Blood circulation (70 mcq questions)
1. Which of the following best describes the
structural adaptation of arteries to handle
high-pressure blood?
a) Thin walls with extensive valves
b) Thick tunica media with elastic fibers
c) Large lumen with low-pressure capacity
d) Only a single layer of squamous
endothelium
2. In the human heart, the mitral valve
prevents backflow from:
a) Left atrium to pulmonary vein
b) Right ventricle to right atrium
c) Left ventricle to left atrium
d) Aorta to left ventricle
3. During the cardiac cycle, "Isovolumetric
Contraction" is characterized by:
a) Closed AV valves and closed semilunar
valves
b) Open AV valves and closed semilunar
valvesc) Closed AV valves and open semilunar
valves
d) Open AV valves and open semilunar valves
4. Which of the following indicates the
correct pathway of blood flow through the
heart?
a) Right atrium — Right ventricle > Aorta >
Tissues
b) Left atrium — Left ventricle > Pulmonary
artery > Lungs
c) Right atrium — Right ventricle >
Pulmonary artery > Lungs
d) Left atrium — Right ventricle > Aorta >
Tissues
5. The "lub" sound, the first heart sound, is
produced when:
a) Semilunar valves close
b) Atrioventricular valves close
c) Blood rushes into the aorta
d) The AV node sends an impulse
6. The function of the Hepatic Portal System
is to:a) Transport blood from the liver to the heart
b) Transport blood from the alimentary canal
to the liver
c) Deliver oxygenated blood to the intestines
d) Collect lymph from the hepatic tissues
7. Ina fetus, the opening connecting the two
atria is called the:
a) Foramen ovale
b) Ductus arteriosus
c) Fossa ovalis
d) Ligamentum arteriosum
8. Which of the following is responsible for
initiating the cardiac impulse?
a) Purkinje fibers
b) AV Node
c) SA Node
d) Bundle of His
9. What is the effect of sympathetic
stimulation on the heart?
a) Decreases heart rate and increases force
of contraction
b) Increases heart rate and decreases forceof contraction
c) Decreases heart rate and decreases force
of contraction
d) Increases heart rate and increases force of
contraction
10. Which statement is FALSE regarding
cardiac output?
a) It is the product of heart rate and stroke
volume
b) It is lower in trained athletes at rest
c) It represents the blood volume pumped by
one ventricle per minute
d) Its average value is about 5 L/min
11. The "Dub" sound (second heart sound) is
caused by:
a) Closing of AV valves
b) Opening of semilunar valves
c) Closing of semilunar valves
d) Opening of AV valves
12. The coronary sinus brings deoxygenated
blood from the:
a) Lungsb) Heart walls
c) Liver
d) Kidneys
13. In the Electrocardiogram (ECG), the T-
wave represents:
a) Atrial depolarization
b) Ventricular depolarization
c) Ventricular repolarization
d) Atrial repolarization
14. What would happen if the Purkinje fibers
are damaged?
a) Atrial contraction would stop
b) Ventricular contraction would be delayed
or impaired
c) The SA node would stop functioning
d) Blood would flow backward into the veins
15. If the chordae tendineae are ruptured,
which of the following is most likely to occur?
a) The heart rate will decrease
b) The mitral valve will prolapse into the left
atrium
c) The pulmonary valve will not opend) The SA node will fail
16. Which statement regarding blood
pressure is accurate?
a) Diastolic pressure is the maximum
pressure during ventricular contraction
b) Systolic pressure is the minimum pressure
during ventricular relaxation
c) Pulse pressure is the difference between
systolic and diastolic pressures
d) A normal reading is 140/90 mmHg
17. Why is the left ventricular wall thicker
than the right?
a) It pumps blood against higher resistance
(systemic circulation)
b) It receives blood directly from the lungs
c) It holds a larger volume of blood
d) It contains more oxygen
18. Which ion is essential for the contraction
of cardiac muscle?
a) Na+
b) K+
c) Ca2+d) Cl-
19. What is the role of the AV node in the
heart?
