1.

Which chamber of the heart pumps the deoxygenated blood from the heart to the
lungs?
 Left atrium
 Left ventricle
 Right atrium
 Right ventricle

2. Which chamber of the heart contracts to pump oxygenated blood from the heart to
different parts of the body?
 Right ventricle
 Right atrium
 Left atrium
 Left ventricle

3. Why do mammals and birds have separate right and left chambers in their heart?
Choose all answers that apply:
 To maintain temperature
 To help in the pumping of blood to distant body parts
 To prevent the mixing of oxygenated and deoxygenated blood inside the heart
 To meet their high energy demands

4. Identify the chambers of the heart with the thickest walls. Choose 2 answers:
 Left atrium
 Right atrium
 Left ventricle
 Right ventricle

5. Pick out the correct statements about different nodal tissues. Choose 2 answers:
 The SA node is the pacemaker of the heart.
 The AV node spreads out the electrical impulses in the atria.
 The Purkinje fibers conduct the electrical impulses throughout the ventricular walls.
 The AV bundle receives the electrical impulses coming from the SA node.

6. Select the correct options about different stages of the cardiac cycle. Choose 2
answers:
 Atrial systole - the bicuspid and tricuspid valves are open
 Ventricular systole - the atria contract
 Joint diastole (Both atrium and ventricles are in diastole) - the atria relax
 Atrial diastole - the semilunar valves are closed

7. Maya has a cardiac output of 4500 ml/min Her heart rate is 90/min. What is the
stroke volume of Maya's heart?
 70 ml
 50 ml
  50 ml/min
 70 ml/min
8. Given below is the image of an ECG.
Which of the options correctly match the
labels with the names of the waves and their
respective events? Choose 2 answers:
 P wave - depolarization of atria
 T wave - repolarization of ventricles
 T wave - repolarization of ventricles
 QRS complex - depolarization of
ventricles

9. Identify characteristics of blood vessels that are true only for veins. Choose 2
answers:
 Thicker walls
 Presence of valves
 Repaired by platelets
 Blood flows towards the heart

10.Which of the following processes are facilitated because blood capillaries happen to
be very fine and their walls are only one cell thick? Choose 3 answers:
 Penetration of capillary network deep inside the tissues.
 The diffusion of oxygen from blood to the surrounding cells.
 Exchange of gases in alveoli.
 Restriction of pathogens in the blood.

11.Which of the following problems is likely to be caused by platelet deficiency?

Choose 1 answer:
 Difficulty in blood clot formation at the site of injury
 Difficulty in the transport of oxygen in the body
 Difficulty in fighting infections
 Difficulty in the transport of nutrients in the body

12.The spaces between the cells of the tissues are filled with a clear fluid called tissue
fluid. The tissue fluid is referred to as lymph once it enters circulation inside the
lymph vessels. The lymph carries digested and absorbed fat from the intestine and
helps in draining out excess fluid from intercellular spaces.
Choose the statements that correctly describe the nature of lymph.
Choose 3 answers:
 Lymph contains less proteins than the blood plasma.
 Lymph originates from blood.
 Lymph is transferred back to the blood through the lymphatic vessels.
  Lymph contains hemoglobin.

13.Pick out the correct statements about the regulation of cardiac activity.
Choose 2 answers:
 The parasympathetic nerves can decrease the heart rate.
 The adrenal glands can decrease the heart rate.
 The cerebral cortex can regulate cardiac output.
 The heart muscles do not need any stimulus from nerves to contract.

14.Mark the FALSE statements about hypertension. Choose 2 answers:

 Diastolic pressure is higher than systolic pressure.
 A normal blood pressure reading is 120/80 mm Hg.
 High blood pressure can damage tiny blood vessels in the brain.
 A systolic pressure of 90 mm Hg is too high.

