A hormone that is significantly involved in regulation of blood volume is:
- A. ACTH
- B. osmoretic hormone
- C. ADH
- D. LH
Correct Answer: C
Rationale: Antidiuretic hormone (ADH) regulates blood volume by promoting water reabsorption in the kidneys, increasing plasma volume. ACTH affects cortisol, and LH is reproductive; 'osmoretic hormone' is not a standard term.
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Which structure in the heart initiates action potentials that stimulate contraction of the heart at constant rate of about 100 beats per minute?
- A. Cardiac accelerator nerves
- B. Atrioventricular node
- C. Cardiovascular center
- D. Sinoatrial node
Correct Answer: D
Rationale: The SA node (D) initiates action potentials at ~100 bpm, though vagal tone slows it to 60-80 bpm in vivo. AV node (B) is slower (~40-60 bpm), nerves (A) and center (C) modulate.
Which type of white blood cell plays a major role in immunity?
- A. Monocytes
- B. Eosinophils
- C. Lymphocytes
- D. Basophils
Correct Answer: C
Rationale: Lymphocytes (C) (T/B cells) are central to adaptive immunity.
The contraction of the heart muscle is called
- A. diastole
- B. peristalsis
- C. systole
- D. spasm
Correct Answer: C
Rationale: Systole (C) is heart muscle contraction (atrial or ventricular). Diastole (A) is relaxation, peristalsis (B) is GI movement, and spasm (D) is involuntary contraction.
A client in the primary care clinic has poor peripheral perfusion due to peripheral tissue perfusion. Which of the following would be a modifiable risk factor in the prevention of decreased tissue perfusion? Select all that apply.
- A. Elevated serum lipids
- B. Gender
- C. Hypertension
- D. Age
Correct Answer: C
Rationale: hypertension are modifiable via lifestyle or medication, improving perfusion. Gender (B) and age (D) are non-modifiable. (Source: Document, p. 12-13; adapted, multi-select noted)
The accumulation of soft masses of fatty materials, particularly cholesterol, on the inside of the arterial wall is known as:
- A. ischemia
- B. atherosclerosis
- C. arteriosclerosis
- D. phlebitis
Correct Answer: B
Rationale: Atherosclerosis is the buildup of fatty plaques (e.g., cholesterol) in the arterial tunica intima, a subset of arteriosclerosis (general hardening). Ischemia is reduced blood flow, and phlebitis is vein inflammation.
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