a) Initiates the electrical signal
b) Speeds up the signal to the ventricles
c) Delays the signal to ensure proper atrial
emptying
d) Connects the right and left ventricles
20. The "bundle of His" is located in the:
a) Atrial septum
b) Ventricular septum
c) Wall of the right atrium
d) Apex of the heart
21. Blood group AB is considered a universal
recipient because:
a) The RBCs have both A and B antigens, and
the plasma has no anti-A or anti-B antibodies
b) The RBCs have no antigens
c) The plasma has both anti-A and anti-B
antibodies
d) It is the rarest blood group
22. An Rh-negative person who receives Rh-positive blood for the first time will:
a) Have an immediate severe reaction
b) Develop anti-Rh antibodies
c) Die immediately
d) Have no reaction ever
23. Which of the following is a symptom of
erythroblastosis fetalis?
a) High hemoglobin levels in the fetus
b) Anemia and jaundice in the newborn
c) Blood clotting in the mother
d) Increased white blood cells in the father
24. Which of the following is a non-granular
leukocyte?
a) Neutrophil
b) Eosinophil
c) Basophil
d) Monocyte
25. Platelets are also known as:
a) Erythrocytes
b) Leukocytes
c) Thrombocytes
d) Lymphocytes26. Which of the following plasma proteins is
essential for blood coagulation?
a) Albumin
b) Globulin
c) Fibrinogen
d) Prothrombin
27. What is the role of calcium ions in blood
clotting?
a) They activate prothrombinase
b) They destroy platelets
c) They prevent clot formation
d) They convert fibrinogen to fibrin directly
28. Serum differs from blood plasma in that it
lacks:
a) Albumin
b) Clotting factors
c) Antibodies
d) Glucose
29. Which of the following is the most active
phagocytic cell?
a) Neutrophil
b) Monocytec) Lymphocyte
d) Basophil
30. The life span of a human red blood cell is
approximately:
a) 10 days
b) 30 days
c) 120 days
d) 1 year
31. Erythropoietin, a hormone that stimulates
RBC production, is secreted by:
a) Bone marrow
b) Liver
c) Kidney
d) Spleen
32. What causes the "S1" heart sound?
a) Closure of the aortic valve
b) Closure of the mitral valve
c) Opening of the tricuspid valve
d) Contraction of the atria
33. The pressure in the left ventricle during
systole is about:
a) 80mmHgb) 100mmHg
c) 120 mmHg
d) 140 mmHg
34. Which vessel brings back oxygenated
blood from the lungs?
a) Pulmonary artery
b) Pulmonary vein
c) Aorta
d) Vena cava
35. In which part of the circulatory system is
the velocity of blood flow the lowest?
a) Aorta
b) Arteries
c) Veins
d) Capillaries
36. The structural unit of the cardiovascular
system that allows for exchange of materials
is the:
a) Artery
b) Vein
c) Capillary
d) Arteriole37. Which of the following is a characteristic
of closed circulation?
a) Blood directly bathes tissues
b) Blood pressure is very low
c) Blood flows through a network of vessels
d) The heart is absent
38. The volume of blood in the human body is
approximately:
a) 2-3 liters
b) 5-6 liters
c) 8-9 liters
d) 10-12 liters
39. Atherosclerosis is a condition
characterized by:
a) Thickening of the heart muscle
b) Plaque buildup in arteries
c) Weakening of the veins
d) Low blood pressure
40. Which of the following is not a risk factor
for coronary heart disease?
a) Smoking
b) Regular exercisec) High fat diet
d) High blood pressure
41. The instrument used to measure blood
pressure is:
a) Barometer
b) Sphygmomanometer
c) Stethoscope
d) Electrocardiograph
42. Which of the following is the largest
artery in the body?
a) Pulmonary artery
b) Aorta
c) Carotid artery
d) Renal artery
43. The "pacemaker" of the heart is located in
the:
a) Right atrium
b) Left atrium
c) Right ventricle
d) Left ventricle
44. The cardiac cycle time for a heart rate of
72 beats per minute is:a) 0.5 sec
b) 0.8 sec
c) 1.0 sec
d) 1.2 sec
45. Which of the following is a function of the
lymphatic system?
