffusion Via cytoplasmic streaming Through co-transport Via exocytosis

Where are unmyelinated nerve fibers surrounded by Schwann cells? A) B) C) D) E)

71)

Secretion Excitability Conductivity Permeability Viability

In the PNS In the CNS In the PNS and CNS Nowhere. Unmyelinated nerve fibers are never surrounded by Schwann cells. In the CNS, but only during early development.

Which of the following is true regarding unmyelinated nerve fibers in the PNS?

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A) A Schwann cell folds its plasma membrane around several fibers. B) A Schwann cells wraps its plasma membrane around each individual fiber as it does with myelinated fibers. C) An oligodendrocyte cells wraps its plasma membrane around each fiber as it does with myelinated fibers. D) Satellite cells cluster around each axon to form a pseudo-myelin sheath. E) Astrocytes send extensions called perivascular feet to wrap each fiber.

72) In PNS nerve fiber regeneration, how is a growing axon directed to its original destination? A) It grows within a regeneration tube. B) The axonal terminals grow toward the neurosoma until the two severed fragments are reunited. C) The axon grows a collateral that is directed by growth factors secreted by the postsynaptic neuron. D) Injured Schwann cells produce a trail of prostaglandins to the original destination. E) Neurons cannot regenerate.

73) If the potassium leak channels were suddenly blocked in a resting neuron, what would happen to its resting membrane potential? A) B) C) D)

It would become more positive. It would become more negative. The RMP would be unaffected. It would hyperpolarize.

74) Place the following events in synaptic transmission at a cholinergic synapse in order: A A postsynaptic potential is produced; B - Voltage-gated calcium channels open and calcium enters the cell; C - ACh is released and diffuses across the axon terminal; D - A nerve signal arrives at an axon terminal; E - Ligand-gated sodium channels open and sodium enters the cell.

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A) B) C) D)

D, B, C, E, A D, B, E, A, C B, C, D, E, A B, D, C, A, E

75) Place the following events of synaptic transmission at an adrenergic synapse in order: A ATP is converted to cAMP B - The cell's metabolism is altered C - G protein binds adenylate cylaseD - The G protein dissociates E - NE binds the receptor A) B) C) D)

E, D, C, A, B E, D, A, C, B D, E, C, A, B D, E, A, C, B

76) The respiratory center gathers information from a variety of sources in order to set the rate and depth of breathing. This is an example of what type of neural circuit? A) B) C) D)

77)

Convergent Divergent Reverberating Parallel after-discharge

{MISSING IMAGE}What type of glial cell is shown here? A) B) C) D) E)

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Schwann cell Oligodendrocyte Astrocyte Satellite cell Ependymal cell

20


78)

This figure shows the three main functional classes of neurons.

Which option below correctly matches the types of neuron to the numeric labels on the figure?

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21


A) B) C) D) E)

79)

1-Afferent neuron, 2-Interneuron, 3-Efferent neuron 1-Efferent neuron, 2-Interneuron, 3-Afferent neuron 1-Interneuron, 2-Afferent neuron, 3-Efferent neuron 1-Afferent neuron, 2-Efferent neuron, 3-Interneuron 1-Efferent neuron, 2-Afferent neuron, 3-Interneuron

The type of summation shown in this diagram is called __________ summation.

A) B) C) D) E)

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Temporal Spatial Divergent Reverberating Parallel

22


80)

The type of summation shown in this diagram is called __________ summation.

A) B) C) D) E)

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Temporal Spatial Divergent Reverberating Parallel

23


81)

What type of neural circuit is shown here?

A) B) C) D) E)

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Converging Post-tetanic Diverging Reverberating Parallel after-discharge

24


82)

What type of neural circuit is shown here?

A) B) C) D) E)

Version 1

Converging Post-tetanic Diverging Reverberating Parallel after-discharge

25


83)

What type of neural circuit is shown here?

A) B) C) D) E)

84)

Converging Post-tetanic Diverging Reverberating Parallel after-discharge

What type of neural circuit is shown here?

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A) B) C) D) E)

Converging Post-tetanic Diverging Reverberating Parallel after-discharge

85) During the relative refractory period, the membrane is hyperpolarized and a larger incoming stimulus is required to trigger an action poential. How does this affect the response properties of a sensory neuron? A) Higher stimulus intensity will increase the rate at which the sensory neuron fires action potentials. B) Lower stimulus intensity will increase the rate at which the sensory neuron fires action potentials. C) Higher stimulus intensity will cause the sensory neuron to fire larger (higher amplitude) action potentials. D) Higher stimulus intensity will cause the sensory neuron to fire smaller (lower amplitude) action potentials. E) Lower stimulus intensity will cause the sensory neuron to fire narrower (shorter duration) action potentials.

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SECTION BREAK. Answer all the part questions. 86)

86.1) A) B) C) D) E)

86.2) A) B) C) D) E)

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What type of cell is labeled 1 in this figure? Astrocyte Microglia Neuron Oligodendrocyte Schwann cell

What type of cell is labeled 2 in this figure? Satellite cell Microglia Ependymal cell Oligodendrocyte Schwann cell

28


86.3) A) B) C) D) E)

86.4) A) B) C) D) E)

86.5) A) B) C) D) E)

Version 1

What type of cell is labeled 3 in this figure? Satellite cell Neuron Ependymal cell Oligodendrocyte Schwann cell

What type of cell is labeled 4 in this figure? Satellite cell Astroctye Ependymal cell Oligodendrocyte Microglia

What type of cell is labeled 5 in this figure? Satellite cell Astroctye Ependymal cell Oligodendrocyte Microglia

29


87)

87.1)

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Name the part of the neuron labeled 1.

30


A) B) C) D) E)

87.2) A) B) C) D) E)

87.3) A) B) C) D) E)

87.4) A) B) C) D) E)

87.5) Version 1

Dendrites Terminal arborization Internodes Axon terminals Initial segments

Name the part of the neuron labeled 2. Soma Nucleus Axolemma Synaptic bulb Anterior compartment

Name the part of the neuron labeled 3. Soma Nucleus Axolemma Synaptic bulb Anterior compartment

Name the part of the axon labeled 4. Node of Ranvier Internode Intitial segment Axon hillock Terminal arborization

Name the parts of the axon labeled 5.

31


A) B) C) D) E)

Nodes of Ranvier Internodes Varicosities Axon hillocks Initial segments

88)

88.1)

Version 1

What is happening during the point on the graph labeled 1?

32


A) The local current arrives at the axon hillock. B) Voltage-gated sodium channels quickly open. C) Voltage-gated sodium channels rapidly inactivate, while voltage-gated potassium channels quickly open. D) The all-or-none point has been reached and an action potential is inevitable. E) This is the peak of the action potential.

88.2)

Why is the membrane hyperpolarized at the point on the graph labeled 6?

A) The membrane is more temporarily more permeable to potassium than to sodium. B) The membrane is temporarily more permeable to sodium than to potassium. C) All voltage-gated channels, both sodium and potassium, are innactivated at this point. D) All voltage-gated channels, both sodium and potassium, are fully open at this point. E) The potassium leak channels are temporarily closed.

88.3)

Why does the voltage peak at the point on the graph labeled 4?

A) Voltage-gated sodium channels innactivate. B) Voltage-gated potassium channels innactivate. C) All voltage-gated channels, both sodium and potassium, are innactivated at this point. D) The ICF is depleted of sodium. E) The ECF is depleted of sodium.

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33


89)

89.1)

Version 1

What is labeled 1 on this figure?

34


A) B) C) D) E)

89.2) A) B) C) D) E)

89.3) A) B) C) D) E)

Version 1

Axon of presynaptic neuron Axon of postsynaptic neuron Axon terminal Initial segment Dendritic spine

What is labeled 2 on this figure? Synaptic vesicle Mitochondrion Synaptic button Neurotransmitter receptor Varicosity

What is labeled 5 on this figure? Synaptic cleft Synaptic terminal Initial segment Internode Node of Ranvier

35


Answer Key Test name: Chap 12_9e 1) FALSE 2) TRUE 3) FALSE 4) TRUE 5) FALSE 6) TRUE 7) FALSE 8) TRUE 9) FALSE 10) FALSE 11) TRUE 12) FALSE 13) TRUE 14) FALSE 15) TRUE 16) C 17) E 18) D 19) C 20) A 21) B 22) E 23) A 24) D 25) B 26) B Version 1

36


27) C 28) E 29) D 30) A 31) A 32) D 33) E 34) A 35) C 36) D 37) B 38) B 39) B 40) A 41) B 42) C 43) D 44) B 45) E 46) D 47) E 48) C 49) B 50) A 51) D 52) C 53) B 54) A 55) D 56) C Version 1

37


57) A 58) B 59) C 60) E 61) C 62) E 63) B 64) A 65) A 66) A 67) A 68) A 69) A 70) A 71) A 72) A 73) A 74) A 75) A 76) A 77) A 78) A 79) A 80) B 81) C 82) A 83) D 84) E 85) A 86) Section Break Version 1

38


86.1) A 86.2) C 86.3) B 86.4) D 86.5) E 87) Section Break 87.1) A 87.2) A 87.3) B 87.4) A 87.5) B 88) Section Break 88.1) A 88.2) A 88.3) A 89) Section Break 89.1) A 89.2) A 89.3) A

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CHAPTER 13 TRUE/FALSE - Write 'T' if the statement is true and 'F' if the statement is false. 1) The spinal cord is vitally important in processing complex information. ⊚ ⊚

true false

2) Each portion of the spinal cord, from which a spinal nerve emerges, is called a "segment" of the cord. ⊚ ⊚

3)

true false

Nerve fibers in a given white matter tract are similar in origin, destination, and function. ⊚ ⊚

true false

4) The cervical and lumbosacral enlargements are wide points in the spinal cord marking the emergence of motor nerves. ⊚ ⊚

true false

5) Ascending signals in the spinal cord travel viagray matter, while descending signals travel viawhite matter. ⊚ ⊚

6)

true false

Voluntary motor signals typically begin in an upper motor neuron in the thalamus. ⊚ ⊚

Version 1

true false

1


7)

A nerve fiber is enclosed in its own fibrous sleeve called perineurium. ⊚ ⊚

8)

A ganglion is a swelling along a nerve containing the cell bodies of peripheral neurons. ⊚ ⊚

9)

true false

true false

Most nerves are motor nerves. ⊚ ⊚

true false

10) The anterior ramus in the thoracic region becomes an intercostal nerve. In other regions, the anterior ramus form spinal plexuses. ⊚ ⊚

11)

A dermatome is a nerve innervating a specific region in the skin. ⊚ ⊚

12)

true false

Somatic reflexes are responses of skeletal, smooth, and cardiac muscles. ⊚ ⊚

13)

true false

true false

A typical reflex contains a sensory neuron attached directly to an effector. ⊚ ⊚

Version 1

true false

2


14)

The stretch reflex is the tendency of a muscle to stretch when it is overcontracted. ⊚ ⊚

true false

15) The tendon reflex is the inhibition of amuscle's contraction that occurs when its tendon is excessively stretched. ⊚ ⊚

true false

16) The crossed extension reflex is the contraction of the extensors on one side of the body when the flexors are contracted on the other side. ⊚ ⊚

17)

A stretch reflex is often accompanied by reciprocal inhibition. ⊚ ⊚

18)

true false

true false

Posterior root ganglia contain neurosomas of unipolar neurons. ⊚ ⊚

true false

MULTIPLE CHOICE - Choose the one alternative that best completes the statement or answers the question. 19) Which of the following is not afunction associated with the spinal cord?

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3


A) Protect neurons in both the ascending and descending tracts B) Mediate a reflex, such as the withdrawal of a hand from pain C) Conduct sensory information up to the brain D) Conduct motor information down the cord E) Coordinate the alternating contraction of several muscle groups associated with locomotion

20) Which of the following sensory functions involves neurons in the posterior root ganglion? A) B) C) D) E)

21)

Which of the following is not considered a region of the spinal cord? A) B) C) D) E)

22)

Smell Hearing Touch Taste Vision

Cervical Thoracic Lumbar Pelvic Sacral

The middle layer of the meninges is called the __________. A) B) C) D) E)

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gray matter white matter dura mater arachnoid mater pia mater

4


23)

Voluntary motor impulses leave the spinal cord via the _________ of gray matter. A) B) C) D) E)

24)

anterior horn posterior horn anterior funiculus posterior funiculus lateral horn

Cerebrospinal fluid fills the space between the __________. A) B) C) D) E)

dural sheath and dura mater dural sheath and vertebral bones dura mater and arachnoid mater arachnoid mater and pia mater dura mater and pia mater

25) The bundle of nerve roots that occupy the vertebral canal from L2 to S5 is called the __________. A) B) C) D) E)

26)

medullary cone cauda equina lumbosacral enlargement cervical enlargement spinal cord

Interneurons are located in the __________.

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5


A) B) C) D) E)

27)

spinal cord skin sensory receptors effector organs ganglia

Which of the following fractures would be the least likely to cause a spinal cord injury? A) B) C) D) E)

A fracture of vertebra C2 A fracture of vertebra C6 A fracture of vertebra T5 A fracture of vertebra T12 A fracture of vertebra L4

28) Epidural anesthesia is introduced to the epidural space between the __________to block pain signals during pregnancy. A) B) C) D) E)

29)

dural sheath and dura mater dural sheath and vertebral bones dura mater and arachnoid mater arachnoid mater and pia mater dura mater and pia mater

Which of the following structures is the richest in lipid content? A) B) C) D) E)

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Gray matter White matter Arachnoid mater Dura mater Pia mater

6


30)

Which of the following is contained within gray matter? A) B) C) D) E)

Glial cells, axons of motor neurons, and Schwann cells Glial cells and myelinated fibers Neurosomas, dendrites, and proximal parts of axons of neurons The distal part of axons of lower order motor neurons Glial cells only

31) The upper motor neurons that control skeletal muscles begin with a neurosomain the __________. A) B) C) D) E)

32)

Many upper motor neurons synapse with lower motor neurons in the ___________. A) B) C) D) E)

33)

posterior horn of the spinal cord anterior horn of the spinal cord motor association cortex of the cerebrum postcentral gyrus of the cerebrum precentral gyrus of the cerebrum

posterior horn anterior horn posterior funiculus anterior funiculus posterior root ganglion

Motor commands are carried by __________from the brain along the spinal cord. A) B) C) D) E)

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both anterior and posterior roots ascending tracts spinal nerves cranial nerves descending tracts

7


34)

Second-order neurons synapse with third-order neurons in the __________. A) B) C) D) E)

35)

thalamus dorsal root ganglion spinal cord cerebral cortex medulla oblongata

Which of the followingis an ascending tract of the spinal cord? A) B) C) D) E)

Lateral tectospinal tract Medial reticulospinal tract Ventral corticospinal tract Vestibulospinal tract Gracile fasciculus

36) The signals that control your handwriting travel down the spinal cord in the _________ tracts. A) B) C) D) E)

37)

tectospinal corticospinal lateral vestibulospinal medial vestibulospinal spinocerebellar

Nerve fibers areinsulated from one another by __________.

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A) B) C) D) E)

38)

Eyes and ears are innervated by _________ fibers. A) B) C) D) E)

39)

white visceral somatic special general

A ganglion is a _________. A) B) C) D) E)

40)

perineurium endoneurium fascicles epineurium blood vessels

bundle of axons in the CNS cluster of dendrites in either the CNS or the PNS cluster of neurosomas in the PNS bundle of axons in the PNS cluster of neurosomas in the CNS

The connective tissue that surrounds a nerve fascicle is called the __________. A) B) C) D) E)

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myelin perimysium epineurium endoneurium perineurium

9


41) Which of the following branches of a spinal nerve has the neurosomasof only sensory neurons? A) B) C) D) E)

42)

Neurosomas of the anterior root are located in the __________. A) B) C) D) E)

43)

gray matter posterior root ganglion white matter anterior rootlets anterior root ganglion

A mixed nerve consists of both __________ and ___________. A) B) C) D) E)

44)

Posterior (dorsal) root Anterior (ventral) root Posterior ramus Anterior ramus Meningeal branch

myelinated; unmyelinated fibers glial cells; nerve cells afferent; efferent fibers interneurons; efferentneurons spinal; cranial fibers

"Somatosensory" does not refer tosensory signals from __________. A) B) C) D) E)

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bones and muscles joints proprioceptors the viscera the skin

10


45)

A __________ is a cordlike organ composed of numerous __________. A) B) C) D) E)

46)

Which of the following is not a distal branch of the spinal nerve? A) B) C) D) E)

47)

nerve fiber; nerves nerve fiber; axons nerve; axons nerve fiber; neurosomas nerve; neurosomas

Anterior ramus Posterior ramus Posterior root Meningeal branch Communicating rami

Which structures are highlighted in the picture below (reference leader lines).

McGraw-Hill Education

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A) B) C) D) E)

48)

Ventral rootlets Dorsal root ganglia Ventral rami Dorsal roots Dorsal rami

Which spinal nerve branches are highlighted (reference leader lines).

McGraw-Hill Education A) B) C) D) E)

49)

Ventral rootlets Dorsal root ganglia Dorsal roots Ventral rami Dorsal rami

Sensory stimuli enter the spinal cord via __________.

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A) B) C) D) E)

50)

afferent axons efferent axons interneurons sensory receptors efferent effectors

Which of the following is comprised of anterior rami from C5-T1? A) B) C) D) E)

Cervical plexus Brachial plexus Coccygeal plexus Sacral plexus Lumbar plexus

51) The anterior rami of the spinal nerves form nerve plexuses in all regions except the _________ region(s). A) B) C) D) E)

52)

thoracic cervical lumbar sacral lumbar and sacral

The cervical plexus isthe origin of the __________ nerve(s). A) B) C) D) E)

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oculomotor sciatic musculocutaneous radial phrenic

13


53)

Which of the following nerves originates in the lumbosacral plexus? A) B) C) D) E)

Axillary Sciatic Phrenic Ilioinguinal Obturator

54) A patient with no sensation in the left thumb would most likleyhave nerve damage of the __________spinal nerve. A) B) C) D) E)

55)

Which of the following is not a property of reflexes? A) B) C) D) E)

56)

T1 T5 C5 C6 L3

Reflex responses are very predictable. Reflexes are responses to sensory inputs. Reflexes are quick responses of the nervous system. Reflexes are not voluntary. Reflexes do not require a stimulus.

Which one of the following best describes the order of a somatic reflex?

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A) Somatic receptor → interneuron → afferent nerve fiber → efferent nerve fiber → skeletal muscle B) Somatic receptor → efferent nerve fiber → interneuron → afferent nerve fiber → skeletal muscle C) Somatic receptor → afferent nerve fiber → interneuron → efferent nerve fiber → skeletal muscle D) Somatic receptor → efferent nerve fiber → afferent nerve fiber → interneuron → skeletal muscle E) Somatic receptor → afferent nerve fiber → interneuron → efferent nerve fiber → smooth muscle

57)

A simple spinal reflex typically involves how many neurons? A) B) C) D) E)

3 2 4 1 5

58) A nurse pricks your finger to type your blood. You flinch at the pain, pulling your hand back. This is called the __________ reflex. A) B) C) D) E)

59)

painful stretch flexor (withdrawal) tendon crossed extension

The sensitivity of the muscle spindle is maintained by __________.

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A) B) C) D) E)

a stretch reflex alpha motor neurons gamma motor neurons anulospiral endings secondary afferent (group II) fibers

60) The fibers that carry theaction potentials that cause skeletal muscle to contract are __________. A) B) C) D) E)

gamma motor neurons anulospiral endings intrafusal fibers extrafusal fibers alpha motor neurons

61) A reflex in which the sensory input and motor output are on opposite sides of the spinal cord is called __________. A) B) C) D) E)

62)

intersegmental contralateral ipsilateral polysynaptic monosynaptic

Which of the following is true regarding the tendon reflex? A) B) C) D) E)

Version 1

It causes a muscle that is being stretched to contract. It makes the contralateral motor neurons contract. It makes the ipsilateral motor neurons relax. It prevents overcontraction of a muscle. It causes a tendon to contract.

16


63)

Tendon organs are __________. A) B) C) D) E)

64)

chemoreceptors visceral receptors proprioceptors pain receptors nociceptors

Reflex arcs that only use two neurons are called____________ reflex arcs. A) B) C) D) E)

ipsilateral contralateral polysynaptic monosynaptic autonomic

65) The flexor (withdrawal) reflex employs a ___________, which maintains a sustained contraction. A) B) C) D) E)

66)

parallel after-discharge circuit diverging circuit converging circuit closed circuit reverberating circuit

Which of the following groups of muscles has the most muscle spindles?

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17


A) B) C) D) E)

Muscles of the hand Muscles of the back Muscles of the thigh Muscles of the middle-ear Muscles of the torso

67) If a bee sting on the right thigh causes a quick involuntary reaction of the right arm, this would be an example of a(n) __________ reflex. A) B) C) D) E)

bilateral intersegmental withdrawal crossed extensor contralateral

68) You go to the movies after a long day and you begin to nod off as soon as the movie starts. Your head starts to lower a little, but a reflex causes your head to rise. This is called the __________ reflex. A) B) C) D) E)

tendon crossed extension withdrawal stretch (myotatic) flexor (withdrawal)

69) In the patellar tendon reflex arc, the patellar ligament is stretched, which stretches the quadriceps femoris muscle of the thigh. This reflex will cause the quadriceps femoris to __________ and the hamstrings to __________.

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A) B) C) D) E)

70)

contract; relax contract;contract relax; contract relax; relax relax then contract; contract then relax

Which reflex shows the least synaptic delay? A) B) C) D) E)

A polysynaptic reflex The cross extension reflex Thewithdrawal reflex The flexor reflex The tendon reflex

71) The structure found between the posterior rootlets and the posterior root ganglion is called the __________. A) B) C) D) E)

72)

anterior horn anterior root of a spinal nerve posterior root of a spinal nerve posterior horn spinal nerve

There are __________ pairs of spinal nerves. A) B) C) D) E)

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12 24 31 35 62

19


SECTION BREAK. Answer all the part questions.

73)

73.1) A) B) C) D) E)

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Where do the nerves that innervate the lower limbs go in/out of the spinal cord? A B C D E

20


73.2) A) B) C) D) E)

73.3) A) B) C) D) E)

What is the name of the structure at D? Cauda equina Terminal filum Medullary cone Dural sheath Lumbosacral enlargment

What is the name of the structure at E? Cauda equina Terminal filum Medullary cone Dural sheath Lumbosacral enlargment

74)

74.1)

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In which space(s) is(are) CSF found?

21


A) B) C) D) E)

C and E A and C A and E C only A only

74.2) A) B) C) D) E)

Where is an epidural injection administered? A B C D E

74.3) A) B) C) D) E)

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Where is a spinal tap taken? C A B D E

22


75)

75.1) A) B) C) D) E)

Which connective tissue layer is the epineurium? A B C D E

75.2) A) B) C) D) E)

75.3)

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Which connective tissue layer surrounds a fascicle? A B C D E

Which connective tissue layer surrounds a fiber?

23


A) B) C) D) E)

A B C D E

76)

76.1)

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The plexuses form from which of these structures?

24


A) B) C) D) E)

A B C D E

76.2) A) B) C) D) E)

Which structure carries only sensory information? A B C D E

76.3) A) B) C) D) E)

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Which structure(s) is(are) only found in the autonomic nervous system? A B C D E

25


77)

77.1) A) B) C) D) E)

77.2) A) B) C) D) E)

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Which reflex is pictured here? Patellar tendon Crossed extension Babinski Golgi tendon Withdrawal

Which of the following accurately describes the reflex pictured here? Polysynaptic Contralateral Autonomic Acquired Cranial

26


77.3) Looking at the muscles at B and G, which are being stimulated to contract and which are being inhibited from contracting? A) The muscles at B are being stimulated to contract; the muscles at G are being inhibited from contracting. B) The muscles at G are being stimulated to contract; the muscles at B are being inhibited from contracting. C) The muscles at both B and G are being stimulated to contract. D) The muscles at both B and G are being inhibited from contracting. E) The muscles at B are being stimulated to contract; the muscles at G are not being stimulated at all.

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Answer Key Test name: Chap 13_9e 1) FALSE 2) TRUE 3) TRUE 4) FALSE 5) FALSE 6) FALSE 7) FALSE 8) TRUE 9) FALSE 10) TRUE 11) FALSE 12) FALSE 13) FALSE 14) FALSE 15) TRUE 16) TRUE 17) TRUE 18) TRUE 19) A 20) C 21) D 22) D 23) A 24) D 25) B 26) A Version 1

28


27) E 28) B 29) B 30) C 31) E 32) B 33) E 34) A 35) E 36) B 37) B 38) D 39) C 40) E 41) A 42) A 43) C 44) D 45) C 46) C 47) E 48) D 49) A 50) B 51) A 52) E 53) B 54) D 55) E 56) C Version 1

29


57) A 58) C 59) C 60) E 61) B 62) D 63) C 64) D 65) A 66) A 67) B 68) D 69) A 70) E 71) C 72) C 73) Section Break 73.1) C 73.2) A 73.3) B 74) Section Break 74.1) A 74.2) A 74.3) A 75) Section Break 75.1) A 75.2) B 75.3) D 76) Section Break 76.1) A Version 1

30


76.2) C 76.3) E 77) Section Break 77.1) A 77.2) A 77.3) A

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CHAPTER 14 TRUE/FALSE - Write 'T' if the statement is true and 'F' if the statement is false. 1) Both cerebrum and cerebellum have gray matter in their surface cortex and deeper nuclei, and white matter deep to the cortex. ⊚ ⊚

2)

The cerebrum exhibits folds called gyri separated by grooves called sulci. ⊚ ⊚

3)

true false

true false

The epidural space is filled with cerebrospinal fluid (CSF). ⊚ ⊚

true false

4) The blood-brain barrier (BBB) helps prevent hemorrhages in the nervous tissue of the brain. ⊚ ⊚

true false

5) The blood-CSF barrier is composed of dense regular connective tissue lining the ventricles. ⊚ ⊚

6)

true false

Purkinje cells are unusually large neurons found in the cerebellum. ⊚ ⊚

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true false

1


7)

The cerebellum is the largest part of the brain. ⊚ ⊚

8)

The medulla oblongata is the most rostral part of the brain. ⊚ ⊚

9)

true false

true false

The forebrain consists of the cerebrum and the diencephalon. ⊚ ⊚

true false

10) Structures in the midbrain control homeostasis and relay sensory signals to specific regions of the cerebral cortex. ⊚ ⊚

true false

11) The amygdala, hippocampus, and hypothalamus are involved in such feelings as love, anger, fear, pleasure, and pain. ⊚ ⊚

12)

The Wernicke area recognizes spoken and written language. ⊚ ⊚

13)

true false

true false

The vision association area resides primarily in the temporal lobe. ⊚ ⊚

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true false

2


14) All cranial nerves lead to structures only in the head and neck. rev: 09_20_2017_QC_CS-101497 ⊚ ⊚

15)

true false

There are three cranial nerves involved in eye movement and two in the sense of taste. ⊚ ⊚

true false

16) People with lesions in the structure shown here may have difficulty with rhythmic fingertapping tasks.

⊚ ⊚

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true false

3


MULTIPLE CHOICE - Choose the one alternative that best completes the statement or answers the question. 17) What is the most caudal component of the brainstem? A) B) C) D) E)

18)

The right and left cerebral hemispheres are separated from each other by __________. A) B) C) D) E)

19)

Pons Medulla oblongata Midbrain Cerebellum Diecephalon

many sulci many gyri the brainstem the longitudinal fissure the corpus callosum

The cerebellum is __________ to the cerebrum. A) B) C) D) E)

superficial deep caudal rostral medial

20) The gray matter of the cerebrum forms a surface layer called the __________ and deeper masses called __________ surrounded by white matter.

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4


A) B) C) D) E)

21)

The pons and cerebellum arise fromwhich secondary embryonic vesicle? A) B) C) D) E)

22)

Pons Midbrain Cerebellum Medulla oblongata Hypothalamus

Where is the third ventricle located? A) B) C) D) E)

24)

Telencephalon Diencephalon Mesencephalon Metencephalon Myelencephalon

Which of the following structures appears as a large bulge just rostral to the medulla? A) B) C) D) E)

23)

nuclei; tracts cortex; nuclei cortex; medulla medulla; midbrain medulla; nerves

Diencephalon Midbrain Pons Medulla oblongata Cerebrum

From superficial to deep, the meninges occur in which order?

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5


A) B) C) D) E)

25)

Dura mater, pia mater, arachnoid Dura mater, arachnoid, pia mater Pia mater, dura mater, arachnoid Pia mater, arachnoid, dura mater Arachnoid, pia mater, dura mater

Which of the following is not a function of CSF? A) B) C) D) E)

To regulate the chemical environment of the nervous tissue To rinse metabolic wastes from the nervous tissue To provide oxygen and nutrients to the nervous tissue To protect the brain from striking the cranium when the head is jolted To allow the brain to attain considerable size without being impaired by its own

weight

26) Cerebrospinal fluid is secreted by choroid plexusesin the ventricles and reabsorbed by arachnoid granulations in the __________. A) B) C) D) E)

27)

superior sagittal sinus reticular formation central canal of the spinal cord tegmentum substantia nigra

The blood-brain barrier (BBB) is most permeable to which of the following? A) B) C) D) E)

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Platelets, white blood cells, and red blood cells Sodium, potassium, and chloride Urea and creatinine Glucose and oxygen Antibiotics

6


28)

Which structures create the blood brain barrier (BBB)?

A) Gap junctions between endothelial cells that form the capillary walls B) Tight junctions between endothelial cells that form the capillary walls C) Gap and tight junctions between astrocytes and endothelial cells that form the capillary walls D) Desmosomes and tight junctions between astrocytes and ependymal cells that form the capillary walls E) Gap junctions between ependymal cells and endothelial cells that form the capillary walls

29) A patient is experiencing a high fever, stiff neck, drowsiness, and intense headaches. A spinal tap showed bacteria and white blood cells in the cerebrospinal fluid (CSF). This individual most likely has what condition? A) B) C) D) E)

30)

The medulla oblongata originates from which structure? A) B) C) D) E)

31)

Parkinson disease Alzheimer disease Meningitis Hydrocephalus A stroke

Telencephalon Diencephalon Mesencephalon Metencephalon Myelencephalon

Where are thecardiac, vasomotor, and respiratory centers found?

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7


A) B) C) D) E)

Medulla oblongata Pons Midbrain Spinal cord Diencephalon

32) The __________ function(s) in visual attention, such as to look and follow the flight of a butterfly. A) B) C) D) E)

inferior colliculi superior colliculi tegmentum red nucleus substantia nigra

33) Degeneration of the neurons in which of the following structures leads to the muscle tremors associated withParkinson disease? A) B) C) D) E)

34)

Cerebral crus Tegmentum Pons Substantia nigra Inferior colliculi

The reticular formation is a web of __________ scattered throughout the __________. A) B) C) D) E)

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nerves; white matter in the cerebrum white matter; cerebellum gray matter; brainstem gray matter; cerebrum neurosomas; hypothalamus

8


35)

What is the largest part of the hindbrain? A) B) C) D) E)

Cerebellum Cerebrum Brainstem Pons Hypothalamus

36) Loss of equilibrium and motor coordination would most likely be related to a lesion in which structure? A) B) C) D) E)

37)

In which structure is the arbor vitae found? A) B) C) D) E)

38)

Limbic system Pons Pituitary gland Medulla oblongata Cerebellum

Left cerebral hemisphere Tegmentum in the midbrain Cerebellum Reticular formation Diencephalon

There are no cranial nerves associated with which part of the brain?

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9


A) B) C) D) E)

39)

Thalamus Medulla oblongata Midbrain Cerebellum Pons

Which of the following is not associated with the pons? A) B) C) D) E)

Sensory information from the middle region of the face Sensory information from the inferior region of the face Sensory information from the superior region of the face Lateral eye movements Neck movement

40) The thalamus, hypothalamus, and epithalamus are derivatives of which embryonic structure? A) B) C) D) E)

Telencephalon Diencephalon Mesencephalon Metencephalon Myelencephalon

41) Nearly all the somatosensory input to the cerebrum passes by way of synapses in which region of the brain? A) B) C) D) E)

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Thalamus Hypothalamus Epithalamus Cerebellum Reticular formation

10


42) Sex drive, body temperature, and food and water intake are regulated by which part of the brain? A) B) C) D) E)

Limbic system Thalamus Pineal gland Hypothalamus Pituitary gland

43) A lesion in which structure would cause a person to have an erratic waking/sleeping cycle? A) B) C) D) E)

44)

Satiety center Mammillary nucleus Suprachiasmatic nucleus Pituitary gland Medial geniculate nucleus

The pineal gland is part of which larger region of the brain? A) B) C) D) E)

Thalamus Hypothalamus Occipital lobe Midbrain Epithalamus

45) Planning, motivation, and social judgment are functions of the brain associated with which part of the cerebrum?

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11


A) B) C) D) E)

46)

Frontal lobe Parietal lobe Occipital lobe Insula Temporal lobe

Which of the following is correct regarding the occipital lobe? A) B) C) D) E)

It is chiefly concerned with mood, memory, and emotions. It is the principal visual center of the brain. It is the primary site for receiving and interpreting signals from the general senses. It is concerned with voluntary motor functions. It is likely to play a role in understanding spoken language.

47) Which lobe is deep to the lateral sulcus and can only be seen by removing some of the overlying cerebrum? A) B) C) D) E)

48)

Frontal lobe Occipital lobe Parietal lobe Temporal lobe Insula

The great majority of which tracts pass through the corpus callosum? A) B) C) D) E)

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Ascending Descending Projection Commissural Association

12


49)

Most gray matter of the cerebrum is located in which region? A) B) C) D) E)

50)

Reticular formation Neocortex Limbic system Basal nuclei Substantia nigra

Where are the hippocampus and amygdala found? A) B) C) D) E)

Medulla oblongata Basal nuclei Limbic system Midbrain Cerebral cortex

51) A predominance of which waves in an electroencephalogram (EEG) might indicate that a person is physically and mentally relaxed? A) B) C) D) E)

52)

Alpha Beta Theta Delta Gamma

Which of the following occurs during rapid eye movement (REM) sleep?

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13


A) The muscles relax, and body temperature, blood pressure, heart rate,and respiratory rate fall. B) The muscles are very relaxed and body temperature, blood pressure, and heart rate,and respiratory rate are at their lowest levels. C) The muscles are paralyzed, and body temperature, blood pressure, and heart rateand respiratory rate increase. D) A person falls into light sleep. E) A person begins to relax and feels drowsy.

53) The __________ association area is responsible for perceiving and attending to stimuli, and the __________ association area is responsible for identifying them. A) B) C) D) E)

temporal; parietal temporal; occipital frontal; occipital parietal; temporal occipital; frontal

54) Short-term memory is associated with the __________, whereas long-term memory is associated with the __________. A) B) C) D) E)

55)

cerebral cortex; hippocampus hippocampus; cerebral cortex cerebral cortex; amygdala amygdala; hippocampus hippocampus; midbrain

Destruction of the amygdala would mostly affect which of the following?

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14


A) B) C) D) E)

56)

Which body region is controlled by the largest area of the motor cortex? A) B) C) D) E)

57)

Memory Awareness of objects Recognition and identification of objects Expression of emotional feelings Cognition

Shoulder Fingers Toes Trunk Neck

The pyramidal cells of the precentral gyrus are called __________ neurons. A) B) C) D) E)

stellate third-order first-order upper motor lower motor

58) Nonfluent aphasia, due to a lesion in the __________, results in slow speech, difficulty in choosing words, or use of words that only approximate the correct word. A) B) C) D) E)

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primary motor area cerebral lateralization Broca area Wernicke area primary auditory area

15


59)

__________ show more lateralization than __________. A) B) C) D) E)

Adult males; adult females Young children; adults Young children; elders Adult females; adult males Young male children; adult males

60) Which of the following functions would most likely be controlled by the representational hemisphere of the cerebrum? A) B) C) D) E)

Answering this question Diagnosing a patient's disease Balancing your checkbook Giving a speech Painting a picture

61) After a stroke, a patient complains about lack of sensitivity in her right hand. The stroke most likely affected which part of the brain? A) B) C) D) E)

62)

Precentral gyrus in the right frontal lobe Postcentral gyrus in the left parietal lobe Precentral gyrus in the left frontal lobe Postcentral gyrus in the right temporal lobe Postcentral gyrus in the left frontal lobe

Which of the following is not a motor cranial nerve?

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16


A) B) C) D) E)

Trochlear nerve (IV) Abducens nerve (VI) Hypoglossal nerve (XII) Vestibulocochlear nerve (VIII) Accessory nerve (XI)

63) What is the largest of the cranial nerves and the most important sensory nerve of the face? A) B) C) D) E)

Accessory nerve (XI) Facial nerve (VII) Trigeminal nerve (V) Hypoglossal nerve (XII) Abducens nerve (VI)

64) Which cranial nerve innervates most of the viscera in the thoracic and abdominopelvic cavities? A) B) C) D) E)

65)

Hypoglossal nerve (XII) Accessory nerve (XI) Trochlear nerve (IV) Abducens nerve (VI) Vagus nerve (X)

Which cranial nerve pathway would be used to look cross-eyed at the tip of your nose? A) B) C) D) E)

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Trochlear nerve (IV) Oculomotor nerve (III) Abducens nerve (VI) Facial nerve (VII) Vagus nerve (X)

17


66)

Which of the following structures does not contain CSF? A) B) C) D) E)

67)

Dural sinus Lateral ventricle Central canal Subarachnoid space Cerebral aquaduct

Injury to the reticular formation can result in which of the following? A) B) C) D) E)

Irreversible coma Hypertension Parkinson disease Alzheimer disease Type 2 diabetes mellitus

68) If the cerebrum was no longer able to communicate with the midbrain, what type of tract would you suspect has been damaged? A) B) C) D) E)

69)

Projection Association Commissural Ascending Spinal

In the cerebral cortex, which cells process information on a local level?

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18


A) B) C) D) E)

70)

Why is 90% of the cerebral cortex referred to as the neocortex? A) B) C) D) E)

71)

Stellate Pyramidal Purkinje Ependymal Dendritic

It developed recently evolutionarily when mammals diversified. It is only found in humans. It is last to develop in the fetus and is thus the youngest part of the brain. It has the ability to regenerate the outermost three of its six layers. It continues to develop throughout adulthood.

The neocortex contains which of the following cells? A) B) C) D) E)

Pyramidal and stellate cells Pyramidal and Purkinje cells Purkinje and stellate cells Pyramidal and Schwann cells Purkinje and Schwann cells

72) What type of brain wave is dominant when a person is awake and resting with closed eyes? A) B) C) D) E)

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Delta waves Beta waves Alpha waves Theta waves Sigma waves

19


73) Exhausted from studying all night, you briefly close your eyes and your mind starts to wander. Which brain waves would be most predominant in an EEG? A) B) C) D) E)

74)

Alpha Beta Delta Theta Sigma

Which of the following cranial nerves is mispaired? A) B) C) D) E)

Abducens - VI Trochlear - IV Facial - VII Accessory - XI Optic - I

75) Your dentist gives you an injection of anesthetic in preparation for a filling. Which cranial nerve did they target? A) B) C) D) E)

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V VII IX XII XI

20


76)

McGraw-Hill EducationWhichclinical test could be used to evaluate the function of this cranial nerve?

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21


A) Test subject's ability to protrude tongue against resistance B) Ask subject to rotate head and shrug shoulders against resistance C) Test subject's ability to taste substances such as sugar, salt, vinegar, and quinine on anterior two-thirds of tongue D) Inspect subject's retina with ophthalmoscope E) Determine whether subject can smell aromatic substances such as coffee, vanilla, or clove oil

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22


77)

McGraw-Hill EducationWhich clinical test could be used to evaluate the function of this nerve?

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23


A) Test subject's ability to taste bitter and sour substances applied to the posterior onethird of tongue B) Test subject's ability to smile, frown, raise eyebrows, and whistle C) Test subject's ability to taste substances such as sugar, salt, and vinegar applied to the anterior two-thirds of tongue D) Note deviations of tongue as subject protrudes and retracts it E) Assess motor functions by palpating masseter and temporalis while subject clenches teeth

78) %media:crnocunercra-oculomotornerve-cniii_jpg.ext%McGraw-Hill EducationWhich clinical test could be used to evaluate the function of this nerve? A) Look for differences in size and shape of right and left pupils B) Ask subject to tilt the head toward one shoulder and determine whether affected eye shows upward deviation C) Test subject's corneal reflex (blinking in response to light touch to eyeball) D) Test subject's ability to move eyes laterally E) Test subject's peripheral vision and visual acuity

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24


79)

McGraw-Hill EducationWhich clinical test could be used to evaluate the function of this cranial nerve?

