An endothelium that appears pleated or rippled is characteristic of which of the following? |
C) arteries |
Which of the following vascular layers contains the thick encasing by smooth muscle that gives arteries their round appearance? |
A) tunica media |
Which of the following do(es) NOT contribute to total peripheral resistance? |
D) blood pressure |
Total peripheral resistance is related to all of the following except the |
B) osmolarity of interstitial fluids. |
What are the two major factors affecting blood flow rates? |
B) Pressure and resistance |
The greatest resistance to blood flow occurs in which of the following vessels? |
A) arterioles |
When the net hydrostatic pressure (NHP) is lower than the net colloid osmotic pressure (NCOP), which of the following events occurs? |
B) reabsorption |
Where in the body would you find fenestrated capillaries? |
B) small intestine and kidneys (not brain, but choroid plexus) |
Which of the following are characterized by a thin tunica media and valves that prevent the backflow of blood? |
C) veins |
In taking a patient’s blood pressure, you find that it is 120/80. The higher number (120) is the __________. |
C) systolic pressure |
Which type of capillary is characterized by pores that penetrate the endothelial lining and is found in the intestinal tract and kidneys? |
A) fenestrated |
Why is water filtered out of the arterial end of capillaries? |
C) The capillary hydrostatic pressure (blood pressure) is greater on the arterial end of the capillary than on the venous end. |
The unidirectional flow of blood in venules and medium-sized veins is maintained by __________. |
A) the presence of valves |
What is the most important determinant of vascular resistance? |
A) Friction between the blood and the vessel walls |
What does the formula F = P/R mean? (Note: F = flow; P = pressure; R = resistance.) |
C) Increasing P and decreasing R increases F. |
At a patient’s routine checkup, a nurse uses a sphygmomanometer to measure the patient’s blood pressure at the brachial artery. The nurse increases the cuff pressure to a point at which the rhythmic pulsing sound is no longer audible. When the nurse decreases the pressure, the pulsing sound returns. What pressure is producing this sound? |
B) Systolic pressure |
Where in the systemic circulation is the blood flow the slowest? |
A) capillaries |
Resistance caused by the irregular, swirling movements of blood at high flow rates or over uneven surfaces is called __________. |
D) turbulence |
Why do the elastic arteries have a tunica media with a large portion of elastic fibers and relatively fewer smooth muscle fibers? |
D) All of the listed choices are correct. |
The link between adjacent arteries or veins that reduces the impact of a temporary or permanent occlusion of a single blood vessel is a(n) __________. |
D) anastomosis |
Which of the following are characterized by a thick tunica media, a rippled endothelium, and an internal elastic membrane? |
C) arteries |
What type of capillaries have large gaps, allow a free exchange of water and solutes, and are found in the liver, bone marrow, and spleen? |
B) sinusoidal |
Why are valves located in veins but not arteries? |
A) lower blood pressure in the veins |
If the systolic pressure is 120 mm Hg and the diastolic pressure is 90 mm Hg, what is the mean arterial pressure (MAP)? |
D) 100 mm Hg |
To what pressure does the term blood pressure refer? |
C) Arterial pressure |
Which of the following is/are NOT a location of the baroreceptors that are involved in cardiovascular regulation? |
B) Lungs |
The regulation of cardiac output primarily involves the activities of the __________. |
C) autonomic nervous system |
Atrial natriuretic peptide (ANP) reduces blood pressure and volume by __________. |
B) all of the listed responses are correct. |
Angiotensin II is a powerful long-term regulator of blood volume and pressure. Which of the following is NOT an effect of angiotensin II? |
D) Production of renin |
A local vasodilator would act to __________. |
D) accelerate blood flow through a tissue |
When blood pressure and volume fall suddenly, such as after a hemorrhage, which of the following would NOT be a short-term response to compensate for the blood loss and raise blood pressure? |
C) Release of erythropoietin to stimulate blood cell development |
What effect would applying slight pressure to the common carotid artery have on your heart rate and blood pressure? |
A) Increasing heart rate and blood pressure |