15.Which of the following lead to coronary artery disease? Choose 2 answers:

 High blood cholesterol levels
 Deposit of fatty substances in the heart muscle.
 Acute chest pain
 High blood pressure

16.What gives RBCs their characteristic red color? Choose 1 answer:

 Cytosol
 Hemoglobin
 Iron
 Nucleus

17.The graph below shows the changes in blood oxygen content and blood pressure
along blood vessels (1), (2) and (3).
Which of the following best represents the identities of blood vessels (1), (2) and (3)?
 blood vessel 1: aorta blood vessel 2: capillary blood vessel 3: pulmonary vein
 blood vessel 1: pulmonary artery blood vessel 2: capillary blood vessel 3: pulmonary
vein
  blood vessel 1: pulmonary vein blood vessel 2: pulmonary artery blood vessel 3:
capillary
 blood vessel 1: pulmonary vein blood vessel 2: aorta blood vessel 3: capillary

18.The graph shows changes in the blood pressure in

the left ventricle of the heart. During which period
is the left ventricle contracting?
 A
 B
 C
 D

19.The diagram shows three types of blood vessels, 1, 2 and 3. Which option describes
features of each vessel?

20.The figure shows pressure changes in the

aorta, left atrium, left ventricle during one
complete heartbeat. What causes the
increase in pressure in point X?
 contraction in left atrium
 contraction in left ventricle
 relaxation in left atrium
 relaxation in left ventricle
21.In the previous graph What is happening at point Z on the graph?
 semilunar valves open
 semilunar valves close
 atrioventricular valves open
 atrioventricular valves close

22.The diagram shows the longitudinal section of a blood vessel. Which of the following
combinations of the structures concerned enables blood to flow from W to Z?

23.Coronary heart disease can be caused by all of the following factors except
 fatty deposits on the inner surface of the heart
 formation of blood clot in an artery
 a diet rich in saturated fats
 a stressful lifestyle

24.The table below shows changes in heart rate and in the volume of blood pumped per
beat of an adult man while resting and during vigorous exercise.

25.Comparing resting with exercise, the volume of blood passing through the heart per
minute was increased by
 1.5 times
 4 times
 6 times
  12 times

26.Figure below shows the cross section of a human blood vessel.

What is the function of this type of blood vessel?
 Carry blood away from the heart under high pressure.
 Carry blood back to the heart under low pressure.
 Carry blood back to the heart under high pressure.
 Exchange of substance between blood and tissues.

27.What is happening at X and W?

 W: AV valve close X: semi-lunar valve open
 W: AV valve open X: semi-lunar valve close
 W: semi-lunar valve close X: AV valve open
 W: semi-lunar valve open X: AV valve close

28.The bar chart shows the concentration of

oxygen in blood sampled at four places in the
circulatory system of a human.
Which blood sample was taken from the pulmonary vein?
 A
 B
 C
 D

29.The blood vessel with high levels of urea is the

 Renal Vein
 Renal Artery
 Hepatic Vein
 Hepatic Artery

30. Valve II lies

 between the aorta and the left ventricle.
 between the pulmonary artery and the right ventricle.
 between the left atrium and left ventricle.
 between the right atrium and right ventricle.

31.In a fasting condition, which of the following blood vessels carries blood with the
highest glucose level?
 Aorta
 pulmonary artery
 hepatic vein
 hepatic portal vein
32.After having a meal, which of the following blood vessels carries blood with the
highest glucose level?
 Aorta
 pulmonary artery
 hepatic vein
 hepatic portal vein

33.Which body structures have walls one cell thick?

 veins and arteries
 trachea and bronchi
 capillaries and alveoli
 lymph vessels and stomach

34.Which statement correctly describes the activities

of the components of human blood shown in the
diagram below?
 Both A and B function in Immune responses, and
C transports oxygen.
 A, B, and C are able to synthesize hemoglobin.
 Both B and C provide immunity, and A transports
nutrients.
 A transports oxygen, B initiates clots, and C
functions in Immune responses.

35.How many times must a red blood cell pass through the right ventricle if it is to
move from the lungs to the kidney and then back to the lungs again?
 0
 1
 2
 3

36.A red blood cell leaves the aorta, travels through the body and arrives at the
capillaries of the air sacs. The correct sequence of organs through which the red
blood cell may have travelled is
 liver, lungs, small intestine and heart.
 lungs, heart, small intestine and liver.
 small intestine, heart, liver and lungs.
 small intestine, liver, heart and lungs.

37.Which of the following is the main reason for the fluid to leave the capillary at the
arteriole end?
 The fluid is pumped out by active transport.
 The thin capillary wall at the arteriole end allows the fluid to leak out.
 The contraction of skeletal muscles around the capillary squeezes out the fluid.
  The pressure difference between the blood and the fluid in the intercellular space
forces out the fluid.