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25


A) Test subject's ability to make facial expressions such as smiling, frowning, raising eyebrows, etc B) Test subject's gag reflex and ability to swallow C) Test subject's ability to rotate head and shrug shoulders against resistance D) Test subject's ability to feel pinpricks and hot and cold objects applied to the face E) Test subject's ability to track moving objects

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26


80)

McGraw-Hill EducationDamage to this cranial nerve could result in which symptom? A) B) C) D) E)

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Impaired swallowing and gastrointestinal motility Inability to control facial muscles Distorted sense of taste Blindness in part or all of visual field Double vision and impaired ability to look downward

27


81)

This cranial nerve is shown entering the cranium through which of the following? A) B) C) D) E)

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Internal accoustic meatus External acoustic meatus Jugular foramen Foramen ovale Cribriform foramina

28


82) The masses of cerebral gray matter shown in this diagram play an important role in which of the following? A) B) C) D) E)

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Motor control Emotional control Vision Memory Understanding language

29


83) what is the function of this cranial nerve? A) B) C) D) E)

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Based on this picture,

Lateral eye movement Pupillary constriction Inward rotation of the eye Vision Medial eye movement

30


84)

What is the function of the indicated brain region?

A) B) C) D) E)

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Production of speech Understanding written language Hearing Memory consolidation Emotional control

31


85)

What is the function of the indicated brain region?

A) B) C) D) E)

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Production of speech Understanding written language Hearing Memory consolidation Emotional control

32


SECTION BREAK. Answer all the part questions.

86)

86.1) A) B) C) D) E)

86.2) A) B) C) D) E)

Version 1

Name the embryonic brain vesicle labeled 1 in this diagram. Telencephalon Diencephalon Metencephalon Myelencephalon Mesencephalon

Name the embryonic brain vesicle labeled 2 in this diagram. Telencephalon Diencephalon Metencephalon Myelencephalon Mesencephalon

33


86.3) A) B) C) D) E)

86.4) A) B) C) D) E)

86.5) A) B) C) D) E)

Version 1

Name the embryonic brain vesicle labeled 3 in this diagram. Telencephalon Diencephalon Metencephalon Myelencephalon Mesencephalon

Name the embryonic brain vesicle labeled 4 in this diagram. Telencephalon Diencephalon Metencephalon Myelencephalon Mesencephalon

Name the embryonic brain vesicle labeled 5 in this diagram. Telencephalon Diencephalon Metencephalon Myelencephalon Mesencephalon

34


87)

87.1) A) B) C) D) E)

87.2) A) B) C) D) E)

87.3)

Version 1

What type of tract is labeled 1 in this diagram? Association tract Projection tract Commissural tract Ventricular tract Spinal tract

What type of tract is labeled 2 in this diagram? Association tract Projection tract Commissural tract Ventricular tract Spinal tract

What type of tract is labeled 3 in this diagram?

35


A) B) C) D) E)

Version 1

Association tract Projection tract Commissural tract Ventricular tract Spinal tract

36


Answer Key Test name: Chap 14_9e 1) TRUE 2) TRUE 3) FALSE 4) FALSE 5) FALSE 6) TRUE 7) FALSE 8) FALSE 9) TRUE 10) FALSE 11) TRUE 12) TRUE 13) FALSE 14) FALSE 15) FALSE 16) TRUE 17) B 18) D 19) C 20) B 21) D 22) A 23) A 24) B 25) C 26) A Version 1

37


27) D 28) B 29) C 30) E 31) A 32) B 33) D 34) C 35) A 36) E 37) C 38) D 39) E 40) B 41) A 42) D 43) C 44) E 45) A 46) B 47) E 48) D 49) B 50) C 51) A 52) C 53) D 54) B 55) D 56) B Version 1

38


57) D 58) C 59) A 60) E 61) B 62) D 63) C 64) E 65) A 66) A 67) A 68) A 69) A 70) A 71) A 72) C 73) A 74) E 75) A 76) A 77) A 78) A 79) A 80) A 81) A 82) A 83) A 84) A 85) B 86) Section Break Version 1

39


86.1) A 86.2) B 86.3) E 86.4) C 86.5) D 87) Section Break 87.1) A 87.2) C 87.3) B

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40


CHAPTER 15 TRUE/FALSE - Write 'T' if the statement is true and 'F' if the statement is false. 1) The autonomic nervous system carries out many somatic reflexes that are crucial to homeostasis. ⊚ ⊚

true false

2) The autonomic nervous system is composed of ganglia in the central nervous system and ganglia in the periphery. ⊚ ⊚

3)

true false

Most autonomic efferent pathways involve one neuron. ⊚ ⊚

true false

4) Under normal circumstances, both divisions of the autonomic nervous system are active simultaneously. ⊚ ⊚

5)

The parasympathetic division stimulates digestion. ⊚ ⊚

6)

true false

true false

Most preganglionic fibers synapse with postganglionic fibers in the dorsal root ganglia. ⊚ ⊚

Version 1

true false

1


7) All preganglionic fibers of the ANS pass through the sympathetic chain of ganglia, synapsing at least once there. ⊚ ⊚

8)

Fibers of the vagus nerve end very near or withintheir target organs. ⊚ ⊚

9)

true false

true false

The adrenal medulla is a modified sympathetic ganglion. ⊚ ⊚

true false

10) The enteric nervous system controls the digestive system with no extrinsic control necessary. ⊚ ⊚

true false

11) The autonomic effect on a target cell depends only on the neurotransmitter reaching that target cell. ⊚ ⊚

12)

All sympathetic postganglionic adrenergic fibers secrete adrenaline. ⊚ ⊚

13)

true false

true false

Acetylcholine (ACh) binds to both muscarinic and nicotinic receptors. ⊚ ⊚

Version 1

true false 2


14)

Acetylcholine (ACh) always has an excitatory effect. ⊚ ⊚

true false

15) Binding of norepinephrine (NE) to an alpha-adrenergic receptor is usually excitatory, and binding to a beta-adrenergic receptor is usually inhibitory. ⊚ ⊚

true false

16) Vasomotor tone is controlled by using the sympathetic division for vasodilation and the parasympathetic division for vasoconstriction. ⊚ ⊚

17)

All autonomic output originates in the central nervous system. ⊚ ⊚

18)

true false

true false

The limbic system is the bridge between our emotions and autonomic responses. ⊚ ⊚

true false

19) If the spinal cord is severed from the brain, cranial reflexes take control of urination and defecation. ⊚ ⊚

Version 1

true false

3


MULTIPLE CHOICE - Choose the one alternative that best completes the statement or answers the question. 20) The autonomic nervous system controls all of the following except the __________. A) B) C) D) E)

adrenal gland smooth muscle in the walls of the aorta cardiac muscle in the right atrium skeletal muscle in the rectus abdominis parotid salivary gland

21) Autonomic nervous system fibers are involved in all of the following except __________. A) B) C) D) E)

22)

changing the diameter of the pupil adjusting heart rate and force altering salivary mucus secretion regulating gastrointestinal motility maintaining tonicity of the muscles of the neck

Which one of the following best describes the order of a visceral reflex? A)

Sensory receptor → interneuron → afferent nerve fiber → efferent nerve fiber →

B)

Sensory receptor → efferent nerve fiber → interneuron → afferent nerve fiber →

C)

Sensory receptor → afferent nerve fiber → interneuron → efferent nerve fiber →

D)

Sensory receptor → efferent nerve fiber → afferent nerve fiber → interneuron →

E)

Sensory receptor → interneuron → efferent nerve fiber → afferent nerve fiber →

gland gland gland gland gland

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23) The effect of autonomic fibers on target cells is _________. The effect of somatic fibers on target cells is __________. A) B) C) D) E)

always excitatory; always excitatory excitatory or inhibitory; always excitatory excitatory or inhibitory; excitatory or inhibitory always inhibitory; excitatory or inhibitory always inhibitory; always excitatory

24) In response to high blood pressure, stretch receptors called __________ in the walls of arteries carrying blood to the head, will trigger a reflex that causes the heart to __________ its beats per minute. A) B) C) D) E)

baroreceptors; decrease proprioceptors; decrease baroreceptors; increase proprioceptors; increase chemoreceptors; increase

25) The motor pathway of the autonomic nervous system usually involves __________ neurons. A) B) C) D) E)

26)

no one two three four

Preganglionic fibers run from the _________ to the __________.

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A) B) C) D) E)

posterior root ganglia; gray matter posterior root ganglia; autonomic ganglia gray matter; posterior root ganglia gray matter; autonomic ganglia autonomic ganglia; visceral effectors

27) Preganglionic fibers of the autonomic efferent pathway are _________ and secrete __________. A) B) C) D) E)

myelinated; norepinephrine (NE) myelinated; acetylcholine (ACh) myelinated; acetylcholine (ACh) and norepinephrine(NE) unmyelinated; acetylcholine (ACh) unmyelinated; norepinephrine(NE)

28) Which of the following is not a reason that somatic reflexes act faster than visceral reflexes? A) The effector pathway in the somatic reflex arc is myelinated. B) The effector pathway in the visceral reflex arc involves more neurons. C) The effector pathway in the visceral reflex arc involves more chemical synapses. D) Some of the neurons in the effector pathway in the visceral reflex arc are unmyelinated. E) The effector organs in the somatic reflex are closer to the spinal cord.

29)

Which of the following statements is true regarding parasympathetic tone? A) B) C) D) E)

Version 1

It holds the resting heart rate below its intrinsic rate. It accelerates the resting heart rate above its intrinsic rate. It might increase or decrease heart rate depending on the situation. It affects heart rate only after myocardial infarction. It does not affect heart rate.

6


30)

Sympathetic nerve fibers are not associated with situations involving __________. A) B) C) D) E)

31)

The background rate of sympathetic and parasympathetic activity is called ___________. A) B) C) D) E)

32)

"fight-or-flight" activity visceral motor activity autonomic reflex arc activity visceral tone autonomic tone

Which of the following is true regarding the autonomic nervous system? A) B) C) D) E)

33)

anger digestion exercise stress arousal

It controls skeletal muscle contraction. It has no ganglia along its nerves. It uses the neurotransmitter acetylcholine exclusively. Its denervation would cause hypersensitivity. It usually controls conscious actions.

Which of the following is associated with the "flight-or-fight" reaction? A) B) C) D) E)

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Pupillary constriction Glycogen synthesis Increased gastric motility Reduced urinary output Reduced heart rate

7


34)

Most fibers of the parasympathetic nervous system travel in the __________. A) B) C) D) E)

35)

Sympathetic fibers arise only from the __________ region(s) of the spinal cord. A) B) C) D) E)

36)

cervical, thoracic, and lumbar thoracic and lumbar thoracic cervical lumbar

The sympathetic chain of ganglia is found at the __________ levels of the spinal cord. A) B) C) D) E)

37)

vagus trigeminal splanchnic facial sciatic

cervical and thoracic thoracic and lumbar thoracic, lumbar, and sacral sacral, lumbar, and coccygeal cervical, thoracic, lumbar, sacral, and coccygeal

Which of the following is not a feature of the sympathetic division of the ANS? A) B) C) D) E)

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Itoriginates in the thoracolumbar region of the spinal cord. It has long postganglionic fibers. It has long preganglionic fibers. Its ganglia are adjacent to the spinal column. It has an extensive neural divergence and a relative widespread effect.

8


38) Which of the following is not a characteristic of the parasympathetic division of the ANS? A) B) C) D) E)

Its effects are local. The terminal ganglia are very close to or within their target organs. It originates in the craniosacral regions of the CNS. It has short preganglionic fibers. It has short postganglionic fibers.

39) Which of the following structures releases neurotransmitter molecules in a paravertebral ganglion? A) B) C) D) E)

40)

Which of the following structures is not associated with the autonomic nervous system? A) B) C) D) E)

41)

Preganglionic sympathetic fiber Postganglionic sympathetic fiber Somatic motor fiber Preganglionic parasympathetic fiber Postganglionic parasympathetic fiber

Preganglionic neuron Postganglionic neuron Splanchnic nerve Oculomotor nerve All of these are associated with the autonomic nervous system.

Most preganglionic fibers in the sympathetic nervous system synapse with __________.

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A) B) C) D) E)

42)

The solar plexus is used as a name for the __________. A) B) C) D) E)

43)

brain, thoracic, and lumbar brain, sacral, and coccygeal brain, lumbar, sacral, and coccygeal sacral and lumbar brain and sacral

Damage to the__________ may affect near vision accommodation. A) B) C) D) E)

45)

spinal nerve route carotid plexus the celiac and mesenteric ganglia splanchic nerves sympathetic nerve route

The parasympathetic division arises from the __________ regions of the spinal cord. A) B) C) D) E)

44)

no neurons somatic neurons parasympathetic neurons 10-20 postganglionic neurons effectors directly

celiac ganglion oculomotor nerve (CN III) facial nerve (CN VII) glossopharyngeal nerve (CN IX) cardiac plexus

White rami carry _________ neurons, while gray rami carry _________ neurons.

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A) B) C) D) E)

46)

__________ nerve(s) pass(es) throughout sympathetic ganglia without synapsing. A) B) C) D) E)

47)

norepinephrine (noradrenaline) dopamine endorphins acetylcholine (ACh) epinephrine (adrenaline)

Which of the following is not a characteristic of the enteric nervous system? A) B) C) D) E)

49)

Facial Trigeminal Vagus Celiac Splanchnic

The adrenal medulla secretes mostly ___________. A) B) C) D) E)

48)

myelinated postganglionic; unmyelinated preganglionic unmyelinated postganglionic; myelinated preganglionic myelinated preganglionic; unmyelinated postganglionic unmyelinated preganglionic; myelinated postganglionic myelinated preganglionic; myelinated postganglionic

Its reflex arcs are associated with the spinal cord. It does not arise from the spinal cord. It innervates smooth muscle. It innervates glands. It does not arise from the brainstem.

The neurotransmitter(s) associated with autonomic ganglia is(are) __________.

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A) B) C) D) E)

50)

norepinephrine (NE) acetylcholine (ACh) and norepinephrine (NE) acetylcholine (ACh) dopamine dopamine and norepinephrine (NE)

Sympathetic fibers do not release __________. A) B) C) D) E)

acetylcholine nitric oxide (NO) substance P neuropeptide Y norepinephrine

51) A neuron that synapses in the adrenal medulla is a ___________ neuron, and releases the neurotransmitter ___________. A) B) C) D) E)

52)

preganglionic; acetylcholine (ACh) postganglionic; norepinephrine (NE) preganglionic; norepinephrine (NE) postganglionic; acetylcholine (ACh) somatic; norepinephrine (NE)

If a cell has α1 adrenergic receptors, it is sensitive to __________. A) B) C) D) E)

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acetylcholine (ACh) norepinephrine (NE) muscarine alpha adrenaline nicotine

12


53)

Propranolol, a beta-blocker, is typically used to __________. A) B) C) D) E)

54)

Which of the following is more effective in producing bronchodilation? A) B) C) D) E)

55)

Acetylcholine Nicotine Muscarine Norepinephrine Thyroxine

Muscarinic receptors bind __________. A) B) C) D) E)

56)

increase heart rate decrease heart rate produce vasoconstriction of the coronary arteries produce vasodilation of blood vessels of skeletal muscle produce bronchodilation

epinephrine norepinephrine monoamine oxidase (MAO) acetylcholinesterase acetylcholine

The binding of __________ to a nicotinic receptor of a muscle fiber will __________ it. A) B) C) D) E)

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acetylcholine; excite norepinephrine; excite monoamine oxidase; inhibit acetylcholine; inhibit acetylcholinesterase; excite

13


57) Atropine is sometimes used to dilate the pupil for aneye examination. Which receptor would atropine block? A) B) C) D) E)

Alpha 1 adrenergic receptor Nicotinic receptor Muscarinic receptor Alpha 2 adrenergic receptor Beta receptor

58) Sympathetic effects tend to last __________ than parasympathetic effects. One reason is that __________. A) B) C) D) E)

59)

The enzyme thatbreaksdown norepinephrine (NE) is called __________. A) B) C) D) E)

60)

shorter; acetylcholine can diffuse into the bloodstream without being broken down longer; norepinephrine can diffuse into the bloodstream without being broken down about the same; the two divisions use the same neurotransmitters shorter; acetylcholine is broken down by acetylcholinesterase (AChE) longer; acetylcholine is broken down by monoamine oxidase (MAO)

noradrenalinase adenosine monoamine oxidase (MAO) norepinephrinase norepinephrine hydroxylase

Drugs that are monoamine oxidase (MAO) inhibitors would most likely __________.

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A) activate the parasympathetic division and allow for normal digestive system activities B) block ACh receptors on skeletal muscle and cause flaccid paralysis C) stimulate β-2 receptors and cause an increase in heart rate and dilation of bronchioles D) decrease the amount of NE destroyed and may be used as an antidepressant E) inhibit uptake of dopamine and cause depression

61) A possible explanation for the effect of caffeine is that it blocks the receptor for a neuromodulator in the brain called __________, which inhibits ACh release by cholinergic neurons. A) B) C) D) E)

glycine dopamine serotonin melatonin adenosine

62) Antagonistic effects of the two divisions of the autonomic nervous system are exemplified in the control of __________. A) B) C) D) E)

blood clotting blood flow to the skeletal muscles sweating hair erection gastrointestinal motility

63) __________ is an example of the cooperative effect between the two autonomic nervous system divisions.

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A) B) C) D) E)

64)

Which one of the following is made up of primarily adrenergic fibers? A) B) C) D) E)

65)

Pupil diameter Heart rate Salivary gland activity Adrenal medulla activity Gastrointestinal motility

The __________ is an especially important center of autonomic control. A) B) C) D) E)

67)

Preganglionic neurons of the sympathetic division Postganglionic neurons of the sympathetic division Postganglionic neurons of the parasympathetic division All motor fibers of the somatic motor system Preganglionic neurons of parasympathetic division

Which of the following is notunder dual control of the ANS? A) B) C) D) E)

66)

Orgasm Bronchodilation Gastrointestinal secretion Heart rate Vasomotor tone

pons medulla oblongata hypothalamus midbrain pituitary gland

Autonomic function receives input from all these except __________.

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A) B) C) D) E)

68)

Which of the following is not an example of how emotions influence the ANS? A) B) C) D) E)

69)

spinal cord cerebral cortex hypothalamus medulla oblongata somatic branch of the peripheral nervous system

Anxiety increases sexual function. Anger raises the blood pressure. Anticipation of a meal makes the stomach rumble. Sexual thoughts increase genital blood flow. Fear makes the heart race.

Which autonomic reflex is not controlled by the spinal cord? A) B) C) D) E)

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Vasoconstriction Urination Defecation Erection Ejaculation

17


SECTION BREAK. Answer all the part questions.

70)

70.1) A) B) C) D) E)

70.2)

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Which synapses are cholinergic? Check all that apply. A B C D E

Which synapses have nicotinic receptors? Check all that apply.

18


A) B) C) D) E)

A B C D E

70.3) A) B) C) D) E)

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Which synapses have muscarinic receptors? Check all that apply. A B C D E

19


71)

71.1)

Version 1

Which ganglion is found at A?

20


A) B) C) D) E)

71.2) A) B) C) D) E)

71.3) A) B) C) D) E)

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Celiac Superior mesenteric Inferior mesenteric Sympathetic chain Ciliary

Which ganglion is found at C? Celiac Superior mesenteric Inferior mesenteric Sympathetic chain Ciliary

Which ganglion is found at D? Celiac Superior mesenteric Inferior mesenteric Sympathetic chain Ciliary

21


72)

72.1)

Version 1

Which ganglion is found at A?

22


A) B) C) D) E)

72.2) A) B) C) D) E)

72.3) A) B) C) D) E)

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Pterygopalatine Ciliary Submandibular Otic Celiac

Which ganglion is found at A? Pterygopalatine Ciliary Submandibular Otic Celiac

Which ganglion is found at A? Pterygopalatine Ciliary Submandibular Otic Celiac

23


Answer Key Test name: Chap 15_9e 1) FALSE 2) FALSE 3) FALSE 4) TRUE 5) TRUE 6) FALSE 7) FALSE 8) TRUE 9) TRUE 10) FALSE 11) FALSE 12) FALSE 13) TRUE 14) FALSE 15) TRUE 16) FALSE 17) TRUE 18) TRUE 19) FALSE 20) D 21) E 22) C 23) B 24) A 25) C 26) D Version 1

24


27) B 28) E 29) A 30) B 31) E 32) D 33) D 34) A 35) B 36) E 37) C 38) D 39) A 40) E 41) D 42) C 43) E 44) B 45) C 46) E 47) E 48) A 49) C 50) B 51) A 52) B 53) B 54) D 55) E 56) A Version 1

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57) C 58) B 59) C 60) D 61) E 62) E 63) A 64) B 65) D 66) C 67) A 68) A 69) A 70) Section Break 70.1) [A, B, D, E] 70.2) [A, B, D] 70.3) [E] 71) Section Break 71.1) A 71.2) C 71.3) D 72) Section Break 72.1) A 72.2) B 72.3) E

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CHAPTER 16 TRUE/FALSE - Write 'T' if the statement is true and 'F' if the statement is false. 1) Transduction begins with an action potential in a sensory receptor. ⊚ ⊚

true false

2) Sensory receptors sense only stimuli external to the body, such as light, sound waves, olfaction, and touch. ⊚ ⊚

true false

3) Most somesthetic signals in the right side of the body reach the cerebral cortex in the contralateral primary somesthetic area. ⊚ ⊚

4)

Fast pain is a localized response mediated by myelinated nerve fibers. ⊚ ⊚

5)

true false

Olfaction results from the stimulation of chemoreceptors. ⊚ ⊚

7)

true false

Divergent sensory pathways explain the phenomenon of referred pain. ⊚ ⊚

6)

true false

true false

Gustatory signals travel from the tongue through the facial and glossopharyngeal nerves.

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⊚ ⊚

8)

The ossicles belong to the middle ear. ⊚ ⊚

9)

true false

The middle ear consists of a fluid-filled chamber. ⊚ ⊚

12)

true false

The vestibule contains organs of hearing and equilibrium. ⊚ ⊚

11)

true false

The macula sacculi is nearly horizontal and the macula utriculi is nearly vertical. ⊚ ⊚

10)

true false

true false

The cornea belongs to the tunica fibrosa (fibrous layer) of the eyeball. ⊚ ⊚

true false

13) Light falling on the retina is absorbed by rhodopsin and photopsin in the pigment epithelium. ⊚ ⊚

14)

true false

Rods secrete glutamate from the base of the cell when exposed to light.

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2


⊚ ⊚

15)

true false

Vitamin A is necessary for the synthesis of rhodopsin. ⊚ ⊚

true false

MULTIPLE CHOICE - Choose the one alternative that best completes the statement or answers the question. 16) The output energy of all receptors is a type of __________ energy. A) B) C) D) E)

chemical mechanical thermal electrical nuclear

17) The initial effect of a stimulus on a sensory receptor is a local electrical change specifically called a(an) __________. A) B) C) D) E)

18)

action potential graded potential local potential sensory potential receptor potential

What is a sensation?

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3


A) B) C) D) E)

19)

Changes in cerebrospinal fluid pH are detected by __________. A) B) C) D) E)

20)

A response of a sensory receptor A response of a sensory organ A subjective awareness of a stimulus An unconscious response to a stimulus A response to any conscious stimulus

thermoreceptors chemoreceptors nociceptors mechanoreceptors proprioceptors

Changes in blood pressure are detected by __________ in certain arteries. A) B) C) D) E)

mechanoreceptors chemoreceptors proprioceptors nociceptors thermoreceptors

21) You can smell the fragrance of your deodorant when you just put it on, but after a little while the smell fades. What explains this phenomenon? A) B) C) D) E)

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The sensory projection of olfaction The projection pathway of olfaction The tonic nature of olfaction The phasic nature of olfaction The fast adaptation of the primary olfactory cortex to the smell of your deodorant

4


22)

Which organ does not have nociceptors? A) B) C) D) E)

23)

Brain Heart Kidney Stomach Skin

Pain, heat, and cold are detected by __________. A) B) C) D) E)

tactile discs tactile corpuscles lamellar corpuscles free nerve endings end bulbs

24) Which of the following is not ananalgesic (pain reliever) found naturally in the central nervous system? A) B) C) D) E)

25)

Endogenous opioid Dynorphin Enkephalins Endorphins Bradykinin

Where do most second-order somesthetic neurons synapse with third-order neurons? A) B) C) D) E)

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Midbrain Thalamus Spinothalamic tract Hypothalamus Postcentral gyrus

5


26)

Which of the following is not involved with spinal gating of pain signals? A) B) C) D) E)

27)

In a taste bud, which cell produces a receptor potential? A) B) C) D) E)

28)

Nociceptors The spinothalamic tract Lower motor neurons Second-order neurons The reticulospinal tract

Taste hairs Sensory nerve fibers Supporting cells Basal cells Gustatory cells

Which of the following structuresis visible to the naked eye? A) B) C) D) E)

Lingual papilla Taste (gustatory) cell Taste hair Taste bud Taste pore

29) Which taste sensation is produced by amino acids such as aspartic acid and glutamic acid?

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A) B) C) D) E)

30)

What do pheromones stimulate? A) B) C) D) E)

31)

Salty Umami Bitter Sweet Sour

Hair cells Supporting cells Taste cells Olfactory cells Olfactory glands

Where is the primary olfactory cortex located? A) B) C) D) E)

Parietal lobe Insula Occipital lobe Frontal lobe Temporal lobe

32) What is the only sense in which signals can reach the cerebral cortex without passing first through the thalamus? A) B) C) D) E)

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Touch Olfaction Gustation Vision Equilibrium

7


33)

The human ear can detect what frequency of vibrations? A) B) C) D) E)

34)

Which of the following structures belong to the inner ear? A) B) C) D) E)

35)

Tympanic membrane Helix Incus Semicircular duct Tensor tympani muscle

Which of the following structures houses the spiral organ? A) B) C) D) E)

36)

5 to 20 Hz 10 to 10,000 Hz 20 to 20,000 Hz 5 to 200,000 Hz 100 to 100,000 Hz

Cochlea Vestibule Semicircular duct Stapes Tympanic cavity

The incus articulates with which bone(s)? A) B) C) D) E)

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Malleus and stapes Malleus Stapes Malleus, stapes, and temporal Malleus, stapes, and tympanic

8


37)

Which structure acts as a transducer in the spiral organ? A) B) C) D) E)

38)

Stereocilium Inner hair cell Tectorial membrane Round window Basilar membrane

The spiral organ is housed within which of the following structures? A) B) C) D) E)

Scala vestibuli Scala tympani Cochlear duct Anterior semicircular duct Vestibule

39) Which structure allows upper respiratory infections to spread from the throat to the tympanic cavity? A) B) C) D) E)

40)

Oval window Cochlear duct Auditory canal Auditory (eustachian) tube Tympanic cavity

Stimuli produced by sound waves reach the brain following which pathway?

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A) Cochlear duct → spiral organ → ossicles → oval window → auditory canal → tympanic membrane → fibers of cochlear nerve B) Auditory canal → tympanic membrane → oval window → cochlear duct → ossicles → spiral organ → fibers of cochlear nerve C) Cochlear duct → oval window → auditory canal → tympanic membrane → ossicles → spiral organ → fibers of cochlear nerve D) Tympanic membrane → auditory canal → ossicles → oval window → cochlear duct → spiral organ → fibers of cochlear nerve E) Auditory canal → tympanic membrane → ossicles → oval window → cochlear duct → spiral organ → fibers of cochlear nerve

41)

Which of these is most vulnerable to irreversible damage caused by a very loud noise? A) B) C) D) E)

Ossicles Cochlear hair cells Tympanic membrane Fibers of the cochlear nerve Tectorial membrane

42) Each upward movement of the basilar membrane causes the stereocilia of the inner hair cells to bend, opening __________ gates. A) B) C) D) E)

K + Na + Ca 2+ Cl Mg 2+

43) A 100 dB sound (loud) of 150 Hz (low pitch) would cause which of the following to occur?

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A) B) C) D) E)

The tectorial membrane to vibrate slightly near its distal end The tectorial membrane to vibrate vigorously near its proximal end The basilar membrane to vibrate slightly near its proximal end The basilar membrane to vibrate vigorously near its distal end The basilar membrane to vibrate slightly near its distal end

44) When you spin while sitting in a swivel chair with your eyes closed, you can sense this movement by means of your __________. A) B) C) D) E)

45)

When you travel in an elevator, what senses when the elevator is moving? A) B) C) D) E)

46)

cochlea saccule semicircular ducts utricle spiral organ

The inner hair cells of the basilar membrane The outer hair cells of the basilar membrane The hair cells of the tectorial membrane The hair cells of the otolithic membrane of the macula utriculi The hair cells of the otolithic membrane of the macula sacculi

What is the crista ampullaris associated with? A) B) C) D) E)

Version 1

Static equilibrium when standing still Static acceleration in linear acceleration Dynamic equilibrium in angular acceleration Hearing high-pitch sounds Vision related to color

11


47)

Which of the following does not contribute to the sense of equilibrium? A) B) C) D) E)

48)

What is the correct order of cells in the retina from back to front? A) B) C) D) E)

49)

Photoreceptor - bipolar - ganglion Ganglion - bipolar - photoreceptor Photoreceptor - ganglion - bipolar Ganglion - photoreceptor - bipolar Bipolar-photoreceptor-ganglion

Human vision is limited to wavelengths ranging from __________ nm. A) B) C) D) E)

50)

Otolithic membrane Semicircular canals Saccule Utricle Vallate papillae

4 to 70 40 to 700 400 to 700 400 to 7,000 4,000 to 7,000

Which of the following is not considered anaccessory structure of the eye? A) B) C) D) E)

Version 1

Conjunctiva Palpebra Lacrimal apparatus Superior oblique Cornea

12


51)

Which of the following is not considered an optic component of the eye? A) B) C) D) E)

Aqueous humor Vitreous body Lens Retina Cornea

52) Glaucoma is a state of elevated pressure within the eye that occurs when the __________ is obstructed so the aqueous humoris not reabsorbed as fast as it is secreted. A) B) C) D) E)

scleral venous sinus posterior chamber anterior chamber lacrimal punctum tarsal gland opening

53) Nerve fibers from all regions of the retina converge on the __________ and exit the eye by way of the optic nerve. A) B) C) D) E)

54)

macula lutea optic disc fovea centralis ora serrata lens

When you view objects close to the eye, the eye makes an adjustment called __________.

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13


A) B) C) D) E)

emmetropia accommodation refraction myopia diplopia

55) An eye with which of the following conditions does not need a corrective lens to focus the image? A) B) C) D) E)

Hyperopia Myopia Presbyopia Emmetropia Astigmatism

56) Which cells are responsible for photopic (day) vision as well as trichromatic (color) vision? A) B) C) D) E)

57)

Bipolar cells Rods Cones Ganglion cells Pigment cells

What event causes rhodopsin to gofrom violet to clear in color? A) B) C) D) E)

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Cis-retinal straightens to become trans-retinal Cis-retinal bends to become trans-retinal Trans-retinal straightens to become cis-retinal Trans-retinal bends to become cis-retinal Trans-retinal quickly bends then straightens several times creating vibration

14


58)

Why do cones exhibit less neuronal convergence than rods? A) B) C) D) E)

59)

What are the only retinal cells that produce action potentials? A) B) C) D) E)

60)

Rods cannot distinguish different colors from each other. Rods do not function in bright light. No images are perceived within the optic disc. Cones do not detect black and white. Photopic vision has higher resolution than scotopic vision.

Rods Cones Ganglion cells Bipolar cells Horizontal cells

Which of the following describes the duplicity theory of vision?

A) A single type of receptor system cannot produce both high sensitivity and high resolution. B) Cones and rods are responsible for both photopic (day) vision as well as trichromatic (color) vision. C) Cones are responsible for both photopic (day) vision as well as trichromatic (color) vision. D) Light adaptation and dark adaptation are adjustments in vision to changing light intensities. E) There are short-wavelength cones and long-wavelength cones.

61)

What are the first-order neurons in the visual pathway?

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15


A) B) C) D) E)

62)

Half of the fibers of each optic nerve decussate at the __________. A) B) C) D) E)

63)

activity of the extrinsic eye muscles change in the curvature of the lens constriction of the pupil ciliary muscle activity light adaptation

Which of the following are unencapsulated endings? A) B) C) D) E)

65)

superior colliculus optic chiasm lateral geniculate nucleus of the thalamus optic foramen midbrain

Adjustment to close-range vision involves all of the following except __________. A) B) C) D) E)

64)

Optic nerve fibers Rods and cones Ganglion cells Bipolar cells Amacrine cells

Free nerve endings Tactile corpuscles End bulbs Muscle spindles Pacinian corpuscles

Which of the following correctly describes the vestibular projection pathway to the brain?

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A) Vestibular nerve - vestibulocochlear nerve - vestibular nuclei - thalamus - cerebral cortex B) Vestibulocochlear nerve - vestibular nerve - vestibular nuclei - thalamus - cerebral cortex C) Vestibular nerve - vestibulocochlear nerve - thalamus - vestibular nuclei - cerebral cortex D) Vestibulocochlear nerve - vestibular nerve - thalamus - vestibular nuclei - cerebral cortex E)

Vestibulocochlear nerve - thalamus - vestibular nuclei - vestibular nerve - cerebral

cortex

66)

The three types of cones in the retina are differentiated from one another by what feature? A) B) C) D) E)

67)

What type of sensory receptor is pictured here?{MISSING IMAGE} A) B) C) D) E)

68)

The absorption peak of their photopsin The width of their outer segment Whether they contain cis-retinal or trans-retinal or both The number of discs in their outer segment Which layer of the retina they are in

Lamellar corpuscle Tactile corpuscle Muscle spindle Tendon organ Tactile disc

What type of sensory receptor is pictured here?{MISSING IMAGE}

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A) B) C) D) E)

Lamellar corpuscle Tactile corpuscle Muscle spindle Tendon organ Tactile disc

69)

What sensory phenomenon is illustrated here?

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18


A) B) C) D) E)

70)

Referred pain Spinal gating of pain Proprioception Emmetropia Synesthesia

Which process is illustrated here?

A) B) C) D) E)

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Transduction Sensation Perception Transmission Propagation

19


71) This picture illustrates the electrical excitation of hair cells. Vibrations of the cochlea cause the stereocilia to bend, pulling open K+ channels. K+ inflow through the open channels depolarizes the hair cell. Based on this, which of the following statements must be true?

A) There is a higher concentration of K + in endolymph than in the intracellular solution of hair cells. B) There is a lower concentration of K + in endolymph than in the intracellular solution of hair cells. C) There is a higher concentration of K + in perilymph than in the intracellular solution of hair cells. D) There is a lower concentration of K + in perilymph than in the intracellular solution of hair cells. E) There is a higher concentration of K + in perilymph than in endolymph.

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72)

Examine this figure, then determine which statement is true. A) There is more convergence in the scotopic system, leading to high sensitivity but low resolution. B) There is more convergence in the photopic system, leading to high sensitivity but low resolution. C) There is more convergence in the scotopic system, leading to low sensitivity but high resolution. D) There is more convergence in the photopic system, leading to both high sensitivity and high resolution. E) Although both systems show equal levels of convergence, the photopic system utilizes more ganglion cells and is therefore more sensitive.

73)

Which statement is true about scotopic vision as compared to photopic vision?

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A) There is more convergence in the scotopic system, leading to high sensitivity but low resolution. B) There is more convergence in the photopic system, leading to high sensitivity but low resolution. C) There is more convergence in the scotopic system, leading to low sensitivity but high resolution. D) There is more convergence in the photopic system, leading to both high sensitivity and high resolution. E) Although both systems show equal levels of convergence, the photopic system utilizes more ganglion cells and is therefore more sensitive.

SECTION BREAK. Answer all the part questions. 74) {MISSING IMAGE}

74.1) A) B) C) D) E)

74.2) A) B) C) D) E)

74.3)

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Name the cochlear chamber labeled 1. Scala vestibuli Cochlear duct Scala tympani Semicircular duct Ampulla

Name the cochlear chamber labeled 2. Scala vestibuli Cochlear duct Scala tympani Semicircular duct Ampulla

Name the cochlear chamber labeled 3.

22


A) B) C) D) E)

74.4) A) B) C) D) E)

74.5) A) B) C) D) E)

75)

Scala vestibuli Cochlear duct Scala tympani Semicircular duct Ampulla

What type of fluid fills chambers 1 and 3? Perilymph Endolymph Hemolymph Vitreous humor Aqueous humor

What type of fluid fills chamber 2? Perilymph Endolymph Hemolymph Vitreous humor Aqueous humor

{MISSING IMAGE}

75.1)

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Name the structure labeled 1.

23


A) B) C) D) E)

75.2) A) B) C) D) E)

75.3) A) B) C) D) E)

75.4) A) B) C) D) E)

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Cornea Sclera Lens Choroid Iris

Name the structure labeled 2. Anterior chamber Posterior chamber Vitreous chamber Hyaloid canal Scleral venous sinus

Name the structure labeled 3. Anterior chamber Posterior chamber Vitreous chamber Hyaloid canal Scleral venous sinus

Name the structure labeled 4. Anterior chamber Posterior chamber Vitreous chamber Hyaloid canal Scleral venous sinus

24


76)

76.1) A) B) C) D) E)

76.2) A) B) C) D) E)

Version 1

Which cranial nerve innervates the eye muscle labeled 1 in this diagram? Trochlear nerve (IV) Abducens nerve (VI) Oculomotor nerve (III) Optic nerve (I) Trigeminal nerve (V)

Which cranial nerve innervates the eye muscle labeled 2 in this diagram? Trochlear nerve (IV) Abducens nerve (VI) Oculomotor nerve (III) Optic nerve (I) Trigeminal nerve (V)

25


76.3) A) B) C) D) E)

77)

Which cranial nerve innervates the eye muscles labeled 3 in this diagram? Trochlear nerve (IV) Abducens nerve (VI) Oculomotor nerve (III) Optic nerve (I) Trigeminal nerve (V)

{MISSING IMAGE}

77.1) A) B) C) D) E)

77.2) A) B) C) D) E)

77.3)

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What is labeled 1 in this diagram? Optic nerve Optic tract Optic radiation Optic chiasm Optic canal

What is labeled 2 in this diagram? Optic nerve Optic tract Optic radiation Optic chiasm Optic canal

What is labeled 3 in this diagram?

26


A) B) C) D) E)

77.4) A) B) C) D) E)

77.5) A) B) C) D) E)

77.6) A) B) C) D) E)

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Optic nerve Optic tract Optic radiation Optic chiasm Optic canal

Which visual field deficit would result from damage at the point labeled 1? Loss of sight in one eye Loss of sight in the contralateral visual field for both eyes Loss of sight in the ipsilateral visual field for both eyes Loss of sight in the temporal (lateral) visual field for both eyes Loss of sight in the nasal (medial) visual field for both eyes

Which visual field deficit would result from damage at the point labeled 2? Loss of sight in one eye Loss of sight in the contralateral (left) visual field for both eyes Loss of sight in the ipsilateral (right) visual field for both eyes Loss of sight in the temporal (lateral) visual field for both eyes Loss of sight in the nasal (medial) visual field for both eyes

Which visual field deficit would result from damage at the point labeled 3? Loss of sight in one eye Loss of sight in the contralateral (left) visual field for both eyes Loss of sight in the ipsilateral (right) visual field for both eyes Loss of sight in the temporal (lateral) visual field for both eyes Loss of sight in the nasal (medial) visual field for both eyes

27


78)

78.1) Use the absorption spectra graph to answer the following question.Equal activation of M and L cones (but no activity in S cones) will create the perception of which color?

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A) B) C) D) E)

Green Red Yellow Blue Purple

78.2) Red lights are often used in photography dark rooms, in military bunkers, and other situations that require light to see by while also preserving night vision. Which of the following statements best explains why your eyes stay dark-adapted after exposure to red light? A) Since rods are not activated by long wavelengths, they are not subject to bleaching by red light. B) The absorption spectrum for rods overlaps with the absorption spectra for all three types of cones. C) Since rods do not contribute to color vision, colored lights do not affect them. D) Since rods are maximally responsive to 500 nm wavelengths, red light (700 nm) saturates them. E) The absorption spectrum for rods does not overlap with the absorption spectrum for L cones.

78.3) Use the absorption spectra graph to answer the following question.What percentages of maximum response in the three types of cones (S:M:L) will result in the perception of yellow light? A) B) C) D) E)

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0:20:70 0: 0:50 0:80:30 20:40:60 15: 3: 0

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Answer Key Test name: Chap 16_9e 1) FALSE 2) FALSE 3) TRUE 4) TRUE 5) FALSE 6) TRUE 7) TRUE 8) TRUE 9) FALSE 10) FALSE 11) FALSE 12) TRUE 13) FALSE 14) FALSE 15) TRUE 16) D 17) E 18) C 19) B 20) A 21) D 22) A 23) D 24) E 25) B 26) C Version 1

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27) E 28) A 29) B 30) D 31) E 32) B 33) C 34) D 35) A 36) A 37) B 38) C 39) D 40) E 41) B 42) A 43) D 44) C 45) E 46) C 47) E 48) A 49) C 50) E 51) D 52) A 53) B 54) B 55) D 56) C Version 1

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57) A 58) E 59) C 60) A 61) D 62) B 63) E 64) A 65) A 66) A 67) A 68) C 69) A 70) A 71) A 72) A 73) A 74) Section Break 74.1) A 74.2) B 74.3) C 74.4) A 74.5) B 75) Section Break 75.1) A 75.2) A 75.3) B 75.4) C 76) Section Break 76.1) A Version 1

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76.2) B 76.3) C 77) Section Break 77.1) A 77.2) B 77.3) C 77.4) A 77.5) B 77.6) B 78) Section Break 78.1) A 78.2) A 78.3) A

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CHAPTER 17 TRUE/FALSE - Write 'T' if the statement is true and 'F' if the statement is false. 1) Hormones serve as intracellular messengers. ⊚ ⊚

2)

Testosterone is a gonadotropin. ⊚ ⊚

3)

true false

true false

Hormones are normally secreted via ducts into the bloodstream. ⊚ ⊚

true false

4) Many effects of growth hormone are mediated by insulin-like growth factors (IGFs) secreted by the pancreas. ⊚ ⊚

5)

Both the thymus and the pineal gland shrink after childhood. ⊚ ⊚

6)

true false

Thyroid hormone has a calorigenic effect. ⊚ ⊚

7)

true false

true false

Epinephrine is said to have a glucose-sparing effect.

