Chpt. 19
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Questions and Answers

Plasma oncotic pressure is caused primarily by:

  • lymph.
  • electrolytes such as sodium and chloride.
  • blood pressure.
  • plasma proteins, especially albumin. (correct)

Which of the following is true regarding the sympathetic and parasympathetic arms of the baroreceptor reflex? They carry:

  • sensory information from the SA and AV nodes to the spinal cord.
  • motor information from the heart and blood vessels to the aortic and carotid sinus baroreceptors.
  • motor information from the spinal cord to the heart and blood vessels. (correct)
  • sensory information from the baroreceptors to the SA and AV nodes of the heart.

If digital (finger press) pressure is exerted over the carotid sinus, you would expect:

  • no effect, because the baroreceptors are "crushed."
  • reflex tachycardia.
  • that the medulla oblongata will interpret the signal as high blood pressure and therefore fire the vagus nerve. (correct)
  • the sympathetics to fire, thereby increasing blood pressure.

While "taking" a blood pressure, you record the first Korotkoff sounds as the:

<p>systolic reading. (B)</p> Signup and view all the answers

Which of the following might result from ischemia?

<p>Tissue damage (A)</p> Signup and view all the answers

Loss of speech, paralysis, and possible death can be caused by:

<p>rupture of a blood vessel in the brain. (D)</p> Signup and view all the answers

Blood flow is slowest in the:

<p>capillaries. (A)</p> Signup and view all the answers

If capillary pore size increases, as in severe burns,

<p>albumin is filtered from the capillaries and is deposited in the tissue space. (D)</p> Signup and view all the answers

Which of the following is most likely to develop if the pressure in the pulmonary capillaries increases?

<p>Pulmonary edema (D)</p> Signup and view all the answers

The characteristic of the arteriole that allows it to function as a resistance vessel is its:

<p>smooth muscle. (B)</p> Signup and view all the answers

Which of the following is most likely to induce carotid sinus syncope?

<p>Exertion of pressure over the carotid sinus (tight collar) (A)</p> Signup and view all the answers

Your patient's initial blood pressure was 155/95 mm Hg. After 10 minutes, his blood pressure was 125/75 mm Hg. Which of the following best reflects this observation?

<p>White coat hypertension (D)</p> Signup and view all the answers

Which artery is most often used to measure blood pressure?

<p>Brachial (A)</p> Signup and view all the answers

Which of the following is a true statement regarding baroreceptors?

<p>Baroreceptors are located in the carotid sinus and aortic arch. (B)</p> Signup and view all the answers

Edema is least likely to occur in which of the following situations?

<p>Plasma osmolarity increases when the patient becomes dehydrated. (D)</p> Signup and view all the answers

Baroreceptors:

<p>are located in the carotid sinus and aortic arch and sense changes in blood pressure. (B)</p> Signup and view all the answers

Why does blood flow from the arterial side of the circulation to the venous side of the circulation?

<p>The pressure on the arterial side of the circulation is higher than the pressure on the venous side of the circulation. (B)</p> Signup and view all the answers

ADH increases blood pressure by all of the following except:

<p>activating baroreceptors. (C)</p> Signup and view all the answers

Which of the following is most responsible for the plasma oncotic pressure?

<p>Albumin (C)</p> Signup and view all the answers

Which of the following exerts a vasopressor effect?

<p>ADH (A)</p> Signup and view all the answers

If the lymphatic vessels are blocked or surgically removed,

<p>fluid and protein accumulate in the interstitium, thereby causing edema. (A)</p> Signup and view all the answers

Which of the following drugs is most likely to increase systemic vascular resistance?

<p>Arteriolar constrictor (C)</p> Signup and view all the answers

Both epinephrine and norepinephrine are:

<p>secreted by the adrenal medulla. (A)</p> Signup and view all the answers

Which of the following is true of vasoconstriction?

<p>Increases SVR (D)</p> Signup and view all the answers

Which of the following is the most likely consequence of venodilation, or "pooling" of the blood in the venous circulation?

<p>Decreased venous return (B)</p> Signup and view all the answers

Flashcards

Plasma oncotic pressure

Pressure in blood caused by plasma proteins, mainly albumin.

Baroreceptor reflex

Reflex that helps control blood pressure through sensory and motor signals.

Carotid sinus pressure effect

Pressure on carotid sinus signals high blood pressure, activating vagus nerve.

First Korotkoff sound

The first sound heard with a sphygmomanometer indicating systolic blood pressure.

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Ischemia effects

Tissue damage, pain, or gangrene due to reduced blood supply.

