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Hall: Guyton and Hall Textbook of Medical Physiology, 12th Edition

Chapter 09: Cardiac Muscle; The Heart as a Pump and Function of the Heart Valves
Test Bank

1. What is his resting cardiac output in


ml/minute?
A. 900
B. 8,000
C. 9,000
D. 10,000
E. 15,000
ANS: C
2. What event occurs at point D in the mans
pressure-volume relationship?
A. A-V valves close
B. Aortic valve opens
C. Aortic valve closes
D. A-V valves open
E. Third heart sound

Intraventricular Pressure
(mmHg)

Questions 1-3: A fifty-year-old man has a body weight of 110 kg, resting heart rate is 90
beats/minute, arterial pressure is 120/70 mmHg, arterial hematocrit is 35% and body
temperature is normal. His pressure-volume diagram of the left ventricle is shown below.
200
150
D

100

50
A
0

50

B
100

150

200

Left Ventricular Volume (ml)

ANS: C
3. What is his ventricular ejection fraction?
A. 33%
B. 50%
C. 60%
D. 67%
E. 80%
ANS: D
4. Which of the following will result in spastic contraction of the heart?
A. Excess calcium ions in the blood
B. Excess potassium ions in the blood
C. Excess sodium ions in the blood
D. Decreased sympathetic stimulation
E. Decreased norepinephrine concentration in the blood
ANS: A
Copyright 2011, 2006 by Saunders, an imprint of Elsevier Inc.

Test Bank

9-2

5. What is her resting heart rate in


beats/minute?
A. 70
B. 80
C. 90
D. 100
E. 110
ANS: C

Intraventricular Pressure
(mmHg)

Questions 5-7: A sixty-year-old woman has a body weight of 110 kg, resting cardiac output is
9,000 ml/minute, arterial pressure is 90/50 mmHg, arterial hematocrit is 25% and body
temperature is normal. Her pressure-volume diagram of the left ventricle is shown below.
200
150
D

100

50
A

6. What event occurs at point A in the


womans pressure-volume relationship?
A. A-V valves close
B. Aortic valve opens
C. Aortic valve closes
D. A-V valves open
E. Third heart sound

50

B
100

150

200

Left Ventricular Volume (ml)

ANS: D
7. If the woman is given a 500 ml whole blood transfusion over a 15 minute period, her
ventricular preload will increase. One minute after the transfusion is complete, what will
the new stroke volume be assuming her heart is normal?
A. 70 ml
B. 80 ml
C. 90 ml
D. 100 ml
E. 120 ml
ANS: A

8. When does the third heart sound occur in


the ventricular pressure-volume
relationship?
A. At point D
B. Between point A and point B

Intraventricular Pressure
(mmHg)

Questions 8-9: A fifty-year-old man has a body weight of 110 kg, resting heart rate is 90
beats/minute, arterial pressure is 120/70
mmHg, arterial hematocrit is 35% and body
200
temperature is normal. His pressure-volume
diagram of the left ventricle is shown below.
150

100

50
A
0

50

B
100

Copyright 2011, 2006 by Saunders, an imprint of Elsevier Inc.

150

200

Left Ventricular Volume (ml)

Test Bank

9-3

C. Between point B and point C


D. Between point C and point D
E. Between point D and point A
ANS: B
9. When does the second heart sound occur in the ventricular pressure-volume relationship?
A. At point D
B. Between point A and point B
C. Between point B and point C
D. Between point C and point D
E. Between point D and point A
ANS: A

Copyright 2011, 2006 by Saunders, an imprint of Elsevier Inc.