Most of the time, the body has to adjust to blood pressure that is too low. What hormone is produced to help lower blood pressure back to normal homeostatic levels when it is too high? |
C) Atrial natriuretic peptide |
An increase in cardiac output normally occurs during __________. |
B) widespread sympathetic stimulation |
How does aldosterone help in the long-term regulation of blood pressure? |
D) Increasing Na+ retention |
What is the role of aldosterone and ADH in long-term response to blood loss? |
A) Promoting fluid retention |
The systemic blood circuit pumps blood to the body systems other than the lungs and returns blood to the heart. Which are the pumping and receiving chambers of the systemic circuit? |
B) Left ventricle and right atrium |
Which organ has no change in its overall blood flow during rest, light exercise, and strenuous exercise? |
B) Brain |
Which vessels carry deoxygenated blood from the right ventricle to the lungs? |
A) Pulmonary arteries |
When the baroreceptors in the aortic and carotid sinuses are inhibited, which of the following occurs? |
C) All of the listed responses are correct. |
The three primary, interrelated changes that occur as exercise begins are __________. |
C) increasing vasodilation, increasing venous return, and increasing cardiac output |
Which organ or organs have the greatest increase in blood flow during strenuous exercise? |
B) Skeletal muscle |
The chemoreceptors in the carotid and aortic bodies are helpful in controlling blood pressure. Which is NOT a stimulator of the chemoreceptors? |
C) Decreased water levels in the blood |
If a 190-pound man donated 500 ml of blood (approximately an 8.5 percent blood loss), what short-term responses will occur? |
B) Mobilization of venous reserve |
If blood flow to the kidneys were decreased by constriction or compression of the renal artery, what effect would this have on blood pressure and blood volume? |
C) Blood pressure and volume would increase. |
Local vasodilators are important in regulating blood flow in capillary beds within tissues. Which of the following would NOT function as a local vasodilator? |
B) Decreased tissue temperature (increased tissue temperature) |
Which control mechanisms are involved in both short-term and long-term regulation of cardiovascular performance? |
B) Endocrine regulation |
The artery that supplies blood to most of the small intestine and to the first half of the large intestine is the __________. |
C) superior mesenteric artery |
Compression of which vessels would cause a person to lose consciousness? |
C) The common carotid arteries |
Which of the following statements about the liver is NOT true? |
A) All of the listed responses are true. |
Consider the following pathway: Blood full of nutrients from the digestive system moves through the hepatic portal system to the liver. The hepatic veins then carry blood from the liver to which large vein that transports the blood to the heart? |
C) Inferior vena cava |
Which artery/arteries supplies/supply blood to the pelvic organs? |
B) Internal iliac artery |
The three arterial branches of the celiac trunk are the __________. |
A) left gastric, splenic, and hepatic arteries |
Which of the following is NOT a change that occurs in the cardiovascular system with age? |
A) Increase in elasticity of the heart |
The large artery that serves the brain is the __________. |
A) internal carotid artery |
Which of the vessels is NOT a main branch off the aortic arch? |
B) Right common carotid |
What is the problem in a "blue baby"? |
B) Patent ductus arteriosus (or patent foramen ovale) |
Which of the following does NOT supply oxygenated blood to the brain? |
B) Brachial artery |
What structure connects the pulmonary and aortic trunks in the fetus and permits blood to flow between them? |
A) Ductus arteriosus |
The link between the subclavian and the brachial arteries is the __________. |
C) axillary artery |
As an external iliac artery leaves the body trunk and enters a lower limb, it becomes the __________. |
B) femoral artery |
What is an aneurysm? |
D) A ballooning out of the wall of an artery |
Blood flow of the fetus to and from the placenta is provided by __________ arteries and veins. |
C) umbilical |
Which veins bring blood from the lower limbs to the inferior vena cava? |
C) Common iliac veins |
Which vein or veins drain(s) venous blood from the legs and the pelvis? |
C) Common iliac veins |
Which of the following arteries supplies oxygenated blood to the stomach? |
A) Left gastric artery |
Which vessel brings nutrient-rich blood from the digestive tract to the liver? |