a) Transporting oxygen
b) Draining excess interstitial fluid
c) Producing red blood cells
d) Pumping blood to the lungs
46. The structural, one-way valves that
prevent the backflow of blood are found in:
a) Arteries
b) Veins
c) Capillaries
d) Arterioles
47. The "first" heart sound is longer and lower
in pitch compared to the "second" heart
sound.
a) True
b) False
48. What is the effect of Vagus nervestimulation on the heart?
a) It increases heart rate
b) It decreases heart rate
c) It increases force of contraction
d) It has no effect
49. Which of the following is not a
component of plasma?
a) Fibrinogen
b) Albumin
c) Platelets
d) Globulin
50. What is the main function of leukocytes?
a) Oxygen transport
b) Nutrient transport
c) Immune defense
d) Blood clotting
51. Which blood group is known as the
universal donor?
a) AB+
b) AB-
c) O+
d) O-52. What causes the yellow color of plasma?
a) Hemoglobin
b) Bilirubin
c) Iron
d) Platelets
53. Which of the following constitutes the
"formed elements" of blood?
a) Plasma and serum
b) RBCs, WBCs, and platelets
c) Fibrin and prothrombin
d) Water and ions
54. The process of white blood cells passing
through capillary walls is called:
a) Phagocytosis
b) Diapedesis
c) Hemolysis
d) Chemotaxis
55. Which of the following is not a function of
the blood?
a) Temperature regulation
b) Transport of waste
c) Production of digestive enzymesd) Transport of hormones
56. The average blood pressure of a healthy
human is:
a) 100/60 mmHg
b) 120/80 mmHg
c) 140/90 mmHg
d) 150/100 mmHg
57. What is the function of the tricuspid valve?
a) Prevent backflow from left ventricle to left
atrium
b) Prevent backflow from right ventricle to
right atrium
c) Prevent backflow from aorta to left
ventricle
d) Prevent backflow from pulmonary artery to
right ventricle
58. Which of the following is not a feature of
the heart's conduction system?
a) SA node
b) AV node
c) Purkinje fibers
d) Chordae tendineae59. The amount of blood pumped by the
heart in one minute is called:
a) Stroke volume
b) Cardiac output
c) Blood pressure
d) Heart rate
60. The systemic circulation carries blood
from the:
a) Heart to the lungs
b) Lungs to the heart
c) Heart to the body tissues
d) Body tissues to the lungs
61. What is the function of the pulmonary
artery?
a) Carries oxygenated blood to the lungs
b) Carries deoxygenated blood to the lungs
c) Carries oxygenated blood to the body
d) Carries deoxygenated blood to the heart
62. Which of the following is not a symptom
of heart failure?
a) Shortness of breath
b) Swelling in legsc) Increased stamina
d) Fatigue
63. The liquid part of the blood that remains
after clotting is called:
a) Plasma
b) Serum
c) Lymph
d) Hemolymph
64. Which of the following is the correct order
of the blood clotting process?
a) Fibrinogen —> Fibrin > Prothrombin >
Thrombin
b) Prothrombin > Thrombin — Fibrinogen >
Fibrin
c) Fibrin > Fibrinogen > Thrombin >
Prothrombin
d) Thrombin > Prothrombin — Fibrin >
Fibrinogen
65. Which of the following is a characteristic
of white blood cells?
a) They are smaller than red blood cells
b) They contain hemoglobinc) They have a nucleus
d) They are not involved in immune response
66. What is the role of the spleen in the
circulatory system?
a) It produces red blood cells
b) It filters blood and removes old red blood
cells
c) It pumps blood
d) It produces platelets
67. Which of the following is a type of white
blood cell that produces antibodies?
a) Neutrophil
b) Lymphocyte
c) Monocyte
d) Eosinophil
68. What causes the opening and closing of
heart valves?
a) Electrical signals
b) Pressure changes in the heart chambers
c) Nerve impulses
d) Muscle contraction
69. The left ventricle pumps blood into the:a) Pulmonary artery
b) Pulmonary vein
c) Aorta
d) Vena cava
70. The "bundle of His" is also known as the:
a) SA node
b) AV node
c) Atrioventricular bundle
d) Purkinje fiber
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