ブロックテスト(15th Oct 2024)

解剖

Coronary artery that supplies the diaphragmatic surface of the heart?Left Ventricular Artery

Right Marginal Artery

Diagonal Artery

Posterior Interventricular Artery
3.Circumflex come from the?left carotid artery
What coronary follows the course of great cardiac vein?Coronary sinus
Where does the coronary sinus drain?Right Atrium
Coronary sinus is formed by the union of great cardiac vein and?Oblique vein of left atrium
Lymphatic System in cardiovascular system drains atA. Bronchomediastinal B. Bronchopulmonary
What is the main tributary of coronary sinus?Great Cardiac Vein
The coronary arteries arise from what specific part of the ascending aorta
Hiatus

Lunule

Sinus

Nodule
C. Sinus
Where is the SA node specifically located in the heart?
The major blood supply of the SA (sinoatrial) node typically comes fromRCA
Location of AV node in the heart-
posterior inferior of the interventricular septum
posterior inferior of the interventricular septum
Conduction pathway that distributes impulses from SA Node to AV NodeInternodal pathway
What structure in the RA separates the smooth muscle from its rough surface?sulcus terminalis
Arterial blood supply sinoatrial and atrioventricular nodes came from which sources?Right Coronary Artery
Where do you usually locate the sympathetic cardiac plexus along the heart?Arch of the aorta or ascending aorta?
Which of the following describes the cardiac plexus of the heart?Both sympathetic and Parasympathetic
What level of spinal cord is the sympathetic innervation of the heart?T1 &T4
Which of the following branches is from the right coronary artery? a. Circumflex ArteryB. Posterior Interventricular Artery
b.Posterior Interventricular Artery c. Terminal Artery
d. Diagonal Artery
Which cardiac vein drains the right atrium?
Anterior Cardiac and Small Vein

Guys sorry ulit I forgot

Middle and Small
Cardiac Vein

Posterior
Interventricular and Oblique Vein
C. Middle and Small Cardiac Vein
Where does the anterior cardiac vein drain?
A. Coronary sinus
B. Left atrium
C. Middle cardiac vein D. Right atrium
D. Right atrium
Which of the following structure is found at the posterior of the pulmonary trunk, ascending aorta and……?
A.
B.Vagus nerve
C.
D. Pericardiophrenic ligament
where does the pericardiophrenic comes from?c. Internal thoracic artery
What is the ventricular papillary muscle attached with septomarginal trabeculae?Anterior papillary muscle of the right ventricle
Traverse through interventricularModerator band
septum
What valve is located to the posterior of the sternum at the level of 3rd ICS?Pulmonic valve

Mitral valve

C. Aortic
D. Tricuspid valve
Chamber occupying majority of the diaphragmatic surfaceLeft ventricle
Chamber of the heart that constitute an impression on the inferior lobe of the left lung
A. RA
B. RV
C. LA
D. LV
D. LV
What vein enters the thorax at the 8th thoracic vertebral level and is considered the largest vein in the body?Brachiocephalic

Superior Vena Cava

Inferior Vena Cava
Where does the right common carotid rise fromBrachiocephalic Trunk
Which chamber does embryologic remnant can be found (fossa ovale)?
a.) Right Atrium
a. Right Atrium
b.) Right Ventricle c.) Left Atrium
d.) Left ventricle
What specific coronary branch determines whether the right and left are considered the dominant vessels?
A. Posterior interventricular Branch
B. Circumflex Artery
C. Left Anterior Descending Branch
D. M…… Artery
A. Posterior interventricular Branch
Left Coronary Artery passes between —Left auricle and pulmonary trunk
Which coronaries travel inferolaterally and continue to the apex of the heart?Anterior interventricular artery
Posterior Descending artery is supplying the Left Ventricle. If this branch is absent what branch will supply the LV?anterior descending artery? Not sure
The right atrium is mainly supplied by what coronary branch?SA Nodal Artery

POsterior Interventricular Branch

Right Marginal Artery

AV Nodal Artery
Which cardiac chamber comprises mostly of its sternocostal surface?
Right Atrium

Right Ventricle

Left Atrium

Left Ventricle
B. Right Ventricle
What particular chamber or vessel of the heart form the inferior border of the heart? A. Right Ventricle onlyB. Right Ventricle only
B. Right Atrium and Ventricle C. Right Atrium only
D. Right Atrium and Superior Vena Cava

組織

A structure in the right ventricle that separates the inflow from the outflow tracts is called?Supraventricular crest
This type of heart layer contains the coronary vessels and adipose tissue.
Pericardium Myocardium Epicardium Endocardium
Epicardium- ditow ka.nlang mag type sorry my bad.
What structure lies between the tunica intima and tunica media in muscular arteries?
External elastic lamina

