Which physiological process increases blood pressure by promoting sodium and water retention?
Activation of chemoreceptors
Activation of the renin-angiotensin-aldosterone system
Baroreceptor reflex
Release of antidiuretic hormone
The Correct Answer is B
A. Activation of chemoreceptors:
Chemoreceptors respond to oxygen, carbon dioxide, and pH levels in the blood, affecting ventilation rather than fluid retention.
B. Activation of the renin-angiotensin-aldosterone system:
RAAS increases blood pressure by promoting sodium and water reabsorption in the kidneys, increasing blood volume, and by causing vasoconstriction, increasing systemic vascular resistance. This is a major mechanism in long-term blood pressure regulation.
C. Baroreceptor reflex:
Baroreceptors detect acute changes in blood pressure and adjust heart rate and vascular tone but do not directly control sodium and water retention.
D. Release of antidiuretic hormone:
ADH increases water reabsorption in the kidneys, but its effect on sodium retention is indirect and less significant compared to RAAS.
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Related Questions
Correct Answer is B
Explanation
A. Conduction system of the heart:
The conduction system controls the rhythm and timing of heart contractions, not fluid balance or edema formation. Impairment would cause arrhythmias rather than peripheral edema.
B. Renin-angiotensin-aldosterone system:
The RAAS regulates blood volume and sodium/water retention. Overactivation can lead to fluid retention and peripheral edema, especially in conditions like heart failure. Impaired RAAS can also contribute to inadequate compensation for low blood pressure.
C. Colloid osmotic pressure:
Colloid osmotic pressure, mainly from plasma proteins like albumin, maintains fluid within capillaries. Low osmotic pressure can cause edema, but in the context of BP regulation, RAAS dysfunction is more directly related.
D. Baroreceptor reflex:
Baroreceptors detect rapid changes in BP and initiate autonomic responses, but they do not directly cause edema in chronic blood pressure dysregulation.
Correct Answer is B
Explanation
A. Atrioventricular (AV) node:
The AV node can act as a secondary pacemaker if the SA node fails, but its intrinsic rate (40-60 bpm) is slower than the SA node. Its primary role is delaying conduction to allow ventricular filling, not initiating the heartbeat.
B. Sinoatrial (SA) node:
The SA node, located in the right atrium near the superior vena cava, is the primary pacemaker of the heart. It initiates electrical impulses at a rate of 60-100 bpm, setting the rhythm for the entire heart. Dysfunction can lead to bradycardia or arrhythmias.
C. Purkinje fibers:
Purkinje fibers conduct impulses rapidly throughout the ventricles but do not serve as the primary pacemaker. They can act as a backup pacemaker at 20-40 bpm if higher centers fail.
D. Bundle of His:
The Bundle of His transmits impulses from the AV node to the ventricles. While it is part of the conduction system, it cannot independently set the heart rate under normal conditions.
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