B) Hepatic portal vein |
Which vein or veins drain(s) blood from the head, neck, and upper extremities? |
B) Brachiocephalic veins |
What is a thrombus? |
B) A stationary blood clot |
Blood from the lower limbs, the pelvis, and the lower abdomen is delivered to the __________. |
D) external iliac veins |
The only vessels whose walls are thin enough to exchange with the surrounding cells are __________. |
B) capillaries |
Which of these helps move blood around the systemic system? |
C) arterial pressure greater than venous pressure |
Elevated capillary hydrostatic pressure __________. |
B) forces more fluid between endothelial cells |
Which brain region contains the cardiovascular centers? |
D) medulla oblongata |
Hemorrhage triggers all of these responses except __________. |
A) an increase in urine production |
The pulmonary trunk carries ___________ blood __________ the lung. |
C) deoxygenated; to |
Which of these arteries does not originate on the aortic arch? |
C) coronary |
Which of these arteries does not originate on the abdominal aorta? |
B) femoral |
The remnant of the fetal ductus arteriosus is the __________. |
A) ligamentum arteriosum |
All of these changes in the cardiovascular system are commonly seen in aging except __________. |
B) decrease in arterial wall stiffness |
In the capillaries, hydrostatic pressure (HP) is exerted by __________. |
blood pressure |
The net hydrostatic pressure (HP) is the hydrostatic pressure in the __________ minus hydrostatic pressure in the __________. |
capillary; interstitial fluid |
Which of the following would reflect the typical net hydrostatic pressure (HP) at the arterial end of the capillary? |
C) 34 mm Hg |
The colloid osmotic pressure in the capillary is caused by __________. |
proteins in the blood |
Which net pressure draws fluid into the capillary? |
net osmotic pressure |
Reabsorption of fluid into the capillary takes place at the arterial end or venous end of the capillary? |
venous |
Stenosis is a permanent narrowing of an artery, as with arteriosclerosis. Which of the following could occur with stenosis of a renal artery? |
A) Renin secretion will increase. |
Each of the following would cause an increase in blood pressure EXCEPT __________. |
D) an inhibitor of angiotensin II |
Which of the following changes take place when you begin to exercise? |
D) All of the above changes take place as you begin to exercise. |
Atherosclerosis is characterized by the buildup of arterial plaque. When plaque first begins to form, on which part of the blood vessel do the monocytes bind after taking in cholesterol-rich lipoproteins? |
C) the endothelial lining |
Vascular resistance is the friction force that opposes blood flow in a blood vessel. What two factors are the most important in generating friction between blood and the walls of a vessel? |
D) blood vessel diameter and length |
Atherosclerosis has been associated with high blood pressure. What is it called when a person has a blood pressure of 158/99? |
B) stage 1 hypertension |
Arteries have a tissue in their middle and internal vessel walls that veins contain less, called __________ tissue. |
A) elastic |
Vasomotion refers to contraction-relaxation cycles of the __________. |
C) precapillary sphincters |
Arterial blood flow rises and falls during the cardiac cycle because __________. |
C) arterial pressure rises and falls |
Peripheral resistance depends on all of the following factors except __________. |
B) blood colloid osmotic pressure |
In liver disease, the production of plasma proteins can be greatly reduced. This often leads to __________. |
D) decreased blood colloid osmotic pressure |
When muscle cells contract they release substances that cause nearby precapillary sphincters to relax. This is an example of __________. |
C) autoregulation |
The cardiovascular centers in the medulla oblongata control __________. |
D) All of these are controlled by the cardiovascular centers in the medulla oblongata. |
Which of these arteries is not part of the cerebral arterial circle? |
B) basilar artery |
In the case of hemorrhage, the body mobilizes all these defenses except _________. |
C) decreased ADH secretion |
The pulmonary circuit begins in the pulmonary trunk; it continues through the lungs, finally ending at the right atrium. Are these two statements true or false? |
D) The first statement is true; the second is false. |
Which of these arteries does not branch directly from the aorta? |
B) femoral arteries |
