Anatomy and Physiology 10th Edition Patton Test Bank Chapter 18: Nervous System Cells Patton: Anatomy and Physiology, 10th Edition MULTIPLE CHOICE 1. The efferent pathways of the autonomic nervous system consist of the nervous systems. a. peripheral and afferent b. sympathetic and parasympathetic c. sympathetic and efferent d. parasympathetic and somatic ANS: B DIF: Memorization TOP: Somatic and Autonomic Nervous Systems REF: p. 391 2. A neuron that transmits a nerve impulse toward the central nervous system is called a(n): a. motor neuron. b. sensory neuron. c. interneuron. d. bipolar neuron. ANS: B DIF: Memorization TOP: Afferent and Efferent Divisions REF: p. 400 3. The largest and most numerous types of neuroglia are the: a. astrocytes. b. microglia. NURSINGTB.COM c. ependymal cells. d. oligodendrocytes. ANS: A DIF: Memorization TOP: Overview of Glia REF: p. 391 4. Which of the following is not a function of the central nervous system (CNS)? a. Integrating sensory information b. Evaluating the information c. Initiating an outgoing response d. All of the above are functions of the CNS. ANS: D DIF: Memorization TOP: Central and Peripheral Nervous Systems REF: pp. 389-390 5. The part of the nervous system that transmits impulses from the CNS to the skeletal muscle is the: a. b. c. d. somatic nervous system. autonomic nervous system. central nervous system. afferent division. ANS: A DIF: Memorization TOP: Somatic and Autonomic Nervous Systems REF: p. 390 Anatomy and Physiology 10th Edition Patton Test Bank 6. The myelin sheath is formed by: a. Nissl bodies. b. nodes of Ranvier. c. Schwann cells. d. neuron cell bodies. ANS: C TOP: Glia DIF: Memorization REF: p. 393 7. Which is not true of the myelin sheath? a. It is associated with white fibers in the brain. b. It is important for nerve impulse conduction. c. It covers cell bodies in the brain and spinal cord. d. It is destroyed in those with multiple sclerosis. ANS: C DIF: Synthesis REF: p. 400 TOP: Nerves and Tracts 8. Neurons in the CNS have less chance of regenerating for all of the following reasons except: a. there is no neurolemma in cells of the CNS. b. astrocytes fill in the path of regrowth. c. microglia lay down scar tissue. d. All of these lessen the chance of healing in the CNS. ANS: C DIF: Memorization TOP: Repair of Nerve Fibers REF: pp. 401-402 9. Along a neuron, the correct pathway for impulse conduction is: IN GT. B.COM a. dendrite, axon, cell body,NaU ndRrS ece ptor b. dendrite, cell body, and axon. c. axon, cell body, and dendrite. d. receptor, axon, and cell body. ANS: B DIF: Synthesis REF: p. 395 TOP: Neurons 10. A neuron that has only one axon but several dendrites is classified as a a. multipolar b. bipolar c. unipolar d. multidendritic ANS: A DIF: Memorization TOP: Structural Classification neuron. REF: p. 397 11. Which is true of a reflex arc? a. It does not involve the brain. b. It always consists of an afferent neuron and an efferent neuron. c. It always consists of an afferent neuron, an efferent neuron, and an interneuron. d. It always consists of an afferent neuron, an efferent neuron, the brain, and the spinal cord. ANS: B TOP: Reflex Arc DIF: Memorization REF: p. 399 Anatomy and Physiology 10th Edition Patton Test Bank 12. Multipolar neurons have: a. multiple axons and multiple dendrites. b. multiple axons and one dendrite. c. multiple dendrites and one axon. d. one dendrite and one axon. ANS: C DIF: Memorization TOP: Structural Classification REF: p. 397 13. Most unipolar neurons are usually: a. motor neurons. b. neurons of the parasympathetic nervous system. c. sensory neurons. d. neurons of the sympathetic nervous system. ANS: C DIF: Memorization TOP: Structural Classification REF: p. 395, Table 18-1 14. Fascicles are held together by a connective tissue layer called the: a. endoneurium. b. perineurium. c. macroneurium. d. epineurium. ANS: B DIF: Memorization TOP: Nerves and Tracts REF: p. 400 15. Gray matter in the brain and N spU inR alScI orN dG coTnB si. stC s pOrM imarily of: a. nerve fibers. b. neuroglia. c. axons. d. cell bodies. ANS: D DIF: Memorization TOP: Nerves and Tracts REF: p. 401 16. The white matter of the nervous system is made up of: a. myelinated fibers. b. nuclei. c. unmyelinated fibers. d. ganglia. ANS: A DIF: Memorization TOP: Nerves and Tracts REF: p. 400 17. Regeneration of nerve fibers will take place only if the cell body is intact and the fibers have: a. nodes of Ranvier. b. a neurilemma. c. a myelin sheath. d. neurofibrils. ANS: B DIF: Application REF: p. 402 TOP: Repair of Nerve Fibers Anatomy and Physiology 10th Edition Patton Test Bank 18. Which of the following compounds cannot cross the blood-brain barrier? a. Water b. Carbon dioxide c. Glucose d. Dopamine ANS: D DIF: Memorization TOP: The Blood-Brain Barrier (Box 18-1) REF: p. 393, Box 18-1 19. A lack of which neurotransmitter is associated with Parkinson’s disease? a. Norepinephrine b. Endorphins c. Dopamine d. Enkephalin ANS: C DIF: Memorization TOP: The Blood-Brain Barrier (Box 18-1) 20. Dendrites conduct impulses a. toward b. away from c. within d. None of the above is correct. ANS: A TOP: Dendrites REF: p. 393, Box 18-1 cell bodies. DIF: Memorization REF: p. 396 21. Interneurons reside in the: NURSINGTB.COM a. CNS and peripheral nervous system (PNS). b. CNS only. c. PNS only. d. None of the above is correct. ANS: B DIF: Memorization TOP: Functional Classification REF: p. 398 22. Which of the following is the deepest connective tissue layer of a nerve? a. Endoneurium b. Perineurium c. Epineurium d. Fascicle ANS: A DIF: Memorization TOP: Nerves and Tracts 23. Nerves that contain mostly afferent fibers are called a. sensory b. motor c. mixed d. Schwann ANS: A DIF: Memorization REF: p. 400 nerves. REF: p. 400 Anatomy and Physiology 10th Edition Patton Test Bank TOP: Functional Classification 24. Small distinct regions of gray matter in the CNS are called: a. nuclei. b. tracts. c. ganglia. d. axons. ANS: A DIF: Memorization TOP: Nerves and Tracts REF: p. 401 25. The nervous system is organized to do which of the following? a. Detect changes in the external environment. b. Detect changes in the internal environment. c. Evaluate changes in the environment. d. All of the above are true. ANS: D DIF: Memorization TOP: Organization of the Nervous System REF: p. 405 26. In the human nervous system: a. most of the cells are neurons. b. most of the cells are glia cells. c. there are almost equal numbers of glia cells and neurons. d. the ratio of cells is unknown because of the complexity of the nervous system. ANS: B TOP: Glia DIF: Memorization REF: p. 391 NURSINGTB.COM 27. Astrocytes attach to: a. neurons. b. oligodendrocytes. c. blood vessels. d. both A and C. ANS: D TOP: Astrocytes DIF: Memorization REF: p. 391 28. One of the components of the blood-brain barrier is: a. astrocytes. b. neurons. c. myelin. d. oligodendrocytes. ANS: A DIF: Memorization TOP: The Blood-Brain Barrier (Box 18-1) REF: p. 393, Box 18-1 29. Which of the following statements does not apply to ependymal cells? a. They form the sheets of cells that line fluid-filled cavities in the brain. b. They make up part of the blood-brain barrier. c. They produce fluid that fills the cavities in the brain. d. They have cilia to move fluid in the brain. Anatomy and Physiology 10th Edition Patton Test Bank ANS: B DIF: Memorization TOP: Ependymal Cells REF: p. 392 30. Schwann cells have a function in the PNS that is similar to that of which cells in the CNS? a. Oligodendrocytes b. Astrocytes c. Microglia d. Ependymal cells ANS: A DIF: Application REF: p. 394 TOP: Peripheral Glia 31. The telodendria are: a. the receptor portion of the dendrite. b. where the dendrite attaches to the cell body. c. where the axon leaves the cell body. d. none of the above. ANS: D TOP: Axon DIF: Memorization REF: p. 396 32. What protein molecule very similar to hemoglobin temporarily stores a “backup” supply of oxygen in nervous tissue? a. Myoglobin b. Neuroglobin c. Nissl substance d. Neurofibril ANS: B TOP: Neurons DIF: B.C M NURSINGT O Memorization REF: p. 395, Box 18-3 33. In a three-neuron reflex arc, the afferent neurons synapse with the: a. interneuron. b. efferent neuron. c. contralateral neuron. d. ipsilateral neuron. ANS: A TOP: Reflex Arc DIF: Memorization REF: p. 399 34. The nervous system can be divided: a. according to its structure. b. according to direction of information flow. c. by control of effectors. d. in all of the above ways. ANS: D DIF: Memorization TOP: Organization of the Nervous System 35. The autonomic nervous system does not stimulate: a. skeletal muscles. b. smooth muscles. c. glands. d. cardiac muscle. REF: p. 389 Anatomy and Physiology 10th Edition Patton Test Bank ANS: A DIF: Memorization TOP: Somatic and Autonomic Nervous Systems REF: p. 391 36. The afferent pathways of the autonomic nervous system: a. stimulate the fight-or-flight response. b. maintain normal resting activity. c. carry feedback information to integrating centers in the brain. d. do both A and B. ANS: C DIF: Memorization TOP: Somatic and Autonomic Nervous Systems REF: p. 391 37. The other term for cell body is: a. telodendria. b. perikaryon. c. Nissl body. d. axon hillock. ANS: B TOP: Neurons DIF: Memorization REF: p. 395 38. Which of the following is not true of a three-neuron ipsilateral reflex? a. It contains an interneuron. b. The impulse leaves the CNS on the same side as the one on which it entered. c. The impulse leaves the CNS on the side opposite to the one from which it entered. d. It stimulates an action potential in a motor neuron. ANS: C DIF: AN pplicRatioI n F:.C p. 39M9 U S NGRTEB O TOP: Reflex Arc 39. Which is the only glia cell that is found outside of the CNS? a. Schwann cell b. Oligodendrocyte c. Astrocyte d. Ependymal cell ANS: A TOP: Glia DIF: Memorization 40. The parasympathetic nervous system is part of the REF: p. 392 pathway of the nervous system. a. afferent; somatic b. afferent; autonomic c. efferent; somatic d. efferent; autonomic ANS: D DIF: Memorization TOP: Somatic and Autonomic Nervous Systems REF: pp. 390-391 41. Preparing the body for “fight or flight” describes the function of the a. parasympathetic b. sympathetic c. somatic nervous system. Anatomy and Physiology 10th Edition Patton Test Bank d. Both B and C are correct. ANS: B DIF: Memorization TOP: Somatic and Autonomic Nervous Systems REF: p. 391 42. Which of the following structures is (are) not found on the axon? a. Axon hillock b. Telodendria c. Synaptic knob d. All of the above structures are found on the axon. ANS: A TOP: Neurons DIF: Memorization REF: p. 396 43. What is the relationship between the afferent and efferent neurons of the reflex arc? a. The afferent neurons move signals to the CNS, and the efferent neurons move signals away from the CNS. b. The afferent neurons move signals away from the CNS, and the efferent neurons move signals to the CNS. c. Afferent neurons are present in the brain, and efferent neurons are present at the sensory site. d. None. Efferent neurons are only present in gray matter of the brain and are needed for the reflex arc to work correctly. ANS: A DIF: Application REF: p. 399 TOP: Reflex Arc 44. If there were lesions on a bundle of myelinated fibers, what would occur? a. Nerve conduction would be enhanced with an increase in motor coordination. Nects RSofItNhes GT B.CofMlesions. b. There would be no side effU e types O c. Nerve conduction would be impaired, and weakness, loss of coordination, and visual impairment would occur. d. Nerve conduction would be impaired, and neuromas would develop. ANS: C DIF: Application REF: p. 394, Box 18-2 TOP: Multiple Sclerosis (MS) (Box 18-2) 45. Neurons have: a. complete regeneration capacity. b. no regeneration capacity. c. very limited capacity to repair themselves. d. none of the above. ANS: C DIF: Application REF: p. 401 TOP: Repair of Nerve Fibers 46. After a stroke, there is usually some damage to brain tissue. What type of neuroglia would you expect to find invading the affected area? a. Astrocytes b. Ependymal cells c. Microglia d. Oligodendrocytes ANS: C DIF: Application REF: p. 392 TOP: Peripheral Glia Anatomy and Physiology 10th Edition Patton Test Bank TRUE/FALSE 1. The nervous system consists of the brain, spinal cord, and nerves. ANS: T TOP: Introduction DIF: Memorization REF: p. 389 2. The afferent nervous system consists of all outgoing motor pathways. ANS: F DIF: Memorization TOP: Afferent and Efferent Divisions REF: p. 390 3. Multiple sclerosis is the most common primary disease of the CNS. ANS: T DIF: Memorization TOP: Multiple Sclerosis (MS) (Box 18-2) REF: p. 394 4. Ependymal cells engulf and destroy microbes and cellular debris in inflamed or degenerating brain tissue. ANS: F DIF: Synthesis REF: p. 392 TOP: Repair of Nerve Fibers 5. Oligodendrocytes form myelin sheaths around nerve fibers in the CNS. ANS: T DIF: Memorization TOP: Oligodendrocytes REF: p. 393 NURSINGTB.COM 6. Nerve fibers with many Schwann cells forming a thick myelin sheath are called myelinated fibers, or gray fibers. ANS: F DIF: Memorization TOP: Peripheral Glia REF: p. 394 7. Small, lipid-soluble molecules can diffuse easily across the blood-brain barrier. ANS: T DIF: Memorization TOP: The Blood-Brain Barrier (Box 18-1) REF: p. 393, Box 18-1 8. Most of the neurons in the brain and spinal cord are unipolar. ANS: F DIF: Memorization TOP: Structural Classification REF: p. 397 9. In a contralateral reflex arc, the receptors and effectors are located on opposite sides of the body. ANS: T TOP: Reflex Arc DIF: Memorization REF: p. 399 10. In an ipsilateral arc, the effectors and receptors are on opposite sides of the body. Anatomy and Physiology 10th Edition Patton Test Bank ANS: F TOP: Reflex Arc DIF: Memorization REF: p. 399 11. Groups of cell bodies located in the brain or spinal cord are referred to as ganglia. ANS: F DIF: Memorization TOP: Nerves and Tracts REF: p. 400 12. Most injuries to the brain and spinal cord cause permanent damage. ANS: T DIF: Memorization TOP: Repair of Nerve Fibers REF: p. 402 13. In an adult, brain cells do not undergo mitosis, except to replace neurons that have been damaged or destroyed. ANS: F DIF: Memorization TOP: Repair of Nerve Fibers REF: p. 402 14. Regeneration of nerve fibers will occur only if the cell body is intact and the fibers have a neurilemma. ANS: T DIF: Memorization TOP: Repair of Nerve Fibers REF: p. 401 15. If a motor neuron is damaged, it can cause the muscle it innervates to atrophy because of lack of stimulation. N R I G TB.COM U S N ANS: T DIF: Memorization TOP: Repair of Nerve Fibers REF: p. 402 16. The nervous system is designed to detect stimuli from both the internal and external environment. ANS: T TOP: Introduction DIF: Memorization REF: p. 389 17. The nervous system can be divided according to structure, direction of information flow, and speed of conduction. ANS: F TOP: Introduction DIF: Memorization REF: p. 389 18. The efferent division of the nervous system consists of mostly sensory pathways. ANS: F DIF: Memorization TOP: Somatic and Autonomic Nervous Systems REF: p. 390 19. Small, distinct regions of gray matter within the CNS are called nuclei. ANS: T DIF: Memorization TOP: Nerves and Tracts REF: p. 401 Anatomy and Physiology 10th Edition Patton Test Bank 20. Most nerves in the human nervous system are mixed. ANS: T DIF: Memorization TOP: Nerves and Tracts REF: p. 400 21. Neurons have, at best, a limited ability to repair themselves. ANS: T DIF: Memorization TOP: Repair of Nerve Fibers REF: p. 401 22. Regeneration of nerve fibers is impossible, even if the cell body is intact and the fibers have a neurilemma. ANS: F DIF: Memorization TOP: Repair of Nerve Fibers REF: p. 401 23. There are differences between the central and peripheral nervous systems concerning the repair of damaged fibers. ANS: T DIF: Memorization TOP: Repair of Nerve Fibers REF: p. 402 24. Bundles of unmyelinated fibers make up what is referred to as white matter. ANS: F DIF: Memorization TOP: Nerves and Tracts REF: p. 400 N R I G B.C M 25. Rapid succession stimulation oU f a pSostN synT aptic neO uron by a synaptic knob is called an ipsilateral reflex. ANS: F TOP: Reflex Arc DIF: Memorization REF: p. 399 26. Cranial nerves are considered part of the CNS. ANS: F DIF: Memorization TOP: Central and Peripheral Nervous Systems REF: p. 390 27. Spinal nerves are considered part of the PNS. ANS: T DIF: Memorization TOP: Central and Peripheral Nervous Systems REF: p. 390 28. When “central” and “peripheral” are used as directional terms in the nervous system, a nerve fiber may be called peripheral if it extends from the cell body toward the CNS. ANS: F DIF: Memorization TOP: Central and Peripheral Nervous Systems REF: p. 389 29. When “central” and “peripheral” are used as directional terms in the nervous system, a nerve fiber may be called peripheral if it extends from the cell body away from the CNS. Anatomy and Physiology 10th Edition Patton Test Bank ANS: T DIF: Memorization TOP: Central and Peripheral Nervous Systems REF: p. 390 30. The CNS is composed of efferent nerves only. ANS: F DIF: Memorization TOP: Afferent and Efferent Divisions REF: p. 390 31. The PNS includes both efferent and afferent nerves. ANS: T DIF: Memorization TOP: Afferent and Efferent Divisions REF: p. 390 32. Pathways from the autonomic nervous system that form the thoracic region of the spinal cord would be sympathetic pathways. ANS: T DIF: Application REF: p. 391 TOP: Somatic and Autonomic Nervous Systems 33. Pathways from the autonomic nervous system that leave the CNS from the brain would be sympathetic pathways. ANS: F DIF: Application REF: p. 391 TOP: Somatic and Autonomic Nervous Systems 34. The name for the astrocyte comes from its shape. ANS: T TOP: Astrocytes DIF: N R I GTB.COM UoriS Mem zatioN n REF: p. 391 35. Part of the function of the astrocyte is to help feed the neurons. ANS: T TOP: Astrocytes DIF: Memorization REF: p. 391 36. Microglia are functionally and developmentally very close to neurons. ANS: F TOP: Microglia DIF: Memorization REF: p. 392 37. The microglia engulf and destroy microorganisms and cellular debris. ANS: T TOP: Microglia DIF: Memorization REF: p. 392 38. Oligodendrocytes are found only around dendrites of neurons of the CNS. ANS: F DIF: Memorization TOP: Oligodendrocytes 39. Gray fibers have no association with Schwann cells. REF: p. 393 Anatomy and Physiology 10th Edition Patton Test Bank ANS: F DIF: Memorization TOP: Peripheral Glia REF: p. 394 40. Gray fibers probably do not have nodes of Ranvier. ANS: T DIF: Application REF: p. 394 TOP: Peripheral Glia 41. Cell body and perikaryon are interchangeable terms. ANS: T TOP: Neurons DIF: Memorization REF: p. 395 42. In neurons, microtubules are called neurofibrils. ANS: F TOP: Neurons DIF: Memorization REF: p. 396 43. Unipolar neurons have no axons. ANS: F DIF: Memorization TOP: Structural Classification REF: p. 397 44. Nerves are usually made up of a single large neuron. ANS: F DIF: Memorization TOP: Nerves and Tracts REF: p. 400 N R I G B.C M 45. Whether a group of nerve fiberU s isS callN ed aTnerve O or a tract depends on its location. ANS: T DIF: Memorization TOP: Nerves and Tracts REF: p. 400 46. Astrocytes attempt to assist the neurons of the CNS in healing and regrowth. ANS: F DIF: Memorization TOP: Repair of Nerve Fibers REF: p. 401 47. Like other cells of the nervous system, glia cells have lost their capacity for cell division. ANS: F TOP: Glia DIF: Memorization REF: p. 391 48. Astrocytes, the star-shaped glia cells, may be able to transmit information along “astrocyte pathways.” ANS: T TOP: Astrocytes DIF: Memorization REF: p. 391 49. The Greek word for tree correctly describes the shape of the axon. ANS: F TOP: Neurons DIF: Memorization REF: p. 396 Anatomy and Physiology 10th Edition Patton Test Bank 50. Microtubules and microfilaments provide a type of “railway” for the rapid transport of organelles to and from the ends of the neuron. ANS: T TOP: Neurons DIF: Memorization REF: p. 396 51. The words nerve and neuron mean the same thing. ANS: F DIF: Memorization TOP: Nerves and Tracts REF: p. 400 52. Damage to a single neuron can have a “domino” effect causing the shutdown of an entire nerve pathway. ANS: T DIF: Memorization TOP: Repair of Nerve Fibers REF: p. 402 53. The afferent pathways of the autonomic nervous system stimulate muscles and do not have a sensory component. ANS: F DIF: Memorization TOP: Somatic and Autonomic Nervous Systems REF: pp. 390-391 54. The nervous system and the endocrine system share a common function of communication. ANS: T TOP: Introduction DIF: Memorization REF: p. 389 NURSINGTB.COM 55. The function of the parasympathetic nervous system is commonly described as preparing the body for “fight or flight.” ANS: F DIF: Memorization TOP: Somatic and Autonomic Nervous Systems REF: p. 391 56. If a person were in a high-stress, emergency situation, the sympathetic division of the autonomic nervous system would be active. ANS: T DIF: Application REF: p. 391 TOP: Somatic and Autonomic Nervous Systems 57. If a skeletal muscle moved, it would be responding to the somatic nervous system. ANS: T DIF: Memorization TOP: Somatic and Autonomic Nervous Systems REF: p. 390 58. Microglia are associated with the formation of the blood-brain barrier. ANS: F TOP: Glia DIF: Memorization REF: p. 392 59. The blood-brain barrier is so effective that only water molecules are able to cross it. Anatomy and Physiology 10th Edition Patton Test Bank ANS: F DIF: Memorization TOP: Blood-Brain Barrier (Box 18-1) REF: p. 393, Box 18-1 60. Schwann cells and oligodendrocytes share a common function, but in different parts of the nervous system. ANS: T DIF: Application REF: p. 393 TOP: Glia 61. Satellite cells are oligodendrocytes that surround the cell bodies of neurons in the CNS. ANS: F DIF: Memorization TOP: Peripheral Glia REF: p. 394 62. Bipolar and multipolar are examples of the structural classification of neurons. ANS: T DIF: Memorization TOP: Structural Classification REF: p. 397 63. All reflex arcs contain an interneuron. ANS: F DIF: Application REF: p. 399 TOP: Reflex Arc 64. One distinction between ipsilateral and contralateral reflexes is that contralateral reflexes have interneurons and ipsilateral reflexes do not. ANS: F TOP: Reflex Arc DIF: Memorization REF: p. 399 NURSINGTB.COM 65. Only astrocytes, microglia, and oligodendrocytes are found in the CNS; Schwann cells and ependymal cells are found in the PNS. ANS: F TOP: Glia DIF: Memorization REF: pp. 391-393 66. The endoneurium is deep to the epineurium. ANS: T DIF: Application REF: p. 400 TOP: Nerves and Tracts 67. The epineurium is deep to the perineurium. ANS: F DIF: Application REF: p. 400 TOP: Nerves and Tracts 68. It is now known that fresh new neurons are often added to existing networks of neurons. ANS: T DIF: Memorization TOP: Repair of Nerve Fibers REF: p. 401 69. The axon hillock is actually part of the cell body of the neuron. ANS: T TOP: Neurons DIF: Memorization REF: p. 396 Anatomy and Physiology 10th Edition Patton Test Bank 70. The nervous system contains two types of cells, neurons and glia cells, but only neurons conduct nerve impulses. ANS: T TOP: Glia DIF: Memorization REF: p. 391 71. The word glia means “support,” which accurately describes their function in the nervous system. ANS: F DIF: Memorization TOP: Overview of Glia REF: p. 391 72. There are about 900 million glia cells in the nervous system. ANS: F DIF: Memorization TOP: Overview of Glia REF: p. 391 73. Ependymal cells act like epithelial cells in the CNS, forming thin sheets that line cavities. ANS: T TOP: Glia DIF: Memorization REF: p. 392 74. Only axons are covered in myelin. ANS: T TOP: Neurons DIF: Memorization REF: p. 396 N R I G B.C M 75. There are more glia cells in theUbraS in tN hanT there arO e neurons. ANS: T DIF: Memorization TOP: Overview of Glia REF: p. 391 76. Some astrocytes have cilia that help keep the fluid in the nervous system moving. ANS: F TOP: Astrocytes DIF: Memorization REF: p. 391 77. Dendrites carry impulses toward the cell body. ANS: T TOP: Neurons DIF: Memorization REF: p. 391 78. Dendrites have many synaptic knobs so they can receive impulses from several other neurons at the same time. ANS: F TOP: Neurons DIF: Memorization REF: p. 396 79. Interneurons are found only in the CNS. ANS: T DIF: Memorization REF: p. 398 Anatomy and Physiology 10th Edition Patton Test Bank TOP: Functional Classification MATCHING Match each of the following cell types with its corresponding description. a. Astrocyte b. Oligodendrocyte c. Microglia d. Schwann cell e. Ependymal cell 1. 2. 3. 4. 5. Has the capability of phagocytosis Microglia Helps form the blood-brain barrier Astrocytes Type of neuroglia that forms neurilemma Schwann cell Resembles epithelial cells and lines fluid-filled cavities in the brain and spinal cord Produces the myelin sheath around nerve fibers in the CNS Oligodendrocyte 1. ANS: C TOP: Glia 2. ANS: A TOP: Glia 3. ANS: D TOP: Glia 4. ANS: E TOP: Glia 5. ANS: B TOP: Glia DIF: Memorization REF: p. 392 DIF: Memorization REF: p. 391 DIF: Memorization REF: p. 393 DIF: Memorization REF: p. 392 DIF: Memorization REF: p. 393 NURSINGTB.COM Ependymal cell Match each part of the nervous system with its corresponding description. a. Afferent division b. Autonomic nervous system c. Central nervous system d. Efferent division e. Parasympathetic division f. PNS g. Somatic nervous system h. Sympathetic division Consists of the brain and spinal cord efferent division Consists of nerves that lie in the periphery of the nervous system afferent division PNS subdivision that transmits incoming information from the sensory organs to the CNSafferent divisi Produces the “fight-or-flight” response sympathetic division Subdivision that carries information from the CNS to skeletal muscle somatic NS Subdivision of the efferent division that transmits information to smooth muscle, cardiac Autonomic NS muscle, and glands 12. Consists of all the outgoing pathways Efferent division 13. Sometimes called the “rest-and-repair” division parasympathetic division 6. 7. 8. 9. 10. 11. 6. ANS: C DIF: Memorization TOP: Central and Peripheral Nervous Systems REF: p. 389 Anatomy and Physiology 10th Edition Patton Test Bank 7. ANS: F DIF: Memorization TOP: Central and Peripheral Nervous Systems 8. ANS: A DIF: Memorization TOP: Afferent and Efferent Divisions 9. ANS: H DIF: Memorization TOP: Somatic and Autonomic Nervous Systems DIF: Memorization 10. ANS: G TOP: Somatic and Autonomic Nervous Systems DIF: Memorization 11. ANS: B TOP: Somatic and Autonomic Nervous Systems DIF: Memorization 12. ANS: D TOP: Afferent and Efferent Divisions DIF: Memorization 13. ANS: E TOP: Somatic and Autonomic Nervous Systems REF: p. 390 REF: p. 390 REF: p. 391 REF: p. 391 REF: p. 391 REF: p. 390 REF: p. 391 Match each term with its definition or description. a. Cell body b. Axon c. Nodes of Ranvier d. Dendrite e. Myelin f. Neurofibrils Nerve fiber that is highly branched; the name comes from the Greek word for tree Dendrite Fatty sheath around nerve fibers made by Schwann cells Myelin Distal tips of these nerve fibers end in branches called telodendria Axon Microscopic gaps in the myelin sheath NURSINGTB.COM Nodes of ranvier 18. Contains the nucleus and various organelles for the neuron Cell body 19. Bundles of intermediate filaments in the neuron Neurofibrils 14. 15. 16. 17. 14. ANS: D TOP: Neurons 15. ANS: E TOP: Glia 16. ANS: B TOP: Neurons 17. ANS: C TOP: Glia 18. ANS: A TOP: Neurons 19. ANS: F TOP: Neurons DIF: Memorization REF: p. 396 DIF: Memorization REF: p. 394 DIF: Memorization REF: p. 396 DIF: Memorization REF: p. 394 DIF: Memorization REF: p. 395 DIF: Memorization REF: p. 397 OTHER 1. What two systems perform the vital functions of communication and integration of body processes? ANS: Answers will vary. The two systems that perform the vital functions of communication and integration of body processes are the nervous system and the endocrine system NURSINGTB.COM Anatomy and Physiology 10th Edition Patton Test Bank DIF: Memorization REF: p. 389 TOP: Introduction 2. What comprises the CNS? ANS: The central nervous system (CNS) is comprised of the brain and the spinal cord. Answers will vary. DIF: Memorization REF: p. 389 TOP: Central and Peripheral Nervous Systems 3. What is the major function of neurons? ANS: The major function of neurons is to transmit and process information through electrical and chemical signals within the nervous system. Answers will vary. DIF: Memorization REF: p. 395 TOP: Glia 4. What type of neuron is always a sensory receptor? The type of neuron that is always a sensory receptor is a sensory (afferent) neuron. Answers will vary. These neurons detect stimuli and transmit signals from sensory receptors to the central nervous system. ANS: DIF: Memorization REF: p. 399 TOP: Neurons 5. Name two types of tissue that are effectors. Muscle tissue – responsible for movement (e.g., skeletal, cardiac, and smooth muscle) N R I G B.C M ANS: U S– responsible N T forOsecretion (e.g., sweat glands, salivary glands) Answers will vary. Glandular tissue DIF: Memorization REF: p. 399 TOP: Reflex Arc 6. What is the difference between nuclei and ganglia? ANS: Nuclei are neuron cell clusters in the CNS, while ganglia are in the PNS. Answers will vary. DIF: Memorization REF: p. 401 TOP: Nerves and Tracts 7. Describe the somatic and autonomic nervous systems. ANS: The somatic system controls voluntary movements, while the autonomic system controls involuntary body function Answers will vary. DIF: Memorization REF: pp. 390-391 TOP: Somatic and Autonomic Nervous Systems 8. Name and briefly describe the types of glia cells found in the nervous system. Glial cells support and protect neurons. Key types include: ANS: Astrocytes – support and nourish neurons Answers will vary. Microglia – immune defense Oligodendrocytes – myelin in CNS Schwann cells – myelin in PNS NURSINGTB.COM Ependymal cells – make cerebrospinal fluid Anatomy and Physiology 10th Edition Patton Test Bank DIF: Memorization REF: pp. 391-394 The three parts of a neuron are: TOP: Glia 9. Name and describe the three parts of the neuron. Cell body (soma) – Contains the nucleus and organelles; processes information. ANS: Dendrites – Branch-like extensions that receive signals from other neurons. Answers will vary. Axon – Long fiber that sends signals away from the cell body to other neurons or REF: pp. 395-396 TOP: Neurons effectors. DIF: Memorization 10. Name the two ways in which neurons are classified. Name and describe the types of neurons in each classification. Structure: Unipolar – one process, sensory & Bipolar – one axon, one dendrite, special senses Multipolar – one axon, many dendrites, common in CNS ANS: Function: Sensory – carry info to CNS & Motor – carry commands from CNS Answers will vary. DIF: Application REF: pp. 397-398 TOP: Classification of Neurons 11. Explain the types of reflex arc. Differentiate between a contralateral reflex arc and an ipsilateral reflex arc. ANS: Answers will vary. DIF: Application REF: p. 399 TOP: Reflex Arc 12. Explain how a neuron can repair itself. What increases the likelihood of repair; what decreases the likelihood of repair? If repair is not possible, what other options are possible to innervate the effector organ? NURSINGTB.COM ANS: Answers will vary. DIF: Application REF: pp. 401-402 TOP: Repair of Nerve Fibers ESSAY 1. Sue was in a severe car accident. She had injuries to her arm and lower spinal column. Her physician told her that she most likely would regain the use of her arm but her legs would be paralyzed. Why did he say that? Explain the differences in the neuron structures. ANS: Answers will vary. DIF: Synthesis REF: pp. 401-402 TOP: Repair of Nerve Fibers The physician said this because nerves in the arm (part of the peripheral nervous system) can often regenerate, while neurons in the spinal cord (central nervous system) generally cannot. Peripheral nerves, like those in the arm, are supported by Schwann cells, which help repair damaged axons. In contrast, the spinal cord contains oligodendrocytes, which do not support regeneration well. That’s why arm function may return, but spinal cord damage often causes permanent paralysis in the legs. NURSINGTB.COM Anatomy and Physiology 10th Edition Patton Test Bank Chapter 19: Nerve Signaling Patton: Anatomy and Physiology, 10th Edition MULTIPLE CHOICE 1. Which is true of a neuron with a resting potential? a. The cell membrane is permeable to Na+ but impermeable to K+ ions. b. The outer surface of the plasma membrane has a negative charge. c. The highest concentration of K+ is extracellular. d. The sodium pump has moved Na+ to the outside of the plasma membrane. ANS: D DIF: Application TOP: Resting Membrane Potentials REF: pp. 409-410 2. The first event to occur when an adequate stimulus is applied to a neuron is: a. the membrane potential moves immediately to a value of +30 mV. b. the potassium channels open. c. the sodium channels are inactivated. d. some of the sodium channels at the point of stimulation open. ANS: D DIF: Memorization TOP: Action Potential REF: p. 411 3. Which is true of an action potential? a. The plasma membrane is impermeable to Na+ and K+ ions. b. Na+ ions move extracellularly. c. The charges become equaNl U onRthe e. anC dO inM side of the plasma membrane. SIou NGtsid TB d. The outside of the plasma membrane is negatively charged, and the inside is positively charged. ANS: D DIF: Synthesis REF: p. 414 TOP: Action Potential 4. The only ion(s) that can diffuse across a neuron’s membrane when the neuron is at rest is (are): a. sodium. b. potassium. c. proteins. d. phosphate. ANS: B DIF: Memorization TOP: Resting Membrane Potentials REF: p. 410 5. A slight shift away from the resting membrane potentials in a specific region of the plasma membrane is called a potential. a. membrane b. resting membrane c. local d. None of the above is correct. ANS: C DIF: Memorization TOP: Local Potentials NURSINGTB.COM REF: p. 410 Anatomy and Physiology 10th Edition Patton Test Bank 6. During a relative refractory period: a. the action potential cannot be initiated. b. a resting potential exists. c. the cell membrane is impermeable to Na+ and K+. d. the action potential can be initiated with a strong stimulus. ANS: D DIF: Memorization TOP: Refractory Period REF: p. 413 7. Within the nervous system, coding for the strength of a stimulus is accomplished through: a. changes in the magnitude of the action potential. b. changes in the length or duration of the action potential. c. the frequency of nerve impulses. d. an increase in the number of opening sodium channels. ANS: C DIF: Memorization TOP: Refractory Period REF: p. 413 8. The fastest nerve fibers in the body can conduct impulses up to approximately per second. a. 60 b. 85 c. 130 d. 190 ANS: C DIF: Memorization TOP: Conduction of the Action Potential B.C M NURSINGT O REF: p. 414 9. A synapse consists of: a. a synaptic knob. b. a synaptic cleft. c. the plasma membrane of a postsynaptic neuron. d. all of the above. ANS: D DIF: Memorization TOP: Chemical