Internal elastic lamina

Vasa vasorum

Vessels
A. External elastic lamina
Is known as ventricular contractionSystole
Function of carotid bodiesbaroreceptors
It is known as elevated blood pressure
a. Hypertension b. Hypotension c. Vertigo
d. Dysuria
a. Hypertension
alternative microvascular pathway in which blood flows through two successive capillary beds separated by a veinportal system
Which one of the ff comprises 90% body’s vasculature? Ans: capillaries
A. Elastic arteries B. Medium arteries C. Capillaries
D. Veins
C. Capillaries
Pre capillary sphincter muscle isMetarterioles
present in?
Veins

Metarterioles

Muscular artery

Large artery
What type of capillary is characterized by being discontinuous?Sinusoidal
This type of capillaries have perforations in the endothelium which allows greater exchange in the endothelial cells?
Fenestrated

Continuous

Sinosoidal

Discontinuous
c. sinusoidal
These are long mesenchymal cells that surround the endothelial layer in long mitochondrial process
Which layer is thick and well developed in veins
Tunica media

Tunica intima

Tunica adventitia

Stratum basale
Tunica adventitia
Type of capillary characterized with perforations:Fenestrated Capillary
Where does the thoracic duct drain?
a. RIght subclavian and
Left subclavian and left jugular vein
right jugular vein
Left subclavian and left
jugular vein

Arch of aorta

d.
How does biologic oxidation primarily function in cells?
A. It involves only transfer of electrons
B. It always couples with ATP synthesis
C. It occurs primarily in cytosol D. It involves the transfer of electrons to oxygen
D. It involves the transfer of electrons to oxygen
Creatinine to muscleHigh-energy phosphate
What are the sources of electrons in the electro transport chain?NADH and FADH2
Coenzyme that serves as the mobile electron carrier from complex III to Complex IVAns: Cytochrome C
How does cyanide inhibit cellular respiration?Inhibit the transport of oxygen by Complex IV
Which process produces the highest yield of ATP per mole of glucose during aerobic respiration?
Glycolysis

Citric Acid Cycle

Oxidative
Phosphorylation

Fermentation
C. oxidative Phosphorylation
What molecule acts as the transfer electron acceptor in aerobic cellular respiration?A. Oxygen
How is oxidative phosphorylation regulated in the mitochondria?
I FORGOT

Oxygen concentration

Proton concentration

NADH concentration
Oxygen concentration
For every NADH oxidized, Complex IV translocates how many protons? Select the correct response:
a) three
b) four
c) one
d) two
d)
What is the p/o ratio or nadh oxidation
A. 1.5 B. 2.5 C. 3 D. 4
B. 2.5
A negative Gibbs energy in a biochemical reaction indicates that reaction is ______Exergonic
how is ΔG01 related to biochemical reaction
a. direct proportional
b. inversely proportional c. unrelated
d. dependent on temperature only
Inversely proportional
Which enzyme transfers high energy phosphate?
Pyruvate Kinase

Phosphofructokinase

Hexokinase

Phosphoglycerate
kinase
Primary force(?) of oxidative phosphorylation in the mitochondriaProton Motive Force
The amount of Gibbs free energy ‘ΔG′) released during the hydrolysis of ATP to ADP and inorganic phosphate (Pi)-7.5 k/cal
Which compound has the highest phosphoryl transfer potential in the body?
A. Glucose-6-phosphate
B. ATP
C. Creatine Phosphate
D. Phosphoenolypyruvate
D. Phosphoenolpyruvate
What is the primary role of thermodynamics in bioenergetics?
Describes how energy is consumed

Determines the rate of enzyme reactions

Predicts the reaction and extent of chemical reactions

Explains the mechanism of enzyme catalysis
C. Predicts the reaction and extent of chemical reactions
Function of proton gradient in ATP synthase?Energy stored in the proton gradient (proton motive force ) is used by ATP synthase to drive the phosphorylation of ADP to ATP. (from study guide)

生化

How does complex 1in the ETC contribute to the processNADH
103. What molecule is not part of the etcGlucose 6 phosphate
Cytochrome c is located in which part of the mitochondria?
a. Inner mitochondria membrane b. Outer mitochondria membrane c. Mitochondrial matrix
d. Intermembrane space
D. Intermembrane space
How does proton pumping contribute to ATP synthesis in the electron transport chain?
a. Directly synthesizes ATP
b. Establishes an electrochemical gradient
c. Generate oxygen
d. Transfers electron between complexes
b. Establishes an electrochemical gradient
What enzyme is responsible for ATP synthesis during oxidative phosphorylation?
Cytochrome oxidase

