Physiological Mechanisms Regulating Blood Pressure

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Questions and Answers

Which mechanism controls the arterial blood pressure by adjusting vascular capacity and resistance as well as blood volume?

  • Peripheral chemoreceptor reflexes (correct)
  • Cushing's reflex
  • Central nervous system ischemic response
  • Efferent impulses to the SA node

Which hormone has potent diuretic and natriuretic effects on the kidneys?

  • Vasopressin
  • Atrial natriuretic peptide (ANP) (correct)
  • Cortisol
  • Thyroxine

Which reflex is activated by the reduction in partial pressure of oxygen (PaO2) and leads to vasoconstriction to increase blood pressure back to normal?

  • Central nervous system ischemic response
  • Peripheral chemoreceptor reflexes (correct)
  • Cushing's reflex
  • Efferent impulses to the SA node

Which mechanism causes vasoconstriction to increase blood pressure back to normal proportional to the increase in intracranial pressure?

<p>Cushing's reflex (D)</p> Signup and view all the answers

Which gland decreases the secretion of vasopressin (antidiuretic hormone) to increase urine output and decrease blood volume and pressure?

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

Which mechanism involves an increase in blood volume leading to increased capillary hydrostatic pressure and subsequent fluid filtration into tissue spaces?

<p>Capillary fluid shift mechanism (A)</p> Signup and view all the answers

Which of the following hormones or hormone systems is involved in the hormonal regulation of arterial blood pressure?

<p>Catecholamines and renin-angiotensin system (D)</p> Signup and view all the answers

Which mechanism adjusts the body's fluid and blood volumes to control arterial blood pressure?

<p>Renal-body fluid mechanism (D)</p> Signup and view all the answers

A decrease in arterial blood pressure leads to a reduction in which of the following, which subsequently decreases urine flow and salt excretion?

<p>Glomerular filtration rate (C)</p> Signup and view all the answers

Which hormone is secreted in response to a decrease in arterial blood pressure and promotes sodium reabsorption by the kidneys?

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

Which of the following is NOT a short-term mechanism for regulating arterial blood pressure?

<p>Renin-angiotensin-aldosterone system (B)</p> Signup and view all the answers

What is the primary function of the arterial baroreceptor reflexes?

<p>To maintain arterial blood pressure within a normal range (D)</p> Signup and view all the answers

Which of the following statements about the capillary fluid shift mechanism is correct?

<p>It involves the movement of fluid between the capillaries and the interstitial space (C)</p> Signup and view all the answers

How does an increase in arterial blood pressure affect the glomerular filtration rate (GFR)?

<p>It decreases GFR by constricting the efferent arterioles (A)</p> Signup and view all the answers

Which hormone plays a key role in the long-term regulation of arterial blood pressure by promoting sodium and water reabsorption in the kidneys?

<p>Aldosterone (B)</p> Signup and view all the answers

Which of the following is NOT a factor that determines peripheral resistance?

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

What is the primary mechanism by which adjusting arteriolar diameter affects arterial blood pressure?

<p>By altering peripheral resistance (D)</p> Signup and view all the answers

Which of the following statements about the relationship between cardiac output and blood pressure is TRUE?

<p>Increasing stroke volume raises systolic blood pressure more than diastolic blood pressure. (C)</p> Signup and view all the answers

Which hormone is primarily responsible for regulating the glomerular filtration rate and, consequently, blood pressure?

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

What is the primary mechanism by which aldosterone regulates blood pressure?

<p>By increasing sodium and water reabsorption in the kidneys (B)</p> Signup and view all the answers

What is the primary cause of essential hypertension?

<p>Genetic polymorphisms (D)</p> Signup and view all the answers

Which factor is NOT associated with the mechanisms of established hypertension?

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

What is the effect of sustained diastolic pressures exceeding 90 mm Hg?

<p>Increased risk for atherosclerosis (D)</p> Signup and view all the answers

In patients with systolic pressures between 140 and 159 mm Hg, what must be considered when deciding on treatment?

<p>Other contributing factors (B)</p> Signup and view all the answers

What is the basic mechanism for established hypertension?

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

What is the most common cause of secondary hypertension related to increased activity of the renin-angiotensin system?

<p>Renal disease (B)</p> Signup and view all the answers

Which pathological consequence of raised arterial pressure is marked by homogeneous, pink hyaline thickening of arteriolar walls, leading to luminal narrowing?

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

In the kidneys, the arteriolar narrowing caused by hyaline arteriosclerosis leads to what condition characterized by glomerular scarring?

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

Which of the following conditions results in thickening of the media layer of muscular arteries due to smooth muscle hyperplasia and collagen deposition?

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

What selective response to hypertension includes thickening of the media layer of muscular arteries and collagen deposition in small arteries and arterioles?

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

What is the pathological consequence of long-standing systemic hypertensive heart disease leading to congestive failure?

<p>Left ventricular hypertrophy (C)</p> Signup and view all the answers

Which condition is characterized by marked concentric thickening of the left ventricular wall causing a reduction in lumen size?

<p>Systemic hypertensive heart disease (C)</p> Signup and view all the answers

What may be the heart weight in individuals with long-standing systemic hypertensive heart disease?

<p>500 g or more (A)</p> Signup and view all the answers

What is the major effect of increased left ventricular wall thickness in systemic hypertensive heart disease?

<p>Left atrial dilation (B)</p> Signup and view all the answers

What is the primary pathological feature of chronic cor pulmonale?

<p>Right ventricular dilation and hypertrophy (D)</p> Signup and view all the answers

Which pathological change is described as exhibiting 'onion skin', concentric, laminated thickening of arteriolar walls and luminal narrowing?

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

Which vascular disorder is NOT mentioned as being associated with hypertension?

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

What percentage of ischemic heart disease is attributed to inadequate management of hypertension, according to the given information?

<p>49% (A)</p> Signup and view all the answers

Which of the following is NOT a consequence of persistent hypertension on the heart, as described in the text?

<p>Myocardial ischemia (D)</p> Signup and view all the answers

According to the information provided, what cellular change occurs in the myocardium as an adaptive response to pressure overload due to hypertension?

<p>Sarcomeres are added in parallel to existing sarcomeres (D)</p> Signup and view all the answers

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