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Table of Contents:
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Chapter 1. Anatomy & Physiology
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Chapter 2. Basic Electrophysiology
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Chapter 3. Sinus Mechanisms
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Chapter 4. Atrial Rhythms
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Chapter 5. Junctional Rhythms
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Chapter 6. Ventricular Rhythms
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Chapter 7. Atrioventricular Blocks
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Chapter 8. Pacemaker Rhythms
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Chapter 9. Introduction to the 12-Lead ECG
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Chapter 10. Post-Test
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,Chapter 01: Anatomy and Physiolog
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y Aehlert: ECGs Made Easy, 6th Edit
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ion
MULTIPLE CHOICE @x
1. The apex of the heart is formed by the
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a. tip of the left ventricle
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b. tip of the right atrium
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c. right atrium and right ventricle
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d. left atrium and left ventricle
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ANS: A @x
The heart’s apex, or lower portion, is formed by the tip of the left ventricle. The apex l
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ies just above the diaphragm, between the fifth and sixth ribs, in the midclavicular line
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.
OBJ: @ x Identify the surfaces of the heart.
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2. The left atrium receives blood from the
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a. pulmonary veins @x
b. aorta
c. pulmonary arteries @x
d. inferior vena cava @x @x
ANS: A @x
The left atrium receives freshly oxygenated blood from the lungs via the right and left
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pulmonary veins. @x
OBJ: @ x Identify and describe the chambers of the heart and the vessels that enter or leave each.
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3. The anterior surface of the heart consists primarily of the
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a. left atrium @x
b. right atrium @x
c. left ventricle @x
d. right ventricle @x
ANS: D @x
The front (anterior) surface of the heart lies behind the sternum and costal cartilages. I
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t is formed by portions of the right atrium and the left and right ventricles. However,
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because the heart is tilted slightly toward the left in the chest, the right ventricle is the
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area of the heart that lies most directly behind the sternum.
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OBJ: @ x Identify the surfaces of the heart.
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4. Blood pressure is determined by
@x multiplied by
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a. stroke volume; heart rate@x @x @x
b. heart rate; cardiac output
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c. cardiac output; peripheral vascular resistance
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d. stroke volume; peripheral vascular resistance
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ANS: C @x
Blood pressure is equal to cardiac output multiplied by peripheral vascular resistance.
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, OBJ: @ x Identify and explain the components of blood pressure and cardiac output.
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5. The right atrium receives venous blood from the head, neck, and thorax via the
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, from the remainder of the body via the @x @x @x @x @x @x @x @x
, and from the heart via the . @x @x @x @x @x @x
a. coronary sinus; superior vena cava; inferior vena cava
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b. superior vena cava; coronary sinus; inferior vena cava
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c. inferior vena cava; superior vena cava; coronary sinus
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d. superior vena cava; inferior vena cava; coronary sinus
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ANS: D @x
The right atrium receives blood low in oxygen from the superior vena cava, which c
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arries blood from the head and upper extremities; the inferior vena cava, which carries
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blood from the lower body; and the coronary sinus, which is the largest vein that dr
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ains the heart.
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OBJ: @ x Identify and describe the chambers of the heart and the vessels that enter or leave each.
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6. The heart is divided into
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a. two; four @x
b. three; two @x
c. four; two @x
d. four; three @x
ANS: C @x
The heart has four chambers: two atria and two ventricles. The right and left sides of t
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he heart are separated by an internal wall of connective tissue called a septum. The int
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eratrial septum separates the right and left atria. The interventricular septum separates t
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he right and left ventricles. The septa separate the heart into two functional pumps. Th
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e right atrium and right ventricle make up one pump. The left atrium and left ventricle
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make up the other.
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OBJ: @ x Identify and describe the chambers of the heart and the vessels that enter or leave each.
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7. Stimulation of alpha1 receptors results in
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a. increased heart rate @x @x
b. peripheral vasoconstriction @x
c. constriction of bronchial smooth muscle @x @x @x @x
d. increased force of myocardial contraction
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ANS: B @x
Alpha1 receptors are found in the eyes, blood vessels, bladder, and male reproductive organ
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s. Stimulation of alpha1 receptor sites results in constriction.
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OBJ: @ x Compare and contrast the effects of sympathetic and parasympathetic stimulation of the hear
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t.
8. Which side of the heart is a low-pressure system that pumps venous blood to the lungs?
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a. Left
b. Right
ANS: B @x
The job of the right side of the heart is to pump unoxygenated blood to and through t
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he lungs to the left side of the heart. This is called the pulmonary circulation. The right
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side of the heart is a low-pressure system.
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