Physiology of Pulmonary and Autonomic Systems
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Questions and Answers

What is the primary effect of pulmonary hypoxia on the pulmonary blood vessels?

  • Produces vasoconstriction (correct)
  • Reduces blood pressure
  • Increases blood flow
  • Enhances vasodilation
  • How does the sympathetic nervous system primarily cause vasoconstriction?

  • By binding noradrenaline to beta-adrenoreceptors
  • By decreasing intracellular calcium levels
  • By binding noradrenaline to alpha-adrenoreceptors (correct)
  • By increasing nitric oxide production
  • What is the role of the baroreceptor reflex in maintaining blood pressure?

  • Inhibits blood vessel stretch receptors
  • Stimulates adrenaline release
  • Decreases heart rate to lower blood pressure (correct)
  • Increases heart rate to raise blood pressure
  • Where are arterial chemoreceptors primarily located?

    <p>In the aortic arch and carotid arteries</p> Signup and view all the answers

    What type of capillaries allows for the passage of blood cells due to large gaps?

    <p>Discontinuous capillaries</p> Signup and view all the answers

    Which mechanism involves sensors detecting changes to maintain homeostasis?

    <p>Sensory input</p> Signup and view all the answers

    What role do veno-atrial receptors play in the cardiovascular system?

    <p>Monitor blood volume</p> Signup and view all the answers

    What is the mechanism through which water passes across the capillary wall?

    <p>Through protein channels called aquaporins</p> Signup and view all the answers

    What response occurs due to low oxygen levels in the environment at high altitudes?

    <p>Pulmonary vasoconstriction leading to pulmonary hypertension</p> Signup and view all the answers

    What is the primary effect of adrenaline binding to beta-adrenoreceptors in the vascular system?

    <p>Relaxation of smooth muscle and vasodilation</p> Signup and view all the answers

    What physiological changes occur in anticipation of exercise?

    <p>Increased heart rate and increased breathing rate</p> Signup and view all the answers

    What is the role of arterio-venous anastomoses in acral skin?

    <p>To regulate skin blood flow for thermoregulation</p> Signup and view all the answers

    Which area of the body contains acral skin?

    <p>Fingers and toes</p> Signup and view all the answers

    How does the cerebral cortex influence autonomic responses during exercise?

    <p>By regulating heart rate and respiratory neurons</p> Signup and view all the answers

    What mechanism contributes to heat loss in acral areas of the body?

    <p>Dilation of arterio-venous anastomoses to increase skin blood flow</p> Signup and view all the answers

    What causes edema in the interstitium?

    <p>Fluid produced in capillaries exceeds fluid removed</p> Signup and view all the answers

    Which forces contribute to the movement of water across capillary walls?

    <p>Capillary hydrostatic pressure and osmotic pressure</p> Signup and view all the answers

    What relationship does Fick's Law of Diffusion describe?

    <p>Rate of diffusion is proportional to the concentration gradient</p> Signup and view all the answers

    During dynamic exercise, what happens to systolic blood pressure?

    <p>It increases due to alternating muscle contractions</p> Signup and view all the answers

    What happens to venous blood distribution when standing up from a supine position?

    <p>Venous blood pools in the legs</p> Signup and view all the answers

    Which factor affects arterial pressure throughout the day?

    <p>Circadian rhythms and activity changes</p> Signup and view all the answers

    What occurs to blood flow during static exercise, such as a prolonged handgrip?

    <p>Muscle compression leads to peripheral vasoconstriction and impaired blood flow</p> Signup and view all the answers

    What is the primary function of the lymphatic system in relation to fluid balance?

    <p>To drain excess fluid back to the venous system</p> Signup and view all the answers

    Which factor directly increases the flow rate in a blood vessel according to Darcy's Law?

    <p>Increase in pressure difference</p> Signup and view all the answers

    What is the primary effect of vasodilation on a blood vessel?

    <p>Increase in vessel compliance</p> Signup and view all the answers

    What happens during the myogenic response when arterial pressure initially increases?

    <p>Vessel radius decreases</p> Signup and view all the answers

    What primarily characterizes the compliance of blood vessels?

    <p>Degree of stretch in response to pressure</p> Signup and view all the answers

    What mechanism is primarily involved in the active hyperemia response?

    <p>Metabolite-induced vasodilation</p> Signup and view all the answers

    Which statement accurately describes post-exercise hyperemia?

    <p>Increases in blood flow velocity follow relaxation of muscle</p> Signup and view all the answers

    What is the role of calcium ions ($Ca^{2+}$) in the myogenic response?

    <p>They activate voltage-gated channels regulating vessel contraction</p> Signup and view all the answers

    What primarily differentiates intrinsic and extrinsic blood flow control mechanisms?

    <p>Intrinsic is local; extrinsic involves neurohormonal systems</p> Signup and view all the answers

    What triggers the contraction of heart muscle cells during the plateau phase of the ventricular action potential?

    <p>Influx of Ca2+ ions</p> Signup and view all the answers

    Which phase of the cardiac cycle corresponds to the isovolumetric contraction of the ventricles?

    <p>Phase II</p> Signup and view all the answers

    What is represented by the QRS interval in an ECG?

    <p>Ventricular depolarization</p> Signup and view all the answers

    Which of the following best describes the function of the SA node in the cardiac conduction system?