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1


⊚ ⊚

8)

Cholesterol is essential for the synthesis of steroid hormones. ⊚ ⊚

9)

true false

true false

Peptide hormones are synthesized by cytoplasmic ribosomes as active enzymes. ⊚ ⊚

true false

10) Hormones that bind to proteins while transported in the blood generally have a longer half-life. ⊚ ⊚

11)

true false

Worrying about your upcoming exam in history class is a valid form of stress. ⊚ ⊚

true false

12) Regardless of the cause of stress, the body reacts in a fairly consistent way to different stressors. ⊚ ⊚

true false

13) The exhaustion stage of the general adaptation syndrome (stress response) sets in only if protein reserves are depleted. ⊚ ⊚

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true false

2


14)

Eicosanoids are derived from steroids. ⊚ ⊚

15)

Prostaglandins are considered paracrines. ⊚ ⊚

16)

true false

Addison disease is a consequence of a tumor of the adrenal medulla. ⊚ ⊚

18)

true false

Myxedema is characterized by low metabolic rate, sluggishness, and sleepiness. ⊚ ⊚

17)

true false

true false

TEST and EST are abbreviations for testosterone and estrogen. ⊚ ⊚

true false

MULTIPLE CHOICE - Choose the one alternative that best completes the statement or answers the question. 19) Which of the following best describes a hormone?

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3


A) A chemical messenger transported by the bloodstream that stimulates target cells in another organ often a good distance away. B) Chemical messengers that diffuse from their point of origin locally to affect other cells physiology. C) Chemical messengers that travel across a synapse to stimulate another cell. D) Junctions between cells interconnecting their cytoplasm. E) A chemical messenger that is triggered by the binding of a ligand on the cell surface and causes a change in DNA transcription.

20)

Which of the following is not an endocrine organ? A) B) C) D) E)

Spleen Pineal gland Thymus Neurohypophysis Testis

21) The ___________ can be found as part of the epithalamus, near the superior colliculi of the midbrain. A) B) C) D) E)

22)

hypothalamus pituitary gland pineal gland hypophysis adrenal gland

Which of the following is true regarding endocrine glands?

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4


A) They secrete substances that do not alter the metabolism of their target cells, but have extracellular effects. B) They secrete their products by way of ducts. C) They have an unusually low density of blood capillaries. D) They release their secretions into the blood. E) Their secretions may be released onto the body surface.

23)

What is the abbreviation for the hormone also known as vasopressin? A) B) C) D) E)

ADH ACTH TRH DHEA GnRH

24) Which of the following is the correct abbreviation for the hormone that stimulates the anterior pituitary to secrete ACTH? A) B) C) D) E)

CRH GHRH GHIH APRH TRH

25) The nervous system reacts to stimuli __________ compared to the endocrine system, adapts __________ compared to the endocrine system, and has __________ effects compared to the endocrine system.

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5


A) B) C) D) E)

26)

What makes a cell responsive to a particular hormone? A) B) C) D) E)

27)

anterior pituitary; hypothalamus posterior pituitary; hypothalamus anterior pituitary; posterior pituitary hypothalamus; thyroid pituitary glands; thyroid

The infundibulum is a ___________. A) B) C) D) E)

29)

The chemical properties of the hormone The presence of a receptor for that particular hormone The location of the gland that secretes the hormone The location of the target cells in the body The site where the hormone is secreted

The hypophysial portal system connects the _________ with the _________. A) B) C) D) E)

28)

slowly; slowly; widespread quickly; slowly; specific quickly; quickly; widespread quickly; quickly; specific slowly; quickly; specific

mass of endocrine and neural cells portal system between the hypothalamus and the pituitary gland bulky nucleus composed of the paraventricular nucleus and the supraoptic nucleus depression of the sphenoid bone that protects the pituitary gland projection of the hypothalamus from which the pituitary gland hangs

The _________ secretes growth hormone, which is also known as somatotropin.

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A) B) C) D) E)

posterior pituitary anterior pituitary hypothalamus thyroid thymus

30) The anterior pituitaryis __________ the posterior pituitary and has __________ connection to the hypothalamus. A) B) C) D) E)

31)

Which of the following is notsecreted by the pancreas? A) B) C) D) E)

32)

Glucagon Insulin Gastrin Somatostatin (growth hormone-inhibiting hormone) Somatotropin (growth hormone)

Which of the following effects on a gland can be caused by a tumor? A) B) C) D)

33)

smaller than; no neuronal larger than; a neuronal larger than; no neuronal smaller than; a neuronal similar in size to; no neuronal

Hypersecretion only Hyposecretion only Both hyposecretion and hypersecretion Neither hyposecretion or hypersecretion

Diabetes insipidus is caused by __________.

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A) B) C) D) E)

34)

The posterior pituitary secretes _________. A) B) C) D) E)

35)

Antidiuretic hormone (ADH) Luteinizing hormone (LH) Thyrotropin-releasing hormone (TRH) Somatostatin Prolactin-inhibiting hormone (PIH)

Antidiuretic hormone (ADH) targets the __________. A) B) C) D) E)

37)

prolactin (PRL) adrenocorticotropic hormone (ACTH) oxytocin (OT) thyroid hormone (TH) growth hormone (GH)

Which of the following is not ahypothalamic hormone? A) B) C) D) E)

36)

epinephrine hypersecretion cortisol hypersecretion aldosterone hypersecretion antidiuretic hormone (ADH) hyposecretion antidiuretic hormone (ADH) hypersecretion

kidneys adrenal gland anterior pituitary hypothalamus pancreas

Which hormone stimulates glucocorticoid secretion?

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8


A) B) C) D) E)

GHRH GHIH ACTH CRH TSH

38) Which of these hormones does not stimulate the release of another hormone by its target cells? A) B) C) D) E)

TSH GnRH ACTH PRL TRH

39) As an example of hormonal communication, when osmoreceptors of the __________ detect dehydration, a signal to the posterior pituitary gland causes the release of __________. A) B) C) D) E)

40)

hypothalamus; antidiuretic hormone hypothalamus; oxytocin anterior pituitary; antidiuretic hormone anterior pituitary; renin posterior pituitary; oxytocin

What is the function of antidiuretic hormone? A) B) C) D) E)

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It increases water retention from renal tubules. It acts on the hypothalamus to decrease appetite. It causes vasodilation. It causes smooth muscle contraction in the female reproductive tract. It causes the release of hormones from the adrenal cortex.

9


41)

Thyrotropin-releasing hormone targets the __________. A) B) C) D) E)

42)

thyroid gland thyroid hormone hypothalamus posterior pituitary anterior pituitary

Target organs most often regulate the pituitary gland via _________. A) B) C) D) E)

negative feedback inhibition positive feedback inhibition up-regulation down-regulation antagonistic regulation

43) __________ secretion is controlled by neuroendocrine reflexes, whereas __________ secretion is controlled by negative feedback mechanisms. A) B) C) D) E)

44)

Thyroid stimulating hormone (TSH); luteinizing hormone (LH) Oxytocin (OT); antidiuretic hormone (ADH) Antidiuretic hormone (ADH); oxytocin (OT) Antidiuretic hormone (ADH); thyroid stimulating hormone (TSH) Follicle-stimulating hormone (FSH); luteinizing hormone (LH)

Negative feedback inhibition occurs when __________.

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A) thyrotropin-releasing hormone (TRH) targets the anterior pituitary B) thyrotropin-releasing hormone (TRH) causes the anterior pituitary to release thyroid-stimulating hormone (TSH) C) thyrotropin-releasing hormone (TRH) targets the thyroid gland D) thyroid-stimulating hormone (TSH) targets the thyroid gland E) thyroid hormone (TH) targets the anterior pituitary

45) The hypothalamo-hypophyseal portal system connects the hypothalamus to the __________. A) B) C) D) E)

adenohypophysis neurohypophysis cerebral cortex thalamus pineal gland

46) Growth hormone (GH) hypersecretion causes gigantism when it begins in childhood, but it is more likely to cause __________ when it begins in adulthood. A) B) C) D) E)

47)

myxedema Graves disease Cushing syndrome goiter acromegaly

Of the following hormones, which has more target cells in the body than the others? A) B) C) D) E)

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Antidiuretic hormone (ADH) Corticotropin-releasing hormone (CRH) Growth hormone-releasing hormone (GHRH) Growth hormone (GH) Oxytocin (OT)

11


48)

Which of the following is true of the pancreas? A) B) C) D) E)

49)

Which cell in the parathyroid gland secretes parathyroid hormone? A) B) C) D) E)

50)

Chief cell Oxyphil Basophil Parafollicular cell Chromaffin cell

Which of the following is true regarding cortisol? A) B) C) D) E)

51)

It is located between the duodenum and spleen, just inferior to the stomach. It is located superior to the kidneys. It is located between the lobes of the liver. It is fused to the diaphragm. It is anchored by the falciform ligament.

It inhibits fat digestion. It stimulates protein synthesis. It promotes glycogen synthesis. It stimulates glucose intake by most organs. It promotes breakdown of fat and protein.

Which of the following statements about diabetes mellitus is false?

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A) The body produces autoantibodies that destroy the pancreatic beta cells in type I DM. B) C) D) E)

Target cells are unresponsive to insulin in type II DM. Both type I and type II DM are characterized by lack of, or low levels of, insulin. Diabetic neuropathy is a common long-term effect of DM. Type II DM is more common than type I DM.

52) Which of the following is the correct sequence of events leading to the polyuria and dehydration associated with diabetes mellitus? A) Hyperglycemia → glucose in urine raises osmolarity of tubular fluid → glucose transport maximum exceeded → glucose enters renal tubules → osmotic diuresis B) Hyperglycemia → glucose enters renal tubules → glucose transport maximum exceeded → glucose in urine raises osmolarity of tubular fluid → osmotic diuresis C) Hyperglycemia → glucose enters renal tubules → glucose in urine raises osmolarity of tubular fluid → osmotic diuresis → glucose transport maximum exceeded D) Hyperglycemia → glucose transport maximum exceeded → glucose enters renal tubules → glucose in urine raises osmolarity of tubular fluid → osmotic diuresis E) Osmotic diuresis → glucose enters renal tubules → glucose transport maximum exceeded → glucose in urine raises osmolarity of tubular fluid → hyperglycemia

53) The hormone called _________ plays an important role in synchronizing physiological function with the cycle of daylight and darkness. A) B) C) D) E)

calcitonin melanin melatonin hepcidin inhibin

54) The __________ secretes several hormones that stimulate the development of lymphatic organs and regulates development and activity of T cells (white blood cells).

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A) B) C) D) E)

thyroid thymus adrenal gland spleen parathyroid

55) The __________ secretes a hormone that increases the body's metabolic rate, promotes alertness, quickens reflexes, and stimulates the fetal nervous system. A) B) C) D) E)

56)

The __________ secrete(s) a hormone as a response to hypocalcemia. A) B) C) D) E)

57)

thyroid gland pancreas adrenal gland parathyroid gland thymus

thymus thyroid gland parathyroid glands pineal gland pituitary gland

The __________ secrete(s) __________, which promotes Na + and water retention. A) B) C) D) E)

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adrenal medulla; epinephrine pancreas; cortisol kidneys; corticosterone adrenal cortex; aldosterone thyroid; calcitonin

14


58)

The zona fasciculata in the adrenal gland secretes ___________. A) B) C) D) E)

glucagon epinephrine estradiol aldosterone cortisol

59) Many hours after a meal, alpha (α) cells in the pancreatic islets secrete _________, which _________ blood glucose. A) B) C) D) E)

60)

Parathyroid hormone promotes which of the following? A) B) C) D) E)

61)

glucagon; lowers glucagon; raises insulin; lowers insulin; raises glucocorticoids; raises

The resorption of calcium from bone Increased calcium levels in the urine Decreased production of calcitriol (vitamin D) in the kidney Decreased absortion of calcium from the small intestine Increased osteoblast activity

Which of the following is not acause ofCushing syndrome? A) B) C) D) E)

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ACTH hypersecretion by the pituitary ACTH-secreting tumors Hyperactivity of the adrenal cortex Hyperactivity of the adrenal medulla Excess cortisol secretion

15


62)

Which of the following is not a characteristic of diabetes mellitus? A) B) C) D) E)

63)

The __________ is not an endocrine gland, but it has a role in endocrine function. A) B) C) D) E)

64)

kidney pancreas thyroid gland parathyroid gland adrenal gland

Which of the following organs has both endocrine and exocrine functions? A) B) C) D) E)

65)

Hypoglycemia Polyuria Polyphagia Polydipsia Glycosuria

The adrenal gland The salivary glands The ovary The pineal gland The thymus

Which of the following is not a steroid hormone? A) B) C) D) E)

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Insulin Cortisol Progesterone Aldosterone Estradiol

16


66)

Which of the following is synthesized in the rough endoplasmic reticulum? A) B) C) D) E)

Aldosterone Cortisol Testosterone Calcitriol Glucagon

67) T 4 and T 3 are __________ hormones that are mainly transported __________ in the blood. A) B) C) D) E)

68)

monoamine; bound to thyroxine-binding globulin (TBG) monoamine; unbound (free) steroid; bound to transcortin-binding protein (TBP) steroid; unbound (free) catecholamine; bound to thyroxine-binding globulin (TBG)

Which of the followingenters a target cell's nucleus and acts directly on the genes. A) B) C) D) E)

Insulin Antidiuretic hormone (ADH) Estrogen Glucagon Oxytocin (OT)

69) Which of the followingis the last step in the sequence of events happening when cyclic AMP acts as a second messenger?

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A) B) C) D) E)

G protein activates adenylate cyclase cAMP activates protein kinases Adenylate cyclase produces cAMP G protein is activated by the binding of a hormone to the receptor Enzymes are activated or deactivated by the action of protein kinases

70) Which of the following makes it possible for even a small quantity of hormone to have a strong effect on its target cell? A) B) C) D) E)

Negative feedback inhibition The antagonistic effect Up-regulation Enzyme amplification Down-regulation

71) Which of the following is an increase in the number of receptors making a target cell more sensitive to a hormone? A) B) C) D) E)

Negative feedback inhibition The antagonistic effect Up-regulation Enzyme amplification Down-regulation

72) Neither follicle stimulating hormone (FSH) nor testosterone alone can stimulate significant sperm production, whereas when they act together, the testes produce some 300,000 sperm per minute. This is an example of which principle regarding hormones?

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A) B) C) D) E)

Hormone clearance The cascade effect The synergistic effect The permissive effect The antagonistic effect

73) Glucagonincreases blood glucose concentration and insulin decreases it. This is an example of __________. A) B) C) D) E)

hormone clearance the cascade effect the synergistic effect the permissive effect the antagonistic effect

74) Circulating hormones are mostly taken up and degraded by the _________ and the __________. A) B) C) D) E)

adrenal glands; intestines liver; kidneys blood; kidneys liver; spleen spleen; kidneys

75) Any situation that upsets homeostasis and threatens one’s physical or emotional wellbeing is called __________. A) B) C) D) E)

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stress pathology disease hyperthyroidism hirsuitism

19


76) The resistance stage in the general adaptation syndrome (stress response) is dominated by __________. A) B) C) D) E)

cortisol epinephrine norepinephrine angiotensin aldosterone

77) During the exhaustion stage of the general adaptation syndrome (stress response), stress overwhelms homeostasis. One characteristic of this stage is that __________. A) B) C) D) E)

glycogen supplies are depleted energy demands are met primarily by fat metabolism fermentation is not enough to provide the necessary ATP energy demands are met primarily by protein metabolism energy demands are met primarily by carbohydrate metabolism

78) The initial response to stress is called the_________ and is mediated mainly by __________. A) B) C) D) E)

resistance stage; cortisol resistance stage; aldosterone and cortisol alarm reaction; norepinephrine and epinephrine alarm reaction; cortisol exhaustion stage; norepinephrine and epinephrine

79) _________ are secreted by one cell into the tissue fluid, diffuse to nearby cells in the same tissue, and stimulate their physiology.

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A) B) C) D) E)

80)

Eicosanoids are derived from __________. A) B) C) D) E)

81)

To induce labor contractions To stop fever and pain To constrict or dilate arterioles To act as vasodilators or vasoconstrictors To inhibit gastric secretion

Aspirin and ibuprofen block the __________. A) B) C) D) E)

83)

arachidonic acid leukotriene prostacyclin prostaglandins thromboxanes

Which of the following is not a role of prostaglandins? A) B) C) D) E)

82)

Neurotransmitters Neuromodulators Hormones Parahormones Paracrines

release of arachidonic acid from the plasma membrane action of phospholipase A 1 action of phospholipase A 2 action of lipoxygenase action of cyclooxygenase

The absence of iodine in the diet leads to __________.

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21


A) B) C) D) E)

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hypoparathyroidism hypothyroidism hypocalcemia hypoglycemia hypoxemia

22


SECTION BREAK. Answer all the part questions.

84)

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23


84.1) A) B) C) D) E)

Follicle-stimulating hormone targets which of these organs? A B C D E

84.2) Hornones from which organ have the greatest effect on the basal metabolic rate (BMR)? A) B) C) D) E)

A B C D E

84.3) A) B) C) D) E)

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Which organ produces hornones that control blood electrolyte levels? A B C D E

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85)

{MISSING IMAGE}

85.1) A) B) C) D) E)

85.2)

Which structure facilitates communication between A and B? The hypothalamo–hypophysial tract The hypophysial portal system The nuclei of the paraventricular nucleus The nuclei of the supraoptic nucleus The zona reticularis

Which structure facilitates communication between C and D?

A) B) C) D) E)

The hypothalamo–hypophysial tract The nuclei of the paraventricular nucleus The nuclei of the supraoptic nucleus The zona reticularis The hypophysial portal system

85.3)

Which hormone is produced by B?

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25


A) B) C) D) E)

Oxytocin Leutinizing hormone Growth hormone Prolactin Thyroid-stimulating hormone

86)

86.1)

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What is the name of the hormone at E?

26


A) B) C) D) E)

86.2) A) B) C) D) E)

86.3) A) B) C) D) E)

Version 1

Growth hormone Prolactin Oxytocin Follicle-stimulating hormone Adrenocorticotropic hormone

What is the name of the hormone at D? Growth hormone Prolactin Oxytocin Follicle-stimulating hormone Adrenocorticotropic hormone

What is the name of the hormone at A? Growth hormone Prolactin Oxytocin Follicle-stimulating hormone Adrenocorticotropic hormone

27


87)

87.1) A) B) C) D) E)

Adrenocorticotropic hormone does not target which structure? A B C D E

87.2) A) B) C) D) E)

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Which structure releases catecholamines? A B C D E

28


87.3) A) B) C) D) E)

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Which structure only produces mineralocorticoids? A B C D E

29


88)

88.1)

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What type of hormone is found at B?

30


A) B) C) D) E)

88.2) A) B) C) D) E)

88.3) A) B) C) D) E)

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Steroid Peptide Catecholamine Nucleotide Amino acid

What molecule is found at C? cAMP DPG ADP CP PEP

What process is occurring at E? Gene transcription Gene translation DNA replication Enzyme activation Enzyme deactivation

31


Answer Key Test name: Chap 17_9e 1) FALSE 2) FALSE 3) FALSE 4) FALSE 5) TRUE 6) TRUE 7) TRUE 8) TRUE 9) FALSE 10) TRUE 11) TRUE 12) TRUE 13) FALSE 14) FALSE 15) TRUE 16) TRUE 17) FALSE 18) FALSE 19) A 20) A 21) C 22) D 23) A 24) A 25) D 26) B Version 1

32


27) A 28) E 29) B 30) C 31) E 32) C 33) D 34) C 35) B 36) A 37) C 38) D 39) A 40) A 41) E 42) A 43) B 44) E 45) A 46) E 47) D 48) A 49) A 50) E 51) C 52) B 53) C 54) B 55) A 56) C Version 1

33


57) D 58) E 59) B 60) A 61) D 62) A 63) A 64) C 65) A 66) E 67) A 68) C 69) E 70) D 71) C 72) C 73) E 74) B 75) A 76) A 77) D 78) C 79) E 80) A 81) B 82) E 83) B 84) Section Break 84.1) E 84.2) B Version 1

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84.3) A 85) Section Break 85.1) A 85.2) E 85.3) A 86) Section Break 86.1) A 86.2) E 86.3) B 87) Section Break 87.1) A 87.2) A 87.3) C 88) Section Break 88.1) A 88.2) A 88.3) A

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CHAPTER 18 TRUE/FALSE - Write 'T' if the statement is true and 'F' if the statement is false. 1) Hemostasis is the production of formed elements of blood. ⊚ ⊚

2)

Blood viscosity stems mainly from electrolytes and monomers dissolved in plasma. ⊚ ⊚

3)

true false

Oxygen and carbon dioxide bind to different parts of hemoglobin. ⊚ ⊚

5)

true false

Lymphoid hemopoiesis occurs mainly in the bone marrow. ⊚ ⊚

4)

true false

true false

The liver stores excess iron in ferritin. ⊚ ⊚

true false

6) The most important components in the cytoplasm of RBCs are hemoglobin and carbonic anhydrase. ⊚ ⊚

true false

7) A person develops anti-A antibodies only after he is exposed to antigen A, and anti-B antibodies only after he is exposed to antigen B.

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⊚ ⊚

true false

8) Incompatibility of one person's blood with another results from the action of plasma antibodies against the RBCs' antigens. ⊚ ⊚

true false

9) Rh incompatibility between a sensitized Rh + woman and an Rh - fetus can cause hemolytic disease of the newborn. ⊚ ⊚

10)

true false

Circulating WBCs spend most of their lives in the bloodstream. ⊚ ⊚

true false

11) Lymphocytes secrete antibodies, coordinate action of other immune cells, and serve in immune memory. ⊚ ⊚

12)

Monocytes differentiate into large phagocytic cells. ⊚ ⊚

13)

true false

true false

Coagulation starts with a vascular spasm and ends with the formation of a platelet plug. ⊚ ⊚

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true false

2


14)

Clotting deficiency can result from thrombocytopenia or hemophilia. ⊚ ⊚

15)

true false

After a wound is sealed, tissue repair is followed by fibrinolysis. ⊚ ⊚

true false

16) Blood groups are made up of any surface antigen on formed elements, not just ABO and Rh, and include over 500 known antigens. ⊚ ⊚

17)

true false

Blood groups are used for legal purposes and in anthropology. ⊚ ⊚

true false

MULTIPLE CHOICE - Choose the one alternative that best completes the statement or answers the question. 18) Which of the following is not a function of blood? A) B) C) D) E)

19)

Transports a variety of nutrients Helps to stabilize the pH of extracellular fluids Participates in the initiation of blood clotting Produces plasma hormones Helps to regulate body temperature

Which of the following is not contained in the buffy coat?

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A) B) C) D) E)

20)

A normal hematocrit is __________ of the total blood volume. A) B) C) D) E)

21)

Glycogen Fibrinogen Glucose Urea Albumin

Which of the following proteins is not normally found in plasma? A) B) C) D) E)

23)

less than 1% 47% to 63% 25% to 37% 42% to 45% 37% to 52%

Which of the following is not normally found in plasma? A) B) C) D) E)

22)

Lymphocytes Granulocytes Erythrocytes Agranulocytes Platelets

Albumin Hemoglobin Transferrin Prothrombin Fibrinogen

What is the most abundant protein in plasma?

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A) B) C) D) E)

24)

Which of the following would not decrease the blood colloid osmotic pressure (COP)? A) B) C) D) E)

25)

fibrinogen nitrogenous wastes platelets glucose albumin

Tissues can become edematous (swollen) when which of the following occurs? A) B) C) D) E)

27)

Severe liver failure A diet predominantly based on red meat Starvation An extremely low-protein diet Hypoproteinemia

Serum is essentially identical to plasma except for the absence of __________. A) B) C) D) E)

26)

Insulin Creatine Bilirubin Albumin Creatinine

Colloid osmotic pressure (COP) is high. There is hyperproteinemia. The concentration of sodium and proteins in blood is high. The hematocrit is high. There is a dietary protein deficiency.

Where does myeloid hemopoiesis take place in adults?

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A) B) C) D) E)

Thymus Spleen Red bone marrow Yellow bone marrow Liver

28) The viscosity of blood is due more to the presence of __________ than to any other factor. A) B) C) D) E)

29)

Erythrocytes transport oxygen and __________. A) B) C) D) E)

30)

fibrin albumin sodium erythrocytes nitrogenous wastes

defend the body against pathogens initiate blood clotting regulate erythropoiesis transport nutrients transport some carbon dioxide

Most oxygen is transported in the blood bound to __________. A) B) C) D) E)

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the plasma membrane of erythrocytes alpha chains in hemoglobin beta chains in hemoglobin delta chains in hemoglobin heme groups in hemoglobin

6


31) What would happen if all ofthe hemoglobin contained within the RBCs became free in the plasma? A) B) C) D) E)

It would considerably increase blood oxygen carrying capacity. It would facilitate delivery of oxygen into tissues supplied by small capillaries. It would facilitate oxygen diffusion into cells distant from blood capillaries. It would significantly increase blood osmolarity. It would drastically increase osmotic colloid pressure.

32) An increased erythropoietin (EPO) output by the kidneys would lead to all of the following except __________. A) B) C) D) E)

33)

Where do most RBCs die? A) B) C) D) E)

34)

increased hypoxemia increased blood osmolarity increased RBC production increased blood viscosity increased hematocrit

Stomach and small intestine Red bone marrow Spleen and liver Lymph nodes and thymus Stomach and liver

Which of the following would notlead to polycythemia?

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A) B) C) D) E)

35)

Which of the following is most likely to cause anemia? A) B) C) D) E)

36)

Cancer of the erythropoietic line of the red bone marrow Iron deficiency Dehydration Emphysema Excessive aerobic exercise

High altitude Air pollution other than by carbon monoxide Renal disease Smoking Any factor that creates a state of hypoxemia

Which of the following is not true ofa patient with anemia? A) B) C) D) E)

Their blood viscosity is increased. They arelethargic. Their blood osmolarity is reduced. Their resistance to blood flow is reduced. More fluid transfers from their bloodstream into their intercellular spaces.

37) What is the final product of the breakdown of the organic nonprotein moiety of hemoglobin? A) B) C) D) E)

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Biliverdin Bilirubin Globin Heme Iron

8


38)

Correction of hypoxemia is regulated by __________. A) B) C) D) E)

39)

A deficiency of __________ can cause pernicious anemia. A) B) C) D) E)

40)

vitamin C iron vitamin B 12 EPO secretion folic acid

Which of the following is not true regarding sickle-cell disease? A) B) C) D) E)

41)

a self-amplifying mechanism an enzymatic amplification a positive feedback loop a negative feedback loop a cascade effect

It is caused by a recessive allele that modifies the structure of hemoglobin. It is due to a hereditary hemoglobin defect. It is advantageous in that it canprotect carriers against malaria. It is a cause of malaria. It is a cause of anemia.

The ABO blood group is determined by __________ in the plasma membrane of RBCs. A) B) C) D) E)

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glycolipids glycoproteins antibodies antigen-antibody complexes agglutinins

9


42) A person with type A blood can safely donate RBCs to someone of type __________ and can receive RBCs from someone oftype __________. A) B) C) D) E)

43)

A person with type AB blood has __________ RBC antigen(s). A) B) C) D) E)

44)

O; AB AB; O A; B B; A O; O

no anti-A and anti-B anti-A anti-B A and B

Why are pregnant Rh - women given an injection of Rh immune globulin?

A) Antibodies in the injection bind fetal RBC antigens so they cannot stimulate her immune system to produce anti-D antibodies. B) Antibodies in the injection bind fetal RBC antigens so they cannot stimulate her immune system to produce anti-A and anti-B antibodies. C) Antibodies in the injection bind fetal RBC antigens so they cannot stimulate her immune system to produce anti-A antibodies. D) Antibodies in the injection bind fetal RBC antigens so they cannot stimulate her immune system to produce anti-O antibodies. E) Antibodies in the injection bind fetal RBC antigens so they cannot stimulate her immune system to produce anti-B antibodies.

45)

The universal donor of RBCs, but not necessarily plasma, is blood type __________.

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A) B) C) D) E)

AB, Rh-negative AB, Rh-positive O, Rh-negative O, Rh-positive ABO, Rh-negative

46) An individual has type B, Rh-positive blood. The individual has __________ antigen(s) and can produce anti-__________ antibodies. A) B) C) D) E)

A and D; B B and D; A B; A and D A; B and D D; A and B

47) The main reason why an individual with type AB, Rh-negative blood cannot donate blood to an individual with type A, Rh-positive blood is because __________. A) B) C) D) E)

anti-A antibodies in the donor will agglutinate RBCs of the recipient anti-A antibodies in the recipient will agglutinate RBCs of the donor anti-B antibodies in the donor will agglutinate RBCs of the recipient anti-D antibodies in the donor will agglutinate RBC of the recipient anti-B antibodies in the recipient will agglutinate RBCs of the donor

48) A woman's first pregnancy is normal but her second pregnancy results in hemolytic disease of the newborn (HDN). The second child needed a transfusion to completely replace the agglutinating blood. The mother is most likely type __________ and both children are most likely __________.

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A) B) C) D) E)

49)

What arethe least abundant of the formed elements? A) B) C) D) E)

50)

Macrophages Eosinophils Monocytes Lymphocytes Neutrophils

The number of __________ typically increases in response to bacterial infections. A) B) C) D) E)

52)

Platelets Basophils Erythrocytes Neutrophils Eosinophils

What are the most abundant agranulocytes? A) B) C) D) E)

51)

A, Rh-negative; B, Rh-positive A, Rh-positive; B, Rh-negative O, Rh-negative; AB, Rh-negative AB, Rh-positive; O, Rh-negative AB, Rh-positive; O, Rh-positive

basophils monocytes erythrocytes eosinophils neutrophils

Which cellsaid in the body's defense processes by secreting histamine and heparin?

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A) B) C) D) E)

53)

Leukopoiesis begins with the differentiation of __________. A) B) C) D) E)

54)

days weeks months years decades

A patient is diagnosed with leukocytosis if they have more than __________ WBCs/μL. A) B) C) D) E)

56)

pluripotent stem cells precursor cells colony-forming units myeloblasts lymphoblasts

Some lymphocytes can survive as long as __________. A) B) C) D) E)

55)

Eosinophils Basophils Neutrophils Platelets Monocytes

100,000 50,000 10,000 5,000 1,000

Which of the followinghas not been implicated in causingleukopenia?

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A) B) C) D) E)

Acquired Immunodeficiency Syndrome (AIDS) Lead poisoning Radiation therapy Dehydration Immunosuppressant drugs

57) What is the largest leukocyte that containssmall cytoplasmic granules and typically a kidney- or horseshoe-shaped nucleus? A) B) C) D) E)

58)

Which of the following are not secreted by platelets? A) B) C) D) E)

59)

Monocyte Lymphocyte Neutrophil Eosinophil Basophil

Procoagulants Thrombopoietin Growth factors Vasoconstrictors Chemicals that attract neutrophils

The cessation of bleeding is specifically called __________. A) B) C) D) E)

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a vascular spasm homeostasis hemostasis platelet plug formation coagulation

14


60)

What is the function of thromboplastin in hemostasis? A) B) C) D) E)

61)

When a clot is no longer needed, fibrin is dissolved by __________. A) B) C) D) E)

62)

It initiates the intrinsic pathway of coagulation. It initiates the extrinsic pathway of coagulation. It converts prothrombin into thrombin. It acts as a potent vasoconstrictor to reduce blood loss. It dissolves the clot after the tissue has healed.

prothrombin thromboplastin kallikrein plasmin platelet-derived growth factor

Which of these does not prevent the spontaneous formation of a clot? A) B) C) D) E)

The presence of tissue thromboplastin The smooth prostacyclin-coated endothelium of blood vessels The dilution of thrombin when blood flows at a normal rate The presence of antithrombin in plasma The presence of heparin in plasma

63) Platelets release __________, a chemical vasoconstrictor that contributes to the vascular spasm. A) B) C) D) E)

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heparin thrombin thromboplastin prostacyclin serotonin

15


64)

The structural framework of a blood clot is formed by __________. A) B) C) D) E)

soluble fibrinogen soluble fibrin a fibrin polymer a fibrinogen polymer a thrombin polymer

65) Most strokes and heart attacks are caused by the abnormal clotting of blood in an unbroken vessel. Moreover, a piece of the __________ (clot) may break loose and begin to travel in the bloodstream as a(n) __________. A) B) C) D) E)

66)

During coagulation, which of the following is found in the extrinsic mechanism only? A) B) C) D) E)

67)

thrombus; embolus embolism; thrombus plaque; thrombus thrombosis; plaque plaque; embolus

Calcium Prothrombin activator Prothrombin Thromboplastin Thrombin

Where are most clotting factors synthesized in the body?

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A) B) C) D) E)

Spleen Red bone marrow Perivascular tissue Kidneys Liver

68) A patient is suffering from ketoacidosis caused by an unregulated high protein diet. Which function of the blood has been compromised? A) B) C) D) E)

69)

Stabilizing fluid distribution in the body Stabilizing the body's pH Protecting against microorganisms Transporting nutrients Transporting hormones

Where in the body are hemopoietic stem cells found? A) B) C) D) E)

Yellow bone marrow Thymus Red bone marrow Spleen Liver

70) Which of the following might be injected into a patient who is prone to forming blood clots and therefore at risk of a heart attack or stroke? A) B) C) D) E)

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Thromboplastin Fibrinogen Fibrin Heparin Factor X

17


71)

Blood clots in the limbs put a patient most at risk for __________. A) B) C) D) E)

hemophilia pulmonary embolism thrombocytopenia disseminated intravascular coagulation (DIC) septicemia

72) {MISSING IMAGE}This figure shows the correction of hypoxemia by a negative feedback loop. What should go in the box labeled 1? A) B) C) D) E)

Secretion of erythropoietin Secretion of gastroferritin Increased osteoblast activity Decreased osteoclast activity Calcitriol secretion

73) {MISSING IMAGE}This figure shows the correction of hypoxemia by a negative feedback loop. What should go in the box labeled 2? A) B) C) D) E)

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Accelerated erythropoiesis Decreased erythropoiesis Increased bone reabsorption Decreased bone reabsorption Prevention of hydroxyapatite formation

18


74)

What is indicated by the arrows? A) B) C) D) E)

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Antibodies Antigens Leukocytes Erythrocytes Megakaryocytes

19


75) results of an ABO blood typing test. What blood type is this?

This picture shows the

A) Type A B) Type B C) Type O D) Type AB E) This is either Type A or Type B; there is not enough information to distinguish between them.

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76) ABO blood typing test. What blood type is this?

This picture shows the results of an

A) Type A B) Type B C) Type O D) Type AB E) This is either Type A or Type B; there is not enough information to distinguish between them.

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21


77) of an ABO blood typing test. What blood type is this?

This picture shows the results

A) Type A B) Type B C) Type O D) Type AB E) This is either Type A or Type B; there is not enough information to distinguish between them.

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78) blood typing test. What blood type is this?

This picture shows the results of an ABO

A) Type A B) Type B C) Type O D) Type AB E) This is either Type A or Type B; there is not enough information to distinguish between them.

79)

{MISSING IMAGE}Which part of this process is an example of positive feedback?

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A) Plasmin promotes the production of kallikrein, an enzyme that catalyzes the formation of plasmin. B) Both Factor XII and Plasmin promote the formation of kallikrein. C) Kallikrein and plasmin are both enzymes. D) Factor XII promotes clotting, then catalyzes the formation of kallikrein which helps break up the clot after tissue repair is complete. E) Each enzyme catalyzes the production of many molecules of the next enzyme in the pathway, so the number of active molecules increases with each step.

SECTION BREAK. Answer all the part questions.

80)

80.1) This figure shows the stages of hemoglobin breakdown and disposal. What should go in the yellow box labeled 1? A) B) C) D) E)

Heme Globin Erythropoietin Gastroferritin Transferrin

80.2) This figure shows the stages of hemoglobin breakdown and disposal. What should go in the blue box labeled 2?

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A) B) C) D) E)

81)

Heme Globin Erythropoietin Gastroferritin Transferrin

{MISSING IMAGE}

81.1) A) B) C) D) E)

81.2) A) B) C) D) E)

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What blood type is labeled 4 in this picture? Type O Type A Type B Type AB This could be either Type A or Type B.

What blood type is labeled 1 in this picture? Type O Type A Type B Type AB This could be either Type A or Type B.

25


©Ed Reschke

82)

82.1) A) B) C) D) E)

82.2) A) B) C) D) E)

82.3)

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What type of formed element is labeled 1? Platelets Monocyte Neutrophils Lymphocyte Erythrocytes

What type of formed element is labeled 2? Platelets Monocyte Neutrophils Lymphocyte Erythrocytes

What type of formed element is labeled 3?

26


A) B) C) D) E)

82.4) A) B) C) D) E)

82.5) A) B) C) D) E)

83)

Platelets Monocyte Neutrophils Lymphocyte Erythrocytes

What type of formed element is labeled 4? Platelets Monocyte Neutrophils Lymphocyte Erythrocytes

What type of formed element is labeled 5? Platelets Monocyte Neutrophils Lymphocyte Erythrocytes

{MISSING IMAGE}

83.1) This diagram shows the pathway for fibrinolysis. What should go in the blue box labeled 1?

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A) B) C) D) E)

Plasminogen Fibrinogen Angiotensinogen Pepsinogen Trypsinogen

83.2) This diagram shows the pathway for fibrinolysis. What should go in the blue box labeled 2? A) B) C) D) E)

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Plasmin Fibrin Angiotensin Pepsin Trypsin

28


Answer Key Test name: Chap 18_9e 1) FALSE 2) FALSE 3) FALSE 4) TRUE 5) TRUE 6) TRUE 7) FALSE 8) TRUE 9) FALSE 10) FALSE 11) TRUE 12) TRUE 13) FALSE 14) TRUE 15) TRUE 16) TRUE 17) TRUE 18) D 19) C 20) E 21) A 22) B 23) D 24) B 25) A 26) E Version 1

29


27) C 28) D 29) E 30) E 31) D 32) A 33) C 34) B 35) C 36) A 37) B 38) D 39) C 40) D 41) A 42) B 43) E 44) A 45) C 46) B 47) E 48) A 49) B 50) D 51) E 52) B 53) A 54) E 55) C 56) D Version 1

30


57) A 58) B 59) C 60) B 61) D 62) A 63) E 64) C 65) A 66) D 67) E 68) B 69) C 70) D 71) B 72) A 73) A 74) A 75) A 76) B 77) D 78) C 79) A 80) Section Break 80.1) A 80.2) B 81) Section Break 81.1) D 81.2) A 82) Section Break Version 1

31


82.1) A 82.2) B 82.3) C 82.4) D 82.5) E 83) Section Break 83.1) A 83.2) A

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CHAPTER 19 TRUE/FALSE - Write 'T' if the statement is true and 'F' if the statement is false. 1) The pulmonary circuit is supplied by both the right and the left sides of the heart. ⊚ ⊚

2)

true false

The systemic circuit contains oxygen-rich blood only. ⊚ ⊚

true false

3) The fibrous skeleton of the heart serves as electrical insulation between the atria and the ventricles. ⊚ ⊚

true false

4) The ventricles are the thicker more powerful chambers of the heart. They pump blood to the lungs and body. ⊚ ⊚

true false

5) Blood in the heart chambers provides most of the myocardium's oxygen and nutrient needs. ⊚ ⊚

6)

true false

Cardiac muscle can only use glucose as a source of organic fuel. ⊚ ⊚

Version 1

true false

1


7) Desmosomes form channels that allow each cardiomyocyte to electrically stimulate its neighbors. ⊚ ⊚

8)

true false

If the SA node is damaged, nodal rhythm is sufficient to sustain life. ⊚ ⊚

true false

9) Repolarization of a ventricular cardiomyocyte takes longer than repolarization of a typical neuron. ⊚ ⊚

10)

true false

Atrial hypertrophy would probably cause an enlarged P wave on an electrocardiogram. ⊚ ⊚

true false

11) Blood pressure is usually measured in millimeters of mercury (mmHg) but could be measured with any liquid, such as water (mm H 20). ⊚ ⊚

true false

12) Papillary muscles prevent the AV valves from prolapsing (bulging) excessively into the atria when the ventricles contract. ⊚ ⊚

13)

true false

The ventricles are almost empty at the end of ventricular diastole.

