Islamic University Nursing College Anatomy & physiology(B) Midterm Ex. For Midwives Name Number 31/5/2009 I-Put (I ) or ( X ) opposite each of the following Time :1 hour (10 points ) ( )-blood group O is universal recepient. ( )-pulmonary veins carry oxygenated blood. ( )-AV bundle is the pacemaker of the heart. ( )-cardiac output usually equals venous return. ( )-in severe liver disease, severe bleeding usually occur. ( )The epididymis is a coiled tubule in the scrotum that stores sperm cells. ( )The vas deferens connects to the urethra at the base of the penis. ( )In a pregnancy, the corpus luteum will last from 3 to 6 months. ( )The vagina is anterior to the bladder and posterior to the rectum. ( )A vasectomy is the male equivalent of tubal ligation regarding efficacy of contraception II-match table A with table B Table A (15 points ) Table B ( ) celiac trunk 1- first branch of abdominal aorta ( ) subclavian artery 2- supplies the kidneys ( ) pulmonary trunk 3- supplies the gonads ( ) renal artery 4- divides into right and left branches ( ) femoral artery 5- continues as popliteal 6- continues as axillary Table A Table B ( ) pulmonary vein 1- divide into capillaries in the liver ( ) umbilical vein 2- large vein in the upper limb ( ) great saphenous vein 3- the common site for varicose veins ( ) jugular veins 4-carries blood from head and brain ( ) portal vein 5- carries blood to left atrium 6-carries blood to the fetus Table A Table B ( )-neutophils 1-increase in chronic infections ( )-basophils 2-increase in allergic conditions ( )-esinophils 3-increase in acute infections ( )-lymhocytes 4-important in hemostasis ( )-monocytes 5-increase in immune reactions 6-0.5 %of white cells III-Choose the correct answer ( ) Gonads are? a-found only in the male d-primary sex organs (35 points) b-found only in the female c- secondary sex organs e- both a and c above are correct ( ) The cells forming the outer layer of the seminiferous tubule are a-spermatogonia b-sustentacular cell c- spermatids d- interstitial cells e- secondary spermatocytes ( ) The spermatic cord leaves the scrotum through the? a- acoustic tube b- gubernaculum c- ductus deferens d- eustachian tube e- inguinal canal ( ) From the ejaculatory duct, sperm can pass directly into the? a-seminal vesicle b-epididymis c- seminiferous tubule d- urethra e- ductus deferens ( ) The interstitial cells? a-produce ova b-produce spermatozoa c- secrete estrogens d-dissolve any spermatozoa that are not ejaculated e-secrete testosterone ( ) The soft, vascular mucosal lining of the uterus is the? a-Peritoneum b-corpus luteum c-mesentery d-endometrium e- fundus ( ) The tubular portion of the uterus, that extends downwards into the upper part of the vagina, is a-Myometrium b-epimetrium c- peritoneum d-cervix e-endometrium ( ) Developing follicles produce this hormone which stimulates thickening of the endometrium during each menstrual cycle and enlargement of female reproductive organs and breast development in a young woman? a-LH b-progesterone c-estrogen d-testosterone e- FSH ( ) What hormone produced by the blastocyst that induces corpus luteum to continue producing its hormones to maintain the endometrium? a-Testosterone d- human chorionic gonadotropin b-follicle stimulating hormone e-oxytocin c- progesterone ( ) Enlargement of the prostate gland can interfere with a male's reproductive function and urination because it surrounds part of this tubular structure? a-epididymis b-vas deferens c-urethra d-ureter e- uterine tube ( ) Acrosomal enzymes are needed for? a-maintenance of the corpus luteum b-sperm motility d- maintenance of the endometrium of the uterus c- implantation e- sperm penetration of an "egg'' ( ) Menopause is considered to have begun when? a- hot flashes begin b- a year has passed without a menstruation c- the blood levels of progesterone increase above normal