The pulmonary veins carry oxygenated blood in the adult circulation; the umbilical vein carries oxygenated blood in the fetal circulation. Are these two statements true or false? |
C) Both statements are true. |
In the fetal circulation, the foramen ovale permit blood to flow directly from the right to left atria; the ductus arteriosus permits blood to flow from the pulmonary trunk to the aorta. Are these two statements true or false? |
A) Both statements are true. |
As the heart ages, which of these changes is not normally seen? |
B) increased elasticity of the fibrous skeleton |
The most extensive communication takes place between the cardiovascular system and the __________ system. |
B) lymphoid |
Compared to arteries, veins |
C) have thinner walls. |
After blood leaves the capillaries, it enters the |
C) venules. |
Capillaries with a perforated lining are called |
E) fenestrated capillaries. |
What vessels hold the largest percentage of the blood supply? |
C) veins |
In the condition known as ________, the wall of an artery becomes thicker and stiffer. |
B) arteriosclerosis |
The condition known as ________ is characterized by the formation of fatty plaques within the wall of arteries. |
A) atherosclerosis |
The peak blood pressure measured during ventricular systole is called __________. |
A) systolic pressure |
As blood travels from arteries to veins, |
A) pressure drops. |
In what vessel is blood pressure the highest? |
D) artery |
Clinically, the term blood pressure usually refers to |
B) arterial pressure. |
Blood pressure is lowest in the |
E) veins. |
Each of the following factors would increase cardiac output, except |
D) increased blood concentration of glucose. |
The difference between the systolic and diastolic pressures is called the ________ pressure. |
C) pulse |
Each of the following will lead to a decrease in blood pressure, except |
A) release of renin. |
Some of the fluid that is forced out of capillaries is returned to the blood by the: |
E) lymphatic system |
Which of the following affects blood flow through the body? |
E) All of the answers are correct. |
The brachial artery branches to form the radial and ________ arteries. |
C) ulnar |
Branches off the aortic arch include the |
E) brachiocephalic trunk, left subclavian artery, and left common carotid artery |
After entering the arm, the axillary artery becomes the ________ artery. |
C) brachial |
The ________ divides the aorta into the thoracic aorta and the abdominal aorta. |
C) diaphragm |
At the knee, the femoral artery becomes the ________ artery. |
C) popliteal |
The vessel that receives blood from the head, neck, chest, shoulders, and arms is the |
C) superior vena cava. |
The ________ vein is formed by the fusion of the greater saphenous vein, femoral vein, and deep femoral vein. |
B) external iliac |
The blood vessel that supplies blood to the head and neck is the ________ artery. |
C) common carotid |
The vein in the arm commonly sampled for blood by venipuncture is the ________ vein. |
C) median cubital |
The ________ receives blood from the diaphragm. |
D) phrenic vein |
The branch of the common iliac artery that enters the pelvic cavity is the ________ artery. |
A) internal iliac |
Capillaries that have a complete lining are called |
A) continuous capillaries. |
The smallest arterial branches are called the |
A) precapillary arterioles. |
The thoroughfare channel ends at the |
D) venule. |
Which of the following layers of a vessel contains collagen fibers with scattered bands of elastic fibers? |
E) tunica externa |
In arteries, the thick layer of elastic fibers associated with the tunica intima is called the |
D) internal elastic membrane. |
Venoconstriction ________ the amount of blood within the venous system, which ________ the volume in the arterial and capillary systems. |
B) reduces; increases |
Relative to the lumen, which of the following vessels has the thickest tunica media? |
B) arterioles |
Of the following, which is an elastic artery? |
A) the subclavian |
You would expect to find fenestrated capillaries in |
C) the pituitary gland. |
A sample of tissue displays many large flattened spaces lined by fenestrated endothelium. Blood moves slowly through these spaces. This tissue sample most likely came from the |
C) liver. |
What structure do RBCs move through single-file? |
C) capillary |
Capillaries with a perforated lining are called |
C) fenestrated capillaries. |
Which kind of vessel is also called a resistance vessel? |
B) arteriole |
Blood flow through a capillary is controlled by the |
