Hypertension Basics and Types
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Questions and Answers

What is the primary function of blood pressure in the cardiovascular system?

  • To distribute hormones throughout the body
  • To regulate cardiac output and peripheral vascular resistance (correct)
  • To facilitate gas exchange in capillaries
  • To maintain fluid balance in tissues
  • Which layer of the blood vessel wall is primarily composed of smooth muscle cells?

  • Intima
  • Media (correct)
  • Endothelium
  • Adventitia
  • Which component is NOT included in the extracellular matrix of the blood vessel wall?

  • Proteoglycans
  • Elastin
  • Collagen
  • Smooth muscle cells (correct)
  • What are the two mechanisms through which vascular disease can develop?

    <p>Obstruction and weakening of vessel walls</p> Signup and view all the answers

    What does hypertension primarily influence in the cardiovascular system?

    <p>Increased peripheral vascular resistance</p> Signup and view all the answers

    What condition is characterized by marked thickening of arteriolar walls and is commonly associated with benign hypertension?

    <p>Hyaline arteriolosclerosis</p> Signup and view all the answers

    Which environmental factor is not associated with mechanisms of primary hypertension?

    <p>High carbohydrates intake</p> Signup and view all the answers

    In hyperplastic arteriolosclerosis, which feature is characteristic of the arterial walls?

    <p>Onion skin, concentric, laminated wall thickening</p> Signup and view all the answers

    What is the primary consequence of mutations affecting proteins that influence Na resorption?

    <p>Increased distal tubular resorption of Na</p> Signup and view all the answers

    Which of the following complications is associated with hypertensive vascular morphology?

    <p>Aortic dissection</p> Signup and view all the answers

    What type of small blood vessel disease is marked by 'onion skin', concentric thickening of walls?

    <p>Hyperplastic arteriolosclerosis</p> Signup and view all the answers

    What is a potential effect of excessive ECM synthesis in small blood vessels?

    <p>Narrowing of arteriolar lumen</p> Signup and view all the answers

    Which condition involves necrotizing arteriolitis as a complication?

    <p>Hyperplastic arteriolosclerosis</p> Signup and view all the answers

    What is the primary mechanism contributing to primary hypertension?

    <p>Alterations in renal sodium homeostasis</p> Signup and view all the answers

    Malignant hypertension is characterized by which of the following?

    <p>Systolic pressure greater than 180 mm Hg</p> Signup and view all the answers

    Which of the following is NOT a pathological effect of hypertension?

    <p>Increased lung capacity</p> Signup and view all the answers

    What are common triggers for secondary hypertension?

    <p>Renal artery stenosis and hormonal changes</p> Signup and view all the answers

    What role do catecholamines play in blood pressure regulation?

    <p>They increase heart rate and contractility.</p> Signup and view all the answers

    Which factor is NOT involved in the regulation of blood pressure?

    <p>Genetic predisposition</p> Signup and view all the answers

    What is a key feature of autoregulation concerning blood flow?

    <p>It adjusts blood flow based on tissue pH and hypoxia.</p> Signup and view all the answers

    Which statement about hypertension in the general population is accurate?

    <p>Approximately 25% of the population is hypertensive.</p> Signup and view all the answers

    The Renin-angiotensin system is activated by which condition?

    <p>Low blood pressure in afferent arterioles</p> Signup and view all the answers

    Which factor is associated with reduced renal sodium excretion and contributes to hypertension?

    <p>Increased vascular resistance</p> Signup and view all the answers

    Study Notes

    Hypertension Definition

    • Sustained diastolic pressure greater than 90 mmHg or sustained systolic pressure greater than 140 mmHg.
    • Approximately 25% of the general population experience hypertension.

    Types of Hypertension

    • Primary Hypertension - most cases of hypertension
    • Secondary Hypertension - caused by specific conditions, like renal artery stenosis or renal failure.

    Risk Factors of Primary Hypertension:

    • Stress
    • Obesity
    • Smoking
    • Lack of exercise
    • Heavy salt consumption

    Benign and Malignant Hypertension

    • Benign Hypertension - Stable, and if managed properly, does not lead to rapid deterioration.
    • Malignant Hypertension - Rapidly rising blood pressure that can be fatal within 1-2 years if left untreated.
    • Characterized by severe hypertension (systolic pressure > 180 mmHg or diastolic pressure > 120 mmHg), renal failure, retinal hemorrhages and exudates.

    Hypertension Vascular Morphology

    • Hyaline Arteriolosclerosis - Associated with benign hypertension, marked by thickening of arteriolar walls with homogenous pink hyaline material.
    • Hyperplastic Arteriolosclerosis - Associated with severe malignant hypertension, "onion skin" concentric, laminated wall thickening.

    Complications of Hypertension

    • Stroke
    • Coronary heart disease
    • Cardiac hypertrophy and heart failure
    • Aortic dissection
    • Multi-infarct dementia
    • Renal failure

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    Description

    This quiz covers the definition of hypertension, including its primary and secondary types. It also explores risk factors, benign versus malignant hypertension, and vascular morphology associated with the condition. Test your knowledge on this critical health topic!

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