d- the blood levels of estrogen increase above normal ( ) -When a huge number of immature WBCs are produced in the bone marrow, the body become easy prey for bacteria and viruses. This is called? a- leucopenia. b- anemia c- erythrocytosis d- leukemia. e- leukocytosis. ( ) -The rapid sequence of vascular spasms, platelet plug formation and coagulation is known as? a- hemostasis. b- erythropoiesis. c- hematopoiesis. d- hemophilia. e-homeostasis ( ) -A measure of the percent of RBC in whole blood is ? a- 55%. b- hemocytometer. c- 35%. d-called the buffy coat. d- hematocrit. ( ) -Blood does each of the following except? a- transport nutrients. b - increase fluid loss. c- regulate body temperature. d- regulate pH. ( ) - A protein in the plasma which contributes to the osmotic pressure . a- elastin. b- prothrombin. c- Albumin. d- Thrombin. ( ) - When oxygen levels are low, the _____is stimulated to release-------a- bone, oxygen. b- kidney, erythropoietin. c- bone, erythropoietin. d- Liver, calcitonin. ( ) - Hematopoiesis primarily occurs in? a- liver. b- flat bones & epiphyses of long bones. c- kidneys. d- Irregular bones. ( ) - Which of the following is a clot that forms in an uninjured vessel? a- Thrombus b- Hemophilia c- Thrombocytopenia d- Embolus ( ) - A hereditary bleeding disorder resulting from lack of clotting factors is called? a- Thrombocytopenia b- Embolus c- Thrombus d- Hemophilia ( ) - What is the portion of the ECG that indicates ventricular repolarization? a- R spike b- QRS complex c- P-Q interval d- P wave e- T wave ( ) -The product of the stroke volume and the heart rate is known as the? a- cardiac reserve b- end-systolic volume d- cardiac output e- end-diastolic volume c- blood pressure ( ) - What is the circulatory route that runs from the digestive tract to the liver called? a- systemic circuit b- hepatic portal system d- pulmonary circuit e- coronary circuit c- renal portal system ( ) - Which of the following fetal structures carries the most oxygenated blood a- umbilical arteries b- foramen ovale c- ductus arteriosus d- umbilical vein e- ductus venosus ( ) - This heart valve prevents the return of blood to the right atrium from the right ventricle? a- mitral valve b- aortic semilunar valve d- tricuspid valve c- bicuspid valve e- pulmonary semilunar valve ( ) - Which one of the following blood vessels carries oxygen-rich blood? a- pulmonary trunk b- Coronary sinus c- pulmonary vein d- superior vena cava e- inferior vena cava ( ) - Identify the final portion of the intrinsic conduction system of the heart which carries the wave of depolarization over the ventricles causing them to contract a- atrioventricular bundle d- atrioventricular node b- Purkinje fibers c- bundle branches e- sinoatrial node ( ) - Which one of the following blood vessels returns blood to the left side of the heart a- coronary sinus b- pulmonary artery c- superior vena cava d- pulmonary vein e- aorta ( ) - Blood exits the right ventricle in which one of the following blood vessels? a- pulmonary vein b- coronary artery c- aorta d- pulmonary trunk e- superior vena cava ( ) - Which of the following indicates atrial depolarization in an electrocardiogram? a- QT interval b- U wave c- P wave d- T wave e- QRS complex ( ) - Exchanges of nutrients, gases, wastes, between blood and tissue cells occurs at? a- capillaries b- venules c- veins d-arterioles e- arteries ( ) - Which of the following blood vessels is NOT part of the systemic circulation? a- inferior vena cava b- carotid arteries c- pulmonary artery d- aorta e- coronary artery ( ) - The cusps of the (A/V) valves are anchored to the papillary muscles by the? a- pericardium b- chordae tendinae c- intercalated discs d- fossa ovalis ( ) - What is the rupture of the Graafian follicle called? a-placentation b- mastication c- menstruation d- ovulation e- coronary sinus e- fertilization GOOD LUCK