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2


⊚ ⊚

14)

Ventricular pressure increases the fastest during ventricular filling. ⊚ ⊚

15)

true false

true false

Parasympathetic stimulation reduces heart rate. ⊚ ⊚

true false

16) The cardiac plexus and cardiac nerves dominate the innervation of the heart and contain both parasympathetic and sympathetic fibers. ⊚ ⊚

17)

true false

Hypercapnia and acidosis have positive chronotropic effects. ⊚ ⊚

true false

18) Under normal conditions, the amount of blood pumped through the pulmonary circuit is less than the amount pumped through the systemic circuit. ⊚ ⊚

true false

19) Endurance athletes commonly have a resting heart rate as low as 40 bpm, and a stroke volume as low as 50 mL/beat. ⊚ ⊚

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true false

3


20)

Exercise causes the ventricles to hypertrophy. ⊚ ⊚

true false

MULTIPLE CHOICE - Choose the one alternative that best completes the statement or answers the question. 21) Which of the following carry oxygen-poor blood? A) B) C) D) E)

22)

Which of the followingbelong to the pulmonary circuit? A) B) C) D) E)

23)

Pulmonary veins and vena cavae Aorta and pulmonary veins Aorta and vena cavae Venae cavae and pulmonary arteries Pulmonary veins and pulmonary arteries

Aorta and venae cavae Aorta and pulmonary veins Pulmonary arteries and venae cavae Venae cavae and pulmonary veins Pulmonary arteries and pulmonary veins

The heart is enfolded within a space called the __________. A) B) C) D) E)

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pericardial cavity mediastinum abdominal cavity pleural cavity myocardium

4


24)

The apex of the heart is found__________ of the midline of the body. A) to the right B) to the left C) in the center

25)

Which of the following is the most superficial layer enclosing the heart? A) B) C) D) E)

26)

Pericardial fluid is found between the __________ and the __________. A) B) C) D) E)

27)

Parietal layer of the serous pericardium Visceral layer of the serous pericardium Endocardium Epicardium Myocardium

visceral layer of the serous pericardium; myocardium visceral layer of the serous pericardium; epicardium parietal layer of the serous pericardium; visceral layer of the serous pericardium myocardium; endocardium epicardium; myocardium

The __________ performs the work of the heart. A) B) C) D) E)

fibrous skeleton pericardial cavity endocardium myocardium epicardium

28) The __________ are the superior chambers of the heart and the _________ are the inferior chambers of the heart. Version 1

5


A) B) C) D) E)

29)

visceral layers of the serous percardiaum; parietal layers of the serous pericardium ventricles; atria atria; ventricles left ventricles; right ventricles left atria; right atria

Which structure is highlighted?

©McGraw-Hill Education A) B) C) D) E)

Myocardium of left ventricle Myocardium of right atrium Myocardium of left artium Myocardium of right ventricle Myocardium of aorta

30) The shallow depression seen on the external surface of the heart between the left and right ventricles is called the __________.

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6


A) B) C) D) E)

coronary sinus interventricular sulcus interventricular septum coronary sulcus left atrium

31) The area where themajor vessels lead to and from the heart's chambers is calledthe __________ of the heart. The pointy, inferior portion is called the ___________. A) B) C) D) E)

apex; base atrium; ventricle ventricle; atrium base; apex endocardium; epicardium

32) The right atrioventricular valve (tricuspid)regulates the opening between the _________ and the _________. A) B) C) D) E)

33)

right atrium; left atrium right atrium; right ventricle right atrium; left ventricle left atrium; left ventricle left ventricle; right ventricle

Oxygen-poor blood passes through the _________. A) B) C) D) E)

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right AV (tricuspid) and pulmonary valves right AV (tricuspid) valve only left AV (mitral) and aortic valves left AV (mitral) valve only pulmonary and aortic valves

7


34) The __________ valveregulates the flow of blood between the right ventricle and the vessels leading to the lungs. A) B) C) D) E)

right atrioventricular left atrioventricular aortic pulmonary mitral

35) The chordae tendineae of the AV valves are anchored to the __________ of the ventricles. A) B) C) D) E)

36)

papillary muscles pectinate muscles trabeculae carnae interventricular septum interatrial septum

Which structure is highlighted?

©McGraw-Hill Education

Version 1

8


A) B) C) D) E)

37)

Right atrioventricular valve Aortic valve Left atrioventricular valve Pulmonary valve Mitral valve

Which structure is highlighted?

©McGraw-Hill Education A) B) C) D) E)

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Right atrioventricular valve Aortic valve Left atrioventricular valve Pulmonary valve Semilunar valve

9


38)

Which structure is highlighted?

©McGraw-Hill Education A) B) C) D) E)

39)

The __________ carry blood toward the lungs. A) B) C) D) E)

40)

Trabeculae carne Interatrial septum Papillary muscles Chordae tendinae Pectinate muscles

pulmonary arteries and veins pulmonary trunk and arteries pulmonary trunk and veins superior and inferior venae cavae aorta and pulmonary arteries

After entering the right atrium, the furthest a red blood cell can travel is the _________.

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10


A) B) C) D) E)

41)

Opening and closing of the heart valves is caused by _________. A) B) C) D) E)

42)

right ventricle pulmonary trunk superior vena cava ascending aorta left atrium

breathing gravity valves contracting and relaxing osmotic gradients pressure gradients

Which of the followingblood vessels receives blood directly from the right ventricle? A) B) C) D) E)

Pulmonary trunk Ascending aorta Superior vena cava Inferior vena cava Right pulmonary vein

43) Which of the following directly stems from the ascending aorta before it branches into the circumflex branch and anterior interventricular branch? A) B) C) D) E)

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Right coronary artery Great cardiac vein Right coronary vein Left coronary artery Left coronary vein

11


44) An obstruction in which of the following will cause the most severe myocardial infarction (MI)? A) B) C) D) E)

45)

Which of the following is a feature shared by cardiac muscle andskeletal muscle? A) B) C) D) E)

46)

Muscle fiber striations Dependence upon nervous stimulation Communication viaelectrical (gap) junctions Intercalated discs Autorhythmicity

Which of the following is not a feature of cardiac muscle? A) B) C) D) E)

47)

Left marginal vein Left coronary artery (LCA) Posterior interventricular vein Anterior interventricular branch Circumflex branch

They depend almost exclusively on aerobic respiration. They are rich in glycogen. They have larger than averagemitochondria. They are very rich in myoglobin. They have about the same endurance as skeletal muscle fibers.

Electrical signals pass between cardiomyocytes through the __________. A) B) C) D) E)

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gap junctions desmosomes tight junctions hemidesmosomes aquaporins

12


48)

The __________ is the pacemaker that initiates each heart beat. A) B) C) D) E)

49)

sympathetic division of the nervous system autonomic nervous system sinuatrial (SA) node atrioventricular (AV) node cardiac conduction system

Which of the followingis not part of the cardiac conduction system? A) B) C) D) E)

Sinuatrial (SA) node Tendinous cords Atrioventricular (AV) node Atrioventricular (AV) bundle (bundle of His) Subendocardial conducting network

50) Which is the correct path of an electrical excitation from the pacemaker to a cardiomyocytein the left ventricle (LV)? A) Sinuatrial (SA) node → atrioventricular (AV) bundle → atrioventricular (AV) node → subendocardial conducting network → cardiomyocytein LV B) Atrioventricular (AV) node → subendocardial conducting network→ atrioventricular (AV) bundle → sinuatrial (SA) node → cardiomyocytein LV C) Atrioventricular (AV) node → sinuatrial (SA) node → atrioventricular (AV) bundle → subendocardial conducting network → cardiomyocytein LV D) Sinuatrial (SA) node → atrioventricular (AV) node → atrioventricular (AV) bundle → subendocardial conducting network → cardiomyocytein LV E) Sinuatrial (SA) node → atrioventricular (AV) node → subendocardial conducting network→ atrioventricular (AV) bundle → cardiomyocytein LV

51)

The pacemaker potential is a result of _________.

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A) B) C) D) E)

52)

If the sinuatrial (SA) nodeis damaged, the heart will likely beat at __________ bpm. A) B) C) D) E)

53)

Na + inflow Na + outflow K + inflow K + outflow Ca 2+ inflow

0 to10 10 to 20 20 to 40 40 to 50 70 to 80

Cells of the sinuatrial node __________ during the pacemaker potential. A) B) C) D) E)

depolarize fast depolarize slow repolarize slow repolarize fast depolarize slow and repolarize fast

54) The plateau in the action potential of cardiac muscle results from the action of __________. A) B) C) D) E)

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Na + inflow K + inflow K + outflow fast Ca 2+ channels slow Ca 2+ channels

14


55) When sodium channels are fully open, the membrane of the ventricular cardiomyocyte_________. A) B) C) D) E)

56)

sharply hyperpolarizes sharply repolarizes sharply depolarizes plateaus has no response

The __________ provides most of the Ca 2+ needed for myocardial contraction. A) B) C) D) E)

extracellular fluid mitochondria sarcoplasmic reticulum Golgi apparatus cytoskeleton

57) The long plateau in the action potential observed in cardiomyocytesis probably related with __________ staying longer in the cytosol. A) B) C) D) E)

58)

Na + K + Ca 2+ Cl Na +, K

+

, and Ca

2+

The long absolute refractory period of cardiomyocytes_________.

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A) B) C) D) E)

59)

Any abnormal cardiac rhythm is called a(n) __________. A) B) C) D) E)

60)

ectopic focus sinus rhythm nodal rhythm heart block arrhythmia

Atrial systole begins __________. A) B) C) D) E)

61)

ensures a short twitch prevents tetanus makes the heart prone to arrhythmias prevents the occurrence of ectopic focuses causes the pacemaker potential

immediately before the P wave immediately after the P wave during the Q wave during the S-T segment immediately after the T wave

Atrial depolarization causes the _________. A) B) C) D) E)

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P wave QRS complex T wave first heart sound quiescent period

16


62) An extended period of time between the P wave and the QRS complex may indicate which of the following? A) B) C) D) E)

The signal is taking too long to get to the AV node. The signal is traveling too quickly to the AV node. Ventricular contraction is taking longer than usual. Ventricular contraction is faster than usual. The atria are not contracting.

63) In a normal ECG, the deflection that is generated by ventricular repolarization is called the __________. A) B) C) D) E)

R wave QRS wave P wave S wave T wave

64) Mercury is used to measure blood pressure because it is __________ compared to other liquids. A) B) C) D) E)

more dense less dense darker in color lighter in color warmer

65) Mitral valve prolapse causes blood to leak back into the __________ when the ventricles contract.

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A) B) C) D) E)

left atrium right atrium aorta pulmonary trunk pulmonary arteries

66) When the left ventricle contracts, the __________ valve closes and the __________ valve is pushed open. A) B) C) D) E)

mitral; pulmonary right AV; pulmonary right AV; aortic mitral; aortic aortic; pulmonary

67) When the ventricles relax, the __________ valve prevents backflow of blood into the left ventricle. A) B) C) D) E)

aortic pulmonary mitral left AV right AV

68) Mitral valve prolapse (MVP) generates a murmur associated with the __________ heart sound that occurs when the __________. A) B) C) D) E)

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lubb (S1); atria contract dupp (S2); atria relax lubb (S1); ventricles contract dupp (S2); ventricles relax lubb (S1); ventricles relax

18


69) When the aortic semilunar valve closes and blood bounces off of it, it produces the __________ heart sound that is ultimately related to when the __________. A) B) C) D) E)

70)

During isovolumetric contraction, the pressure in the ventricles __________. A) B) C) D) E)

71)

lubb (S1); atria contract dupp (S2); atria relax lubb (S1); ventricles contract dupp (S2); ventricles relax lubb (S1); ventricles relax

falls rapidly rises rapidly remains constant rises and then falls falls and then rises

Which is the correct sequence of events of the cardiac cycle?

A) Ventricular filling → isovolumetric contraction → isovolumetric relaxation → ventricular ejection B) Ventricular filling → isovolumetric relaxation → isovolumetric contraction → ventricular ejection C) Ventricular filling → ventricular ejection → isovolumetric contraction → isovolumetric relaxation D) Ventricular filling → isovolumetric relaxation → ventricular ejection → isovolumetric contraction E) Ventricular filling → isovolumetric contraction → ventricular ejection → isovolumetric relaxation

72)

Congestive heart failure (CHF) of the right ventricle __________.

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A) B) C) D) E)

73)

Isovolumetric contraction occurs during the __________ of the electrocardiogram. A) B) C) D) E)

74)

can cause pulmonary edema can cause systemic edema increases the ejection fraction of the right ventricle reduces the ejection fraction of the left ventricle increases cardiac output in both ventricles

P wave P-Q segment R wave S-T segment T wave

Most of the ventricle filling occurs __________. A) B) C) D) E)

during atrial systole when the AV valve is closed during ventricular systole during atrial diastole during isovolumetric contraction

75) Assume that the left ventricle of a child's heart has an EDV=90mL, and ESV=60mL, and a cardiac output of 2,400 mL/min. His SV is __________mL/beat and his HR is __________ bpm. A) B) C) D) E)

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30; 80 40; 60 80; 30 150; 16 16; 150

20


76)

The volume of blood ejected by each ventricle in one minute is called the __________. A) B) C) D) E)

77)

Stroke volume is increased by __________. A) B) C) D) E)

78)

cardiac reserve preload afterload stroke volume cardiac output

high arterial blood pressure negative inotropic agents increased venous return increased afterload dehydration

Cardioinhibitory centers in the __________ receive input from __________. A) B) C) D) E)

cortex; proprioceptors in the muscles thalamus; chemoreceptors in the medulla oblongata hypothalamus; proprioceptors in the joints medulla oblongata; chemoreceptors in the aortic arch pons; baroreceptors in the internal carotid

79) The Frank-Starling law of the heart states that stroke volume is proportional to __________.

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A) B) C) D) E)

the end-systolic volume the end-diastolic volume the afterload the heart rate contractility

SECTION BREAK. Answer all the part questions.

80)

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80.1) A) B) C) D) E)

80.2) A) B) C) D) E)

80.3) A) B) C) D) E)

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Blood flows into vessel C from which chamber? Right atrium Left atrium Right ventricle Left ventricle Coronary sinus

Where does blood in vessel E flow to? Right atrium Left atrium Right ventricle Lungs Lower body

Through which valve does blood flow to enter into vessel B? Right atrioventricular Left atrioventricular Pulmonary Aortic Mitral

23


81)

81.1) A) B) C) D) E)

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Which valve does not have three cusps? A B C D A and C

24


81.2) A) B) C) D) E)

Through which valve(s) does blood go to the lungs? A B C D B and D

81.3) A) B) C) D)

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Which letter represents the mitral valve? A B C D

25


82)

82.1) A) B) C) D) E)

82.2)

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Which valves are connected to chordae tendineae? A and B B and C C and D B and D A and C

Through which valves does blood exit the heart?

26


A) B) C) D) E)

82.3) A) B) C) D) E)

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A and B B and C C and D B and D A and C

The closing of which valves is responsible for the lubb-dupp heart sounds? A and B B and C C and D B and D A and C

27


83)

83.1) A) B) C) D) E)

83.2)

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Which structure is the pacemaker of the heart? A B C D E

Which structures receive innervation from the ANS?

28


A) B) C) D) E)

A and B B and C C and D A and E B and E

83.3) A) B) C) D) E)

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Which ectopic focus produces a nodal (junctional) rhythm? A B C D E

29


84)

84.1) A) B) C) D) E)

84.2)

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During which part of this ECG are the ventricles repolarizing? A B C D E

During which part of this ECG are the atria depolarizing?

30


A) B) C) D) E)

A B C D E

84.3) A) B) C) D) E)

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During which part of this ECG are the atria repolarizing? A B C D E

31


Answer Key Test name: Chap 19_9e 1) FALSE 2) FALSE 3) TRUE 4) TRUE 5) FALSE 6) FALSE 7) FALSE 8) TRUE 9) TRUE 10) TRUE 11) TRUE 12) TRUE 13) FALSE 14) FALSE 15) TRUE 16) TRUE 17) TRUE 18) FALSE 19) FALSE 20) TRUE 21) D 22) E 23) A 24) B 25) A 26) C Version 1

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27) D 28) C 29) A 30) B 31) D 32) B 33) A 34) D 35) A 36) D 37) C 38) C 39) B 40) C 41) E 42) A 43) D 44) B 45) A 46) E 47) A 48) C 49) B 50) D 51) A 52) D 53) B 54) E 55) C 56) C Version 1

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57) C 58) B 59) E 60) B 61) A 62) A 63) E 64) A 65) A 66) D 67) A 68) C 69) D 70) B 71) E 72) B 73) C 74) D 75) A 76) E 77) C 78) D 79) B 80) Section Break 80.1) C 80.2) A 80.3) D 81) Section Break 81.1) C 81.2) B Version 1

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81.3) C 82) Section Break 82.1) A 82.2) C 82.3) A 83) Section Break 83.1) A 83.2) A 83.3) B 84) Section Break 84.1) C 84.2) A 84.3) B

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CHAPTER 20 TRUE/FALSE - Write 'T' if the statement is true and 'F' if the statement is false. 1) Blood flow through a capillary bed is regulated by precapillary sphincters. ⊚ ⊚

2)

Large veins, medium veins, and venules have valves to prevent the backflow of blood. ⊚ ⊚

3)

true false

Blood flow is pulsatile in arteries and veins, but it is steady in capillaries. ⊚ ⊚

4)

true false

true false

Vasomotioncan raise or lower blood pressure throughout the body. ⊚ ⊚

true false

5) Increased capillary filtration, reduced reabsorption, or obstruction of lymphatic drainage can lead to edema. ⊚ ⊚

6)

Most tissue fluid is reabsorbed by the lymphatic system. ⊚ ⊚

7)

true false

true false

Decompensated shock is normally corrected by the body's homeostatic mechanisms.

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⊚ ⊚

8)

The pulmonary circuit is the only route in which arteries carry less oxygen than veins. ⊚ ⊚

9)

true false

Lung tissue receives nourishment and waste removal from the pulmonary circuit. ⊚ ⊚

10)

true false

true false

The greatest outflow from the dural venous sinuses is via the internal jugular vein. ⊚ ⊚

true false

11) The three primary branches of the celiac trunk are the common hepatic, left gastric, and splenic veins. ⊚ ⊚

12)

Blood filtered through the hepatic sinusoids exits the liver via the hepatic veins. ⊚ ⊚

13)

true false

true false

Arterial flow to the lower limb comes from the external iliac artery. ⊚ ⊚

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true false

2


14) The brachial vein is the most common site of blood pressure measurement with the sphygmomanometer. ⊚ ⊚

15)

true false

The radial artery is lateral to the ulnar artery. ⊚ ⊚

true false

MULTIPLE CHOICE - Choose the one alternative that best completes the statement or answers the question. 16) Arteries are sometimes called the __________ vessels of the cardiovascular system because they have strong-resilient tissue structure. A) B) C) D) E)

17)

resistance capacitance hydrodynamic compliance fenestrated

Which vesselshave the thickest tunica media? A) B) C) D) E)

Small arteries Small veins Large arteries Large veins Capillaries

18) The outermost wall of an artery or vein is called the __________ and in large arteries and veins contains the __________.

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A) B) C) D) E)

19)

Where is the greatest volume of blood found in the body? A) B) C) D) E)

20)

Pulmonary circuit Heart Arteries Veins Capillaries

Alternative routes of blood supply are called __________. A) B) C) D) E)

21)

tunica media; smooth muscle tunica externa; vasa vasorum tunica externa; valves tunica intima; endothelium tunica intima; basement membrane

metarterioles capillary beds preferred channels thoroughfare channels anastomoses

Which of the following is not a possible circulatory route from the heart?

A) Heart → arteries → capillary bed → veins → heart B) Heart → arteries → capillary bed → vein → capillary bed → veins → heart C) Heart → arteries → capillary bed → vein → capillary bed → arteries → heart D) Heart → arteries → arterial anastomosis → capillary bed → veins → heart E) Heart → arteries → arterial anastomosis → capillary bed → venous anastomosis → veins → heart

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22)

Which of the following is associated with vasomotion? A) B) C) D) E)

Collagen and elastic tissue in the tunica media Elastic tissue in the tunica externa Endothelium in the tunica interna Smooth muscle in the tunica media Fenestrations in the tunica externa

23) In people who stand for long periods, blood tends to pool in the lower limbs and this may result in varicose veins. What causes the varicose veins? A) B) C) D) E)

An aneurysm or weak point in an artery An aneurysm or weak point in a vein Failure of the venous valves Failure of the lymphatic valves A ruptured aneurysm in a vein

24) What is the mean arterial pressure for a person with 110 and 65 mm Hg as systolic and diastolic pressure, respectively? A) B) C) D) E)

25)

45 mm Hg 80 mm Hg 87.5 mm Hg 90 mm Hg 175 mm Hg

Which of the following would decrease the velocity of blood flow?

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A) B) C) D) E)

26)

What does the medullary ischemic reflex result in? A) B) C) D) E)

27)

Blood viscosity Vessel radius Blood osmolarity Hematocrit Vessel length

What causes reactive hyperemia to increase tissue perfusion? A) B) C) D) E)

29)

Increased circulation to the brain Reduced circulation to the brain Ischemia of the medulla oblongata Increased circulation to the adrenal medulla Hormone secretion by the adrenal medulla when perfusion drops

Which of the following has the most important effect on blood velocity? A) B) C) D) E)

28)

Increased viscosity Increased blood pressure Increased vessel radius Increased afterload Decreased vasomotion

Urinary controls Neural controls Hormonal controls Local controls Respiratory controls

Which of the following decreases blood pressure?

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A) B) C) D) E)

30)

Norepinephrine Antidiuretic hormone Angiotensin II Aldosterone Natriuretic peptides

Where is the vasomotor center located? A) B) C) D) E)

Hypothalamus Medulla oblongata Spinal cord Cerebellum Cerebral cortex

31) Hypertension is commonly considered to be a chronic resting blood pressure higher than __________. A) B) C) D) E)

32)

180/90 130/60 120/75 140/90 200/90

Which of the following are powerful vasoconstrictors? A) B) C) D) E)

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Norepinephrine and antidiuretic hormone (ADH) Norepinephrine and natriuretic peptides Norepinephrine and angiotensin II Epinephrine and aldosterone Epinephrine and antidiuretic hormone (ADH)

7


33)

Which of the following does not move substances across capillary walls? A) B) C) D) E)

34)

What is the most important force driving filtration at the arterial end of a capillary? A) B) C) D) E)

35)

Oncotic pressure Tissue fluid colloid osmotic pressure Blood colloid osmotic pressure Interstitial hydrostatic pressure Blood hydrostatic pressure

What is taken up by the capillaries at their venous end? A) B) C) D) E)

36)

Reabsorption Filtration Group transport Transcytosis Diffusion

Waste products Oxygen Glucose Amino acids Organic nutrients

What is the most important force driving reabsorption at the venous end of a capillary? A) B) C) D) E)

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Oncotic pressure Tissue fluid colloid osmotic pressure Blood colloid osmotic pressure Interstitial hydrostatic pressure Blood hydrostatic pressure

8


37)

Which of the following does not lead to edema? A) B) C) D) E)

38)

Which of the following would decrease capillary filtration? A) B) C) D) E)

39)

Increased permeability of lymphatic capillaries Dehydration Increased capillary permeability Dietary protein deficiency Obstructed venous return

A mean arterial pressure below 60 mmHg can cause which of the following? A) B) C) D) E)

40)

Obstruction of lymphatic vessels Liver disease Famine Hyperproteinemia Hypertension

Neurogenic shock Cardiogenic shock Compensated shock Cerebral edema Syncope

Which of the following does not contribute to venous return? A) B) C) D) E)

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The difference of pressure between venules and the venae cavae The expansion and contraction of the thoracic cavity during ventilation The suction created by the atria slightly expanding during ventricular systole Widespread vasodilation Contraction of skeletal muscles of the limbs

9


41)

What type of shock can be produced by hemorrhage, severe burns, or dehydration? A) B) C) D) E)

Anaphylactic Cardiogenic Hypovolemic Venous pooling Neurogenic

42) What type of shock occurs when bacterial toxins trigger vasodilation and increase capillary permeability? A) B) C) D) E)

Compensated Anaphylactic Neurogenic Cardiogenic Septic

43) A bee sting can trigger a massive release of histamine, which causes __________ and a(n) __________ in arterial blood pressure. A) B) C) D) E)

44)

vasodilation; decrease vasodilation; increase vasoconstriction; decrease vasoconstriction; increase vasoconstriction; oscillation

Myocardial infarction can lead to what type of shock?

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A) B) C) D) E)

45)

Neurogenic Cardiogenic Obstructed venous return Venous pooling (vascular) Hypovolemic

What is the most important force in venous flow? A) B) C) D) E)

Cardiac suction The pressure generated by the heart The skeletal muscle pump The thoracic (respiratory) pump The one-way flow due to valves

46) Blood flow to the __________ remains quite stable even when mean arterial pressure (MAP) fluctuates from 60 to 140 mm Hg. A) B) C) D) E)

47)

hypothalamus adrenal gland stomach skeletal muscles kidneys

Pulmonary arteries have __________ blood pressure compared to systemic arteries. A) B) C) D) E)

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similar a little lower considerably lower considerably higher a little higher

11


48)

How many pulmonary arteries empty into the right atrium of the heart? A) B) C) D) E)

49)

The lungs receive a systemic blood supply by way of which vessel(s)? A) B) C) D) E)

50)

Right pulmonary artery Left pulmonary artery Pulmonary veins Bronchial arteries Lobar arteries

Which of the following is absent in humans? A) B) C) D) E)

51)

0 1 2 4 8

Right and left common carotid arteries Right and left brachiocephalic arteries Right and left brachiocephalic veins Right and left subclavian veins Right and left subclavian arteries

Which vessel supplies 80% of the cerebrum? A) B) C) D) E)

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Superficial temporal artery Occipital artery Internal carotid artery Anterior cerebral artery Middle cerebral artery

12


52)

Which of the following best describes the cerebral arterial circle (circle of Willis)? A) B) C) D) E)

53)

An anastomosis surrounding the pituitary gland A portal system connecting the hypothalamus with the anterior pituitary A short anastomosis found in the cerebellum Formed by the superior and inferior sagittal sinuses An anastomosis circling the entire cortex

What are the major branches of the abdominal aorta from superior to inferior?

A) Celiac trunk, superior mesenteric artery, renal arteries, gonadal arteries, inferior mesenteric artery, and common iliac arteries B) Celiac trunk, superior mesenteric artery, gonadal arteries, renal arteries, inferior mesenteric artery, and common iliac arteries C) Superior mesenteric artery, celiac trunk, renal arteries, gonadal arteries, inferior mesenteric artery, and common iliac arteries D) Superior mesenteric artery, celiac trunk, gonadal arteries, renal arteries, inferior mesenteric artery, and common iliac arteries E) Superior mesenteric artery, inferior mesenteric artery, celiac trunk, gonadal arteries, renal arteries, and common iliac arteries

54)

Which of the following constitutes the principal venous drainage of the thoracic organs? A) B) C) D) E)

55)

The branches of the celiac trunk The azygos system The mesenteric circulation The hepatic portal system The coronary and pulmonary veins

Which of the following are not tributariesof the inferior vena cava?

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A) B) C) D) E)

56)

Which of the following is not a vein of the upper limb? A) B) C) D) E)

57)

Popliteal vein Posterior tibial vein Medial plantar vein Fibular vein Anterior interosseous vein

What is the longest vein commonly used in grafts in coronary bypass surgery? A) B) C) D) E)

59)

Cephalic vein Great saphenous vein Basilic vein Median antebrachial vein Ulnar vein

Which of the following is not a vein of the lower limb? A) B) C) D) E)

58)

The hepatic veins The internal and external iliac veins The inferior phrenic veins The vertebral veins The lumbar veins

Inferior vena cava Femoral vein Deep femoral vein Great saphenous vein Common iliac vein

What are the afferent vessels that carry blood back to the heart?

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A) B) C) D) E)

60)

Arteries Arterioles Veins Capillaries Sinusoids

Which of the following routes of blood flow is correct?

A) Heart → venule → medium vein → large vein → capillary → conducting artery → distributing artery → arteriole → heart B) Heart → large vein → medium vein → venule→ capillary → arteriole → distributing artery → conducting artery → heart C) Heart → distributing artery → conducting artery → arteriole → capillary → venule → large vein → medium vein → heart D) Heart → conducting artery → distributing artery → arteriole → capillary → venule → medium vein → large vein → heart E) Heart → conducting artery → arteriole → distributing artery →capillary → large vein → venule → medium vein → heart

61)

Which of the following is a portal system?

A) Heart → artery → vein → heart B) Heart → artery → arteriole → capillary bed → arteriole → capillary bed → venule → vein → heart C) Heart → artery → artery → arteriole → capillary bed → venule → vein → heart D) Heart → artery → arteriole → capillary bed → venule → vein → vein → heart E) Heart → arteriole → artery → vein → heart

62)

Why does our blood pressure generally go up as we age?

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A) B) C) D) E)

Our veins get "hard" and absorb less systolic force Our veins get "hard" and absorb less diastolic force Our arteries get "hard" and absorb less systolic force Our arteries get "hard" and absorb less diastolic force Our capillaries get "hard" and less filtration occurs

63) A nurse takes your blood pressure and tells you the numbers are 110/70. What are your blood pressures? A) Systolic = 110 mmHg, Diastolic = 70 mmHg, Pulse Pressure = 40 mmHg, MAP = 83 mmMg B) Systolic = 110 mmHg, Diastolic = 70 mmHg, Pulse Pressure = 40 mmHg, MAP = 90 mmMg C) Diastolic = 110 mmHg, Systolic = 70 mmHg, Pulse Pressure = 40 mmHg, MAP = 107 mmMg D) Diastolic = 110 mmHg, Systolic = 70 mmHg, Pulse Pressure = 40 mmHg, MAP = 90 mmMg E) Diastolic = 110 mmHg, Systolic = 40 mmHg, Pulse Pressure = 70 mmHg, MAP = 90 mmMg

64) What might account for a soldier experiencing syncope after standing at attention for a long period of time? A) B) C) D) E)

65)

Increased respiratory rate Vasoconstriction Increased heart rate Venous pooling Hypertension

How is venous return to your heart affected when you go for an easy jog?

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A) B) C) D) E)

It is increased due to increased skeletal muscular pump activity. It is decreased due to decreased skeletal muscular pump activity. It is decreased due to increased skeletal muscular pump activity. It is increased due to decreased skeletal muscular pump activity. It is unaffected.

66) While out hiking, a friend of yours falls and suffers a trauma. You notice they start to go into shock. What do you do to help? A) B) C) D) E)

67)

Lie them down and elevate their head. Hold them upright in a standing position. Encourage them to sit up. Lie them down and elevate their legs. Have them lie on their side and curl up into a fetal position.

Which of the following statements about TIAs and CVAs is true? A) B) C) D) E)

TIAs are often early warning signs of an impending stroke. TIAs are the result of brain tissue death caused by ischemia. A CVA usually results from spasms of diseased cerebral arteries. TIAs often result in blindness and paralysis. TIA and CVA are two terms for the same condition.

68) Your grandmother is experiencing temporary dizziness, blurred vision, paralysis on her left side, and mild aphasia. What do you think might be happening? A) B) C) D) E)

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She has arteriosclerosis. She is having a myocardial infarction. She has an aortic aneurism. She is having a TIA. She has hypotension.

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69)

Which of the following activities would fatigue your hand muscles the fastest? A) B) C) D) E)

70)

During exercise, arterioles to the skeletal muscles __________. A) B) C) D) E)

71)

Squeezing a ball as hard as you can without stopping Alternately squeezing a ball then relaxing Bouncing a ball on the floor as many times as you can Throwing a ball in the air and catching it as many times as you can Tossing a ball from hand to hand

dilate in response to increased muscle metabolites constrict in response to increased muscle metabolites dilate in response to increased O2 and decreased CO2 constrict in response to increased O2 and decreased CO2 constrict in response to increases in both O2 and CO2

What is the path of blood flow from the heart to the lung tissues and back to the heart?

A) Left ventricle → aorta → brachiocephalic artery → lung tissues → bronchial veins → brachiocephalic vein → superior vena cava → right atrium B) Right ventricle → pulmonary trunk → pulmonary arteries → lung tissues → pulmonary veins → left atrium C) Right ventricle → brachiocephalic arteries → lung tissues → brachiocephalic veins → inferior vena cava → left atrium D) Left ventricle → aorta → bronchial arteries → lung tissues → bronchial veins → azygos vein → superior vena cava → right atrium E) Right atrium → pulmonary trunk → pulmonary arteries → lung tissues → pulmonary veins → left ventricle → left atrium

72) What is the path of blood from the heart, to the left zygomaticus muscles, and back to the heart?

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A) Aorta → left brachiocephalic artery → left common carotid artery → left internal carotid artery → left occipital artery → zygomatic tissues → left maxillary vein → left internal jugular vein → left subclavian vein → left brachiocephalic vein → superior vena cava B) Aorta → left common carotid artery → left internal carotid artery → left maxillary artery → zygomatic tissues → left facial vein → left external jugular vein → left subclavian vein → left brachiocephalic vein → superior vena cava C) Aorta → left common carotid artery → left external carotid artery → left facial artery → zygomatic tissues → left facial vein → left internal jugular vein → left subclavian vein → left brachiocephalic vein → superior vena cava D) Aorta → left brachiocephalic artery → left common carotid artery → left external carotid artery → left facial artery → zygomatic tissues → left facial vein → left internal jugular vein → left subclavian vein → superior vena cava E) Aorta → left external carotid artery → left internal carotid artery → left facial artery → zygomatic tissues → left facial vein → left subclavian vein → left external jugular vein → left internal jugular vein → superior vena cava

73) What is the path of blood from the heart to the right little finger (pinky) and back to the heart?

Version 1

19


A) Aorta → brachiocephalic trunk → right subclavian artery → right axillary artery → right brachial artery → right ulnar artery → palmar arches →venous palmar arches → right ulnar vein → right brachial vein → right axillary vein → right subclavian vein → right brachiocephalic vein → superior vena cava B) Aorta → right subclavian artery → right axillary artery → right brachial artery → right radial artery → palmar arches →venous palmar arches → right radial vein → right brachial vein → right axillary vein → right subclavian vein → superior vena cava C) Aorta → brachiocephalic trunk → right subclavian artery → right axillary artery → right brachial artery → right ulnar artery → palmar arches →venous palmar arches → right basilic vein → right cephalic vein → right axillary vein → right brachiocephalic vein → superior vena cava D) Aorta → right subclavian artery → right axillary artery → right brachial artery → right basilic artery → palmar arches →venous palmar arches → right basilic vein → right cephalic vein → right subclavian vein → right brachiocephalic vein → superior vena cava E) Aorta → brachiocephalic trunk → right subclavian artery → left subclavian artery → right brachial artery → left brachial artery → palmar arches →venous palmar arches → left ulnar vein → right brachial vein → left axillary vein → right subclavian vein → right brachiocephalic vein → superior vena cava

74)

What is one possible path of blood from the heart to the left hallux and back to the heart?

Version 1

20


A) Aorta → left common iliac artery → left internal iliac artery → left femoral artery → left popliteal artery → left posterior tibial artery → dorsal pedal artery → arcuate arteries → dorsal venous arch → left fibular vein → left popliteal vein → left internal iliac vein → left common iliac vein → inferior vena cava B) Aorta → left common iliac artery → left external iliac artery → left femoral artery → left popliteal artery → left anterior tibial artery → dorsal pedal artery → arcuate arteries → dorsal venous arch → left great saphenous vein → left femoral vein → left external iliac vein → left common iliac vein → inferior vena cava C) Aorta → left common iliac artery → lleft external iliac artery → left great saphenous artery → left anterior tibial artery → dorsal pedal artery → arcuate arteries → dorsal venous arch → left small saphenous vein → left femoral vein → left internal iliac vein → left common iliac vein → inferior vena cava D) Aorta → left common iliac artery → left internal iliac artery → left small saphenous artery → left popliteal artery → left posterior tibial artery → dorsal pedal artery → arcuate arteries → dorsal venous arch → left femoral vein → left internal iliac vein → left common iliac vein → inferior vena cava E) Aorta → left common iliac artery → left external iliac artery → left internal iliac artery → left popliteal artery → left posterior tibial artery → arcuate arteries → dorsal pedal artery → left great saphenous vein → left femoral vein → left external iliac vein → left internal iliac vein → superior vena cava

75)

Which structure is highlighted (reference leader line)?

McGraw-Hill Education Version 1

21


A) B) C) D) E)

76)

right internal carotid a. left internal carotid a. left common carotid a. right external cartoid a. left external carotid a.

Which structure is highlighted (reference leader line)?

McGraw-Hill Education A) B) C) D) E)

Version 1

pulmonary veins superior vena cava aortic arch primary bronchi brachiocephalic trunk

22


77)

Which structure is highlighted (reference leader line)?

McGraw-Hill Education A) B) C) D) E)

Version 1

left renal artery splenic artery right gonadal artery abdominal aorta pancreatic artery

23


78)

Which structure is highlighted (reference leader line)?

McGraw-Hill Education A) B) C) D) E)

Version 1

circumflex femoral artery femoral artery popliteal artery deep artery of thigh obturator artery

24


79)

Which structure is highlighted (reference leader line)?

McGraw-Hill Education A) B) C) D) E)

Version 1

cephalic vein radial vein subclavian vein brachial vein axillary vein

25


80)

Which structure is highlighted (reference leader lines)?

McGraw-Hill Education A) B) C) D) E)

81)

radial vein subclavian vein cephalic vein brachial vein axillary vein

{MISSING IMAGE}What type of blood vessel is shown here? A) B) C) D) E)

Version 1

Continuous capillary Fenestrated capillary Sinusoid Postcapillary venule Resistance artery

26


82) type of blood vessel is shown here? A) B) C) D) E)

Version 1

What

Continuous capillary Fenestrated capillary Sinusoid Postcapillary venule Resistance artery

27


83)

What type of blood vessel is shown here? A) B) C) D) E)

Version 1

Continuous capillary Fenestrated capillary Sinusoid Postcapillary venule Resistance artery

28


SECTION BREAK. Answer all the part questions.

84)

84.1)

Version 1

What type of circulatory pathway is labeled 4 in this diagram?

29


A) B) C) D) E)

84.2) A) B) C) D) E)

84.3) A) B) C) D) E)

84.4) A) B) C) D) E)

85)

Portal system Arteriovenous anastomosis Arterial anastomosis Venous anastomosis Coronary bypass

What type of circulatory pathway is labeled 3 in this diagram? Portal system Arteriovenous anastomosis Arterial anastomosis Venous anastomosis Coronary bypass

What type of circulatory pathway is labeled 2 in this diagram? Portal system Arteriovenous anastomosis Arterial anastomosis Venous anastomosis Coronary bypass

What type of circulatory pathway is labeled 1 in this diagram? Portal system Arteriovenous anastomosis Arterial anastomosis Venous anastomosis Coronary bypass

{MISSING IMAGE}

Version 1

30


85.1) This diagram shows the four routes by which materials are able to move across the capillary wall. Which solute uses the route labeled 1? A) B) C) D) E)

Glucose Insulin Oxygen Red blood cells Transport proteins

85.2) This diagram shows the four routes by which materials are able to move across the capillary wall. Which solute uses the route labeled 2? A) B) C) D) E)

Glucose Insulin Oxygen Red blood cells Transport proteins

85.3) This diagram shows the four routes by which materials are able to move across the capillary wall. Which solute uses the route labeled 3? A) B) C) D) E)

Version 1

Glucose Insulin Oxygen Red blood cells Transport proteins

31


86)

86.1)

Version 1

Name the branch of the aortic arch labeled 1.

32


A) B) C) D) E)

86.2) A) B) C) D) E)

86.3) A) B) C) D) E)

86.4) A) B) C) D) E)

86.5) Version 1

Right common carotid artery Right subclavian artery Left common carotid artery Left subclavian artery Brachiocephalic trunk

Name the branch of the aortic arch labeled 2. Right common carotid artery Right subclavian artery Left common carotid artery Left subclavian artery Brachiocephalic trunk

Name the branch of the aortic arch labeled 3. Right common carotid artery Right subclavian artery Left common carotid artery Left subclavian artery Brachiocephalic trunk

Name the branch of the aortic arch labeled 4. Right common carotid artery Right subclavian artery Left common carotid artery Left subclavian artery Brachiocephalic trunk

Name the branch of the aortic arch labeled 5.

