Phys 17
During exercise, coronary and skeletal-muscle perfusion increase primarily because most tissues regulate local blood flow in proportion to:
A. Metabolic needs
B. Venous pressure
C. Lymphatic
drainage
D. Arterial viscosity
A. Metabolic needs
In a febrile patient, increased blood flow to which tissue most directly increases heat loss?
A. Liver
B. Skin
C. Spleen
D. Bone
B. Skin
Which statement best describes blood flow to inactive skeletal muscle at rest?
A. Very high, due to mass
B. Moderate, due to tone
C.
Very low, despite size
D. Equal to skin flow
C. Very low, despite size
Although skeletal muscle makes up roughly 30–40% of body mass, blood flow to inactive muscle is usually:
A. Markedly elevated
B. Very low
C. Highly pulsatile
only
D. Fixed by hormones
B. Very low
Under usual conditions, tissue blood flow is regulated near the:
A. Maximal reserve level
B. Random average level
C.
Minimal adequate level
D. Highest oxygen level
C. Minimal adequate level
Maintaining tissue perfusion at the minimal adequate level chiefly helps reduce workload on the:
A. Heart
B. Lung
C. Kidney
D. Liver
A. Heart
Local blood-flow regulation is classically divided into:
A. Neural and endocrine
B. Acute and long term
C.
Arterial and venous
D. Pressure and volume
B. Acute and long term
Acute local blood-flow control is produced mainly by:
A. New vessel growth
B. Protein synthesis
C. Rapid
vasomotor changes
D. Hormonal receptor upregulation
C. Rapid vasomotor changes
Acute control acts predominantly at which vascular sites?
A. Veins and venules
B. Aorta and vena cava
C.
Lymphatics and capillaries
D. Arterioles and metarterioles
D. Arterioles and metarterioles
Long-term local blood-flow control refers to changes occurring over:
A. Seconds to minutes
B. Minutes to hours
C. Days to
months
D. Single cardiac cycles
C. Days to months
Which condition decreases oxygen availability to tissues?
A. Hyperventilation alone
B. Carbon monoxide poisoning
C. Polycythemia vera
D. Hyperbaric oxygen
B. Carbon monoxide poisoning
Which additional condition can reduce tissue oxygen availability?
A. Pneumonia
B. Hypothyroidism
C. Nephrotic
syndrome
D. Mitral stenosis
A. Pneumonia
A climber at very high altitude develops local compensatory vasodilation. The initiating problem is reduced tissue availability of:
A. Sodium
B. Oxygen
C. Calcium
D. Albumin
B. Oxygen
Which substance is a local vasodilator?
A. Histamine
B. Endothelin
C. Thromboxane
D.
Serotonin only
A. Histamine
Which combination contains only vasodilator substances listed in your material?
A. Potassium, hydrogen, adenosine
B. Calcium, sodium,
angiotensin
C. Endothelin, norepinephrine, ADH
D.
Thromboxane, serotonin, renin
A. Potassium, hydrogen, adenosine
Local vasodilator substances are often released in response to:
A. Oxygen deficiency
B. Glucose excess
C. Increased
oncotic pressure
D. High arterial pressure
A. Oxygen deficiency
According to the oxygen-demand theory, absence of oxygen causes vessels to:
A. Spasm intermittently
B. Dilate
C. Fibrose
D. Thrombose
B. Dilate
At the origin of the capillary lies the:
A. Metarteriole shunt
B. Postcapillary venule
C.
Precapillary sphincter
D. Arteriovenous anastomosis
C. Precapillary sphincter
The cyclical opening and closing of precapillary sphincters is called:
A. Vasospasm
B. Vasomotion
C. Vasculogenesis
D. Autoperfusion
B. Vasomotion
Increasing local oxygen concentration tends to increase the ______ of precapillary and metarteriole sphincter contraction.
