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Example Questions
Example Question #1 : Circulatory System
Larger arteries have less smooth muscle per volume when compared to smaller arteries (also called arterioles). What would you expect as a result of this distinction?
The smooth muscle is responsible for keeping the arterioles constricted at all times.
Smaller arteries have more muscle tone, and are able to tolerate more pressure than large arteries.
Capillaries will have an even larger amount of smooth muscle per volume, because they are even smaller than arterioles.
Arterioles are able to regulate blood pressure more efficiently than large arteries.
Arterioles are able to regulate blood pressure more efficiently than large arteries.
Smooth muscle is typically innervated by the sympathetic nervous system. Because arterioles have more smooth muscle per volume, they are able to respond to sympathetic innervation more efficiently than larger arteries. As a result, the smaller arteries are used to regulate blood pressure as well as reroute blood direction by adjusting arteriole diameter accordingly.
Example Question #2 : Circulatory System
The Bundle of His, part of the intrinsic conduction system, is best described as:
the SA node
the atrioventricular bundle
the atrioventricular node
the pacemaker of the heart
Purkinje fibers
the atrioventricular bundle
Bundle of His is also known as the AV bundle.
The SA Node is located in upper right atrium. It initiates the depolarization impulse, which, in turn, generates an action potential that spreads via the internodal pathway situated in the walls of the atria to the AV node. From there, the impulse travels to the Bundle of His, then to the bundle branches and finally to the purkinje fibers.
Example Question #1 : Circulatory System
Which of the following vessels transports blood from the lungs to the heart?
Aorta
Inferior vena cava
Superior vena cava
Pulmonary veins
Pulmonary arteries
Pulmonary veins
Veins carry blood to the heart, while arteries carry blood away from the heart. The pulmonary veins are the only veins in the body that carry oxygenated blood. It is important to remember not to confuse these veins with the pulmonary arteries, which carry deoxygenated blood from the heart to the lungs.
The aorta carries oxygenated blood from the heart to the systemic circuit for circulation throughout the body. The superior and inferior vena cavae return deoxygenated blood from the systemic circuit back to the heart.
Example Question #4 : Circulatory System
Which of the following vessels would be expected to have the lowest blood pressure in the human systemic circulation?
Venules
Aorta
Arterioles
Arteries
Capillaries
Venules
The pressure decreases from the aorta to the arteries, arterioles, capillaries, and finally, the venules, veins, and vena cavae. Of the answer choices, the venules have the lowest pressure.
Example Question #1 : Circulatory System
The heart pumps blood throughout the human body; however, it must pump at the right time and with the right amount of force. When the heart is not pumping efficiently and in a timely manner, the flow of blood becomes disrupted. One can think of the heart as the only traffic light in a busy intersection. When working properly, traffic flows smoothly. When is it not working properly, traffic becomes congested. Likewise, when the heart is weak, the blood leaving the heart towards the systemic circulation (e.g. brain, organs) becomes disrupted. The blood entering the heart from the lungs also gets congested because the heart is not able to pump fast enough and strong enough to get the blood in and out at the proper pace.
One of the most common causes of death for a patient with a weak heart is from pulmonary edema. Which of the following choices best explains how pulmonary edema may result from heart failure?
None of these
Pulmonary edema results from a problem with the lympathtic system which is largely dependant on the heart
Pulmonary edema results from an ion and iron deficiency in the blood
Pulmonary edema results from an infection of the lungs
Pulmonary edema results from blood being pushed back into the lungs from increased hydrostatic pressure in the vessels and capillaries
Pulmonary edema results from blood being pushed back into the lungs from increased hydrostatic pressure in the vessels and capillaries
When the heart is weak (e.g. heart attack), it is unable to pump as efficiently as before. Pulmonary edema occurs when the left ventricle is weak. This results in fluid to backing up and pooling into the lungs via the pulmonary vein. The backed up pressure increases the hydrostatic pressure of the vessels and capillaries in the lungs. The increase in hydrostatic pressure pushes the fluid in the blood towards the lungs, resulting in pulmonary edema.
Example Question #3 : Circulatory System
The migration of cells is necessary for proper development during fetal life. At around the third week of fetal development, hematopoietic stem cells can be found in the yolk sac as well as in the mesoderm of the aorta, the gonads and in the mesonephros. At around the 3rd month, these stem cells migrate to the liver with some to the spleen and the lymph node. At around the 4thmonth, these cells then migrate to the bone marrow.
When taking a cross section of a bone, one will notice that some bone marrows are red while others are fat. Yellow bone marrows are inactive stem cells with the majority being fat cells. Active bone marrows are red. At birth, all of the bone marrows are red. At around the time of puberty, most are red but the amount decreases to 50% at around 18-25 years of age. Despite the change in bone marrow activity, membranous bones and of the arms of and legs remain active throughout life. However, the activity can be changed during pathological conditions.