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Brain hemorrhage consequences

Rupture of a blood vessel in the brain can cause speech loss, paralysis, or death.

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Capillaries blood flow

Blood flow is slowest in capillaries to allow nutrient exchange.

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Capillary pore size effect

Increased pore size allows albumin to leak into tissue, especially in burns.

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Pulmonary capillary pressure

Increased pressure can lead to pulmonary edema.

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Arteriole function

Arterioles act as resistance vessels due to smooth muscle content.

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Carotid sinus syncope

Fainting caused by pressure on carotid sinus.

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White coat hypertension

Elevated blood pressure in a clinical setting due to anxiety.

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Brachial artery

Most commonly used artery for measuring blood pressure.

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Baroreceptor location

Baroreceptors are found in the carotid sinus and aortic arch, sensing blood pressure.

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Edema conditions

Fluid accumulation in tissues due to various reasons like low oncotic pressure.

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Lymphatic system blockage

Blockage leads to fluid and protein accumulation, resulting in edema.

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Increased systemic vascular resistance

Resistance increased by arteriolar constrictors.

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Adrenal medulla hormones

Epinephrine and norepinephrine are secreted here and increase blood pressure.

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Vasoconstriction effect

Increases systemic vascular resistance.

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Venodilation consequence

Venodilation leads to decreased venous return to the heart.

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ADH function

ADH raises blood pressure by vasoconstriction and water reabsorption.

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Pressure differences in circulation

Blood moves from high pressure in arteries to lower pressure in veins.

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Plasma protein importance

Albumin is the main contributor to plasma oncotic pressure.

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EDV increase outcome

Increased end-diastolic volume leads to stronger heart contractions.

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Decreased oncotic pressure cause

Can lead to tissue swelling or edema due to fluid leaking.

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Hormonal vasopressors

ADH and similar substances constrict blood vessels to raise pressure.

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Epinephrine and norepinephrine role

Both hormones increase heart rate and blood pressure.

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Threshold for blood flow

Normal capillary pressure must be maintained to prevent edema.

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Vagal stimulation outcome

Can lower heart rate and lower blood pressure through vagal tone.

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Study Notes

Plasma Oncotic Pressure

  • Primarily caused by plasma proteins, especially albumin
  • Albumin is a key protein in maintaining the oncotic pressure of blood.

Baroreceptor Reflex

  • Sympathetic and parasympathetic arms carry motor information from the spinal cord to the heart and blood vessels.
  • Sensory information from baroreceptors travels to the SA and AV nodes
  • This information is used to regulate blood pressure.

Korotkoff Sounds

  • The first Korotkoff sounds indicate the systolic blood pressure reading.

Ischemia

  • Can lead to tissue damage, pain, and gangrene.

Blood Vessel Rupture in the Brain

  • Can cause loss of speech, paralysis, and potential death.

Slowest Blood Flow

  • Blood flow is slowest in the capillaries, reflecting the exchange of nutrients and waste products.

Capillary Pore Size and Burns

  • Increased capillary pore size in severe burns results in albumin leaking into the tissue space.

Pulmonary Edema

  • A consequence of increased pressure in the pulmonary capillaries.

Arteriole Resistance Vessel

  • The smooth muscle in arterioles controls blood vessel diameter, therefore regulating resistance.

Carotid Sinus Syncope

  • Can be induced by pressure on the carotid sinus, often caused by a tight collar.

White Coat Hypertension

  • A temporary increase in blood pressure when a patient is in a medical setting.

Brachial Artery for Blood Pressure Measurement

  • The brachial artery is commonly used to measure blood pressure.

Baroreceptors Location

  • Baroreceptors are located in the carotid sinus and aortic arch.

Plasma Osmolarity and Starvation

  • Decreased plasma oncotic pressure can be caused by starvation or conditions with decreased protein levels.

Lymphatic Vessels and Edema

  • Fluid and protein accumulating in the interstitial space leads to edema when lymphatic vessels are blocked.

Systemic Vascular Resistance and ADH

  • ADH does not activate baroreceptors; instead, it acts as a vasopressor and increases blood volume to raise blood pressure.

Oncotic Pressure and Albumin

  • Albumin is a crucial protein influencing the oncotic pressure primarily.

Venodilation and Venous Return

  • Venodilation or pooling of blood in the venous circulation reduces venous return.

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Description

Explores plasma oncotic pressure, baroreceptor reflex, and Korotkoff sounds. Discusses ischemia, blood vessel rupture in the brain, and blood flow dynamics. Examines capillary pore size changes in burns and the onset of pulmonary edema.

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