A. Duration
B. Strength
C. Frequency
D. Velocity
B. Strength
Lack of glucose in perfusing blood most directly causes local tissue:
A. Vasodilation
B. Venoconstriction
C. Lymphatic
collapse
D. Capillary rupture
A. Vasodilation
A malnourished patient with thiamine deficiency develops warm extremities and low peripheral resistance. This vasodilation is most characteristic of:
A. Scurvy
B. Pellagra
C. Beriberi
D. Kwashiorkor
C. Beriberi
In beriberi, peripheral vascular blood flow is typically:
A. Unchanged
B. Halved
C. Tripled to quadrupled
D. Increased two- to threefold
D. Increased two- to threefold
Reactive hyperemia occurs after:
A. Increased metabolism
B. Temporary arterial occlusion
C. Venous thrombosis
D. Chronic hypertension
B. Temporary arterial occlusion
A forearm cuff is inflated for several minutes, then released. The transient overshoot in flow that follows is:
A. Active hyperemia
B. Venous pooling
C. Reactive
hyperemia
D. Myogenic escape
C. Reactive hyperemia
Active hyperemia most directly follows increased tissue:
A. Metabolic activity
B. Fibrotic remodeling
C. Venous
return
D. Colloid pressure
A. Metabolic activity
Once previously increased local blood flow falls back toward normal, this return is termed:
A. Vasomotion
B. Autoregulation
C. Capillary
recruitment
D. Sympathetic escape
B. Autoregulation
Which pair lists the two main acute autoregulatory theories?
A. Metabolic and myogenic
B. Neural and endocrine
C.
Osmotic and oncotic
D. Cardiac and venous
A. Metabolic and myogenic
In the myogenic theory of acute autoregulation, stretch of small blood vessels causes:
A. Endothelial apoptosis
B. Immediate dilation
C.
Contraction
D. Valve closure
C. Contraction
Which vignette best illustrates active rather than reactive hyperemia?
A. Flow rises after cuff release
B. Flow rises after
exercise
C. Flow rises after hemorrhage
D. Flow rises
after standing
B. Flow rises after exercise
A patient’s arterioles constrict when arterial pressure suddenly rises, helping protect the vessel wall. This myogenic mechanism is most important for preventing excessive:
A. oxygen extraction
B. metabolic demand
C.
stretching
D. vascular sprouting
C. stretching
Renal blood-flow autoregulation is classically controlled by:
A. tubuloglomerular feedback
B. baroreceptor discharge
C. venous capacitance
D. lymphatic drainage
A. tubuloglomerular feedback
Increased NaCl delivery to the macula densa causes afferent arteriolar constriction primarily to normalize:
A. renal vein pressure
B. filtration fraction
C.
medullary osmolarity
D. GFR
D. GFR
The level of excitability of the brain depends importantly on control of:
A. sodium and chloride
B. carbon dioxide and hydrogen
C.
calcium and magnesium
D. glucose and phosphate
B. carbon dioxide and hydrogen
Nitric oxide released in the vasculature is produced mainly by:
A. endothelial cells
B. platelets
C. smooth muscle
cells
D. neutrophils
A. endothelial cells
Endothelial nitric oxide is synthesized from which substrates by eNOS?
A. citrulline and carbon dioxide
B. ornithine and
nitrogen
C. arginine and glucose
D. arginine and oxygen
C. arginine and glucose
Nitric oxide has a blood half-life of only a few seconds, so its effects are mainly:
A. endocrine
B. systemic
C. genomic
D. local
D. local
Increased blood flow stimulates endothelial nitric oxide release mainly through:
A. shear stress
B. low oncotic pressure
C. venous
collapse
D. platelet adhesion
A. shear stress
Which vasoconstrictor can paradoxically stimulate endothelial nitric oxide release to limit excessive constriction?
