Print Options

Card layout: ?

← Back to notecard set|Easy Notecards home page

Instructions for Side by Side Printing
  1. Print the notecards
  2. Fold each page in half along the solid vertical line
  3. Cut out the notecards by cutting along each horizontal dotted line
  4. Optional: Glue, tape or staple the ends of each notecard together
  1. Verify Front of pages is selected for Viewing and print the front of the notecards
  2. Select Back of pages for Viewing and print the back of the notecards
    NOTE: Since the back of the pages are printed in reverse order (last page is printed first), keep the pages in the same order as they were after Step 1. Also, be sure to feed the pages in the same direction as you did in Step 1.
  3. Cut out the notecards by cutting along each horizontal and vertical dotted line
To print: Ctrl+PPrint as a list

53 notecards = 14 pages (4 cards per page)

Viewing:

Blood Vessels and BP (Part 2)

front 1

T/F: Nervous control of blood flow is primarily autonomic control and is mostly parasympathetic, which controls circulation (vasoconstriction primarily)

back 1

False

front 2

What does the parasympathetic do to the heart?

back 2

decrease HR and slight decrease in contractility

front 3

Sympathetic innervate all vessels except:

back 3

Capillaries, precapillary sphincters, and some metarterioles

front 4

T/F: Innervation of small arteries and arterioles allow sympathetic nerves to increase vascular compliance

back 4

False

front 5

T/F: Large veins and the heart are sympathetically innervated

back 5

True

front 6

Neurons from this area excite preganglionic vasoconstricot neurons in the SNS; CNS ischemic response

back 6

Vasoconstrictor area

front 7

Neurons from this area project upward and inhibit the vasoconstrictor area

back 7

Vasodilator area

front 8

Which area receives signals from the circulatory system and output signals control vasodilator and vasoconstrictor areas?

back 8

Sensory area

front 9

T/F: Heart control has sympathetic control via the cardioinhibitory area and parasympathetic control via the vasoconstrictor area

back 9

False

front 10

T/F: Higher nervous system control can excite or inhibit the vasomotor area

back 10

True

front 11

How does the baroreceptor reflex work?

back 11

Senses changes in BP and sends signal to CNS which initiates appropriate response to maintain nearly constant BP

front 12

Baroreceptors maintain MAP within ___-____ mm Hg

back 12

85-100 mm Hg

front 13

T/F: Baroreceptor reflex maintains moment to moment control of BP and is not related to tissue needs, similar to autoregulation.

back 13

False

front 14

Where are the nerve endings of baroreceptors located?

back 14

Arterial wall, in aortic arch and carotid sinus

front 15

Which bundle of baroreceptor nerve endings are more important for BP regulation because they are more sensitive?

back 15

Carotid sinus receptor

front 16

T/F: Baroreceptor activation inhibits the vasomotor center

back 16

True

front 17

What is the effect of inhibiting the vasomotor center?

back 17

Brain reduces sympathetic outflow in order to bring BP down

front 18

What does it mean for baroreceptors to reset?

back 18

If BP goes up and stays up, baroreceptors will establish a new baseline and maintain this higher average BP

front 19

Describe the pathway of baroreceptor activation due to high BP

back 19

  1. High BP stimulates baroreceptors in carotid sinus/aortic arch
  2. Cardioinhibitry center stimulated
  3. Decrease sympathetic impulses to heart
  4. Decrease rate of vasomotor impulses (allows vasodilation)
  5. Decrease CO and R
  6. BP returns to normal range

front 20

Describe the pathway of baroreceptor activation due to low BP

back 20

  1. Low BP inhibits baroreceptor
  2. decreased impulse from baroreceptor = cardioacceleratory center activated
  3. Increase sympathetic impulses to heart
  4. Vasomotor fibers stimulated (causes vasoconstriction)
  5. Increase CO and R = return BP to normal

front 21

What is the chemoreceptor reflex?

back 21

Sensing O2 lac, CO2 excess, or H+ ion excess and stimulate vasomotor center

front 22

T/F: Cerebral ischemia or impaired lung function can activate the baroreceptor reflex mechanism

back 22

False

front 23

Where are peripheral chemoreceptors located?