C) precapillary sphincter. |
The common iliac artery is an example of which type of artery? |
B) elastic |
Venoconstriction reduces the diameter of which vessel? |
E) vein |
The brachial and femoral arteries are examples of which type of artery? |
D) muscular |
What vessels contain elastic fibers in the walls that are stretched during systole? |
A) arteries |
Which of the following is most likely to result from an aneurysm in a brain artery? |
C) stroke |
Complications related to arteriosclerosis account for roughly ________ percent of deaths in the United States. |
D) 50 |
What vessels hold the largest percentage of the blood supply? |
E) veins |
The inferior vena cava is classified as a(n) |
A) large vein. |
Blood moves forward through veins because of all of the following except |
B) pumping by the smooth muscle in the wall of the vein. |
Which part of the vascular system functions as a blood reservoir and contains over 60% of the body’s blood? |
D) veins |
The small vessels that capillaries drain into are called |
B) venules. |
Total peripheral resistance is related to all of the following except the |
B) osmolarity of interstitial fluids. |
Blood flow to a tissue will increase if the |
D) arterioles dilate. |
Blood pressure is determined by |
C) estimating the pressure needed to close off an artery with an external pressure cuff. |
In what vessel is blood pressure the highest? |
A) artery |
Blood pressure increases with all of the following except increased |
D) parasympathetic innervation. |
Which of the following factors will increase the net filtration pressure to move fluid out of capillaries? |
D) both decreased plasma albumin and increased blood hydrostatic pressure |
The vascular pressure that declines from roughly 35 mm Hg to about 18 mm Hg is the |
B) capillary hydrostatic pressure. |
Averaged over a few heartbeats, venous return is ________ cardiac output. |
C) equal to |
If blood pressure doubled, the blood flow through a vessel would be |
A) doubled. |
Each of the following factors would increase peripheral resistance except |
C) vasodilation. |
Turbulent blood flow occurs |
A) when there are irregularities in the vessel wall. |
The continual movement of fluid through the interstitial spaces produced by capillary filtration serves which of the following functions? |
E) All of the answers are correct. |
When a person rises quickly from a sitting position, |
E) All of the answers are correct. |
The blood colloid osmotic pressure mostly depends on the |
D) concentration of plasma proteins. |
Which of the following statements is false concerning the movement of fluid between capillaries and interstitial space? |
E) The net filtration pressure is usually zero. |
When renin is released from the kidney, |
B) angiotensinogen is converted into angiotensin I. |
Each of the following will lead to a decrease in blood pressure except |
A) release of renin. |
Each of the following will cause an increase in blood pressure except |
D) increased levels of ANP (atrial natriuretic peptide). |
Each of the following changes will result in increased blood flow to a tissue except |
A) increased hematocrit. |
In comparison to a vessel with a large diameter, a vessel with a small diameter has |
C) a greater resistance to blood flow. |
Which of the following equations shows the correct relation between blood flow (F), pressure (P), and resistance (R)? |
E) F = P/R |
As blood circulates from arteries into capillaries, the total cross-sectional area of capillaries |
C) increases and causes the blood velocity to decrease. |
Which of the following is normally the greatest source acting against blood flow? |
A) vascular resistance |
The force that moves fluid out of capillaries is ________ pressure whereas the opposing force that moves fluid into capillaries is ________ pressure. |
B) hydrostatic; colloid osmotic |
Blood colloid osmotic pressure is produced by |
A) large non-diffusible proteins in the blood plasma. |
Calculate the net filtration pressure (NFP) with a blood hydrostatic pressure of 40 mm Hg and a blood colloid osmotic pressure of 25 mm Hg. Then determine if filtration or reabsorption occurs. NFP = ________ and results in a fluid ________. A) 15 mm Hg; filtration |
A) 15 mm Hg; filtration |
Which of the following opposes the flow of blood back to the heart? |
A) vascular resistance |
Edema may occur when |
E) the plasma concentration of protein is reduced, capillary hydrostatic pressure is elevated, and the capillary endothelium permeability goes up. |