Synapses REF: p. 415 10. A synaptic knob would be located on a(n): a. cell body. b. axon. c. dendrite. d. cell body, axon, or dendrite. ANS: B DIF: Memorization TOP: Chemical Synapses 11. When an impulse reaches a synapse: a. two nerve fibers come in direct contact. b. impulses will pass in either direction. c. an electrical spark will jump the gap. d. chemical transmitters are released. NURSINGTB.COM REF: p. 415 meters Anatomy and Physiology 10th Edition Patton Test Bank ANS: D DIF: Memorization TOP: Mechanisms of Synaptic Transmission REF: p. 417 12. Excitatory neurotransmitters are most likely to: a. increase the speed of impulse conduction. b. make the cell membrane impermeable. c. initiate an action potential. d. make the resting potential more negative. ANS: C DIF: Application REF: p. 418 TOP: Mechanisms of Synaptic Transmission 13. When current leaps across an insulating myelin sheath from node to node, the type of impulse conduction is called: a. repolarization. b. refraction. c. saltatory conduction. d. diffusion. ANS: C DIF: Memorization TOP: Conduction of the Action Potential REF: p. 414 14. For a neurotransmitter to produce an inhibitory postsynaptic potential, which of the following channels must open? a. Sodium and potassium channels b. Potassium and/or chloride channels c. Sodium and chloride channels d. Only the sodium channelN s R I G U S N TB.COM ANS: B DIF: Memorization TOP: Mechanisms of Synaptic Transmission REF: p. 417 15. Which of the following is true of spatial summation? a. Simultaneous stimulation of more than one postsynaptic neuron occurs. b. Impulses are fired in a rapid succession by the same neuron. c. Neurotransmitters released simultaneously from several presynaptic knobs converge on one postsynaptic neuron. d. Speed of impulse transmission is increased when several neurotransmitters are released. ANS: C TOP: Summation DIF: Memorization REF: p. 418 16. Which of the following is not one of the main chemical classes of neurotransmitters? a. Triglycerides b. Amines c. Amino acids d. Neuropeptides ANS: A DIF: Memorization TOP: Classification of Neurotransmitters 17. Serotonin is an example of a(n): NURSINGTB.COM REF: p. 421 Anatomy and Physiology 10th Edition Patton Test Bank a. b. c. d. amino acid neurotransmitter. amine neurotransmitter. acetylcholine derivative. neuropeptide neurotransmitter. ANS: B DIF: Memorization TOP: Classification of Neurotransmitters REF: p. 419 18. The neurotransmitter(s) that inhibit(s) the conduction of pain impulses is(are): a. acetylcholine. b. enkephalins. c. dopamine. d. norepinephrine. ANS: B DIF: Memorization TOP: Classification of Neurotransmitters REF: p. 424 19. Neurotransmitters are released in a synapse and bind to: a. presynaptic terminals. b. the synaptic cleft. c. the base of the axon. d. receptors on the postsynaptic neuron. ANS: D DIF: Memorization TOP: Mechanisms of Synaptic Transmission REF: p. 417 20. Which of the following statements about amino acid neurotransmitters is incorrect? a. They are among the most common neurotransmitters in the central nervous system NURSINGTB.COM (CNS). b. They are all inhibitory neurotransmitters. c. Glycine is a widely distributed inhibitory neurotransmitter in the spinal cord. d. All of the above statements are correct. ANS: B DIF: Application REF: p. 423 TOP: Amino Acids 21. Severe depression can be caused by a deficit in certain brain synapses of: a. acetylcholine. b. amines. c. amino acids. d. neuropeptides. ANS: D DIF: Application TOP: Antidepressants (Box 19-2) REF: p. 421, Box 19-2 22. Which of the following is not used by the body as a neurotransmitter? a. Nitric oxide b. Peroxide c. Carbon monoxide d. All of the above are used by the body as neurotransmitters. ANS: B DIF: Memorization TOP: Other Small-Molecule Transmitters NURSINGTB.COM REF: p. 424 Anatomy and Physiology 10th Edition Patton Test Bank 23. Which of the following antidepressants acts by blocking the action of monoamine oxidase (MAO)? a. Phenelzine b. Imipramine c. Amitriptyline d. Cocaine ANS: A DIF: Memorization TOP: Antidepressants (Box 19-2) 24. Compared with the outside of the neuron, the inside has a(n) a. positive b. negative c. equal d. None of the above are correct. ANS: B DIF: Memorization TOP: Membrane Potentials REF: p. 421, Box 19-2 charge. REF: p. 409 25. Acetylcholine is in the same class of neurotransmitters as: a. serotonin. b. histamine. c. dopamine. d. none of the above. ANS: D DIF: Memorization TOP: Acetylcholine REF: p. 421 26. Dopamine, epinephrine, and N noUreRpS inI epNhG rinTeBa. reCcO laM ssified as: a. acetylcholine. b. neuropeptides. c. catecholamines. d. none of the above. ANS: C TOP: Amines DIF: Memorization REF: pp. 421-422 27. Stimulus-gated channels open in response to: a. sensory stimuli. b. the influx of potassium. c. hyperpolarization. d. both A and B. ANS: A DIF: Memorization TOP: Local Potentials REF: p. 410 28. The fastest nerve fibers in the body can conduct an impulse that is how much faster than the slowest fibers in the body? a. Almost 50 times faster b. Almost 100 times faster c. Almost 300 times faster d. Almost 500 times faster NURSINGTB.COM Anatomy and Physiology 10th Edition Patton Test Bank ANS: C DIF: Memorization TOP: Conduction of the Action Potential REF: p. 414 29. Which neuron could transmit a nerve impulse the fastest? a. A small-diameter neuron without myelin b. A large-diameter neuron without myelin c. A large-diameter neuron with myelin d. A small-diameter neuron with myelin ANS: C DIF: Application TOP: Conduction of the Action Potential REF: p. 414 30. No impulse can be sent through a neuron: a. during the relative refractory period. b. when the charge of the neuron is –70. c. during the absolute refractory period. d. when the stimulus is too strong. ANS: C DIF: Memorization TOP: Refractory Period REF: p. 413 31. A synapse can occur only between an axon and: a. a dendrite. b. a cell body. c. another axon. d. any of the above. ANS: D DIF: Memorization TOP: Chemical Synapses NURSINGTB.COM REF: p. 415 32. The difference between sodium and potassium in the generation of action potential is that: a. sodium causes repolarization of the cell membrane, and potassium causes depolarization of the cell membrane. b. sodium causes unipolarization of the cell membrane, and potassium causes repolarization of the cell membrane. c. sodium causes repolarization, and potassium is not required in the action potential mechanism. d. sodium causes depolarization of the cell membrane, and potassium causes repolarization of the cell membrane. ANS: D DIF: Application REF: p. 411 TOP: Action Potential 33. A neurologist is using a voltmeter to measure potential. The membrane potential of a neuron was recorded at +30 mV. This is what type of membrane potential? a. Action b. Conduction c. Polarized d. Resting ANS: A DIF: Application TOP: Types of Membrane Potentials REF: p. 411 34. Which membrane receptor acts to directly change ion permeability when stimulated? NURSINGTB.COM Anatomy and Physiology 10th Edition Patton Test Bank a. b. c. d. Metabotropic receptor G-protein-coupled receptors Gated-channel receptor Ionotropic receptor ANS: C DIF: Memorization TOP: Functional Classification of Neurotransmitters REF: p. 420 TRUE/FALSE 1. Neurons are the only living cells that maintain a difference in the concentration of ions across their membranes. ANS: F DIF: Application REF: p. 409 TOP: Membrane Potentials 2. When a neuron is resting, the inner surface of its plasma membrane is slightly positive compared with its outer surface. ANS: F DIF: Memorization TOP: Resting Membrane Potentials REF: pp. 409-410 3. The sodium-potassium pump actively pumps three potassium ions out of the neuron and two sodium ions into the neuron. ANS: F DIF: Memorization TOP: Resting Membrane Potentials REF: pp. 409-410 NrU 4. If the threshold potential is su paR ssS edI, N thG eT fuB ll.pC eaO kM of the action potential is always reached. ANS: T DIF: Application REF: p. 412 TOP: Action Potentials 5. The magnitude of the action potential peaks when the sodium channels close. ANS: T DIF: Application REF: p. 412 TOP: Action Potentials 6. The difference in electrical charge between the inside and outside of a membrane is called the membrane potential. ANS: T DIF: Memorization TOP: Membrane Potentials REF: p. 409 7. In depolarization the membrane potential moves toward zero, whereas in hyperpolarization the membrane potential moves away from zero. ANS: T DIF: Memorization TOP: Local Potentials REF: pp. 410-411 8. Whether an impulse is continued through the neuron depends on the magnitude of the voltage in the axon hillock. ANS: T DIF: Memorization TOP: Action Potentials NURSINGTB.COM REF: p. 418 Anatomy and Physiology 10th Edition Patton Test Bank 9. In a myelinated fiber, the action potential jumps from one node of Ranvier to the next. ANS: T DIF: Memorization TOP: Conduction of the Action Potential REF: p. 414 10. The speed of a nerve impulse depends on the neuron’s resting potential. ANS: F DIF: Memorization TOP: Conduction of the Action Potential REF: p. 414 11. In a myelinated neuron, the impulse can travel under the myelin between nodes of Ranvier. ANS: T DIF: Memorization TOP: Conduction of the Action Potential REF: p. 414 12. The action potential is called an all-or-none response, because if the threshold potential is surpassed, the full peak of the action is always reached; if the threshold potential is not surpassed, no action potential will occur. ANS: T DIF: Application REF: p. 414 TOP: Action Potentials 13. Myelinated fibers conduct impulses faster than unmyelinated fibers. ANS: T DIF: Memorization TOP: Conduction of the Action Potential REF: p. 414 14. Many anesthetics produce thN eir eR ffecIts bG y inB hib itingMthe opening of the potassium channels, .C U S impulses. N T blocking the repolarization of nerve O ANS: F DIF: Memorization TOP: Anesthetics (Box 19-2) REF: p. 414, Box 19-1 15. The sensory fibers from the skin generally conduct impulses up to about 130 meters per second. ANS: F DIF: Memorization TOP: Conduction of the Action Potential REF: p. 414 16. The receptors embedded in the plasma membrane of a postsynaptic neuron are protein molecules. ANS: T DIF: Memorization TOP: Chemical Synapse REF: p. 416 17. An inhibitory postsynaptic potential is produced through the hyperpolarization of the postsynaptic membrane. ANS: T DIF: Application REF: pp. 416-417 TOP: Mechanisms of Synaptic Transmission NURSINGTB.COM Anatomy and Physiology 10th Edition Patton Test Bank 18. Spatial summation is the effect produced by a rapid succession of stimuli on a single postsynaptic neuron. ANS: F TOP: Summation DIF: Memorization REF: p. 418 19. Excitatory neurotransmitters are most likely to initiate an action potential. ANS: T DIF: Application REF: p. 417 TOP: Mechanisms of Synaptic Transmission 20. A neurotransmitter can be excitatory or inhibitory, not both. ANS: F DIF: Application REF: p. 417 TOP: Functional Classification of Neurotransmitters 21. A neurotransmitter can be either excitatory or inhibitory depending on the postsynaptic receptor. ANS: T DIF: Application REF: p. 417 TOP: Functional Classification of Neurotransmitters 22. The neurotransmitter acetylcholine always has an excitatory effect. ANS: F DIF: Memorization TOP: Acetylcholine REF: p. 421 23. When epinephrine and norepN inepRhrinIe aG re reBle.aC sed M into the bloodstream, they are called U S N hormones instead of neurotransmitters. ANS: T TOP: Amines T O DIF: Memorization REF: pp. 421-422 24. Enkephalins and endorphins are subclasses of amines that are pain relievers. ANS: F DIF: Application REF: p. 424 TOP: Neuropeptides 25. When a neuropeptide is secreted with one or two other neurotransmitters, it is thought to serve as a neuromodulator, regulating the effects of the other neurotransmitters. ANS: T DIF: Memorization TOP: Neuropeptides REF: p. 424 26. A membrane that exhibits a membrane potential is said to be depolarized. ANS: F DIF: Memorization TOP: Membrane Potentials REF: p. 409 27. Action potential and membrane potential are synonymous terms. ANS: F DIF: Memorization TOP: Action Potential NURSINGTB.COM REF: p. 411 Anatomy and Physiology 10th Edition Patton Test Bank 28. During the nerve impulse, the internal charge of the neuron becomes briefly positive. ANS: T DIF: Memorization TOP: Action Potential REF: p. 413 29. Action potentials travel in only one direction along a nerve fiber. ANS: T DIF: Memorization TOP: Conduction of the Action Potential REF: p. 414 30. Many biologists believe that amino acids are among the most common neurotransmitters in the CNS. ANS: T DIF: Memorization TOP: Amino Acids REF: p. 422 31. Cocaine produces a temporary feeling of well-being by blocking the release of dopamine. ANS: F DIF: Memorization TOP: Antidepressants (Box 19-2) REF: p. 421. Box 19-2 32. Glutamate is the most common excitatory neurotransmitter in the CNS. ANS: T DIF: Memorization TOP: Amino Acids REF: p. 423, Table 19-4 33. If a membrane exhibits a mem ane I poteGntiaBl,.itCis sMaid to be polarized. NbrR U S N T O ANS: T DIF: Memorization TOP: Membrane Potentials REF: p. 409 34. When a neuron is resting, its membrane potential is zero. ANS: F DIF: Memorization TOP: Resting Membrane Potentials REF: p. 409 35. The resting potential of a neuron is maintained by having mostly negative ions on the inside and mostly positive ions on the outside. ANS: F DIF: Memorization TOP: Resting Membrane Potentials REF: pp. 409-410 36. Action potential and nerve impulse are interchangeable terms. ANS: T DIF: Memorization TOP: Action Potential REF: p. 411 37. The opening of stimulus-gated channels is always followed by the opening of voltage-gated channels. ANS: F DIF: Application REF: pp. 411-412 NURSINGTB.COM TOP: Action Potential Anatomy and Physiology 10th Edition Patton Test Bank 38. Myelinated axons without gaps in the myelin (nodes of Ranvier) conduct impulses more efficiently than axons with nodes of Ranvier. ANS: F DIF: Memorization TOP: Conduction of the Action Potential REF: p. 414 39. In a synapse, both the presynaptic cell and postsynaptic cell must be neurons. ANS: F DIF: Application REF: p. 415 TOP: Structure of the Synapse 40. An electrical synapse occurs when a strong action potential is able to arc across a small synaptic cleft. ANS: F DIF: Memorization TOP: Types of Synapses REF: p. 415 41. In the mature nervous system, electrical synapses can occur only where there are gap junctions. ANS: T DIF: Memorization TOP: Types of Synapses REF: p. 415 42. All neurotransmitters are organic molecules. ANS: F DIF: Application REF: p. 424 TOP: Other Small-Molecule Transmitters 43.43. NURSINGTB.COM + The neuron is able to maintain an internal negative charge by pumping out sodium (Na ) and pumping in chloride (Cl–). ANS: F DIF: Memorization TOP: Resting Membrane Potentials REF: pp. 409-410 44. There is a time when a neuron will not send a nerve impulse no matter how strong the stimulus is. ANS: T DIF: Memorization TOP: Refractory Period REF: p. 413 45. Electrical synapses can be found in muscle tissue. ANS: T DIF: Memorization TOP: Types of Synapses REF: p. 415 46. Chemical synapses involve neurotransmitters. ANS: T DIF: Memorization TOP: Types of Synapses REF: p. 415 47. Some neurotransmitters use cyclic adenosine monophosphate as a second messenger to cause a response in the postsynaptic cell. NURSINGTB.COM Anatomy and Physiology 10th Edition Patton Test Bank ANS: T DIF: Memorization TOP: Neurotransmitters REF: p. 420 48. Carbon monoxide is the only neurotransmitter that is a gas rather than a liquid. ANS: F DIF: Memorization TOP: Neurotransmitters REF: p. 424 49. Local potentials can also be called graded potentials. ANS: T DIF: Memorization TOP: Local Potentials REF: p. 411 50. Local potentials usually occur in the dendrite or soma of the neuron. ANS: T DIF: Memorization TOP: Local Potentials REF: p. 410 51. Action potentials usually occur in the axon of the cell. ANS: T DIF: Memorization TOP: Conduction of the Action Potential REF: p. 414 52. No impulse can be sent if a nerve cell is in the absolute refractory period. ANS: T DIF: Memorization TOP: Refractory Period REF: p. 413 NURSINGTB.COM 53. Absolute refractory periods occur in the axon of the cell; relative refractory periods occur in the dendrite or soma of the cell. ANS: F DIF: Application REF: p. 413 TOP: Refractory Period 54. The cell will send an impulse during the relative refractory period as long as the stimulus is below threshold. ANS: F DIF: Memorization TOP: Refractory Period REF: p. 413 55. How long a memory lasts is related to what occurs at a synapse. ANS: T DIF: Memorization TOP: Synapses and Memory REF: p. 419 56. Many anesthetics produce their effects by inhibiting the opening of sodium channels. ANS: T DIF: Memorization TOP: Anesthetics (Box 19-1) REF: p. 414, Box 19-1 57. Within the plasma membrane, ion channels called leak channels are always open. NURSINGTB.COM Anatomy and Physiology 10th Edition Patton Test Bank ANS: T DIF: Memorization TOP: Resting Membrane Potentials REF: p. 410 58. A resting neuron has a positive internal charge. ANS: F DIF: Memorization TOP: Resting Membrane Potentials REF: pp. 409-410 59. The depolarization of a neuron is caused by the influx of the positively charged sodium ion into the cell. ANS: T DIF: Memorization TOP: Resting Membrane Potentials REF: pp. 409-410 60. The relative refractory period can determine the strength of a stimulus even if the axon functions on the “all-or-none” law. ANS: T DIF: Memorization TOP: Refractory Period REF: p. 413 61. Synapses between axons are the most common synapses in the nervous system. ANS: F DIF: Memorization TOP: Chemical Synapses REF: p. 416 62. Three structures make up a synapse: a synaptic knob, a synaptic cleft, and the plasma membrane of the postsynaptic neuron. N R I G TB.COM U S N ANS: T DIF: Memorization TOP: Chemical Synapses REF: p. 415 63. The influx of sodium ions causes the release of neurotransmitters from the synaptic knob. ANS: F DIF: Memorization TOP: Mechanisms of Synaptic Transmission REF: pp. 416-417 64. Some neurotransmitters can be transported back to the synaptic knob and be reused by the neuron. ANS: T DIF: Memorization TOP: Mechanisms of Synaptic Transmission REF: pp. 416-417 65. Serotonin and histamine are both in the monoamine subclass of neurotransmitters. ANS: T TOP: Amines DIF: Memorization REF: p. 421 66. The lack of dopamine is linked to the symptoms of Parkinson’s disease. ANS: T TOP: Amines DIF: Memorization NURSINGTB.COM REF: p. 421 Anatomy and Physiology 10th Edition Patton Test Bank MATCHING Match each term with its definition or description. a. Presynaptic cell b. Neurotransmitter c. Postsynaptic cell d. Synaptic knob e. Electrical synapse f. Chemical synapse g. Synaptic cleft 1. 2. 3. 4. 5. 6. 7. Type of synapse that occurs when two cells are joined by a gap junction Space between the presynaptic and postsynaptic cells Tiny bulge at the end of the presynaptic cell Cell that releases the neurotransmitter Chemical that carries a nerve impulse across a synaptic cleft Type of cell that could be a neuron or a muscle cell Type of synapse in which the signal from the presynaptic to postsynaptic cell is carried by a neurotransmitter 1. ANS: E DIF: TOP: Types of Synapses 2. ANS: G DIF: TOP: Chemical Synapse 3. ANS: D DIF: TOP: Chemical Synapse 4. ANS: A DIF: TOP: Types of Synapses 5. ANS: B DIF: TOP: Chemical Synapse 6. ANS: C DIF: TOP: Types of Synapses 7. ANS: F DIF: TOP: Types of Synapses Memorization REF: p. 415 Memorization REF: p. 415 Memorization REF: p. 415 MN emo tion URriza SI NGTB.COM REF: p. 415 Memorization REF: p. 415 Memorization REF: p. 415 Memorization REF: pp. 415-416 OTHER 1. Describe resting potential, including the position of potassium and sodium ions. ANS: Answers will vary. DIF: Synthesis REF: pp. 409-410 TOP: Resting Membrane Potentials 2. Describe the process of impulse conduction across a synapse. ANS: Answers will vary. DIF: Synthesis REF: p. 414 TOP: Mechanisms of Synaptic Transmission NURSINGTB.COM Anatomy and Physiology 10th Edition Patton Test Bank 3. Choose either IPSP or EPSP, and explain on a physiological basis how it will affect a postsynaptic neuron. ANS: Answers will vary. DIF: Synthesis REF: p. 417 TOP: Mechanisms of Synaptic Transmission 4. Define IPSP and EPSP. ANS: Answers will vary. DIF: Synthesis REF: p. 417 TOP: Mechanisms of Synaptic Transmission 5. Explain the ways in which the activity of the neurotransmitter is stopped at the postsynaptic receptor. ANS: Answers will vary. DIF: Application REF: pp. 416-418 TOP: Mechanisms of Synaptic Transmission 6. Explain both temporal and spatial summation. ANS: Answers will vary. NURSINGTB.COM DIF: Memorization REF: p. 418 TOP: Summation 7. Name and briefly describe the different types of neurotransmitters used by the nervous system. ANS: Answers will vary. DIF: Memorization REF: pp. 419-424 TOP: Neurotransmitters 8. Other than their color, describe the differences between white matter and gray matter. Which is able to conduct impulses more rapidly? ANS: Answers will vary. DIF: Application REF: p. 414 TOP: Conduction of the Action Potential 9. Explain the process of an action potential moving down a neuron. ANS: Answers will vary. NURSINGTB.COM Anatomy and Physiology 10th Edition Patton Test Bank DIF: Memorization REF: pp. 411-413 TOP: Action Potential 10. Explain the two types of refractory periods. Explain how the relative refractory period can help determine the strength of the stimulus. ANS: Answers will vary. DIF: Application REF: pp. 413-414 TOP: Refractory Period 11. Explain what characteristics of the neuron affect the speed at which action potentials are conducted. What is the range of speed at which an impulse can be conducted? ANS: Answers will vary. DIF: Memorization TOP: Conduction of the Action Potential REF: p. 414 12. Explain the neuron doctrine and the reticular theory of the nervous system. Which is currently held to be the most correct? ANS: Answers will vary. DIF: Application ESSAY REF: pp. 424-425 TOP: Role of Nervous System Cells NURSINGTB.COM 1. Explain a way that the nerve cell is able to respond to stimuli of different strengths. ANS: Answers will vary. DIF: Synthesis REF: pp. 413-414 TOP: Refractory Period NURSINGTB.COM Anatomy and Physiology 10th Edition Patton Test Bank Chapter 20: Central Nervous System Patton: Anatomy and Physiology, 10th Edition MULTIPLE CHOICE 1. The layer of the meninges that serves as the inner periosteum of the cranial bone is the: a. pia mater. b. arachnoid membrane. c. dura mater. d. None of the above is correct. ANS: C DIF: Memorization TOP: Coverings of the Brain and Spinal Cord REF: p. 433 2. The innermost layer of the meninges is the: a. pia mater. b. arachnoid membrane. c. dura mater. d. None of the above is correct. ANS: A DIF: Memorization TOP: Coverings of the Brain and Spinal Cord REF: p. 433 3. The main divisions of the central nervous system are the: a. brain, spinal cord, and autonomic nerves. b. brain, spinal cord, and peripheral nerves. c. brain and spinal cord. NURSINGTB.COM d. sensory division and motor division. ANS: C TOP: Introduction DIF: Memorization REF: p. 432 4. Meningitis refers to inflammation of the: a. brain. b. meninges. c. spinal cord. d. cerebrospinal fluid. ANS: B TOP: Meningitis DIF: Memorization REF: p. 435 5. Cerebrospinal fluid is found in all of the following except the: a. subarachnoid space. b. central canal. c. third ventricle. d. subdural space. ANS: D DIF: Application 6. There are a. two ventricles in the brain. REF: p. 435 NURSINGTB.COM TOP: Fluid Spaces Anatomy and Physiology 10th Edition Patton Test Bank b. three c. four d. five ANS: C TOP: Fluid Spaces DIF: Memorization REF: p. 435 7. Cerebrospinal fluid is formed by filtration of blood in the: a. central canal. b. choroid plexuses. c. subarachnoid space. d. arachnoid villi. ANS: B DIF: Memorization TOP: Formation and Circulation of Cerebrospinal Fluid REF: p. 435 8. Cerebrospinal fluid circulates through the ventricles, into the central canal and , and is absorbed back into the blood. a. subarachnoid space b. choroid plexuses c. spinal cord d. intraventricular foramen ANS: A DIF: Memorization TOP: Formation and Circulation of Cerebrospinal Fluid REF: p. 437 9. If the ventral nerve root of a spinal nerve were destroyed, a person would lose related to that pathway. NURSINGTB.COM a. sensory perception b. willed movement c. only reflex activity d. both reflex activity and sensation ANS: B DIF: Application REF: p. 438 TOP: Structure of the Spinal Cord 10. If the dorsal root ganglia of the spinal nerve were destroyed, a person would lose related to that pathway. a. sensory perception b. willed movement c. only reflex activity d. both reflex activity and sensation ANS: A DIF: Application REF: p. 438 TOP: Structure of the Spinal Cord 11. Which of the following is not true of the lateral corticospinal tract fibers? a. Most decussate. b. Most inhibit the lower motor neuron. c. They are referred to as pyramidal pathways. d. They originate in the cerebral cortex. ANS: B DIF: Synthesis REF: p. 461 TOP: Somatic Motor Pathways in the Central Nervous System NURSINGTB.COM Anatomy and Physiology 10th Edition Patton Test Bank 12. Impulses sent over which of the following tracts could result in voluntary movement, especially of the hands, fingers, feet, and toes of the opposite side? a. Medial reticulospinal b. Lateral reticulospinal c. Ventral corticospinal d. Lateral corticospinal ANS: D DIF: Memorization TOP: Functions of the Spinal Cord REF: p. 439 13. The spinal tract that is located in the side of the cord, originates in the brain, and terminates in the spinal cord is the a. lateral corticospinal b. ventral spinothalamic c. dorsal corticospinal d. lateral spinothalamic tract. ANS: A DIF: Memorization TOP: Structure of the Spinal Cord REF: pp. 438-439 14. Nerve fibers of the spinothalamic tract are: a. sensory. b. motor. c. descending. d. none of the above. ANS: A DIF: Memorization TOP: Functions of the Spinal Cord I G B.C M N R U S N T O REF: p. 439 15. Which of the following is not true? a. The spinal cord does not completely fill the spinal cavity. b. The spinal cord extends from the foramen magnum to the first lumbar vertebra. c. One bundle of nerve fibers (nerve roots) projects from each side of the spinal cord. d. The spinal cord has anterior and posterior grooves that almost divide the cord into symmetrical halves. ANS: C DIF: Memorization TOP: Structure of the Spinal Cord 16. The brain has a. three b. five c. six d. eight major divisions. ANS: C TOP: Brain DIF: Memorization 17. The brainstem does not include the: a. pons. b. medulla. c. midbrain. NURSINGTB.COM REF: p. 438 REF: p. 441 Anatomy and Physiology 10th Edition Patton Test Bank d. cerebellum. ANS: D DIF: Memorization TOP: Structure of the Brainstem REF: p. 442 18. The pyramids are formed in the: a. pons. b. medulla. c. midbrain. d. cerebellum. ANS: B DIF: Memorization TOP: Medulla Oblongata REF: p. 442 19. Several “vital centers” are located in the: a. basal ganglia. b. cerebrum. c. cerebellum. d. medulla. ANS: D DIF: Memorization TOP: Vital Centers (Box 20-3) REF: p. 444 20. The vomiting reflex is mediated by the: a. cerebrum. b. medulla. c. thalamus. d. cerebellum. NURSINGTB.COM ANS: B DIF: Memorization TOP: Functions of the Brainstem 21. The cerebellum acts with the a. hypothalamus b. thalamus c. pons d. cerebrum REF: p. 444 to produce skilled movement. ANS: D DIF: Memorization TOP: Functions of the Cerebellum REF: p. 445 22. The part of the brain that assists in the maintenance of balance is the: a. medulla. b. pons. c. cerebellum. d. hypothalamus. ANS: C 23. Impulses from the a. pons b. thalamus c. cerebellum DIF: Application REF: p. 445 TOP: Functions of the Cerebellum play a part in arousing or alerting the cerebrum. NURSINGTB.COM Anatomy and Physiology 10th Edition Patton Test Bank d. hypothalamus ANS: B DIF: Application REF: p. 448 TOP: Thalamus 24. The part of the brain that can directly influence or inhibit the release of hormones from the pituitary is the: a. hypothalamus. b. thalamus. c. medulla. d. midbrain. ANS: A DIF: Memorization TOP: Hypothalamus REF: p. 448 25. Which of the following is not a function of the hypothalamus? a. Production of hormones b. “Go between” of the psyche and the soma c. Appetite center d. Regulation of motor activity ANS: D DIF: Memorization TOP: Hypothalamus 26. Audition is a function of the a. occipital b. temporal c. parietal d. frontal REF: p. 448 lobe. NURSINGTB.COM ANS: B DIF: Synthesis TOP: Functional Areas of the Cortex REF: p. 453 27. The cerebellum performs all of the following functions except: a. coordinates control of muscle action. b. helps control posture. c. controls cardiac function. d. controls skeletal muscles to maintain balance. ANS: C DIF: Memorization TOP: Functions of the Cerebellum REF: p. 447 28. Which part of the brain releases the hormone melatonin? a. Hypothalamus b. Thalamus c. Pineal gland d. Cerebellum ANS: C TOP: Pineal Gland DIF: Memorization REF: p. 449 29. Impulses from which system play a part in arousing or alerting the cerebrum? a. Reticular activating system b. Limbic system NURSINGTB.COM Anatomy and Physiology 10th Edition Patton Test Bank c. Cerebral cortex d. Cerebellar cortex ANS: A DIF: Memorization TOP: Integrative Functions of the Cortex REF: p. 455 30. The areas specializing in language functions are found in the left cerebral hemisphere in: a. about 10% of the population. b. about 50% of the population. c. about 90% of the population. d. all people. ANS: C DIF: Memorization TOP: Integrative Functions of the Cortex REF: p. 455 31. The part(s) of the cerebrum associated with anger, fear, and sorrow is (are) the: a. limbic system. b. corpus callosum. c. temporal lobes. d. caudate nucleus. ANS: A DIF: Memorization TOP: Integrative Functions of the Cortex REF: p. 455 32. The type of brain wave associated with deep sleep is: a. beta. b. theta. c. zeta. NURSINGTB.COM d. delta. ANS: D DIF: Memorization TOP: The Electroencephalogram (EEG) (Box 20-6) REF: p. 454 33. A person who is awake, alert, and attentive would have a predominance of waves. a. beta b. theta c. zeta d. delta ANS: A DIF: Memorization TOP: The Electroencephalogram (EEG) (Box 20-6) REF: p. 454 34. Which of the following is not a brain wave measurement? a. Theta b. Zeta c. Delta d. Beta ANS: B DIF: Memorization TOP: The Electroencephalogram (EEG) (Box 20-6) 35. A lesion in the cerebral cortex might result in: NURSINGTB.COM REF: p. 454 brain Anatomy and Physiology 10th Edition Patton Test Bank a. b. c. d. motor deficits. sensory deficits. intellectual impairment. any of the above. ANS: D DIF: Synthesis TOP: Functional Areas of the Cortex REF: p. 455 36. The falx cerebelli separates the: a. two hemispheres of the cerebrum. b. cerebellum from the cerebrum. c. two hemispheres of the cerebrum. d. dura mater from the arachnoid. ANS: A DIF: Memorization TOP: Coverings of the Brain and Spinal Cord REF: p. 433 37. The fourth ventricle is located: a. in the left cerebral hemisphere. b. in the right cerebral hemisphere. c. below and medial to the lateral ventricles. d. where the cerebellum attaches to the brainstem. ANS: D TOP: Fluid Spaces DIF: Memorization REF: p. 435 38. The layer of the meninges that adheres to the outer surface of the brain is the: a. pia mater. NURSINGTB.COM b. arachnoid membrane. c. dura mater. d. None of the above is correct. ANS: A DIF: Memorization TOP: Coverings of the Brain and Spinal Cord REF: p. 433 39. Going from superior to inferior, the structures of the brainstem would be: a. pons, midbrain, medulla oblongata. b. midbrain, pons, medulla oblongata. c. midbrain, medulla oblongata, pons. d. medulla oblongata, pons, midbrain. ANS: A DIF: Memorization TOP: Structure of the Brainstem REF: p. 442 40. The white matter of the cerebellum is called the: a. arbor vitae. b. vermis. c. peduncle. d. None of the above is correct. ANS: A DIF: Memorization TOP: Structure of the Cerebellum NURSINGTB.COM REF: p. 444 Anatomy and Physiology 10th Edition Patton Test Bank 41. The body’s biological clock is controlled by the: a. pons. b. thalamus. c. cerebellum. d. pineal body. ANS: D TOP: Pineal Gland DIF: Memorization REF: p. 449 42. The part of the cerebrum integral to articulating words is: a. Broca’s area. b. the reticular activating system. c. the limbic system. d. the insula. ANS: A DIF: Memorization TOP: Integrative Functions of the Cortex REF: p. 452 43. The corpus callosum connects the: a. cerebral hemispheres. b. hippocampus. c. mammillary body. d. central sulcus. ANS: A DIF: Memorization TOP: Cerebral Tracts and Basal Nuclei REF: p. 451 44. Axons from the gray horns of the spinal cord terminate in: NURSINGTB.COM a. the cerebral cortex. b. sensory receptors. c. skeletal muscle. d. none of the above. ANS: C TOP: Spinal Cord DIF: Memorization REF: p. 460 45. Which of the following is not an inward extension of the dura mater? a. Falx callosum b. Falx cerebri c. Falx cerebelli d. Tentorium cerebelli ANS: A DIF: Memorization TOP: Coverings of the Brain and Spinal Cord REF: p. 433 46. Besides protection, the cerebrospinal fluid helps regulate: a. oxygen content of the body. b. carbon dioxide content of the body. c. pH of the body. d. both B and C. ANS: D DIF: Memorization TOP: Cerebrospinal Fluid NURSINGTB.COM REF: p. 435 Anatomy and Physiology 10th Edition Patton Test Bank 47. A way to distinguish between the anterior and posterior parts of the spinal cord is that the: a. dura mater is thickest on the posterior side. b. posterior fissure is deeper and wider than the anterior fissure. c. anterior fissure is deeper and wider than the posterior fissure. d. Both A and B are correct. ANS: C DIF: Memorization TOP: Structure of the Spinal Cord REF: p. 438 48. The foramen magnum is the structure that divides the: a. medulla oblongata from the pons. b. pons from the midbrain. c. medulla oblongata from the spinal cord. d. brainstem from the cerebellum. ANS: C DIF: Application REF: p. 442 TOP: Medulla Oblongata 49. The central section of the cerebellum is called the: a. arbor vitae. b. vermis. c. central sulcus. d. longitudinal fissure. ANS: B DIF: Memorization TOP: Structure of the Cerebellum REF: p. 445 50. The corpus callosum is composed of tracts. NURSINGTB.COM a. commissural b. projection c. association d. spinothalamic ANS: A DIF: Memorization TOP: Cerebral Tracts and Cerebral Nuclei REF: p. 451 51. Which of the following is not a somatic sense? a. Touch b. Pressure c. Proprioception d. All of the above are somatic senses. ANS: D DIF: Memorization TOP: Sensory Functions of the Cortex REF: p. 453 52. Which lobe of the cerebral cortex is not involved in language function? a. Frontal b. Occipital c. Temporal d. All of the above are involved in language function. ANS: B DIF: Memorization TOP: Integrative Functions of the Cortex NURSINGTB.COM REF: p. 455 Anatomy and Physiology 10th Edition Patton Test Bank 53. Which lobe of the cerebral cortex is not important in memory function? a. Frontal b. Occipital c. Temporal d. Parietal ANS: A DIF: Memorization TOP: Integrative Functions