back 23

Carotid and aortic bodies

front 24

Where are central chemoreceptors located?

back 24

Medullary neurons

front 25

T/F: Chemoreceptor drive is significantly increased in HTN

back 25

True

front 26

Chemoreceptors are not stimulated until P falls below _____ mm Hg

back 26

80 mm Hg

front 27

T/F: Chemoreceptor activation increases sympathetic activity

back 27

True

front 28

What is the CNS ischemic response?

back 28

Reduced cerebral BF causes CO2 buildup which stimulates vasomotor center, thereby increasing atrial P

front 29

T/F: CNS ischemic response is one of the most powerful activators of the sympathetic vasoconstrictor system

back 29

True

front 30

CNS ischemic response is activated when P falls below ______, with greatest activation at ____-_____ mm Hg

back 30

60; 15-20 mm Hg

front 31

What does α1 innervate?

back 31

  • Vascular smooth muscle
  • Heart
  • Liver
  • intestinal smooth muscle

front 32

What does α2 innervate?

back 32

  • Vascular smooth muscle
  • Brain
  • Pancreatic cells

front 33

What does β1 innervate?

back 33

  • Heart
  • JG cells in kidney

front 34

What does β2 innervate?

back 34

  • Skeletal muscle
  • Vascular and bronchial smooth muscle
  • Uterus, liver, GI, urinary tract, ocular smooth muscle

front 35

When is epinephrine or norepinephrine released?

back 35

During fight/flight response

front 36

How do α1 receptors respond to E or NE?

back 36

Primary vasoconstriction of blood vessels

front 37

How do α2 receptors respond to E or NE?

back 37

  • Minor vasoconstriction of blood vessels
  • Inhibition of NE release (brain)
  • Inhibition of renin release (kidney)

front 38

How do β1 receptors respond to E or NE?

back 38

  • Cardiac stimulation (positive chrono., dromo., inotropic)
  • Renin release (kidney)

front 39

How do β2 receptors respond to E or NE?

back 39

Smooth muscle relaxation causing vasodilation and bronchodilation

front 40

T/F: β2 activation increases Ca2+ resulting in vasoconstriction

back 40

False

front 41

T/F: Both the SA node and the AV node contain β2 receptors

back 41

False

front 42

Increased rate of SA and AV node firing = positive ___________ effect

back 42

Chronotropic

front 43

Which adrenergic receptor protects the heart from free-radical mediated damage by compensating for lost β1 contractility?

back 43

α1

front 44

List vasoconstricting agents

back 44

  1. NE and E
  2. Angiotensin
  3. Vasopressin
  4. Endothelin

front 45

List vasodilator agents

back 45

  1. Bradykinin
  2. Serotonin
  3. Histamine
  4. Prostaglandins
  5. NO

front 46

Describe the mechanism of bradykinin-mediated vasodilation (via β2)

back 46

β2 on endothelial cells --> PLC --> IP3 --> ↑Ca --> ↑NO -->cGMP/PKG in SMC -->↑MLCP --> Relaxation

Alternatively: ↑Ca --> PLA -cox-> PGI2 --> IP receptor on vascular SMC --> cAMP/PKA --> ↓MLCK --> Relaxation

front 47

Increased P causing excretion of water is known as:

back 47

P diuresis

front 48

Increased P causing excretion of salt is known as:

back 48

P natriuresis

front 49

T/F: RAAS ↑ water and sodium retention and ↓ vasoconstriction

back 49

False

front 50

Ang II binds to ________ receptors on vascular SMCs, causing vasoconstriction

back 50

AT 1 (Gq)

front 51

How does Ang II affect NE release and reuptake?

back 51

Increases release, decreases reuptake

front 52

What are the main functions of vasopressin?

back 52

  • Enhances water reabsorption via V2 receptor (Gq)
  • Moderate vasoconstriction via V1 receptor (Gq) on SMCs

front 53

What are the main functions of Aldosterone?

back 53

  • Mineralocorticoid
  • Causes Na retention and K excretion from kidney