Chapter 19 Circulation

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Questions and Answers

Which organ plays the dominant role in long term regulation of arterial pressure and hypertension?

  • Lungs
  • Kidney (correct)
  • Heart
  • Liver

What is the main mechanism of short term control of arterial pressure?

  • Nervous system influence on resistance
  • Nervous system influence on capacitance
  • Nervous system influence on cardiac pumping action
  • All of the above (correct)

What happens to urinary output as arterial pressure increases?

  • Urinary output decreases
  • Urinary output increases (correct)
  • Urinary output remains constant
  • Urinary output is not affected by arterial pressure

What is the term used to describe the increase in urinary output as pressure rises?

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

At what arterial pressure is there no urine output?

<p>50 mmHg (D)</p> Signup and view all the answers

What happens to urinary volume output and sodium output as arterial pressure increases?

<p>They both increase (D)</p> Signup and view all the answers

Which of the following is a key determinant of extracellular fluid volume?

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

What is the effect of volume loading on blood pressure?

<p>Significant increase in blood pressure (D)</p> Signup and view all the answers

What happens when animals are given a salt solution to drink instead of water?

<p>They drink more (C)</p> Signup and view all the answers

What is the effect of reduced renal mass on blood pressure?

<p>Significant increase in blood pressure (A)</p> Signup and view all the answers

What is the role of the renin-angiotensin system in blood pressure control?

<p>Increase blood pressure (A)</p> Signup and view all the answers

What does Angiotensin II stimulate in the kidney?

<p>Water and sodium reabsorption (A)</p> Signup and view all the answers

Which of the following is the primary cause of essential hypertension?

<p>Inability of the kidneys to excrete an adequate volume of urine (D)</p> Signup and view all the answers

What happens when there is a rightward shift in the 'Sodium-loading renal function curve'?

<p>Hypertension due to renal abnormality (D)</p> Signup and view all the answers

What is the role of the kidneys in regulating arterial pressure?

<p>To balance fluid output with fluid intake (B)</p> Signup and view all the answers

What is the effect of small changes in volume and pressure on renal output?

<p>Big changes in renal output (A)</p> Signup and view all the answers

Which system dominates the other pressure control mechanisms for long-term pressure control?

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

What is the effect of a leftward shift of the renal output curve?

<p>Increased effectiveness of the kidney at retaining Na+/water (C)</p> Signup and view all the answers

Which of the following is a direct effect of angiotensin II on the kidney?

<p>Increased tubular reabsorption (A)</p> Signup and view all the answers

What is the main effector in the Renin Angiotensin System?

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

What is the role of the Renin Angiotensin System in protecting against falls in arterial pressure?

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

What happens to the renal output curve when angiotensin II is infused?

<p>Shifts to the right (B)</p> Signup and view all the answers

What is the main characteristic of primary essential hypertension?

<p>Increased cardiac output (A)</p> Signup and view all the answers

Why is it important to measure a patient's blood pressure in a dental office?

<p>To assess the patient's risk of developing adverse effects (A)</p> Signup and view all the answers

Which of the following is true about the equilibrium point of the renal output curve and net water and salt intake?

<p>The equilibrium point is determined by the intersection of the renal output curve and net water and salt intake. (C)</p> Signup and view all the answers

What are the two ways to raise arterial pressure and change the equilibrium point?

<p>Rightward shift of renal output curve and increase in water/sodium intake. (C)</p> Signup and view all the answers

What does a steeper chronic renal output curve indicate?

<p>When kidneys are functioning normally, the chronic renal output curve is much steeper than the acute curve. (A)</p> Signup and view all the answers

What does the equation P = F x R represent?

<p>P represents arterial pressure, F represents cardiac output, and R represents total peripheral resistance. (C)</p> Signup and view all the answers

What happens when there is an increase in total peripheral resistance (TPR)?

<p>Instantaneously, an increase in total peripheral resistance increases arterial pressure, but it does not remain increased. (A)</p> Signup and view all the answers

What is more likely to raise arterial pressure: increased salt intake or increased water intake?

<p>Increased salt intake is more likely to raise arterial pressure than increased water intake. (C)</p> Signup and view all the answers

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