of the Cortex REF: p. 446 54. The hypothalamus gives rise to a stalk, leading to the posterior lobe of the pituitary gland. This stalk is called the: a. dentate nuclei. b. infundibulum. c. internal capsule. d. pyramidal tract. ANS: B DIF: Memorization TOP: Hypothalamus REF: p. 448 55. The nervous system is divided into two major divisions, the: a. brain and spinal cord. b. central nervous system and the peripheral nervous system. c. cerebrum and cerebellum. d. afferent and efferent. ANS: B TOP: Introduction DIF: Memorization REF: p. 432 NURSINGTB.COM 56. As you move from the spinal cord up the central nervous system, the: a. structural complexity increases. b. functional complexity increases. c. structural complexity decreases but the functional complexity increases. d. Both A and B occur. ANS: D TOP: Introduction DIF: Memorization REF: p. 433 57. The epidural space is: a. just below the dura mater. b. just below the arachnoid mater. c. found only in the area of the spinal cord. d. between the arachnoid mater and pia mater. ANS: C DIF: Memorization TOP: Coverings of the Brain and Spinal Cord 58. The filum terminale is part of the: a. cerebellum. b. cerebrum. c. spinal cord. d. meninges. NURSINGTB.COM REF: p. 434 Anatomy and Physiology 10th Edition Patton Test Bank ANS: D DIF: Memorization TOP: Coverings of the Brain and Spinal Cord REF: p. 435 59. If a person received a lumbar puncture that removed 15 mL of cerebrospinal fluid from the spinal cord, that amount would be about what percent of the cerebrospinal fluid? a. 20% b. 10% c. 5% d. 25% ANS: B DIF: Application REF: p. 437 TOP: Formation and Circulation of Cerebrospinal Fluid 60. Which of the following structures is not part of the spinal cord? a. Gray commissure b. Conus medullaris c. Cauda equina d. All of the above are part of the spinal cord. ANS: C DIF: Memorization TOP: Structure of the Spinal Cord REF: p. 438 61. The corpora quadrigemina is a landmark of which part of the central nervous system? a. Midbrain b. Cerebellum c. Hypothalamus d. Cerebrum ANS: A TOP: Midbrain DIF: MN em zaI tioN nGTB.COM UoRriS REF: p. 444 62. The dentate nuclei are an important pair of nuclei in which part of the central nervous system? a. Midbrain b. Cerebrum c. Cerebellum d. Hypothalamus ANS: C DIF: Memorization TOP: Structure of the Cerebellum REF: p. 445 63. Which of the following structures is not part of the diencephalon? a. Thalamus b. Arbor vitae c. Pineal gland d. All of the above structures are part of the diencephalon. ANS: B DIF: Memorization TOP: Diencephalon 64. What structure is the deepest groove in the cerebrum? a. Central sulcus b. Fissure of Rolando c. Fissure of Sylvius NURSINGTB.COM REF: p. 447 Anatomy and Physiology 10th Edition Patton Test Bank d. Longitudinal fissure ANS: D DIF: Memorization TOP: Structure of the Cerebrum REF: p. 450 65. Which groove is between the frontal and parietal lobes? a. Central sulcus b. Lateral fissure c. Fissure of Sylvius d. Longitudinal fissure ANS: A DIF: Memorization TOP: Structure of the Cerebrum REF: p. 450 66. What structure drains cerebrospinal fluid into the third ventricle? a. Cerebral aqueduct (of Sylvius) b. Interventricular foramen (of Monro) c. Lateral foramina (of Luschka) d. Cisterna magna ANS: B DIF: Memorization TOP: Formation and Circulation of Cerebrospinal Fluid REF: p. 435 67. What structure drains cerebrospinal fluid into the fourth ventricle? a. Cerebral aqueduct (of Sylvius) b. Interventricular foramen (of Monro) c. Lateral foramina (of Luschka) d. Cisterna magna NURSINGTB.COM ANS: A DIF: Memorization TOP: Formation and Circulation of Cerebrospinal Fluid REF: p. 435 68. The spinal cord ends at vertebra L1 in a narrowed area called the: a. cauda equina. b. filum terminale. c. conus medullaris. d. funiculi terminale. ANS: C DIF: Memorization TOP: Structure of the Spinal Cord REF: p. 438 69. The olive is found in what part of the brain? a. Medulla oblongata b. Pons c. Midbrain d. Cerebellum ANS: A DIF: Memorization TOP: Medulla Oblongata REF: p. 443 70. Which of the following is an incorrect statement about the midbrain? a. It contains the inferior colliculi where auditory centers are located. b. It contains the superior colliculi where visual centers are located. NURSINGTB.COM Anatomy and Physiology 10th Edition Patton Test Bank c. It contains the red nucleus and black matter that are involved in muscle control. d. All of the above are correct statements about the midbrain. ANS: D TOP: Midbrain DIF: Memorization REF: pp. 443-444 71. Which of the following is not a true statement about the cerebellum? a. Its name means “little brain.” b. It has more neurons than any other part of the nervous system. c. Gray matter makes up the exterior cortex. d. All of the above statements are true. ANS: D DIF: Memorization TOP: Structure of the Cerebellum REF: pp. 444-445 72. What part of the brain can produce a hormone? a. Thalamus b. Pineal gland c. Hypothalamus d. Both B and C ANS: D DIF: Application TOP: Hypothalamus and Pineal Gland REF: pp. 448-449 73. What lobe of the cerebrum cannot be seen in an exterior view? a. Temporal b. Insula c. Parietal NURSINGTB.COM d. Occipital ANS: B DIF: Memorization TOP: Cerebral Cortex REF: p. 449 74. Secondary sensory neurons conduct impulses from the spinal cord or brainstem to the: a. hypothalamus. b. thalamus. c. cerebellum. d. parietal lobe of the cerebrum. ANS: B DIF: Memorization REF: p. 450 TOP: Somatic Sensory Pathways in the Central Nervous System 75. William was recently involved in a serious automobile accident. As a result, he has had difficulty controlling his skeletal muscles and maintaining his balance. What part of the nervous system was most likely damaged? a. Cerebellum b. Cerebral cortex c. Myelin sheath of the peripheral neurons d. Pineal gland ANS: A DIF: Application REF: p. 445 NURSINGTB.COM TOP: Functions of the Cerebellum Anatomy and Physiology 10th Edition Patton Test Bank 76. Which statement explains how the lack of dopamine physiologically affects those individuals suffering from Parkinson disease? a. Without dopamine, the excitatory effects of acetylcholine are not restrained, thus postural muscles are overstimulated. b. Without dopamine, the excitatory effects of acetylcholine are inhibited, thus relaxing postural muscles. c. Without dopamine, the inhibitory effects of acetylcholine are not restrained, thus postural muscles are overstimulated. d. Without dopamine, the inhibitory effects of acetylcholine are restrained, thus relaxing postural muscles. ANS: A DIF: Application TOP: Parkinson Disease (Box 20-5) REF: p. 452 77. The distinction between the reticulospinal and rubrospinal tracts of the spinal cord is that the rubrospinal tract coordinates: a. body movement and posture, and the reticulospinal tract maintains posture during movement. b. head and neck movement, and the reticulospinal tract maintains posture. c. pain and temperature response, and the reticulospinal tract handles crude touch and pressure. d. unconscious kinesthesia, and the reticulospinal tract maintains posture. ANS: A DIF: Application REF: p. 440 TOP: Functions of the Spinal Cord 78. Since her fall several weeks ago, Juanita has drifted into and out of consciousness. Her arousal and/or alerting mechanisms apparently are not functioning properly. What specific area of the brain is most likely responsibNleUfR orSthIeN seGfT acB to. rsC ? OM a. Cerebellum b. Corpora quadrigemina c. Reticular activating system d. Thalamus ANS: D DIF: Application REF: p. 448 TOP: Thalamus 79. When someone close to you dies, you feel a sense of sorrow among other emotions. Your ability to experience emotions is the result of the: a. caudate nucleus. b. limbic system. c. pineal gland. d. reticular activating system. ANS: B DIF: Application TOP: Integrative Functions of the Cortex REF: p. 455 80. During your lifetime you are capable of remembering such things as telephone numbers, social security numbers, and song lyrics from many years ago. Your ability to perform these long-term memory tasks is possible because: a. the right and left hemispheres specialize in cerebral functions such as short-term and long-term recognition. b. repeated impulse conduction over a given neuronal circuit produces synaptic changes, which facilitates impulse transmission at the synapse. NURSINGTB.COM Anatomy and Physiology 10th Edition Patton Test Bank c. the spinothalamic pathway provides discrimination of short-term and long-term memories. d. extrapyramidal tracts consist of numerous relays of motor neurons that facilitate impulse transmission at the synapse. ANS: B DIF: Application REF: p. 456 TOP: Memory 81. The set of coordinated commands that control programmed muscle activity mediated by extrapyramidal pathways is called the: a. extrapyramidal tract. b. motor program. c. motor tract. d. pyramidal tract. ANS: B DIF: Application REF: p. 462 TOP: Extrapyramidal Tracts 82. Jeffery contracted bulbar poliomyelitis, and it has affected the medulla oblongata. The doctors warned the family that his condition is grave and death may be imminent. What function of the medulla oblongata has warranted such a dire prognosis? a. The medulla oblongata contains the vital centers that control heart action, blood vessel diameter, and respiration. b. The medulla oblongata contains the neural connections of the reticular activating system. c. The medulla oblongata contains the pineal gland, which controls vital centers. d. The medulla oblongata contains the corpora quadrigemina, which controls neural transmission of impulses along the spinal cord. ANS: A DIF: AN pplicRatioI n REF: p. 444 U S NGTB.COM TOP: Vital Centers (Box 20-3) 83. The extension of the dura mater that separates the cerebrum from the cerebellum is the: a. falx cerebella. b. falx cerebri. c. tentorium cerebella. d. falx centralis. ANS: C DIF: Memorization TOP: Coverings of the Brain and Spinal Cord REF: p. 433 TRUE/FALSE 1. The central nervous system includes the brain, spinal cord, and autonomic nerves. ANS: F TOP: Introduction DIF: Memorization REF: p. 432 2. The central nervous system includes all of the nervous system except the peripheral nervous system. ANS: T TOP: Introduction DIF: Memorization REF: p. 432 3. The meninges are protective coverings, continuous around the brain and spinal cord. NURSINGTB.COM Anatomy and Physiology 10th Edition Patton Test Bank ANS: T DIF: Application REF: p. 433 TOP: Coverings of the Brain and Spinal Cord 4. Meningitis refers to inflammation of the brain. ANS: F TOP: Meningitis DIF: Memorization REF: p. 435 5. Cerebrospinal fluid circulates in the subarachnoid space of the meninges. ANS: T DIF: Memorization TOP: Formation and Circulation of Cerebrospinal Fluid REF: p. 435 6. Besides providing protection, the cerebrospinal fluid can influence the respiratory center. ANS: T DIF: Memorization TOP: Cerebrospinal Fluid REF: p. 435 7. Dural sinuses function as reservoirs for cerebrospinal fluid. ANS: F DIF: Memorization TOP: Coverings of the Brain and Spinal Cord REF: p. 434 8. The spinal cord completely fills the spinal cavity in the vertebrae. ANS: F DIF: Memorization TOP: Structure of the Spinal Cord I G B.C M N R U S N T O REF: p. 438 9. A physician can use lumbar puncture to withdraw cerebrospinal fluid from the subarachnoid space in the lumbar region of the spinal cord. ANS: T DIF: Memorization TOP: Lumbar Puncture (Box 20-1) REF: p. 436 10. The epidural space contains a layer of fat and other connective tissue. ANS: T DIF: Memorization TOP: Coverings of the Brain and Spinal Cord REF: p. 434 11. Funiculi consist of tracts divided into smaller bundles called nerve fibers. ANS: F DIF: Memorization TOP: Structure of the Spinal Cord REF: p. 438 12. Spinal reflex centers are located in the gray matter of the spinal cord. ANS: T DIF: Memorization TOP: Functions of the Spinal Cord REF: p. 440 13. Peripheral motor neuron cell bodies are located in the dorsal root ganglia of the spinal nerves. ANS: F DIF: Application REF: p. 438 NURSINGTB.COM TOP: Structure of the Spinal Cord Anatomy and Physiology 10th Edition Patton Test Bank 14. For voluntary skeletal muscle activity, impulses originate in the cerebrum but coordination of the activity is a function of the cerebellum. ANS: T DIF: Memorization TOP: Functions of the Cerebellum REF: p. 445 15. The thalamus acts as a relay station for ascending sensory impulses. ANS: T TOP: Thalamus DIF: Memorization REF: p. 448 16. One of the major functions of the thalamus is its influence on the activity of the endocrine system. ANS: F DIF: Application REF: p. 448 TOP: Thalamus 17. The central sulcus divides the cerebrum into two hemispheres. ANS: F DIF: Application REF: p. 450 TOP: Structure of the Cerebrum 18. Basal ganglia are islands of gray matter deep in the cerebellum. ANS: F DIF: Application REF: p. 451 TOP: Cerebral Cortex 19. The secondary motor area is found in the gyrus just posterior to the primary motor area. ANS: F DIF: AN pplicRatioI n REF: p. 454 U S NGTB.COM TOP: Motor Functions of the Cortex 20. The vomiting reflex is mediated by the cerebellum. ANS: F DIF: Application REF: p. 444 TOP: Functions of the Brainstem 21. The shallow grooves of the cerebrum are called sulci. ANS: T DIF: Memorization TOP: Cerebral Cortex REF: p. 444 22. The parieto-occipital fissure divides the cerebrum into two hemispheres. ANS: F DIF: Memorization TOP: Cerebral Cortex REF: p. 450 23. The secondary motor area activates groups of muscles rather than individual muscles. ANS: T DIF: Memorization TOP: Motor Functions of the Cortex REF: p. 454 24. The primary motor area, located in the precentral gyrus, is thought to activate individual muscles in the hands and feet. NURSINGTB.COM Anatomy and Physiology 10th Edition Patton Test Bank ANS: T DIF: Memorization TOP: Motor Functions of the Cortex REF: p. 454 25. A primary function of the reticular activating system (RAS) is to arouse or alert the cerebral cortex. ANS: T DIF: Memorization TOP: Consciousness REF: p. 455 26. Under normal brain functioning, activation of the reticular activating system (RAS) produces consciousness. ANS: T DIF: Memorization TOP: Consciousness REF: p. 455 27. Barbiturates and amphetamines are two drugs that can arouse the cerebral cortex. ANS: F DIF: Memorization TOP: Consciousness REF: p. 455 28. Cerebrospinal fluid is not found in the epidural space. ANS: T TOP: Fluid Spaces DIF: Memorization REF: p. 435 29. The fourth ventricle in the brain is an expansion of the central canal of the spinal cord. ANS: T TOP: Fluid Spaces DIF: B.C M U S N T O MN emoR rizaI tionG REF: p. 435 30. The limbic system of the brain primarily functions in the production of speech. ANS: F DIF: Application REF: p. 455 TOP: Emotion 31. To describe sensory pathways as “crossed” refers to the fact that each side of the brain registers sensations from the opposite side of the body. ANS: T DIF: Memorization REF: p. 459 TOP: Somatic Sensory Pathways in the Central Nervous System 32. The medial lemniscal system involves crude touch sensations, whereas the spinothalamic pathway involves more discriminating touch and pressure sensations. ANS: F DIF: Memorization REF: p. 459 TOP: Somatic Sensory Pathways in the Central Nervous System 33. Extrapyramidal tracts can function either to inhibit or to facilitate lower motor neurons. ANS: T DIF: Memorization TOP: Extrapyramidal Tracts NURSINGTB.COM REF: p. 462 Anatomy and Physiology 10th Edition Patton Test Bank 34. Pyramidal pathways are more often associated with smiles and frowns than are the extrapyramidal pathways. ANS: F DIF: Application REF: p. 461 TOP: Pyramidal Tracts 35. Ascending tracts carry only sensory information, whereas descending pathways carry only motor information. ANS: T DIF: Memorization TOP: Functions of the Spinal Cord REF: p. 439 36. Repetition of nerve impulses on the same neuron circuitry produces memory. ANS: T DIF: Application REF: p. 456 TOP: Memory 37. There are about 23 mL of cerebrospinal fluid in the nervous system. ANS: F DIF: Memorization TOP: Formation of Cerebrospinal Fluid REF: p. 437 38. Pyramidal tracts are motor pathways that form pyramids in the medulla. ANS: T DIF: Memorization TOP: Pyramidal Tracts REF: p. 461 39. Extrapyramidal pathways are more often associated with emotional expressions than are pyramidal pathways. N R I G TB.COM U S N ANS: T DIF: Memorization TOP: Extrapyramidal Tracts REF: p. 462 40. Formation of the cerebrospinal fluid occurs mainly in the choroid plexus. ANS: T DIF: Memorization TOP: Formation and Circulation of Cerebrospinal Fluid REF: p. 435 41. The lateral ventricles are located within the cerebellum. ANS: F TOP: Fluid Spaces DIF: Memorization REF: p. 435 42. Cerebrospinal fluid is absorbed into the venous blood via the choroid plexus. ANS: F DIF: Memorization TOP: Formation and Circulation of Cerebrospinal Fluid REF: p. 435 43. Cerebrospinal fluid is not found in the subarachnoid space. ANS: F TOP: Fluid Spaces DIF: Memorization REF: p. 435 44. The four large, fluid-filled spaces within the brain are called ventricles. NURSINGTB.COM Anatomy and Physiology 10th Edition Patton Test Bank ANS: T TOP: Fluid Spaces DIF: Memorization REF: p. 435 45. Disruption of cerebrospinal fluid circulation that causes the fluid to accumulate in the epidural space is known as hydrocephalus. ANS: T DIF: Memorization TOP: Hydrocephalus REF: p. 437 46. Both the dorsal and ventral root ganglia in the spinal nerves contain cell bodies. ANS: T DIF: Memorization TOP: Structure of the Spinal Cord REF: p. 438 47. The cerebrum is the second largest portion of the brain. ANS: F DIF: Memorization TOP: Cerebral Cortex REF: p. 449 48. Functions of the brainstem include language, memory, and emotions. ANS: F DIF: Memorization TOP: Functions of the Brainstem REF: p. 444 49. The vomiting reflex is mediated by the medulla. B.C M O TOP: Functions of the BrainstemU S N T ANS: T DIF: MN emoR rizaI tionG REF: p. 444 50. The shallow grooves of the cerebrum are called gyri. ANS: F DIF: Memorization TOP: Cerebral Cortex REF: p. 449 51. The islands of gray matter inside the hemispheres of the cerebrum are known as the cerebral cortex. ANS: F DIF: Memorization TOP: Cerebral Tracts and Basal Nuclei REF: p. 451 52. Poliomyelitis results in flaccid paralysis via destruction of posterior horn neurons. ANS: F DIF: Memorization TOP: Somatic Motor Pathways in the Central Nervous System REF: p. 460 53. The dura mater is the periosteum of the cranial bones, and the pia mater attaches the brain tissue. ANS: T DIF: Memorization TOP: Coverings of the Brain and Spinal Cord NURSINGTB.COM REF: p. 433 Anatomy and Physiology 10th Edition Patton Test Bank 54. The tentorium cerebelli is a sickle-shaped extension of the dura that separates the two hemispheres of the cerebellum. ANS: F DIF: Memorization TOP: Coverings of the Brain and Spinal Cord REF: p. 433 55. The deepest border of the subdural space is the arachnoid membrane. ANS: T DIF: Application REF: p. 433 TOP: Coverings of the Brain and Spinal Cord 56. The most superficial border of the subarachnoid space is the dura mater. ANS: F DIF: Application REF: p. 435 TOP: Coverings of the Brain and Spinal Cord 57. Filum terminale is the name given to the dura mater below the spinal cord. ANS: F DIF: Memorization TOP: Coverings of the Brain and Spinal Cord REF: p. 435 58. The spinal cord extends from the foramen magnum to the fifth lumbar vertebra. ANS: F DIF: Memorization TOP: Structure of the Spinal Cord REF: p. 438 59. The dorsal root ganglion consists of cell bodies of unipolar sensory neurons. N R I GTB.COM UoriS ANS: T DIF: Mem zatioN n TOP: Structure of the Spinal Cord REF: p. 438 60. All spinal nerves are mixed nerves. ANS: T DIF: Application REF: p. 438 TOP: Structure of the Spinal Cord 61. Each white column in the spinal cord consists of large numbers of cell bodies divided into smaller bundles called tracts. ANS: F DIF: Memorization TOP: Structure of the Spinal Cord REF: p. 438 62. Based on the system of naming tracts in the spinal cord, the spinocerebellar tract would be an ascending tract. ANS: T DIF: Application REF: p. 439 TOP: Functions of the Spinal Cord 63. Based on the system of naming tracts in the spinal cord, the corticospinal tract would be a descending tract. ANS: T DIF: Application REF: p. 439 TOP: Functions of the Spinal Cord 64. Rapid mitosis stops at about age 9, but the brain grows in size until about age 18. NURSINGTB.COM Anatomy and Physiology 10th Edition Patton Test Bank ANS: F TOP: Brain DIF: Memorization REF: p. 441 65. The two “colorful” structures in the brain, the red nucleus and the substantia nigra, are located in the midbrain. ANS: T TOP: Midbrain DIF: Memorization REF: p. 444 66. All of the functions of the cerebellum have to do with control of smooth muscle or glands. ANS: F DIF: Memorization TOP: Functions of the Cerebellum REF: p. 445 67. The diencephalon is part of the brain located between the cerebrum and the top of the brainstem. ANS: T DIF: Application REF: p. 447 TOP: Diencephalon 68. The infundibulum connects the hypothalamus and the pineal body. ANS: F DIF: Memorization TOP: Hypothalamus REF: p. 448 69. Because there is a strong link between the thalamus and emotion, it can produce symptoms of a psychosomatic disease. N R I GTB.COM U S N ANS: F DIF: Memorization TOP: Hypothalamus REF: p. 448 70. Most axons release neurotransmitters; however, some axons in the hypothalamus release hormones. ANS: T DIF: Memorization TOP: Hypothalamus REF: p. 448 71. A lesion or tumor in the hypothalamus may cause overeating and result in substantial weight gain. ANS: T DIF: Memorization TOP: Hypothalamus REF: p. 448 72. “Jet lag” occurs when the biological clock does not match up with the external clock. It is the job of the pineal body to correct this. ANS: T DIF: Application REF: p. 449 TOP: Pineal Gland 73. All of the lobes of the cerebrum are named after the bones that cover them. ANS: F DIF: Memorization TOP: Cerebral Cortex NURSINGTB.COM REF: p. 449 Anatomy and Physiology 10th Edition Patton Test Bank 74. Association tracts connect parts of the same cerebral hemisphere. ANS: T DIF: Memorization TOP: Cerebral Tracts and Cerebral Nuclei REF: p. 451 75. Projection tracts pass through the corpus callosum from one hemisphere of the cerebrum to the other. ANS: F DIF: Memorization TOP: Cerebral Tracts and Cerebral Nuclei REF: p. 451 76. The fact that one part of the cerebrum can take on a new function in response to damage to another part of the cerebrum is an example of cerebral plasticity. ANS: T DIF: Memorization TOP: Functional Areas of the Cortex REF: p. 452 77. Consciousness may be defined as a state of awareness of one’s self, one’s environment, and other humans. ANS: T DIF: Memorization TOP: Consciousness REF: p. 454 78. The conus medullaris is located at about the first lumbar vertebrae. ANS: T DIF: Memorization TOP: Structure of the Spinal CN ordR I G REF: p. 438 U S N TB.COM 79. The tertiary sensory neurons are entirely in the cerebrum. ANS: T DIF: Memorization REF: p. 459 TOP: Somatic Sensory Pathways in the Central Nervous System 80. Decussation of sensory neurons usually occurs at the secondary neuron level before reaching the thalamus. ANS: T DIF: Memorization REF: p. 460 TOP: Somatic Sensory Pathways in the Central Nervous System 81. Most of the motor tracts of the central nervous system do not decussate. ANS: F DIF: Memorization TOP: Somatic Motor Pathways in the Central Nervous System REF: p. 459 82. The outermost protective covering of the brain is the dura mater. ANS: F DIF: Memorization TOP: Coverings of the Brain and Spinal Cord REF: p. 433 83. The epidural space is found only in the area of the spinal cord. NURSINGTB.COM Anatomy and Physiology 10th Edition Patton Test Bank ANS: T DIF: Memorization TOP: Coverings of the Brain and Spinal Cord REF: p. 434 84. Changes in the oxygen content of the cerebrospinal fluid cause a homeostatic response in the respiratory control center. ANS: F DIF: Memorization TOP: Cerebrospinal Fluid REF: p. 435 85. The pyramids are two bulges of white matter on the ventral surface of the pons. ANS: F DIF: Memorization TOP: Structure of the Brainstem REF: p. 442 86. Both the inferior colliculi and superior colliculi are found in the midbrain. ANS: T TOP: Midbrain DIF: Memorization REF: p. 444 87. The “tree of life” (arbor vitae) is found in the cerebellum. ANS: T DIF: Memorization TOP: Structure of the Cerebellum REF: p. 444 88. The central nervous system directly or indirectly regulates or influences nearly every organ in the body. ANS: T DIF: MN emoR rizaI tionG B.C M U S Thole BoOdy TOP: The Central Nervous System and tN he W REF: p. 463 89. The part of the dura that extends into the longitudinal fissure is the falx cerebri. ANS: T DIF: Memorization TOP: Coverings of the Brain and Spinal Cord REF: p. 433 90. The tentorium cerebelli separates the cerebellum from the cerebrum. ANS: T DIF: Memorization TOP: Coverings of the Brain and Spinal Cord REF: p. 433 91. The pia mater has three important inward extensions: the falx cerebri, the falx cerebelli, and the tentorium cerebelli. ANS: F DIF: Memorization TOP: Coverings of the Brain and Spinal Cord REF: p. 433 92. The ependymal cells are glia cells that assist in the production of cerebrospinal fluid. ANS: T DIF: Memorization TOP: Formation and Circulation of Cerebrospinal Fluid REF: p. 435 93. The interventricular foramen (the foramen of Monro) leads into the fourth ventricle. NURSINGTB.COM Anatomy and Physiology 10th Edition Patton Test Bank ANS: F DIF: Memorization TOP: Formation and Circulation of Cerebrospinal Fluid REF: p. 435 94. The cerebrospinal fluid is absorbed into the venous blood by the median foramen of Magendie. ANS: F DIF: Memorization TOP: Formation and Circulation of Cerebrospinal Fluid REF: p. 437 95. The dorsal nerve root carries motor impulses from the spinal cord to the skeletal muscles. ANS: F DIF: Memorization TOP: Structure of the Spinal Cord REF: p. 438 96. The deeper, wider groove on the spinal cord can be used to identify the ventral side of the spinal cord. ANS: T DIF: Application REF: p. 438 TOP: Structure of the Spinal Cord 97. The nerve roots that extend below the spinal cord are called the filum terminale. ANS: F DIF: Memorization TOP: Structure of the Spinal Cord REF: p. 438 98. The structure in the brain called the olive is found in the midbrain of the brainstem. ANS: F DIF: TOP: Medulla Oblongata B.C M U S N T O MN emoR rizaI tionG REF: p. 443 99. The structure in the brain called the corpora quadrigemina is found in the midbrain. ANS: T TOP: Midbrain DIF: Memorization REF: p. 444 100. The vermis lies between the two hemispheres of the cerebellum. ANS: T DIF: Memorization TOP: Structure of the Cerebellum REF: p. 445 101. The cerebellum coordinates both incoming and outgoing motor information. ANS: T DIF: Memorization TOP: Functions of the Cerebellum REF: p. 446 102. The geniculate bodies are important nuclei in the hypothalamus. ANS: F TOP: Thalamus DIF: Memorization REF: p. 447 103. The hypothalamus is the only part of the brain able to release a hormone. NURSINGTB.COM Anatomy and Physiology 10th Edition Patton Test Bank ANS: F DIF: Memorization TOP: Hypothalamus and Pineal Gland REF: pp. 448-449 104. The hypothalamus is able to influence the functioning of both the sympathetic and parasympathetic divisions of the autonomic nervous system. ANS: T DIF: Memorization TOP: Hypothalamus REF: p. 448 105. The corpus callosum is an example of a commissural tract of the cerebrum. ANS: T DIF: Memorization TOP: Cerebral Tracts and Basal Nuclei REF: p. 451 106. The gray commissure joins the spinal cord to the brain. ANS: F DIF: Memorization TOP: Structure of the Spinal Cord REF: p. 438 107. All spinal reflexes contain interneurons. ANS: F DIF: Memorization TOP: Functions of the Spinal Cord REF: p. 440 108. After birth, the brain grows only in size, not in number of neurons. ANS: F TOP: Brain DIF: Memorization REF: p. 441 NURSINGTB.COM 109. Once a synapse is established in the brain, it remains for life. ANS: F TOP: Brain DIF: Memorization REF: p. 441 110. The adult brain weighs about 3 pounds. ANS: T TOP: Brain DIF: Memorization REF: p. 441 111. The brain contains about 200 billion cells. ANS: T DIF: Application REF: p. 441 TOP: Brain 112. From superior to inferior, the brainstem is composed of the pons, midbrain, and medulla oblongata. ANS: F DIF: Memorization TOP: Structure of the Brainstem REF: p. 442 113. Both the inferior and superior colliculi contain sensory centers. ANS: T DIF: Memorization NURSINGTB.COM REF: p. 444 Anatomy and Physiology 10th Edition Patton Test Bank TOP: Structure of the Brainstem 114. All of the 12 cranial nerves come from one of the three parts of the brainstem. ANS: F DIF: Memorization TOP: Structure of the Brainstem REF: p. 442 115. Both the pons and medulla oblongata have centers that help regulate respiration. ANS: T DIF: Memorization TOP: Functions of the Brainstem REF: p. 444 116. The cerebrum has more neurons than any other part of the nervous system. ANS: F DIF: Memorization TOP: Structure of the Cerebellum REF: p. 444 117. The lateral fissure separates the cerebellum from the rest of the brain. ANS: F DIF: Memorization TOP: Structure of the Cerebellum REF: p. 445 118. One source of the tracts entering the cerebellum and forming the inferior cerebellar peduncle is the medulla. ANS: T DIF: Memorization TOP: Structure of the Cerebellum REF: p. 445 N R I G B.C M UdleScerNebeT 119. The tracts that make up the mid llar pedO uncle come from the pons. ANS: T DIF: Memorization TOP: Structure of the Cerebellum REF: p. 445 120. The cerebellum controls skeletal muscles to maintain balance. ANS: T DIF: Memorization TOP: Functions of the Cerebellum REF: p. 445 121. The diencephalon consists of the thalamus and the hypothalamus. ANS: F DIF: Memorization TOP: Diencephalon REF: p. 447 122. The thalamus is responsible for the associating sensory impulses with feelings of pleasantness and unpleasantness. ANS: T TOP: Thalamus DIF: Memorization REF: p. 447 123. The hypothalamus plays an important role in maintaining proper body temperature. ANS: T DIF: Memorization NURSINGTB.COM REF: p. 449 Anatomy and Physiology 10th Edition Patton Test Bank TOP: Hypothalamus 124. The hypothalamus plays a role in regulating water balance in the body. ANS: T DIF: Memorization TOP: Hypothalamus REF: p. 448 125. The hormone released by the hypothalamus, melatonin, helps regulate the biological clock. ANS: F TOP: Pineal Gland DIF: Memorization REF: p. 449 126. The location of the crossing of the left and right optic nerves is called the epithalamus. ANS: F TOP: Pineal Gland DIF: Memorization REF: p. 449 127. The term used to describe all of the connections within the human cortex to the rest of the brain is connectomes. ANS: T DIF: Memorization TOP: Cerebral Tracts and Basal Nuclei REF: p. 451 128. The somatic senses include vision, hearing, and olfaction. ANS: F DIF: Memorization TOP: Sensory Functions of the Cortex REF: p. 453 N R I G B.C M 129. Damage to Broca’s area of theU braiS n caNuseT s a persO on to become unable to articulate words, but the person is still able to make vocal sounds. ANS: T TOP: Language DIF: Memorization REF: p. 452 MATCHING Match each disorder with its corresponding definition. a. Alzheimer disease b. Cerebrovascular accident c. Epilepsy d. Huntington disease e. Spastic paralysis f. Hemiplegia g. Paraplegia h. Creutzfeldt-Jakob disease 1. Inherited form of dementia in which the symptoms first appear at between 30 and 40 years of age 2. Disease that is caused by a prion and results in reduced brain function 3. Hemorrhage from or cessation of blood flow to the cerebral vessels, which destroys neurons; also called a stroke NURSINGTB.COM Anatomy and Physiology 10th Edition Patton Test Bank 4. Type of paralysis that affects one entire side of the body 5. Type of paralysis that affects both legs 6. Degenerative disease that affects memory; it generally develops during the middle to late adult years, causing characteristic lesions in the cortex 7. Recurring or chronic seizure episodes involving sudden bursts of abnormal neuron activity 8. Type of paralysis that is experienced by many people with cerebral palsy; characterized by the involuntary contraction of the affected muscles 1. ANS: D DIF: Memorization TOP: Mechanisms of Disease 2. ANS: H DIF: Memorization TOP: Mechanisms of Disease 3. ANS: B DIF: Memorization TOP: Mechanisms of Disease 4. ANS: F DIF: Memorization TOP: Mechanisms of Disease 5. ANS: G DIF: Memorization TOP: Mechanisms of Disease 6. ANS: A DIF: Memorization TOP: Mechanisms of Disease 7. ANS: C DIF: Memorization TOP: Mechanisms of Disease 8. ANS: E DIF: Memorization TOP: Mechanisms of Disease REF: p. 464 REF: p. 465 REF: p. 464 REF: p. 464 REF: p. 464 REF: p. 464 REF: p. 465 REF: p. 464 Match each landmark of the brain with its description or location. a. Longitudinal fissure NURSINGTB.COM b. Lateral fissure c. Sulci d. Parieto-occipital sulcus e. Fissure f. Central sulcus g. Gyri 9. 10. 11. 12. 13. 14. 