Extrameduallary hematopoiesis is when hematopoiesis occurs in other places than in the bone marrow. Which of the following scenario(s) may present as extrameduallry hematophiesis?
I. Premature birth
II. Post-mature birth
III. Severe hemorrhagic
I and III
II and III
II only
I only
III only
I only
A premature delivery, especially before the migration of the hematopoietic stem cells will result in extramedually hematopoiesis.
Example Question #1 : Circulatory System
The migration of cells is necessary for proper development of circulating cells during fetal life. At around the third week of fetal development, hematopoietic stem cells can be found in the yolk sac as well as in the mesoderm of the aorta, the gonads and in the mesonephros. At around the 3rd month, these stem cells migrate to the liver with some to the spleen and the lymph node. At around the 4thmonth, these cells then migrate to the bone marrow.
When taking a cross section of a bone, one will notice that some bone marrows are red while others are fat. Yellow bone marrows are inactive stem cells with the majority being fat cells. Active bone marrows are red. At birth, all of the bone marrows are red. At around the time of puberty, most are red but the amount decreases to 50% at around 18-25 years of age. Despite the change in bone marrow activity, membranous bones and of the arms of and legs remain active throughout life. However, the activity can be changed during pathological conditions.
Hematopoietic stem cells allow for the development of which of the follow cells?
I. White blood cells
II. Red blood cells
III. Platelets
I and II only
III only
II only
I, II, and III
I only
I, II, and III
As mentioned in the passage, hematopoietic stem cells lead to the development of cells which will circulate in the circulatory system. White blood cells, red blood cells, and platelets all circulate in the circulatory system. Although platelets are themselves not cells, they are fragments of cells that are created by hematopoietic stem cells.
Example Question #3 : Circulatory System
The migration of cells is necessary for proper development during fetal life. At around the third week of fetal development, hematopoietic stem cells can be found in the yolk sac as well as in the mesoderm of the aorta, the gonads and in the mesonephros. At around the 3rd month, these stem cells migrate to the liver with some to the spleen and the lymph node. At around the 4thmonth, these cells then migrate to the bone marrow.
When taking a cross section of a bone, one will notice that some bone marrows are red while others are fat. Yellow bone marrows are inactive stem cells with the majority being fat cells. Active bone marrows are red. At birth, all of the bone marrows are red. At around the time of puberty, most are red but the amount decreases to 50% at around 18-25 years of age. Despite the change in bone marrow activity, membranous bones and of the arms of and legs remain active throughout life. However, the activity can be changed during pathological conditions.
Which of the following organ(s) will contain red bone marrow after 25 years old?
Spleen
Femur
None of these
Pelvic Bone
Kidney
Femur
Continued hematopoiesis only occur in axial bones, the femur (leg) and in the humerus bone (arm).
Example Question #7 : Understanding Vasculature
The migration of cells is necessary for proper development during fetal life. At around the third week of fetal development, hematopoietic stem cells can be found in the yolk sac as well as in the mesoderm of the aorta, the gonads and in the mesonephros. At around the 3rd month, these stem cells migrate to the liver with some to the spleen and the lymph node. At around the 4thmonth, these cells then migrate to the bone marrow.
When taking a cross section of a bone, one will notice that some bone marrows are red while others are fat. Yellow bone marrows are inactive stem cells with the majority being fat cells. Active bone marrows are red. At birth, all of the bone marrows are red. At around the time of puberty, most are red but the amount decreases to 50% at around 18-25 years of age. Despite the change in bone marrow activity, membranous bones and of the arms of and legs remain active throughout life. However, the activity can be changed during pathological conditions.
What might be an unintended consequence of excess stimulation of hematopoietic stem cells?
Blood clot
None of these
Decrease hematocrit
Decrease white blood cell count
Decrease red blood cell count
Blood clot
One of the purposes of stimulating hematopoietic stem cells is to to increase red blood cells production. However, excess red blood cells in the blood will increase the viscosity of the blood. With an increase in viscosity, the blood will not flow as fluid and will be prone to clots.
Example Question #2 : Circulatory System
Which heart chamber would you expect to have the thickest myocardial wall?
The left atrium
The right ventricle
The right atrium
The left ventricle
The left ventricle
The left ventricle is responsible for pumping blood to all body tissues. Because it needs to pump blood a farther distance than the right ventricle (which pumps blood to the lungs), it requires a thicker myocardial wall. This provides it with a more powerful contraction in order to send blood throughout the body. The left ventriclar wall is approximately three times thicker than the right ventricular wall.
The atria generally have the thinnest myocardium, as they are only responsible for receiving blood and transferring it to the ventricles.
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