Ubiquinone (or
Coenzyme Q)

ATP synthase

NADH dehydrogenase
C. ATP synthase
What is the another name for complex II in electron transport chain?
A. Cytochrome c oxidase
B. Succinate dehydrogenase C. NADH dehydrogenase
D. Cytochrome a1 oxidase
B. Succinate dehydrogenase
Coenzyme that serves as theB. Ubiquinone
mobile electron carrier in the inner mitochondrial membrane.
A. NAD+
B. Ubiquinone C. Cytochrome A D. …..
How many proton molecules are used to generate ATP in oxidative phosphorylation?
A. 2 B. 1 C. 3 D. 4
C. 3
Which enzymes conserve ADP to ATP in Oxidative phosphorylationATP Synthase Complex V
What is NOT a product of Electron Transport ChainA. Water
B. NADH
C. ATP
D. Proton Gradient
How is proton motive force generated in the electron transport chain?
116. Which complex facilitates transfer of electrons to oxygen?a. Complex 1 b. Complex 2 c. Complex 3 d. Complex 4
which molecules donates electrons directly at complex II?FADH2
How are electrons transferred between complexesDirect chemical reaction

Mobile electron carriers coenzyme Q
and coenzyme c

By ATP synthase

Proton transfer
What best describes the process of oxidative phosphorylation ?

生理

On the graph above showing isovolumetric contraction occurs between points
A. 4to1
B. 1to2
C. 2to3 D. 3to4
B. 1 to 2
What is the patient’s ventricular ejection fraction?70%
Based on the graph in item 121, what is the end-systole volume?
A. 140mL B. 100mL C. 70mL D. 0mL
C. 70mL


What does Ca+ does?
a. Upstroke of SA node b.

No P wave, normal QRS and normal T wave. Pacemaker is located in the?AV node
128. Which part of ECG corresponds to ventricular depolarization?
A. P wave
B. QRS duration
C. U wave
D. PR interval

Axis of a normal heart (QRS Vector)#ERROR!
Frank-Starling Mechanisms explains thatwhen the greater the Cardiac output, the greater the venous return
The physiologic function that is relatively slow conduction through AV node to allow sufficient time for:
Runoff blood from the aorta to the arteriesVenous return to the atria
C. Filling of the ventricles
C. Filling of the ventricles D. Contraction of the
ventricles


A negative P wave in an AVR means
A. Chamber enlargement of the atria
B. Conducting abnormality from SA node to AV node
C. Normal finding
D. Echocardiogram to assess the valves and chambers
C. Normal finding
If all systemic vessel types were put side by side, which vessel type has the largest approximate totals cross sectional area?
A. Arteries
B. Arterioles C. Veins
D. Capillaries

Laminar flow in a blood vessel means:
A. Each layer of blood remains the same distance from the walls
B. Blood flows in layers creating sounds
C. The central most portion of blood is the slowest
D. . Blood flows in eddy currents

during exercise
Decreased Arteriolar resistance will produce:Increase TPRIncrease AfterloadDecrease Arterial pressureDecrease Capillary blood flow
During exercise muscular movement increases, Arterioles (dilate?)increase 2 times, as a result blood flow resistance will be which of the following:A. increase double
B. Decreases in half
C. Increases 16-folds D . Decreases 16- folds

Turbulence is caused by the increased ofRate of blood flow becomes too greatwhen it passes by an obstruction in a
resistance vessel
Case: 55% hematocrit, diagnosed With polycythemia. Decreases?A. Reynold’s number B. Heheh
C. Ish flow
D. All of the above (?)
Which of the following has the highest vascular resistance?vessels Blood flow Pressur e gradient
A 1800 20 B 1600 40 C 1400 60 D 1200 80
Last DitchCNS Ischemic
Repeated Question:
A 30 year- old patient
55% hematocrit
Diagnosed with polycythemia
Reynolds number

All veins in the neck are distended, the right atrial pressure will increase to?15 mmHg12 mmHg10 mmHg7 mmHg
What is the most important factor that regulates opening and closing of the metarterioles and capillary sphincter?A. Degree of sympathetic stimulation B. Level of arterial pressure
C. Tissue oxygen concentration
D. Velocity of blood flow
regulates water and salt retention in the bodyAldosterone
Fainting caused by heavy emotions- vasovagal syncopevasovagal syncope
atrial reflex control of heart ratebainbridge reflex

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