33


A) B) C) D) E)

Right common carotid artery Right subclavian artery Left common carotid artery Left subclavian artery Brachiocephalic trunk

87) Version 1

34


87.1) A) B) C) D) E)

87.2) A) B) C) D) E)

87.3) A) B) C) D) E)

87.4)

Version 1

Name the blood vessel labeled 1. Internal carotid artery External carotid artery Common carotid artery Subclavian artery Vertebral artery

Name the blood vessel labeled 2. Internal carotid artery External carotid artery Common carotid artery Subclavian artery Vertebral artery

Name the blood vessel labeled 3. Internal carotid artery External carotid artery Common carotid artery Subclavian artery Vertebral artery

Name the blood vessel labeled 4.

35


A) B) C) D) E)

Version 1

Internal carotid artery External carotid artery Common carotid artery Subclavian artery Vertebral artery

36


88)

88.1)

Version 1

Name the vein labeled 1.

37


A) B) C) D) E)

88.2) A) B) C) D) E)

88.3) A) B) C) D) E)

Version 1

Vertebral vein External jugular vein Internal jugular vein Axillary vein Subclavian vein

Name the vein labeled 2. Vertebral vein External jugular vein Internal jugular vein Axillary vein Subclavian vein

Name the vein labeled 3. Vertebral vein External jugular vein Internal jugular vein Axillary vein Subclavian vein

38


89)

89.1)

Version 1

Name the branch of the abdominal aorta labeled 1.

39


A) B) C) D) E)

89.2) A) B) C) D) E)

89.3) A) B) C) D) E)

89.4) A) B) C) D) E)

Version 1

Celiac trunk Superior mesentery artery Renal artery Common iliac artery Internal iliac artery

Name the branch of the abdominal aorta labeled 2. Celiac trunk Superior mesentery artery Renal artery Common iliac artery Internal iliac artery

Name the branch of the abdominal aorta labeled 3. Celiac trunk Superior mesentery artery Renal artery Common iliac artery Internal iliac artery

Name the branch of the abdominal aorta labeled 4. Celiac trunk Superior mesentery artery Renal artery Common iliac artery Internal iliac artery

40


90)

90.1)

Version 1

Name the artery in the upper limb labeled 1.

41


A) B) C) D) E)

90.2) A) B) C) D) E)

90.3) A) B) C) D) E)

Version 1

Subclavian artery Axillary artery Brachial artery Radial artery Ulnar artery

Name the artery in the upper limb labeled 2. Subclavian artery Axillary artery Brachial artery Radial artery Ulnar artery

Name the artery in the upper limb labeled 3. Subclavian artery Axillary artery Brachial artery Radial artery Ulnar artery

42


91)

91.1)

Version 1

Name the upper limb vein labeled 1.

43


A) B) C) D) E)

91.2) A) B) C) D) E)

91.3) A) B) C) D) E)

Version 1

Subclavian vein Axillary vein Cephalic vein Basilic vein Median cubital vein

Name the upper limb vein labeled 3. Subclavian vein Axillary vein Cephalic vein Basilic vein Median cubital vein

Name the upper limb vein labeled 4. Subclavian vein Axillary vein Cephalic vein Basilic vein Median cubital vein

44


92)

92.1)

Version 1

Name the lower limb artery labeled 4.

45


A) B) C) D) E)

92.2) A) B) C) D) E)

92.3) A) B) C) D) E)

Version 1

Femoral artery Common iliac artery Internal iliac artery External iliac artery Anterior tibial artery

Name the lower limb artery labeled 1. Femoral artery Common iliac artery Internal iliac artery External iliac artery Anterior tibial artery

Name the lower limb artery labeled 5. Femoral artery Common iliac artery Internal iliac artery External iliac artery Anterior tibial artery

46


93)

93.1)

Version 1

Name the lower limb vein labeled 1.

47


A) B) C) D) E)

93.2) A) B) C) D) E)

Version 1

Common iliac vein Internal iliac vein External iliac vein Femoral vein Great saphenous vein

Name the lower limb vein labeled 5. Common iliac vein Internal iliac vein External iliac vein Femoral vein Great saphenous vein

48


Answer Key Test name: Chap 20_9e 1) TRUE 2) FALSE 3) FALSE 4) TRUE 5) TRUE 6) FALSE 7) FALSE 8) TRUE 9) FALSE 10) TRUE 11) FALSE 12) TRUE 13) TRUE 14) FALSE 15) TRUE 16) A 17) C 18) B 19) D 20) E 21) C 22) D 23) C 24) B 25) A 26) A Version 1

49


27) B 28) D 29) E 30) B 31) D 32) C 33) C 34) E 35) A 36) C 37) D 38) B 39) E 40) D 41) C 42) E 43) A 44) B 45) B 46) A 47) C 48) A 49) D 50) B 51) C 52) A 53) A 54) B 55) D 56) B Version 1

50


57) E 58) D 59) C 60) D 61) B 62) C 63) A 64) D 65) A 66) D 67) A 68) D 69) A 70) A 71) B 72) C 73) A 74) B 75) C 76) B 77) A 78) D 79) A 80) B 81) A 82) B 83) C 84) Section Break 84.1) C 84.2) D Version 1

51


84.3) B 84.4) A 85) Section Break 85.1) A 85.2) C 85.3) C 86) Section Break 86.1) A 86.2) B 86.3) E 86.4) C 86.5) D 87) Section Break 87.1) A 87.2) E 87.3) B 87.4) C 88) Section Break 88.1) A 88.2) B 88.3) C 89) Section Break 89.1) A 89.2) B 89.3) C 89.4) D 90) Section Break 90.1) A 90.2) B 90.3) C Version 1

52


91) Section Break 91.1) A 91.2) C 91.3) D 92) Section Break 92.1) A 92.2) B 92.3) E 93) Section Break 93.1) A 93.2) E

Version 1

53


CHAPTER 21 TRUE/FALSE - Write 'T' if the statement is true and 'F' if the statement is false. 1) The lymphatic system is involved in circulation, immunity, and nutrient absorption. ⊚ ⊚

2)

Red bone marrow is the point of origin of all immune cells of the lymphatic system. ⊚ ⊚

3)

true false

Any disease-causing agent is a pathogen. ⊚ ⊚

5)

true false

Lymph originates in blood capillaries that pick up tissue fluid. ⊚ ⊚

4)

true false

true false

The immune system spans nearly every organ and tissue in the human body. ⊚ ⊚

true false

6) Mucous membranes prevent most pathogens from entering the body because of the stickiness of the mucus and the presence of lysozymes. ⊚ ⊚

7)

true false

Adaptive immunity involves skin, NK cells, and phagocytosis.

Version 1

1


⊚ ⊚

8)

Interferons are secreted in response to bacterial infections. ⊚ ⊚

9)

true false

true false

Pyrogens act by increasing the set point for body temperature in the thalamus. ⊚ ⊚

true false

10) Pus is made of dead neutrophils, macrophages, and other tissue debris from a damaged tissue. ⊚ ⊚

true false

11) Humoral immunity takes care of intracellular viruses, whereas cellular immunity takes care of extracellular viruses. ⊚ ⊚

12)

The antigenicity of a molecule is due to specific regions of it called haptens. ⊚ ⊚

13)

true false

true false

Naive T cells can synthesize antibodies. ⊚ ⊚

Version 1

true false

2


14)

Clonal selection of T cells happens in the thymus. ⊚ ⊚

15)

Interleukins are chemical signals by which immune cells communicate with each other. ⊚ ⊚

16)

true false

Most Memory B cells are found circulating in the lymph. ⊚ ⊚

20)

true false

Cytotoxic T cells degrade after coming in contact with an infected cell. ⊚ ⊚

19)

true false

Cytotoxic T cells respond only to antigens bound to MHC-I proteins. ⊚ ⊚

18)

true false

Helper T cells respond only to epitopes attached to MHC proteins. ⊚ ⊚

17)

true false

true false

Antibodies and complement can work together, linking innate and adaptive immunity. ⊚ ⊚

Version 1

true false

3


21) Humoral immunity produces memory by increasing the number of cells and antibodies that can fight off a pathogen in the secondary response. ⊚ ⊚

22)

Cellular immunity uses B cells and humoralimmunity uses antibodies. ⊚ ⊚

23)

true false

Cellular immunity uses MHC-I and MHC-II, buthumoralimmunity uses only MHC-II. ⊚ ⊚

24)

true false

true false

An allergic reaction is a form of hyposensitivity. ⊚ ⊚

true false

25) Some antibodies against foreign antigens can react to similar self-antigens, causing an autoimmune disease. ⊚ ⊚

true false

MULTIPLE CHOICE - Choose the one alternative that best completes the statement or answers the question. 26) Special lymphatic vessels, called lacteals, absorb dietary __________ that are not absorbed by the blood capillaries.

Version 1

4


A) B) C) D) E)

27)

Lymphatic vessels recover about __________ of the fluid filtered by capillaries. A) B) C) D) E)

28)

5% 15% 25% 50% 85%

Lymph is similar to blood plasma, but very low in __________. A) B) C) D) E)

29)

water glucose vitamins amino acids lipids

protein carbon dioxide metabolic waste electrolytes sodium and potassium

Which of the following forces does not help lymph to flow? A) B) C) D) E)

Version 1

Rhythmic contractions of lymphatic vessels The thoracic pump The skeletal muscle pump The lymphatic node pump Arterial pulsations squeezing lymphatic vessels

5


30) __________ are the largest of the lymphatic vessels, and they empty into the __________. A) B) C) D) E)

Lymphatic trunks; collecting ducts Lymphatic trunks; subclavian arteries Lymphatic trunks; subclavian veins Collecting ducts; subclavian veins Collecting ducts; subclavian arteries

31) __________ are found especially in the mucous membrane, standing guard against parasites and allergens. A) B) C) D) E)

Monocytes Lymphocytes Basophils Neutrophils Eosinophils

32) ___________ employ a "respiratory burst" to produce bactericidal chemicals such as hydrogen peroxide (H 2O 2) and hypochlorite (HClO). A) B) C) D) E)

Neutrophils Basophils Cytotoxic T cells Natural killer cells Suppressor T cells

33) Immune surveillance is a process in which __________ nonspecifically detect and destroy foreign cells and diseased host cells.

Version 1

6


A) B) C) D) E)

34)

Perforin is released by __________. A) B) C) D) E)

35)

Aggregated lymphoid nodules MALT Lymphatic nodules Macrophages Diffuse lymphatic tissue

Which of the following is common in the distal small intestine? A) B) C) D) E)

37)

cytotoxic T cells class I MHCs peptide fragments viruses APCs

Which of the following is not an example of lymphatic tissue? A) B) C) D) E)

36)

T lymphocytes (T cells) reticular cells dendritic cells macrophages natural killer (NK) cells

Aggregated lymphoid nodules MALT Lymphatic nodules Macrophages Diffuse lymphatic tissue

T cells achieve immunocompetence in the __________.

Version 1

7


A) B) C) D) E)

bone marrow bloodstream spleen thymus liver

38) The __________ tonsils are the largest, and their surgical removal (tonsillectomy) used to be one of the most common surgical procedures performed in children. A) B) C) D) E)

39)

The__________ show(s) a remarkable degree of degeneration (involution) with age. A) B) C) D) E)

40)

adenoid lingual palatine pharyngeal nasopharyngeal

lymph nodes thymus spleen pharyngeal tonsils appendix

The only lymphatic organ(s) with afferent lymphatic vessels is(are) the __________. A) B) C) D) E)

Version 1

lymph nodes thymus spleen red bone marrow tonsils

8


41)

Removal of the __________ would be more harmful toa one-year-old child than an adult. A) B) C) D) E)

42)

spleen lymph node thymus appendix palatine tonsil

Which of the following does(do) notbelong to the second line of defense? A) B) C) D) E)

The macrophage system Natural killer cells Inflammation The gastric juices Interferon and the complement system

43) __________ lacks the capacity to remember a pathogen or react differently to it in the future, whereas __________ utilizes memory cells to adapt to a given pathogen and ward it off more easily in the future. A) B) C) D) E)

44)

Innate immunity; cytotoxicity Adaptive immunity; innate immunity A natural killer cell; a macrophage Innate immunity; adaptive immunity Natural immunity; artificial immunity

One group of proteolytic enzymes secreted by natural killer (NK) cells is __________.

Version 1

9


A) B) C) D) E)

selectins cytokines granzymes perforins interferons

45) Basophils of the blood help to get defensive leukocytes to the site quickly by releasing an anticoagulant called __________ and a vasodilator called __________. A) B) C) D) E)

bradykinin; histamine selectin; prostaglandin histamine; heparin heparin; histamine prostaglandins; selectin

46) When an enemy cell is present, a(n)__________ secretes perforins, which bore a hole in the enemy cell membrane. A) B) C) D) E)

interferon interleukin natural killer cell antibody opsonization

47) Complement C3b protein coats bacteria and stimulates phagocytosis by __________ duringa process called __________. A) B) C) D) E)

Version 1

lymphocytes and monocytes; opsonization neutrophils and macrophages; cytolysis mast cells and basophils; opsonization mast cells and basophils; cytolysis neutrophils and macrophages; opsonization

10


48) __________ are secreted by cells infected with viruses, alerting neighboring cells and protecting them from becoming infected. A) B) C) D) E)

49)

__________ are antimicrobial proteins. A) B) C) D) E)

50)

Bradykinins Interferons Cytokines Kinins Prostaglandins

Complement fixation cannotlead to __________. A) B) C) D) E)

51)

Complement system globulins Interferons Granzymes Pyrogens Perforins

enhanced inflammation opsonization endogenous pyrexia bacterial phagocytosis cytolysis

A pyrogen is a substance that causes __________.

Version 1

11


A) B) C) D) E)

52)

The first of a series of neutrophil behaviors in inflammation is __________. A) B) C) D) E)

53)

Impaired use Redness Pain Heat Swelling

Which of these cellular agents does not participate in inflammation? A) B) C) D) E)

55)

chemotaxis margination diapedesis phagocytosis opsonization

__________ is not a cardinal sign characteristic of inflammation. A) B) C) D) E)

54)

inflammation opsonization complement fixation cytolysis fever

Cytotoxic T cells Macrophage Eosinophils Neutrophils Endothelial cells

One characteristic of the immune response is specificity. This means that __________.

Version 1

12


A) B) C) D) E)

56)

Cellular (cell-mediated) immunity is effective against __________. A) B) C) D) E)

57)

natural active artificial active natural passive artificial passive innate

The serum used for emergency treatment of snakebites stimulates __________ immunity. A) B) C) D) E)

59)

allergens venoms cancer cells extracellular viruses toxins

Vaccination stimulates __________ immunity. A) B) C) D) E)

58)

immunity starts in defined organs in the body immunity starts in specialized tissues in the body immunity is carried on by a specific group of cells of the immune system immunity is directed against a particular pathogen immunity is carried on by a specific group of tissues of the immune system

artificial passive artificial active natural passive natural active natural adaptive

A(n) __________ is the region of the molecule that is recognized by antibodies.

Version 1

13


A) B) C) D) E)

60)

Each immunoglobulin (Ig) has __________ antigen-binding site(s). A) B) C) D) E)

61)

two four six one three

__________ constitutes about 80% of circulating antibodies in plasma. A) B) C) D) E)

62)

epitope antigen hapten major histocompatibility complex (MHC) antibody monomer

IgD IgE IgA IgM IgG

Which class of immunoglobulin provides passive immunity to the newborn? A) B) C) D) E)

Version 1

IgD IgE IgM IgA IgG

14


63) The majority of T cells of the naive lymphocyte pool wait for the encounter with foreign antigens in the __________. A) B) C) D) E)

64)

Helper T (T H) cells recognize antigens when they are bound to a(n) __________. A) B) C) D) E)

65)

hapten immunoglobulin natural killer cell major histocompatibility complex (MHC) protein basophil

Which of the following cannot act as antigen-presenting cells? A) B) C) D) E)

66)

plasma thymus lymphatic tissues lymph blood plasma

Reticular cells Dendritic cells Macrophages B cells T cells

Cytotoxic T (T C) cells are like natural killer (NK) cells because they both __________. A) B) C) D) E)

Version 1

secrete interferons secrete granzymes and perforin participate in the immune response participate in innate immunity secrete tumor necrosis factor (TNF)

15


67)

Helper T (T H) cells do not __________. A) B) C) D) E)

68)

__________ participate in both innate immunity and the immune response. A) B) C) D) E)

69)

secrete cytokines that stimulate clonal selection of B cells secrete cytokines that stimulate clonal selection of cytotoxic T cells secrete cytokines that stimulate macrophage activity secrete inflammatory chemicals secrete fever-producing chemicals

Memory T (T M) cells Regulatory T (T R) cells Natural killer (NK) cells Helper T (T H) cells Cytotoxic T (T C) cells

Which is the correct sequence of events in the humoral immune response? A) Antigen recognition → antigen presentation → differentiation → clonal selection →

attack B) Antigen recognition → antigen presentation → clonal selection → differentiation → attack C) Antigen presentation → antigen recognition → clonal selection → differentiation → attack D) Antigen presentation → antigen recognition → clonal selection → attack differentiation E) Antigen recognition → differentiation → antigen presentation → clonal selection → attack

70) Antigen-presenting cells usually display processed antigens to T cells in the_____________.

Version 1

16


A) B) C) D) E)

71)

Degraded self-protein fragments are presented by __________. A) B) C) D) E)

72)

weeks days decades years months

Before B cells secrete antibodies, they differentiate into _________. A) B) C) D) E)

74)

Class I MHCs Cytotoxic T cells Infected cells Viruses TCRs

Memory T cells can be up to __________ old. A) B) C) D) E)

73)

blood plasma lymph nodes thymus red bone marrow liver

stem cells antigen-presenting cells plasma cells T cells macrophages

IgE is produced by __________ cells.

Version 1

17


A) B) C) D) E)

75)

plasma antigen presenting cytotoxic T helper T natural killer

Which of the following is something antibodies do not do?

A) Link antigen molecules together B) Neutralize antigens by binding to regions of an antigen that can be pathogenic C) Bind to enemy cells, thus changing their shape so their complement-binding sites are exposed D) Differentiate into memory antibodies, which upon reexposure to the same pathogen would mount a quicker attack E) Bind antigen molecules of two or more enemy cells and stick them together

76)

Most common allergies are the result of __________. A) B) C) D) E)

77)

autoimmune diseases type IV (delayed) hypersensitivity type III (immune complex) hypersensitivity type II (antibody-dependent cytotoxic) hypersensitivity type I (acute) hypersensitivity

Beta cell destruction that causes type 1 diabetes mellitus is a(n) __________. A) B) C) D) E)

Version 1

anaphylactic hypersensitivity type IV (delayed) hypersensitivity type III (immune complex) hypersensitivity type II (antibody-dependent cytotoxic) hypersensitivity type I (acute) hypersensitivity

18


78) Bronchoconstriction, dyspnea, and widespread vasodilation are all characteristics of __________. A) B) C) D) E)

local anaphylaxis anaphylactic shock autoimmune disease an HIV infection AIDS

79) An immediate and intense type I reaction that can be treated with antihistamines is characteristic of __________. A) B) C) D) E)

anaphylaxis anaphylactic shock autoimmune disease an HIV infection AIDS

80) Autoimmune diseases are disorders in which the immune system fails to distinguish __________ from foreign ones. A) B) C) D) E)

81)

self-immunoglobulins self-antibodies self-antigens self-interleukins self-complement proteins

The human immunodeficiency virus (HIV) targets mainly __________.

Version 1

19


A) B) C) D) E)

helper T cells B cells plasma cells cytotoxic T cells natural killer cells

82) A person who is HIV-positive and has a helper T (T H) cell count lower than __________ has AIDS. A) B) C) D) E)

Version 1

20,000 cells/μL 5,000 cells/μL 1,000 cells/μL 200 cells/μL 50 cells/μL

20


SECTION BREAK. Answer all the part questions.

83)

Version 1

21


83.1) A) B) C) D) E)

Which of these organs shrinks significantly by adulthood? A B C D E

83.2) A) B) C) D) E)

Which of these is the largest lymphoid organ in the body? A B C D E

83.3) A) B) C) D) E)

Version 1

Which of these structures collects chyle? A B C D E

22


84)

84.1) A) B) C) D) E)

Which of these cells contributes to the formation of the blood-thymus barrier? A B C E F

84.2) A) B) C) D) E)

Version 1

Which of these letters indicates a thymic corpuscle? A B C E F

23


84.3) A) B) C) D) E)

85)

Which cells are found in the cortex of the thymus? A, B, and C B, C, and D D, E, and F A, E, and F A, D, and E

{MISSING IMAGE}

85.1) A) B) C) D) E)

Which letter indicates an afferent lymphatic vessel? A B C D E

85.2) A) B) C) D) E)

85.3)

Version 1

Where do B cells differentiate into plasma cells? A B C D E

Which letter indicates a medullary cord?

24


A) B) C) D) E)

A B C D E

86)

86.1)

Version 1

Which of these lymphatic organs is most often infected?

25


A) B) C) D) E)

86.2) A) B) C) D) E)

86.3) A) B) C) D) E)

A B C A and B B and C

Which of these is also referred to as the adenoids? A B C A and B B and C

Which of these is referred to as the palatine tonsils? A B C A and B B and C

87)

87.1) Version 1

Which letter represents a Natural Killer cell? 26


A) B) C) D) E)

87.2) A) B) C) D) E)

87.3) A) B) C) D) E)

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A D E A and D D and E

Which letter represents a macrophage? A D E A and D D and E

What chemical does A represent? Perforins Cytokines Interleukins Granzymes Pyrogens

27


88)

88.1) A) B) C) D) E)

88.2)

Version 1

Which letter(s) represent(s) constant regions? C and D A and B C A A and C

What type of bond is found at E?

28


A) B) C) D) E)

Disulfide Hydrogen Ionic Peptide Van der Waals

88.3) A) B) C) D) E)

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Where does complement bind? E B C A G

29


Answer Key Test name: Chap 21_9e 1) TRUE 2) TRUE 3) FALSE 4) FALSE 5) TRUE 6) TRUE 7) TRUE 8) FALSE 9) FALSE 10) TRUE 11) FALSE 12) FALSE 13) FALSE 14) FALSE 15) TRUE 16) TRUE 17) TRUE 18) FALSE 19) FALSE 20) TRUE 21) TRUE 22) FALSE 23) TRUE 24) FALSE 25) TRUE 26) E Version 1

30


27) B 28) A 29) D 30) D 31) E 32) A 33) E 34) A 35) D 36) A 37) D 38) C 39) B 40) A 41) C 42) D 43) D 44) C 45) D 46) C 47) E 48) B 49) B 50) C 51) E 52) B 53) A 54) A 55) D 56) C Version 1

31


57) B 58) A 59) A 60) A 61) E 62) D 63) C 64) D 65) E 66) B 67) E 68) D 69) B 70) B 71) A 72) C 73) C 74) A 75) D 76) E 77) B 78) B 79) A 80) C 81) A 82) D 83) Section Break 83.1) A 83.2) E 83.3) B Version 1

32


84) Section Break 84.1) A 84.2) B 84.3) D 85) Section Break 85.1) B 85.2) C 85.3) D 86) Section Break 86.1) B 86.2) A 86.3) B 87) Section Break 87.1) A 87.2) C 87.3) A 88) Section Break 88.1) A 88.2) A 88.3) C

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33


CHAPTER 22 TRUE/FALSE - Write 'T' if the statement is true and 'F' if the statement is false. 1) The maximum amount of air the lungs can contain is known as inspiratory capacity. ⊚ ⊚

2)

true false

Respiratory arrest is an irreversible condition. ⊚ ⊚

true false

3) The pleurae and pleural fluid help prevent the spread of pulmonary infection to the pericardium. ⊚ ⊚

4)

Breathing is controlled solely by the medulla oblongata and pons. ⊚ ⊚

5)

true false

true false

The rate of oxygen diffusion is affected by the pressure gradient of carbon dioxide. ⊚ ⊚

true false

6) Gas transport is the process of carrying gases from the alveoli to the systemic tissues and vice versa. ⊚ ⊚

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true false

1


7) According to the Bohr effect, a low level of oxyhemoglobin enables the blood to transport more CO 2. ⊚ ⊚

true false

8) Erythrocytes do not carry out aerobic respiration; thus, they do not consume any of the oxygen they are transporting. ⊚ ⊚

true false

9) Hemoglobin releases the same amount of oxygen to all the tissues regardless of variations in their metabolic rate. ⊚ ⊚

10)

After the terminal bronchi air enters the alveoli next. ⊚ ⊚

11)

true false

true false

The serratus anterior is active in eupnea. ⊚ ⊚

true false

12) The expansion of the lungs during inspiration generates a pressure gradient causing air to flow into the lungs. This is an example of Boyle's law. ⊚ ⊚

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true false

2


MULTIPLE CHOICE - Choose the one alternative that best completes the statement or answers the question. 13) Which of the following is not a function of the respiratory system? A) B) C) D) E)

14)

Which of the following is directly related to respiratory production of carbon dioxide? A) B) C) D) E)

15)

Regulation of blood pressure The synthesis of vasodilators Aids in defecation Regulation of pH Regulation of body temperature

The upper respiratory tract extends from the nose through the _________. A) B) C) D) E)

16)

Control of pH Promotes the flow of lymph and venous blood Helps regulate blood pressure Assists in the synthesis of vasodilators Aids in defecation

trachea pharynx larynx alveoli lungs

The nose is divided into right and left halves called the __________.

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3


A) B) C) D) E)

17)

Which two ligaments extend from the thyroid cartilage to the arytenoid cartilages? A) B) C) D) E)

18)

Mucosal cells Type I alveolar cells Type II alveolar cells Dust cells Vibrissal cells

Each alveolus is surrounded by a web of blood capillaries supplied by the _________. A) B) C) D) E)

20)

Vestibular and vocal Laryngeal and corniculate Corniculate and cricoid Cricoid and arytenoid Thyrohyoid and cricoids

What are the most numerous cells in the lungs? A) B) C) D) E)

19)

nasal cavities nasal fossae nasal septa nasal vestibules nasal apertures

aorta pulmonary artery pulmonary vein inferior vena cava superior vena cava

Which of the following does not contain ciliated cells?

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4


A) B) C) D) E)

21)

Nasal cavity Trachea Primary bronchus Terminal bronchiole Larygopharynx

What is the basic distinction between an alveolar duct and an alveolar atrium? A) B) C) D) E)

Their shape Their size Their function Their epithelial type The presence or absence of cilia

22) Which bronchus is about 5cm long and slightly narrower and more horizontal than the one on the opposite side? A) B) C) D) E)

23)

Left segmental bronchus Right segmental bronchus Right lobar bronchus Left main bronchus Right main bronchus

The heart indents into the __________ of the left lung. A) B) C) D) E)

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oblique fissure hilum apex cardiac notch base

5


24)

The respiratory system contains a total of five __________. A) B) C) D) E)

segmental bronchi choanae laryngeal cartilages lobes tracheal cartilages

25) Crude sounds are formed into intelligible speech by all of the following except the_________. A) B) C) D) E)

26)

pharynx epiglottis oral cavity tongue lips

Which of the following cartilages is largest? A) B) C) D) E)

Corniculate cartilage Epiglottic cartilage Thyroid cartilage Cricoid cartilage Arytenoid cartilage

27) Which law states that the total pressure of a gas mixture is equal to the sum of the partial pressures of its individual gases?

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6


A) B) C) D) E)

Boyle's Valsalva's Dalton's Charles's Henry's

28) In a healthy person, which of the following will have the greatest influence on resistance to pulmonary airflow? A) B) C) D) E)

29)

Atmospheric pressure Respiratory rate Bronchiole diameter Quantity of surfactant Contraction of the diaphragm

Which of the following is the term for the lungs' resistance to expansion? A) B) C) D) E)

Pulmonary ventilation Pulmonary compliance Pulmonary stenosis Pulmonary surfactant Pulmonary impedance

30) The amount of air in excess of tidal volume that can be inhaled with maximum effort is the __________. A) B) C) D) E)

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vital capacity inspiratory reserve volume expiratory reserve volume residual volume inspiratory capacity

7


31)

How is the vital capacity calculated? A) B) C) D) E)

32)

Deep, rapid breathing often seen in terminal diabetes mellitus is known as what? A) B) C) D) E)

33)

Inspiratory reserve volume + expiratory volume Inspiratory reserve volume + tidal volume Expiratory reserve volume + tidal volume Expiratory reserve volume + tidal volume + inspiratory reserve volume Respiratory volume + tidal volume

Tachypnea Dyspnea Orthopnea Hyperpnea Kussmaul respiration

Carbon dioxide is transported by all the following means except _________. A) B) C) D) E)

carbaminohemoglobin carbonic acid carbonate bicarbonate ions dissolved gas

34) Tom is in respiratory arrest due to an electrical shock. Why does a good samaritan have up to 4 or 5 minutes to begin CPR and save Tom's life?

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8


A) B) C) D) E)

35)

During exercise, which of the following directly increases respiratory rate? A) B) C) D) E)

36) air?

There is reserve oxygen in Tom's lungs. There is avenous reserve of oxygen in Tom's blood. The ambient PO 2 can support life that long. The Haldane effect lasts up to 5 minutes. Tom's hypoxic drive will keep him alive for up to 5 minutes.

Increased H + level in the blood The Bohr effect Reduced blood pH Reduced oxyhemoglobin Anticipation of the needs of exercising muscle

Which of the following would slow down gas exchange between the blood and alveolar

A) B) C) D) E)

An increase in membrane thickness An increase in alveolar surface area An increase in respiratory rate A decrease in membrane thickness A decrease in nitrogen solubility

37) The addition of CO 2 to the blood generates __________ ions in the RBCs, which in turn stimulates RBCs to unload more oxygen. A) B) C) D) E)

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sodium potassium nitrogen hydrogen chloride

9


38)

Which of the following has no effect on oxyhemoglobin dissociation? A) B) C) D) E)

39)

In the air we breathe, which gas is found in the highest concentration? A) B) C) D) E)

40)

Epinephrine Fever Thyroid hormone Low pH Erythrocyte count

Oxygen Water vapor Nitrogen Carbon dioxide Hydrogen

Each hemoglobin molecule can transport up to __________ oxygen molecules. A) B) C) D) E)

6 2 3 4 5

41) Normally, the systemic arterial blood has a PO 2 of ___________ mm Hg, a PCO 2 of ___________ mm Hg, and a pH of ___________.

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10


A) B) C) D) E)

40; 95; 7.4 95; 40; 7.4 7.4; 40; 95 95; 7.4; 40 40; 7.4; 95

42) Which of the following enzymes in an RBC breaks H 2CO 3 down to water and carbon dioxide? A) B) C) D) E)

Hemoglobinase Carboxyhemoglobinase Carbonic anhydrase Bisphosphoglycerase Carbaminoreductase

43) In one passage through a bed of systemic blood capillaries, the blood gives up about what percentage of its oxygen? A) B) C) D) E)

5% to 10% 10% to 15% 20% to 25% 30% to 40% 70% to 85%

44) Which of the following is the term for a deficiency of oxygen or the inability to utilize oxygen in a tissue? A) B) C) D) E)

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Apoxia Hypoxia Anoxia Cyanosis Eupnea

11


45)

Congestive heart failure results in which of the following? A) B) C) D) E)

Hypoxemic hypoxia Ischemic hypoxia Anemic hypoxia Histotoxic hypoxia Idiopathic hypoxia

46) Which of the followingis a lung disease marked by a reduced number of cilia, reduced motility of the remaining cilia, goblet cell hypertrophy and hypersecretion, and thick sputum? A) B) C) D) E)

47)

Which of the following would lead to anemic hypoxia? A) B) C) D) E)

48)

Asthma Oat-cell carcinoma Atelectasis Chronic bronchitis Emphysema

Sickle-cell disease Emphysema Squamous-cell carcinoma Asthma Atelectasis

Which of the following is alung disease marked by abnormally few but large alveoli?

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12


A) B) C) D) E)

Cor pulmonale Pulmonary hemosiderosis Emphysema Atelectasis Collapsed lung

49) In which condition are the lungs infected with Mycobacterium and produce fibrous nodules around the bacteria, leading to progressive pulmonary fibrosis? A) B) C) D) E)

50)

Pneumonia Dyspnea Pneumothorax Tuberculosis Rhinitis

Which malignancy originates in the lamina propria of the bronchi? A) B) C) D) E)

Squamous-cell carcinoma Oat-cell carcinoma Adenocarcinoma Pulmonary edema Cor pulmonale

51) Polio can sometimes damage the brainstem respiratory centers and result in which condition? A) B) C) D) E)

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A Bohr effect Adult respiratory distress syndrome A pneumothorax Atelectasis Ondine's curse

13


52) Which of these is most likely to result from contact between contaminated fingers and the nasal mucosa? A) B) C) D) E)

Apnea Adult respiratory distress syndrome Acute bronchitis Acute rhinitis Asthma

53) Scuba divers breathe a nitrogen-oxygen mixture rather than pure compressed oxygen in order to avoid what condition? A) B) C) D) E)

The bends Oxygen toxicity Rapture of the deep Caisson disease Hypoxemic hypoxia

54) Nitrogen bubbles can form in the blood and other tissues when a scuba diver ascends too rapidly, producing a syndrome called _________. A) B) C) D) E)

decompression sickness hyperbaric disease cerebral embolism pulmonary barotrauma pulmonary edema

55) The vagus and glossopharyngeal nerves carry afferent signals from peripheral chemoreceptors to a chemosensitive area in the ___________.

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14


A) B) C) D) E)

pontine respiratory group dorsal respiratory group ventral respiratory group medulla oblongata pons

56) Mucus plays an important role in cleansing inhaled air. It is produced by __________ of the respiratory tract. A) B) C) D) E)

57)

The blood transports more CO 2 in the form of ___________ than in any other form. A) B) C) D) E)

58)

squamous alveolar cells great alveolar cells the pleurae ciliated cells goblet cells

carbaminohemoglobin carboxyhemoglobin bicarbonate ions dissolved CO 2 gas bisphosphocarbonate

Among its other purposes, how is the Valsalva maneuver used? A) B) C) D) E)

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To aid in defecation and urination As part of the procedure for giving CPR to a person in respiratory arrest To ventilate the lungs during eupnea To expel more than the usual tidal volume from the lungs To clear carbon monoxide from the body and replace it with oxygen

15


59) Blood banks dispose of blood that has low levels of bisphosphoglycerate. What would be the probable reason for doing so? A) B) C) D) E)

A low BPG level causes acidosis of blood. Erythrocytes low in BPG do not unload CO 2 very well. Erythrocytes low in BPG do not unload O 2 very well. Erythrocytes low in BPG do not load O 2 very well. A decline in BPG level is accompanied by a decline in hemoglobin level.

60) Your breathing rate is 12 breaths/minute; your tidal volume is 500 mL; your vital capacity is 4700 mL; and your dead air space is 150 mL. Your alveolar ventilation rate is __________ mL/min. A) B) C) D) E)

2,400 3,600 4,200 5,600 6,400

61) Your breathing rate is 14 breaths/minute; spirometric measurements reveal your tidal volume is 500 mL; your inspiratory reserve volume is 3000 mL; and your expiratory reserve volume is 1,200 mL. Your vital capacity is __________ mL. A) B) C) D) E)

2,400 3,000 3,800 4,700 5,800

62) Output from higher brain centers can bypass both the DRG and VRG and go directly to __________, which controls the accessory muscles of respiration.

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16


A) B) C) D) E)

63)

the diaphragm spinal integration centers the cerebral cortex the vagus nerve the cerebellum

Which of the following issues output to the VRG to adjust the respiratory rhythm? A) B) C) D) E)

DRG PRG NRG SRG QRG

64) Which center bears the primary responsibility for generating the respiratory rhythm, but is influenced by several other centers? A) B) C) D) E)

65)

PRG DRG VRG SRG TRG

The pH of the cerebrospinal fluid is monitored by which of these brainstem centers? A) B) C) D) E)

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PRG Hypothalamic osmoreceptors Medullary baroreceptors Central chemoreceptors Hypothalamic thermoreceptors

17


66) Emotional states are integrated by the__________, which generates an output that creates such respiratory variations as laughing and crying. A) B) C) D) E)

VRG PRG DRG SRG TRG

67) If one inspires through their nose, which of the following answers has the correct order of structures the air would move through? A) Nares → Vestibule → Nasal Cavity → Nasopharynx → Oropharynx → Laryngopharynx → Larynx → Trachea → Primary Bronchus → Secondary Bronchus → Tertiary Bronchus → Bronchiole → Terminal Bronchiole → Respiratory Bronchiole → Alveolar Duct → Alveolar Sac → Alveolus B) Nares → Nasal Cavity → Vestibule → Nasopharynx → Oropharynx → Laryngopharynx → Larynx → Trachea → Primary Bronchus → Secondary Bronchus → Tertiary Bronchus → Bronchiole → Terminal Bronchiole → Respiratory Bronchiole → Alveolar Duct → Alveolar Sac → Alveolus C) Nares → Vestibule → Nasal Cavity → Nasopharynx → Oropharynx → Laryngopharynx → Larynx → Trachea → Bronchiole → Respiratory Bronchiole → Terminal Bronchiole → Primary Bronchus → Secondary Bronchus → Tertiary Bronchus → Alveolar Duct → Alveolar Sac → Alveolus D) Nares → Nasal Cavity → Vestibule →Nasopharynx → Oropharynx → Laryngopharynx → Larynx → Trachea → Primary Bronchus → Secondary Bronchus → Tertiary Bronchus → Bronchiole → Respiratory Bronchiole→ Terminal Bronchiole→ Alveolar Duct → Alveolar Sac → Alveolus E) Nares → Nasal Sinuses → Laryngopharynx → Nasopharynx →Trachea → Larynx →Primary Bronchus → Secondary Bronchus → Tertiary Bronchus → Bronchiole → Terminal Bronchiole → Respiratory Bronchiole → Alveolar Sac → Alveolar Duct → Alveolus

68) Upon inspiration, what is the name of the air in the conducting zone that is not available for gas exchange?

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18


A) B) C) D) E)

69)

Alveolar dead space Tracheal dead space Anatomical dead space Conducting dead space Metabolic dead space

The anatomical dead space is greatest in which of the following situations? A) B) C) D) E)

After eating a large meal After swerving to narrowly avoid an accident while driving After waking up from a long nap After watching TV for an hour While sleeping

70) Air consists of about 78.6% nitrogen, 20.9% oxygen, 0.04% carbon dioxide, and 0.5% water. At sea level, (760 mmHg) what is the PCO 2? A) B) C) D) E)

597 mm Hg 159 mm Hg 0.3 mm Hg 3.7 mm Hg 37 mm Hg

71) Which law states that the total atmospheric pressure is a sum of the contributions of the individual gases? A) B) C) D) E)

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Henry's Charles's Boyle's Dalton's Newton's

19


72)

How is alveolar air different than inspired air? A) B) C) D) E)

Alveolar air has a higher PN 2 than inspired air. Alveolar air has a lower PCO 2 than inspired air. Alveolar air has a higher PO 2 than inspired air. Alveolar air has a higher water vapor contentthan inspired air. Alveolar air is always colder than inspired air.

73) Metabolically active tissues have which of the following sets of conditions that shift the oxyhemoglobin dissociation curve to the right? A) B) C) D) E)

↑ PO 2, ↓PCO 2, ↑ temperature, ↑ BPG ↓ PO 2, ↑ PCO 2, ↑ temperature, ↑ BPG ↓ PO 2, ↑ PCO 2, ↓ temperature, ↑ BPG ↑ PO 2, ↓ PCO 2, ↑ temperature, ↓ BPG ↑ PO 2, ↓PCO 2, ↓ temperature, ↓ BPG

74) Conditions around metabolically active tissues do what to the oxyhemoglobin dissociation curve? A) B) C) D) E)

75)

Shift it right Shift it left Decrease the slope Increase the slope They do not affect it.

Hypocapnia will lead to which of the following conditions?

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20


A) B) C) D) E)

76)

What is the least common but most dangerous form of lung cancer? A) B) C) D) E)

77)

Hypoventilation due to acidosis Hypoventilation due to alkalosis Hyperventilation due to acidosis Hyperventilation due to alkalosis Hypocapnia does not affect ventilation rate.

Mesothelioma Adenocarcinoma Squamous cell carcinoma Small-cell carcinoma Basal cell carcinoma

Which structure is highlighted (reference leader line)?

McGraw-Hill Education

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21


A) B) C) D) E)

78)

left lobar bronchus left segmental bronchus right segmental bronchus intermediate bronchus right lobar bronchus

Which structure is highlighted (reference leader line)?

McGraw-Hill Education A) B) C) D) E)

Version 1

laryngeal cartilages hyoid bone thyrohyoid ligament tracheal cartilages cricothyroid ligament

22


79)

Which structure is highlighted (reference leader line)?

McGraw-Hill Education A) B) C) D) E)

Version 1

primary bronchus nasal concha esophagus pharynx larynx

23


80)

Which structure is highlighted (reference leader line)?

McGraw-Hill Education A) B) C) D) E)

Version 1

upper lobe of left lung lower lobe of right lung upper lobe of right lung middle lobe of right lung lower lobe of left lung

24


81)

Which structure is highlighted (reference leader line)?

McGraw-Hill Education A) B) C) D) E)

Version 1

soft palate oropharynx uvula hard palate nasal cavity

25


82)

Which structure is highlighted (reference leader line)?