    <p>Transmits electrical impulses to the atria</p> Signup and view all the answers

    What occurs during Phase 4 of the ventricular action potential?

    <p>Resting membrane potential is reached</p> Signup and view all the answers

    During which phase of the cardiac cycle does the aortic valve close?

    <p>Isovolumetric relaxation phase</p> Signup and view all the answers

    What is the significance of the refractory period established during the plateau phase?

    <p>Prevents continuous contraction or tetanus</p> Signup and view all the answers

    What does the PR interval in an ECG represent?

    <p>Delay at the AV node during atrial depolarization</p> Signup and view all the answers

    During which phase of the cardiac cycle does the mitral valve open, leading to passive filling of the ventricles?

    <p>Isovolumetric relaxation</p> Signup and view all the answers

    What characterizes the compliance of large elastic arteries such as the aorta?

    <p>Thick walls with lots of elastin</p> Signup and view all the answers

    How does an increase in right atrial pressure affect the energy of cardiac muscle contraction following Starling's law?

    <p>Increases preload, enhancing contraction energy</p> Signup and view all the answers

    Which type of blood vessel acts as the primary site for gas exchange due to its structure?

    <p>Capillaries</p> Signup and view all the answers

    What occurs during the ejection phase of the cardiac cycle?

    <p>The aortic valve opens</p> Signup and view all the answers

    What is the primary function of the sinoatrial node in the human heart?

    <p>To act as a physiological pacemaker</p> Signup and view all the answers

    Which of the following describes the correct relationship of cardiac output?

    <p>CO = SV × HR</p> Signup and view all the answers

    What occurs during diastole in the cardiac cycle?

    <p>The heart relaxes to allow ventricular filling</p> Signup and view all the answers

    Which of the following best defines end diastolic volume (EDV)?

    <p>The largest volume of blood in the ventricles</p> Signup and view all the answers

    What effect does an increase in sympathetic activity have on heart rate?

    <p>It increases heart rate</p> Signup and view all the answers

    Study Notes

    Pulmonary Hypoxia (Low O₂)

    • Causes vasoconstriction of pulmonary blood vessels
    • Matching of air and blood flow is coordinated
    • High altitudes lead to low oxygen in the air, causing short-term pulmonary vasoconstriction, directing blood to areas with higher oxygen levels and resulting in pulmonary hypertension.
    • Process of coordinating the flow of air into the lungs with the flow of blood into the lungs.

    Autonomic Regulation of Cardiovascular System

    • Sympathetic Nervous System (L-Sympathetic): Causes vasoconstriction by norepinephrine

      • Norepinephrine binds to alpha-1 and alpha-2 adrenergic receptors on smooth muscle cells in blood vessels, increasing intracellular calcium which contracts smooth muscle.
      • The short term response to a change in blood flow is vasoconstriction.
    • Parasympathetic Nervous System (Vasodilation): Mediated by Beta-adrenergic receptors.

      • Adrenaline binds to beta-adrenergic receptors causing relaxation of vascular smooth muscles leading to vasodilation.

    Negative Feedback Control

    • Sensors detect changes
    • Signal is propagated to the processor unit
    • Effector mechanisms respond accordingly
    • Maintaining homeostasis

    Baroreceptor Reflex

    • Mechanoreceptors that detect changes in blood pressure
    • Located in the walls of the aortic arch and carotid arteries
    • Increase in pressure stretches the vessel wall, detected by baroreceptors, sending signals to the medulla; reduces heart rate for lower blood pressure to set point.
    • The signal is relayed to adjust/maintain blood pressure.

    Veno-Atrial Receptors

    • Detect changes in blood volume (low pressure)
    • Located at the junction between veins and atria (in pulmonary artery)
    • Helpful in cardiac-pulmonary responses
    • Monitor blood volume and respond to low pressure conditions in veins

    Arterial Chemoreceptors

    • Detect oxygen, carbon dioxide, and pH levels.
    • Responds to hypoxia (low oxygen) and hypercapnia (high carbon dioxide)
    • Sending signals to the brainstem to increase sympathetic activity
    • Detect changes in O2, CO2 and pH to the brainstem which relay into a sympathetic response

    Capillaries

    • Site for gas and metabolic exchange.
    • Made of small arterioles and capillaries where metabolites and respiratory gases pass across the capillary wall via diffusion.

    Continuous Capillary

    • Most common type
    • The entire capillary wall is composed of endothelial cells with no gaps.

    Fenestrated Capillary

    • Contains small gaps between endothelial cells.
    • Found in places requiring rapid filtration, absorption, or secretion. (e.g. small intestine, endocrine glands, and glomerulus of the kidneys)
    • Rapid filtration, absorption, or secretion

    Discontinuous Capillary

    • Have large gaps between endothelial cells.
    • Blood cells can pass through the wall. (e.g. liver, spleen, and bone marrow)
    • Blood cells and large proteins can pass through
    • Water passes through capillaries by aquaporins (water channels) or endothelial gaps.

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    Description

    This quiz covers key concepts in pulmonary hypoxia and the autonomic regulation of the cardiovascular system. It examines the physiological responses to low oxygen levels and the roles of the sympathetic and parasympathetic nervous systems in regulating blood flow. Test your understanding of these critical processes and their implications on human health.

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