A. norepinephrine
B. endothelin
C. angiotensin II
D. thromboxane A2
B. endothelin
The most important vasoconstrictor released by endothelial cells is:
A. prostacyclin
B. endothelin
C. bradykinin
D. histamine
B. endothelin
The usual stimulus for endothelin release is:
A. endothelium injury
B. low glucose delivery
C. high
venous pressure
D. lymphatic obstruction
A. endothelium injury
Endothelin-receptor blockers are used clinically to treat:
A. essential hypertension
B. portal hypertension
C.
malignant edema
D. pulmonary hypertension
D. pulmonary hypertension
A key mechanism for long-term local blood-flow regulation is changing tissue:
A. viscosity
B. vascularity
C. oxygen affinity
D. contractility
B. vascularity
A tissue with chronically increased metabolism develops more microvessels over weeks. This process is called:
A. vasomotion
B. autoregulation
C. angiogenesis
D. myogenic escape
C. angiogenesis
A neonatal retinal vascular overgrowth syndrome associated with blindness is called:
A. cataracta brunescens
B. papilledema
C. diabetic
retinopathy
D. retrolental fibroplasia
D. retrolental fibroplasia
Which set contains only factors that increase growth of new blood vessels?
A. VEGF, PDGF, angiogenin, FGF
B. endothelin, renin, ADH,
serotonin
C. histamine, bradykinin, NO, cortisol
D.
thromboxane, aldosterone, ANP, dopamine
A. VEGF, PDGF, angiogenin, FGF
Angiogenesis begins with new vessels ______ from existing small vessels.
A. looping
B. fusing
C. sprouting
D. collapsing
C. sprouting
Steroid hormones and angiostatin act ______ angiogenesis.
A. opposite to
B. synergistically with
C. independently
of
D. downstream from
A. opposite to
Small vessels chronically exposed to higher pressure may reorganize around a smaller lumen diameter. This is called:
A. outward hypertrophic remodeling
B. inward eutrophic
remodeling
C. concentric hyperplasia
D. fixed vasomotion
B. inward eutrophic remodeling
In chronic pressure loading, large arteries that fail to constrict to rising pressure respond with:
A. Vasomotion
B. Inward remodeling
C. Hypertrophic
remodeling
D. Capillary sprouting
C. Hypertrophic remodeling
The hallmark of chronic hypertension is:
A. Stiffer blood vessels
B. Dilated venules
C. Lower
shear stress
D. Thin arterial walls
A. Stiffer blood vessels
A vessel exposed to chronically high flow and shear stress enlarges its lumen while wall thickness stays the same. This is:
A. Inward eutrophic remodeling
B. Outward hypertrophy
C. Hypertrophic remodeling
D. Outward remodeling
D. Outward remodeling
On the venous side of an arteriovenous fistula, increased pressure and flow most directly cause:
A. Inward remodeling
B. Outward hypertrophic remodeling
C. Pure vasospasm
D. Capillary rarefaction
B. Outward hypertrophic remodeling
During increased cardiac activity, epinephrine may produce vasodilation in the:
A. Coronary arteries
B. Renal arteries
C. Cutaneous
arterioles
D. Splanchnic veins
A. Coronary arteries
Which listed substance is a vasodilator?
A. Vasopressin
B. Norepinephrine
C. Bradykinin
D.
Angiotensin II
C. Bradykinin
Which listed substance is a vasoconstrictor?
A. Histamine
B. Vasopressin
C. Bradykinin
D. Kallidin
B. Vasopressin
The kinins are small polypeptides cleaved by proteolytic enzymes from:
A. Albumins
B. Gamma globulins
C. Beta globulins
D. Alpha2-globulins
D. Alpha2-globulins
Bradykinin is inactivated by which enzyme?
A. Renin
B. Kallikrein
C. Elastase
D. Converting enzyme
D. Converting enzyme
Activated kallikrein is destroyed by a:
A. Histamine esterase
B. Kallikrein inhibitor
C.
Cyclooxygenase
D. Bradykininase
B. Kallikrein inhibitor
Bradykinin causes powerful arteriolar dilation and increased:
A. Capillary permeability
B. Venous compliance
C.
