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Anatomy: Cardiovascular system – page 2

37 Anatomy MCQs on Cardiovascular system with answers and explanations.

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Q21MediumCardiovascular system

Which feature is found in many veins but not in arteries?

Answer: B. Endothelium-covered valves preventing backflow

Both vessel types have intima, media and adventitia. Valves, folds of intima, occur in limb veins to prevent backflow.

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Q22MediumCardiovascular system

An artery that is the sole supply to a region, with no effective anastomoses, is termed a(n):

Answer: D. End artery

Blocking an end artery (e.g., central retinal artery) causes infarction of its territory because no alternate route exists.

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Q23MediumCardiovascular system

Which vessels are called resistance vessels because they mainly regulate peripheral resistance?

Answer: C. Arterioles

Arterioles have thick smooth muscle relative to lumen and control blood pressure and flow. Large arteries are elastic conduits; veins are capacitance vessels.

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Q24MediumCardiovascular system

Which statement about a normal capillary is correct?

Answer: A. Red cells normally stay within its lumen

Capillaries are single endothelial tubes about 5–10 µm wide without smooth muscle. Plasma proteins are mostly retained, maintaining oncotic pressure.

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Q25MediumCardiovascular system

The base of the heart, its posterior-superior aspect, is where which structures attach?

Answer: D. Great vessels such as the aorta and pulmonary trunk

The base is formed mainly by the atria where the great vessels enter and leave. The apex points to the left 5th intercostal space.

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Q26MediumCardiovascular system

Where is the sinoatrial (SA) node, the heart's pacemaker, located?

Answer: C. Right atrial wall near the superior vena cava opening

The SA node lies in the right atrial wall near the SVC opening and initiates each heartbeat. The AV node lies near the interatrial septum.

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Q27MediumCardiovascular system

Which of these arteries arises as a single, unpaired branch of the abdominal aorta?

Answer: A. Superior mesenteric artery

The coeliac trunk, superior and inferior mesenteric arteries are unpaired midline branches. Renal, radial and internal carotid arteries occur on both sides.

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Q28MediumCardiovascular system

Which layer around the heart is fused below to the central tendon of the diaphragm?

Answer: B. Fibrous pericardium

The tough fibrous pericardium blends with the central tendon of the diaphragm, anchoring the heart. The serous layers line the pericardial cavity.

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Q29MediumCardiovascular system

Blockage of the "widow-maker" artery involves which branch of the left coronary artery?

Answer: D. Anterior interventricular (LAD) artery

The left coronary artery divides into the anterior interventricular (LAD) and circumflex arteries. The posterior interventricular usually comes from the right coronary.

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Q30MediumCardiovascular system

On the right side, the subclavian artery arises from which vessel?

Answer: B. Brachiocephalic trunk

The right subclavian and right common carotid arteries are terminal branches of the brachiocephalic trunk. The left subclavian arises directly from the aortic arch.

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Q31MediumCardiovascular system

Which statement about the axillary artery is correct?

Answer: D. It continues from the subclavian artery at the first rib

The axillary artery begins at the outer border of the first rib, has three parts, is surrounded by brachial plexus cords and becomes the brachial artery.

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Q32MediumCardiovascular system

Which artery does NOT branch directly from the arch of the aorta?

Answer: D. Right common carotid artery

The aortic arch gives off the brachiocephalic trunk, left common carotid and left subclavian arteries. The right common carotid comes from the brachiocephalic trunk.

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Q33MediumCardiovascular system

What is the main function of the circle of Willis?

Answer: C. An arterial anastomosis that protects cerebral blood supply

The circle joins the internal carotid and vertebrobasilar systems at the base of the brain, so blood can be rerouted if one vessel narrows. It lies on the inferior surface, not the upper surface.

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Q34HardCardiovascular system

Arteries whose branches connect only at small terminal arterioles, so sudden blockage usually causes infarction, are best exemplified by:

Answer: A. Coronary arteries

Coronary branches have potential (functionally inadequate) anastomoses, so acute occlusion causes myocardial infarction. The palmar and plantar arches and circle of Willis are actual, effective anastomoses.

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Q35HardCardiovascular system

The hepatic portal vein is formed by union of the superior mesenteric and splenic veins at which location?

Answer: B. Behind the neck of the pancreas

The portal vein forms behind the pancreatic neck at about L1–L2, then ascends behind the first part of the duodenum to the porta hepatis.

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Q36HardCardiovascular system

The superior sagittal sinus usually drains at the confluence of sinuses into which vessel?

Answer: C. Right transverse sinus

The superior sagittal sinus runs back to the confluence and usually continues as the right transverse sinus. The straight sinus, fed by the inferior sagittal sinus, usually drains to the left.

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Q37HardCardiovascular system

The fibular (peroneal) artery arises as a branch of which artery?

Answer: C. Posterior tibial artery

The fibular artery branches from the posterior tibial artery just below the popliteus and runs along the fibula to supply the lateral leg.

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