15. Frontal lobe lies in front of this groove and the parietal lobe lies behind it Groove that separates the occipital and parietal lobes General term for a convolution or raised area on the cortex General term for a shallow groove in the cortex Divides the cerebrum into right and left hemispheres General term for a deep groove in the cortex The deep groove above the temporal lobe 9. ANS: F DIF: TOP: Cerebral Cortex 10. ANS: D DIF: TOP: Cerebral Cortex 11. ANS: G DIF: TOP: Cerebral Cortex 12. ANS: C DIF: TOP: Cerebral Cortex Memorization REF: p. 450 Memorization REF: p. 450 Memorization REF: p. 444 Memorization REF: p. 444 NURSINGTB.COM Anatomy and Physiology 10th Edition Patton Test Bank 13. ANS: A DIF: Memorization TOP: Cerebral Cortex 14. ANS: E DIF: Memorization TOP: Cerebral Cortex 15. ANS: B DIF: Memorization TOP: Cerebral Cortex REF: p. 450 REF: p. 449 REF: p. 450 OTHER 1. Describe the three distinct layers that compose the meninges. ANS: Answers will vary. DIF: Memorization REF: p. 433 TOP: Coverings of the Brain and Spinal Cord 2. What is a lumbar puncture? Why is it done? ANS: Answers will vary. DIF: Memorization REF: p. 436 TOP: Lumbar Puncture (Box 20-1) 3. List the major ascending and descending tracts of the spinal cord, and identify the major function of each tract. ANS: NURSINGTB.COM Answers will vary. DIF: Application REF: p. 439 TOP: Functions of the Spinal Cord 4. Describe the structure and major functions of the brainstem. ANS: Answers will vary. DIF: Synthesis REF: pp. 442-444 TOP: Structure of the Brainstem, Functions of the Brainstem 5. How are the cerebral nuclei involved in Parkinson disease? ANS: Answers will vary. DIF: Application REF: p. 452 TOP: Parkinson Disease (Box 20-5) 6. Briefly discuss one of the “integrative functions” of the cortex. ANS: Answers will vary. NURSINGTB.COM Anatomy and Physiology 10th Edition Patton Test Bank DIF: Application REF: pp. 454-456 TOP: Integrative Functions of the Cortex 7. Describe the four types of brain waves characterized by frequency and amplitude of the waves. ANS: Answers will vary. DIF: Application REF: p. 454 TOP: The Electroencephalogram (EEG) (Box 20-6) 8. Explain the functions, formation, and circulation of the cerebrospinal fluid. ANS: Answers will vary. DIF: Application REF: pp. 435-437 TOP: Fluid Spaces, Formation and Circulation of Cerebrospinal Fluid 9. Explain the functions of the thalamus. ANS: Answers will vary. DIF: Memorization REF: p. 448 TOP: Thalamus 10. Explain the functions of the hypothalamus. ANS: Answers will vary. DIF: Memorization NURSINGTB.COM REF: pp. 448-449 TOP: Hypothalamus 11. Name and describe the three important inward extensions of the dura mater. ANS: Answers will vary. DIF: Memorization REF: p. 433 TOP: Coverings of the Brain and Spinal Cord 12. Name the three spaces between and around the meninges. What does each space contain? ANS: Answers will vary. DIF: Memorization REF: pp. 434-435 TOP: Coverings of the Brain and Spinal Cord 13. If an injury occurred that damaged the lateral corticospinal tract on the right side of the body, what impact would this have on the voluntary movement of the body? ANS: NURSINGTB.COM Anatomy and Physiology 10th Edition Patton Test Bank Answers will vary. DIF: Application REF: p. 439 TOP: Functions of the Spinal Cord 14. Name the three peduncles that enter or leave the cerebellum, and explain where they come from or go to. ANS: Answers will vary. DIF: Memorization REF: p. 445 TOP: Structure of the Cerebellum 15. Give the location of the pineal gland and its most likely function. ANS: Answers will vary. DIF: Memorization REF: p. 449 TOP: Pineal Gland 16. Explain the location and function of primary, secondary, and tertiary sensory neurons. Which of these neurons can decussate? ANS: Answers will vary. DIF: Application REF: p. 459 TOP: Somatic Sensory Pathways in the Central Nervous System NURSINGTB.COM ESSAY 1. Kathryn suffered a cerebrovascular accident. It was determined that the left side of her cerebrum was damaged. On which side of her body will she most likely notice paralysis? Explain why. ANS: Answers will vary. DIF: Memorization REF: p. 464 TOP: Mechanisms of Disease 2. Explain how the cerebrum and cerebellum are similar to a negative-feedback mechanism in terms of controlling the movement of skeletal muscles. ANS: Answers will vary. DIF: Synthesis REF: pp. 445-447 TOP: Functions of the Cerebellum NURSINGTB.COM Anatomy and Physiology 10th Edition Patton Test Bank Chapter 21: Peripheral Nervous System Patton: Anatomy and Physiology, 10th Edition MULTIPLE CHOICE 1. All of the following cranial nerves have a functional classification of motor except: a. oculomotor. b. trochlear. c. vestibulocochlear. d. accessory. ANS: C DIF: Memorization TOP: Cranial Nerves 2. Tic douloureux is a painful neuralgia of the a. trigeminal b. vagus c. abducens d. olfactory REF: p. 487 nerve. ANS: A DIF: Memorization TOP: Trigeminal Neuralgia (Box 21-4) 3. The nerve commonly called the vagus nerve is the a. ninth b. tenth c. eleventh NURSINGTB.COM d. twelfth REF: p. 487, Box 21-4 cranial. ANS: B DIF: Memorization TOP: Vagus Nerve (X) REF: p. 489 4. Which of the following cranial nerves is responsible for movements of the tongue? a. Olfactory b. Trigeminal c. Trochlear d. Hypoglossal ANS: D DIF: Memorization TOP: Cranial Nerves REF: p. 490 5. All of the following cranial nerves are involved in proprioception except the: a. vagus. b. hypoglossal. c. accessory. d. abducens. ANS: A DIF: Memorization TOP: Cranial Nerves 6. Which of the following is not a plexus of the spinal nerves? NURSINGTB.COM REF: p. 485 Anatomy and Physiology 10th Edition Patton Test Bank a. b. c. d. Cervical Brachial Lumbar Thoracic ANS: D DIF: Memorization TOP: Nerve Plexuses REF: pp. 478-480 7. The cervical plexus: a. is found deep in the neck. b. is formed by the ventral rami of the first four cervical nerves and part of C5. c. includes the phrenic nerve. d. All of the above are correct. ANS: D DIF: Memorization TOP: Cervical Plexus REF: p. 478 8. Which plexus contains nerves that innervate the lower part of the shoulder and the entire arm? a. Brachial b. Cervical c. Lumbar d. Sacral ANS: A DIF: Memorization TOP: Brachial Plexus REF: p. 478 9. The sensory cranial nerves include only the: a. optic, vestibulocochlear, and vagus. B.C M N R I G b. olfactory, optic, and facial.U S N T O c. olfactory, optic, and vestibulocochlear. d. optic, facial, and vestibulocochlear. ANS: C DIF: Memorization TOP: Cranial Nerves REF: p. 484 10. The cranial nerve that arises from the spinal cord is the: a. abducens. b. accessory. c. glossopharyngeal. d. vagus. ANS: B DIF: Memorization TOP: Accessory Nerve (XI) 11. Nerve impulses over the a. olfactory b. trigeminal c. vagus d. hypoglossal REF: p. 489 nerve cause increased peristalsis and decreased heart rate. ANS: C DIF: Memorization TOP: Cranial Nerves NURSINGTB.COM REF: p. 488 Anatomy and Physiology 10th Edition Patton Test Bank 12. The spinal nerves are connected to the spinal cord and consist of a. 12 b. 21 c. 31 d. 41 ANS: C DIF: Memorization TOP: Spinal Nerves pairs. REF: p. 477 13. Spinal nerves are fibers. a. only sensory b. only motor c. completely autonomic d. motor and sensory ANS: D DIF: Memorization TOP: Structure of Spinal Nerves REF: pp. 476-477 14. A mixed nerve is one that: a. goes both to the skin surface and to the viscera. b. has its pathway mixed with other nerves. c. carries both sensory and motor fibers. d. carries large and small motor fibers. ANS: C DIF: Memorization TOP: Structure of Spinal Nerves REF: p. 477 15. Damage to the nerve could make the diaphragm unable to function. NURSINGTB.COM a. phrenic b. axillary c. radial d. medial cutaneous ANS: A DIF: Memorization TOP: Phrenic Nerves (Box 21-2) 16. The phrenic nerve is found in the a. cervical b. brachial c. lumbar d. sacral REF: p. 480 plexus. ANS: A DIF: Memorization TOP: Cervical Plexus REF: p. 478 17. Which is(are) the neurotransmitter(s) in a somatic motor pathway? a. Acetylcholine b. Amines c. Amino acids d. Neuropeptides ANS: A DIF: Memorization TOP: Basic Principles of Somatic Motor Pathways NURSINGTB.COM REF: p. 490 Anatomy and Physiology 10th Edition Patton Test Bank 18. Nerves that innervate the floor of the pelvic cavity and some of the surrounding areas are found in the a. sacral b. cervical c. coccygeal d. lumbar plexus. ANS: C DIF: Memorization TOP: Sacral Plexus and Coccygeal Plexus REF: p. 481 19. The knee jerk can be classified as a segmental reflex because: a. the center of the reflex arc lies in the spinal cord gray matter. b. impulses that mediate it enter and leave the same segment of the cord. c. the impulses that mediate it come from and go to the same side of the body. d. of the kind of stimulation used to evoke it. ANS: B DIF: Memorization TOP: Somatic Reflexes of Clinical Importance REF: p. 491 20. Which of the following is not true of the knee jerk reflex? a. It is a flexor reflex. b. It is an ipsilateral reflex. c. It is a spinal cord reflex. d. It does not have to involve the brain. ANS: A DIF: Memorization TOP: Somatic Reflexes of Clinical Importance REF: p. 491 NURSI NG TB.C OM 21. Normal infants will show the Babinski reflex up to the age of a. 1 b. 2 c. 2 d. 3 ANS: A DIF: Memorization TOP: Somatic Reflexes of Clinical Importance years. REF: p. 492 22. Which of the following is a correct statement? a. There are 7 cervical nerve pairs. b. There are 11 thoracic nerve pairs. c. There are 5 lumbar nerve pairs. d. All of the above are correct statements. ANS: C DIF: Memorization TOP: Spinal Nerves 23. The lumbar plexus gives rise to the a. median b. phrenic c. femoral d. None of the above is correct. REF: p. 494 nerve. NURSINGTB.COM Anatomy and Physiology 10th Edition Patton Test Bank ANS: C DIF: Memorization TOP: Lumbar Plexus REF: p. 480 24. The peripheral nervous system includes: a. only spinal nerves. b. only spinal nerves and their branches. c. only cranial nerves, spinal nerves, and their branches. d. cranial nerves, the spinal cord, spinal nerves, and their branches. ANS: C TOP: Introduction DIF: Memorization 25. The peripheral nervous system includes a. autonomic b. sensory c. somatic d. all of the above ANS: D TOP: Introduction REF: p. 475 nerves. DIF: Memorization REF: p. 475 26. Which part of the vertebral column has one more pair of nerves coming from it than it has vertebrae? a. Cervical b. Thoracic c. Lumbar d. Both B and C ANS: A DIF: TOP: Spinal Nerves MN em zaI tioN nGTB.COM UoRriS REF: p. 475 27. Which is not true of the ventral nerve root? a. It is also called the anterior root. b. It contains the spinal ganglion. c. It includes motor neurons. d. All of the above are true. ANS: B DIF: Memorization TOP: Structure of Spinal Nerves REF: p. 477 28. Which is not true of the dorsal nerve root? a. It is also called the posterior root. b. It includes the spinal ganglion. c. It includes sensory fibers. d. All of the above are true. ANS: D DIF: Memorization TOP: Structure of Spinal Nerves REF: p. 476 29. Which is the only plexus that contains fibers from the thoracic region of the spinal cord? a. Cervical b. Brachial c. Lumbar NURSINGTB.COM Anatomy and Physiology 10th Edition Patton Test Bank d. Sacral ANS: B DIF: Application TOP: Nerve Plexuses, Brachial Plexus REF: pp. 478-480 30. Which of the following is not associated with the oculomotor nerve? a. Movement of external eye muscles b. Closing and opening of the eye (blink reflex) c. Movement of intrinsic eye muscles d. Proprioception of eye muscles ANS: B DIF: Memorization TOP: Oculomotor Nerve REF: p. 486 31. Which of the following is not a branch of the trigeminal nerve? a. Zygomatic nerve b. Ophthalmic nerve c. Maxillary nerve d. Mandibular nerve ANS: A DIF: Memorization TOP: Trigeminal Nerve REF: p. 486 32. Which of the following cranial nerves is not associated with eye movement? a. Oculomotor b. Trochlear c. Trigeminal d. Abducens NURSINGTB.COM ANS: C DIF: Memorization TOP: Trigeminal Nerve 33. Afferent nerves or fibers are found only in the a. sensory b. autonomic c. central d. Both A and B are correct. ANS: D TOP: Introduction ANS: D TOP: Introduction nervous system. DIF: Memorization 34. Efferent nerves or fibers are found only in the a. central b. autonomic c. somatic d. Both B and C are correct. REF: p. 475 system. DIF: Memorization 35. The cauda equina: a. is part of the cervical plexus. b. refers to the nerves below the ending of the spinal cord. NURSINGTB.COM REF: p. 486 REF: p. 475 Anatomy and Physiology 10th Edition Patton Test Bank c. is part of the brachial plexus. d. is the term used to describe the groups of cranial nerves leaving the skull. ANS: B DIF: Memorization TOP: Spinal Nerves REF: p. 476 36. Which segment of the vertebral column generates more spinal nerve pairs than any other segment? a. Cervical b. Thoracic c. Lumbar d. Sacral ANS: B DIF: Memorization TOP: Spinal Nerves REF: p. 475 37. The spinal ganglion can be found on the a. dorsal nerve root b. dorsal ramus c. ventral nerve root d. ventral ramus of the spinal nerve. ANS: A DIF: Memorization TOP: Structure of Spinal Nerves REF: p. 476 38. Small branches from the cervical plexus join which two cranial nerves? a. Vagus and hypoglossal b. Vagus and accessory N R I G B.C M c. Hypoglossal and accessoryU S N T O d. Glossopharyngeal and hypoglossal ANS: C DIF: Memorization TOP: Cervical Plexus REF: p. 478 39. By age 2 years in a normal infant, the stimulus that once caused the Babinski reflex now causes: a. the knee jerk reflex. b. the ankle jerk reflex. c. the plantar reflex. d. no reaction at all. ANS: C DIF: Memorization TOP: Plantar Reflex REF: p. 492 40. A gymnast is experiencing problems with balance and equilibrium. Which of the following cranial nerves may be causing this condition? a. Accessory b. Glossopharyngeal c. Hypoglossal d. Vestibulocochlear ANS: D DIF: Application TOP: Cranial Nerves REF: p. 482, Table 21-3 NURSINGTB.COM Anatomy and Physiology 10th Edition Patton Test Bank 41. If a person is having problems with tongue movement, what would you predict as a possible cause and other potential problems? a. Hypoglossal nerve damage and a decrease in proprioception of the tongue b. Oculomotor nerve damage and a drooping eye c. Olfactory nerve damage and a decrease in the ability to smell d. Vagus nerve damage and a decrease in respiration ANS: A DIF: Application REF: p. 490 TOP: Cranial Nerves 42. Danielle has sustained an injury that has reduced her ability to complete simple tasks such as lifting a pencil, manipulating eating utensils, and brushing her hair. The injury has affected the motor pathways _ the central nervous system (CNS). a. involuntary; outside b. involuntary; within c. voluntary; outside d. voluntary; within ANS: C DIF: Application REF: p. 490 TOP: Basic Principles of Somatic Motor Pathways 43. In a healthy adult, a well-placed tap on the knee will result in a: a. contraction of the tendon and its muscles, the quadriceps femoris, and thereby stimulation of the muscle spindles. b. stretch of the blood vessels and decreased blood flow to the lower extremities. c. stretch of the tendon, the quadriceps femoris, and thereby stimulation of the muscle spindles. d. stretch of the tendon and N RuSsI itsUm clN esG , tT heBr. ecC tuOs M femoris, and thereby stimulation of the muscle spindles. ANS: C DIF: Application REF: pp. 491-492 TOP: Knee Jerk Reflex 44. What is the difference between a somatic reflex and an autonomic reflex? a. A somatic reflex is caused by contraction of smooth or cardiac muscles, whereas an autonomic reflex consists of skeletal muscle contraction. b. A somatic reflex is caused by the secretions of glands, whereas an autonomic reflex consists of contraction of smooth and skeletal muscles. c. A somatic reflex is caused by contraction of skeletal muscles, whereas an autonomic reflex consists of contraction of smooth or cardiac muscle or secretions of glands. d. A somatic reflex is caused by contraction of smooth or cardiac muscles, whereas an autonomic reflex consists of the secretions of glands. ANS: C DIF: Application REF: p. 491 TOP: Nature of a Reflex 45. What would the result be if the phrenic nerve received an impulse from the cervical plexus? a. The diaphragm would stop contracting. b. Sensation to the anterior abdominal wall would cease. c. Motor nerves to the thigh would not be able to receive impulses. d. Motor nerves to the back of the neck would not be able to receive impulses. ANS: A DIF: Application REF: p. 480 NURSINGTB.COM TOP: Phrenic Nerves (Box 21-2) Anatomy and Physiology 10th Edition Patton Test Bank 46. How is herpes zoster (shingles) a result of the reactivation of the varicella zoster virus? a. Adrenergic receptors of the cranial nerve send impulses to the brain, indicating pain at the nerve site. b. A cutaneous nerve is affected by the virus causing shingles, which remains dormant in the dorsal root ganglion for years. c. -receptors of the cranial nerve send impulses to the brain, indicating pain at the nerve site. d. A cranial nerve is affected by the virus causing shingles, which remains dormant in the dorsal root ganglion for years. ANS: B DIF: Application REF: p. 483 TOP: Herpes Zoster (Box 21-3) 47. After radiation treatment, Jake experienced a painful eruption of red, swollen plaques that ruptured and later crusted over. Soon after the eruption of the vesicles, Jake complained of burning and itching in the affected dermatome. These symptoms are most likely a result of what condition? a. Cranial nerve damage b. Herpes zoster c. Peripheral neuropathy d. Trigeminal neuralgia ANS: B DIF: Application REF: p. 483 TOP: Herpes Zoster (Box 21-3) 48. When responding to stimulation of the outer margin of the sole of the foot, a 1-year-old infant extends her great toe without fanning of the other toes. This happens because: a. the corticospinal fibers have become fully myelinated and the Babinski reflex NURSINGTB.COM becomes suppressed. b. the corticospinal fibers have not yet become fully myelinated and the Babinski reflex is activated. c. the sensory fibers in the ophthalmic branch of the fifth cranial nerve are mediated by reflex arcs. d. a deep reflex is mediated by a two-neuron spinal arc. ANS: B DIF: Application REF: p. 492 TOP: Plantar Reflex 49. Judy has sustained an injury that has damaged the vestibulocochlear nerve. This injury will have an effect on her ability to: a. hear. b. move her jaw. c. open and close her eyes. d. maneuver her tongue. ANS: A DIF: Application REF: p. 485 TOP: Vestibulocochlear Nerve 50. A patient complains of numbness in the skin of the buttocks and the posterior surface of the thigh and leg. The spinal nerve or peripheral branch most likely involved with this condition is the plexus. a. brachial b. cervical c. coccygeal NURSINGTB.COM Anatomy and Physiology 10th Edition Patton Test Bank d. thoracic ANS: C DIF: Application REF: p. 481 TOP: Nerve Plexuses TRUE/FALSE 1. Each optic nerve contains fibers from both retinas. ANS: F DIF: Application REF: p. 486 TOP: Optic Nerve (II) 2. Conduction by the sixth cranial nerve results in sensations of hearing. ANS: F DIF: Application REF: p. 487 TOP: Abducens Nerve (VI) 3. The vagus nerve contains both sensory and motor fibers. ANS: T DIF: Memorization TOP: Vagus Nerve (X) REF: pp. 488-489 4. Injury to the sixth cranial nerve causes the eye to turn in because of paralysis of the abducting muscle of the eye. ANS: T DIF: Memorization TOP: Cranial Nerve Damage (Box 21-5) REF: p. 488 5. There are 31 pairs of spinal nerves, all of which consist of both motor and sensory fibers. ANS: T DIF: TOP: Spinal Nerves MN emo tion URriza SI NGTB.COM REF: p. 477 6. A herpes zoster (shingles) outbreak usually affects more than one dermatome pattern on the skin. ANS: F DIF: Memorization TOP: Herpes Zoster (Box 21-3) REF: p. 483 7. Trigeminal neuralgia, or tic douloureux, is characterized by stabbing pain radiating from the eyes. ANS: F DIF: Memorization TOP: Trigeminal Neuralgia (Box 21-4) REF: p. 487 8. The ventral rami of all spinal nerves subdivide to form complex networks called plexuses. ANS: F DIF: Memorization TOP: Structure of Spinal Nerves REF: p. 477 9. Each spinal nerve attaches to the spinal cord by means of two short roots—a ventral root and a dorsal root. ANS: T DIF: Memorization TOP: Structure of Spinal Nerves NURSINGTB.COM REF: p. 477 Anatomy and Physiology 10th Edition Patton Test Bank 10. The phrenic nerve exits from the brachial plexus. ANS: T DIF: Memorization TOP: Cervical Plexus REF: p. 478 11. Any disease or injury that damages the spinal cord between the first and fifth cervical segments also paralyzes the phrenic nerve and therefore the diaphragm. ANS: T DIF: Memorization TOP: Phrenic Nerves (Box 21-2) REF: p. 480 12. A dermatome is the skin surface area supplied by a single spinal nerve. ANS: T DIF: Memorization TOP: Dermatomes and Myotomes REF: p. 482 13. Approximately 3% of the population will suffer from shingles at some time in their lives. ANS: T DIF: Memorization TOP: Herpes Zoster (Box 21-3) REF: p. 483 14. Somatic reflexes are contractions of smooth muscles. ANS: F DIF: Memorization TOP: Nature of a Reflex REF: p. 491 15. At all stages of development,Na pR ositI ive G BabB in. skCi reM flex always means destruction of pyramidal tract fibers. U S N T O ANS: F DIF: Memorization TOP: Somatic Reflexes of Clinical Importance REF: p. 491 16. Each spinal nerve branches into three rami: a ventral branch, a dorsal branch, and an autonomic or visceral branch. ANS: F DIF: Memorization TOP: Structure of Spinal Nerves REF: pp. 476-477 17. The spinal root that possesses a swelling is the dorsal root. ANS: T DIF: Memorization TOP: Structure of Spinal Nerves REF: p. 476 18. The dorsal root ganglion contains motor neuron cell bodies. ANS: F DIF: Memorization TOP: Structure of Spinal Nerves REF: pp. 476-477 19. The lower end of the spinal cord bears the name lumbosacral plexus. ANS: F DIF: Memorization NURSINGTB.COM REF: p. 481 Anatomy and Physiology 10th Edition Patton Test Bank TOP: Sacral Plexus and Coccygeal Plexus 20. There are 62 spinal nerves. ANS: T DIF: Memorization TOP: Spinal Nerves REF: p. 496 21. Herpes zoster is a unique viral infection that almost always affects the skin of a single dermatome. ANS: T DIF: Memorization TOP: Herpes Zoster (Box 21-3) REF: p. 483 22. Myotome is a term referring to a skeletal muscle group innervated by motor neuron axons from a given spinal nerve. ANS: T DIF: Memorization TOP: Dermatomes and Myotomes REF: p. 483 23. The sacral plexus is found deep within the shoulder. ANS: F DIF: Memorization TOP: Sacral Plexus and Coccygeal Plexus REF: p. 481 24. Skeletal muscles are somatic effectors. ANS: T DIF: Memorization TOP: Basic Principles of SomN atic R MotI or PG athwBa. ysC U S N T M O REF: p. 490 25. The Babinski reflex is evoked via stimulation of the outer sole of the foot and will cause a normal infant to extend the great toe. ANS: T DIF: Application REF: p. 491 TOP: Plantar Reflex 26. Amines are the neurotransmitters in a somatic motor pathway. ANS: F DIF: Memorization TOP: Basic Principles of Somatic Motor Pathways REF: p. 490 27. Sympathetic chain and sympathetic rami refer to the same structure. ANS: F DIF: Memorization TOP: Structure of Spinal Nerves REF: p. 477 28. The peripheral nervous system includes cranial nerves. ANS: T TOP: Introduction DIF: Memorization REF: p. 475 29. The peripheral nervous system consists of 43 pairs of nerves and their branches. ANS: T DIF: Application REF: p. 475 NURSINGTB.COM TOP: Introduction Anatomy and Physiology 10th Edition Patton Test Bank 30. The peripheral nervous system contains only efferent nerves. ANS: F TOP: Introduction DIF: Memorization REF: p. 475 31. Even though there are only seven cervical vertebrae, that region generates eight cranial nerves. ANS: T DIF: Memorization TOP: Spinal Nerves REF: p. 475 32. The nerves emerging from the lower lumbar and sacral regions branch from a structure called the cauda equina, not the spinal cord itself. ANS: T DIF: Memorization TOP: Spinal Nerves REF: p. 476 33. The spinal ganglion is located only on the ventral nerve root. ANS: F DIF: Memorization TOP: Structure of Spinal Nerves REF: p. 476 34. Branches of the dorsal ramus innervate the skin and muscles of the posterior surface of the head, neck, and trunk. ANS: T DIF: Memorization TOP: Structure of Spinal NervN es R I G REF: p. 477 U S N TB.COM 35. Nerve plexuses of the thoracic region innervate the abdominal organs. ANS: F DIF: Memorization TOP: Nerve Plexuses REF: pp. 477-478 36. The brachial plexus is the only plexus that contains a thoracic spinal nerve. ANS: T DIF: Memorization TOP: Nerve Plexuses, Brachial Plexus REF: pp. 478-480 37. There is almost no overlap in the dermatomes of the body. ANS: F DIF: Memorization TOP: Dermatomes and Myotomes REF: p. 482 38. Based on the numbering system of the cranial nerves, cranial nerve XI would be more anterior than cranial nerve III. ANS: F DIF: Memorization TOP: Cranial Nerves REF: p. 484 39. Most “motor” cranial nerves carry proprioceptive sensory fibers. NURSINGTB.COM Anatomy and Physiology 10th Edition Patton Test Bank ANS: T DIF: Memorization TOP: Cranial Nerves REF: p. 484 40. The cochlear nerve is composed of axons that originate in the organ of Corti. ANS: T DIF: Memorization TOP: Vestibulocochlear Nerve REF: p. 487 41. The vestibulocochlear nerve is sometimes called the acoustic nerve. ANS: T DIF: Memorization TOP: Vestibulocochlear Nerve REF: p. 487 42. The glossopharyngeal nerve supplies fibers to the carotid sinus, which has a role in the control of blood pressure. ANS: T DIF: Memorization TOP: Glossopharyngeal Nerve REF: p. 488 43. Because the vagus nerve sends many fibers to the abdominal organs, it was given the name vagus, which means visceral. ANS: F DIF: Memorization TOP: Vagus Nerve (X) REF: p. 488 44. The accessory nerve is unique among the cranial nerves, because none of its fibers originate in the brain. N R I G TB.COM U S N ANS: T DIF: Memorization TOP: Accessory Nerve (XI) REF: p. 490 45. Reflexes are always unconscious or involuntary. ANS: F DIF: Memorization TOP: Nature of a Reflex REF: p. 490 46. A reflex always includes a muscle contraction or a gland secretion. ANS: T DIF: Memorization TOP: Nature of a Reflex REF: p. 491 47. The final efferent organ of the knee jerk reflex is the quadriceps femoris muscle. ANS: T DIF: Application REF: p. 491 TOP: Somatic Reflexes of Clinical Importance 48. If a reflex causes cardiac muscle to contract, it can be either a somatic or an autonomic reflex. ANS: F DIF: Memorization TOP: Nature of a Reflex NURSINGTB.COM REF: p. 491 Anatomy and Physiology 10th Edition Patton Test Bank 49. The plantar reflex consists of a curling under of all the toes, plus a slight turning in and flexion of the anterior part of the foot. ANS: T DIF: Memorization TOP: Somatic Reflexes of Clinical Importance REF: p. 493 50. The plantar reflex and Babinski reflex are brought about by the same stimulus. ANS: T DIF: Application REF: p. 492 TOP: Somatic Reflexes of Clinical Importance 51. The most common cause of peripheral neuropathy in the United States is diabetes mellitus. ANS: T DIF: Memorization TOP: Peripheral Neuropathy (Box 21-1) REF: p. 475 52. If you have never had chickenpox, it is unlikely that you will develop shingles. ANS: T DIF: Application REF: p. 483 TOP: Herpes Zoster (Box 21-3) 53. There is one more thoracic spinal nerve than there are thoracic vertebrae. ANS: F DIF: Memorization TOP: Spinal Nerves REF: p. 475 54. When referring to a spinal nerve, the terms dorsal root and dorsal ramus refer to the same structure. N R I G TB.COM U S N ANS: F DIF: Memorization TOP: Structure of Spinal Nerves REF: p. 475 55. The term plexus comes from the Latin word meaning braid. ANS: T DIF: Memorization TOP: Nerve Plexuses REF: p. 476 56. Thoracic spinal nerves are the only segment of spinal nerves that do not participate in a plexus. ANS: F DIF: Memorization TOP: Brachial Plexus REF: pp. 478-480 57. The last spinal nerve is Cx 1 (from the coccyx), which joins with sacral spinal nerves to form the coccygeal plexus. ANS: F DIF: Memorization TOP: Sacral Plexus and Coccygeal Plexus REF: p. 481 58. Only spinal nerves from the sacrum form the sacral plexus. ANS: F DIF: Memorization TOP: Sacral Plexus and Coccygeal Plexus NURSINGTB.COM REF: p. 481 Anatomy and Physiology 10th Edition Patton Test Bank 59. Because the distribution of nerves to skeletal muscle is arranged into specific myotomes, a skeletal muscle can be innervated by axons from only one spinal nerve. ANS: F DIF: Memorization TOP: Dermatomes and Myotomes REF: pp. 482-483 60. It would be normal to find a functioning Babinski reflex in an infant as young as 4 months old. ANS: T DIF: Memorization TOP: Plantar Reflex REF: p. 492 61. The corneal reflex refers to the eye reducing the size of the pupil in response to bright light. ANS: F DIF: Memorization TOP: Corneal Reflex REF: p. 492 62. Efferent neurons carry information away from the CNS; afferent neurons carry information toward the CNS. ANS: T TOP: Introduction DIF: Memorization REF: p. 475 63. The nerves from the cervical plexus innervate the lower part of the shoulder and the entire arm. ANS: F DIF: TOP: Brachial Plexus MN emo tion URriza SI NGTB.COM REF: pp. 478-480 64. The largest nerve of the body, the sciatic nerve, has its source in the sacral plexus. ANS: T DIF: Memorization TOP: Sacral Plexus and Coccygeal Plexus REF: p. 481 65. The olfactory nerve, the optic nerve, and the oculomotor nerve are the only cranial nerves that do not come from the brainstem. ANS: F DIF: Memorization TOP: Cranial Nerves REF: pp. 485-486 66. All reflexes have their interneurons in the spinal cord. ANS: F DIF: Memorization TOP: Nature of a Reflex REF: p. 490 67. The somatic motor pathway has two neurons between the CNS and the effector organs, just as the autonomic system does. ANS: F DIF: Memorization TOP: Basic Principles of Somatic Motor Pathways NURSINGTB.COM REF: p. 490 Anatomy and Physiology 10th Edition Patton Test Bank 68. The optic tract contains fibers from both retinas. ANS: T DIF: Memorization TOP: Optic Nerve (II) REF: p. 486 69. The two optic nerves join at the optic chiasma. ANS: T DIF: Memorization TOP: Optic Nerve (II) REF: p. 486 70. Most of the optic nerve fibers terminate in the cerebellum. ANS: F DIF: Memorization TOP: Optic Nerve (II) REF: p. 486 71. All of the cervical nerves contribute to the cervical plexus. ANS: F DIF: Memorization TOP: Cervical Plexus REF: p. 476 72. Two cranial nerves, the hypoglossal and the vagus, receive branches from the cervical plexus. ANS: F DIF: Memorization TOP: Cervical Plexus REF: p. 476 73. The first four lumbar nerves contribute to the lumbar plexus. ANS: T DIF: TOP: Lumbar Plexus B.C M U S N T O MN emoR rizaI tionG REF: p. 480 74. The femoral nerve, a major nerve in the lower extremity, exits from the lumbar plexus. ANS: T DIF: Memorization TOP: Lumbar Plexus REF: p. 480 75. The olfactory nerve has dendrites in the inferior turbinates of the nose. ANS: F DIF: Memorization TOP: Olfactory Nerve REF: p. 485 76. The axons of the olfactory nerve form about 20 small bundles that pierce the cribriform plate to enter the brain. ANS: T DIF: Memorization TOP: Olfactory Nerve REF: p. 485 77. The oculomotor nerve contains fibers from the autonomic nervous system. ANS: T DIF: Memorization TOP: Oculomotor Nerve 78. The trochlear nerve stimulates movement of the eye. NURSINGTB.COM REF: p. 486 Anatomy and Physiology 10th Edition Patton Test Bank ANS: T DIF: Memorization TOP: Trochlear Nerve REF: p. 486 79. The trigeminal nerve gives rise to the ophthalmic nerve, the maxillary nerve, and the zygomatic nerve. ANS: F DIF: Memorization TOP: Trigeminal Nerve REF: p. 486 80. The abducens nerve fibers originate in the medulla oblongata. ANS: F DIF: Memorization TOP: Abducens Nerve (VI) REF: p. 487 81. The abducens nerve abducts the upper arm. ANS: F DIF: Memorization TOP: Abducens Nerve (VI) REF: p. 487 82. The facial nerve contains efferent fibers to the tear glands and afferent fibers from the taste buds. ANS: T TOP: Facial Nerve DIF: Memorization REF: p. 487 83. The glossopharyngeal nerve is the only cranial nerve that contains autonomic fibers. N R I GTB.COM UoriS ANS: F DIF: Mem zatioN n TOP: Glossopharyngeal Nerve REF: p. 488 84. The vagus nerve originates in the pons. ANS: F DIF: Memorization TOP: Vagus Nerve (X) MATCHING Match each cranial nerve with its function or description. a. Olfactory nerve b. Optic nerve c. Oculomotor nerve d. Trochlear nerve e. Trigeminal nerve f. Abducens nerve g. Vestibulocochlear nerve h. Glossopharyngeal nerve i. Vagus nerve j. Hypoglossal nerve 1. Connects to various external muscles of the eye NURSINGTB.COM REF: p. 489 Anatomy and Physiology 10th Edition Patton Test Bank 2. 3. 4. 5. 6. 7. 8. 9. 10. Involved in both hearing and equilibrium Fibers are widely distributed in the body; name means “wanderer” Dendrites and cell bodies are along the superior conchae Supplies muscles of the tongue; name means “under the tongue” Branches into three nerves: the ophthalmic, maxillary, and mandibular nerves Sends fibers to the carotid sinus, which helps regulate blood pressure Sends fibers to the occipital lobe and the superior colliculi Sends fibers to the superior oblique muscle of the eye Abducts the eye 1. ANS: C DIF: Memorization TOP: Oculomotor Nerve 2. ANS: G DIF: Memorization TOP: Vestibulocochlear Nerve 3. ANS: I DIF: Memorization TOP: Vagus Nerve (X) 4. ANS: A DIF: Memorization TOP: Olfactory Nerve 5. ANS: J DIF: Memorization TOP: Hypoglossal Nerve 6. ANS: E DIF: Memorization TOP: Trigeminal Nerve 7. ANS: H DIF: Memorization TOP: Glossopharyngeal Nerve 8. ANS: B DIF: Memorization TOP: Optic Nerve (II) 9. ANS: D DIF: MN em zaI tioN nGTB.COM UoRriS TOP: Trochlear Nerve 10. ANS: F DIF: Memorization TOP: Abducens Nerve (VI) REF: p. 486 REF: p. 487 REF: pp. 488-489 REF: p. 485 REF: p. 490 REF: p. 486 REF: p. 488 REF: p. 486 REF: p. 486 REF: p. 487 Match each term with its description or definition. a. Cauda equina b. Ventral nerve root c. Dorsal nerve root d. Cervical plexus e. Brachial plexus f. Lumbar plexus g. Dermatome h. Myotome i. Somatic reflexes j. Autonomic reflexes 11. 12. 13. 14. 15. 16. Plexus from which femoral nerve emerges Nerve root that carries motor nerves away from the spinal cord Skin surface area that is supplied by one spinal nerve Reflexes that involve cardiac muscle, smooth muscle, and glands Nerve root that carries sensory neurons into the spinal cord Group or braid of nerves formed from spinal nerves C1 to C4 NURSINGTB.COM Anatomy and Physiology 10th Edition Patton Test Bank 17. 18. 19. 