Lymphatic tone
D. RBC deformability
A. Capillary permeability
In damaged tissues, histamine is derived mainly from:
A. Basophils
B. Platelets
C. Mast cells
D. Neutrophils
C. Mast cells
In the blood, histamine is derived from:
A. Eosinophils
B. Monocytes
C. Basophils
D. Platelets
C. Basophils
Histamine-induced arteriolar dilation and increased capillary porosity can cause marked:
A. Edema
B. Cyanosis
C. Thrombosis
D. Vasospasm
A. Edema
Which ion most strongly favors vasoconstriction?
A. Potassium
B. Hydrogen
C. Magnesium
D. Calcium
D. Calcium
Which ion most strongly favors vasodilation?
A. Calcium
B. Potassium
C. Sodium
D. Phosphate
B. Potassium
Which ion is also associated with vasodilation?
A. Magnesium
B. Calcium
C. Chloride
D. Iron
A. Magnesium
Increased tissue carbon dioxide causes vasodilation especially in the:
A. Kidney
B. Liver
C. Skin
D. Brain
D. Brain
Which sequence ranks blood flow highest to lowest?
A. Kidney > liver > muscles > thyroid
B. Liver >
thyroid > kidney > muscles
C. Kidney > liver >
thyroid > muscles
D. Liver > kidney > thyroid/adrenal
> muscles
D. Liver > kidney > thyroid/adrenal > muscles
In outward remodeling driven by high flow and shear stress, wall thickness is usually:
A. Increased
B. Unchanged
C. Decreased
D. Fibrotic
B. Unchanged
Which peptide is named as the immediate precursor converted to bradykinin?
A. Histamine
B. Angiotensin
C. Kallikrein
D. Kallidin
D. Kallidin
Which pair are both listed vasodilators?
A. Bradykinin and histamine
B. Epinephrine and ADH
C.
Norepinephrine and ADH
D. Angiotensin and epinephrine
A. Bradykinin and histamine
Which enzyme besides converting enzyme inactivates bradykinin?
A. Renin
B. Trypsin
C. Carboxypeptidase
D. Cyclase
C. Carboxypeptidase
A coronary artery transiently underperfuses working myocardium. Which local metabolite is especially important for restoring coronary blood flow?
A. Adenosine
B. Endothelin
C. Angiotensin II
D. Vasopressin
A. Adenosine
Increased cardiac activity most directly causes which change inside heart muscle cells?
A. Increased intracellular oxygen
B. Decreased ATP
breakdown
C. Decreased adenosine release
D. Decreased
oxygen concentration
D. Decreased oxygen concentration
In the heart, increased metabolic activity causes which paired change?
A. Increased oxygen, less adenosine
B. More ATP degradation,
more adenosine
C. Less ATP degradation, less flow
D. More
oxygen, less vasodilation
B. More ATP degradation, more adenosine
The number of open precapillary sphincters is most proportional to tissue:
A. Nutritional requirement
B. Venous pressure
C.
Sympathetic tone
D. Capillary hydrostatic pressure
A. Nutritional requirement
The duration of precapillary sphincter opening is most proportional to tissue need for:
A. Sodium
B. Amino acids
C. Oxygen
D. Chloride
C. Oxygen
The strength of vascular smooth-muscle contraction is most proportional to local concentration of:
A. Glucose
B. Potassium
C. Adenosine
D. Oxygen
D. Oxygen
Rising local oxygen concentration most directly causes precapillary sphincters to:
A. Open wider
B. Constrict more strongly
C. Lose smooth
muscle tone
D. Become pressure-insensitive
B. Constrict more strongly
Which vitamin-deficiency pattern is most associated with beriberi-related vasodilation in your notes?
A. A, D, E
B. Thiamine, niacin, riboflavin
C. B12,
folate, biotin
D. C, K, niacin
B. Thiamine, niacin, riboflavin
Autoregulation is especially precise in which two organs?