Which of the following are characteristics of cardiovascular regulation? |
E) All of the answers are correct. |
Stimulation of the aortic baroreceptors reflexively results in |
C) increased activity by the parasympathetic nervous system. |
Fear can result in |
B) increased stimulation of the cardioaccelerator center by higher brain centers. |
Elevated levels of the natriuretic peptide hormones ANP and BNP will produce increased |
A) salt and water loss through the kidneys. |
When carotid and aortic baroreceptors reduce their output, |
D) both heart rate and stroke volume increase. |
Increased levels of carbon dioxide in the blood will result in decreased |
D) parasympathetic stimulation of the heart. |
Vickie has a tumor that secretes excess amounts of the hormone aldosterone. Because of the elevated level of hormone, she exhibits |
E) both an increase in blood pressure and an increase in stored sodium ion. |
Which of the following conditions is least likely to lead to renin release? |
E) hypertension |
Which of the following changes does not occur during exercise compared to rest? |
C) Skin blood flow is lower. |
To defend blood volume against dehydration, the body |
D) releases antidiuretic hormone (ADH). |
ADH and aldosterone secretion are part of the body’s long-term compensation for |
C) a serious hemorrhage. |
During exercise, |
E) All of the answers are correct. |
In response to hemorrhage, there is |
C) mobilization of the venous reserve. |
Homeostatic mechanisms in response to blood loss include all of the following except |
B) inhibition of EPO secretion. |
Pulmonary arteries carry blood to the |
C) lungs. |
The right pulmonary veins carry ________ blood to the ________. |
E) oxygenated; left atrium |
Pulmonary veins carry blood to the |
B) left atrium. |
Major branches of the subclavian artery include the ________ artery(ies). |
C) internal thoracic |
After passing the first rib, the subclavian artery becomes the ________ artery. |
D) axillary |
After entering the arm, the axillary artery becomes the ________ artery. |
C) brachial |
The ________ carries nutrient-rich blood into the liver. |
D) hepatic portal vein |
The internal carotids and the basilar artery are interconnected by an anastomosis called the |
C) cerebral arterial circle. |
Veins of the brain empty into |
B) dural sinuses. |
The superior sagittal sinus collects blood from the |
C) brain. |
The developing fetus receives nutrient rich blood through the |
D) umbilical vein. |
Which of the following is not a cardiovascular modification present during fetal development? |
D) ligamentum arteriosum |
Elderly individuals are more prone than younger individuals to have all of the following, except |
C) increased elasticity of vessel walls. |
Multiple arteries joined in order to serve a single capillary network are called |
E) collaterals. |
A(n) ________ is a direct connection between an arteriole and a venule. |
C) arteriovenus anastomosis |
The vessel that supplies a capillary bed from an arteriole is called a |
B) metarteriole. |
The ________ are small blood vessels that nourish tissue components in the wall of large arteries and veins. |
C) vasa vasorum |
The increase in effective blood volume that results from venoconstriction is the |
A) venous reserve. |
The opening and closing of the precapillary sphincter is called |
C) vasomotion. |
In the condition known as ________, the wall of an artery becomes thicker and stiffer. |
B) arteriosclerosis |
The condition known as ________ is characterized by the formation of fatty plaques within the wall of arteries. |
D) atherosclerosis |
Points where a muscular artery can be compressed against a bone to control severe bleeding are called |
E) pressure points. |
A(n) ________ is a bulge, or weakened wall, of an artery. |
A) aneurysm |
________ form elaborate capillary networks within tissues that allow for very slow blood flow. |
B) Sinusoids |
After the precapillary arteriole, blood enters a(n) |
E) thoroughfare channel. |
The pressure difference between the base of the aorta and the right atrium is the ________ pressure. |
E) circulatory |
The process of decrease in vessel diameter that occurs due to smooth muscle contraction is called |
C) vasoconstriction. |
The term ________ refers to the pressure in the arterial side of the circulatory system. |
D) blood pressure |
The regulation of blood flow by local mechanisms within a capillary bed is called |
A) autoregulation. |
Chapter 21 – Blood Vessels and Circulation
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