20. Group of skeletal muscles that receive axons from one spinal nerve Reflexes that involve skeletal muscles Group of nerves that extend from the bottom of the spinal cord Group or braid of nerves formed from spinal nerves C5 to T1 11. ANS: F DIF: Memorization TOP: Lumbar Plexus 12. ANS: B DIF: Memorization TOP: Structure of Spinal Nerves 13. ANS: G DIF: Memorization TOP: Dermatomes and Myotomes DIF: Memorization 14. ANS: J TOP: Nature of a Reflex DIF: Memorization 15. ANS: C TOP: Structure of Spinal Nerves DIF: Memorization 16. ANS: D TOP: Cervical Plexus DIF: Memorization 17. ANS: H TOP: Dermatomes and Myotomes DIF: Memorization 18. ANS: I TOP: Nature of a Reflex DIF: Memorization 19. ANS: A TOP: Spinal Nerves DIF: Memorization 20. ANS: E TOP: Brachial Plexus OTHER REF: p. 480 REF: p. 477 REF: p. 482 REF: p. 491 REF: p. 477 REF: p. 478 REF: p. 483 REF: p. 491 REF: p. 476 REF: pp. 478-480 NURSINGTB.COM 1. List the names, numbers, and functional classifications of the cranial nerves. ANS: Answers will vary. DIF: Memorization TOP: Cranial Nerves REF: p. 484, Table 21-2 2. Briefly describe the structure of the spinal nerves. ANS: Answers will vary. DIF: Application REF: pp. 476-477 TOP: Structure of Spinal Nerves 3. Why do the right and left phrenic nerves have considerable clinical interest? ANS: Answers will vary. DIF: Memorization REF: p. 480 TOP: Phrenic Nerves (Box 21-2) 4. Outline the neural pathway involved in the patellar (knee jerk) reflex. NURSINGTB.COM Anatomy and Physiology 10th Edition Patton Test Bank ANS: Answers will vary. DIF: Synthesis REF: pp. 491-492 TOP: Knee Jerk Reflex 5. Identify the major nerve plexuses and which spinal nerves join to form each of them. ANS: Answers will vary. DIF: Synthesis REF: pp. 478-481 TOP: Nerve Plexuses 6. What is a dermatome? What is a myotome? ANS: Answers will vary. DIF: Memorization REF: pp. 482-483 TOP: Dermatomes and Myotomes 7. Explain the difference between the Babinski reflex and the plantar reflex. What does a positive Babinski reflex in an adult indicate? ANS: Answers will vary. DIF: Application REF: p. 493 TOP: Plantar Reflex NURSINGTB.COM 8. Explain how the nerve plexuses make the nervous system more efficient. ANS: Answers will vary. DIF: Application REF: p. 495 TOP: Nerve Plexuses 9. Describe the basic principles of somatic motor pathways. ANS: Answers will vary. DIF: Memorization REF: p. 490 TOP: Basic Principles of Somatic Motor Pathways 10. Explain the difference between a spinal reflex and a cranial reflex. Explain the difference in effector organs between somatic reflexes and visceral reflexes. ANS: Answers will vary. DIF: Memorization REF: pp. 490-491 ESSAY NURSINGTB.COM TOP: Nature of a Reflex Anatomy and Physiology 10th Edition Patton Test Bank 1. A patient has a severe case of the hiccups. The physician injects an anesthetic solution into the neck about an inch above the clavicle. What nerve was injected, and what is the result? ANS: Answers will vary. DIF: Application REF: p. 480, Box 21-2 NURSINGTB.COM NURSINGTB.COM TOP: Phrenic Nerves (Box 21-2) Anatomy and Physiology 10th Edition Patton Test Bank Chapter 22: Autonomic Nervous System Patton: Anatomy and Physiology, 10th Edition MULTIPLE CHOICE 1. Which generalization concerning the autonomic nervous system is not true? a. All of its axons are afferent fibers. b. It operates without conscious control. c. It regulates visceral activities. d. All of its neurons are motor. ANS: A DIF: Memorization TOP: Divisions of the Autonomic Nervous System REF: pp. 499-500 2. Which of the following would not be a major effector of the autonomic nervous system? a. Skeletal muscles b. Blood vessels c. Sweat glands d. Iris of the eye ANS: A DIF: Memorization TOP: Overview of the Autonomic Nervous System REF: p. 499 3. Somatic motor and autonomic pathways share all of the following characteristics except: a. direction of information flow. b. location of peripheral fibers. c. number of neurons betweN enUcRent ralNnGerv tem (CNS) and effector. SI TBou.sCsys OM d. acetylcholine. ANS: C DIF: Memorization TOP: Basic Plan of Autonomic Pathways REF: p. 501 4. The autonomic nervous system functions chiefly in the: a. coordination of muscular activity. b. innervation of smooth muscle in the viscera. c. reception of sensory impulses. d. arousal of alerting mechanism. ANS: B DIF: Synthesis REF: p. 499 TOP: Overview of the Autonomic Nervous System 5. Once inside the sympathetic chain ganglion, the preganglionic fiber may: a. synapse with a sympathetic postganglionic neuron. b. send ascending and/or descending branches through the sympathetic trunk to synapse with postganglionic neurons in other chain ganglia. c. pass through one or more ganglia without synapsing. d. do all of the above. ANS: D DIF: Memorization TOP: Structure of the Autonomic Nervous System NURSINGTB.COM REF: p. 500 Anatomy and Physiology 10th Edition Patton Test Bank 6. Sympathetic responses generally have widespread effects on the body because: a. they reach visceral effectors faster than parasympathetic impulses. b. myoneural junctions contain a substance that inactivates acetylcholine. c. preganglionic fibers are short and postganglionic fibers are long. d. preganglionic fibers synapse with several postsynaptic fibers. ANS: D DIF: Application REF: p. 503 TOP: Structure of the Sympathetic Pathways 7. Parasympathetic neuron cell bodies are located in: a. the white columns of the sacral segments of the spinal cord. b. the lateral gray columns of thoracic segments of the spinal cord. c. nuclei of the brainstem and the lateral gray columns of the sacral cord. d. collateral ganglia. ANS: C DIF: Memorization TOP: Structure of the Parasympathetic Pathways REF: p. 503 8. Which of the following is not an example of sympathetic stimulation? a. Constriction of the bronchioles b. Decreased secretion of the pancreas c. Constriction of the urinary sphincters d. Dilation of skeletal muscle blood vessels ANS: A DIF: Application REF: p. 510 TOP: Summary of Sympathetic “Fight-or-Flight” Reaction (Table 22-5) 9. All of the following are examples of parasympathetic stimulation except: RSer. INGTB.COM a. contraction of the urinaryNbU ladd b. relaxation of the sphincters of the digestive tract. c. increased salivation. d. increased heart rate. ANS: D DIF: Application REF: p. 507 TOP: Autonomic Functions 10. “Fight-or-flight” physiological changes include all of the following except: a. increased conversion of glycogen into glucose. b. constriction of respiratory airways. c. increased sweating. d. dilation of blood vessels in skeletal muscles. ANS: B DIF: Memorization TOP: Functions of the Autonomic Nervous System REF: p. 510 11. All of the following are characteristics of sympathetic preganglionic neurons except: a. they secrete acetylcholine. b. they have long fibers from CNS to ganglion. c. dendrites and cell bodies are found in the lateral gray columns of thoracic and the first four lumbar segments of the spinal cord. d. All of the above are correct. ANS: B DIF: Synthesis REF: pp. 500-501 TOP: Structure of the Sympathetic Pathways NURSINGTB.COM Anatomy and Physiology 10th Edition Patton Test Bank 12. Norepinephrine is liberated at: a. the dendrite ending. b. parasympathetic preganglionic nerve endings. c. most sympathetic postganglionic nerve endings. d. sympathetic preganglionic nerve endings. ANS: C DIF: Synthesis REF: p. 505 TOP: Autonomic Neurotransmitters and Receptors 13. Beta receptors: a. are cholinergic. b. bind acetylcholine. c. bind norepinephrine. d. bind the toxin muscarine. ANS: C DIF: Memorization TOP: Norepinephrine and Its Receptors REF: p. 505 14. Propranolol is an example of a: a. beta blocker. b. drug used to treat irregular heartbeats. c. drug used to treat hypertension. d. All of the above are correct. ANS: D DIF: Memorization TOP: Beta Blockers (Box 22-2) REF: p. 505 15. A child was frightened by a lN arU geRdSoI g.NTG heTpBu. piC lsOoM f the child’s eyes became dilated, and the heart and respiratory rates increased. These symptoms were caused by stimulation of: a. the parasympathetic nervous system. b. the sympathetic nervous system. c. both the parasympathetic and the sympathetic nervous systems. d. None of the above would account for the symptoms. ANS: B DIF: Application REF: p. 509 TOP: Functions of the Sympathetic Division 16. Which of the following might occur from the stimulation of parasympathetic fibers? a. Goose pimples b. Dilation of blood vessels to skeletal muscles c. Increased blood sugar d. Increased peristalsis in the digestive tract ANS: D DIF: Memorization TOP: Autonomic Functions (Table 22-4) REF: p. 508 17. Parasympathetic stimulation has no effect on any of the following areas except: a. sweat glands. b. skin blood vessels. c. the liver. d. the urinary bladder. NURSINGTB.COM Anatomy and Physiology 10th Edition Patton Test Bank ANS: D DIF: Application TOP: Autonomic Functions (Table 22-4) REF: p. 508 18. Which of the following statements is not true? a. The parasympathetic division is the dominant controller of most autonomic effectors most of the time. b. Under quiet, nonstressful conditions, more impulses reach autonomic effectors by cholinergic parasympathetic fibers than by adrenergic sympathetic fibers. c. The major function of the parasympathetic division is to serve as an “emergency” system. d. Parasympathetic stimulation causes an increase in the secretion of pancreatic juice and insulin. ANS: C DIF: Synthesis REF: p. 509 TOP: Functions of the Autonomic Nervous System 19. Alpha receptors bind with: a. acetylcholine. b. norepinephrine. c. the toxin muscarine. d. none of the above. ANS: B DIF: Memorization TOP: Norepinephrine and Its Receptors REF: p. 505 20. Which is not true about sympathetic postganglionic neurons? a. They are usually longer than preganglionic neurons. b. They produce acetylcholiN ne. URSINGTB.COM c. They produce norepinephrine. d. They have acetylcholine receptors on their dendrites. ANS: B DIF: Application REF: pp. 504-505 TOP: Autonomic Neurotransmitters and Receptors 21. Which is not true about parasympathetic postganglionic neurons? a. They are usually shorter than the preganglionic neurons. b. They produce acetylcholine as a neurotransmitter. c. They produce norepinephrine as a neurotransmitter. d. They have acetylcholine receptors on their dendrites. ANS: C DIF: Application REF: pp. 504-505 TOP: Autonomic Neurotransmitters and Receptors 22. Acetylcholine can stimulate a. alpha b. beta c. nicotinic d. both alpha and beta receptors. ANS: C DIF: Memorization TOP: Autonomic Neurotransmitters and Receptors 23. Norepinephrine can stimulate receptors. NURSINGTB.COM REF: p. 505 Anatomy and Physiology 10th Edition Patton Test Bank a. b. c. d. alpha beta nicotinic both alpha and beta ANS: D DIF: Memorization TOP: Autonomic Neurotransmitters and Receptors REF: p. 505 24. How does a dually innervated autonomic effector differ from a singly innervated autonomic effector? a. A dually innervated effector receives input from both sympathetic and parasympathetic pathways. A singly innervated autonomic effector receives input from only the sympathetic division. b. A dually innervated effector receives input from both sympathetic and parasympathetic pathways. A singly innervated autonomic effector receives input from only the parasympathetic division. c. A dually innervated effector utilizes both acetylcholine and norepinephrine as neurotransmitters. A singly innervated autonomic effector utilizes only acetylcholine. d. A dually innervated effector utilizes both acetylcholine and norepinephrine as neurotransmitters. A singly innervated autonomic effector uses only norepinephrine. ANS: A DIF: Application REF: pp. 499-500 TOP: Divisions of the Autonomic Nervous System 25. Which of the following is a description of the principle of autonomic antagonism as it relates to the autonomic nervous sysN teU mR ? SINGTB.COM a. If sympathetic impulses tend to inhibit the effector, parasympathetic impulses tend to stimulate it. b. If sympathetic impulses inhibit autonomic centers, parasympathetic impulses tend to stimulate them. c. If sympathetic impulses tend to stimulate an effector, parasympathetic impulses tend to inhibit it. d. If sympathetic impulses initiate nerve conduction, parasympathetic impulses stop nerve conduction. ANS: C DIF: Application REF: p. 508 TOP: Functions of the Autonomic Nervous System 26. Both sympathetic and parasympathetic divisions are tonically active, which means they: a. are hydrolyzed by the enzyme acetylcholine. b. continually conduct impulses to autonomic effectors. c. continually conduct impulses to the brain. d. have opposing effects. ANS: B DIF: Application TOP: Overview of Autonomic Functions REF: p. 508 27. If you were to damage some of the preganglionic fibers that enter the celiac ganglion, what effect would this have on sympathetic stimulation? a. Hormones secreted by the adrenal medulla may reach the various sympathetic NURSINGTB.COM Anatomy and Physiology 10th Edition Patton Test Bank effectors, where they would enhance and prolong the effects of the sympathetic stimulation. b. Hormones secreted by the pituitary gland may reach various sympathetic effectors, where they would enhance and prolong the effects of the sympathetic stimulation. c. Hormones secreted by the adrenal medulla may not reach the various sympathetic effectors, thus delaying the effects of sympathetic stimulation. d. Hormones secreted by the pituitary gland may not reach the various sympathetic effectors, thus delaying the effects of sympathetic stimulation. ANS: C DIF: Application REF: p. 503 TOP: Structure of the Sympathetic Pathways TRUE/FALSE 1. Visceral effectors are innervated by sympathetic fibers. ANS: T DIF: Application REF: p. 499 TOP: Overview of the Autonomic Nervous System 2. Effectors that have single innervation by the autonomic nervous system are innervated only by the parasympathetic division. ANS: F DIF: Memorization TOP: Overview of the Autonomic Nervous System REF: p. 499 3. The parasympathetic and sympathetic divisions always act with a cooperative influence, and through summation of the impulses, the effect can be increased. NURSINGTB.COM ANS: F DIF: Memorization TOP: Overview of the Autonomic Nervous System REF: pp. 499-500 4. Most effectors of the autonomic nervous system are dually innervated by sympathetic and parasympathetic neurons. ANS: T DIF: Memorization TOP: Overview of the Autonomic Nervous System REF: pp. 499-500 5. The autonomic nervous system includes only efferent neurons. ANS: F DIF: Memorization TOP: Overview of the Autonomic Nervous System REF: p. 500 6. Sensory neurons can operate in autonomic reflex arcs. ANS: T DIF: Application REF: p. 500 TOP: Structure of the Autonomic Nervous System 7. Preganglionic neurons conduct impulses from the brain or spinal cord to an autonomic ganglion. ANS: T DIF: Memorization TOP: Structure of the Autonomic Nervous System NURSINGTB.COM REF: p. 500 Anatomy and Physiology 10th Edition Patton Test Bank 8. Conduction to autonomic effectors requires only one efferent neuron. ANS: F DIF: Memorization TOP: Structure of the Autonomic Nervous System REF: p. 500 9. Sympathetic responses are usually widespread, involving many organ systems at once. ANS: T DIF: Memorization TOP: Sympathetic Postganglionic Neurons REF: p. 503 10. The parasympathetic division is also called the thoracolumbar division. ANS: F DIF: Memorization TOP: Structure of the Sympathetic Pathways REF: p. 500 11. The effect of a neurotransmitter on any postsynaptic cell is determined by the characteristics of the receptor, not the neurotransmitter. ANS: T DIF: Memorization TOP: Norepinephrine and Its Receptors REF: p. 505 12. Parasympathetic stimulation has no effect on sweat glands. ANS: T DIF: Memorization TOP: Autonomic Functions (Table 22-4) REF: p. 508 13. The sympathetic division is tN he dRomI inanGt coB n. troCllerMof the body at rest. U S N T O ANS: F DIF: Synthesis REF: p. 510 TOP: Functions of the Autonomic Nervous System 14. Nicotinic receptors are located on the dendrites of all preganglionic neurons of both the parasympathetic and sympathetic divisions. ANS: F DIF: Memorization TOP: Acetylcholine and Its Receptors REF: p. 505 15. All cell bodies of the autonomic nervous system are located within the CNS. ANS: F DIF: Application REF: p. 503 TOP: Structure of the Autonomic Nervous System 16. Once inside the sympathetic chain ganglion, the preganglionic fiber will always synapse with a sympathetic postganglionic neuron. ANS: F DIF: Application REF: p. 500 TOP: Structure of the Autonomic Nervous System 17. Some parasympathetic postganglionic neurons have their cell bodies in nuclei in the brainstem. NURSINGTB.COM Anatomy and Physiology 10th Edition Patton Test Bank ANS: F DIF: Memorization TOP: Parasympathetic Postganglionic Neurons REF: p. 504 18. The neurotransmitter released by both sympathetic and parasympathetic preganglionic neurons is acetylcholine. ANS: T DIF: Memorization TOP: Autonomic Neurotransmitters and Receptors REF: p. 505 19. Axon terminals that secrete acetylcholine are called cholinergic terminals. ANS: T DIF: Memorization TOP: Autonomic Neurotransmitters and Receptors REF: p. 505 20. Monoamine oxidase is an enzyme that enhances the action of norepinephrine. ANS: F DIF: Memorization TOP: Norepinephrine and Its Receptors REF: p. 505 21. The preganglionic neurons of both the sympathetic and the parasympathetic divisions are cholinergic. ANS: T DIF: Memorization TOP: Autonomic Neurotransmitters and Receptors REF: p. 504 22. Acetylcholine affects visceral effectors by first binding to alpha receptors. ANS: F DIF: MN emoR rizaI tionG B.C M U S O TOP: Acetylcholine and Its Receptors N T REF: p. 505 23. Both the parasympathetic and the sympathetic divisions continually conduct impulses to visceral effectors. ANS: T DIF: Memorization TOP: Overview of the Autonomic Nervous System REF: p. 499 24. An effect of sympathetic stimulation on the eye is constriction of the pupil. ANS: F DIF: Memorization TOP: Autonomic Functions (Table 22-4) REF: p. 508 25. Blood vessels in both digestive organs and skeletal muscles are dilated by sympathetic stimulation. ANS: F DIF: Memorization TOP: Autonomic Functions (Table 22-4) REF: p. 508 26. The “fight-or-flight” reaction is a normal response in times of stress. ANS: T DIF: Memorization TOP: Functions of the Sympathetic Division NURSINGTB.COM REF: p. 509 Anatomy and Physiology 10th Edition Patton Test Bank 27. Under normal, nonstressful conditions, the parasympathetic division is dominant. ANS: T DIF: Memorization TOP: Functions of the Parasympathetic Division REF: p. 510 28. Hormones released from the adrenal medulla produce effects similar to those of the sympathetic division of the autonomic nervous system. ANS: T DIF: Memorization TOP: Functions of the Sympathetic Division REF: p. 509 29. Biofeedback involves willful control of specific effectors normally controlled only autonomically. ANS: T DIF: Memorization TOP: Biofeedback (Box 22-3) REF: p. 509 30. The autonomic nervous system is a part of the CNS but operates autonomously. ANS: F DIF: Application REF: p. 499 TOP: Overview of the Autonomic Nervous System 31. Autonomic effectors require two efferent neurons. ANS: T DIF: Memorization TOP: Structure of the Autonomic Nervous System REF: p. 512 32. The parasympathetic divisionNis R the I domG inaB nt. coCntrM oller of the body at rest. U S N T O ANS: T DIF: Memorization TOP: Functions of the Parasympathetic Division REF: p. 510 33. Sympathetic preganglionic neurons begin within the brain. ANS: F DIF: Memorization TOP: Sympathetic Postganglionic Neurons REF: p. 500 34. In most cases, the effects of the sympathetic and parasympathetic divisions of the autonomic nervous system are antagonistic to each other. ANS: T DIF: Memorization TOP: Overview of the Autonomic Nervous System REF: p. 500 35. The somatic and autonomic nervous systems are similar in that they both have two efferent neurons between the CNS and the effector organ. ANS: F DIF: Memorization TOP: Structure of the Autonomic Nervous System REF: p. 500 36. The gray ramus consists of postganglionic fibers of the sympathetic nervous system. ANS: T DIF: Application REF: p. 501 NURSINGTB.COM Anatomy and Physiology 10th Edition Patton Test Bank TOP: Sympathetic Postganglionic Neurons 37. The autonomic nervous system functions independently of the cerebral cortex. ANS: F DIF: Memorization TOP: Functions of the Autonomic Nervous System REF: p. 509 38. A new theory of autonomic neurotransmission says that most postganglionic fibers release two substances to transmit an impulse. ANS: T DIF: Memorization TOP: Nonadrenergic-Noncholinergic Transmission REF: p. 506 39. The postganglionic neurons of both the sympathetic and parasympathetic nervous systems produce acetylcholine as their neurotransmitter. ANS: F DIF: Memorization TOP: Autonomic Neurotransmitters and Receptors REF: p. 505 40. A short postganglionic neuron is a characteristic of the sympathetic nervous system. ANS: F DIF: Memorization TOP: Sympathetic Postganglionic Neurons REF: p. 503 41. A short postganglionic neuron is a characteristic of the parasympathetic nervous system. ANS: T DIF: Memorization TOP: Parasympathetic PostganNglioR nic I NeuG ronsB.C U S N T M O REF: p. 504 42. If a nerve impulse is being sent to a gland, it will pass through two neurons. ANS: T DIF: Synthesis REF: p. 499 TOP: Overview of the Autonomic Nervous System 43. A sympathetic preganglionic neuron usually synapses with only one postganglionic neuron. ANS: F DIF: Memorization TOP: Sympathetic Postganglionic Neurons REF: pp. 501-503 44. Norepinephrine can stimulate nicotinic or muscarinic receptors. ANS: F DIF: Memorization TOP: Autonomic Neurotransmitters and Receptors REF: p. 505 45. Nicotinic receptors are stimulated by acetylcholine. ANS: T DIF: Memorization TOP: Autonomic Neurotransmitters and Receptors REF: p. 505 46. Alpha receptors are stimulated by acetylcholine, whereas beta receptors are stimulated by norepinephrine. NURSINGTB.COM Anatomy and Physiology 10th Edition Patton Test Bank ANS: F DIF: Memorization TOP: Autonomic Neurotransmitters and Receptors REF: p. 505 47. The autonomic nervous system regulates subconscious body functions. ANS: T DIF: Memorization TOP: Overview of the Autonomic Nervous System REF: p. 499 48. Autonomic pathways do not connect with skeletal muscles. ANS: F DIF: Memorization TOP: Overview of the Autonomic Nervous System REF: p. 499 49. The gray rami of the spinal nerve are sympathetic fibers, and the white rami are parasympathetic fibers. ANS: F DIF: Memorization TOP: Sympathetic Preganglionic Neurons REF: p. 500 50. The sympathetic trunk runs from C8 to L4. ANS: F DIF: Memorization TOP: Sympathetic Preganglionic Neurons REF: pp. 500-501 51. When the sympathetic fiber enters the sympathetic trunk, it can send branches up or down the trunk. ANS: T DIF: MN emoR rizaI tionG B.C M U S O TOP: Sympathetic Preganglionic NeuronN s T REF: pp. 500-501 52. The splanchnic nerve is made up of preganglionic sympathetic fibers. ANS: T DIF: Memorization TOP: Sympathetic Preganglionic Neurons REF: p. 502 53. Some modified postganglionic sympathetic fibers act as endocrine glands. ANS: T DIF: Memorization TOP: Sympathetic Preganglionic Neurons REF: p. 503 54. The parasympathetic nervous system is also called the craniosacral division. ANS: T DIF: Memorization TOP: Parasympathetic Preganglionic Neurons REF: p. 503 55. All cranial nerves except nerves I and II contain parasympathetic fibers. ANS: F DIF: Memorization TOP: Parasympathetic Preganglionic Neurons REF: p. 503 56. About half of the parasympathetic fibers travel in the vagus nerve. NURSINGTB.COM Anatomy and Physiology 10th Edition Patton Test Bank ANS: F DIF: Memorization TOP: Parasympathetic Preganglionic Neurons REF: p. 503 57. All postganglionic sympathetic fibers release the neurotransmitter norepinephrine. ANS: F DIF: Memorization TOP: Autonomic Neurotransmitters REF: p. 504 MATCHING Match each term with its description or definition. a. Sympathetic nervous system b. Parasympathetic nervous system c. Alpha receptor d. Nicotinic receptor e. Sympathetic trunk f. Splanchnic nerve g. “Fight or flight” h. “Rest and repair” i. Acetylcholine j. Norepinephrine 1. Structure that lies on either side of the spinal cord and through which preganglionic 2. 3. 4. 5. 6. 7. 8. 9. 10. sympathetic neurons enter Neurotransmitter released by cholinergic fibers One type of receptor stimulated by acetylcholine Nervous system that is also cN alU leR dS thI eN thG orT aB co. luC mO baMr division Informal term used to describe the response of the body to sympathetic nervous system stimulation Structure through which preganglionic sympathetic neurons that did not synapse in the sympathetic chain ganglion continue Informal term used to describe the response of the body to parasympathetic nervous system stimulation Nervous system that is also called the craniosacral division Neurotransmitter released by adrenergic fibers One type of receptor stimulated by norepinephrine 1. ANS: E DIF: Memorization TOP: Sympathetic Preganglionic Neurons 2. ANS: I DIF: Memorization TOP: Autonomic Neurotransmitters and Receptors 3. ANS: D DIF: Memorization TOP: Acetylcholine and Its Receptors 4. ANS: A DIF: Memorization TOP: Sympathetic Preganglionic Neurons 5. ANS: G DIF: Memorization TOP: Functions of the Sympathetic Division 6. ANS: F DIF: Memorization TOP: Sympathetic Preganglionic Neurons 7. ANS: H DIF: Memorization NURSINGTB.COM REF: p. 501 REF: p. 501 REF: p. 505 REF: p. 500 REF: p. 509 REF: p. 502 REF: p. 510 Anatomy and Physiology 10th Edition Patton Test Bank TOP: Functions of the Parasympathetic Division 8. ANS: B DIF: Memorization TOP: Parasympathetic Preganglionic Neurons 9. ANS: J DIF: Memorization TOP: Autonomic Neurotransmitters and Receptors 10. ANS: C DIF: Memorization TOP: Norepinephrine and Its Receptors REF: p. 503 REF: p. 503 REF: p. 505 SHORT ANSWER 1. Explain physiologically how summation influences effectors doubly innervated by the autonomic nervous system. ANS: Answers will vary. DIF: Synthesis REF: p. 508 TOP: Functions of the Autonomic Nervous System 2. Explain the function of monoamine oxidase as related to the autonomic nervous system. ANS: Answers will vary. DIF: Synthesis REF: p. 505 TOP: Norepinephrine and Its Receptors 3. What is the name of the enzyme that terminates the action of acetylcholine? NURSINGTB.COM ANS: Acetylcholinesterase DIF: Memorization TOP: Acetylcholine and Its Receptors REF: p. 505 4. Explain physiologically how a beta blocker affects heart muscle activity. ANS: Answers will vary. DIF: Synthesis REF: p. 505 TOP: Norepinephrine and Its Receptors 5. What brain structure acts as a “connection” between the cerebrum and the autonomic nervous system? ANS: Answers will vary. DIF: Application REF: p. 500 TOP: Structure of the Autonomic Nervous System 6. List four ways the body adapts itself for maximum energy expenditure during stress conditions. NURSINGTB.COM Anatomy and Physiology 10th Edition Patton Test Bank ANS: Answers will vary. DIF: Application REF: p. 509 TOP: Functions of the Sympathetic Division 7. Contrast somatic motor pathways with autonomic pathways. ANS: Answers will vary. DIF: Synthesis REF: p. 500 TOP: Structure of the Autonomic Nervous System 8. What two enzymes terminate the activity of norepinephrine? How do they compare with the enzymes that terminate the activity of acetylcholine? What effect does this difference have on the body? ANS: Answers will vary. DIF: Application REF: p. 505 TOP: Norepinephrine and Its Receptors 9. Explain the source and possible synapse points for the sympathetic preganglionic neurons. ANS: Answers will vary. DIF: Memorization REF: pp. 500-503 TOP: Sympathetic PreganglionNic N e ur on s R I G B.C M U S N T O 10. Explain the ways in which sympathetic postganglionic neurons travel to their effector organs. Compare the relative length between sympathetic pre- and postganglionic neurons. ANS: Answers will vary. DIF: Memorization REF: pp. 500-503 TOP: Sympathetic Postganglionic Neurons 11. Explain the way parasympathetic neurons travel from the CNS to their effector organs. Compare the relative length between the parasympathetic pre- and postganglionic neurons. ANS: Answers will vary. DIF: Memorization REF: pp. 503-504 TOP: Structure of the Parasympathetic Pathways 12. Explain the principle of autonomic antagonism and why it is important in maintaining homeostasis. ANS: Answers will vary. NURSINGTB.COM Anatomy and Physiology 10th Edition Patton Test Bank DIF: Application REF: p. 508 TOP: Overview of Autonomic Functions 13. Explain in general, what the function of the sympathetic nervous system is. ANS: Answers will vary. DIF: Memorization REF: p. 509 TOP: Functions of the Sympathetic Division 14. Explain in general, what the function of the parasympathetic nervous system is. ANS: Answers will vary. DIF: Memorization REF: p. 510 TOP: Functions of the Parasympathetic Division ESSAY 1. A small child runs in front of your car. You slam on the brakes, skid, and miss hitting the child by inches. What effects did your autonomic nervous system have on your body as you reacted to this situation? Explain why it will take you a while to calm yourself after this incident. ANS: Answers will vary. DIF: Synthesis NURSINGTB.COM REF: p. 509 TOP: Functions of the Sympathetic Division 2. Mrs. Fearful has surgery in the morning. At her preoperative checkup, her blood pressure and glucose level are elevated. What might be the cause of this temporary increase? ANS: Answers will vary. DIF: Application REF: p. 509 TOP: Functions of the Sympathetic Division 3. Explain why the cells of the adrenal medulla can be considered sympathetic postganglionic neurons with no specific effector organ. ANS: Answers will vary. DIF: Application REF: pp. 500-503 TOP: Sympathetic Preganglionic Neurons NURSINGTB.COM Anatomy and Physiology 10th Edition Patton Test Bank Chapter 23: General Senses Patton: Anatomy and Physiology, 10th Edition MULTIPLE CHOICE 1. The special senses: a. are widely distributed throughout the body. b. enable us to detect pain. c. are dense in the fingertips. d. are grouped in the tongue, nose, eyes, and ears. ANS: D DIF: Memorization TOP: Distribution of Receptors REF: p. 515 2. Pain that is perceived as being superficial but actually is caused by an underlying organ is called pain. a. phantom b. referred c. chronic d. acute ANS: B DIF: Memorization TOP: Referred Pain (Box 23-1) REF: p. 518 3. Visceroceptors are located in which of the following? a. Skin b. Tendons NURSINGTB.COM c. Internal organs d. Skeletal muscles ANS: C DIF: Memorization TOP: Classification by Location REF: p. 516 4. The somatic senses enable us to detect sensations, including: a. touch. b. temperature. c. pain. d. all of the above. ANS: D TOP: Introduction DIF: Memorization REF: p. 514 5. Intense stimuli of any type that results in tissue damage will activate: a. mechanoreceptors. b. thermoreceptors. c. nociceptors. d. photoreceptors. ANS: C DIF: Memorization TOP: Classification by Stimulus Detected NURSINGTB.COM REF: p. 517 Anatomy and Physiology 10th Edition Patton Test Bank 6. Chemoreceptors are most likely to be activated by: a. cold temperatures. b. noxious odors. c. pain. d. a change of receptor position. ANS: B DIF: Memorization TOP: Classification by Stimulus Detected REF: p. 516 7. The receptors responsible for sensing crude and persistent touch are the: a. Meissner corpuscles. b. Krause end bulbs. c. Ruffini corpuscles. d. free nerve endings. ANS: C DIF: Memorization TOP: Sense of Touch 8. REF: p. 521 Which of the following is true of proprioceptors? a. Function in relation to movement and position b. Are superficial receptors c. Are internal receptors d. Are receptors for general senses such as touch, pressure, heat, and cold ANS: A DIF: Memorization TOP: Classification by Location REF: p. 516 9. Free nerve endings respond to all of the following stimuli except: N UR SI NG TB.C OM a. tickling. b. itching. c. strength of muscle contractions. d. pain. ANS: C DIF: Memorization TOP: Sense of Touch REF: p. 517 | p. 520 10. Lamellar corpuscles are least numerous in the: a. palms of the hands. b. joints of the body. c. skin of the back. d. soles of the feet. ANS: C DIF: Memorization TOP: Sense of Touch REF: p. 521 11. Which of the following receptors are found in most body tissues? a. Free nerve endings b. Meissner corpuscles c. Krause end bulbs d. Ruffini corpuscles ANS: A DIF: Memorization TOP: Sense of Touch NURSINGTB.COM REF: p. 517 Anatomy and Physiology 10th Edition Patton Test Bank 12. Proprioceptors can be found in: a. the urinary bladder. b. major blood vessels of the body. c. skeletal muscles. d. both A and C. ANS: C DIF: Memorization TOP: Classification by Location REF: p. 516 13. The word “deform” describes the stimulus detected by: a. chemoreceptors. b. mechanoreceptors. c. photoreceptors. d. thermoreceptors. ANS: B DIF: Memorization TOP: Classification by Stimulus Detected REF: p. 516 14. Which of the following is true about pain receptors? a. Alpha fibers respond to chronic pain. b. Alpha fibers are associated with dull, aching pain. c. Alpha fibers are associated with sharp, localized pain. d. Beta fibers are associated with sharp, localized pain. ANS: C DIF: Memorization TOP: Sense of Pain REF: p. 518 15. Which of the following is anN anUaR toS mI icN alGvT arB ia. ntCoO fM a Meissner corpuscle? a. Krause end bulb b. Pacinian corpuscle c. Ruffini corpuscle d. Both A and C ANS: D DIF: Memorization TOP: Sense of Touch REF: p. 521 16. The two general classes of sense organs are: a. auditory and visual. b. peripheral and central. c. general and special. d. chemoreceptors and mechanoreceptors. ANS: C TOP: Introduction DIF: Memorization REF: p. 514 17. Sensory impulses ending in what part of the central nervous system (CNS) may affect the so-called “vital sign” reflexes? a. Thalamus b. Cerebellum c. Brainstem d. Cerebral cortex NURSINGTB.COM Anatomy and Physiology 10th Edition Patton Test Bank ANS: C DIF: Memorization TOP: Receptor Response REF: p. 515 18. Sensory impulses ending in what part of the CNS trigger imprecise or “crude” sensation awareness? a. Thalamus b. Cerebellum c. Brainstem d. Cerebral cortex ANS: A DIF: Memorization TOP: Receptor Response REF: p. 515 19. Sensory impulses ending in what part of the CNS give specific awareness of a specific type of sensation, its exact location, and its level of intensity? a. Thalamus b. Cerebellum c. Brainstem d. Cerebral cortex ANS: D DIF: Memorization TOP: Receptor Response REF: p. 515 20. The two-point discrimination test can be used to measure: a. visual acuity. b. the ability to determine the location of a sound. c. the sensitivity of the skin in various parts of the body. d. the ability to measure theNrelaRtiveItem ra. tuC re oM f two different objects. GpeB U S N T O ANS: C DIF: Memorization TOP: Distribution of Receptors REF: p. 515 21. What types of receptors are important in stimulating the thirst center? a. Mechanoreceptors b. Osmoreceptors c. Chemoreceptors d. Thermoreceptors ANS: B DIF: Memorization TOP: Classification by Stimulus Detected REF: p. 517 22. If you slammed your finger in a car door, it would stimulate a. chronic b. acute c. visceral d. both chronic and visceral ANS: B DIF: Application REF: p. 518 pain fibers. TOP: Sense of Pain 23. Which term is another name for a variant of a Meissner corpuscle called the bulboid corpuscle? a. Krause end bulb b. Ruffini corpuscle NURSINGTB.COM Anatomy and Physiology 10th Edition Patton Test Bank c. Pacinian corpuscle d. Root hair plexus ANS: A DIF: Memorization TOP: Sense of Touch REF: p. 521 24. Which term is another name for a variant of a Meissner corpuscle called the bulbous corpuscle? a. Krause end bulb b. Ruffini corpuscle c. Pacinian corpuscle d. Root hair plexus ANS: B DIF: Memorization TOP: Sense of Touch REF: p. 521 25. Which large mechanoreceptor, when sectioned, shows thick laminated connective tissue capsules? a. Krause end bulb b. Ruffini corpuscle c. Pacinian corpuscle d. Root hair plexus ANS: C DIF: Memorization TOP: Sense of Touch REF: p. 521 26. Which of the following defines or explains adaptation? a. The magnitude of a receptor response increases over time to a continuous stimulus. NUr RreSspo IN GT B.CO b. The magnitude of a recepto nse decreas esMover time to a continuous stimulus. c. The stimulus is sent to the thalamus and redirected to the brainstem. d. None of the above defines or explains adaptation. ANS: B DIF: Memorization TOP: Receptor Response REF: p. 515 27. Which of the following statements is not true of exteroceptors? a. They send both tonic and phasic impulses to the CNS. b. They are also called cutaneous receptors. c. They are located on or near the surface of the body. d. All of the above statements are true of exteroceptors. ANS: A DIF: Memorization TOP: Classification by Location REF: p. 516 28. Tactile meniscus is another name for the: a. Meissner corpuscle b. Pacinian corpuscle c. Golgi receptor d. Merkel disk ANS: D DIF: Memorization TOP: Sense of Touch NURSINGTB.COM REF: p. 521 Anatomy and Physiology 10th Edition Patton Test Bank 29. Which of the following is not true of a receptor potential? a. It follows the all-or-none law. b. It is a graded response. c. It occurs when an adequate stimulus acts on a receptor. d. It can stimulate an action potential in the axon of a sensory neuron. ANS: A DIF: Memorization TOP: Receptor Response REF: p. 515 30. Which of the following is considered a somatic sense? a. Smell b. Taste c. Equilibrium d. None of the above ANS: D DIF: Memorization TOP: Distribution of Receptors REF: p. 515 31. The two general classes of sense organs are: a. auditory and visual. b. peripheral and