Blood Circulatory System MCQ for RRB & SSC and other Competitive exams
61
What is the role of fibrin in blood clotting?
✓ Answer:
B
It forms a mesh-like network that traps blood cells to form a clot
Fibrin is an insoluble protein that forms the structural framework of a blood clot. The clotting process: Injury causes platelets to aggregate (platelet plug), then the clotting cascade is activated. Prothrombin (inactive) is converted to Thrombin (active, by thromboplastin + Ca2+). Fibrinogen (soluble) is converted to Fibrin (insoluble threads). Fibrin threads form a mesh that traps RBCs and platelets, forming a stable blood clot. Vitamin K and Calcium are essential for the clotting cascade.
62
Which of the following correctly describes the term 'Stroke Volume'?
✓ Answer:
B
The volume of blood pumped by the heart per beat
Stroke Volume (SV) is the volume of blood pumped by the left ventricle with each heartbeat. Normal stroke volume is approximately 70 ml per beat. Key relationships: Cardiac Output = Heart Rate x Stroke Volume. Stroke volume is affected by: Preload (ventricular filling), Afterload (resistance against which heart pumps), and Contractility (strength of heart muscle contraction). Athletes have higher stroke volumes (up to 100-120 ml), allowing them to maintain cardiac output at lower heart rates.
63
Which of the following is the correct statement about Atrial Fibrillation (AF)?
✓ Answer:
B
It is a chaotic irregular electrical activity in the atria causing irregular heartbeat
Atrial Fibrillation (AF) is the most common cardiac arrhythmia, characterized by chaotic, rapid, and irregular electrical impulses in the atria (300-600 impulses/min), causing the atria to quiver rather than contract effectively. Consequences: irregular, often fast ventricular rate, reduced cardiac output, and blood pooling in atria causing risk of clot formation and stroke (5x increased stroke risk). Treatment: rate control (beta-blockers), rhythm control (cardioversion), and anticoagulants.
64
Which condition is caused by hardening and narrowing of arteries due to plaque buildup?
✓ Answer:
B
Atherosclerosis
Atherosclerosis is a condition where plaques (deposits of cholesterol, fat, calcium, and other substances) build up inside artery walls, causing them to harden and narrow. This reduces blood flow and increases risk of: Heart Attack (if coronary arteries are affected), Stroke (if carotid/cerebral arteries are affected), and Peripheral Artery Disease (if leg arteries are affected). Risk factors include high LDL cholesterol, hypertension, smoking, diabetes, and obesity.
65
Which of the following diseases is transmitted through infected blood transfusion?
✓ Answer:
C
HIV/AIDS
HIV (Human Immunodeficiency Virus), which causes AIDS, can be transmitted through infected blood transfusions or blood products, sharing contaminated needles, sexual contact with infected person, and mother to child (during childbirth or breastfeeding). Malaria can also be transmitted through blood transfusion (caused by Plasmodium parasite). This is why blood is screened for HIV, Hepatitis B, Hepatitis C, Malaria, and Syphilis before transfusion. Typhoid and Cholera spread through contaminated food/water.
66
What is the condition called when the heart muscle is weakened and cannot pump blood effectively?
✓ Answer:
B
Heart Failure (Cardiac Failure)
Heart Failure (Cardiac Failure) is a condition where the heart cannot pump sufficient blood to meet the body's needs. Types: Left Heart Failure causes fluid buildup in lungs (pulmonary oedema) causing breathlessness. Right Heart Failure causes fluid buildup in body (peripheral oedema) causing swollen ankles. Congestive Heart Failure (CHF) affects both sides. Causes: hypertension, coronary artery disease, heart attack, cardiomyopathy. Treatment: diuretics, ACE inhibitors, beta-blockers, and lifestyle changes.
67
Which of the following is the correct statement about the human circulatory system?
✓ Answer:
B
Humans have a double circulation where blood passes through the heart twice per circuit
Double Circulation in humans means blood passes through the heart twice in one complete circuit: Pulmonary Circulation = Right side of heart > Lungs > Left side of heart (blood gets oxygenated). Systemic Circulation = Left side of heart > Body > Right side of heart (blood delivers O2). This was first described by William Harvey in 1628. Double circulation ensures complete separation of oxygenated and deoxygenated blood, providing tissues with highly oxygenated blood - essential for the high metabolic rate of warm-blooded animals.
68
The normal RBC count in males is approximately?
✓ Answer:
B
4.5-5.5 million per mm3
Normal RBC counts: Males: 4.5-5.5 million per mm3 (microlitre), Females: 4.0-5.0 million per mm3 (slightly lower due to menstrual blood loss), Newborns: 5.0-7.0 million per mm3 (higher at birth). RBCs are the most numerous cells in blood. Polycythaemia = excess RBCs. Anaemia = deficient RBCs or haemoglobin. People living at high altitudes have higher RBC counts to compensate for lower oxygen levels.
69
Which of the following is the correct definition of cardiac output?
✓ Answer:
B
The amount of blood pumped by the heart per minute
Cardiac Output (CO) is the total volume of blood pumped by the heart per minute. CO = Heart Rate x Stroke Volume. Heart Rate = 72 beats/min (average), Stroke Volume = ~70 ml per beat, so CO = 72 x 70 = ~5,040 ml/min (approximately 5 litres/min). During exercise, cardiac output can increase to 20-25 litres/min. Cardiac output is a key measure of heart efficiency and is reduced in heart failure.
70
Which of the following is the correct statement about blood transfusion compatibility?
✓ Answer:
B
Blood group O can donate to all blood groups
Blood transfusion compatibility (for red cells): O can donate to A, B, AB, O (Universal Donor - no antigens). A can donate to A and AB only. B can donate to B and AB only. AB can donate to AB only (Universal Recipient - receives from all). Incompatible transfusion causes haemolytic transfusion reaction - antibodies attack donor RBCs causing agglutination and haemolysis, which can be fatal.