McGraw-Hill Education A) B) C) D) E)

83)

thyroid cartilage trachea cricoid cartilage cricothyroid ligament hyoid bone

{MISSING IMAGE}What is indicated in this figure? A) B) C) D) E)

Trachea Main bronchi Lobar bronchi Segmental bronchi Respiratory bronchioles

84) {MISSING IMAGE}According to the graph above, hemoglobin delivers about __________ of its oxygen load to the systemic tissues.

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26


A) B) C) D) E)

22% 78% 1.5% 56% 98.5%

SECTION BREAK. Answer all the part questions. 85) {MISSING IMAGE}

85.1) A) B) C) D) E)

85.2) A) B) C) D) E)

85.3)

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Name the cartilage labeled 1. Epiglottic cartilage Thyroid cartilage Cricoid cartilage Tracheal cartilage Arytenoid cartilage

Name the cartilage labeled 2. Epiglottic cartilage Thyroid cartilage Cricoid cartilage Tracheal cartilage Arytenoid cartilage

Name the cartilage labeled 3.

27


A) B) C) D) E)

86)

Epiglottic cartilage Thyroid cartilage Cricoid cartilage Tracheal cartilage Arytenoid cartilage

{MISSING IMAGE}

86.1) A) B) C) D) E)

86.2) A) B) C) D) E)

86.3)

Version 1

Which structure is labeled 1? Thyroid cartilage Cricoid cartilage Larynx Trachea Arytenoid cartilage

Which structure is labeled 2? Thyroid cartilage Cricoid cartilage Larynx Trachea Arytenoid cartilage

Which structure is labeled 3?

28


A) B) C) D) E)

87)

Thyroid cartilage Cricoid cartilage Larynx Trachea Arytenoid cartilage

{MISSING IMAGE}

87.1) A) B) C) D) E)

87.2) A) B) C) D) E)

87.3)

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What is the function of the cell labeled 1? They secrete of pulmonary surfactant They form part of the respiratory membrane They phagocytose dust particles They carry oxygen and carbon dioxide They secrete enzymes necessary for the production of bicarbonate

What type of cell is labeled 1? Great alveolar cell Alveolar macrophage Squamous alveolar cell Lymphocyte Erythrocyte

What type of cell is labeled 3?

29


A) B) C) D) E)

88)

Great alveolar cell Alveolar macrophage Squamous alveolar cell Lymphocyte Erythrocyte

{MISSING IMAGE}

88.1) This diagram shows some of the muscles that are active during inhalation. Which muscle is labeled 1? A) B) C) D) E)

Sternocleidomastoid Scalenes External intercostals Internal intercostals Diaphragm

88.2) This diagram shows some of the muscles that are active during inhalation. Which muscle is labeled 3? A) B) C) D) E)

Sternocleidomastoid Scalenes External intercostals Internal intercostals Diaphragm

88.3) Which two of the muscles labeled on this diagram are the principal respiratory muscles of inspiration?(The other two act as synergists and are considered accessory.)

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30


A) B) C) D) E)

89)

2 and 4 1 and 4 3 and 4 2 and 3 1 and 3

{MISSING IMAGE}

89.1) This diagram shows some of the mucles that are active during exhalation. Which muscle is labeled 1? A) B) C) D) E)

Internal intercostals, interosseous part Internal intercostals, intercartilaginous part External intercostals Internal abdominal oblique External abdominal oblique

89.2) This diagram shows some of the mucles that are active during exhalation. Which muscle is labeled 3? A) B) C) D) E)

90)

Internal intercostals, interosseous part Internal intercostals, intercartilaginous part External intercostals Internal abdominal oblique External abdominal oblique

{MISSING IMAGE}

90.1)

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Name the respiratory volume labeled 1 on this graph.

31


A) B) C) D) E)

90.2) A) B) C) D) E)

90.3) A) B) C) D) E)

Version 1

Inspiratory reserve volume Maximum inspiratory volume Forced inspiratory volume Functional inspiratory volume Inspiratory ventilation volume

What is labeled 2 on this graph? Vital capacity Inspiratory capacity Forced inspiratory volume Maximum voluntary ventilation Minute respiratory volume

What is labeled 3 on this graph? Vital capacity Inspiratory capacity Forced inspiratory volume Maximum voluntary ventilation Minute respiratory volume

32


Answer Key Test name: Chap 22_9e 1) FALSE 2) FALSE 3) TRUE 4) FALSE 5) FALSE 6) TRUE 7) FALSE 8) TRUE 9) FALSE 10) FALSE 11) FALSE 12) TRUE 13) D 14) D 15) C 16) B 17) A 18) D 19) B 20) E 21) A 22) D 23) D 24) D 25) B 26) C Version 1

33


27) C 28) C 29) B 30) B 31) D 32) E 33) C 34) B 35) E 36) A 37) D 38) E 39) C 40) D 41) B 42) C 43) C 44) B 45) B 46) D 47) A 48) C 49) D 50) C 51) E 52) D 53) B 54) A 55) D 56) E Version 1

34


57) C 58) A 59) C 60) C 61) D 62) B 63) A 64) C 65) D 66) B 67) A 68) C 69) B 70) C 71) D 72) D 73) B 74) A 75) B 76) D 77) D 78) A 79) E 80) E 81) E 82) B 83) C 84) A 85) Section Break 85.1) A Version 1

35


85.2) B 85.3) C 86) Section Break 86.1) A 86.2) B 86.3) C 87) Section Break 87.1) A 87.2) A 87.3) B 88) Section Break 88.1) A 88.2) D 88.3) A 89) Section Break 89.1) A 89.2) E 90) Section Break 90.1) A 90.2) A 90.3) B

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CHAPTER 23 TRUE/FALSE - Write 'T' if the statement is true and 'F' if the statement is false. 1) The most toxic of our metabolic wastes are nitrogenous wastes. ⊚ ⊚

2)

true false

Stimulation of sympathetic fibers of the renal plexus increases renal blood flow. ⊚ ⊚

true false

3) Glomerular filtration occurs because glomerular oncotic pressure overrides glomerular blood pressure. ⊚ ⊚

true false

4) Cells in the cleft between the afferent and efferent arterioles and among capillaries of the glomerulus are known as mesangial cells. ⊚ ⊚

true false

5) The fenestrated endothelium of the capillary has pores small enough to exclude blood cells from the filtrate. ⊚ ⊚

true false

6) Glomerular capillaries suffer little damage from hypertension because of the protective influence of the afferent arterioles. ⊚ ⊚

Version 1

true false

1


7) Angiotensin-converting enzyme is found only in the kidneys and converts angiotensinogen to angiotensin I. ⊚ ⊚

true false

8) The countercurrent multiplier mechanism for water conservation was discovered by limiting studies to humans and thus hypothesizing how form determines function. ⊚ ⊚

9)

true false

The thick segment of the nephron loop is impermeable to water. ⊚ ⊚

true false

10) Parathyroid hormone increases phosphate excretion by the proximal convoluted tubule as well as promotes synthesis of calcitriol. ⊚ ⊚

11)

true false

Albuminuria is a common sign of diabetes mellitus. ⊚ ⊚

true false

12) Ethyl (drinking) alcohol stimulates the secretion of ADH, thereby reducing reabsorption by the collecting duct. ⊚ ⊚

Version 1

true false

2


13)

The ureters pass anterior to the bladder and enter it from below. ⊚ ⊚

true false

14) Diseases that affect the descending corticospinal tracts may limit inhibition of the sacral somatic motor neurons and thus could result in urinary incontinence. ⊚ ⊚

15)

true false

Sympathetic impulses cause the smooth muscle of the bladder wall to contract. ⊚ ⊚

true false

MULTIPLE CHOICE - Choose the one alternative that best completes the statement or answers the question. 16) Which of the following is not true about the anatomy of the urinary system? A) B) C) D) E)

17)

The kidneys are retroperitoneal. The ureters connect the kidneys to the urinary bladder. The urethra of males is longer than the urethra of females. The kidneys are at equal heights within the pelvic cavity. The right kidney is located more inferiorly than the left kidney.

The __________ is not an organ of the urinary system. A) B) C) D) E)

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urethra liver ureter urinary bladder kidney

3


18)

In life-threatening starvation, the kidneys synthesize glucose by __________. A) B) C) D) E)

19)

secreting erythropoietin secreting renin deaminating amino acids contributing to calcium homeostasis producing uric acid

Which of the following is not a function of the kidneys? A) B) C) D) E)

They regulate osmolarity of the body fluids. They fight osteoporosis by synthesizing vitamin D. They help control blood pressure. They release waste into the bloodstream. They indirectly increase oxyhemoglobin.

20) A by-product of protein catabolism, __________ constitutes approximately one-half of all nitrogenous waste. A) B) C) D) E)

21)

urea creatinine uric acid azotemia ammonia

Which organ system excretes nitrogenous wastes? A) B) C) D) E)

Version 1

The urinary system The cardiovascular system The integumentary system The digestive system The respiratory system

4


22)

Which organ system does not excrete waste? A) B) C) D) E)

The urinary system The cardiovascular system The integumentary system The digestive system The respiratory system

23) The medial concavity of the kidney is called the __________, which admits the renal nerves, blood vessels, lymphatic vessels, and ureter. A) B) C) D) E)

24)

Blood vessels, nerves, and the renal pelvis enter/exit the kidney at the __________. A) B) C) D) E)

25)

medulla corpuscle cortex hilum capsule

hilum ureter sinus corticomedullary junction pyramid

A renal pyramid voids urine into the __________.

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5


A) B) C) D) E)

26)

minor calyx major calyx renal medulla renal papilla ureter

Blood plasma is filtered in the __________. A) B) C) D) E)

renal tubule renal corpuscle renal capsule renal column renal calyx

27) The innermost connective tissue layer protecting the kidney and assisting in staving off infection is known as the __________. A) B) C) D) E)

28)

perirenal fat capsule renal fascia hilum fibrous capsule renal medulla

A single lobe of a kidney is comprised of __________. A) B) C) D) E)

Version 1

two calyces and a renal pelvis one pyramid and the overlying cortex one major calyx and all of its minor calyces a renal medulla and two renal columns one collecting duct and all nephrons that drain into it

6


29)

The average person has approximately __________ nephrons per kidney. A) B) C) D) E)

1.2 million 2.4 million 3.6 million 4.8 million 5.6 million

30) Which of the followingform the inner layer of the glomerular capsule and wrap around the capillaries of the glomerulus? A) B) C) D) E)

31)

The major calyces merge to form a single, funnel-shaped __________. A) B) C) D) E)

32)

Macula densa cells Mesangial cells Nephrocytes Podocytes Monocytes

pelvis cortex medulla pyramid column

Whichof the following is notcomposed of cuboidal epithelium? A) B) C) D) E)

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The thin segment of the nephron loop The thick segment of the nephron loop The collecting duct The proximal convoluted tubule The distal convoluted tubule

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33)

Cortical nephrons can be distinguished from juxtamedullary nephrons by __________. A) B) C) D) E)

34)

their location within the renal cortex the size of their renal corpuscle their filtration rate whether they drain into a collecting duct or directly into the renal pelvis which molecules can pass through their filtration membrane

The transition from an afferent arteriole to an efferent arteriole occurs in the __________. A) B) C) D) E)

glomerulus medulla cortical radiate veins peritubular capillaries vasa recta

35) Which of the followingcorrectly traces blood flow from the renal artery into the renal cortex? A) B) C) D) E)

36)

Arcuate a. → interlobar a. → afferent arteriole → cortical radiate a. Interlobar a. → cortical radiate a. → segmental a. → arcuate a. Segmental a. → interlobar a. → arcuate a. → cortical radiate a. Afferent arteriole → cortical radiate a. → arcuate a. → interlobar a. Segmental a. → arcuate a. → interlobar a. → cortical radiate a.

Which of the followingcorrectly traces blood flow from the renal cortex to the renal vein?

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8


A) B) C) D) E)

37)

What is the correct branching sequence of arteries in the kidney? A) B) C) D) E)

38)

Cortical radiate v. → interlobar v. → arcuate v. → renal v. Arcuate v. → interlobar v. → cortical radiate v. → renal v. Interlobar v. → cortical radiate v. → arcuate v. → renal v. Cortical radiate v. → arcuate v. → interlobar v. → renal v. Cortical radiate v. → arcuate v. → interlobar v. → renal v.

Renal artery, segmental arteries, interlobar arteries Segmental artery, renal arteries, interlobar arteries Renal artery, segmental arteries, pyramidal arteries Renal artery, segmental artery, afferent arteriole Renal artery, interlobular arteries, arcuate arteries

In the nephron, the fluid that immediately precedes urine is known as __________. A) B) C) D) E)

plasma glomerular filtrate tubular fluid renal filtrate medullary filtrate

39) The __________ innervation of the kidneys reduces urine production, while the function of its__________ innervation is unknown. A) B) C) D) E)

Version 1

sympathetic; parasympathetic parasympathetic; sympathetic central; peripheral peripheral; central enteric; somatic

9


40)

In a healthy kidney, very little __________ is filtered by the glomerulus. A) B) C) D) E)

amino acids electrolytes glucose vitamins protein

41) Assuming all other values are normal, calculate the net filtration pressure in a patient with a drop in capsular hydrostatic pressure to 8 mmHg. A) B) C) D) E)

10 mm Hg out 20 mm Hg out 30 mm Hg out 40 mm Hg out 50 mm Hg out

42) Renin hydrolyzes angiotensinogen, which isreleased from the _________, to form angiotensin I. A) B) C) D) E)

43)

lungs kidneys liver heart spleen

Which of the following would reduce the glomerular filtration rate?

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A) B) C) D) E)

Vasoconstriction of the efferent arteriole A drop in oncotic pressure Vasodilation of the afferent arteriole Vasoconstriction of the afferent arteriole An increase in osmotic pressure in the glomerular capsule

44) The mechanism of stabilizing the GFR based on the tendency of smooth muscle to contract when stretched is known as __________. A) B) C) D) E)

renal autoregulation the myogenic mechanism tubuloglomerular feedback sympathetic control the renin-angiotensin-aldosterone mechanism

45) In response to a drop in overall blood pressure, __________ stimulates constriction of the glomerular inlet and even greater constriction of the outlet. A) B) C) D) E)

azotemia sodium chloride parathyroid hormone aldosterone angiotensin II

46) Which of the followinginduces renin secretion, constricts afferent arterioles, and reduces GFR and urine volume? A) B) C) D) E)

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Aldosterone Antidiuretic hormone Parathyroid hormone Norepinephrine Angiotensin II

11


47) Because of the great deal of active transport that occurs here, the __________ of one's nephrons collectively account for about 6% of one's daily resting ATP and caloric consumption. A) B) C) D) E)

48)

Glucose and amino acids are reabsorbed from the glomerular filtrate by the __________. A) B) C) D) E)

49)

proximal convoluted tubules distal convoluted tubules nephron loops collecting ducts glomeruli

renal corpuscle proximal convoluted tubule distal convoluted tubule glomerular capillaries collecting duct

Which of the following is not reabsorbed by the proximal convoluted tubule? A) B) C) D) E)

Potassium Sodium chloride Hydrogen ions Urea Water

50) Total saturation of protein transporters for a given solute in the renal tubules would result in __________.

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A) B) C) D) E)

51)

reabsorption of all the solute a renal clearance of zero a net filtration pressure of 1.0 appearance of that solute in the urine absence of that solute from the urine

Hypocalcemia stimulates __________. A) B) C) D) E)

a decrease in aldosterone production secretion of parathyroid hormone secretion of renin an increase in blood urea nitrogen vasoconstriction of the afferent arterioles

52) Natriuretic peptide inhibits __________ reabsorption by the collecting duct, which _________ urine output. A) B) C) D) E)

K +; increases NaCl; decreases NaCl; increases K +; decreases Ca 2+; increases

53) In the thick segment of the ascending limb of the nephron loop, K + reenters the cell from the interstitial fluid via the _________. K + is then secreted into the tubular fluid. A) B) C) D) E)

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Na +-K + pump countercurrent multiplier countercurrent exchange vasa recta juxtaglomerular apparatus

13


54)

Loop diuretics reduce body water content by acting on the __________. A) B) C) D) E)

55)

Aldosterone acts on the __________. A) B) C) D) E)

56)

feedback loop between the kidney and posterior pituitary gland countercurrent multiplier system countercurrent exchanger system aquaporins of the collecting duct thirst mechanism and water intake

proximal convoluted tubule medullary portion of the collecting duct descending limb of the nephron loop distal convoluted tubule glomerulus

Which of the following is a direct result of antidiuretic hormone? A) B) C) D) E)

Decreased urine volume Decreased urine molarity Increased urine volume Increased urine salinity Increased urine acidity

57) Which of the following is not a method by which natriuretic peptides reduce blood volume and pressure?

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A) B) C) D) E)

58)

Increasing glomerular filtration rate Inhibiting renin and aldosterone secretion Inhibiting the action of ADH on the kidney Inhibiting NaCl reabsorption by the collecting duct Preventing sodium loss in the urine

Which of the following does not contribute to water conservation? A) B) C) D) E)

The collecting duct The countercurrent multiplier The countercurrent exchange system Diuretics The length of the nephrons

59) Which renal structure is responsible for producing hypertonic urine by reabsorbing water while allowing metabolic wastes and NaCl to pass through? A) B) C) D) E)

60)

Glomerulus Proximal convoluted tubule Distal convoluted tubule Collecting duct Nephron loop

The urine is most likely to be hypotonic when the __________. A) B) C) D) E)

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body's water volume is high body's pH is low output of antidiuretic hormone is high output of natriuretic peptides is high person is lost and deprived of drinking water

15


61) Which of the following are primarily responsible for maintaining the salinity gradient of the renal medulla? A) B) C) D) E)

Cortical nephrons Juxtamedullary nephrons Collecting ducts Proximal convoluted tubules Distal convoluted tubules

62) The countercurrent multiplier recaptures __________ and is based on fluid flowing in the __________ direction in two adjacent tubules. A) B) C) D) E)

63)

The overall purpose of the countercurrent exchange system is to __________. A) B) C) D) E)

64)

potassium; same calcium; opposite calcium; same sodium; opposite sodium; same

supply salt and urea to the renal medulla supply nutrients and oxygen to the renal cortex supply nutrients and oxygen to the renal medulla remove metabolic wastes from the renal cortex remove metabolic wastes from the renal medulla

Normal urine from a healthy person should notcontain __________.

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A) B) C) D) E)

65)

The pigment responsible for the color of urine is called __________. A) B) C) D) E)

66)

creatinine urobilin glucose ammonia magnesium

monochrome urochrome cyanochrome multichrome pyuria

To meet the definition of polyuria, the minimum daily output of urine is__________. A) B) C) D) E)

0.5 L 1.0 L 1.5 L 2.0 L 3.0 L

67) Prior to chemical tests for glycosuria, clinicians checked for sweetness of the urine as a sign of __________. A) B) C) D) E)

Version 1

diabetes insipidus acute glomerulonephritis diabetes mellitus renal calculus pyelitis

17


68) A patient enters a hospital after a motorcycle accident. He complains of mid-back pain. X-rays reveal both rib and pelvic fractures. His emergency room examination includes urinalysis. Which of the following findings from the urinalysis would most likely suggest trauma to the kidneys from the accident, but not to the urinary bladder? A) B) C) D) E)

Pyuria Hematuria Albuminuria Uremia Phenylketonuria

69) A hospital patient produces 4 mL/min of urine with a urea concentration of 8 mg/mL. Venous blood draw reveals urea concentration of 0.4 mg/mL. What is the percentage of cleared urea from glomerular filtrate? A) B) C) D) E)

70) rate?

Which two substances are most useful for determining a patient's glomerular filtration

A) B) C) D) E)

71)

40% 56% 64% 72% 80%

Insulin and glucose Inulin and creatinine Sodium and water Albumin and inulin Insulin and urea

Creatinine has a renal clearance of 140 mL/min. Why is this?

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A) B) C) D) E)

72)

The __________ muscleis located in the urinary bladder. A) B) C) D) E)

73)

external urethral orifice internal urethral sphincter prostatic urethra membranous urethra spongy urethra

Which of the following is not found in the ureter? A) B) C) D) E)

75)

detrusor distractor pubococcygeus corpus spongiosum corpus cavernosum

The __________ is not a portion of the urethra. A) B) C) D) E)

74)

It is absorbed by the nephron loop. It is secreted by the glomerulus. It is absorbed by the renal tubules. It is secreted by the renal tubules. It is produced in the pulmonary tissue.

Adventitia Two layers of smooth muscle Three layers of smooth muscle Urothelium Skeletal muscle

Micturition is another term for __________.

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A) B) C) D) E)

the production of nitrogenous wastes glomerular filtration the countercurrent multiplier process inflammation of the urinary bladder the elimination of urine

SECTION BREAK. Answer all the part questions. 76) {MISSING IMAGE}

76.1) A) B) C) D) E)

76.2) A) B) C) D) E)

76.3)

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In which of these structures is urothelium found? A B C D B and C

In which of these structures does urine move via peristalsis? A B C D B and C

In which of these structures is the detrusor muscle found?

20


A) B) C) D) E)

A B C D B and C

77)

77.1) A) B) C) D) E)

Which of these layers contains adipose? A B C D A and D

77.2) Because the kidney is found behind the structure at A it is described as __________.

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21


A) B) C) D) E)

77.3) A) B) C) D) E)

78)

retroperitoneal anteperitoneal visceral serous parietal

Which of these layers forms the fibrous capsule? A B C D A and D

{MISSING IMAGE}

78.1) A) B) C) D) E)

78.2)

Version 1

Through which of these structures does urine travel? A and B B, C, and D C, D, and E B and C D and E

What is the name of the structure at C?

22


A) B) C) D) E)

Minor calyx Major calyx Renal pelvis Ureter Papillary duct

78.3) A) B) C) D) E)

79)

What is the name of the structure at E? Renal pelvis Minor calyx Major calyx Renal sinus Hilus

{MISSING IMAGE}

79.1) A) B) C) D) E)

79.2)

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Which vessel is the arcuate artery? A B C D E

Which vessel is the segmental artery?

23


A) B) C) D) E)

A B C D E

79.3) A) B) C) D) E)

Version 1

Which vessel is the cortical radiate artery? A B C D E

24


80)

80.1) A) B) C) D) E)

80.2) Version 1

Most water is reabsorbed from the filtrate by which region of the nephron? B C D E F

Which region of the nephron is permeable to water but not NaCl? 25


A) B) C) D) E)

B C D E F

80.3) A) B) C) D) E)

Version 1

ADH targets which region of the renal tubule? B C D E F

26


Answer Key Test name: Chap 23_9e 1) TRUE 2) FALSE 3) FALSE 4) TRUE 5) TRUE 6) FALSE 7) FALSE 8) FALSE 9) TRUE 10) TRUE 11) FALSE 12) FALSE 13) FALSE 14) TRUE 15) FALSE 16) D 17) B 18) C 19) D 20) A 21) A 22) B 23) D 24) A 25) A 26) B Version 1

27


27) D 28) B 29) A 30) D 31) A 32) A 33) A 34) A 35) C 36) E 37) A 38) C 39) A 40) E 41) B 42) C 43) D 44) B 45) E 46) D 47) A 48) B 49) C 50) D 51) B 52) C 53) A 54) B 55) D 56) A Version 1

28


57) E 58) D 59) D 60) A 61) B 62) D 63) A 64) C 65) B 66) D 67) C 68) C 69) C 70) B 71) D 72) A 73) B 74) E 75) E 76) Section Break 76.1) E 76.2) B 76.3) C 77) Section Break 77.1) C 77.2) A 77.3) B 78) Section Break 78.1) C 78.2) A Version 1

29


78.3) A 79) Section Break 79.1) B 79.2) D 79.3) A 80) Section Break 80.1) A 80.2) B 80.3) E

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CHAPTER 24 TRUE/FALSE - Write 'T' if the statement is true and 'F' if the statement is false. 1) Blood plasma osmolarity is higher than intracellular fluid osmolarity. ⊚ ⊚

2)

In a state of fluid balance, average daily fluid gains and losses are equal. ⊚ ⊚

3)

true false

Fluid intake is governed mainly by hypothalamic receptors called osmoreceptors. ⊚ ⊚

4)

true false

true false

The kidneys secrete ADH in response to dehydration. ⊚ ⊚

true false

5) Hypovolemia refers to a reduction in total body water while maintaining normal osmolarity. ⊚ ⊚

6)

Aldosterone promotes potassium excretion. ⊚ ⊚

7)

true false

true false

Natriuretic peptides promote sodium and potassium excretion.

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1


⊚ ⊚

8)

true false

Hyponatremia is usually a result of hypotonic hydration. ⊚ ⊚

true false

9) Hypocalcemia causes muscle weakness, whereas hypercalcemia causes potentially fatal muscle tetanus. ⊚ ⊚

10)

Chloride homeostasis is regulated as a side effect of sodium homeostasis. ⊚ ⊚

11)

true false

The kidneys neutralize more acid or base than any other buffer system. ⊚ ⊚

14)

true false

The three physiological buffer systems are urinary, digestive, and respiratory. ⊚ ⊚

13)

true false

A buffer system converts a weak acid or base into a strong one. ⊚ ⊚

12)

true false

true false

Acidosis is a pH lower than 7, whereas alkalosis is a pH higher than 7.

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2


⊚ ⊚

true false

15) Uncompensated alkalosis is a pH imbalance that can only be corrected with clinical intervention. ⊚ ⊚

true false

MULTIPLE CHOICE - Choose the one alternative that best completes the statement or answers the question. 16) Where is the greatest volume of water in the body found? A) B) C) D) E)

17)

What determines osmosis from one fluid compartment to another? A) B) C) D) E)

18)

Intracellular fluid (ICF) Extracellular fluid (ECF) Tissue (interstitial) fluid Blood plasma and lymph Transcellular fluid

The temperature difference between compartments The relative concentration of solutes in each compartment The relative volume in each compartment The relative size of each compartment The blood pressure

In which compartment would fluid accumulate in edema?

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3


A) B) C) D) E)

Intracellular fluid Transcellular fluid Tissue (interstitial) fluid Blood plasma Lymph

19) Most body water intake isfrom __________, whereas most body water lost is via __________. A) B) C) D) E)

20)

Fluid intake is governed mainly by hypothalamic neurons called __________. A) B) C) D) E)

21)

metabolic water; cutaneous transpiration metabolic water; sweat drinking; cutaneous transpiration and expired air drinking; urine drinking; radiation

baroreceptors proprioceptors nociceptors osmoreceptors mechanoreceptors

What is the function of antidiuretic hormone? A) B) C) D) E)

Version 1

It stimulates angiotensin II secretion. It promotes water conservation. It stimulates hypothalamic osmoreceptors. It inhibits salivation and thirst. It targets the cerebral cortex.

4


22)

Water output is largely controlled by varying ___________. A) B) C) D) E)

23)

Which of the following occurs when blood volume and pressure become too high? A) B) C) D) E)

24)

ADH release is inhibited. ADH release is stimulated. The renal tubules reabsorb more water. The renal tubules reabsorb more sodium. The kidneys produce less urine.

Which of the followingcan prolonged exposure to cold weather lead to? A) B) C) D) E)

25)

metabolic water production sweating cutaneous transpiration drinking urine volume

Fluid sequestration in the upper limbs Hypotonic hydration Hypervolemia Increased sensible water loss Increased respiratory water loss

In response to dehydration, osmoreceptors stimulate the secretion of __________. A) B) C) D) E)

Version 1

ADH calcitonin ANP sodium ions bicarbonate ions

5


26)

A hemorrhage results in which of the following? A) B) C) D) E)

27)

Long-term inhibition of thirst is mostly associated with which of the following? A) B) C) D) E)

28)

Cooling of the mouth Distension of the stomach by ingested water A drop in blood osmolarity Moistening of the mouth Increased salivation

What is the principal cation of the ECF? A) B) C) D) E)

29)

A decrease in water volumewithout significantly affecting theosmolarity A decrease in water volume and an increase in osmolarity A decrease in water volumeand a decrease in osmolarity An increase in ECF volume but a decrease in ICF volume A decrease in ECF volume but an increase ICF volume

Ca 2+ Cl K + Na + P i

Where are cells with aldosterone receptors found? A) B) C) D) E)

Version 1

Adrenal cortex Adrenal medulla Posterior pituitary Proximal convoluted tubule Distal convoluted tubule

6


30)

What is the function of aldosterone? A) B) C) D) E)

31)

Hypernatremia is a plasma __________ concentration above normal. A) B) C) D) E)

32)

It increases both Na + and K + reabsorption. It increases both Na + and K + secretion. It increases Na + reabsorption and K + secretion. It reduces Na + reabsorption and K + secretion. It causes the urine to be more diluted.

Ca 2+ Na + K + Cl P i

Which of the following is not caused by hypernatremia? A) B) C) D) E)

Water retention Edema Hypertension Interstitial fluid accumulation A reduction in plasma volume

33) What is the most significant solute in determining the distribution of water among fluid compartments?

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7


A) B) C) D) E)

34)

Na + Cl Ca 2+ K + P i

Which of the following does not stimulate aldosterone secretion? A) B) C) D) E)

Hypotension Hyponatremia Hyperkalemia High blood sodium concentration High blood potassium concentration

35) Women have a tendency to retain water during part of the menstrual cycle because estrogen mimics the action of what? A) B) C) D) E)

36)

ADH Aldosterone Natriuretic peptide Oxytocin Prolactin

What is the most abundant cation in the ICF? A) B) C) D) E)

Version 1

Ca 2+ Na + K + Cl P i

8


37)

What is the total body water (TBW) content of a 70 kg young male? A) B) C) D) E)

38)

What is the greatest determinant of theintracellular water volume? A) B) C) D) E)

39)

K + Na + Ca 2+ Cl PO 4 3-

Which of these conditions is not a result of hyperkalemia? A) B) C) D) E)

40)

10 L 20 L 40 L 60 L 70 L

Cells are more excitable. The resting membrane potential is more negative. The cells are partially depolarized. The cells are more sensitive to stimulation. There is less diffusion of potassium out of the cells.

Which of the following occurs with hypokalemia? A) B) C) D) E)

Version 1

Cells are partially depolarized. There is more diffusion of potassium into the cells. Cells are more excitable. The resting membrane potential is more positive. Cells are hyperpolarized.

9


41)

Hypokalemia can result from all of the following except __________. A) B) C) D) E)

42)

What is the most abundant anion in the ECF? A) B) C) D) E)

43)

HCO 3 PO 4 3HPO 4 2H 2PO 4 Cl -

Chloride homeostasis is achieved mainly as a result of ____________ homeostasis. A) B) C) D) E)

44)

chronic vomiting diarrhea heavy sweating aldosterone hyposecretion excessive use of laxatives

H 2PO 4 PO 4 3HCO 3 Na + K +

-

Which of the following is not a role of calcium in the body? A) B) C) D) E)

Version 1

It participates in muscle contraction. It isa significant component of nucleic acids. They serve as second messengers. It activates exocytosis. It isimportant in blood clotting.

10


45)

How is calcium concentration in the body regulated? A) B) C) D) E)

By hormones By sodium and calcium concentrations in the plasma By chloride and phosphate concentrations in the plasma By the parasympathetic nervous system By the sympathetic nervous system

46) Which of the following accurately describes the inorganic phosphates (Pi) of the body fluids? A) B) C) D) E)

47)

They are not a significant component of nucleic acids. They are not important for cell membrane structure. They are not necessary in the linking of endergonic with exergonic reactions. They form crystals with calcium in the presence of calsequestrin. They participate in the activation of some enzymes.

Which of the following is a result ofphosphate excretionfrom the body? A) B) C) D) E)

An increase infree potassium ions in the ECF An increase infree calcium ions in the ECF An increase infree chloride ions in the ICF A decrease in free potassium ions in the ECF A decrease infree calcium ions in the ECF

48) Which of the following represents the complete chemical reaction for the bicarbonate buffer system?

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11


A) B) C) D) E)

49)

What is the normal pH of tissue fluid? A) B) C) D) E)

50)

The urinary and respiratory The urinary and digestive The bicarbonate, phosphate, and protein The bicarbonate, nucleic acids, and protein The bicarbonate, phosphate, and nitrate

What protein is the most important buffer in blood plasma? A) B) C) D) E)

52)

6.95 - 7.05 7.05 - 7.15 7.15 - 7.25 7.25 - 7.35 7.35 - 7.45

What are the major chemical buffer systems of the body? A) B) C) D) E)

51)

CO 2 + H 2O H 2CO 3 HCO 3 - + H + CO 2 + H 2O HCO 3 - + H + H 2CO 3 H 2CO 3 CO 2 + H 2O HCO 3 - + H + H 2CO 3 HCO 3 - + H + CO 2 + H 2O HCO 3 - + H +

Fibrinogen Albumin Alpha globulin Gamma globulin Transferrin

What protein is the most important buffer in erythrocytes?

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12


A) B) C) D) E)

53)

Albumin Fibrinogen Gamma globulin Hemoglobin Myoglobin

Which of the following characterizes a weak base? A) B) C) D) E)

It binds a little OH - and has a weak effect on pH. It binds a lot of OH - and has a strong effect on pH. It binds a little H + and has a weak effect on pH. It resists changes in OH -. It lowers the pH.

54) When the renal tubules secrete hydrogen ions into the tubular fluid, they __________ at the same time. A) B) C) D) E)

55)

secrete potassium secrete sodium reabsorb potassium secrete chloride reabsorb sodium

Which buffer system accounts for 75% of all chemical buffering in the body fluids? A) B) C) D) E)

Version 1

The protein buffer system The bicarbonate system The phosphate system The carbonic acid system The ammonium buffer system

13


56) The bicarbonate buffer system would not work very well in the human body if not for the action of the respiratory system, which ___________. A) B) C) D) E)

supplies the buffer system with CO 2 supplies the buffer system with O 2 expels HCO 3 - produced by the buffer system expels H + produced by the buffer system expels CO 2 produced by the buffer system

57) Which of the following describes anantiport system on the basal side of renal tubule cells? A) B) C) D) E)

It transports bicarbonate from the tubular fluid back into the tubule cells. It transports H + in both directions across the epithelium. It transports CO 2 from the blood into the tubule cells. It exchanges K + for Na +. It exchanges H + for Na +.

58) Proteins can buffer a drop in pH with their ___________ side groups and can buffer an increase in pH with their __________ side groups. A) B) C) D) E)

59)

-NH 2; -PO 4 -PO 4; -COOH -NH 2; -COOH -COOH; -NH 2 -PO 4; -NH 2

Acidosis has what effect on the resting membrane potential of nerve cells?

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14


A) B) C) D) E)

60)

How do the kidneys compensate respiratory acidosis? A) B) C) D) E)

61)

metabolic alkalosis metabolic acidosis urinary alkalosis urinary acidosis respiratory acidosis

An excessive intake of antacids can lead to which of the following? A) B) C) D) E)

63)

By secreting more bicarbonate ions By secreting more hydrogen ions By secreting more sodium ions By reabsorbing more hydrogen ions By reabsorbing more ammonia

Breathing into and out of a paper bag for a long period of time will lead to __________. A) B) C) D) E)

62)

It causes repolarization. It causes depolarization below threshold. It causes hyperpolarization. It causes depolarization above threshold. It has no effect.

Metabolic alkalosis Metabolic acidosis Respiratory alkalosis Respiratory acidosis Digestive alkalosis

Chronic vomiting can lead to which of the following?

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15


A) B) C) D) E)

64)

Metabolic acidosis Metabolic alkalosis Respiratory alkalosis Respiratory acidosis Lymphatic alkalosis

Emphysema can lead to which of the following? A) B) C) D) E)

Metabolic acidosis Metabolic alkalosis Respiratory alkalosis Respiratory acidosis Digestive alkalosis

65) A patient suffering from diabetic acidosis would display which of the following compensatory symptoms? A) B) C) D) E)

Version 1

Hyperventilation Hypoventilation Decreased H+ secretion by the kidneys Decreased ammonia secretion by the kidneys Increased glucose production in the kidneys.

16


66) As shown in this diagram, increased blood osmolarity stimulates hypothalamic osmoreceptors. What happens next? (What goes in the yellow box?) A) B) C) D) E)

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Posterior pituitary releases ADH Adrenal medulla releases aldosterone Kidneys release erythropoietin Anterior pituitary releases oxytocin Adrenal cortex releases norepinephrine

17


67) As shown in this diagramhypotension, hyponatremia, and hyperkalemia all stimulate the renal tubules through a common pathway. What is it? (What goes in the yellow box?) A) B) C) D) E)

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Posterior pituitary releases ACTH Adrenal cortex releases aldosterone Kidneys release erythropoietin Anterior pituitary releases oxytocin Adrenal cortex releases norepinephrine

18


SECTION BREAK. Answer all the part questions. 68)

68.1) A) B) C) D) E)

68.2)

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What type of ionic imbalance is illustrated by the cell labeled 2? Hyperkalemia Hypokalemia Hyponatremia Hyperchloremia Hypermagnesemia

What type of ionic imbalance is illustrated by the cell labeled 1?

19


A) B) C) D) E)

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Hyperkalemia Hypokalemia Hyponatremia Hyperchloremia Hypermagnesemia

20


Answer Key Test name: Chap 24_9e 1) FALSE 2) TRUE 3) TRUE 4) FALSE 5) TRUE 6) TRUE 7) FALSE 8) TRUE 9) FALSE 10) TRUE 11) FALSE 12) FALSE 13) TRUE 14) FALSE 15) TRUE 16) A 17) B 18) C 19) D 20) D 21) B 22) E 23) A 24) E 25) A 26) A Version 1

21


27) C 28) D 29) E 30) C 31) B 32) E 33) A 34) D 35) B 36) C 37) C 38) A 39) B 40) E 41) D 42) E 43) D 44) B 45) A 46) E 47) B 48) A 49) E 50) C 51) B 52) D 53) C 54) E 55) A 56) E Version 1

22


57) D 58) C 59) C 60) B 61) E 62) A 63) B 64) D 65) A 66) A 67) B 68) Section Break 68.1) B 68.2) A

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CHAPTER 25 TRUE/FALSE - Write 'T' if the statement is true and 'F' if the statement is false. 1) The digestive system processes food, extracts nutrients, and eliminates the residue. ⊚ ⊚

2)

Both chemical and mechanical digestion start in the mouth and continue in the stomach. ⊚ ⊚

3)

true false

true false

All chemical digestion is essentially just hydrolysis reactions. ⊚ ⊚

true false

4) The enteric nervous system regulates much of the digestive activity, but its action depends on the central nervous system. ⊚ ⊚

5) root.

Enamel is found in the crown of a tooth, whereas dentin is part of both thecrown and the ⊚ ⊚

6)

true false

Odor, sight, and taste stimulate salivatory nuclei in the cerebral cortex. ⊚ ⊚

7)

true false

true false

Gastric juice consists entirely of water and hydrochloric acid.

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1


⊚ ⊚

true false

8) The stomach contains entericpacemaker cells responsible for its regular churning motion and thus mechanical digestion. ⊚ ⊚

9)

Absorption of many nutrients starts in the stomach. ⊚ ⊚

10)

true false

The brush borders of intestinal absorptive cells contain numerous goblet cells. ⊚ ⊚

13)

true false

Both pancreatic juice and bile are secreted into the duodenum. ⊚ ⊚

12)

true false

The liver is the body's largest gland. ⊚ ⊚

11)

true false

true false

The small intestine begins with the duodenum, which is its longest segment. ⊚ ⊚

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true false

2


14) The small intestine uses segmentation to mix chyme with digestive enzymes, increase its contact with the mucosa, and propel it forward through the digestive tract. ⊚ ⊚

15)

Most fat is digested by pancreatic lipase. ⊚ ⊚

16)

true false

true false

The large intestine absorbs water, fats, and salts. ⊚ ⊚

true false

17) Chylomicrons are secreted from the basal surface of the absorptive cells and taken into the lacteal in the villus. ⊚ ⊚

18)

The large intestine is longer than the small intestine. ⊚ ⊚

19)

true false

true false

Without a properly functioning large intestine a person will have chronic diarrhea. ⊚ ⊚

true false

MULTIPLE CHOICE - Choose the one alternative that best completes the statement or answers the question. 20) The physiological process that moves a nutrient from the outside of the bodyto the inside is called __________.

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3


A) B) C) D) E)

21)

An example of chemical digestion is the breakdown of__________ into __________. A) B) C) D) E)

22)

proteins; nucleotides amino acids; proteins polysaccharides; amino acids nucleic acids; nucleotides fatty acids; cholesterol

Which of the following is theaccessory organ of digestion responsible for producing bile? A) B) C) D) E)

23)

ingestion compaction digestion absorption secretion

Tongue Liver Pancreas Salivary glands Gallbladder

Which of the following is not an accessory organ of digestion? A) B) C) D) E)

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Tongue Liver Pancreas Salivary glands Spleen

4


24) The layer that is responsible for the motility that propels food and residue through the digestive tract is called the __________. A) B) C) D) E)

lumen muscularis externa submucosa mucosa (mucous membrane) serosa

25) The serous membranes that suspend the stomach and intestines from the abdominal wall are called __________. A) B) C) D) E)

mesenteries mucosae submucosae muscularis mucosae muscularis externa

26) The outermost layer of the digestive tract, which is composed of a thin layer of areolar tissue and simple squamous epithelium, is called the __________. A) B) C) D) E)

27)

lumen muscularis externa submucosa mucosa (mucous membrane) serosa (mesentery)

The small intestine is suspended from the abdominal wall by the ___________.