central. c. general and special. d. chemoreceptors and mechanoreceptors. ANS: C TOP: Introduction DIF: Memorization REF: p. 514 NnUeRurSoI 32. When referring to the sensory nsN , tG heTtB er. mCeO ndMorgan refers to the brain. a. occipital b. temporal c. parietal d. None of the above is correct. ANS: D DIF: Memorization TOP: Receptor Response REF: p. 515 33. Which of the following is not true of a receptor potential? a. It follows the all-or-none law. b. It is a graded response. c. It occurs when an adequate stimulus acts on a receptor. d. It can stimulate an action potential in the axon of a sensory neuron. ANS: A DIF: Memorization TOP: Receptor Response 34. Somatic sensory receptors are found in the: a. skin. b. muscles. c. eyes and ears. d. all of the above NURSINGTB.COM REF: p. 515 lobe of the Anatomy and Physiology 10th Edition Patton Test Bank ANS: D DIF: Memorization TOP: Classification by Sensory Pathway REF: p. 516 TRUE/FALSE 1. Sensory receptors make it possible for the body to respond to stimuli caused by changes occurring in our external and internal environments. ANS: T DIF: Memorization TOP: Sensory Receptors REF: p. 515 2. Touch and pressure are examples of stimuli that activate mechanoreceptors. ANS: T DIF: Memorization TOP: Sense of Touch REF: p. 521 3. As we wear our sneakers, we lose the constant feeling of their presence; this is called adaptation. ANS: T DIF: Memorization TOP: Receptor Response REF: p. 515 4. Somatic sense receptors are distributed evenly throughout the body. ANS: F DIF: Memorization TOP: Distribution of Receptors REF: p. 515 NtoUrR 5. Taste buds are both exterocep s aSnI dN chGeT mB or. ecCepOtM ors. ANS: T DIF: Synthesis REF: p. 516 TOP: Classification by Location 6. Somatic sense receptors located in muscles and joints are called visceroceptors. ANS: F DIF: Memorization TOP: Classification by Location REF: p. 516 7. Muscle spindles are stimulated by excessive muscle contraction. ANS: F DIF: Memorization TOP: Sense of Proprioception REF: p. 521 8. Proprioceptors are receptors for touch, pain, heat, and cold. ANS: F DIF: Memorization TOP: Classification by Location REF: p. 516 9. You feel hungry because of a proprioceptor. ANS: F DIF: Memorization TOP: Classification by Location 10. Proprioceptors are activated by a change in temperature. NURSINGTB.COM REF: p. 516 Anatomy and Physiology 10th Edition Patton Test Bank ANS: F DIF: Memorization TOP: Classification by Location REF: p. 516 11. Mechanoreceptors are the simplest, most common, and most widely distributed sensory receptors. ANS: F DIF: Memorization TOP: Classification by Structure REF: p. 516 12. Somatic sense receptors located in muscles and joints are called proprioceptors. ANS: T DIF: Synthesis REF: p. 516 TOP: Classification by Location 13. Golgi tendon receptors are stimulated by touch. ANS: F DIF: Memorization TOP: Sense of Touch REF: p. 521 14. Exteroceptors are often called somatic senses. ANS: F DIF: Memorization TOP: Classification by Location REF: p. 516 15. Olfactory receptors and taste buds are chemoreceptors. ANS: T DIF: Memorization TOP: Classification by StimulN us R I G B.C M U S N T O REF: p. 516 16. Special sense organs can respond to only one type of stimuli, whereas general sense organs can respond to several different types of stimuli. ANS: F DIF: Memorization TOP: Receptor Response REF: p. 515 17. Adaptation by a receptor causes an increase in the rate of impulse but a decrease in its intensity. ANS: F DIF: Memorization TOP: Receptor Response REF: p. 515 18. Proprioceptors in muscles and joints tend to adapt faster than other types of receptors. ANS: F DIF: Memorization TOP: Receptor Response REF: p. 515 19. Proprioceptors are specialized types of visceroceptors. ANS: T DIF: Memorization TOP: Classification by Location REF: p. 516 20. Proprioceptors respond to pressure in such organs as the intestine and the urinary bladder. NURSINGTB.COM Anatomy and Physiology 10th Edition Patton Test Bank ANS: F DIF: Memorization TOP: Classification by Location REF: p. 516 21. Referred pain may be caused by deep organ receptors and skin area receptors entering the same segment of the spinal cord. ANS: T DIF: Memorization TOP: Referred Pain (Box 23-1) REF: p. 518 22. In referring to proprioceptors, the terms tonic and phasic are interchangeable. ANS: F DIF: Memorization TOP: Classification by Location REF: p. 516 23. Nociceptors can respond to intense light. ANS: T DIF: Memorization TOP: Classification by Stimulus REF: p. 517 24. Nociceptors serve as the primary receptor for pain. ANS: T DIF: Memorization TOP: Sense of Pain REF: p. 517 25. Because of its importance to survival, the brain has a high concentration of pain receptors. ANS: F DIF: TOP: Sense of Pain B.C M U S N T O MN emoR rizaI tionG REF: p. 518 26. Lamellar corpuscle and Ruffini corpuscle refer to the same structure. ANS: F DIF: Memorization TOP: Sense of Touch REF: p. 521 27. Anatomically, each muscle spindle consists of a discrete grouping of about 5 to 10 modified muscle fibers called intrafusal fibers. ANS: T DIF: Memorization TOP: Sense of Proprioception REF: pp. 521-522 28. The stretch reflex helps maintain posture. ANS: T DIF: Memorization TOP: Sense of Proprioception REF: p. 522 29. Golgi tendon receptors respond in a way similar to muscle spindles to maintain posture. ANS: F DIF: Memorization TOP: Sense of Proprioception 30. The terms sensation and perception mean the same thing. NURSINGTB.COM REF: p. 522 Anatomy and Physiology 10th Edition Patton Test Bank ANS: F DIF: Memorization TOP: Receptor Response REF: p. 515 31. Another term for a cutaneous receptor is an exteroceptor. ANS: T DIF: Memorization TOP: Classification by Location REF: p. 516 32. Another term for a visceroceptor is an interoceptor. ANS: T DIF: Memorization TOP: Classification by Location REF: p. 516 33. Tonic proprioceptors allow us to know the location of our body parts without having to look. ANS: T DIF: Memorization TOP: Classification by Location REF: p. 516 34. Merkel disks and muscle spindles provide the body with information about muscle and the strength of muscle contraction. ANS: F DIF: Memorization TOP: Sense of Touch REF: p. 521 35. Osmoreceptors measure the type of chemicals in the blood and stimulate the hypothalamus. B.C M O TOP: Classification by StimulusU S N T ANS: F DIF: MN emoR rizaI tionG REF: p. 517 36. Osmoreceptors detect changes in the concentration of electrolytes in body fluids and can stimulate the hypothalamic thirst center. ANS: T DIF: Memorization TOP: Classification by Stimulus REF: p. 517 37. Photoreceptors are found only in the eye. ANS: T DIF: Memorization TOP: Classification by Stimulus REF: p. 517 38. Mechanoreceptors are activated by stimuli that in some way deform or change the position of the receptor. ANS: T DIF: Memorization TOP: Classification by Stimulus REF: p. 516 39. Referred pain is psychosomatic pain brought on by intense stress. ANS: F DIF: Memorization TOP: Referred Pain (Box 23-1) NURSINGTB.COM REF: p. 518 Anatomy and Physiology 10th Edition Patton Test Bank 40. In referred pain, pain in a visceral organ is referred to skin sensors directly above it. ANS: F DIF: Memorization TOP: Referred Pain (Box 23-1) REF: p. 518 41. Pain that develops quickly and can be localized easily is called visceral pain. ANS: F DIF: Memorization TOP: Sense of Pain REF: p. 518 42. If you cut yourself on the finger, the fiber sending the message to your brain would be a type A pain fiber. ANS: T DIF: Application REF: p. 518 TOP: Sense of Pain 43. An itch is caused by a rapidly adapting free nerve ending called a root hair plexus. ANS: F DIF: Memorization TOP: Sense of Touch REF: p. 520 44. The interpretation of the sensation of being tickled requires a complex interaction of many parts of the brain. ANS: T DIF: Application REF: p. 520 TOP: Sense of Touch 45. The terms Merkel disk and tactile meniscus refer to the same structure. ANS: T DIF: TOP: Sense of Touch MN emoR rizaI tionG U S N TB.COM REF: p. 521 46. The tactile receptor is made up of two cells: a tactile epithelial cell and a tactile disk. ANS: T DIF: Memorization TOP: Sense of Touch REF: p. 521 47. Tactile disks adapt rapidly to make sure current information is being sent to the brain. ANS: F DIF: Memorization TOP: Sense of Touch REF: p. 521 48. The Ruffini corpuscle is an example of a bulboid corpuscle. ANS: F DIF: Memorization TOP: Sense of Touch REF: p. 521 49. The ability to sense the presence of your books when you have been holding them for a long time depends on the functioning of the Krause end bulbs. ANS: F DIF: Application REF: p. 521 TOP: Sense of Touch 50. A graded response is a response graded to the strength of a stimulus. NURSINGTB.COM Anatomy and Physiology 10th Edition Patton Test Bank ANS: T DIF: Memorization TOP: Receptor Response REF: p. 515 51. Thermoreceptors are activated by changes in the concentration of electrolytes. ANS: F DIF: Memorization TOP: Classification of Receptors REF: p. 516 52. The function of a receptor is to turn a stimulus into a nerve impulse. ANS: T DIF: Memorization TOP: Receptor Response REF: p. 515 53. Receptors are often described as sensitive axons or end organs. ANS: F DIF: Memorization TOP: Receptor Response REF: p. 515 54. Special senses tend to be grouped into localized areas. ANS: T DIF: Memorization TOP: Distribution of Receptors REF: p. 515 55. Sensations produced by receptors of general senses are often called somatic senses. ANS: T DIF: Memorization TOP: Classification of Sensory Pathway REF: p. 516 N R I G B.COM 56. Walking would stimulate tonicUproS prioNcepT tors. ANS: F DIF: Memorization TOP: Classification by Location REF: p. 516 57. Osmoreceptors monitor the concentration of glucose in the blood. ANS: F DIF: Memorization TOP: Classification by Stimulus REF: p. 517 58. The primary mechanism of fibromyalgia seems to be an abnormal amplification of pain information by the CNS. ANS: T DIF: Memorization TOP: Sense of Pain REF: p. 519 59. The treatment of fibromyalgia requires an increase of calcium ions in the pain centers of the spinal cord. ANS: F DIF: Memorization TOP: Sense of Pain REF: p. 519 60. Muscle tissue responds to efferent gamma motor neurons and afferent alpha motor neurons. NURSINGTB.COM Anatomy and Physiology 10th Edition Patton Test Bank ANS: F DIF: Memorization TOP: Sense of Proprioception REF: p. 522 61. Encapsulated nerve endings are encapsulated by cuboidal epithelial tissue. ANS: F DIF: Memorization TOP: Sense of Touch REF: p. 521 MATCHING Match each receptor type with its corresponding description. a. Chemoreceptors b. Mechanoreceptors c. Nociceptors d. Photoreceptors e. Thermoreceptors 1. 2. 3. 4. 5. Activated by intense stimuli of any type that results in tissue damage Found only in the eye and responds to light Activated by stretch or pressure in muscle tissue Could be activated by a concentration of blood glucose Activated by heat or cold 1. ANS: C DIF: Memorization TOP: Classification by Stimulus Detected 2. ANS: D DIF: Memorization TOP: Classification by StimulN us DR etecI ted G B.C M U S N T O 3. ANS: B DIF: Memorization TOP: Classification by Stimulus Detected 4. ANS: A DIF: Memorization TOP: Classification by Stimulus Detected 5. ANS: E DIF: Memorization TOP: Classification by Stimulus Detected REF: p. 517 REF: p. 517 REF: p. 516 REF: p. 516 REF: p. 516 OTHER 1. Describe each of the receptor categories, based on the types of stimuli that activate them. ANS: Answers will vary. DIF: Memorization REF: pp. 516-517 TOP: Classification by Stimulus Detected 2. Identify the sensation or function of the following somatic sense receptors: free nerve endings, Meissner corpuscles, Krause end bulbs, Ruffini corpuscles, lamellar corpuscles, muscle spindles, and Golgi tendon receptors. ANS: Answers will vary. NURSINGTB.COM Anatomy and Physiology 10th Edition Patton Test Bank DIF: Memorization REF: pp. 519-522 TOP: Sense of Touch and Sense of Proprioception 3. Differentiate between exteroceptors, visceroceptors, and proprioceptors. ANS: Answers will vary. DIF: Memorization REF: p. 516 TOP: Classification by Location 4. Differentiate between the pain receptors in the body—both fast and slow fibers and visceral and somatic pain. ANS: Answers will vary. DIF: Memorization REF: pp. 517-519 TOP: Sense of Pain 5. Explain the different functions of the muscle spindles and the Golgi tendon receptors. ANS: Answers will vary. DIF: Memorization REF: pp. 521-522 NURSINGTB.COM NURSINGTB.COM TOP: Sense of Pain Anatomy and Physiology 10th Edition Patton Test Bank Chapter 24: Special Senses Patton: Anatomy and Physiology, 10th Edition MULTIPLE CHOICE 1. The olfactory tract carries impulses associated with: a. taste. b. equilibrium. c. smell. d. pain. ANS: C DIF: Memorization TOP: Sense of Smell 2. There are a. two b. three c. four d. five ANS: C TOP: Middle Ear REF: p. 527 openings into the middle ear. DIF: Memorization REF: p. 531 3. Both olfactory receptors and taste buds are: a. thermoreceptors. b. chemoreceptors. c. nociceptors. NURSINGTB.COM d. mechanoreceptors. ANS: B DIF: Memorization TOP: Sense of Smell and Sense of Taste REF: pp. 527-528 4. The number of pure, or “primary,” tastes is about: a. 5. b. 15. c. 30. d. 100. ANS: A TOP: Taste Buds DIF: Memorization REF: p. 529 5. All of the following are “primary” taste sensations except: a. sweet. b. sour. c. spicy. d. bitter. ANS: C TOP: Taste Buds DIF: Memorization 6. The auditory ossicles include the: NURSINGTB.COM REF: p. 529 Anatomy and Physiology 10th Edition Patton Test Bank a. b. c. d. malleus. incus. stapes. All of the above are correct. ANS: D TOP: Middle Ear DIF: Memorization REF: p. 531 7. Which of the following is not a part of the bony labyrinth? a. Semicircular canal b. Malleus c. Vestibule d. Cochlea ANS: B TOP: Inner Ear DIF: Memorization REF: p. 532 8. The organ of Corti is located in the: a. vestibule. b. semicircular canal. c. scala vestibuli. d. cochlear duct. ANS: D DIF: Memorization TOP: Cochlea and Cochlear Duct 9. Movement of hair cells in the organ of Corti against the impulse condition. a. tectorial b. basilar c. vestibular d. cochlear REF: p. 533 membrane can stimulate nerve NURSINGTB.COM ANS: A DIF: Memorization TOP: The Process of Hearing REF: p. 533 10. Which of the following structures is not a component of the external ear? a. Auricle b. Cerumen-secreting glands c. Eustachian tube d. External auditory meatus ANS: C TOP: External Ear DIF: Memorization REF: pp. 530-531 11. The tympanic membrane: a. leads from the auricle into the temporal bone. b. surrounds the cochlea and the semicircular canals. c. is continuous with the external auditory meatus. d. is also known as the inner ear. ANS: C TOP: External Ear DIF: Memorization NURSINGTB.COM REF: p. 531 Anatomy and Physiology 10th Edition Patton Test Bank 12. Impulses are transmitted from the inner ear to the brainstem by way of the a. vestibular b. cochlear c. tectorial d. oculomotor ANS: B DIF: Memorization TOP: The Process of Hearing REF: p. 532 13. The sense organs responsible for static equilibrium are located in the: a. utricle. b. saccule. c. semicircular canals. d. Both A and B are correct. ANS: D TOP: Balance DIF: Memorization 14. The semicircular canals are in a. two b. three c. four d. five REF: p. 534 planes of the body. ANS: B DIF: Memorization TOP: Vestibule and Semicircular Canals REF: p. 534 15. The major function of the utrN icU leRaS ndIsN acGcT ulB e. inC thOeM vestibule is: a. transmitting sound waves through bones. b. changing sound waves into nerve impulses. c. detecting the position of the head. d. conducting sound waves through endolymph. ANS: C TOP: Balance DIF: Memorization REF: p. 534 16. Blood vessels are found in which of the following parts of the eye? a. Cornea b. Lens c. Choroid d. Aqueous humor ANS: C DIF: Memorization TOP: Layers of the Eyeball REF: p. 539 17. The white of the eye is referred to as the: a. sclera. b. choroid. c. retina. d. cornea. ANS: A DIF: Memorization NURSINGTB.COM REF: p. 538 nerve. Anatomy and Physiology 10th Edition Patton Test Bank TOP: Layers of the Eyeball 18. The part of the eye containing nervous tissue is the: a. sclera. b. choroid. c. iris. d. retina. ANS: D DIF: Application REF: p. 540 TOP: Layers of the Eyeball 19. Which of the following is a true statement? a. Cones are more numerous than rods. b. Cones are most densely concentrated in the fovea centralis. c. Rods are most densely concentrated in the macula lutea. d. Cones increase in density toward the periphery of the retina. ANS: B DIF: Memorization TOP: Layers of the Eyeball REF: p. 540 20. To produce a clear image, the aqueous humor is involved in the process of: a. refraction. b. constriction. c. accommodation. d. convergence. ANS: A DIF: Memorization TOP: Formation of Retinal Image REF: p. 542 21. The function of the lacrimal N apU paRraStuIsNisGtT o:B.COM a. secrete aqueous humor. b. secrete vitreous humor. c. drain aqueous humor. d. secrete tears. ANS: D DIF: Memorization TOP: Structure of the Eye REF: p. 537 22. Presbyopia is a condition resulting from: a. excessive aqueous humor. b. opacity of the lens. c. loss of lens elasticity. d. irregular curvature of the cornea. ANS: C DIF: Memorization TOP: Formation of Retinal Image REF: p. 543 23. Which of the following must happen for near vision to occur? a. Increased tension of the suspensory ligament b. Relaxation of the ciliary muscle c. Increased curvature of the lens d. Contraction of the superior rectus muscle ANS: C DIF: Memorization NURSINGTB.COM REF: p. 543 Anatomy and Physiology 10th Edition Patton Test Bank TOP: Formation of Retinal Image 24. Strabismus is a problem related to: a. convergence. b. accommodation. c. refraction. d. constriction. ANS: A DIF: Memorization TOP: Formation of Retinal Image REF: p. 544 25. Which of the following is a primary photopigment? a. Green b. Orange c. White d. Purple ANS: A DIF: Memorization TOP: The Role of Photopigments REF: p. 544 26. There are how many types of cones in the retina? a. One b. Two c. Three d. Four ANS: C DIF: Memorization TOP: The Role of Photopigments REF: p. 544 NURSINGTB.COM 27. The inability to focus the lens properly as we age is called: a. myopia. b. hyperopia. c. presbyopia. d. astigmatism. ANS: C DIF: Memorization TOP: Formation of Retinal Image REF: p. 543 28. Which is not true of nearsightedness? a. Light rays converge in front of the retina. b. The eyeball may be too long. c. Convex glasses are used for correction. d. If uncorrected, the image is blurred. ANS: C DIF: Application REF: p. 548 TOP: Mechanisms of Disease 29. Irregular curvature of the cornea can produce: a. myopia. b. glaucoma. c. hyperopia. d. astigmatism. ANS: D DIF: Memorization NURSINGTB.COM REF: pp. 548-549 Anatomy and Physiology 10th Edition Patton Test Bank TOP: Mechanisms of Disease 30. Which of the following is not a structure of the middle ear? a. Incus b. Stapes c. Auditory tube d. Vestibule ANS: D TOP: Middle Ear DIF: Memorization REF: pp. 531-532 31. Which of the following structures is concerned with hearing? a. Utricle b. Saccule c. Semicircular canals d. Cochlear duct ANS: D DIF: Memorization TOP: The Process of Hearing REF: p. 532 32. The passageway leading to the tympanic membrane is the: a. external auditory meatus. b. auditory tube. c. eustachian tube. d. oval window. ANS: A TOP: External Ear DIF: Memorization REF: pp. 530-531 NURSINGTB.COM 33. The eyelids and anterior surface of the eye are lined by the: a. cornea. b. iris. c. lens. d. conjunctiva. ANS: D DIF: Memorization TOP: Structure of the Eye REF: p. 537 34. Tongue papillae are classified by which of the following? a. scent b. structure c. location d. function ANS: B DIF: Memorization TOP: Sense of Taste 35. The word cochlea means: a. shell b. snail c. crest d. ocean NURSINGTB.COM REF: p. 528 Anatomy and Physiology 10th Edition Patton Test Bank ANS: B DIF: Memorization TOP: Process of Hearing REF: p. 532 36. Taste buds can be found: a. in the lining of the mouth. b. on the soft palate. c. on the tongue. d. in all of the above locations. ANS: D TOP: Taste Buds DIF: Memorization REF: p. 528 37. Which of the following tongue papillae do not have taste buds? a. Fungiform b. Filiform c. Foliate d. All of the above contain taste buds. ANS: B TOP: Taste Buds DIF: Memorization REF: p. 528 38. Which structure is not inside the vestibule of the inner ear? a. Cochlear duct b. Utricle c. Saccule d. All of the above are in the vestibule. ANS: A TOP: Inner Ear DIF: Memorization NURSINGTB.COM REF: p. 532 39. Which of the following is not an accessory structure of the eye? a. Eyebrows b. Eyelashes c. The palpebrae d. All of the above are accessory structures. ANS: D DIF: Memorization TOP: Structure of the Eye REF: p. 536 40. Clearness or sharpness of visual perception is known as: a. control b. peripheral sense c. visual acuity d. visual balance ANS: C DIF: Memorization TOP: Visual Acuity (Box 24-2) REF: p. 542 41. How many subdivisions does the anterior cavity of the eyeball have? a. one b. two c. four d. none NURSINGTB.COM Anatomy and Physiology 10th Edition Patton Test Bank ANS: B DIF: Memorization TOP: Structure of the Eye REF: p. 541 42. The sequence of auditory ossicles in the middle ear starting at the tympanic membrane and ending at the oval window is: a. malleus, incus, and stapes. b. malleus, stapes, and incus. c. stapes, malleus, and incus. d. stapes, incus, and malleus. ANS: A TOP: Middle Ear DIF: Memorization REF: p. 531 43. Which tongue papillae are huge dome-shaped bumps that form a transverse row near the back of the tongue? a. Fungiform papillae b. Circumvallate papillae c. Foliate papillae d. Filiform papillae ANS: B TOP: Taste Buds DIF: Memorization REF: p. 528 44. Which tongue papillae do not contain taste buds but allow us to experience food texture and “feel”? a. Fungiform papillae b. Circumvallate papillae c. Foliate papillae d. Filiform papillae ANS: D TOP: Taste Buds NURSINGTB.COM DIF: Memorization REF: p. 528 45. Which tongue papillae are large, mushroom-shaped bumps found in the anterior two-thirds of the tongue surface? a. Fungiform papillae b. Circumvallate papillae c. Foliate papillae d. Filiform papillae ANS: A TOP: Taste Buds DIF: Memorization REF: p. 528 46. Of all the papillae on the tongue, which one contains the most taste buds? a. Fungiform papillae b. Circumvallate papillae c. Foliate papillae d. All papillae contain about the same number of taste buds. ANS: B DIF: Application REF: p. 528 TOP: Taste Buds 47. Cones that are sensitive to light in the blue wavelength wave are referred to as NURSINGTB.COM cones. Anatomy and Physiology 10th Edition Patton Test Bank a. b. c. d. B L S M ANS: C TOP: Cones DIF: Memorization REF: p. 544 48. When you are looking at a large green field, which cones would be sending the green wavelength to the brain? a. G b. L c. S d. M ANS: D DIF: Application REF: p. 544 TOP: Cones 49. The photopigment melanopsin is found in: a. rods only. b. cones only. c. ganglion cells. d. both rods and cones. ANS: C DIF: Memorization TOP: The Role of Photopigments REF: p. 546 50. Which of the following statements is not true of the olfactory receptors? a. They are chemoreceptors. N that RSisIeasily NGTB.C OM b. They are located in an areaU stimulated. c. The sense of smell in humans is less keen than in many other animals. d. All of the above statements are true. ANS: B DIF: Memorization TOP: Olfactory Receptors REF: p. 527 51. Which of the following statements is not true about the sense of hearing? a. The amplitude of the sound wave determines the volume. b. The frequency of the sound wave determines pitch. c. High-frequency sound waves cause the basilar membrane near the oval window to vibrate. d. All of the above statements are true. ANS: D DIF: Memorization TOP: Sense of Hearing REF: p. 533 52. Which of the following statements is not true of the eye? a. The anterior cavity is filled with vitreous fluid. b. The anterior cavity is divided into anterior and posterior chambers. c. The posterior cavity is larger than the anterior cavity. d. All of the above statements are true. ANS: A DIF: Memorization TOP: Cavities and Humors NURSINGTB.COM REF: p. 541 Anatomy and Physiology 10th Edition Patton Test Bank TRUE/FALSE 1. Olfaction requires the chemical response of a dissolved substance for a stimulus. ANS: T DIF: Memorization TOP: Sense of Smell REF: p. 527 2. The olfactory receptor cells lie in an excellent position functionally to smell delicate odors. ANS: F DIF: Memorization TOP: Olfactory Receptors REF: p. 527 3. The transmission pathway for olfactory sensations is olfactory cilia, olfactory bulb, olfactory tract, and cerebral cortex. ANS: F DIF: Memorization TOP: Olfactory Pathway REF: p. 528 4. The tip of the tongue reacts best to bitter taste. ANS: F TOP: Taste Buds DIF: Memorization REF: p. 528 5. The tip of the tongue reacts best to a salty taste and, to a lesser extent, to a sweet taste. ANS: F TOP: Taste Buds DIF: Memorization NURSINGTB.COM REF: p. 528 6. The eustachian tube connects the inner ear with the trachea. ANS: F TOP: Middle Ear DIF: Memorization REF: p. 531 7. High-frequency sound waves cause the narrow portion of the basilar membrane near the oval window to vibrate. ANS: T DIF: Memorization TOP: Sense of Hearing REF: p. 533 8. The auditory ossicles include the malleus, incus, and stapes. ANS: T TOP: Middle Ear DIF: Memorization REF: p. 531 9. Movement of hair cells in the organ of Corti against the cochlear membrane can stimulate nerve impulse conduction. ANS: F DIF: Application REF: p. 534 TOP: Neural Pathway of Hearing 10. The sense organs associated with the semicircular canals function in static equilibrium. NURSINGTB.COM Anatomy and Physiology 10th Edition Patton Test Bank ANS: F TOP: Balance DIF: Memorization REF: p. 534 11. Dynamic equilibrium depends on the functioning of the crista ampullaris. ANS: T TOP: Balance DIF: Memorization REF: p. 534 12. The retina is the incomplete innermost coat of the eyeball, in that it has no anterior portion. ANS: T DIF: Memorization TOP: Layers of the Eyeball REF: p. 540 13. The posterior cavity of the eye contains aqueous humor. ANS: F DIF: Memorization TOP: Cavities and Humors REF: p. 541 14. The eye is the only organ in the body in which both voluntary and involuntary muscles are found. ANS: T DIF: Memorization TOP: Muscles of the Eye REF: p. 538 15. Glaucoma is a disease in which the lens becomes opaque. ANS: F DIF: Memorization TOP: Cavities and Humors REF: p. 542 NURSINGTB.COM 16. Movement of the eyeball in any desired direction is accomplished by several intrinsic muscles. ANS: F DIF: Memorization TOP: Muscles of the Eye REF: p. 538 17. All muscles of the eye are involuntary. ANS: F DIF: Memorization TOP: Muscles of the Eye REF: p. 538 18. Three processes focus light rays so that they form a clear image on the retina: refraction of the light rays, constriction of the pupil, and convergence of the eye. ANS: F DIF: Memorization TOP: Formation of Retinal Image REF: p. 542 19. Visual acuity is the clearness or sharpness of visual perception. ANS: T DIF: Memorization TOP: Visual Acuity (Box 24-2) REF: p. 542 20. Aqueous humor is a gelatinous substance that fills the posterior cavity of the eyeball. NURSINGTB.COM Anatomy and Physiology 10th Edition Patton Test Bank ANS: F DIF: Memorization TOP: Cavities and Humors REF: p. 541 21. Refraction means the deflection, or bending, of light rays. ANS: T DIF: Memorization TOP: Formation of Retinal Image REF: p. 542 22. Rhodopsin, the photopigment in rods, is less sensitive to light than cone pigments are. ANS: F DIF: Memorization TOP: The Role of Photopigments REF: p. 544 23. Color blindness is caused by mistakes in producing three photopigments in the cones. ANS: T DIF: Memorization TOP: Color Blindness REF: p. 546 24. The photo pupil reflex is an accommodation process normally used to see objects that are close. ANS: F DIF: Memorization TOP: Formation of Retinal Image REF: p. 543 25. Usually the closer an object is, the greater the degree of convergence that is necessary to maintain single vision. N R I GTB.COM UoriS ANS: T DIF: Mem zatioN n TOP: Formation of Retinal Image REF: p. 544 26. Both rods and cones function to produce color vision. ANS: F DIF: Memorization TOP: The Role of Photopigments REF: p. 544 27. Rhodopsin is a photopigment present in rods that is used for night vision. ANS: T DIF: Memorization TOP: The Role of Photopigments REF: p. 544 28. Strabismus is more of a problem with the internal ciliary muscle than with the external muscles. ANS: F DIF: Application REF: p. 544 TOP: Formation of Retinal Image 29. Because rhodopsin is less sensitive to light than the cone photopigments, brighter light is necessary for its breakdown. ANS: F DIF: Memorization TOP: The Role of Photopigments NURSINGTB.COM REF: p. 544 Anatomy and Physiology 10th Edition Patton Test Bank 30. Convergence of impulses from cones is common. ANS: F DIF: Memorization TOP: The Role of Photopigments REF: p. 544 31. Each optic nerve contains fibers from both retinas. ANS: F DIF: Memorization TOP: Neuronal Pathway of Vision REF: p. 546 32. The number of pure, or “primary,” odorant receptors is about 15. ANS: F DIF: Memorization TOP: Olfactory Receptors REF: p. 527 33. Spicy is one of the “primary” taste sensations. ANS: F TOP: Taste Buds DIF: Memorization REF: p. 528 34. The tip of the tongue reacts best to sweet taste. ANS: F TOP: Taste Buds DIF: Memorization REF: p. 528 35. The sense organs responsible for the sense of balance are located in the vestibule and cochlea. ANS: F TOP: Balance DIF: B.C M U S N T O MN emoR rizaI tionG REF: p. 534 36. The membranous labyrinth is filled with perilymph. ANS: F TOP: Inner Ear DIF: Memorization REF: p. 532 37. The correct order of the auditory ossicles deep to the tympanic membrane is malleus, incus, and stapes. ANS: T TOP: Middle Ear DIF: Memorization REF: p. 531 38. There are three semicircular canals per ear. ANS: T DIF: Memorization TOP: Vestibule and Semicircular Canals REF: p. 534 39. From superficial to deep, the three layers of tissue that compose the eyeball are sclera, choroid, and retina. ANS: T DIF: Memorization TOP: Layers of the Eyeball NURSINGTB.COM REF: p. 538 Anatomy and Physiology 10th Edition Patton Test Bank 40. The white of the eye is called the choroid. ANS: F DIF: Memorization TOP: Layers of the Eyeball REF: p. 538 41. The function of the lacrimal gland is to secrete tears. ANS: T DIF: Memorization TOP: Structure of the Eye REF: p. 537 42. Light from red colors causes the breakdown of rhodopsin. ANS: F DIF: Memorization TOP: The Role of Photopigments REF: p. 544 43. Farsightedness, which is often the inability to focus the lens properly as we age, is also called presbyopia. ANS: T DIF: Memorization TOP: Formation of Retinal Image REF: p. 543 44. The canal of Schlemm drains the aqueous humor from the anterior chamber. ANS: T DIF: Memorization TOP: Cavities and Humors REF: p. 538 45. Aqueous humor is formed by secretion of the ciliary body into the posterior chamber. N R I GTB.COM UoriS ANS: T DIF: Mem zatioN n TOP: Cavities and Humors REF: p. 541 46. The correct order of the flow of tears is lacrimal gland, lacrimal duct, punctum, lacrimal sac, lacrimal canal, and nasolacrimal duct. ANS: F DIF: Memorization TOP: Structure of the Eye REF: p. 537 47. The opening and separation of opsin and rhodopsin in the presence of light is called bleaching. ANS: F DIF: Memorization TOP: The Role of Photopigments REF: p. 544 48. The retina is the complete outermost coat of the eyeball. ANS: F DIF: Memorization TOP: Layers of the Eyeball REF: p. 540 49. A person with 20/100 vision can see objects at 20 feet that a person with normal vision can see at 100 feet. ANS: T DIF: Memorization NURSINGTB.COM REF: p. 542 Anatomy and Physiology 10th Edition Patton Test Bank TOP: Visual Acuity (Box 24-2) 50. The use of high-definition optical coherence tomography (HD-OCT) is used to give a detailed look at the condition of the retinal layers. ANS: T DIF: Memorization TOP: Structure of the Eye REF: p. 541 51. Unlike other neurons, olfactory receptors are replaced on a regular basis. ANS: T DIF: Memorization TOP: Olfactory Receptors REF: p. 527 52. Germinative epithelial basal cells constantly replace olfactory receptor neurons. ANS: T DIF: Memorization TOP: Olfactory Receptors REF: p. 527 53. Taste buds are stimulated by chemicals called tastants. ANS: T TOP: Taste Buds DIF: Memorization REF: p. 528 54. A new primary taste, called umami, found in protein foods has been proposed by researchers. ANS: T TOP: Taste Buds DIF: Memorization REF: p. 529 N R I G B.C M 55. Chemical structure of a food isUtheSsolN e deT terminaO nt of its flavor or taste. ANS: F DIF: Memorization TOP: Neural Pathway of Taste REF: p. 530 56. The terms auricle and pinna refer to the same anatomical structure of the ear. ANS: T TOP: External Ear DIF: Memorization REF: p. 530 57. The stapes rests on the inner surface of the tympanic membrane, or eardrum. ANS: F TOP: Middle Ear DIF: Memorization REF: p. 531 58. The function of the eustachian tube is to equalize all pressure on either side of the oval window. ANS: F TOP: Middle Ear DIF: Memorization REF: p. 532 59. The tectorial membrane is responsible for generating impulses to maintain static equilibrium. ANS: F DIF: Memorization NURSINGTB.COM REF: p. 533 Anatomy and Physiology 10th Edition Patton Test Bank TOP: Inner Ear 60. As the frequency of a sound wave increases, it causes the basilar membrane to vibrate nearer the oval window. ANS: T DIF: Memorization TOP: Sense of Hearing REF: p. 534 61. Otoliths are “ear stones” that are found in the matrix of the macula of the ear. ANS: T DIF: Memorization TOP: Static Equilibrium REF: p. 534 62. The cell most likely to be found in the fovea centralis of the eye would be a rod cell. ANS: F DIF: Memorization TOP: Layers of the Eyeball REF: p. 540 63. Both the anterior and posterior chambers of the eye are found in the anterior cavity of the eye. ANS: T DIF: Memorization TOP: Cavities and Humors REF: p. 541 64. Chemically, all photopigments in rods can be broken down into opsin and retinal. ANS: T DIF: Memorization TOP: The Role of Photopigments REF: p. 544 N R I G B.C M NpoTrtant coOmponent of photopigments in rods. 65. The vitamin A derivative opsinUis aSn im ANS: F DIF: Memorization TOP: The Role of Photopigments REF: p. 544 66. The stapes fits into the round window in the middle ear. ANS: F TOP: Middle Ear DIF: Memorization REF: p. 531 67. The number of sound waves that occur during a specific timeframe is called its frequency. ANS: T DIF: Memorization TOP: Sense of Hearing REF: p. 533 68. The frequency of a sound determines its pitch. ANS: T DIF: Memorization TOP: Sense of Hearing REF: p. 533 69. Because rods only see in “black and white,” they are equally responsive to the entire range of visible wavelengths. ANS: F DIF: Memorization NURSINGTB.COM REF: p. 544 Anatomy and Physiology 10th Edition Patton Test Bank TOP: Rods 70. Palpebrae is the scientific name for the eyelashes. ANS: F TOP: Eyelids DIF: Memorization REF: p. 537 71. Recovering from the effects of rapidly traveling through many time zones (jet lag) requires the functioning of the ganglion cells of the eye. ANS: T DIF: Application REF: p. 546 TOP: Ganglion Cells 72. There are three structurally different taste buds: fungiform, circumvallate, and filiform. ANS: F TOP: Taste Buds DIF: Memorization REF: p. 528 73. All taste buds are located on the tongue. ANS: F TOP: Taste Buds DIF: Memorization REF: p. 528 74. Some ions are linked with a specific taste, such as H+ ions being sour and Na+ ions being salty. ANS: T TOP: Taste Buds DIF: Memorization REF: p. 529 N R I G B.C M 75. The pinna and external acoustiU c mS eatuN s reT fer to thO e same structure. ANS: F TOP: External Ear DIF: Memorization REF: p. 530 76. The external ear ends at the eardrum. ANS: T TOP: External Ear DIF: Memorization REF: p. 531 77. The two fluids of the middle ear are perilymph and endolymph. ANS: F TOP: Inner Ear DIF: Memorization REF: p. 532 78. Perilymph is similar to cerebrospinal fluid and surrounds the membranous labyrinth. ANS: T TOP: Inner Ear DIF: Memorization REF: p. 532 79. The section above the cochlear duct is called the scala vestibuli. ANS: T DIF: Memorization TOP: Cochlea and Cochlear Duct NURSINGTB.COM REF: p. 532 Anatomy and Physiology 10th Edition Patton Test Bank 80. The section below the cochlear duct is called the scala vestibuli. ANS: F DIF: Memorization TOP: Cochlea and Cochlear Duct REF: p. 533 81. The hearing sense organ is the organ of Corti. ANS: T DIF: Memorization TOP: Cochlea and Cochlear Duct REF: p. 533 82. The macula is involved in static equilibrium. ANS: T DIF: Memorization TOP: Sense of Balance REF: p. 534 83. The iris is the colored part of the eye. ANS: T DIF: Memorization TOP: Layers of the Eyeball REF: p. 538 84. The pupil is an opening in the middle of the iris. ANS: T DIF: Memorization TOP: Layers of the Eyeball REF: p. 539 85. In order to produce the sharpest image, light is focused on the optic disk of the eye. N R I GTB.COM UoriS ANS: F DIF: Mem zatioN n TOP: Layers of the Eyeball REF: p. 544 86. The slow adaptation of the sense of smell is due to the adaptation inhibition of the granule cells in the olfactory bulb. ANS: F DIF: Memorization TOP: Olfactory Receptors REF: p. 527 87. Gustatory cells are responsible for the sense of taste. ANS: T TOP: Taste Buds DIF: Memorization REF: p. 528 MATCHING Place in proper sequence the structures through which sound waves are conducted, starting with the number 1 and ending with 9. a. 1 b. 2 c. 3 d. 4 e. 5 NURSINGTB.COM Anatomy and Physiology 10th Edition Patton Test Bank f. g. h. i. 1. 