A. Liver and skin
B. Kidney and spleen
C. Lungs and
intestine
D. Brain and heart
D. Brain and heart
Which statement best describes the myogenic theory of acute autoregulation?
A. Excess flow creates more vasodilators
B. Sudden vessel
stretch triggers contraction
C. High pressure relaxes arterioles
directly
D. Low pressure causes immediate constriction
B. Sudden vessel stretch triggers contraction
Which juxtaglomerular apparatus structure detects increased tubular flow at the distal convoluted tubule and helps restore filtration toward normal?
A. Extraglomerular mesangium
B. Macula densa
C.
Proximal convoluted tubule
D. Collecting duct principal cells
B. Macula densa
When the macula densa senses excessive distal tubular flow from increased renal blood flow, the immediate corrective response is usually:
A. Afferent arteriolar constriction
B. Efferent arteriolar
dilation
C. Renin release from JG cells
D. Mesangial
relaxation only
A. Afferent arteriolar constriction
A patient with hypercapnia develops a compensatory cerebrovascular response. Increased brain CO2 and H+ most directly cause:
A. Cerebral vasoconstriction
B. Reduced cerebral flow
C. Cerebral vasodilation
D. Blood-brain barrier closure
C. Cerebral vasodilation
The major purpose of cerebral vasodilation in response to elevated brain CO2 or H+ is to:
A. Increase CSF formation
B. Wash out excess CO2 and H+
C. Lower neuronal metabolism
D. Increase venous resistance
B. Wash out excess CO2 and H+
Which statement best describes control of cutaneous and subcutaneous blood flow?
A. It is mainly fixed locally
B. It is regulated by
sympathetic nerves
C. It depends only on venous tone
D. It
is independent of CNS input
B. It is regulated by sympathetic nerves
During environmental heat exposure, rising body temperature normally causes skin blood flow to:
A. Decrease sharply
B. Remain unchanged
C.
Increase
D. Become pressure-passive
C. Increase
During cold exposure, the usual thermoregulatory response in skin is:
A. Vasodilation to lose heat
B. Decreased skin blood
flow
C. Increased capillary permeability
D. Loss of
sympathetic tone
B. Decreased skin blood flow
Even during marked cutaneous vasoconstriction, some skin flow is still maintained primarily to meet:
A. Lymphatic demand
B. Hair-follicle cycling
C.
Sweat-gland reserve
D. Skin metabolic needs
D. Skin metabolic needs
Chronic hypertension and atherosclerosis damage endothelium. Reduced nitric oxide release in that setting most strongly promotes:
A. Excessive vasoconstriction
B. Excessive vasodilation
C. Capillary rupture
D. Venous pooling
A. Excessive vasoconstriction
PDE-5 normally promotes vasoconstriction mainly by:
A. Blocking guanylate cyclase
B. Degrading cAMP
C.
Degrading cGMP
D. Inhibiting eNOS directly
C. Degrading cGMP
A PDE-5 inhibitor prolongs nitric oxide–mediated vasodilation primarily by:
A. Increasing endothelin release
B. Preventing cGMP
breakdown
C. Blocking arginine uptake
D. Lowering shear stress
B. Preventing cGMP breakdown
One physiologic role of endothelin is to:
A. Promote angiogenesis
B. Increase cGMP
C. Dilate
cerebral arterioles
D. Limit arterial bleeding
D. Limit arterial bleeding
If tissue metabolism remains elevated for a prolonged period, tissue vascularity generally:
A. Increases
B. Decreases
C. Oscillates rapidly
D. Becomes pressure-fixed
A. Increases
If tissue metabolism remains low for a prolonged period, tissue vascularity generally:
A. Becomes unchanged
B. Decreases
C. Increases
D.