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A) B) C) D) E)

falciform ligament mesentery greater omentum lesser omentum esophageal hiatus

28) Each of the following lists some of the tissue layers of the digestive tract. Which one has them in correct order from lumen to external surface? A) B) C) D) E)

29)

Lamina propria, muscularis mucosae, submucosa, muscularis externa, serosa Serosa, lamina propria, submucosa, muscularis mucosae, muscularis externa Mucosa, submucosa, muscularis mucosae, muscularis externa, lamina propria Mucosa, muscularis mucosae, submucosa, muscularis externa, lamina propria Mucosa, submucosa, muscularis externa, lamina propria, serosa

__________ is a hormone, whereas __________ is an enzyme. A) B) C) D) E)

Enteropeptidase; pepsin Gastrin; secretin Gastrin; cholecystokinin (CCK) Gastric lipase; histamine Secretin; pepsin

30) The __________ regulates digestive tract motility, secretion, and blood flow. Its neurons are found in the __________. A) B) C) D) E)

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autonomic nervous system; serosa central nervous system; muscularis externa and muscularis mucosae enteric nervous system; submucosa and muscularis externa visceral sensory division; muscularis externa and submucosa visceral motor division; mucosa and submucosa

6


31) The surface of the tongue is covered with __________ stratified squamous epithelium, and has bumps called __________, where manytaste buds can be found. A) B) C) D) E)

keratinized; lingual papillae keratinized; lingual frenulum nonkeratinized; lingual papillae nonkeratinized; tonsils nonkeratinized; vallate papillae

32) The __________ gland is an extrinsic salivary gland, whereas the __________ gland is an intrinsic salivary gland. A) B) C) D) E)

33)

lingual; labial submandibular; lingual submandibular; sublingual sublingual; parotid lingual; sublingual

Acid reflux into the esophagus ("heartburn") is normally prevented by __________. A) B) C) D) E)

pharyngeal constrictors the upper esophageal sphincter the lower esophageal sphincter (LES) esophageal glands pharyngeal and buccal sphincters

34) Infants have __________ deciduous teeth, whereas adults have __________ permanent teeth.

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A) B) C) D) E)

20; 32 16; 20 28; 20 32; 20 32; 32

35) Which of the following is the correct list of tooth anatomy from the most superficial to the deepest? A) B) C) D) E)

Cement, root canal, enamel Enamel, root canal, dentin Dentin, enamel, cement Enamel, dentin, pulp Crown, enamel, dentin

36) Carbohydrate digestion begins in the __________, whereas protein digestion begins in the __________. A) B) C) D) E)

37)

liver; small intestine small intestine; stomach mouth; stomach mouth; small intestine stomach; small intestine

Which of the following is not normally found in saliva? A) B) C) D) E)

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Mucus Lysozyme Amylase Lipase Protease

8


38)

The swallowing center is located in the __________. A) B) C) D) E)

mouth oropharynx esophagus medulla oblongata enteric nervous system

39) The oral phase of swallowing is under __________ control and the pharyngo-esophageal phase is __________. A) B) C) D) E)

40)

The __________ of the small intestine is/are similar to the __________ of the stomach. A) B) C) D) E)

41)

central nervous system; also controlled by the central nervous system central nervous system; controlled by autonomic reflexes autonomic nervous system; controlled by autonomic reflexes voluntary; also voluntary involuntary; also involuntary

villi; pyloric glands rugae; aggregated lymphoid nodules intestinal crypts; gastric pits goblet cells; parietal cells pyloric sphincter; ileal papilla

The __________ regulates the flow of contents from the stomach to the duodenum.

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A) B) C) D) E)

gastric rugae antrum pyloric sphincter fundus cardial part

42) Pepsinogen is produced by __________ and is activated by __________, which is secreted by __________. A) B) C) D) E)

43)

Which of the following is a function of the stomach? A) B) C) D) E)

44)

chief cells; carbonic anhydrase (CAH); parietal cells chief cells; hydrochloric acid (HCl); parietal cells parietal cells; hydrochloric acid (HCl); chief cells parietal cells; carbonic anhydrase (CAH); chief cells enteroendocrine cells; carbonic anhydrase (CAH); parietal cells

Chemical and mechanical digestion Chemical digestion only Mechanical digestion only Chemical digestion and absorption of proteins Chemical digestion and absorption of carbohydrates

Necessary for Vitamin B 12 absorption, __________ is/are secreted by __________ cells. A) B) C) D) E)

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intrinsic factor; parietal bile salts; chief lecithin; hepatic hydrochloric acid; parietal enteropeptidase; mucous

10


45)

Hydrochloric acid (HCl) is secreted by __________ cells. A) B) C) D) E)

46)

Several digestive enzymes aresecreted as zymogens because __________. A) B) C) D) E)

47)

it saves one step in their synthesis gastric cells do not have the necessary enzymes for their synthesis they start digesting intracellular proteins of the gastric cells more quickly they act only in the stomach lumen and do not digest intracellular proteins they can start digesting dietary proteins more quickly

Which of the following enzymes functions at the lowest pH? A) B) C) D) E)

48)

mucous regenerative (stem) parietal chief enteroendocrine

Salivary amylase Pancreatic amylase Pepsin Trypsin Dipeptidase

Which cell type is responsible for HCl production in the stomach? A) B) C) D) E)

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Parietal cells Chief cells G cells Alpha cells Goblet cells

11


49) The enzyme that catalyzes the first step reaction in HCl production by gastric parietal cells is called __________. A) B) C) D) E)

50)

Which of the following is not a function of gastric hydrochloric acid (HCl)? A) B) C) D) E)

51)

carbonic acid carbonic anhydrase dipeptidase protease ATPase

Activate pepsinogen to pepsin Activate lingual lipase Emulsify lipids Destroy ingested pathogens Convert Fe 3+ to Fe 2+

Which of the following occurs in response to chemical irritants or sensory stimuli? A) B) C) D) E)

Vomiting Mechanical digestion Segmentation Mass movement Deglutition

52) The __________ phase isassociated with food stretching the stomach and activating myenteric and vagovagal reflexes, which in turn stimulate gastric secretions.

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12


A) B) C) D) E)

53)

What are the three phases of gastric secretion? A) B) C) D) E)

54)

relax the stomach in preparation for swallowed food stimulate acid and enzyme secretion when food enters the stomach stimulate intestinal motility when there is food in the stomach inhibit gastric motility when there is chyme in the small intestine relax the ileal papilla when chyme is on its way to the colon

A hepatic triad consists of __________. A) B) C) D) E)

56)

Cephalic, gastric, and intestinal Cephalic, gastric, and duodenal Cephalic, gastrointestinal, and eliminatory Pyloric, gastric, and duodenal Gastric, enteric, colonic

The enterogastric reflex serves to __________. A) B) C) D) E)

55)

cephalic gastric intestinal gastrointestinal mesenteric

the right, left, and common hepatic ducts the common hepatic duct, cystic duct, and bile duct the hepatic portal vein and two hepatic ducts a bile ductule, a branch of the hepatic artery, and a branch of the hepatic portal vein a central vein, a hepatic lobule, and a hepatic sinusoid

The __________ stores excess glucose and releases it into the blood when needed.

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13


A) B) C) D) E)

57)

Which of the following bile components contributes to digestion? A) B) C) D) E)

58)

duodenum; neutral fats ileum; bilirubin gallbladder; cholesterol pancreas; bile salts liver; cholesterol

Which of the followingis not a component of the pancreatic juice? A) B) C) D) E)

60)

Bile salts Bilirubin Bile pigments Minerals Cholesterol

The __________ synthesizes bile acids by metabolizing __________. A) B) C) D) E)

59)

pancreas stomach liver spleen small intestine

Trypsinogen Chymotrypsinogen Deoxyribonuclease Sodium bicarbonate Enteropeptidase

Pancreatic enzymes are secreted in response to a hormone called __________.

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14


A) B) C) D) E)

61)

insulin cholecystokinin (CCK) secretin glucagon gastrin

A sodium bicarbonate solution is secreted in response to a hormone called __________. A) B) C) D) E)

insulin cholecystokinin (CCK) secretin glucagon gastrin

62) Bile from the liver and digestive juices from the pancreas enter which section of the small intestine? A) B) C) D) E)

Duodenum Jejunum Ilium Cecum Sigmoid colon

63) Which of the following is not associated with the large absorptive surface of the small intestine? 0-2013 A) B) C) D) E)

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Circular folds (plicae circulares) Intestinal length Microvilli Villi Rugae

15


64)

Which of the followingnutrients is absorbed by the lacteals of the small intestine? A) B) C) D) E)

65)

Contact digestion takes place in/at the __________. A) B) C) D) E)

66)

gastric pits surface of the gastric mucosa intestinal crypts brush border of the small intestine cytoplasm in the cells of the small intestine

Which of the following statements regarding the migrating motor complex is true? A) B) C) D) E)

67)

Triglycerides Amino acids Glucose Minerals Water-soluble vitamins

It milks the chyme toward the colon. It allows a bolus to move down the esophagus. It churns and mixes residue in the descending colon. It churns and mixes a bolus with gastric juices. It propels pancreatic juice down the pancreatic duct.

Lecithin prepares fats for hydrolysis by forming __________. A) B) C) D) E)

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triglycerides, fatty acids, and glycerol low density lipoproteins (LDL) chylomicrons emulsification droplets micelles

16


68)

The enzyme(s) called __________ break(s) down the substrate called __________. A) B) C) D) E)

69)

lactase; glucose peptidases; proteins lipases; micelles lactose; lactase nucleases; nucleotides

The three most abundant classes of nutrients are __________. A) B) C) D) E)

carbohydrates, proteins, and minerals fats, proteins, and carbohydrates proteins, nucleic acids, and carbohydrates triglycerides, starches, and proteins proteins, fats, and minerals

70) Which of the following is the proper sequence by which proteins are digested by different enzymes? A) B) C) D) E)

71)

Pepsin, trypsin, carboxypeptidase, dipeptidase Pepsin, trypsin, dipeptidase, carboxypeptidase Trypsin, pepsin, carboxypeptidase, dipeptidase Trypsin, pepsin, dipeptidase, carboxypeptidase Dipeptidase, carboxypeptidase, pepsin, trypsin

Which of the following nutrients must be digested in order to be absorbed?

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17


A) B) C) D) E)

Water Vitamins Proteins Minerals Cholesterol

72) Lipids are transportedto the surface of the intestinal absorptive cells by __________, and are then processedinto __________. A) B) C) D) E)

73)

fat droplets; micelles fat droplets; chylomicrons micelles; fat droplets micelles; chylomicrons chylomicrons; micelles

During digestion, what is the major site of nutrient absorption? A) B) C) D) E)

Small intestine Stomach Large intestine Pancreas Colon

74) Amino acids and monosaccharides are absorbed in the __________, and fatty acids are absorbed in the __________. A) B) C) D) E)

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small intestine; large intestine small intestine; liver stomach; small intestine stomach; large intestine small intestine; small intestine

18


75) Which of the following statements is true regarding the sodium-glucose transport protein (SGLT)? A) It is a uniport carrier. B) It is an antiport carrier. C) It uses solvent drag to transport glucose and sodium. D) It transports glucose and sodium from the intestinal lumen into the epithelial cells. E) It transports glucose from the intestinal lumen into the epithelial cells, and sodium in the opposite direction.

76) The muscle tone of the __________ along the colon contracts it lengthwise, causing its walls to bulge and form pouches called __________. A) B) C) D) E)

77)

circular folds; ceca taeniae coli; haustra haustra; taeniae coli internal sphincters; omental appendices internal sphincters; ceca

Which of the following is not involved in chemical digestion? A) B) C) D) E)

Large intestine Small intestine Stomach Oral cavity Pancreas

78) Which of the following is true regarding the difference between the mucosa of the small and large intestines?

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19


A) B) C) D) E)

They both have villi, but only the small intestine has microvilli. The large intestinal has deeper intestinal crypts than the small intestine. The small intestine has simple columnar epithelium and the large intestine does not. Intestinal crypts are only found in the large intestine. The large intestine has larger circular folds than the small intestine.

79) Which of the following has an abundance of lymphoid tissue in the mucosa and submucosa? A) B) C) D) E)

80)

Bacteria constitute about __________% of the dry weight of the feces. A) B) C) D) E)

81)

Small intestine Large intestine Stomach Esophagus Mouth

2 14 30 55 80

Which of the following is not a process carried out by bacterial flora? A) B) C) D) E)

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Digestion ofmost of the proteins we get in the diet Synthesis ofvitamin K Production ofsome of the gases found in flatus Digestion of cellulose Formation ofpart of the feces

20


82) The movement of colonic contents from one puckered section to another is called __________. A) B) C) D) E)

83)

Which of the following is not a trigger for mass movements of the colon? A) B) C) D) E)

84)

The gastrocolic reflex The duodenocolic reflex Chyme fillingthe duodenum Chyme fillingthe stomach The colorectal reflex

Defecation is stimulated by __________. A) B) C) D) E)

85)

the gastrocolic reflex the duodenocolic reflex mass movement haustral contraction defecation

the chemical composition of the feces bacterial flora in the feces water content of the feces lipid content in the feces stretching of the rectum

Defecation is controlled by a __________. A) B) C) D) E)

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myenteric reflex only spinal reflex only myenteric reflex and aspinal reflex micturition reflex stretch reflex

21


SECTION BREAK. Answer all the part questions. 86) {MISSING IMAGE}

86.1) A) B) C) D) E)

In which organ does protein digestion begin? A B D E F

86.2) A) B) C) D) E)

Where does most nutrient absorption occur? A B D E F

86.3) A) B) C) D) E)

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Where do mass movements occur? A B D E F

22


87)

87.1) A) B) C) D) E)

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In which layer is the muscularis mucosae found? A C D E F

23


87.2) A) B) C) D) E)

Which layer is controlled by the plexus at A? A C D E F

87.3) A) B) C) D) E)

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In which layer is the lamina propria found? A C D E F

24


88)

88.1) A) B) C) D) E)

88.2)

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Where does the greater omentum attach? A B C E F

What is the function of the wrinkles at D?

25


A) B) C) D) E)

To increase surface area for the absorption of proteins To increase surface area for the absorption of carbohydrates To allow for expansion and storage To increase surface area for lipid hydrolysis To increase pepsinogen production

88.3) A) B) C) D) E)

Which region produces the most HCl? A B C D E

89)

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26


89.1) A) B) C) D) E)

89.2) A) B) C) D) E)

89.3) A) B) C) D) E)

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Which structure is the common hepatic duct? B C D E H

Which hormone opens the structure at G? CCK Secretin VIP GIP Gastrin

Which structure(s) carry trypsinogen? B D B and D H H and F

27


90)

90.1)

Version 1

Which region is examined with a sigmoidoscope?

28


A) B) C) D) E)

A B D F G

90.2) A) B) C) D) E)

90.3) A) B) C) D) E)

Version 1

Where is the hepatic flexure? A C D E G

Which region(s) is(are) retroperitoneal? B D G D and G B and F

29


Answer Key Test name: Chap 25_9e 1) TRUE 2) TRUE 3) TRUE 4) FALSE 5) TRUE 6) FALSE 7) FALSE 8) TRUE 9) FALSE 10) TRUE 11) TRUE 12) FALSE 13) FALSE 14) TRUE 15) TRUE 16) FALSE 17) TRUE 18) FALSE 19) TRUE 20) D 21) D 22) B 23) E 24) B 25) A 26) E Version 1

30


27) B 28) A 29) E 30) C 31) C 32) B 33) C 34) A 35) D 36) C 37) E 38) D 39) B 40) C 41) C 42) B 43) A 44) A 45) C 46) D 47) C 48) A 49) B 50) C 51) A 52) B 53) A 54) D 55) D 56) C Version 1

31


57) A 58) E 59) E 60) B 61) C 62) A 63) E 64) A 65) D 66) A 67) D 68) B 69) B 70) A 71) C 72) D 73) A 74) E 75) D 76) B 77) A 78) B 79) B 80) C 81) A 82) D 83) E 84) E 85) C 86) Section Break Version 1

32


86.1) C 86.2) E 86.3) D 87) Section Break 87.1) E 87.2) C 87.3) E 88) Section Break 88.1) E 88.2) C 88.3) C 89) Section Break 89.1) B 89.2) A 89.3) E 90) Section Break 90.1) E 90.2) B 90.3) E

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CHAPTER 26 TRUE/FALSE - Write 'T' if the statement is true and 'F' if the statement is false. 1) Body weight is stable when average daily energy intake and output are equal. ⊚ ⊚

2)

true false

Gut-brain peptides are secreted by the brain and target the gastrointestinal tract. ⊚ ⊚

true false

3) Norepinephrine stimulates cravings for carbohydrates, whereas endorphins stimulate cravings for proteins. ⊚ ⊚

true false

4) Aerobic respiration is more efficient than anaerobic fermentation, but the latter is oxygen-independent. ⊚ ⊚

5)

Glucose in excess of the body's immediate needs is usually converted to protein. ⊚ ⊚

6)

true false

Both glycogenesis and gluconeogenesis are examples of catabolic reactions. ⊚ ⊚

7)

true false

true false

Most body fat in overweight people is stored in the integumentary system.

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1


⊚ ⊚

8)

true false

Consumption of excess calories during adulthood causes adipocytes to multiply. ⊚ ⊚

true false

9) The most abundant nitrogenous waste in blood is urea, which is produced by the combination of ammonia with carbon dioxide. ⊚ ⊚

10)

true false

The absorptive state lasts about fifteen minutes after a meal. ⊚ ⊚

true false

11) The absorptive state is regulated mainly by insulin, whereas the postabsorptive state is regulated by multiple hormones. ⊚ ⊚

12)

true false

Mental state does not affect metabolic rate. ⊚ ⊚

true false

13) When a person is active, most of the body heat is generated in the brain, heart, and endocrine glands. ⊚ ⊚

Version 1

true false

2


14)

Hypothermia may be fatal if the core body temperature reaches 37°C or lower. ⊚ ⊚

15)

true false

The heat-promoting center is located in the hypothalamus, which triggers shivering. ⊚ ⊚

true false

MULTIPLE CHOICE - Choose the one alternative that best completes the statement or answers the question. 16) __________ are short term regulators of appetite, whereas __________ is a long-term regulator. A) B) C) D) E)

17)

Insulin and cholecystokinin (CCK); peptide YY (PYY) Peptide YY (PYY) and insulin; cholecystokinin (CCK) Peptide YY (PYY) and cholecystokinin (CCK); insulin Leptin and insulin; cholecystokinin (CCK) Leptin and insulin; peptide YY (PYY)

Which of the following are macronutrients? A) B) C) D) E)

Sodium, potassium, calcium, chloride, and phosphorous Nucleic acids, carbohydrates, lipids, and proteins Sodium, potassium, carbohydrates, lipids, and proteins Carbohydrates, lipids, proteins, and water Carbohydrates, lipids, and proteins, but not water

18) __________ yield about 4 kcal/g when completely oxidized, whereas __________ yield about 9 kcal/g.

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3


A) B) C) D) E)

19)

Proteins and carbohydrates; fats Proteins; fats and carbohydrates Fats; carbohydrates and proteins Carbohydrates; fats and proteins Carbohydrates and fats; proteins

Where are most carbohydrates in the body found? A) B) C) D) E)

Adipose tissue Muscle glycogen Blood glucose Liver glycogen Pancreas glucose

20) Carbohydrates function as structural components in all of the following except __________. A) B) C) D) E)

21)

glycolipids glycoproteins nucleic acids amino acids ATP

Which of the following is not a function of lipids? A) B) C) D) E)

Version 1

They form theplasma membrane structure. They form myelin around nerve fibers. They form the structure of some hormones. They provide cushioning around soft organs. They form skeletal muscle fibers.

4


22)

Which of the following constitutes the so-called bad cholesterol? A) B) C) D) E)

23)

Which of the following isthe healthiest ratio of triglycerides? A) B) C) D) E)

24)

High HDL: low LDL High LDL: low HDL High LDL: low chylomicron High SFA: low HDL High chylomicron: low LDL

Where does HDL in the body come from? A) B) C) D) E)

25)

Triglycerides Chylomicrons Low-density lipoproteins High-density lipoproteins Very-low-density lipoproteins

The diet The liver The pancreas The small intestine The gallbladder

Which of the following is not a function of proteins in the body? A) B) C) D) E)

Version 1

Muscle contraction Transport of blood lipids Maintaining blood viscosity and osmolarity Catalyzing enzymatic reactions Serving as cofactors for enzymes

5


26)

Where is most protein in the body found? A) B) C) D) E)

27)

Who would you expect to be in a state of negative nitrogen balance? A) B) C) D) E)

28)

A growing child A pregnant woman A weightlifter A patient with muscle atrophy A sprinter

High-quality __________ proteins are those that provide all the essential amino acids. A) B) C) D) E)

29)

In the skeletal system In the muscular system In the the cardiovascular system In the integumentary system In the lymphatic system

globular fibrous net incomplete complete

Which vitamin deficiency is the most common worldwide? A) B) C) D) E)

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Vitamin A Vitamin B 6 (pyridoxine) Vitamin C Vitamin D Vitamin E

6


30)

Minerals are __________, whereas vitamins are __________. A) B) C) D) E)

31)

Which of the following represents the overall reaction for aerobic respiration? A) B) C) D) E)

32)

C 6H 12O 6 + 6 H 2O → 6 CO 2 + 6 O 2 C 6H 12O 6 + 6 O 2 → 6 CO 2 + 6 H 2O C 6H 12O 6 + 6 CO 2 → 6 O 2 + 6 H 2O 6 CO 2 + 6 H 2O → C 6H 12O 6 + 6 O 2 6 O 2+ 6 H 2O → C 6H 12O 6 + 6 CO 2

Which of the following is a product of glycolysis? A) B) C) D) E)

33)

micronutrients; macronutrients water-soluble elements; lipid-soluble compounds inorganic elements; organic compounds inessential nutrients; essential nutrients incomplete nutrients; complete nutrients

Glucose Carbon dioxide Lactate Pyruvate Acetyl-CoA

Which process allows all the others to occur? A) B) C) D) E)

Version 1

rev: 10_06_2017_QC_CS-104394

Glycolysis Citric acid cycle Lactate reduction Electron transport chain Anaerobic fermentation

7


34) __________ happens in the cytoplasm, whereas __________ happens in the mitochondrion. A) B) C) D) E)

35)

Which of the following is true concerning oxygen in regards to aerobic respiration? A) B) C) D) E)

36)

It transports electrons to the mitochondrion. It directly transfers electrons and protons to NAD + and FAD. It directly receives electrons and protons from NAD + and FAD. It is the only substrate of aerobic respiration. It is the final electron acceptor in aerobic respiration.

What is the synthesis of glucose from amino acids called? A) B) C) D) E)

37)

The citric acid (Krebs) cycle; mitochondrial electron-transport Aerobic respiration; anaerobic fermentation Glycolysis; the citric acid (Krebs) cycle Anaerobic fermentation; glycolysis Glycolysis; pyruvatereduction

Glycogenesis Glycogenolysis Glycolysis Gluconeogenesis Glycogen catabolism

Which of the following is a final product of aerobic respiration?

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A) B) C) D) E)

38)

Carbon dioxide Pyruvate Lactate Glucose Oxygen

What process produces most of the NADH that contributes to ATP synthesis in the cell? A) B) C) D) E)

Glycolysis The citric acid cycle Anaerobic fermentation The mitochondrial proton pumps The electron transfer from FADH

2

39) Glycolysis and aerobic respiration collectively produce up to __________ ATP per glucose, while glycolysis and anaerobic fermentation collectively produce __________. A) B) C) D) E)

40)

2; about the same, varying from one tissue to another 32; none 32; 2 32; 36 36; about the same, varying from one tissue to another

Which of the following compounds yields the most ATP per molecule? A) B) C) D) E)

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Glucose Pyruvate Acetyl-CoA Lactate Glycogen

9


41) The inner membrane of a mitochondrion contains the protein __________, which harnesses the energy created by H + flow to produce ATP by a process called __________. A) B) C) D) E)

42)

Most of the fat in the body is stored in what form? A) B) C) D) E)

43)

LDL HDL Cholesterol Triglycerides Fatty acids

Fatty acids are catabolized through which process? A) B) C) D) E)

44)

enzyme complex; reduction ATP synthase; oxidation enzyme complex; proton pumping ATP synthase; the chemiosmotic mechanism cytochrome c; reduction

Beta oxidation Ketogenesis Lipogenesis Lipolysis The fat-sparing effect

Incomplete fatty acid oxidation produces __________, which might lead to __________. A) B) C) D) E)

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triglycerides; new triglycerides ketone bodies; acidosis pyruvate; acidosis glycerol; alkalosis acetyl-CoA; acidosis

10


45)

How much ATPcan oxidation of a 16 carbon atom fatty acidyield? A) B) C) D) E)

46)

Where does the highest rate of tissue protein turnover occur? A) B) C) D) E)

47)

The intestinal mucosa The gastric mucosa The hepatic sinusoids The splenic sinusoids The pancreatic islets

The first step in using amino acids as fuel is to __________ them. A) B) C) D) E)

48)

2 ATP 18 ATP 36 ATP 38 ATP 129 ATP

digest deaminate transaminate aminate synthesize

Which of the following is not a function of the liver? A) B) C) D) E)

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Glycogenesis Detoxification Phagocytosis Secretion of digestive enzymes Synthesis of plasma proteins

11


49)

Which metabolic process produces ammonia? A) B) C) D) E)

50)

The liver performs all of the following functions except __________. A) B) C) D) E)

51)

converting ammonia to urea carrying out most beta oxidation producing insulin and glucagon synthesizing cholesterol synthesizing glucose from fats and amino acids

Which of the following occurs during the postabsorptive state? A) B) C) D) E)

52)

Beta oxidation of α-ketoglutaric acid Lipolysis Transamination of urea Amination of keto acids Deamination of glutamic acid

Blood glucose rises Glycerol is used for gluconeogenesis Lipids are stored in adipose tissue Glucose is stored by glycogenesis Protein synthesis is active

Which of the following occurs during the absorptive state? A) B) C) D) E)

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Glucagon levels increase Blood glucose falls Fatty acids are oxidized for fuel Lipolysis is occurring Gluconeogenesis is suppressed

12


53)

Which of the following is secreted during the postabsorptive state? A) B) C) D) E)

54)

Which of the following does not raise the total metabolic rate? A) B) C) D) E)

55)

Gastrin Insulin Growth hormone Cholecystokinin Secretin

Starvation Anxiety Fever Eating a big meal Pregnancy

When should the basal metabolic rate be measured? A) B) C) D) E)

When a person is sleeping When a person first rises in the morning When a person has just eaten a meal of no more than 2000 kcal When a person is in the absorptive state When a person is engaged in normal physical activity but not strenuous exercise

56) Which of the following does not explain why people on weight-loss diets often lose weight quickly at first, but then more slowly over time?

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A) B) C) D) E)

57)

Water is lost quickly but other weight is harder to lose. The initial weight loss is mostly fat. As a diet progresses, the body produces more fat even with the same caloric intake. The body lowers its metabolic rate when it loses weight. Will power often weakens as the diet progresses.

Fats should account for about __________ percent of the daily caloric intake. A) B) C) D) E)

5 10 30 60 80

58) Glycogenesis is stimulated by __________, whereas glycogenolysis is stimulated by __________. A) B) C) D) E)

insulin; glucagon and epinephrine insulin; aldosterone growth hormone; glucagon and epinephrine growth hormone; cortisol growth hormone; insulin

59) Approximately what percentage of the energy in a glucose molecule winds up in ATP with the rest lost as body heat? A) B) C) D) E)

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10 20 40 80 98

14


60)

During periods of fasting, why is fat said to have a protein-sparing effect?

A) B) C) proteins. D) fats. E)

The body oxidizes its spare protein before it depletes its fat reserves. The body metabolizes fats and proteins through the same metabolic pathways. The body must have an adequate fat intake in order to absorb and metabolize The body must have an adequate protein intake in order to absorb and metabolize The body does not oxidize its proteins unless it has consumed its fat reserves first.

61) A nude body at a room temperature of 21°C (70°F) loses most of its heat by which process? A) B) C) D) E)

62)

Which of the following enhancesloss of body heat by conduction? A) B) C) D) E)

63)

Evaporation Conduction Convection Radiation Forced convection

Radiation Evaporation Nonshivering thermogenesis Shivering thermogenesis Convection

What is the quickest physiological mechanism for achieving moderate heat loss?

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A) B) C) D) E)

64)

Shivering warms the body because it increases the rate of what? A) B) C) D) E)

65)

Radiation Conduction ATP hydrolysis Vasodilation Glycolysis

Which of the following results in heat exhaustion? A) B) C) D) E)

66)

Convection Cutaneous vasoconstriction Nonshivering thermogenesis Cutaneous vasodilation Diaphoresis

Extreme electrolyte loss via sweat Denaturation of proteins in the brain tissue Excessive heat loss from the body A high rate of conduction and convection A high humidity that retards evaporative cooling

Which of the following is not a major class of nutrients? A) B) C) D) E)

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Water Carbohydrates Nucleic acids Vitamins Minerals

16


67) Three hours after your lunch and you are absorbing nutrients, which digestive phase are you in? A) B) C) D) E)

68)

How is the basal metabolic rate (BMR) different from the total metabolic rate (TMR)? A) B) C) D) E)

69)

The BMR includes the TMR. The TMR includes the BMR. The BMR is calculated when one is asleep. The BMR includes energy expenditures for muscular contractions. The TMR does not include energy used for thermoregulation.

Which of the following is the primary source of body heat? A) B) C) D) E)

70)

Postabsorptive state Absorptive state Gastric state Vasoactive state Esophageal state

Nutrient oxidation The sun Conduction Convection Evaporation

Which of the following is true regarding body temperature? A) B) C) D) E)

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Oral temperature is a good way to estimate core temperature. Adult oral temperature is typically 36.6° to 37.0°C. Body temperature is highest in the afternoon. Organs in the spinal cavity are at the shell temperature. Shell temperature is always higher than core temperature.

17


71)

Where would you measure the shell temperature of a patient? A) B) C) D) E)

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Their skin Their rectum Their abdominal cavity Their thoracic cavity Their pelvic cavity

18


Answer Key Test name: Chap 26_9e 1) TRUE 2) FALSE 3) TRUE 4) TRUE 5) FALSE 6) FALSE 7) FALSE 8) FALSE 9) TRUE 10) FALSE 11) TRUE 12) FALSE 13) FALSE 14) FALSE 15) TRUE 16) C 17) D 18) A 19) B 20) D 21) E 22) C 23) A 24) B 25) E 26) B Version 1

19


27) D 28) E 29) A 30) C 31) B 32) D 33) A 34) C 35) E 36) D 37) A 38) B 39) C 40) E 41) D 42) D 43) A 44) B 45) E 46) A 47) B 48) D 49) E 50) C 51) B 52) E 53) C 54) A 55) B 56) B Version 1

20


57) C 58) A 59) C 60) E 61) D 62) E 63) D 64) C 65) A 66) C 67) B 68) B 69) A 70) B 71) A

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CHAPTER 27 TRUE/FALSE - Write 'T' if the statement is true and 'F' if the statement is false. 1) Sexual reproduction entails the union of two gonads to form a zygote. ⊚ ⊚

2)

Males produce sperm and females produce eggs. ⊚ ⊚

3)

true false

true false

An XY individual will always have male physiological characteristics. ⊚ ⊚

true false

4) The presence of the Y chromosome guarantees the development of male secondary sex organs. ⊚ ⊚

true false

5) The mechanism that keeps the testes cooler than the body's core temperature is called descent of the testes. ⊚ ⊚

6)

Nurse cells secrete inhibin, which regulates the rate of sperm production. ⊚ ⊚

7)

true false

true false

The scrotum contains the testes and spermatic cords.

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1


⊚ ⊚

8)

true false

Sperm travels to the ampulla of the ductus deferens before reaching the spermatic cord. ⊚ ⊚

true false

9) At early puberty, follicle stimulating hormone (FSH) and luteinizing hormone (LH) stimulate enlargement of the testes. ⊚ ⊚

true false

10) Testosterone stimulates development of the secondary sex characteristics, spermatogenesis, and libido. ⊚ ⊚

11)

true false

Erectile dysfunction prevents ejaculation in most cases. ⊚ ⊚

true false

12) Only germ cells undergo meiosis, which produces four haploid (n) cells with 23 chromosomes each. ⊚ ⊚

13)

true false

Spermiogenesis is the last stage of meiosis. ⊚ ⊚

Version 1

true false

2


14)

The first haploid (n)stage of spermatogenesis is prophase II. ⊚ ⊚

15)

true false

Sperm make up just 10% of semen volume. ⊚ ⊚

true false

16) Sympathetic nerve fibers trigger the secretion of nitric oxide, which dilates the deep arteries allowing blood to engorge the penis. ⊚ ⊚

true false

17) Myotonia of skeletal muscles is characteristic of the excitement phase and refractory period. ⊚ ⊚

18)

true false

Genetic males are XY and genetic females are XX. ⊚ ⊚

true false

MULTIPLE CHOICE - Choose the one alternative that best completes the statement or answers the question. 19) The __________ is the gonad and the __________ is the gamete.

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3


A) B) C) D) E)

20)

Which of the following isgenerally accepted as a secondary sex characteristic? A) B) C) D) E)

21)

Ova Uterine tubes Breasts Ovaries Scent glands

Which of the following is a secondary sex organ? A) B) C) D) E)

23)

The enlargement of the breasts The presence of testes The prostate The uterus The vagina

Which of the following are primary sex organs? A) B) C) D) E)

22)

testis; ovary testis; semen testis; sperm sperm; semen semen; sperm

Testis Ovary Vagina Facial hair Distribution of body fat

Whether an organism will be genetically male or female is determined by __________.

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4


A) B) C) D) E)

hormonal, genetic, and environmental factors prenatal hormone exposure the egg the sperm the egg and sperm equally

24) The gene that codes for the testis-determining factor (TDF) is found in or on the __________. A) B) C) D) E)

25)

The penis is homologous to the __________. A) B) C) D) E)

26)

Y chromosome X chromosome gonadal ridges fetal testes mesonephros

labia minora mons pubis urethra vagina clitoris

The __________ is an example of the female external genitalia. A) B) C) D) E)

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scrotum clitoris uterine tube seminal vesicle vagina

5


27)

Gonads begin to develop __________ weeks after fertilization. A) B) C) D) E)

28)

Descent of the testes is stimulated by the __________. A) B) C) D) E)

29)

2 to 3 5 to 6 8 to 9 20 to 24 36 to 38

presence of the Y chromosome presence of the X chromosome absence of the X chromosome presence of testosterone presence of estrogens

The penile urethra is enclosed by the __________. A) B) C) D) E)

corpus cavernosum corpus spongiosum trabecular muscle prepuce frenulum

30) The deep region of the penis, surrounding the urethra,that engorges with blood during an erection is known as the ___________. A) B) C) D) E)

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epididymis corpus spongiosum corpus cavernosum scrotum ductus (vas) deferens

6


31) When it is cold, the __________ contracts and draws the testes closer to the body to keep them warm. A) B) C) D) E)

cremaster pampiniform plexus corpus spongiosum perineum corpus cavernosum

32) The countercurrent heat exchanger that prevents arterial blood from overheating the testes is the __________. A) B) C) D) E)

33)

Which of the following is true regarding the blood-testis barrier? A) B) C) D) E)

34)

rete testis epididymis pampiniform plexus of veins blood-testis barrier scrotal portal system

It prevents antibodies in the blood from getting to the germ cells. It prevents heat loss from the testes. It prevents blood from getting to the testes. It maintains testis temperature at 35°C. It maintains testis temperature at 37°C.

Which of the followingare not found in or around the seminiferous tubules?

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7


A) B) C) D) E)

35)

Whichof the following does not play a role in thermoregulation of the testes? A) B) C) D) E)

36)

Interstitial cells Spermatogonia Spermatids Sustentacular cells Paraventricular cells

Which part of the penis has the external urethral orifice? A) B) C) D) E)

38)

The bulbospongiosus muscle The cremaster The pampiniform plexus of veins The countercurrent heat exchanger The dartos muscle

Which cells produce testosterone? A) B) C) D) E)

37)

Interstitialcells Germ cells Nurse cells Spermatids Corpus cavernosum cells

Glans Bulb Crus Corpus cavernosum Body

The penis is innervated by the __________ nerve.

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8


A) B) C) D) E)

39)

internal pudendal obturator penile ventral external pudendal

The __________ is the site of sperm maturation and storage. A) B) C) D) E)

spermatic cord epididymis rete testis seminiferous tubules ductus (vas) deferens

40) Which of the following is the correct pathway of sperm cells from their formation to ejaculation? A) deferens B) urethra C) urethra D) urethra E) deferens

41)

Seminiferous tubule, epididymis, rete testis, urethra, ejaculatory duct, ductus Seminiferous tubule, epididymis, rete testis, ejaculatory duct, ductus deferens, Seminiferous tubule, epididymis, rete testis, ductus deferens, ejaculatory duct, Seminiferous tubule, rete testis, epididymis, ductus deferens, ejaculatory duct, Seminiferous tubule, rete testis, epididymis, ejaculatory duct, urethra, ductus

Sperm cells reach maturity in the __________.

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A) B) C) D) E)

42)

Which duct(s) of the male reproductive system passes through the prostate gland? A) B) C) D) E)

43)

Ejaculatory ducts Vas deferens Efferent ductules Seminal vesicle ducts Rete testis

By volume, most of the semen is produced in the __________. A) B) C) D) E)

44)

epididymis testes vas deferens seminal vesicle ejaculatory duct

testes penis prostate seminal vesicles bulbourethral glands

The __________ is the small, bilateralorgan found lateral to the membranous urethra. A) B) C) D) E)

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seminal vesicle urethra bulbourethral gland prostate ejaculatory duct

10


45) The golf-ball sized structure found inferior to the urinary bladder, and surrounding the most proximal portion of the urethra, is called the __________. A) B) C) D) E)

46)

Men have only one __________. A) B) C) D) E)

47)

bulbourethral gland prostate ejaculatory duct seminal vesicle corpus cavernosum

Why would an enlarged prostate interfere with urination? A) B) C) D) E)

48)

seminal vesicle urethra bulbourethral gland prostate ejaculatory duct

It inhibits urine production. It develops calcified deposits that block the urethra. It produces thicker prostatic secretions that block the urethra. It inhibits the micturition reflex. It compresses the urethra.

When do the testes start secreting testosterone? A) B) C) D) E)

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In the first trimester of fetal development In the first trimester after birth In the first three years after birth In the first three years of adolescence After the first ejaculation

11


49) Which of the following hormones directly stimulates the development of male secondary sex characteristics? A) B) C) D) E)

50)

Which of the following is an androgen? A) B) C) D) E)

51)

Estrogen Progesterone Testosterone Luteinizing hormone (LH) Follicle-stimulating hormone (FSH)

__________ stimulates the interstitial cells of the testes to secrete __________. A) B) C) D) E)

52)

Estrogen Inhibin Luteinizing hormone Follicle stimulating hormone Testosterone

Gonadotropin-releasing hormone (GnRH); LH Follicle-stimulating hormone (FSH); androgen-binding protein (ABP) Luteinizing hormone (LH); androgen-binding protein (ABP) Luteinizing hormone (LH); testosterone Luteinizing hormone (LH); estrogen

Which hormone suppresses spermatogenesis without affecting testosterone secretion?

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12


A) B) C) D) E)

53)

The __________ has/have no androgen receptors and do/does not respond to it. A) B) C) D) E)

54)

Libido Development of secondary sex organs Development of secondary sex characteristics Gonadotropin-releasing hormone (GnRH) secretion Sperm production

Which of the following is not a change in the male body that results from puberty? A) B) C) D) E)

56)

germ cells muscular tissue nurse cells hypothalamus pituitary gland

Which of the following is inhibited by testosterone? A) B) C) D) E)

55)

Gonadotropin-releasing hormone (GnRH) Testosterone itself Inhibin Luteinizing hormone (LH) Follicle-stimulating hormone (FSH)

Deepening of the voice Gain in muscle mass Growth of the scrotum and penis Acne These are all changes associated with male puberty.

Changes called male climacteric are a consequence of a(n)__________.

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13


A) B) C) D) E)

57)

Which of the following is the most important role of meiosis in sexual reproduction? A) B) C) D) E)

58)

increased secretion of estrogens increased secretion of progesterone decreased secretion of testosterone increased secretion of FSH and LH increased secretion of GnRH

It reduces the size of the gametes. It produces at least one gamete that is mobile. It prevents the chromosome number from doubling in each generation. It ensures that each daughter cell doubles the number of chromosomes. It changes the genetic composition of each chromosome.