2. 3. 4. 5. 6. 7. 8. 9. 6 7 8 9 Perilymph Stapes Tympanic membrane Malleus External auditory canal Oval window Round window Incus Organ of Corti 1. ANS: G DIF: Memorization TOP: Pathway of Sound Waves 2. ANS: E DIF: Memorization TOP: Pathway of Sound Waves 3. ANS: B DIF: Memorization TOP: Pathway of Sound Waves 4. ANS: C DIF: Memorization TOP: Pathway of Sound Waves 5. ANS: A DIF: Memorization TOP: Pathway of Sound Waves 6. ANS: F DIF: Memorization TOP: Pathway of Sound WaveN s R I G B.C M U S N T O 7. ANS: I DIF: Memorization TOP: Pathway of Sound Waves 8. ANS: D DIF: Memorization TOP: Pathway of Sound Waves 9. ANS: H DIF: Memorization TOP: Pathway of Sound Waves REF: p. 534 REF: p. 534 REF: p. 534 REF: p. 534 REF: p. 534 REF: p. 534 REF: p. 534 REF: p. 534 REF: p. 534 Match each outer ear term with its corresponding description. a. Auricle b. Cerumen c. External auditory meatus d. Tympanic membrane 10. 11. 12. 13. Fleshy part of external ear on the outside of head Earwax Passageway that leads to the tympanic membrane Thin membrane that separates the inner ear and middle ear; vibrates in response to sound waves 10. ANS: A TOP: External Ear 11. ANS: B TOP: External Ear DIF: Memorization REF: p. 530 DIF: Memorization REF: p. 531 NURSINGTB.COM Anatomy and Physiology 10th Edition Patton Test Bank 12. ANS: C DIF: Memorization TOP: External Ear 13. ANS: D DIF: Memorization TOP: External Ear REF: p. 531 REF: p. 531 Match each middle ear term with its corresponding description. a. Auditory ossicles b. Auditory tube c. Mastoid air spaces d. Oval window e. Round window 14. Membrane-covered opening between the middle ear and inner ear; the stapes attaches to the 15. 16. 17. 18. membrane Membrane-covered opening between the middle ear and inner ear; nothing attaches to the membrane Spaces in the temporal bone that are connected to the middle ear Structure that enables air pressure to be equalized between the outside air and the middle ear; also known as the eustachian tube Ear bones that transmit and amplify vibrations of the tympanic membrane to the oval window; the malleus, incus, and stapes 14. ANS: D TOP: Middle Ear 15. ANS: E TOP: Middle Ear 16. ANS: C TOP: Middle Ear 17. ANS: B TOP: Middle Ear 18. ANS: A TOP: Middle Ear DIF: Memorization REF: p. 531 DIF: Memorization REF: p. 531 DIF: MN emoR rizaI tionG REF: p. 531 DIF: Memorization REF: p. 532 DIF: Memorization REF: p. 531 U S N TB.COM Match each inner ear term with its corresponding description. a. Basilar membrane b. Bony labyrinth c. Cochlea d. Cochlear duct e. Endolymph f. Membranous labyrinth g. Organ of Corti h. Perilymph i. Scala tympani j. Scala vestibule k. Semicircular canals l. Tectorial membrane m. Vestibular membrane n. Vestibule 19. The organ of hearing; located in the cochlea and filled with endolymph NURSINGTB.COM Anatomy and Physiology 10th Edition Patton Test Bank 20. 21. 22. 23. 24. 25. 26. 27. 28. 29. 30. 31. 32. Consists of vestibule, cochlea, and semicircular canals Membranes that are found within the bony labyrinth Fluid between the bony and membranous labyrinths Fluid within the membranous labyrinth Part of the inner ear involved with hearing A part of the inner ear involved with equilibrium Cavity at the entrance of the semicircular canal Membrane that separates the scala vestibuli and the cochlear duct Membrane that separates the scala tympani and the cochlear duct Upper section of the cochlea Lower section of the cochlea Space that contains the organ of Corti Membrane to which hair cells of the organ of Corti extend 19. ANS: G DIF: Memorization TOP: Cochlea and Cochlear Duct DIF: Memorization 20. ANS: B TOP: Inner Ear 21. ANS: F DIF: Memorization TOP: Inner Ear 22. ANS: H DIF: Memorization TOP: Inner Ear 23. ANS: E DIF: Memorization TOP: Inner Ear 24. ANS: C DIF: Memorization TOP: Inner Ear NURSINGTB.COM 25. ANS: K DIF: Memorization TOP: Inner Ear 26. ANS: N DIF: Memorization TOP: Cochlea and Cochlear Duct 27. ANS: M DIF: Memorization TOP: Cochlea and Cochlear Duct 28. ANS: A DIF: Memorization TOP: Cochlea and Cochlear Duct 29. ANS: J DIF: Memorization TOP: Cochlea and Cochlear Duct 30. ANS: I DIF: Memorization TOP: Cochlea and Cochlear Duct 31. ANS: D DIF: Memorization TOP: Cochlea and Cochlear Duct 32. ANS: L DIF: Memorization TOP: Cochlea and Cochlear Duct REF: p. 533 REF: p. 533 REF: p. 532 REF: p. 532 REF: p. 532 REF: p. 532 REF: p. 532 REF: p. 532 REF: p. 532 REF: p. 532 REF: p. 532 REF: p. 532 REF: p. 532 REF: p. 533 Match each structure of the eye with its corresponding description. a. Aqueous humor b. Choroid c. Cones d. Cornea e. Fovea centralis NURSINGTB.COM Anatomy and Physiology 10th Edition Patton Test Bank f. g. h. i. j. 33. 34. 35. 36. 37. 38. 39. 40. 41. 42. Iris Optic disk Retina Rods Vitreous humor Humor found in the posterior chamber Humor found in the anterior chamber Layer that includes the iris Transparent portion of the anterior of the eye Innermost layer of the eyeball Receptors for day vision Area of dense concentration of cones Receptor that is more concentrated in the peripheral area of the retina Referred to as the blind spot in the eye Changes in size or shape determine the size of the pupil 33. ANS: J DIF: Memorization TOP: Cavities and Humors 34. ANS: A DIF: Memorization TOP: Cavities and Humors 35. ANS: B DIF: Memorization TOP: Layers of the Eyeball 36. ANS: D DIF: Memorization TOP: Layers of the Eyeball 37. ANS: H DIF: Memorization TOP: Layers of the Eyeball NURSINGTB.COM 38. ANS: C DIF: Application REF: p. 544 39. ANS: E DIF: Memorization TOP: Layers of the Eyeball 40. ANS: I DIF: Memorization TOP: Layers of the Eyeball 41. ANS: G DIF: Memorization TOP: Layers of the Eyeball 42. ANS: F DIF: Memorization TOP: Muscles of the Eye REF: p. 541 REF: p. 541 REF: p. 539 REF: p. 538 REF: p. 540 TOP: The Role of Photopigments REF: p. 540 REF: p. 540 REF: p. 540 REF: p. 539 OTHER 1. Describe the neuronal pathway for taste. ANS: Answers will vary. DIF: Application REF: p. 530 TOP: Neuronal Pathway of Taste 2. What is the function of the eustachian tube? ANS: Answers will vary. NURSINGTB.COM Anatomy and Physiology 10th Edition Patton Test Bank DIF: Memorization REF: pp. 531-532 TOP: Middle Ear 3. Sound waves are transmitted through solids, liquids, and gases. Give a specific example of each of these states as related to hearing and the ear. Solid: Liquid: Gas: ANS: Answers will vary. DIF: Application REF: p. 534 TOP: Pathway of Sound Waves 4. How does the ear differentiate between high- and low-frequency sound waves? ANS: Answers will vary. DIF: Application REF: p. 533 TOP: The Process of Hearing 5. What is the difference between static and dynamic equilibrium? Where are the sense organs for each located? ANS: Answers will vary. DIF: Memorization NURSINGTB.COM REF: p. 534 TOP: Balance 6. Where is the blind spot located? Why can’t light rays striking this area be seen? ANS: Answers will vary. DIF: Memorization REF: pp. 540-541 TOP: Layers of the Eyeball 7. Explain the processes that allow for the focusing of light rays so that they form a clear image on the retina. ANS: Answers will vary. DIF: Application REF: pp. 542-544 TOP: Formation of Retinal Image 8. Explain why watery eyes occur when a person gets a common cold. ANS: Answers will vary. DIF: Application REF: pp. 537-538 TOP: Lacrimal Apparatus NURSINGTB.COM Anatomy and Physiology 10th Edition Patton Test Bank 9. Describe how light is converted into action potentials that are transmitted to the brain and interpreted as vision. ANS: Answers will vary. DIF: Synthesis REF: pp. 542-543 TOP: The Process of Seeing 10. In a generalized manner, describe the dual sensory functions of the ear. ANS: Answers will vary. DIF: Synthesis REF: p. 530 TOP: The Process of Hearing | Balance 11. Explain the olfactory pathway. Why is it possible to link odors so powerfully to memory? ANS: Answers will vary. DIF: Memorization REF: p. 528 TOP: Olfactory Pathway ESSAY 1. Although Donald’s vision was normal, he had begun experiencing headaches and pain in his eyes. The ophthalmologist suggested a test to determine the pressure in the anterior cavity of Donald’s eyes. Why did the dNoctR or rI ecom Gmen B.d CthisMtest, and what disease state was he U S N T O anticipating? ANS: Answers will vary. DIF: Synthesis REF: pp. 549-550 TOP: Mechanisms of Disease 2. Grandpa Joe notices that his vision is becoming cloudy. What is the likely cause of his problem? Provide a brief description of the cause and how it may be remedied. ANS: Answers will vary. DIF: Synthesis REF: p. 549 TOP: Mechanisms of Disease 3. Amanda repeatedly became ill with throat infections during her first few years of school. Lately she has noticed that whenever she has a throat infection, her ears become very sore also. What might be the cause of this additional problem? Explain the connection between the two problems. ANS: Answers will vary. DIF: Synthesis REF: pp. 531-532 TOP: Middle Ear NURSINGTB.COM Anatomy and Physiology 10th Edition Patton Test Bank 4. Explain why the smell of a newly painted room becomes less noticeable the longer you are in it but seems very strong again if you leave for a while and then return to the room. ANS: Answers will vary. DIF: Synthesis REF: p. 527 TOP: Olfactory Receptors 5. Explain why the smell of a hospital or dentist’s office can bring about negative emotions and why the smell of baking cookies or a baking turkey around Thanksgiving time can bring about positive emotions. ANS: Answers will vary. DIF: Application REF: p. 528 TOP: Olfactory Pathway NURSINGTB.COM NURSINGTB.COM Anatomy and Physiology 10th Edition Patton Test Bank Chapter 25: Endocrine Regulation Patton: Anatomy and Physiology, 10th Edition MULTIPLE CHOICE 1. Endocrine glands can be made up of: a. glandular epithelium. b. neurosecretory tissue. c. ducts leading to major arteries d. both A and B. ANS: D DIF: Memorization TOP: Organization of the Endocrine System REF: p. 557 2. In comparison with the nervous system, the regulatory effects of the endocrine system are: a. rapid to appear but short-lived. b. slow to appear but long-lasting. c. rapid to appear and long-lasting. d. slow to appear and short-lived. ANS: B DIF: Memorization TOP: Organization of the Endocrine System REF: p. 557 3. Which of the following is not a characteristic of the endocrine system? a. Chemical messenger travels a short distance. b. Effector tissues include virtually all tissues. c. Receptors are located on N the plas ane UR SIma NGmem TBb.rC OMor within the target cell. d. All of the above are characteristics of the endocrine system. ANS: A DIF: Memorization TOP: Organization of the Endocrine System REF: p. 557 4. Which of the following endocrine glands is located in the neck? a. Pineal b. Pituitary c. Thymus d. Thyroid ANS: D TOP: Introduction DIF: Memorization REF: p. 556 5. Tropic hormones: a. target other endocrine glands and stimulate their growth and secretion. b. target reproductive tissues. c. stimulate anabolism in their target cells. d. do all of the above. ANS: A DIF: Memorization TOP: Classification of Hormones 6. All of the following are nonsteroid hormones except: NURSINGTB.COM REF: p. 558 Anatomy and Physiology 10th Edition Patton Test Bank a. b. c. d. oxytocin. calcitonin. cortisol. glucagon. ANS: C DIF: Memorization TOP: Steroid Hormones REF: p. 558 7. The last step in the nonsteroid hormone mechanism of action is: a. joining with the G protein on the cell membrane. b. protein kinases activate other enzymes. c. adenyl cyclase is activated. d. cAMP is formed. ANS: B DIF: Memorization TOP: Mechanisms of Nonsteroid Hormone Action REF: p. 562 8. Hormones can be: a. steroids. b. peptides. c. glycoproteins. d. all of the above. ANS: D DIF: Memorization TOP: Classification of Hormones REF: p. 558 9. Steroids are able to pass easily through a target cell’s plasma membrane because they are: a. synthesized from amino acids. I G B.C M N rate RS b. synthesized from carbohydU s. N T O c. lipid-soluble. d. synthesized from nucleic acids. ANS: C DIF: Memorization TOP: Steroid Hormones REF: p. 558 10. When a small amount of one hormone allows a second hormone to have its full effect, the phenomenon is called: a. synergism. b. permissiveness. c. antagonism. d. augmentation. ANS: B DIF: Memorization TOP: General Principles of Hormone Action REF: p. 561 11. Which of the following nonsteroid hormones bind to receptors associated with a DNA molecule within the nucleus of the target cell? a. Thyroxine b. Triiodothyronine c. Prolactin d. Both A and B ANS: D DIF: Memorization NURSINGTB.COM REF: p. 564 Anatomy and Physiology 10th Edition Patton Test Bank TOP: The Nuclear Receptor Mechanism 12. The compound that is referred to as a tissue hormone is: a. growth hormone. b. prostaglandin. c. adrenocorticotropic hormone. d. thyroxine. ANS: B DIF: Memorization TOP: Prostaglandins REF: p. 567 13. All of the following are true statements except: a. there are at least 16 different prostaglandins. b. the first prostaglandin was identified in semen. c. aspirin produces some of its effects by increasing PGE synthesis. d. PGFs have been used to induce labor and accelerate the delivery of a baby. ANS: C DIF: Memorization TOP: Prostaglandins REF: pp. 567-568 14. The type(s) of prostaglandin that play(s) a role in the development of a fever is(are): a. PGA. b. PGE. c. PGF. d. PGA and PGE. ANS: B DIF: Memorization TOP: Prostaglandins REF: p. 568 NURSINGTB.COM 15. Which of the following statements is false? a. Both the nervous system and endocrine system use chemicals to send messages. b. For the nervous and endocrine systems to function, the receiving cells must have the correct type of receptors. c. Cells can have receptors for hormones or for neurotransmitters but not for both. d. The nervous and endocrine systems can be seen as one system—the neuroendocrine system. ANS: C DIF: Memorization TOP: Organization of the Endocrine System REF: p. 557 16. The production of thyroid hormone is stimulated by another hormone from the: a. anterior pituitary. b. posterior pituitary. c. thyroid gland. d. parathyroid gland. ANS: A DIF: Synthesis TOP: Regulation of Hormone Secretion REF: p. 565 17. The many hormones secreted by endocrine tissues can be classified simply as hormones. a. steroid or nonsteroid b. anabolic or catabolic NURSINGTB.COM Anatomy and Physiology 10th Edition Patton Test Bank c. sex or nonsex d. tropic or hypotropic ANS: A DIF: Memorization TOP: Classification of Hormones REF: p. 558 18. Which of the following is not true of steroid hormones? a. They are lipid-soluble. b. They are derived from a fatty acid molecule. c. They can pass through the cell membrane. d. All of the above are true about steroid hormones. ANS: B DIF: Memorization TOP: Steroid Hormones REF: p. 558 19. Which of the following is not a description of hormone interaction explained in the text? a. Suppression b. Antagonism c. Synergism d. Permissiveness ANS: A DIF: Memorization TOP: General Principles of Hormone Action REF: p. 561 20. The immediate effect of a steroid hormone on a cell is the: a. formation of cAMP. b. increase of enzyme-controlled intracellular reactions. c. transcription of RNA. N R I G B.C M d. activation of adenyl cyclaseU. S N T O ANS: C DIF: Memorization TOP: Mechanisms of Steroid Hormone Action REF: p. 561 21. One of the later effects of steroid hormones on the cell could be the: a. transcription of RNA. b. making of enzymes. c. formation of cAMP. d. activation of kinases. ANS: B DIF: Memorization TOP: Mechanisms of Steroid Hormone Action REF: p. 562 22. Which of the following does not act as a second messenger for nonsteroid hormones? a. Inositol triphosphate b. Guanosine monophosphate c. Calcium-calmodulin complex d. All of the above act as second messengers. ANS: D DIF: Memorization TOP: Mechanisms of Nonsteroid Hormone Action REF: pp. 562-563 23. Which of the following is not a functional classification of hormones? a. Steroid NURSINGTB.COM Anatomy and Physiology 10th Edition Patton Test Bank b. Tropic c. Anabolic d. Neither A nor B is a functional classification of hormones. ANS: A DIF: Memorization TOP: Classification of Hormones REF: p. 558 24. Which of the following is not a chemical classification of hormones? a. Steroid b. Anabolic c. Tropic d. Neither B nor C is a chemical classification of hormones. ANS: D DIF: Memorization TOP: Classification of Hormones REF: p. 558 25. The common molecule from which all steroid hormones are derived is: a. phospholipids. b. cholesterol. c. lecithin. d. triglycerols. ANS: B DIF: Memorization TOP: Classification of Hormones REF: p. 558 26. Which of the following is not a source of nonsteroid hormones? a. Cholesterol b. Protein N R I G B.C M c. Protein joined with a carboU hydS rateN T O d. Individual amino acids ANS: A DIF: Memorization TOP: Classification of Hormones REF: p. 558 27. When a hormone attaches to a target cell, which of the following can occur? a. It can initiate protein synthesis. b. It can open or close ion channels. c. It can activate certain enzymes in the cell. d. All of the above can occur. ANS: D DIF: Memorization TOP: General Principles of Hormone Action REF: p. 561 28. The term downregulation refers to the: a. decrease in hormone production as we age. b. negative-feedback system of hormone regulation. c. reduction of the number of hormone receptors in a cell. d. movement of regulating hormones from the hypothalamus down to the pituitary gland. ANS: C DIF: Memorization TOP: Regulation of Target Cell Sensitivity NURSINGTB.COM REF: p. 566 Anatomy and Physiology 10th Edition Patton Test Bank 29. Synergism in hormone activity can be defined as: a. one hormone causing the opposite effect of another hormone. b. two hormones working together to enhance each other’s impact on a target cell. c. a small amount of one hormone allowing another hormone to have its full effect. d. none of the above; hormones do not work synergistically. ANS: B DIF: Memorization TOP: General Principles of Hormone Action REF: p. 561 30. Hormones that regulate activity in the secreting cell itself are called: a. prostaglandins. b. paracrine hormones. c. autocrine hormones. d. leukotriene hormones. ANS: C DIF: Memorization TOP: Local Hormones (Box 25-3) REF: p. 567 31. Which of the following is not a protein hormone? a. Oxytocin b. Insulin c. Parathyroid hormone d. All of the above are protein hormones. ANS: A DIF: Memorization TOP: Nonsteroid Hormones REF: p. 558 32. Which of the following is not a peptide hormone? NURSINGTB.COM a. Oxytocin b. Insulin c. Antidiuretic hormone d. All of the above are peptide hormones. ANS: B DIF: Memorization TOP: Nonsteroid Hormones REF: p. 558 33. Which of the following is not an amino acid derivative hormone? a. Epinephrine b. Norepinephrine c. Thyroid hormones d. All of the above are amino acid derivative hormones. ANS: D DIF: Memorization TOP: Nonsteroid Hormones 34. REF: p. 558 Which of the following is not true of prostaglandins? a. Contain a 20-carbon unsaturated fatty acid chain b. Contain a 5-carbon ring c. Made from membrane phospholipid molecules d. All of the above are true of prostaglandins. ANS: D DIF: Memorization TOP: Prostaglandins NURSINGTB.COM REF: pp. 567-568 Anatomy and Physiology 10th Edition Patton Test Bank TRUE/FALSE 1. Most hormones are highly specific in their action. ANS: T DIF: Application REF: p. 561 TOP: General Principles of Hormone Action 2. Endocrine glands release their hormones into ducts that eventually empty into the circulatory system. ANS: F TOP: Introduction DIF: Memorization REF: p. 556 3. The endocrine system can regulate most cells in the body. ANS: T TOP: Introduction DIF: Memorization REF: p. 556 4. Both the endocrine and nervous systems exhibit control via regulatory feedback loops. ANS: T TOP: Introduction DIF: Memorization REF: p. 556 5. The general effect of hormones is to produce regulatory changes within the target cell. ANS: T DIF: Memorization IcNtioGnTB.COM TOP: General Principles of HoN rm eA UoRnS REF: p. 561 6. All nonsteroid hormones operate according to the second-messenger model. ANS: F DIF: Memorization TOP: Mechanisms of Nonsteroid Hormone Action REF: p. 562 7. The “lock-and-key” mechanism allows hormones to bind only with target cells that have receptors that “fit” them exactly. ANS: T DIF: Memorization TOP: General Principles of Hormone Action REF: p. 561 8. Input from the nervous system influences secretion of some hormones. ANS: T DIF: Memorization TOP: Regulation of Hormone Secretion REF: p. 565 9. Short feedback loops tend to minimize wide fluctuations in hormone secretion rates. ANS: F DIF: Application TOP: Regulation of Hormone Secretion REF: p. 566 10. The chemical messengers of the endocrine system are neurotransmitters. NURSINGTB.COM Anatomy and Physiology 10th Edition Patton Test Bank ANS: F TOP: Introduction DIF: Memorization REF: p. 556 11. In comparison with the nervous system, the regulatory effects of the endocrine system are rapidly apparent, but short-lived. ANS: F TOP: Introduction DIF: Memorization REF: p. 566 12. The control of hormone secretion is usually a positive-feedback loop. ANS: F DIF: Memorization TOP: Regulation of Hormone Secretion REF: p. 564 13. The endocrine system functions at a much greater speed than the nervous system. ANS: F TOP: Introduction DIF: Memorization REF: p. 556 14. The most widely used method of hormone classification is by location in the body. ANS: F DIF: Memorization TOP: Classification of Hormones REF: p. 558 15. The anterior pituitary gland can be either stimulated to release hormones or inhibited from releasing hormones by secretions from the hypothalamus. ANS: T DIF: MN emoR rizaI tionG B.C M U S O TOP: Regulation of Hormone Secretion N T REF: p. 565 16. Norepinephrine can be considered a neurotransmitter or a hormone, depending on what releases it and how far it must travel to reach a receptor. ANS: T DIF: Memorization TOP: Organization of the Endocrine System REF: p. 557 17. Hormones can be classified based on their chemical structure or their function. ANS: T DIF: Memorization TOP: Classification of Hormones REF: p. 558 18. Chemically, steroid hormones are derived from the cholesterol molecule. ANS: T DIF: Memorization TOP: Steroid Hormones REF: p. 558 19. Protein hormones, glycoprotein hormones, and peptide hormones all contain amino acids. ANS: T DIF: Application REF: p. 558 TOP: Nonsteroid Hormones 20. The amino acid tyrosine is used to produce epinephrine and the hormones made in the thymus gland. NURSINGTB.COM Anatomy and Physiology 10th Edition Patton Test Bank ANS: F DIF: Memorization TOP: Nonsteroid Hormones REF: p. 558 21. Hormones are synergistic if they have opposite effects on the target cell. ANS: F DIF: Memorization TOP: General Principles of Hormone Action REF: p. 561 22. Hormones that are antagonistic to each other are able to “fine-tune” the activity of the target cell with great accuracy. ANS: T DIF: Memorization TOP: General Principles of Hormone Action REF: p. 561 23. The endocrine system is considered a very efficient system, because virtually every hormone molecule produced finds its target cell receptor. ANS: F DIF: Memorization TOP: General Principles of Hormone Action REF: p. 561 24. Steroid hormones frequently travel in the bloodstream attached to soluble plasma proteins. ANS: T DIF: Memorization TOP: Mechanisms of Steroid Hormone Action REF: p. 561 25. The specific role of cAMP is to activate kinases. N R I G B.COM UoriS ANS: T DIF: Mem zatioN n T TOP: Mechanisms of Nonsteroid Hormone Action REF: p. 562 26. Both steroid and nonsteroid hormones produce their effects by increasing the number of enzymes that catalyze cellular reactions. ANS: T DIF: Application REF: pp. 561-562 TOP: Mechanisms of Steroid Hormone Action, Mechanisms of Nonsteroid Hormone Action 27. Prostaglandins are lipid substances derived from cholesterol. ANS: F DIF: Memorization TOP: Prostaglandins REF: p. 568 28. Thromboxanes and leukotrienes can be called tissue hormones. ANS: T DIF: Memorization TOP: Prostaglandins REF: p. 567 29. Upregulating and downregulating hormone receptor proteins on the membrane of a target cell will change its sensitivity to a hormone. ANS: T DIF: Memorization TOP: Regulation of Target Cell Sensitivity NURSINGTB.COM REF: p. 566 Anatomy and Physiology 10th Edition Patton Test Bank 30. The target organs for tropic hormones are usually other endocrine glands. ANS: T DIF: Application REF: p. 558 TOP: Classification of Hormones 31. In terms of affecting hormone action, synergism and permissiveness mean the same thing. ANS: F DIF: Memorization TOP: General Principles of Hormone Action REF: p. 561 32. Both synergism and permissiveness can increase the effect of a hormone. ANS: T DIF: Memorization TOP: General Principles of Hormone Action REF: p. 561 33. The cAMP system, the inositol triphosphate (IP3) system, and the mobile-receptor system are second-messenger systems used by nonsteroid hormones. ANS: F DIF: Memorization TOP: Mechanisms of Nonsteroid Hormone Action REF: p. 562 34. Cells make prostaglandins by breaking apart triglyceride molecules. ANS: F DIF: Memorization TOP: Prostaglandins REF: p. 568 35. The name prostaglandin comes from the prostate gland. ANS: T DIF: TOP: Prostaglandins N R I GTB.COM UoriS Mem zatioN n REF: p. 568 36. Aspirin and ibuprofen produce some of their effects by inhibiting PGA synthesis. ANS: F DIF: Memorization TOP: Prostaglandins REF: p. 568 37. Two specific prostaglandins are thromboxanes and leukotrienes. ANS: F DIF: Memorization TOP: Prostaglandins REF: p. 567 38. Protein hormones that contain lipid molecules can be classified as glycoprotein hormones. ANS: F DIF: Memorization TOP: Nonsteroid Hormones REF: p. 558 39. Most cells in the body can respond to many different types of hormones. ANS: T DIF: Memorization TOP: General Principles of Hormone Action NURSINGTB.COM REF: p. 561 Anatomy and Physiology 10th Edition Patton Test Bank 40. In areas of the body where circulation is poor, hormones are carried by small ducts called hormone channels. ANS: F DIF: Memorization TOP: General Principles of Hormone Action REF: p. 561 41. The nuclear-receptor model is used in describing the action of steroid hormones. ANS: T DIF: Memorization TOP: Mechanisms of Steroid Hormone Action REF: pp. 561-562 42. If the cellular response to a hormone caused an increase in RNA synthesis, the hormone most likely was a steroid hormone. ANS: T DIF: Application REF: pp. 561-562 TOP: Mechanisms of Steroid Hormone Action 43. The fixed-membrane-receptor model is used in describing the action of nonsteroid hormones. ANS: T DIF: Memorization TOP: Mechanisms of Nonsteroid Hormone Action REF: p. 562 44. If a small amount of hormone produced a disproportionately great response in a cell, the hormone was most likely a nonsteroid hormone. ANS: T DIF: Application REF: p. 563 TOP: Mechanisms of Nonsteroid Hormone Action N R I G B.C M U Sfarther N Tto reachOtheir target cell than do paracrine 45.4 Autocrine hormones have to travel 5 hormones. . ANS: F DIF: Application REF: p. 567 TOP: Local Hormones (Box 25-3) 46. Both the endocrine system and nervous system are important in regulation of body function. ANS: T TOP: Introduction DIF: Memorization REF: p. 556 47. The target cell in the endocrine system is similar to the postganglionic neuron in the nervous system, because they both have receptors that respond to the presence of a chemical. ANS: T DIF: Memorization TOP: Organization of the Endocrine System REF: p. 557 48. The release of a hormone by a gland is called signal transduction. ANS: F DIF: Memorization TOP: Organization of the Endocrine System REF: p. 557 49. Cells either have receptors for neurotransmitters and respond to the nervous system or have hormone receptors and respond to the endocrine system, but not both. NURSINGTB.COM Anatomy and Physiology 10th Edition Patton Test Bank ANS: F DIF: Memorization TOP: Organization of the Endocrine System REF: p. 557 50. A hormone is able to stimulate more cells than a neurotransmitter. ANS: T DIF: Memorization TOP: Organization of the Endocrine System REF: p. 557 51. Some cases of hormone deficiency can be traced to an obstruction in the duct through which the hormone must pass. ANS: F DIF: Application REF: p. 557 TOP: Organization of the Endocrine System 52. Some endocrine glands are actually made of nervous tissue. ANS: T DIF: Memorization TOP: Organization of the Endocrine System REF: p. 557 53. Many endocrine glands are made of epithelial tissue. ANS: T DIF: Memorization TOP: Organization of the Endocrine System REF: p. 567 54. Endocrine glands are located either in the head or the neck. ANS: F DIF: Memorization TOP: Organization of the EndN ocrinRe SI ysteG m B.C M U S N T O REF: p. 567 55. A hormone that stimulates the salivary glands (exocrine glands) would be a tropic hormone. ANS: F DIF: Memorization TOP: Classification of Hormones REF: p. 558 56. Examples of steroid hormones are cortisol, aldosterone, and testosterone. ANS: T DIF: Memorization TOP: Steroid Hormones REF: p. 558 57. Examples of nonsteroid hormones are insulin, oxytocin, and epinephrine. ANS: T DIF: Memorization TOP: Nonsteroid Hormones REF: p. 558 58. A list of the nonsteroid hormones from largest to smallest would read protein hormones, amino acid derivative hormones, and peptide hormones. ANS: F DIF: Memorization TOP: Nonsteroid Hormones REF: p. 558 59. One outcome of a nonsteroid hormone would be the synthesis of a specific enzyme. NURSINGTB.COM Anatomy and Physiology 10th Edition Patton Test Bank ANS: F DIF: Memorization TOP: Mechanisms of Steroid Hormone Action REF: p. 562 60. With a steroid hormone, the amount of hormone is directly related to the magnitude of the response in the target cell. ANS: T DIF: Memorization TOP: Mechanisms of Steroid Hormone Action REF: p. 562 61. Steroid hormones tend to generate a rapid response in their target cells. ANS: F DIF: Memorization TOP: Mechanisms of Steroid Hormone Action REF: p. 562 62. Thyroid hormones are nonsteroid hormones but act more like steroid hormones when they reach their target cells. ANS: T DIF: Application REF: p. 564 TOP: Mechanisms of Nonsteroid Hormone Action 63. In nonsteroid hormones, the hormone itself is the first messenger. ANS: T DIF: Memorization TOP: Mechanisms of Nonsteroid Hormone Action REF: p. 562 64. Some nonsteroid hormones attach to cell membrane sodium channels, causing them to open and allowing an influx of sodium into the cell. N R I G B.COM U S N T ANS: F DIF: Memorization TOP: Mechanisms of Nonsteroid Hormone Action REF: p. 562 65. Some nonsteroid hormones do not use a second messenger but are taken into the cell by endocytosis and act directly on their target cells. ANS: F DIF: Memorization TOP: Mechanisms of Nonsteroid Hormone Action REF: p. 562 66. Responses that result from endocrine feedback loops are called endocrine reflexes. ANS: T DIF: Memorization TOP: Regulation of Hormone Secretion REF: p. 564 67. Parathyroid hormone reflexively increases secretion of parathyroid hormone in response to an increase in blood calcium levels. ANS: F DIF: Memorization TOP: Regulation of Hormone Secretion REF: p. 565 68. The number of hormone receptors a cell has remains constant throughout the life of the cell. ANS: F DIF: Memorization TOP: Regulation of Hormone Sensitivity NURSINGTB.COM REF: p. 566 Anatomy and Physiology 10th Edition Patton Test Bank 69. Because most cells secrete prostaglandins, there is usually a fairly high concentration of prostaglandins in the blood. ANS: F DIF: Memorization TOP: Prostaglandins REF: pp. 567-568 70. There are 16 structural classes of prostaglandins, classes A though P. ANS: F DIF: Memorization TOP: Prostaglandins REF: p. 567 MATCHING Match each chemical classification with a corresponding hormone. a. Steroid b. Protein c. Glycoprotein d. Peptide e. Amine 1. 2. 3. 4. 5. Cortisol Melatonin Insulin Somatostatin Luteinizing hormone NURSING TB.COM 1. ANS: A DIF: Memorization TOP: Classification of Hormones 2. ANS: E DIF: Memorization TOP: Classification of Hormones 3. ANS: B DIF: Memorization TOP: Classification of Hormones 4. ANS: D DIF: Memorization TOP: Classification of Hormones 5. ANS: C DIF: Memorization TOP: Classification of Hormones Match each term with its explanation or definition. a. Synergism b. Steroid hormone c. Second messenger d. Target cell e. Upregulation f. Antagonism g. Prostaglandin h. Tropic hormone i. Nonsteroid hormone j. Permissiveness 6. A cell with receptors for a specific hormone NURSINGTB.COM REF: p. 558 REF: p. 558 REF: p. 558 REF: p. 558 REF: p. 558 Anatomy and Physiology 10th Edition Patton Test Bank 7. 8. 9. 10. 11. 12. 13. 14. 