Doubles abruptly
B. Decreases
In premature infants, excess oxygen initially causes retinal vessels to:
A. Overgrow immediately
B. Arterialize rapidly
C. Stop
growing and regress
D. Dilate but remain intact
C. Stop growing and regress
When the infant is removed from excess oxygen, the subsequent retinal vessel overgrowth is driven mainly by:
A. Sudden glucose excess
B. Sudden oxygen deficiency
C.
High venous pressure
D. Endothelin excess
B. Sudden oxygen deficiency
The first listed step of angiogenesis is:
A. Capillary loop perfusion
B. Tube-to-tube fusion
C.
Basement membrane dissolution
D. Smooth muscle hypertrophy
C. Basement membrane dissolution
After sprouting begins, endothelial cells next:
A. Reproduce and stream outward
B. Undergo apoptosis
C.
Secrete endothelin
D. Constrict donor vessels
A. Reproduce and stream outward
During angiogenesis, the endothelial cords then:
A. Become lymphatics
B. Fold into tubes
C. Undergo
fibrosis
D. Form arterioles first
B. Fold into tubes
A later step in angiogenesis occurs when a new tube:
A. Undergoes thrombosis
B. Loses its lumen
C. Regresses
completely
D. Connects with another tube
D. Connects with another tube
The final listed result of angiogenesis is:
A. A perfused capillary loop
B. Arterial wall
calcification
C. Venous valve formation
D. Immediate vasoconstriction
A. A perfused capillary loop
Which substance is a plasminogen fragment that inhibits angiogenesis?
A. Endothelin
B. Angiogenin
C. Angiostatin
D. Histamine
C. Angiostatin
Endostatin is best described as an:
A. Endothelial vasodilator
B. Anti-angiogenic peptide
C. Adrenergic cotransmitter
D. Platelet growth factor
B. Anti-angiogenic peptide
Vascularity is primarily determined by the tissue’s:
A. Resting venous pressure
B. Lowest oxygen tension
C.
Mean capillary density
D. Maximum flow requirement
D. Maximum flow requirement
After exercise-induced vascularity has developed, the extra vessels not currently needed usually:
A. Remain vasoconstricted
B. Thrombose permanently
C.
Regress within minutes
D. Stay maximally open
A. Remain vasoconstricted
A patient develops gradual reperfusion of ischemic tissue after an arterial occlusion because preexisting vascular connections enlarge and later new channels grow. This process is called:
A. Active hyperemia
B. Collateral circulation
C.
Vasomotion
D. Reactive vasospasm
B. Collateral circulation
Immediately after a vessel becomes blocked, the first stage of collateral development consists primarily of:
A. New capillary sprouting
B. Fibrotic wall thickening
C. Dilation of small vascular loops
D. Venous arterialization
C. Dilation of small vascular loops
The earliest dilation of preexisting collateral loops after arterial blockage is driven mainly by:
A. Sympathetic discharge
B. Metabolic factors
C.
Endothelin release
D. Fibroblast activation
B. Metabolic factors
In the second stage of collateral development over hours to days, which change predominates?
A. Vessel calcification
B. Greater vessel opening
C.
Wall fibrosis only
D. Capillary regression
B. Greater vessel opening
Over months after an occlusion, collateral vessels typically:
A. Undergo thrombosis
B. Remain minimally dilated
C.
Form multiple channels
D. Lose smooth muscle
C. Form multiple channels
In most tissues, small arteries and arterioles respond within seconds to increased arterial pressure by:
A. Vasodilation
B. Capillary recruitment
C. Venous
pooling
D. Vasoconstriction
D. Vasoconstriction
The rapid vasoconstrictor response of small resistance vessels to increased pressure primarily serves to:
A. Increase lymph formation
B. Autoregulate tissue blood
flow
C. Promote angiogenesis
D. Raise venous return
B. Autoregulate tissue blood flow
Inward eutrophic remodeling is best defined as:
A. Wall thickening with lumen gain
B. Cell rearrangement
around smaller lumen
C. Medial hypertrophy with fibrosis
D. Endothelial loss with dilation
B. Cell rearrangement around smaller lumen
Which statement best describes inward eutrophic remodeling?
