CVS: Regulation of BP, Capillary Exchange Flashcards

(26 cards)

1
Q

what determines the MAP

A

volume of blood in the arterial system

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2
Q

what determines the rate of bloof flow out of the arteries

A

peripheral resistance in the arterioles

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3
Q

T/F: Mean arterial pressure increases when blood flow into the arteries exceeds blood flow out

A

True
When inflow > outflow, pressure builds up in the arterial system

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4
Q

resistance to blodo flow is greatest in what blood vessels & why

A

greatest in arterioles & capillaries due to narrow diameter

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5
Q

what is total peripheral resistance (TPR)

A

the resistance to blood flow through the entire arteriole system

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6
Q

3 ways that MAP can be altered

A

MAP can be modulated by altering:
1. stroke volume
2. heart rate
3. total peripheral resistance

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7
Q

how does body detect changes in BP

A
  • stretch sensitive baroreceptors in walls of carotid artery & aortic arch
  • increase in BP cause walls of blood vessels to stretch
  • baroreceptors more active in response
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8
Q

barorecptors activate sensory nerves that return to where

A

cardiovascular control centre in medulla oblongata

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9
Q

T/F: Flow through the circulatory system is inversely proportional to resistance.

A

True
→ According to Ohm’s Law (F ∝ 1/R), when resistance increases, flow decreases

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10
Q

what is resistance regulated by

A

degree of contraction of smooth muscle in arterioles

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11
Q

how does body counteract reduction to BP

A

increased sympathetic nerve activity will:
* increase cardiac output by increasing cardiac rate & stroke volume
* contract venous SM promoting venous return (more blood to heart )
* stimulates contraction of arterial SM, increases peripheral resistance
* vasoconstriction of kidney arterioles minimises urine (prevents further decrease in pressure by retaining body fluid)

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12
Q

affect vagus nerve has on heart

A

vagus nerve slows down heart

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13
Q

how does body counteract elevation of BP

A

Stimulation of vagus nerve activity will:
* reduce cardiac output by slowing heart rate

Inhibition of sympathetic nerve activity will:
* reduce cardiac output by slowing heart rate & stroke volume
* relaxation of arterial SM to decrease peripheral resistance

kidneys stimulated to produce more urine, reducing total blood volume

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14
Q

T/F: A decrease in arterial stretch increases baroreceptor firing to lower blood pressure.

A

False
→ Decreased stretch reduces baroreceptor firing, which increases sympathetic tone to raise blood pressure

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15
Q

T/F: During high blood pressure, reduced sympathetic output leads to vasodilation and decreased resistance.

A

True
→ This helps lower MAP by allowing greater blood flow out of the arteries

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16
Q

T/F: Arterial smooth muscle relaxes when sympathetic activity increases.

A

False
→ Sympathetic stimulation contracts arterial smooth muscle, leading to vasoconstriction, not relaxation

17
Q

T/F: Blood pressure is unaffected by changes in total blood volume.

A

False
→ An increase in blood volume raises pressure, and a decrease lowers it. Volume and pressure are closely linked

18
Q

T/F: Reduced salt and water reabsorption by the kidneys leads to a decrease in blood volume.

A

True
→ Less reabsorption means more urine output, lowering blood volume and reducing pressure

19
Q

T/F: The heart muscle becomes weaker in hypertension due to reduced workload.

.

A

False
→ The heart must work harder, especially the ventricles, which can lead to hypertrophy and failure, not reduced workload

20
Q

T/F: Hydrostatic pressure is higher at the venous end of a capillary than at the arterial end.

A

False
→ Hydrostatic pressure is highest at the arterial end (about 38 mmHg) and drops to ~16 mmHg at the venous end

21
Q

what side of the capillaries does net filtration occur at

A

net filtration occurs at the arterial side due to the higher BP (closer to heart)

22
Q

what side of the capillaries does net reabsorption occur at

A

venous end
due to decreased blood pressure, driven by colloid osmotic pressure

23
Q

T/F: Reabsorption of interstitial fluid back into capillaries is driven by the fall in hydrostatic pressure and sustained colloid osmotic pressure at the venous end.

A

True
→ At the venous end, lower hydrostatic pressure and constant colloid osmotic pressure promote net reabsorption

24
Q

T/F: The net direction of fluid movement across a capillary wall is determined by the balance between hydrostatic and colloid osmotic pressures.

A

True
→ These opposing forces are known as Starling forces, and they dictate whether fluid is filtered or absorbed

25
cause of essential hypertension
unclear multifactorial causes - diet and genetics
26
causes of secondary hypertension
resulting from another condition such as chronic renal disease triggered by diabetes. chronically elevated salt & water reabsorption in nephron will increase blood vol & chronically raise BP