15. A small amount of hormone allows another hormone to have its full effect Usually requires a second messenger to function Uses the mobile-receptor model to function Sometimes called a tissue hormone One hormone has the opposite effect of another hormone cAMP is an example of this Increasing the number of receptors on a target cell Hormone that targets another endocrine gland The combination of hormones have a greater effect than the sum of the effects of the two hormones separately 6. ANS: D DIF: Memorization TOP: Organization of the Endocrine System 7. ANS: J DIF: Memorization TOP: General Principles of Hormone Action 8. ANS: I DIF: Memorization TOP: Mechanisms of Nonsteroid Hormone Action 9. ANS: B DIF: Memorization TOP: Mechanisms of Steroid Hormone Action 10. ANS: G DIF: Memorization TOP: Prostaglandins 11. ANS: F DIF: Memorization TOP: General Principles of Hormone Action 12. ANS: C DIF: Memorization TOP: Mechanisms of Nonsteroid Hormone Action 13. ANS: E DIF: Memorization B.C M N R I G TOP: Regulation of Target Cell U SensS itivN ity T O 14. ANS: H DIF: Memorization TOP: Classification of Hormones 15. ANS: A DIF: Memorization TOP: General Principles of Hormone Action REF: p. 561 REF: p. 561 REF: p. 562 REF: p. 561 REF: p. 567 REF: p. 561 REF: p. 562 REF: p. 566 REF: p. 558 REF: p. 561 OTHER 1. Explain how a hormone can act specifically on one type of cell and not on others. ANS: Answers will vary. DIF: Application REF: p. 561 TOP: General Principles of Hormone Action 2. Explain how cAMP acts as a second messenger for certain nonsteroid hormones. ANS: Answers will vary. DIF: Application REF: p. 562 TOP: Mechanisms of Nonsteroid Hormone Action 3. How do the actions of prostaglandins differ from the actions of hormones? NURSINGTB.COM Anatomy and Physiology 10th Edition Patton Test Bank ANS: Answers will vary. DIF: Synthesis REF: pp. 567-568 TOP: Prostaglandins 4. Compare and contrast how the endocrine and nervous systems function to maintain homeostasis of the internal environment. ANS: Answers will vary. DIF: Synthesis REF: p. 556 TOP: Introduction 5. What are prostaglandins? From what substance are they made? Name two effects prostaglandins have on the body. ANS: Answers will vary. DIF: Memorization REF: pp. 567-568 TOP: Prostaglandins 6. Explain the mechanism of steroid hormone action. What is the end product of a steroid hormone? ANS: Answers will vary. DIF: Memorization F:.C pp. 5M61-562 NURSINGRTEB O TOP: Mechanisms of Steroid Hormone Action 7. Explain how a cell can upregulate or downregulate its response to the presence of a hormone. ANS: Answers will vary. DIF: Application REF: p. 566 TOP: Regulation of Target Cell Sensitivity ESSAY 1. Compare and contrast steroid and nonsteroid hormones, and give an example of each. ANS: Answers may vary. DIF: Application REF: pp. 558-559 TOP: Classification of Hormones NURSINGTB.COM Anatomy and Physiology 10th Edition Patton Test Bank Chapter 26: Endocrine Glands Patton: Anatomy and Physiology, 10th Edition MULTIPLE CHOICE 1. The structure referred to historically as the master gland is the: a. pituitary. b. adrenals. c. hypothalamus. d. thyroid. ANS: A DIF: Memorization TOP: Structure of the Pituitary Gland REF: p. 576 2. Which of the following hormones is not secreted by the basophils? a. Prolactin b. Luteinizing hormone (LH) c. Follicle-stimulating hormone (FSH) d. Thyroid-stimulating hormone (TSH) ANS: A TOP: Prolactin DIF: Memorization REF: p. 576 3. The hormone most likely to cause a shift from glucose catabolism to fat catabolism is: a. antidiuretic hormone (ADH). b. TSH. c. adrenocorticotropic hormN one UR(AC SITH NG).TB.COM d. somatotropin. ANS: D DIF: Memorization TOP: Growth Hormone REF: p. 575 4. Gonadotrophs secrete: a. GH. b. LH and FSH. c. TSH. d. prolactin. ANS: B DIF: Memorization TOP: Adenohypophysis (Anterior Lobe of Pituitary) REF: p. 581 5. Growth of the ovarian follicle occurs because of: a. LH. b. estrogen. c. progesterone. d. FSH. ANS: D DIF: Memorization TOP: Tropic Hormones 6. Prolactin affects: NURSINGTB.COM REF: p. 576 Anatomy and Physiology 10th Edition Patton Test Bank a. b. c. d. the adrenal cortex. body growth. skin color. milk secretion. ANS: D TOP: Prolactin DIF: Memorization REF: p. 579 7. The principal action of thyrotropin-releasing hormone is stimulating the: a. release of ACTH. b. secretion of growth hormone. c. release of TSH. d. release of FSH and LH. ANS: C DIF: Memorization TOP: Control of Secretions in the Adenohypophysis REF: p. 577 8. The vascular link between the hypothalamus and the adenohypophysis is called the: a. circulatory system. b. hypophyseal portal system. c. vascular system. d. releasing-inhibiting connection. ANS: B DIF: Memorization TOP: Control of Secretions in the Adenohypophysis REF: p. 577 9. Which hormones are produced by the hypothalamus to control the adenohypophysis? a. Tropic hormones NURSINGTB.COM b. Releasing hormones c. Melanocyte-stimulating hormones d. Basophils ANS: B DIF: Memorization TOP: Control of Secretions in the Adenohypophysis REF: p. 577 10. The hypothalamus produces: a. somatotropin. b. oxytocin. c. lactogenic hormone. d. melanocyte-stimulating hormone. ANS: B DIF: Memorization TOP: Neurohypophysis (Posterior Lobe of Pituitary) REF: p. 580 11. The neurohypophysis serves as a storage and release site for: a. ADH. b. oxytocin. c. prolactin. d. both A and B. ANS: D DIF: Memorization TOP: Neurohypophysis (Posterior Lobe of Pituitary) NURSINGTB.COM REF: p. 580 Anatomy and Physiology 10th Edition Patton Test Bank 12. The principal thyroid hormone is: a. tetraiodothyronine (T4 or thyroxine). b. triiodothyronine (T3). c. calcitonin. d. PTH. ANS: B DIF: Memorization TOP: Thyroid Hormone REF: p. 583 13. Calcitonin: a. decreases calcium storage in bones. b. raises blood calcium levels. c. has the opposite effect of parathyroid hormone. d. reveals thyroid functioning in the protein-bound iodine (PBI) test. ANS: C TOP: Calcitonin DIF: Memorization REF: p. 583 14. Parathyroid hormone (PTH) increases calcium absorption in the intestines by activating: a. vitamin A. b. vitamin C. c. vitamin D. d. iron. ANS: C DIF: Memorization TOP: Parathyroid Hormone REF: p. 585 15. Which of the following depends on maintaining normal levels of calcium in the blood? NURSINGTB.COM a. Blood clotting b. Cell membrane c. Neuromuscular excitability d. All of the above ANS: D DIF: Memorization TOP: Parathyroid Hormone REF: p. 585 16. The hormone that causes ejection of milk into the mammary ducts is: a. prolactin. b. estrogen. c. oxytocin. d. progesterone. ANS: C TOP: Oxytocin DIF: Memorization REF: p. 580 17. An abnormally high metabolic rate could be associated with the functioning of the: a. thyroid gland. b. parathyroid gland. c. posterior pituitary. d. thymus. ANS: A DIF: Application REF: p. 583 NURSINGTB.COM TOP: Thyroid Hormone Anatomy and Physiology 10th Edition Patton Test Bank 18. The first step in the renin-angiotensin mechanism is: a. angiotensin II circulates to the adrenal cortex, stimulating the secretion of aldosterone. b. renin causes angiotensinogen to be converted to angiotensin I. c. the juxtaglomerular apparatus secretes renin into the blood in response to a fall in the blood pressure within the kidney. d. aldosterone causes increased reabsorption of sodium, which causes increased water retention. ANS: C DIF: Memorization TOP: Mineralocorticoids REF: p. 587 19. Which of the following is not true of glucocorticoids? a. Stress causes their release. b. They cause an increase in the body’s defense mechanisms. c. They stimulate gluconeogenesis. d. They are hyperglycemic. ANS: B DIF: Memorization TOP: Glucocorticoids REF: pp. 588-589 20. The mineralocorticoids of the adrenal cortex regulate or influence a. calcium and sodium b. sodium and chloride c. sodium, potassium, and hydrogen d. hydrogen and oxygen ANS: C DIF: TOP: Mineralocorticoids B.C M U S N T O MN emoR rizaI tionG balance. REF: p. 587 21. Secretion of is controlled mainly by the renin-angiotensin mechanism and blood potassium concentration. a. aldosterone b. cortisol c. adrenal estrogens d. norepinephrine ANS: A DIF: Memorization TOP: Mineralocorticoids REF: p. 587 22. The adrenal medulla secretes: a. ACTH. b. cortisol. c. epinephrine. d. glucagon. ANS: C DIF: Memorization TOP: Adrenal Medulla REF: p. 590 23. The gland that serves in both an exocrine and an endocrine capacity is the: a. pituitary. b. pancreas. NURSINGTB.COM Anatomy and Physiology 10th Edition Patton Test Bank c. adrenal. d. ovary. ANS: B DIF: Memorization TOP: Structure of the Pancreatic Islets 24. REF: p. 590 Which of the following is a function of glucagon? a. Promotes the entry of glucose into tissue cells b. Tends to decrease blood glucose concentrations c. Tends to increase blood glucose concentrations d. Converts glucose into glycogen ANS: C DIF: Memorization TOP: Pancreatic Hormones REF: p. 591 25. Insulin: a. tends to lower blood concentrations of glucose, amino acids, and fatty acids. b. promotes metabolism of glucose by tissue cells. c. is produced by beta cells. d. All of the above are true of insulin. ANS: D DIF: Memorization TOP: Pancreatic Hormones REF: p. 591 26. Insulin and glucagon affect the body’s use of: a. sodium. b. potassium. c. glucose. NURSINGTB.COM d. calcium. ANS: C DIF: Memorization TOP: Pancreatic Hormones REF: p. 591 27. The major hormone produced by the corpus luteum is: a. progesterone. b. estrogen. c. LTH. d. chorionic gonadotropin. ANS: A TOP: Ovaries DIF: Memorization REF: p. 592 28. Human chorionic gonadotropin (hCG) is produced by the: a. testes. b. ovaries. c. heart. d. placenta. ANS: D TOP: Placenta DIF: Memorization 29. Thymosin is a hormone that plays a role in: a. the rate of metabolism. NURSINGTB.COM REF: p. 594 Anatomy and Physiology 10th Edition Patton Test Bank b. body growth. c. immunity. d. maintaining early pregnancy. ANS: C TOP: Thymus 30. DIF: Memorization REF: p. 594 Which of the following is true of T4? a. It contains three atoms of iodine. b. It binds more efficiently to target cell receptors than does T3. c. It is a prohormone for T3. d. All of the above are true of T4. ANS: C DIF: Application REF: p. 583 TOP: Thyroid Hormone 31. Which is not part of the pituitary gland? a. Sella turcica b. Infundibulum c. Adenohypophysis d. Neurohypophysis ANS: A DIF: Memorization TOP: Structure of the Pituitary Gland REF: p. 574 32. The type of cells that secrete ACTH are: a. somatotrophs. b. lactotrophs. c. thyrotrophs. NURSINGTB.COM d. corticotrophs. ANS: D DIF: Memorization TOP: Adenohypophysis (Anterior Lobe of Pituitary) REF: p. 575 33. High blood levels of ADH would be found in someone who has: a. just eaten a meal high in sugar or other carbohydrates. b. been working in high temperatures and is dehydrated. c. a high level of calcium in the blood. d. a low level of calcium in the blood. ANS: B DIF: Application REF: p. 580 TOP: Antidiuretic Hormone 34. One of the few hormones that functions on a positive-feedback loop is: a. ADH. b. calcitonin. c. oxytocin. d. insulin. ANS: C TOP: Oxytocin DIF: Memorization REF: p. 580 35. The structure in the body that provides the “mind-body” link is the: a. anterior pituitary gland. b. hypothalamus. NURSINGTB.COM Anatomy and Physiology 10th Edition Patton Test Bank c. posterior pituitary gland. d. pineal gland. ANS: B DIF: Application REF: p. 579 TOP: Control of Secretions in the Adenohypophysis 36. Release of PTH in the body would cause a(n): a. increase in blood calcium. b. decrease in blood phosphate. c. decrease in vitamin D production. d. All of the above are correct. ANS: A DIF: Application REF: p. 585 TOP: Parathyroid Hormone 37. Mineralocorticoids are released from which part of the adrenal gland? a. Zona fasciculata b. Zona reticularis c. Zona glomerulosa d. Adrenal medulla ANS: C DIF: Memorization TOP: Adrenal Cortex REF: p. 587 38. High levels of hCG in the body would indicate: a. the production of thyroid hormone needs to be increased. b. there was too much calcium in the blood. c. a pregnancy. d. the glucose concentration of the blood was too low. ANS: C NURSINGTB.COM REF: p. 594 DIF: Application TOP: Placenta 39. The target cells for ADH are found in the: a. kidney. b. muscles in the walls of arteries. c. osteoblasts in the bone. d. Both A and B are correct. ANS: D DIF: Memorization TOP: Antidiuretic Hormone REF: p. 580 40. Which hormone stimulates uterine contractions? a. Oxytocin b. FSH c. LH d. Both B and C ANS: A TOP: Oxytocin DIF: Memorization REF: p. 580 41. Which of the following statements is not true of the pineal gland? a. It is located on the dorsal aspect of the diencephalon. b. Melatonin is stimulated by the presence of sunlight. c. It produces melatonin. NURSINGTB.COM Anatomy and Physiology 10th Edition Patton Test Bank d. All of the above are true of the pineal gland. ANS: B TOP: Pineal Gland DIF: Memorization REF: p. 581 42. Which of the following statements is not true of the thyroid gland? a. It usually consists of two lobes connected by an isthmus. b. It is located in the mediastinum in the chest. c. It contains a protein-iodine complex called thyroglobulin. d. All of the above are true of the thyroid gland. ANS: B DIF: Memorization TOP: Structure of the Thyroid Gland REF: p. 582 43. Glucocorticoids are released by which part of the adrenal glands? a. Zona glomerulosa b. Zona fasciculata c. Zona reticularis d. Both B and C ANS: D DIF: Memorization TOP: Adrenal Glands REF: p. 587 44. Gonadocorticoids are released by which part of the adrenal gland? a. Zona glomerulosa b. Zona fasciculata c. Zona reticularis d. Adrenal medulla NURSINGTB.COM ANS: C DIF: Memorization TOP: Adrenal Glands REF: p. 589 45. Which is not true of the hormone somatostatin? a. It is produced by the delta cells of the pancreas. b. It inhibits the secretion of glucagon. c. It stimulates the secretion of insulin. d. Both B and C are not true of the hormone somatostatin. ANS: C DIF: Memorization TOP: Pancreatic Hormones REF: p. 591 46. Which is not true about the testes? a. They are composed mainly of sperm-producing seminiferous tubules. b. Interstitial cells produce testosterone. c. Testosterone is regulated mostly by LH. d. All of the above are true of the testes. ANS: D TOP: Testes DIF: Memorization REF: p. 592 47. Which hormone is used by some people to keep themselves youthful or to boost athletic performance? a. Prolactin (PRL) NURSINGTB.COM Anatomy and Physiology 10th Edition Patton Test Bank b. Thyroid-stimulating hormone (TSH) c. Human growth hormone (hGH) d. Oxytocin ANS: C DIF: Memorization TOP: Growth Hormone REF: p. 576 48. The hormones that are produced by muscle tissue are called: a. inhibins. b. cytokines. c. leptins. d. myokines. ANS: D DIF: Memorization TOP: Other Endocrine Glands and Hormones REF: p. 595 TRUE/FALSE 1. Growth hormone indirectly increases glucose metabolism. ANS: F DIF: Memorization TOP: Growth Hormone REF: p. 576 2. Tropic hormones tend to have a generalized effect on the body. ANS: F DIF: Memorization TOP: Tropic Hormones REF: p. 577 NURSINGTB.COM 3. Most hormones released by the hypothalamus enter the hypophyseal portal system. ANS: T DIF: Memorization TOP: Control of Secretions in the Adenohypophysis REF: p. 577 4. FSH and LH are called gonadotropins because they stimulate the growth and maintenance of the gonads. ANS: T DIF: Memorization TOP: Tropic Hormones REF: p. 577 5. Under stress conditions, the hypothalamus is a “go between,” linking the cerebrum and the pituitary. ANS: T DIF: Memorization TOP: Control of Secretions in the Adenohypophysis REF: p. 578 6. Specific chemical-releasing factors made in the adenohypophysis are responsible for the release of ADH and oxytocin into the blood. ANS: F DIF: Memorization TOP: Neurohypophysis (Posterior Lobe of Pituitary) REF: p. 580 7. The neurohypophysis is another name for the anterior pituitary. NURSINGTB.COM Anatomy and Physiology 10th Edition Patton Test Bank ANS: F DIF: Memorization TOP: Neurohypophysis (Posterior Lobe of Pituitary) REF: p. 580 8. When the amount of ADH increases, the body tries to get rid of excess fluid and the volume of urine increases. ANS: F DIF: Memorization TOP: Antidiuretic Hormone REF: p. 580 9. The pineal gland functions to support the body’s biological clock. ANS: T TOP: Pineal Gland DIF: Memorization REF: p. 581 10. A major function of the pineal gland is the development of the lymphatic system. ANS: F TOP: Pineal Gland DIF: Memorization REF: p. 581 11. The thyroid gland is the only endocrine organ that stores its hormones in another form for later release. ANS: T DIF: Memorization TOP: Thyroid Hormone REF: p. 583 12. Thyroid hormone stimulates growth and tissue differentiation. ANS: T DIF: TOP: Thyroid Hormone N R I GTB.COM UoriS Mem zatioN n REF: p. 583 13. Calcitonin is a hypercalcemic hormone. ANS: F TOP: Calcitonin DIF: Memorization REF: p. 583 14. Calcitonin decreases calcium storage in bones, thereby raising blood calcium levels. ANS: F TOP: Calcitonin DIF: Memorization REF: p. 583 15. Unlike thyroid hormone, calcitonin is said to have a “general” target. ANS: F TOP: Calcitonin DIF: Memorization REF: p. 583 16. An excess of parathyroid hormone can cause increased ossification of bone tissue. ANS: F DIF: Memorization TOP: Parathyroid Hormone 17. The center of the adrenal gland is the cortex. NURSINGTB.COM REF: pp. 585-586 Anatomy and Physiology 10th Edition Patton Test Bank ANS: F DIF: Memorization TOP: Structure of the Adrenal Glands REF: p. 586 18. Parathyroid hormone causes the kidney to retain calcium and excrete phosphate. ANS: T DIF: Memorization TOP: Parathyroid Hormone REF: p. 585 19. Hypercalcemia may be a cause of muscle spasms. ANS: F DIF: Memorization TOP: Parathyroid Hormone REF: pp. 585-586 20. Sex hormones are produced by the ovaries, testes, and adrenal glands. ANS: T DIF: Application TOP: Adrenal Glands | Gonads REF: p. 587 | p. 592 21. Aldosterone influences the kidney tubules to retain sodium and potassium ions. ANS: F DIF: Memorization TOP: Mineralocorticoids REF: p. 587 22. The major mineralocorticoid is aldosterone. ANS: T DIF: Memorization TOP: Mineralocorticoids REF: p. 587 NURSINGTB.COM 23. Some of the effects of aldosterone are water retention and increased blood pressure. ANS: T DIF: Memorization TOP: Mineralocorticoids REF: p. 587 24. Aldosterone secretion is controlled mainly by the renin-angiotensin mechanism and by the blood potassium concentration. ANS: T DIF: Memorization TOP: Mineralocorticoids REF: p. 587 25. Glucocorticoids are essential for maintaining a normal blood pressure. ANS: T DIF: Memorization TOP: Glucocorticoids REF: p. 588 26. The renin-angiotensin mechanism is a negative-feedback mechanism that helps maintain homeostasis of blood pressure. ANS: T DIF: Memorization TOP: Mineralocorticoids REF: p. 588 27. Cortisone is the only glucocorticoid that is secreted in significant quantities. NURSINGTB.COM Anatomy and Physiology 10th Edition Patton Test Bank ANS: F DIF: Memorization TOP: Glucocorticoids REF: p. 588 28. Both epinephrine and norepinephrine can bind to sympathetic effectors to prolong and enhance the effects of the autonomic nervous system. ANS: T DIF: Memorization TOP: Adrenal Medulla REF: p. 590 29. Norepinephrine accounts for about 80% of adrenal medulla secretions. ANS: F DIF: Memorization TOP: Adrenal Medulla REF: p. 590 30. The tissue of the pancreas is made up of both endocrine and exocrine tissues. ANS: T DIF: Memorization TOP: Structure of the Pancreatic Islets REF: p. 590 31. Insulin and glucagon exert antagonistic effects on blood levels of glucose. ANS: T DIF: Memorization TOP: Pancreatic Hormones REF: p. 591 32. Diabetics produce an excessive amount of insulin. ANS: F DIF: TOP: Diabetes Mellitus B.C M U S N T O MN emoR rizaI tionG REF: p. 591 33. Glucagon is secreted by the beta cells in the pancreatic islets. ANS: F DIF: Memorization TOP: Pancreatic Hormones REF: p. 591 34. Insulin lowers blood concentrations of glucose. ANS: T DIF: Memorization TOP: Pancreatic Hormones REF: p. 591 35. Glucagon, produced by alpha cells, tends to promote the movement of glucose, amino acids, and fatty acids out of the blood and into tissue cells. ANS: F DIF: Memorization TOP: Pancreatic Hormones REF: p. 591 36. Diabetes mellitus is one of the most common endocrine disorders. ANS: T DIF: Memorization TOP: Diabetes Mellitus REF: p. 591 37. Female sex hormones are collectively referred to as androgens. NURSINGTB.COM Anatomy and Physiology 10th Edition Patton Test Bank ANS: F TOP: Testes DIF: Memorization REF: p. 592 38. Secretin plays a regulatory role in the digestive process. ANS: T DIF: Memorization TOP: Gastric and Intestinal Mucosa REF: p. 594 39. The pituitary is attached to the hypothalamus by a stalk termed the pars intermedia. ANS: F DIF: Memorization TOP: Structure of the Pituitary Gland REF: p. 574 40. The vascular link between the hypothalamus and the adenohypophysis is termed the hepatic portal system. ANS: F DIF: Memorization TOP: Control of Secretions in the Adenohypophysis REF: p. 577 41. Hypersecretion of prolactin can cause impotence in men. ANS: T TOP: Prolactin DIF: Memorization REF: p. 576 42. Psychosomatic relationships between human body systems and the brain have been proven not to exist. N R I G B.C M UoriS O ANS: F DIF: Mem zatioN n T TOP: Control of Secretions in the Adenohypophysis REF: p. 579 43. T3 is the thyroid hormone released in greatest quantity. ANS: F DIF: Memorization TOP: Thyroid Hormone REF: p. 583 44. The two lobes of the thyroid are connected by the infundibulum. ANS: F DIF: Memorization TOP: Structure of the Thyroid Gland REF: p. 582 45. PTH increases calcium absorption in the intestines by activating vitamin D. ANS: T DIF: Memorization TOP: Parathyroid Hormone REF: p. 585 46. Calcitonin acts to increase blood calcium levels. ANS: T TOP: Calcitonin DIF: Memorization REF: p. 583 47. The parathyroid glands are located on the posterior surface of the thymus gland. NURSINGTB.COM Anatomy and Physiology 10th Edition Patton Test Bank ANS: F DIF: Memorization TOP: Structure of the Parathyroid Glands REF: p. 584 48. The thyroid functions to support the body’s biological clock. ANS: F TOP: Pineal Gland DIF: Memorization REF: p. 581 49. Epinephrine is secreted by the adrenal cortex. ANS: F DIF: Memorization TOP: Adrenal Medulla REF: p. 590 50. The renin-angiotensin mechanism is a negative-feedback mechanism that helps maintain homeostasis of blood calcium levels. ANS: F DIF: Memorization TOP: Mineralocorticoids REF: pp. 587-588 51. Ghrelin functions to reduce appetite and prevent an increase in blood glucose level. ANS: F DIF: Memorization TOP: Pancreatic Hormones REF: p. 591 52. Somatostatin has the primary role of inhibiting the secretion of adrenal hormones. ANS: F DIF: MN emoR rizaI tionG B.C M U S N T O TOP: Pancreatic Hormones REF: p. 591 53. The major hormone produced by the corpus luteum is LH. ANS: F DIF: Memorization TOP: Tropic Hormones REF: p. 577 54. Testosterone is produced by the seminiferous tubules of the testes. ANS: F TOP: Testes DIF: Memorization REF: p. 592 55. The hormone that can be detected during the early part of a woman’s pregnancy with an over-the-counter kit is hCG. ANS: T TOP: Placenta DIF: Memorization REF: p. 594 56. The thymus gland is smallest in children and reaches its maximum functional size in late adulthood. ANS: F TOP: Thymus DIF: Memorization NURSINGTB.COM REF: p. 594 Anatomy and Physiology 10th Edition Patton Test Bank 57. The pituitary gland fits in the pituitary fossa in a structure called the sella turcica. ANS: T DIF: Memorization TOP: Structure of the Pituitary Gland REF: p. 574 58. The posterior pituitary gland is not composed of glandular tissue. ANS: T DIF: Application TOP: Structure of the Pituitary Gland REF: p. 574 59. Cells of the adenohypophysis can be classified as to their reaction to certain types of stain or their type of tissue (glandular or neurosecretory). ANS: F DIF: Memorization TOP: Structure of the Pituitary Gland REF: p. 574 60. Both functions of oxytocin are regulated by a positive-feedback loop. ANS: T TOP: Oxytocin DIF: Memorization REF: p. 580 61. One difference between T3 and T4 is the number of iodine atoms attached to the molecule. ANS: T DIF: Application REF: p. 583 TOP: Thyroid Hormone 62. Calcitonin inhibits the functioning of osteoblasts. ANS: F DIF: AN pplicRatioI n F:.p.C 58M3 GREB U S N T O TOP: Calcitonin 63. Growth hormone and insulin are synergistic hormones. ANS: F DIF: Application REF: p. 575 TOP: Growth Hormone 64. Growth hormone and insulin are antagonistic hormones. ANS: T DIF: Application REF: p. 575 TOP: Growth Hormone 65. Because the target organs of FSH and LH are organs of the female reproductive system, males do not produce them. ANS: F DIF: Memorization TOP: Tropic Hormones REF: p. 577 66. The heart produces a hormone that promotes sodium loss. ANS: T TOP: Heart DIF: Memorization REF: p. 594 67. The corticotrophic cells of the adenohypophysis secrete growth hormone. ANS: F DIF: Memorization TOP: Adenohypophysis (Anterior Lobe of Pituitary) NURSINGTB.COM REF: p. 575 Anatomy and Physiology 10th Edition Patton Test Bank 68. LH is an example of a tropic hormone. ANS: T DIF: Memorization TOP: Tropic Hormones REF: p. 577 69. Because growth hormone is always needed in the body to maintain muscle mass, it is released at a constant rate by the pituitary gland. ANS: F DIF: Memorization TOP: Control of Secretions in the Adenohypophysis REF: p. 578 70. Adipose tissue contributes to the functioning of the endocrine system by producing a hormone called leptin, which plays a role in energy balance. ANS: T DIF: Memorization TOP: Other Endocrine Glands and Hormones REF: p. 595 71. The anterior pituitary develops from the upward projection of the pharynx. ANS: T DIF: Memorization TOP: Structure of the Pituitary Gland REF: p. 574 72. The anterior pituitary develops from the downward projection of the brain. ANS: F DIF: Memorization TOP: Structure of the Pituitary Gland REF: p. 574 N R I G B.C M 73. The adenohypophysis is divideU d inS to tN wo T parts, thO e pars anterior and the pars posterior. ANS: F DIF: Memorization TOP: Structure of the Pituitary Gland REF: p. 574 74. Growth hormone is also called somatotropin. ANS: T DIF: Memorization TOP: Growth Hormone REF: p. 575 75. Growth hormone is also called insulin-like growth factor. ANS: F DIF: Memorization TOP: Growth Hormone REF: p. 575 76. Growth hormone increases protein anabolism in cells. ANS: T DIF: Memorization TOP: Growth Hormone REF: p. 575 77. Growth hormone has a hyperglycemic effect. ANS: T DIF: Memorization TOP: Growth Hormone NURSINGTB.COM REF: p. 576 Anatomy and Physiology 10th Edition Patton Test Bank 78. Prolactin is produced by the acidophils in the pars anterior. ANS: T TOP: Prolactin DIF: Memorization REF: p. 576 79. The function of prolactin is to stimulate the secretion of milk. ANS: T TOP: Prolactin DIF: Memorization REF: p. 576 80. Tropic hormones are secreted by the acidophils of the pars anterior. ANS: F DIF: Memorization TOP: Tropic Hormones REF: p. 577 81. ACTH stimulates the adrenal medulla to produce and secrete its hormones. ANS: F DIF: Memorization TOP: Tropic Hormones REF: p. 577 82. Cells in the neurohypophysis make two hormones: ADH and oxytocin. ANS: F DIF: Memorization TOP: Neurohypophysis (Posterior Lobe of Pituitary) REF: p. 580 83. The release of ADH and oxytocin is controlled by nervous stimulation. N R I G B.C M UoriS O ANS: T DIF: Mem zatioN n T TOP: Neurohypophysis (Posterior Lobe of Pituitary) REF: p. 580 84. Hormones of the neurohypophysis are actually made by cells of the supraoptic or sella turcica nuclei. ANS: F DIF: Memorization TOP: Neurohypophysis (Posterior Lobe of Pituitary) REF: p. 580 85. Besides the cells of the kidney, target cells of ADH include muscle cells of the walls of the arteries. ANS: T DIF: Memorization TOP: Antidiuretic Hormone REF: p. 580 86. Oxytocin plays an important role in both birth and milk production. ANS: T TOP: Oxytocin DIF: Memorization REF: p. 580 87. Men do not produce oxytocin. ANS: F TOP: Oxytocin DIF: Memorization NURSINGTB.COM REF: p. 581 Anatomy and Physiology 10th Edition Patton Test Bank 88. The pineal gland is part of two systems, the endocrine system and the nervous system. ANS: T TOP: Pineal Gland DIF: Memorization REF: p. 581 89. The thyroid hormone T3 is more potent than T4, but less of it is produced. ANS: T DIF: Memorization TOP: Thyroid Hormones REF: p. 583 90. Going from superficial to deep, the layers of the adrenal cortex are zona glomerulosa, zona reticularis, and zona fasciculata. ANS: F DIF: Memorization TOP: Adrenal Cortex REF: p. 587 91. Glucocorticoids stimulate the conversion of protein to sugar. ANS: T DIF: Memorization TOP: Glucocorticoids REF: p. 588 92. Glucocorticoids have a hypoglycemic effect on blood sugar. ANS: F DIF: Memorization TOP: Glucocorticoids REF: p. 588 93. High concentrations of glucoN cortR icoiI ds cGausB e. anCincM rease in white blood cells. U S N T O ANS: F DIF: Memorization TOP: Glucocorticoids REF: p. 588 94. The adrenal medulla functions as postganglionic sympathetic neurons. They are even stimulated by preganglionic sympathetic neurons. ANS: T DIF: Memorization TOP: Adrenal Medulla REF: p. 590 95. The endocrine cells of the pancreas make up about 15% of the pancreas. ANS: F DIF: Memorization TOP: Structure of Pancreatic Islets REF: pp. 590-591 96. Most of the pancreatic islets cells are alpha cells that produce insulin. ANS: F DIF: Memorization TOP: Structure of Pancreatic Islets REF: p. 591 97. The two major female hormones produced by the ovaries are estrogen and progesterone. ANS: T TOP: Ovaries DIF: Memorization NURSINGTB.COM REF: p. 592 Anatomy and Physiology 10th Edition Patton Test Bank 98. The thymus plays an important role in the development of T cells. ANS: T TOP: Thymus DIF: Memorization REF: p. 594 MATCHING Match each hormone with its corresponding description. a. Antidiuretic hormone b. Adrenocorticotropic hormone c. Follicle-stimulating hormone d. Luteinizing hormone e. Lactogenic hormone f. Progesterone g. Somatotropin h. Oxytocin 1. 2. 3. 4. 5. 6. 7. 8. Secreted by the corpus luteum Stimulates the release of glucocorticoids and mineralocorticoids Promotes growth Stimulates testosterone production in males Stimulates development of ovarian follicle Causes water retention Causes muscle contraction of the uterus Also known as prolactin NURSINGTB.COM 1. ANS: F DIF: Memorization TOP: Ovaries 2. ANS: B DIF: Memorization TOP: Tropic Hormones 3. ANS: G DIF: Memorization TOP: Growth Hormone 4. ANS: D DIF: Memorization TOP: Tropic Hormones 5. ANS: C DIF: Memorization TOP: Tropic Hormones 6. ANS: A DIF: Memorization TOP: Antidiuretic Hormone 7. ANS: H DIF: Memorization TOP: Oxytocin 8. ANS: E DIF: Memorization TOP: Prolactin REF: p. 592 REF: p. 577 REF: p. 575 REF: p. 577 REF: p. 577 REF: p. 580 REF: p. 580 REF: p. 576 Match each hormone with its structure, function, or the gland that produces it. a. Thyroid hormone b. Insulin c. Human chorionic gonadotropin d. Aldosterone e. Calcitonin NURSINGTB.COM Anatomy and Physiology 10th Edition Patton Test Bank f. Glucagon g. Cortisol h. Parathyroid hormone 9. 10. 11. 12. 13. 14. 15. 16. Calcium-regulating hormone that is made in the thyroid gland The only important mineralocorticoid hormone in humans Hormone that is produced by the alpha cells of the pancreas Hormone that regulates metabolism rate, processes of cell growth, and tissue differentiation Hormone that causes an increase in blood calcium levels Hormone that lowers the concentration of glucose in the blood Hormone that is made by a fetal tissue component of the placenta Hormone that is a chief glucocorticoid released by the adrenal gland 9. ANS: E DIF: Memorization TOP: Calcitonin 10. ANS: D DIF: Memorization TOP: Mineralocorticoids DIF: Memorization 11. ANS: F TOP: Pancreatic Hormones DIF: Memorization 12. ANS: A TOP: Thyroid Hormone DIF: Memorization 13. ANS: H TOP: Parathyroid Hormone DIF: Memorization 14. ANS: B TOP: Pancreatic Hormone 15. ANS: C DIF: Memorization TOP: Placenta NURSINGTB.COM 16. ANS: G DIF: Memorization TOP: Glucocorticoids REF: p. 583 REF: p. 587 REF: p. 591 REF: p. 583 REF: p. 585 REF: p. 591 REF: p. 594 REF: p. 588 SHORT ANSWER 1. The anterior and posterior divisions of the pituitary develop from different embryonic structures. Identify the embryonic part from which each is derived. ANS: Answers will vary. DIF: Application REF: p. 574 TOP: Structure of the Pituitary Gland 2. Briefly summarize how growth hormone affects metabolism. ANS: Answers will vary. DIF: Application REF: pp. 575-576 TOP: Growth Hormone 3. Explain the negative-feedback principle for controlling anterior pituitary tropic hormone production. Give an example in your explanation. NURSINGTB.COM Anatomy and Physiology 10th Edition Patton Test Bank ANS: Answers will vary. DIF: Application REF: p. 578 TOP: Control of Secretions in the Adenohypophysis 4. What role does the hypophyseal portal system play in the control of secretions in the adenohypophysis? ANS: Answers will vary. DIF: Application REF: pp. 578-579 TOP: Control of Secretions in the Adenohypophysis 5. Identify the principal actions of the hormones of the thyroid and parathyroid glands. ANS: Answers will vary. DIF: Application REF: p. 582 | p. 584 TOP: Thyroid Gland | Parathyroid Gland 6. Explain how the renin-angiotensin mechanism operates to maintain blood pressure. ANS: Answers will vary. DIF: Application REF: pp. 587-588 TOP: Mineralocorticoids NURSINGTB.COM 7. What is the effect of glucagon on blood sugar level? ANS: Answers will vary. DIF: Application REF: p. 591 TOP: Pancreatic Hormones 8. Explain the negative-feedback loop of ADH that helps maintain water balance in the body. ANS: Answers will vary. DIF: Application REF: p. 580 TOP: Antidiuretic Hormone 9. List and briefly describe the tropic hormones produced by the pituitary gland. What is a tropic hormone? ANS: Answers will vary. DIF: Memorization REF: p. 577 TOP: Tropic Hormones 10. Where is the pineal gland, and what hormone does it produce? What is the effect of this hormone? NURSINGTB.COM Anatomy and Physiology 10th Edition Patton Test Bank ANS: Answers will vary. DIF: Memorization REF: p. 581 TOP: Pineal Gland 11. What are the three regions of the adrenal cortex, and what types of hormones are produced by each region? ANS: Answers will vary. DIF: Memorization REF: p. 587 TOP: Adrenal Cortex 12. Explain why it is equally likely that males and females can produce hCG. ANS: It is fetal tissue hormone; either sex can make it. DIF: Memorization REF: p. 594 TOP: Placenta ESSAY 1. Nancy had an annual physical last week, and her urine indicated a high level of chorionic gonadotropin. What does this mean for Nancy? ANS: Answers will vary. DIF: Application NURSINGTB.COM REF: p. 593 TOP: Mechanisms of Disease 2. Select a hormone that would cause a problem for the body if it were hyposecreted or hypersecreted. Name and describe the conditions caused by both hyposecretion and hypersecretion of that hormone. ANS: Answers will vary. DIF: Synthesis REF: pp. 596-597 TOP: Mechanisms of Disease NURSINGTB.COM
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