A. Wall area stays unchanged
B. Collagen markedly
increases
C. Lumen enlarges progressively
D. Media becomes hypertrophic
A. Wall area stays unchanged
Large vessels that do not constrict when pressure rises are most likely to undergo:
A. Inward eutrophic remodeling
B. Outward remodeling
C.
Hypertrophic remodeling
D. Reactive hyperemia
C. Hypertrophic remodeling
Which change is characteristic of hypertrophic remodeling?
A. Smaller wall cross-sectional area
B. Increased wall
cross-sectional area
C. Loss of vascular smooth muscle
D.
Decreased collagen synthesis
B. Increased wall cross-sectional area
Hypertrophic remodeling helps vessels adapt to high blood pressure mainly by:
A. Increasing vessel compliance
B. Reinforcing wall
strength
C. Lowering shear stress
D. Dilating the lumen widely
B. Reinforcing wall strength
Which vein is commonly harvested for coronary artery bypass grafting?
A. Basilic vein
B. Saphenous vein
C. Femoral vein
D. Cephalic vein
B. Saphenous vein
A direct connection between a large artery and a large vein that bypasses resistance vessels and capillaries is called a:
A. Sinusoid
B. Collateral loop
C. Anastomotic
plexus
D. Fistula
C. Anastomotic plexus
On the arterial side of an arteriovenous fistula, the expected vascular response is:
A. Outward remodeling
B. Inward remodeling
C.
Hypertrophic constriction
D. Capillary rarefaction
A. Outward remodeling
On the venous side of an arteriovenous fistula, the expected remodeling pattern is:
A. Inward eutrophic remodeling
B. Outward hypertrophic
remodeling
C. Pure vasoconstrictive remodeling
D. No
remodeling occurs
B. Outward hypertrophic remodeling
Between epinephrine and norepinephrine, which is the more potent vasoconstrictor?
A. Epinephrine
B. They are equal
C.
Norepinephrine
D. Depends on calcium only
C. Norepinephrine
Which statement about epinephrine’s vascular effect is most accurate?
A. It is always stronger than NE
B. It may cause slight
vasodilation
C. It only constricts veins
D. It blocks
alpha receptors
B. It may cause slight vasodilation
A patient with severe hypotension develops a hormone-mediated rise in total peripheral resistance along with decreased renal sodium and water excretion. Which mediator best fits?
A. Bradykinin
B. Histamine
C. Angiotensin II
D. Kallidin
C. Angiotensin II
The direct vascular effect of angiotensin II is primarily:
A. Small-arteriole venodilation
B. Small-arteriole
vasoconstriction
C. Capillary leak
D. Endothelial NO release
B. Small-arteriole vasoconstriction
Which mediator is most associated with arteriolar dilation and increased capillary permeability that may produce edema?
A. Angiotensin II
B. Bradykinin
C. Vasopressin
D. Endothelin
B. Bradykinin
Regulation of blood flow in skin, salivary glands, and GI glands is especially associated with:
A. Bradykinin
B. Angiotensin II
C. Vasopressin
D. Norepinephrine
A. Bradykinin
In inflamed tissue, kinins mainly regulate:
A. Conduction velocity and capillary leakage
B. Blood flow
and capillary leakage
C. Platelet count and capillary
leakage
D. Hemoglobin affinity and capillary leakage
B. Blood flow and capillary leakage
Which acid-base state is most associated with arteriolar vasoconstriction?
A. Acidosis
B. Alkalosis
C. Hypercapnia
D. Lacticemia
B. Alkalosis
Which group contains anions specifically noted to cause vasodilation?
A. Sulfate and phosphate
B. Bicarbonate and chloride
C.
Acetate and citrate
D. Lactate and pyruvate
D. Lactate and pyruvate