38.The photomicrograph above shows the transverse

section of an arteriole. Which of the following are
the functions of tissue A?
(1) It helps to regulate the diameter of the arteriole.
(2) It helps the arteriole to withstand high blood pressure.
(3) Its contraction helps to propel blood along the arteriole.
 (1) and (2) only
 (2) and (3) only
 (1) and (3) only
 (1), (2) and (3)

39.Which of the following shows the correct arrangement of the blood vessels in
descending order of urea concentration in the blood?
 vena cava, hepatic vein, renal vein
 vena cava, renal vein, hepatic vein
 hepatic vein, renal vein, vena cava
 hepatic vein, vena cava, renal vein

40.The diagram show Four different stages in one heart beat

41.What is the correct order for tie stages stage P?

 Q→R→S
 R→Q→S
 R→S→Q
 S→R→Q
42.In a drop of human blood, which of the cell is the most numerous?

43. The following statement shows the characteristics of blood in the blood vessel X.
• Low concentration of Oxygen
• High concentration of urea
• Low blood pressure
What is X?
 Hepatic vein
 Hepatic portal vein
 Renal vein
 Pulmonary vein

44.A doctor listened to Ahmad's heartbeat by using a stethoscope. He heard the 'lub-
hiss, lub-hiss' sound instead of the normal 'lub-dup' sound. Which of the following is
most likely to cause the 'hiss' sound?
 Clogged coronary artery
 A defective semilunar valve
 High blood pressure
 A damaged pacemaker
45.After centrifugation, blood separates into three layers as shown. Layer X is
yellowish and transparent while Layer Y is dark red in colour.
What are the functions of blood component in X and Y respectively?
46.Figure shows the blood pressure in different parts of the circulatory system of a
human. Identify blood vessels P, Q, R and S.

47.The diagram shows the outside of a human heart. During unhealthy diet, such as
high lipid diet, the lipid may accumulate within blood
vessels and become plaque. In which labelled part the
plaque located and cause coronary heart disease?
 A
 B
 C
 D
48.One of treatment for coronary heart disease is the
insertion of tiny baloon into the collapsed artery. Then this baloon is inflated using
water to push the artery open. What is this treatment called?
 Prescirbed statins
 Inserting a stent
 Angioplasty
 ‘By-pass’ surgery
49. At the end of which period, A, B, C or D, is the
ventricle full of blood?
 A
 B
 C
 D
50.‘Heart block’ is a disease which can result in a
lower than normal heart rate. A doctor treating
a patient suffering from heart block found that electrical impulses were initiated as
 normal but were not correctly conducted to the ventricles, so the rate of ventricular
contraction was slowed. Which may be functioning incorrectly in the patient?
(1) atrioventricular node (AVN)
(2) Purkyne tissue
(3) sinoatrial node (SAN)
 1 and 2 only
 1 and 3 only
 2 and 3 only
 3 only
51.Equal lengths of three different blood vessels were threaded on to the horizontal
arm of a retort stand. Weights were then hooked on the vessels until they broke.
Which letter, A-E, shows the most likely results?

52.Graph A shows the heartbeat of:

 A trained person because the heart is beating faster
at each level of exercise.
 An untrained person because the heart is beating
faster at each level of exercise.
 An untrained person because it shows the smallest
recovery time.
 A trained person because trained persons always experience a long recovery period
after exercise.
53.Respiration in mature mammalian erythrocytes are
 Linear
 Absent
 Anaerobic
 Aerobic
54.The graph shows changes in a person's pulse rate over a period of 45 minutes.
The sequence of events involves:
(1) waiting in a queue
(2) entering a sports stadium
(3) seeing a goal scored
(4) relaxing during half time.
Which graph shows this sequence of events?

55.The diagram shows the liver and its blood supply.

56.What is the name of blood vessel X and which substance increases in concentration
between vessels W and X?
Name Substance
 Hepatic artery Glucose
 Hepatic portal vein Carbon Dioxide
 Hepatic portal vein Oxygen
 Hepatic portal vein Urea
57.The diagram Shows the heart as seen from the front. Which section shows tie heart
cut through line PO?

58.The diagram shows a simplified human circulatory system. Which structure

represents the heart?

59.The diagram represents the heart and some major blood vessels.
P Q R S
 1 4 2 16
 4 16 2 1
 16 2 4 1
 16 4 1 2