Which of the following factors directly affects peripheral resistance and contributes to blood pressure regulation?
Oxygen saturation
Blood vessel diameter
Venous return
Heart rate
The Correct Answer is B
A. Oxygen saturation:
Oxygen saturation affects tissue oxygen delivery but does not directly influence vascular resistance.
B. Blood vessel diameter:
Peripheral resistance is strongly influenced by vessel diameter. Vasoconstriction increases resistance and blood pressure, while vasodilation decreases resistance. This is a key determinant of systemic vascular resistance and blood pressure regulation.
C. Venous return:
Venous return affects preload and cardiac output, indirectly influencing blood pressure, but it does not directly determine peripheral resistance.
D. Heart rate:
Heart rate affects cardiac output but does not directly change peripheral resistance, which is primarily a function of arteriolar tone and vessel diameter.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. AV node:
The AV node serves as a secondary pacemaker and delays the conduction of impulses from the atria to the ventricles, allowing ventricular filling. It does not initiate the heartbeat under normal conditions.
B. Purkinje fibers:
Purkinje fibers distribute impulses rapidly throughout the ventricles but act as a backup pacemaker at 20-40 bpm if higher centers fail. They do not initiate the cardiac rhythm.
C. SA node:
The SA node, located in the right atrium near the superior vena cava, is the primary pacemaker of the heart. It generates impulses at 60-100 bpm, initiating atrial contraction and setting the overall heart rate. Dysfunction of the SA node leads to arrhythmias such as sick sinus syndrome.
D. Bundle of His:
The Bundle of His conducts impulses from the AV node to the ventricles but is not a primary pacemaker. Its rate is slower than the SA node and primarily ensures coordinated ventricular contraction.
Correct Answer is D
Explanation
A. To pump blood to the lungs for oxygenation:
The right ventricle pumps deoxygenated blood to the lungs. The left ventricle is responsible for systemic circulation.
B. To receive deoxygenated blood from the body:
The right atrium receives deoxygenated blood from the systemic veins.
C. To regulate heart rhythm:
Heart rhythm is controlled by the SA and AV nodes and the conduction system, not the ventricles themselves.
D. To pump oxygenated blood into systemic circulation:
The left ventricle has thick muscular walls that generate the high pressure needed to pump oxygen-rich blood through the aorta and systemic arteries to the entire body. Dysfunction leads to decreased perfusion and signs of left-sided heart failure.
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