In meiosis, each parent cell produces __________. A) B) C) D) E)

two haploid (n)cells four haploid (n)cells two diploid (2n)cells four diploid (2n)cells haploid(n) cells that are identical to the parent cell

59) At the end of meiosis I there are __________, whereas at the end of meiosis II there is/are __________. A) B) C) D) E)

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two diploid (2n)cells; one diploid (2n)cell two diploid (2n)cells; one haploid (n)cell two diploid (2n)cells; four haploid (n)cells two haploid (n)cells; four haploid (n)cells two haploid (n)cells; one diploid (2n)cell

14


60)

At what stage does a developing sperm cell begin to grow a tail? A) B) C) D) E)

61)

The haploid (n)result of meiosis I is called a __________. A) B) C) D) E)

62)

Spermatozoon Spermatid Primary spermatocyte Secondary spermatocyte Spermatogonium

spermatogonium secondary spermatocyte primary spermatocyte spermatid sperm

In the process of spermiogenesis, __________ become __________. A) B) C) D) E)

spermatocytes; spermatozoa spermatozoa; spermatids spermatogonia; spermatocytes spermatocytes; spermatids spermatids; spermatozoa

63) The processof spermatogenesis and spermiogenesis begins with a __________ and ends with four __________. A) B) C) D) E)

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sperm cell; interstitial cells sperm cell; nursecells secondary spermatocyte; spermatocytes in general secondary spermatocyte; germ cells germ cell; gametes

15


64)

__________ have 46 chromosomes, whereas __________ have 23. A) B) C) D) E)

65)

Secondary spermatocytes divide to form __________. A) B) C) D) E)

66)

spermatids spermatogonia sperm sustentacular cells polar bodies

Which of the following is not a function of the nursecells? A) B) C) D) E)

67)

Spermatids; spermatozoa Primary spermatocytes; spermatids Secondary spermatocytes; primary spermatocytes Spermatogonia; primary spermatocytes Type A spermatogonia; type B spermatogonia

They secrete inhibin. They secrete androgen-binding protein. They secrete testosterone. They protect and supportthe germ cells. Their tight junctions form the blood-testis barrier.

The acrosome contains enzymes used to __________. A) B) C) D) E)

Version 1

dissolve the mucosa of the vagina dissolve the mucosa of the uterus dissolve the stickiness of the semen penetrate the vagina penetrate barriers surrounding the ovum

16


68) Sperm cells get energy to power their movement from __________, which iscontributed by the __________. A) B) C) D) E)

69)

prostaglandins; prostate sucrose; bulbourethral gland fructose; seminal vesicles seminogelin; prostate semen; seminiferous gland

Male infertility (sterility) refers to _________. A) B) C) D) E)

the inability to fertilize an egg low sperm count a lack of seminal fluid during ejaculation low levels of testosterone the inability to have an erection

70) A sperm count any lower than __________ million sperm per mL of semen is usually associated with infertility (sterility). A) B) C) D) E)

71)

250 to 500 200 to 250 100 to 200 50 to 100 20 to 25

Which of the following explains the neural mechanism of an erection?

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17


A) B) C) D) E)

It is an autonomic reflex mediated predominantly by parasympathetic nerve fibers. It is an autonomic reflex mediated predominantly by sympathetic nerve fibers. It is a somatic reflex mediated predominantly by parasympathetic nerve fibers. It is a somatic reflex mediated predominantly by sympathetic nerve fibers. It is an exclusively voluntary action mediated by the cerebral cortex.

72) Dilation of the __________ causes the cavernous spaces to fill with blood and the penis to become erect. A) B) C) D) E)

73)

The orgasm-emission phase of the male sexual response is stimulated by __________. A) B) C) D) E)

74)

helicine arteries internal pudendal (penile) arteries dorsal arteries dorsal veins deep arteries

efferent sympathetic signals from the sacral region of the spinal cord efferent sympathetic signals from the lumbar region of the spinal cord efferent parasympathetic signals from the sacral region of the spinal cord efferent parasympathetic signals from the lumbar region of the spinal cord efferent somatic signals from the thoracic region of the spinal cord

Heart rate, blood pressure, and respiratory rate peak during the __________. A) B) C) D) E)

Version 1

excitement phase erection of the penis climax (orgasm) plateau phase resolution phase

18


75)

Sildenafil (Viagra) prolongs erection by __________. A) B) C) D) E)

Version 1

activating nitric oxide (NO) production inactivating guanylate cyclase stimulating production of cGMP inhibiting degradation of cGMP inhibiting nitric oxide (NO) production

19


SECTION BREAK. Answer all the part questions.

76)

76.1)

Version 1

Where do sperm undergo maturation?

20


A) B) C) D) E)

A B C D E

76.2) A) B) C) D) E)

Where is testosterone produced? A B C D E

76.3) A) B) C) D) E)

Version 1

Which structure is generally cut to sterilize a male? A E C D F

21


77)

77.1)

Version 1

Which structure enlarges as men get older?

22


A) B) C) D) E)

A B C D E

77.2) A) B) C) D) E)

Which structure produces the fructose used to power sperm flagella? A B C D E

77.3) A) B) C) D) E)

Version 1

Which structure produces a pre-ejaculate fluid? A B C D E

23


78)

78.1)

Version 1

Which structure is removed in circumcision?

24


A) B) C) D) E)

A B C D E

78.2) A) B) C) D) E)

Which fluid(s) exit at E? Urine and semen Urine only Semen only Prostatic fluid only Prostatic fluid and semen

78.3) A) B) C) D) E)

Version 1

What is the most sensitive and densely innervated region of the penis? A B C D E

25


Answer Key Test name: Chap 27_9e 1) FALSE 2) TRUE 3) FALSE 4) FALSE 5) FALSE 6) TRUE 7) TRUE 8) FALSE 9) TRUE 10) TRUE 11) FALSE 12) TRUE 13) FALSE 14) TRUE 15) TRUE 16) FALSE 17) FALSE 18) TRUE 19) C 20) A 21) D 22) C 23) D 24) A 25) E 26) B Version 1

26


27) B 28) D 29) B 30) B 31) A 32) C 33) A 34) E 35) A 36) A 37) A 38) A 39) B 40) D 41) A 42) A 43) D 44) C 45) D 46) B 47) E 48) A 49) E 50) C 51) D 52) C 53) A 54) D 55) E 56) C Version 1

27


57) C 58) B 59) D 60) B 61) B 62) E 63) E 64) B 65) A 66) C 67) E 68) C 69) A 70) E 71) A 72) E 73) B 74) C 75) D 76) Section Break 76.1) C 76.2) A 76.3) E 77) Section Break 77.1) B 77.2) A 77.3) C 78) Section Break 78.1) C 78.2) A Version 1

28


78.3) C

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CHAPTER 28 TRUE/FALSE - Write 'T' if the statement is true and 'F' if the statement is false. 1) In the female fetus, the absence of testosterone results in the development of the external genitalia into clitoris, labia minora, and labia majora. ⊚ ⊚

2)

The uterus is a thick muscular chamber inferior to the urinary bladder. ⊚ ⊚

3)

true false

Although two breast cancer genes are known, most cases are nonhereditary. ⊚ ⊚

5)

true false

The vagina has no glands but it is moistened by mucus from glands in the cervical canal. ⊚ ⊚

4)

true false

true false

Inhibin modulates the secretion of LH. ⊚ ⊚

true false

6) The number of ovarian follicles declines with age, leading to a reduction of estrogen levels. ⊚ ⊚

Version 1

true false

1


7) The ovarian cycle typically lasts about 28 days, with day 1 considered to be the first day after ovulation. ⊚ ⊚

8)

Most primary oocytes undergo atresia during climacteric. ⊚ ⊚

9)

true false

In the excitement phase, the uterus rises from its forward-tilted (anteverted) position. ⊚ ⊚

11)

true false

The proliferative phase of the uterus is driven by estrogen from the ovaries. ⊚ ⊚

10)

true false

true false

Unlike men, women lack a refractory period and may experience successive orgasms. ⊚ ⊚

true false

12) Human chorionic gonadotropin (HCG) stimulates the corpus luteum to grow and secrete estrogen and progesterone. ⊚ ⊚

13)

true false

Progesterone stimulates uterine contractions. ⊚ ⊚

Version 1

true false

2


14) Prolactin is secreted during pregnancy to stimulate milk synthesis so that milk will be available by the time the infant is born. ⊚ ⊚

15)

Oxytocin stimulates contraction of myoepithelial cell of the mammary acini. ⊚ ⊚

16)

true false

true false

Women with morning sickness tend to prefer spicy and pungent foods. ⊚ ⊚

true false

MULTIPLE CHOICE - Choose the one alternative that best completes the statement or answers the question. 17) Which of the following is a part of the internal female genitalia? A) B) C) D) E)

18)

Vagina Clitoris Labia majora Labia minora Mammary gland

In which structure does fertilization usually occur? A) B) C) D) E)

Version 1

Urethra Uterus Ovary Urinary bladder Uterine tube

3


19) Which of the following structures is composed of a theca folliculi, granulosa cells, a zona pellucida, and a secondary oocyte? A) B) C) D) E)

20)

Primary follicle Secondary follicle Tertiary follicle Corpus luteum Corpus albicans

What structure leads from each ovary to the uterus? A) B) C) D) E)

Uterine tube Vagina Urethra Vas deferens Copulatory duct

21) Which uterine layer is composed of a simple columnar epithelium containing tubular glands? A) B) C) D) E)

22)

Fimbrium Myometrium Endometrium Cervix Perimetrium

Which of the following is not a component of the vulva?

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4


A) B) C) D) E)

Vaginal orifice Mons pubis Clitoris Cervix Labia minora

23) In the premenstrual phase of the menstrual cycle, which arteries rhythmically constrict and dilate causing endometrial ischemia? A) B) C) D) E)

24)

After puberty, which epithelium lines the vagina? A) B) C) D) E)

25)

Uterine Arcuate Spiral Internal iliac Ovarian

Simple squamous epithelium Stratified squamous epithelium Transitional epithelium Simple columnar epithelium Simple cuboidal epithelium

Where does an embryo usually attach to its mother? A) B) C) D) E)

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To the endometrium To the perimetrium To the myometrium To the lining of the uterine tube To the lining of the vagina

5


26)

What provides most of the natural lubrication during female sexual excitement? A) B) C) D) E)

27)

The nonpregnant uterine wall consists mostly of __________. A) B) C) D) E)

28)

Seminiferous tubules Vaginal mucosa Vestibular bulbs Greater vestibular glands Lesser vestibular glands

perimetrium endometrium dense regular connective tissue dense irregular connective tissue myometrium

Which of these is not found in the vestibule? A) B) C) D) E)

Urinary orifice Mons pubis Vaginal orifice Labia minora Clitoris

29) __________ are found in both male and female external genitalia, but the ___________ is/are only found in the female. A) B) C) D) E)

Version 1

Corpora cavernosa; urethral orifice Corpora cavernosa; bulbourethral glands Corpora cavernosa; vestibular bulbs Corpus spongiosum; mons pubis Corpus spongiosum; urethral orifice

6


30)

When do mammary glands primarily develop within the breasts? A) B) C) D) E)

31)

What determines breast size? A) B) C) D) E)

32)

The amount of adipose tissue The amount of collagenous fiber The size of lactiferous sinuses The amount of mammary gland tissue Muscle tone

Where are follicles located? A) B) C) D) E)

33)

During the last weeks of fetal development At birth During infancy During puberty During pregnancy

Medulla of the ovary Cortex of the ovary Center of the ovum Epithelium of the endometrium Epithelium of the placenta

What is the earliest sign of puberty in girls? A) B) C) D) E)

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The onset of breast development The appearance of pubic and axillary hair The appearance of sebaceous and axillary glands The first menstrual period The increase in muscle mass

7


34)

Which of the following is considered a "feminizing hormone"? A) B) C) D) E)

35)

Which hormone acts primarily on the uterus? A) B) C) D) E)

36)

Estrogen Androgen Progesterone Follicle-stimulating hormone Luteinizing hormone

The appearance of pubic and axillary hair is characteristic of which stage of puberty? A) B) C) D) E)

37)

Female gonadotropin-releasing hormone Follicle-stimulating hormone Androgen Androgen and progesterone Estrogen

Menopause Climacteric Thelarche Pubarche Menarche

What are the midlife change in estrogen and progesterone levels referred to as? A) B) C) D) E)

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Climacteric Atresia Menarche Pubarche Apoptosis

8


38)

What is the cessation of menstruationreferred to as? A) B) C) D) E)

39)

During climacteric, what can causehot flashes? A) B) C) D) E)

40)

Vasoconstriction of cutaneous arteries Vasodilation of cutaneous arteries Vasodilation of cranial arteries Vasoconstriction of cranial arteries Vasodilation of facial arteries

What does the term " menstrual cycle" specifically refer to? A) B) C) D) E)

41)

Menarche Menopause Climacteric Pubarche Apoptosis

The sequence of events from fertilization to giving birth The events that recur every month during pregnancy The cyclic events happening from puberty to menopause The cyclic changes in the uterus determined by shifting hormonal changes The cyclic changes in the ovaries determined by shifting hormonal changes

What is an ovulated egg more technically referred to as? A) B) C) D) E)

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A primary oocyte A secondary oocyte A primary follicle A secondary follicle A tertiary follicle

9


42)

Which stage of meiosis is an ovulated egg in? A) B) C) D) E)

43)

When does an ovum finish meiosis? A) B) C) D) E)

44)

Prophase I Metaphase I Telophase I Prophase II Metaphase II

During fertilization During implantation While ina secondary follicle While ina primary follicle While ina tertiary follicle

Most ovulation home test kits measure a surge of which hormone? A) B) C) D) E)

FSH LH Estradiol Progesterone HCG

45) In ovulation, after expelling the oocyte the follicle becomes a __________ and secretes __________.

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10


A) B) C) D) E)

46)

What is a follicle composed of? A) B) C) D) E)

47)

Primary Secondary Tertiary Graafian Primordial

When does oogenesis begin? A) B) C) D) E)

49)

An organ in the ovary An oocyte An oocyte enclosed in follicular or granulosa cells A group of granulosa cells A group of follicular cells

Which follicle stage is characterized by the development of a corona radiata? A) B) C) D) E)

48)

corpus albicans; FSH and LH corpus albicans; estrogen and progesterone corpus luteum; FSH and LH corpus luteum; estrogen and progesterone corpus albicans; progesterone

During embryonic development At birth During thelarche During pubarche During menarche

In the adult ovary, more than 90% of the follicles are found as __________.

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11


A) B) C) D) E)

Primary follicles Secondary follicles Tertiary follicles Graafian follicles Primordial follicles

50) During the follicular phase, granulosa cells secrete __________, which stimulates secretion of __________. A) B) C) D) E)

51)

Which of these blood hormone levels reaches its maximum during the luteal phase? A) B) C) D) E)

52)

estradiol; LH estradiol; FSH progesterone; FSH progesterone; LH GnRH; LH

GnRH FSH LH Progesterone Estradiol

What hormone(s) inhibit(s) the secretion of FSH and LHduring the female sexual cycle? A) B) C) D) E)

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GnRH Estradiol and progesterone Estradiol Progesterone Androgens

12


53)

What do lutein cells develop from? A) B) C) D) E)

54)

Which phase of the menstrual cycle is the one associated with menstrual cramps? A) B) C) D) E)

55)

The corona radiata The corpus luteum The theca interna The granulosa cells The corpus albicans

Proliferative Secretory Follicular Premenstrual Luteal

Which of the following occurs during the proliferative phase of the menstrual cycle? A) B) C) D) E)

Several follicles are developing an antrum The corpus luteum is shrinking The corpus luteum is enlarging Oogonia are transforming into primary oocytes The oocyte completes meiosis II

56) The __________ sometimes expels copious fluid similar to prostatic fluid, which constitutes the female ejaculate. A) B) C) D) E)

Version 1

prostate paraurethral glands bulbourethral glands vestibular bulb vaginal epithelium

13


57) During the plateau phase of the sexual response, the glans and clitoris swell as the deep arteries dilate and the __________ engorge with blood. A) B) C) D) E)

uterine walls vaginal walls corpora cavernosa corpus spongiosum vestibular glands

58) During __________, the uterus is tented (erected) and the cervix is withdrawn from the vagina. Typically, the clitoris is engorged and the labia are bright red to violet due to hyperemia. A) B) C) D) E)

59)

In early pregnancy, what hormone stimulates growth of the corpus luteum? A) B) C) D) E)

60)

excitement detumescence orgasm resolution pregnancy

Human chorionic gonadotropin Follicle-stimulating hormone Human chorionic somatomammotropin Adrenocorticotropic hormone Progesterone

Pregnancy kits test for the presence of what hormone?

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14


A) B) C) D) E)

61)

Progesterone Human chorionic gonadotropin Estrogen Luteinizing hormone Follicle-stimulating hormone

Contraceptive pills mimic the ___________ feedback effect of ___________. A) B) C) D) E)

positive; FSH and LH positive; and estrogens progesterone negative; FSH and LH negative; human chorionic gonadotropin (HCG) negative; and estrogens progesterone

62) Between weeks 3 and 8 of development, a developing individual is considered a __________. A) B) C) D) E)

63)

trophoblast zygote blastocyst embryo fetus

Which form of estrogen is the most potent in pregnancy? A) B) C) D) E)

Version 1

Estriol Estrone Estradiol Androstenedione Equilinin

15


64) Which of the following provides fetal nutrition and secretes hormones that regulate pregnancy and fetal development? A) B) C) D) E)

65)

The uterus The myometrium The endometrium The blastocyst The placenta

What is the longest stage of labor? A) B) C) D) E)

The dilation stage The expulsion stage The placental stage The postpartum stage The puerperium stage

66) Milk ejection occurs as a result of stimulation of nerve endings in the ___________, which leads to the release of ___________ from the pituitary. A) B) C) D) E)

67)

mammary acini; oxytocin mammary acini; prolactin nipple and areola; oxytocin nipple and areola; prolactin nipple and areola; progesterone

Why is breast milk superior to cow's milk for an infant?

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16


A) B) C) D) E)

68)

What is the infant's only source of nutrition during the first 2-3 days postpartum? A) B) C) D) E)

69)

Suspensory ligament Ovarian ligament Mesovarium Broad ligament Medial collateral ligament

The anterior margin of the ovary is anchored by a peritoneal fold called the __________. A) B) C) D) E)

71)

Casein Colostrum Lactose Meconium Fructose

The medial pole of the ovary is attached to the uterus by which ligament? A) B) C) D) E)

70)

Cow's milk provides fewer calories per mL. Cow's milk provides less calcium per mL. Cow's milk provides less phosphorous per mL. Cow's milk has too much protein and minerals in it. It is a myth; cow's milk is equal in quality to breast milk.

broad ligament ovarian ligament suspensory ligament mesovarium medial collateral ligament

The ovary receives blood from which artery/arteries?

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17


A) B) C) D) E)

72)

During climacteric, women secrete __________. A) B) C) D) E)

73)

less estrogen and progesterone more estrogen and progesterone less estrogen and more progesterone more estrogen and less progesterone less estrogen but the same amount of progesterone

Which of the following is true of the female sexual response?

A) orgasms. B) C) D) E)

74)

Ovarian Uterine Ovarian and uterine Broad Ovarian and broad

Women do not have a refractory period and may quickly experience additional The engorged clitoris can swing upward away from the body like the penis. The vagina has a high concentration of sensory nerve endings. The uterus tilts forward over the urinary bladder during excitement. Unlike men, women do not experience excitement.

Why do pregnant women often have heartburn? A) B) C) D) E)

The mother's body is purging itself of toxins to protect the fetus. Elevated levels of estrogens cause morning sickness. There is reduced intestinal motility. As the uterus enlarges it pushes upward on the stomach, causing gastric reflux. The mother's immune system is activated by the presence of the fetus.

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18


75)

"False labor" is a result of what type of contractions? A) B) C) D) E)

Graafian Masters Johnson Braxton Hicks Wollfian Watson Crick

76) When an infant suckles at its mother's breast, milk moves through the breast structures in what order? A) B) C) D) E)

77)

How is colostrum different than breast milk? A) B) C) D) E)

78)

Acinus - lactiferous duct - lactiferous sinus - nipple Lactiferous duct - acinus - lactiferous sinus - nipple Lactiferous sinus - lactiferous duct - acinus - nipple Lactiferous sinus - acinus - lactiferous duct - nipple Lactiferous duct - lactiferous sinus - acinus - nipple

It has one-third less protein. It has one-third less lactose. It has one-third less fat. It has one-third the number of immunoglobulins. It has no nutritional value.

Which of the following is not a benefit of breast feeding? A) B) C) D) E)

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It is more easily digested and absorbed than cow's milk. It helps clear meconium from the baby's intestine. It reduces the incidence of jaundice in neonates. It prevents colonization of the neonatal intestine with beneficial bacteria. It contains antibodies that provide passive immunity for the baby.

19


79)

Which regions of the uterus are highlighted (reference leader line)?

McGraw-Hill Education A) B) C) D) E)

Version 1

Body and fundus Fundus and cervix Internal os and body External os and fundus Body and pylorus

20


80)

Which structure is highlighted (reference leader lines)?

McGraw-Hill Education A) B) C) D) E)

Version 1

Isthmus Ampulla Broad ligament Fimbriae Round ligament

21


81)

Which structure is highlighted (reference leader line)?

McGraw-Hill Education A) B) C) D) E)

Version 1

Body Cervix External os Internal os Fundus

22


82)

Which structure is highlighted (reference leader line)?

McGraw-Hill Education A) B) C) D) E)

Version 1

Cervix Vagina Clitoris Urethral orifice Ovary

23


83)

Which structure is highlighted (reference leader lines)?

©McGraw-Hill Education/Al Telser A) B) C) D) E)

Version 1

Epithelium of uterus Endometrium Endometrial glands Functional layer of endometrium Basal layer of endometrium

24


84)

Identify this uterine ligament. A) B) C) D) E)

Version 1

Round ligament Broad ligament Cardinal ligament Uterosacral ligament Suspensory ligament

25


85) Identify this portion of the vagina. A) B) C) D) E)

Version 1

Anterior fornix Posterior fornix Lateral fornix External os Internal os

26


86) cycle represented in the picture above. A) B) C) D) E)

Version 1

Name the phase of the menstrual

Secretory phase Proliferative phase Menstrual phase Follicular phase Luteal phase

27


87)

Identify the developmental stage of this follicle. A) B) C) D) E)

Version 1

Primordial follicle Primary follicle Secondary follicle Mature (graafian) follicle Preantral follicle

28


88)

Name this phase of the menstrual cycle. A) B) C) D) E)

Menstrual phase Proliferative phase Secretory phase Follicular phase Luteal phase

89)

Name this phase of the menstrual cycle.

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29


A) B) C) D) E)

Menstrual phase Proliferative phase Secretory phase Follicular phase Luteal phase

90)

Name this phase of the menstrual cycle. A) B) C) D) E)

Version 1

Menstrual phase Proliferative phase Secretory phase Follicular phase Luteal phase

30


91)

Name this phase of the ovarian cycle. A) B) C) D) E)

Menstrual phase Proliferative phase Secretory phase Follicular phase Luteal phase

92)

Name this phase of the ovarian cycle.

Version 1

31


A) B) C) D) E)

Menstrual phase Proliferative phase Secretory phase Follicular phase Luteal phase

93)

Based on the graph above, which of the following occurs from weeks 7 to 17?

Version 1

32


A) B) C) D) E)

The corpus luteum degenerates. The placenta degenerates. The corpus luteum develops. Ovulation occurs. The cumulus oophorus develops.

94) McGraw-Hill Education; Van Rossum/Science SourceName the stage of childbirth shown here.

Version 1

33


A) B) C) D) E)

Expulsion Crowning Early dilation Late dilution Placental stage

SECTION BREAK. Answer all the part questions. 95)

95.1)

Version 1

Identify the developmental stage of the follicles labeled 1.

34


A) B) C) D) E)

95.2) A) B) C) D) E)

95.3) A) B) C) D) E)

Version 1

Primordial follicles Primary follicles Initial follicles Inchoate follicles Graafian follicles

Identify the developmental stage of the follicles labeled 2. Primordial follicles Primary follicles Secondary follicles Tertiary follicles Graafian follicles

Identify the structure labeled 7. Corpus albicans Corpus luteum Primordial follicle Cumulus oophorus Graafian follicle

35


Answer Key Test name: Chap 28_9e 1) TRUE 2) FALSE 3) TRUE 4) TRUE 5) FALSE 6) TRUE 7) FALSE 8) FALSE 9) TRUE 10) TRUE 11) TRUE 12) TRUE 13) FALSE 14) FALSE 15) TRUE 16) FALSE 17) A 18) E 19) B 20) A 21) C 22) D 23) C 24) B 25) A 26) D Version 1

36


27) E 28) B 29) C 30) E 31) A 32) B 33) A 34) E 35) C 36) D 37) A 38) B 39) B 40) D 41) B 42) E 43) A 44) B 45) D 46) C 47) C 48) A 49) E 50) A 51) D 52) B 53) C 54) D 55) A 56) B Version 1

37


57) C 58) A 59) A 60) B 61) E 62) D 63) C 64) E 65) A 66) C 67) D 68) B 69) B 70) D 71) C 72) A 73) A 74) D 75) C 76) A 77) C 78) D 79) A 80) C 81) B 82) C 83) C 84) A 85) A 86) A Version 1

38


87) D 88) A 89) B 90) C 91) D 92) E 93) A 94) A 95) Section Break 95.1) A 95.2) B 95.3) B

Version 1

39


CHAPTER 29 TRUE/FALSE - Write 'T' if the statement is true and 'F' if the statement is false. 1) Sperm must travel to the distal end of the uterine tube to encounter the egg before it dies. ⊚ ⊚

true false

2) The slow block refers to the mechanism that prevents fertilization of another egg when one is already pregnant. ⊚ ⊚

3)

true false

The fertilization membrane is the endometrial tissue that receives the conceptus. ⊚ ⊚

true false

4) Cleavage results in daughter cells containing half the number of chromosomes of the parent cell. ⊚ ⊚

5)

During implantation, the embryoblast undergoes gastrulation. ⊚ ⊚

6)

true false

The embryonic stage extends from 16 days through the end of week 8. ⊚ ⊚

7)

true false

true false

The chorion forms the fetal part of the placenta.

Version 1

1


⊚ ⊚

8)

The placenta begins to form after week 8. ⊚ ⊚

9)

true false

Trophoblastic nutrition refers to the nutrition of the conceptus before it implants. ⊚ ⊚

10)

true false

true false

The fetus deposits fat in its subcutaneous tissue in the 7th month of gestation. ⊚ ⊚

true false

11) Neonatal immunity depends on IgG and IgA acquired through the placenta and colostrum, respectively. ⊚ ⊚

true false

12) To some extent, the heat loss of the neonate is compensated for by the thermal insulation provided by brown fat. ⊚ ⊚

true false

13) Inadequate liver function is the most common reason that premature infants suffer from multiple dysfunctions. ⊚ ⊚

Version 1

true false

2


14)

Teratogens usually do not cause congenital anomalies. ⊚ ⊚

true false

15) Senescence begins at different ages and progresses at different rates in different organ systems. ⊚ ⊚

16)

true false

Life expectancy has steadily increased in the last century, whereas life span has not. ⊚ ⊚

true false

17) A person in his or her 90's can increase muscle strength by two or three times with 40 minutes of isometric exercise per week. ⊚ ⊚

true false

MULTIPLE CHOICE - Choose the one alternative that best completes the statement or answers the question. 18) The process that makes it possible for sperm to penetrate the egg is called __________. A) B) C) D) E)

19)

sperm migration capacitation the cortical reaction morulation cleavage

Regarding fertilization, which of the following events happens first?

Version 1

3


A) B) C) D) E)

20)

The optimal "window of opportunity" to conceive a child is __________. A) B) C) D) E)

21) egg.

Formation of a fertilization membrane The fast block to polyspermy The slow block to polyspermy The cortical reaction The acrosomal reaction

a few days before ovulation to less than a day after less than a day before ovulation to less than a day after a few days before ovulation to a few days after a few days before ovulation a few days after ovulation

Out of the 300 million ejaculated sperm, only about __________ reach the vicinity of the

A) B) C) D) E)

20 to 30 200 to 300 2000 to 3000 20,000 to 30,000 half

22) Prior to ejaculation, __________ in the plasma membrane of the spermprevents premature release of __________. A) B) C) D) E)

Version 1

cholesterol; acrosomal enzymes protein; acrosomal enzymes carbohydrates; prostaglandins hyaluronic acid; prostaglandins acrosin and hyaluronidase; acrosomal enzymes

4


23) In the slow block to polyspermy, sperm penetration releases an inflow of __________, which in turn stimulates the __________. A) B) C) D) E)

Cl -; corona radiata K +; zona pellucida Na +; fertilization membrane Ca 2+; fertilization membrane Ca 2+; cortical reaction

24) In the fast block to polyspermy, binding of sperm opens up __________ channels, which depolarizes the egg membrane and __________. A) B) C) D) E)

Na +; prevents the entrance of any more sperm Na +; prevents the entrance of more Na + Na +; prevents the entrance of Ca 2+ Ca 2+; prevents the entrance of any more sperm Ca 2+; prevents the entrance of more Na +

25) Which of the following lists the stages or structures of prenatal development in the correct order? A) B) C) D) E)

Cleavage, zygote, morula, blastocyst, embryo, fetus Zygote, morula, blastocyst, cleavage, embryo, fetus Zygote, cleavage, morula, blastocyst, embryo, fetus Zygote, embryo, morula, blastocyst, cleavage, fetus Embryo, zygote, blastocyst, cleavage, morula, fetus

26) The spheroidal stage of early prenatal development with about 16 to 64 cells is called a(n) __________.

Version 1

5


A) B) C) D) E)

zygote embryo blastomere morula blastocyst

27) Twins produced when a single egg is fertilized are called __________ twins. Twins produced from two eggs ovulated at the same time are called __________ twins. A) B) C) D) E)

monozygotic; identical dizygotic; nonidentical monozygotic; dizygotic dizygotic; monozygotic nonidentical; identical

28) In the blastocyst, the trophoblast will become __________, whereas the embryoblast will become __________. A) B) C) D) E)

29)

part of the placenta; the yolk sac part of the placenta; the embryo the embryo; part of the placenta the embryo; the yolk sac the yolk sac; the embryo

Primary germ layers are formed during __________. A) B) C) D) E)

Version 1

implantation cleavage conception organogenesis gastrulation

6


30)

Mesenchyme gives rise to __________. A) B) C) D) E)

nervous tissue muscle, bone, and blood digestive organs and endocrine glands reproductive and urinary systems the integumentary system and exocrine glands

31) During implantation, the trophoblast divides into a deep layer calledthe _________, which is composed of individual cells. A) B) C) D) E)

chorion amnion syncytiotrophoblast cytotrophoblast embryoblast

32) During implantation, the trophoblast divides into a superficial layer calledthe __________, which is composed of a multinucleate mass of cytoplasm. A) B) C) D) E)

chorion embryoblast amnion syncytiotrophoblast cytotrophoblast

33) By the time the conceptus arrives in the uterus, it consists of at least__________ or more cells.

Version 1

7


A) B) C) D) E)

2 4 8 16 32

34) The _________ begins to develop about 11 days after conception, and is the sole source of fetal nutrition from the end of week 12 until birth. A) B) C) D) E)

yolk sac placenta amnion trophoblast blastocyst

35) __________ pass(es) from the maternal blood to the fetal blood. Fetal __________ pass(es) the other way. A) B) C) D) E)

36)

Carbon dioxide and oxygen; wastes Carbon dioxide; nutrients Wastes; nutrients and oxygen Wastes and nutrients; oxygen and carbon dioxide Oxygen and nutrients; wastes

As it implants, the conceptus is nourished by means of __________. A) B) C) D) E)

Version 1

trophoblastic nutrition uterine milk nutrient diffusion from the endometrium placenta umbilical nutrition

8


37) The __________ completely encloses the embryo and provides it witha stable environment. A) B) C) D) E)

38)

yolk sac amnion chorion chorionic villus allantois

The __________ encloses all the rest of the membranes and the embryo. A) B) C) D) E)

chorion allantois yolk sac amnion zona pellucida

39) The __________ is an embryonic membrane that serves as the origin of the first blood and germ cells. A) B) C) D) E)

40)

yolk sac allantois chorion amnion placenta

Which of the following is not considered an embryonic membrane?

Version 1

9


A) B) C) D) E)

41)

Which of the following is not a derivative of ectoderm? A) B) C) D) E)

42)

coelom amniotic cavity yolk sac somite chorion

By the end of 8 weeks, the individual is considered a fetus because __________. A) B) C) D) E)

44)

Salivary glands The nervous system The epidermis Cutaneous glands The dermis

The first body cavity is called the __________. A) B) C) D) E)

43)

Yolk sac Placenta Allantois Chorion Amnion

all the primary germ layers are formed the amniotic cavity has formed all of the organ systems are present the neural tube and yolk sac have formed the mesoderm has formed

Which of the following major events of prenatal development happens first?

Version 1

10


A) B) C) D) E)

45)

The eyes are fully open The body is covered with lanugo Bone calcification begins The central nervous system begins to form Meconium accumulates in the intestines

The digital rays of a fetus give rise to __________. A) B) C) D) E)

arms and legs ribs and intercostal muscles fingers and toes extensor digitorum muscles radial muscles of the iris

46) In fetal circulation, the __________ bypasses the liver and the __________ bypasses the lungs. A) B) C) D) E)

47)

ligamentum venosum; ligamentum arteriosum foramen ovale; ductus venosus ductus arteriosus; ductus venosus ductus venosus; ductus arteriosus ligamentum arteriosum; foramen ovale

In fetal circulation, blood bypasses the lungs by flowing through the__________. A) B) C) D) E)

Version 1

umbilical vein and umbilical arteries fossa ovalis and umbilical arteries and vein foramen ovale and ductus arteriosus ductus venosus and ductus arteriosus ligamentum venosum and ligamentum arteriosum

11


48)

Oxygenated blood reaches the fetus through the __________. A) B) C) D) E)

49)

The first 6 weeks of postpartum life constitute the __________ period. A) B) C) D) E)

50)

umbilical vein umbilical arteries maternal vein maternal arteries placental sinus

transitional premature neonatal senescence infancy

The fossa ovalis is a remnant of the __________ of the fetus. A) B) C) D) E)

ductus arteriosus ductus venosus umbilical artery umbilical vein foramen ovale

51) Which of the followingorgan systems shows the greatest anatomical change in the transitional period after birth? A) B) C) D) E)

Version 1

Muscular system Integumentary system Skeletal system Circulatory system Nervous system

12


52)

During birth, an infant is normally stimulated to breathe by __________. A) B) C) D) E)

CO 2 accumulating in the baby's blood an increased O 2 level in the baby's new environment prostaglandins surfactant being spanked by the doctor

53) Which of the following organ systems faces the greatest physiological challenge in the transitional period after birth? A) B) C) D) E)

54)

Infant respiratory distress syndrome (IRDS) is caused by __________. A) B) C) D) E)

55)

Muscular system Integumentary system Respiratory system Circulatory system Nervous system

production of very thick respiratory mucus deficiency of pulmonary surfactant underdeveloped respiratory epithelium pulmonary edema overinflated alveoli

A teratogen is most likely to cause __________.

Version 1

13


A) B) C) D) E)

56)

Which of the following does nothave potentially teratogenic effects? A) B) C) D) E)

57)

a deformity of the limbs aneuploidy trisomy nondisjunction a mutation

Smoking Alcohol Infectious diseases Sunlight X-rays

Down syndrome (trisomy-21) results from _________. A) B) C) D) E)

a mutagen nondisjunction a teratogen a sex-linked mutation an autosomal recessive allele

58) The most likely outcome of nondisjunction is the production of a gamete receiving __________. A) B) C) D) E)

Version 1

no chromosomes 46 chromosomes 44 chromosomes 23 chromosomes 22 chromosomes

14


59) Only autosomal trisomies involving chromosomes 13, 18, and 21 are survivable. Why would this be? A) B) C) D) E)

60)

These are relatively short chromosomes. These are relatively long chromosomes. These are relatively gene-poor chromosomes. These are redundant chromosomes. These chromosomes have no genes.

Which of the following is not a known cause of congenital anomalies? A) B) C) D) E)

Infectious disease in the mother during pregnancy A genetic disorder Exposure to teratogens during pregnancy Smoking during lactation Smoking during pregnancy

61) Urine retention is a greater problem for elderly men than for elderly women because men __________. A) B) C) D) E)

62)

can develop benign prostatic hyperplasia have larger bladders have weaker urinary sphincters have narrower ureters have fewer glomeruli

Which of the following is not a reason muscular weakness tends to develop in old age?

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A) B) C) D) E)

63)

Older people may require lower drug doses than younger people because __________. A) B) C) D) E)

64)

Aged muscle has less glycogen, myoglobin, and creatine phosphate. There are fewer motor neurons in the spinal cord. Aged muscle fibers have fewer myofibrils. There are fewer and smaller mitochondria in aged muscle. The myocytes of aged muscleno longersynthesize myosin.

their organs are more sensitive to drugs they have lower rates of renal clearance they do not absorb as much drug from the small intestine there is less tissue mass to treat a lifetime of mutations results in unpredictable drug reactions

Which of the following systems shows the least overall senescence? A) B) C) D) E)

Muscular system Endocrine system Integumentary system Reproductive system Urinary system

65) Senescence of the immune system makes older people more susceptible to cancer and infectious disease because of a decline in __________. A) B) C) D) E)

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alpha and beta globulins red blood cells and platelets complement proteins prothrombin and fibrinogen antigen-presenting cells and helper T cells

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66)

Which of the following statements is true regarding telomeres? A) B) C) D) E)

Telomeres are cytoplasmic enzymes involved in senescence. Telomeres are antioxidants that slow the progress of senescence. Telomeres areDNA segments at each end of a chromosome. Telomeres are proteins that cap the ends of the chromosomes. Telomeres are motor molecules that guide embryonic cells to the right destinations.

67) The observation that there is a limit to how many times a cell can divide is the basis for the __________ theory of senescence. A) B) C) D) E)

68)

autoimmune free radical cross-linking replicative abortive

Which of the following is not a known benefit ofregular exercise? A) B) C) D) E)

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Maintained joint mobility Maintained strength Decreased incidence of hypertension Maintained endurance Prolonged life expectancy

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SECTION BREAK. Answer all the part questions.

69)

69.1) A) B) C) D) E)

During which stage(s) does cleavage occur? B, C, and D A and B B and C C, D, and E C and D

69.2) A) B) C) D) E)

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Which stage can split into two creating identical twins? A B C D E

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69.3) A) B) C) D) E)

Which letter indicates a blastocyst? A B D E F

70)

70.1) A) B) C) D) E)

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Which layer becomes the inner layer of the digestive tract? A B C D E

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70.2) A) B) C) D) E)

Which layer gives rise to mesenchyme? A B C D E

70.3) A) B) C) D) E)

Which layer develops into the skin? A B C D E

71) Version 1

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71.1) A) B) C) D) E)

Filtration of the mother's blood and fetal urine Filtration of the mother's blood Fetal urine Fetal meconium Fetal urine and fetal meconium

71.2)

Where are the first blood cells formed?

A) B) C) D) E)

71.3) A) B) C) D) E)

72)

The membrane at C encloses a space containing a fluid derived from what?

A B C D E

What is the name of the structure at B? Allantois Placenta Chorion Yolk sac Amnion

{MISSING IMAGE}

72.1)

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What is the name of the structure at C?

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A) B) C) D) E)

72.2) A) B) C) D) E)

72.3) A) B) C) D) E)

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Ductus venosus Ductus arteriosus Umbilical artery Umbilical vein Ligamentum venosum

What does the structure at A become after birth? Ligamentum arteriosum Ductus arteriosus Ligamentum venosum Round ligament Falciform ligament

What is the name of the structure at D? Ductus venosus Ductus arteriosus Umbilical artery Umbilical vein Ligamentum venosum

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Answer Key Test name: Chap 29_9e 1) TRUE 2) FALSE 3) FALSE 4) FALSE 5) TRUE 6) TRUE 7) TRUE 8) FALSE 9) FALSE 10) TRUE 11) TRUE 12) FALSE 13) TRUE 14) FALSE 15) TRUE 16) TRUE 17) TRUE 18) B 19) E 20) A 21) B 22) A 23) E 24) A 25) C 26) D Version 1

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27) C 28) B 29) E 30) B 31) D 32) D 33) D 34) B 35) E 36) A 37) B 38) A 39) A 40) B 41) E 42) A 43) C 44) D 45) C 46) D 47) C 48) A 49) C 50) E 51) D 52) A 53) C 54) B 55) A 56) D Version 1

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57) B 58) E 59) C 60) D 61) A 62) E 63) B 64) B 65) E 66) C 67) D 68) E 69) Section Break 69.1) A 69.2) E 69.3) E 70) Section Break 70.1) B 70.2) C 70.3) D 71) Section Break 71.1) A 71.2) E 71.3) A 72) Section Break 72.1) A 72.2) A 72.3) D

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