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BP: systolic BP is the pressure when
korotkoff sounds first become audible
BP= ___x___
CO x TPR
BP: CO= ___x___
SV x HR
BP: TPR= ___/___
BP/ CO
BP: diastolic BP occurs when
korotkoff sounds disappear
BP: photoplethysmography is a measurement of
volume
BP: finometer measures changes in finger volume by
volume clamp
BP: systolic BP depends mainly on
stroke volume and arterial wall stiffness
BP: diastolic BP depends mainly on
arteriolar tone TPR
BP: mean BP is
diastolic BP + 1/3 of pulse pressure
BP: Stroke volume
amount of blood pumped out of the left ventricle of the heart during systolic
HRDB: stimulus
lung inflation and deflation activates
HRDB: the afferent pathway of the HRDB is
the vagus nerve (unmyelinated preganglionic)
HRDB: the effector of the HRDB is
the sino-atrial node
HRDB: the efferent pathway of HRDB is
the vagus nerve
HRDB: CPU
brain stem- medulla oblongata
HRDB: what does not modulate the HRDB response
sex of the subject
HRDB: What does modulate HRDB
baroreceptors, bainbridge reflexes, herring-breuer reflex, respiratory center
HRDB: what does not affect HRDB response
sex of the subject
HRDB: what does affect HRDB
age, rate of respiration, sympathetic activity, depth of respiration
HRDB: the heart rate period is
the reciprocal of the heartrate
HRDB: the optimal rate of deep breathing for HRDB is
6 cycles per minute
HRDB: anxiety resulting in sympathetic overactivity
worsens HRDB
HRDB: hyperventilation for 1 minute
worsens HRDB
HRDB: the largest HRDB response occurs when the patient is
lying supine
HRDB: What does it test
cardiovagal function (parasympathetic)
HRDB: first wave of hr waveform
p wave which represents atrial depolarization
HRDB: 2 wave in hr waveform
QRS complex which represents ventricular depolarization
HRDB: S-T segment
reflects period of zero potential between ventricular depolarization and repolarization
HRDB: 3rd wave in hr waveform
T wave represents ventricular repolarization
HRDB: heart period
measured by calculating time between peaks of the R wave in the QRS complex, also known as RR interval
HRDB: what does inspiration cause
increase in HR
HRDB: what does expiration cause
decrease in HR
HRDB: what does an increase in HP cause
a decrease in HR
HRDB: herring breuer reflex
pulmonary stretch receptiors
HRDB: bainbride reflexes
cardiac receptors
VM: what is true of HR response to VM
the true stimulus is unknown
VM: afferent pathway
cranial nerves IX and X (vagus)
VM: CPU
NTS
VM: efferent pathway
vagus nerve sends signal to inhibit the SA node (parasympathetic)
Peripheral vasoconstriction of the arteriole (sympathetic)
VM: effector sites
SA node (HR) and arterioles (vasoconstriction)
VM: response
pacing of heart rate and increase in TPR due to vasoconstriction
VM: what does affect VM
age- declines with age, gender, volume status, expiratory pressure, duration, medications
VM: phase I of the VM is due to
mechanical compression of the aorta
VM: phase II(late) of VM is
peripheral vasoconstriction
VM: phase III of the VM is due to
release of mechanical compression of the aorta
VM: phase IV of the VM is due to
persistent peripheral vasoconstriction and increased CO
VM: the valsalva ratio is
maximal/ minimal heart rate
VM: the optimal expiratory pressure amplitude is
40 mmHg
VM: the optimal expiratory duration is
15 seconds
VM: the optimal respiratory status at the onset of the VM is
tidal inspiration
VM: factor that does not affect the valsalva ratio
time of day
HUT: blood volume refers to
intravascular volume (cells and plasma)
HUT: where are the receptors for arterial baroreflexes located
in the carotid sinus and aortic arch
HUT: what is the CPU of arterial baroreflexes
the nucleus of tractus solitarius
HUT: What are the afferent pathways for arterial baroreflexes
the glossopharyngeal and vagus nerve
HUT: what is the efferent pathway to the heart for arterial baroreflexes
the vagus nerve
HUT: low pressure (venous) differs from high pressure (arterial) baroreflexes in that is activated
before there is any detectable change in BP
HUT: low pressure baroreceptors are also reffered to as
venous baroreceptors
HUT: when an individual stands up, the order of appearance of humoral factors are
norepinephrine, vasopressin, renin
HUT: where is NE stored
postganglionic adrenergic nerve endings
HUT: where is NE released
with the nerve impulse
HUT: what does NE bind to
adrenergic receptors
HUT: what is NEs major fate
uptake back into the adrenergic receptors
HUT: how much NE spills over
10% spills over into the blood stream
HUT: what is vasopressin’s effective stimulus
hypovolemia, increased osmolality, and baroreceptors
HUT: where are vasopressin’s receptors located
in the hypothalamus
HUT: what are vasopressin’s effects
vasoconstriction and fluid retention
HUT: what are renin’s effective stimulus
hypo-osmolality and increased sympathetic efferent activity (baroflex)
HUT: what is the major effector of renin
not renin but angiotensin and aldosterone
HUT: what are the effects of renin
vasoconstriction and sodium retention
HUT: what plays a major role in maintaining blood volume
renin
HUT: what is a powerful mechanism of maintenance of postural normotension
renin
HUT: relative hypovolemia refers to a low blood volume relative to vascular capacity. What does it result from?
an absolute reduction in BV as in dehydration of hemorrhage.
a transient increase in capacity as following toxic shock or vasodilator medications.
a permanent increase in capacity as with sympathetic denervation, resulting in arteriolar vasodilation
HUT: what is the sequence in order of greatest orthostatic stress to weakest
standing, tilt with feet resting on baseboard, tilt with subject suspended
HUT: maintenance of postural normotension requires
normal blood volume, neurovascular reflexes, and humoral mechanisms
HUT: stimulus in venous baroreflexes
bp change sensed by mechanoreceptors in the aortic arch and carotid sinus
HUT: low pressure baroreflexes are activated ___ there is any ____ change in BP
before, detectable
HUT: afferent pathway in venous baroreflexes
IX glossopharyngeal and X vagus nerve
HUT: CPU venous baroreflexes
NTS
HUT: efferent pathway venous baroreflexes
vagus (cardiovagal) and sympathetic (adrenergic)
HUT: effector venous baroreflexes
SA node (HR) and arterioles (vasoconstriction)
HUT: response venous baroreflexes
sympathetic response vasoconstriction (increase TPR) causing retention of normal BP
QSART: to lower skin resistance, the skin should be defatted in the following order
acetone, alcohol, water
QSART: examines the integrity of the following structure
sympathetic postganglionic axon
QSART: the receptor in the stimulus well is thought to be in the
sweat gland
QSART: afferent pathway
antidromic sudomotor nerves
QSART: CPU
terminal branch point but not in CNS
QSART: efferent pathway
orthodromic sudomotor nerves
QSART: the neural structure being tested during QSART is:
postganglionic axon
QSART: the effector is thought to be
eccrine sweat gland
QSART: the primary neurotransmitter responsible for inducing a sweat response is
Ach
QSART refers to
quantitative sudomotor axon reflex test
QSART: mean sweat output in men is greater than in women because
males have larger sweat droplets on stimulation
QSART: resting sweat activity (RSA) is usually due to
spontaneously active sympathetic sudomotor axons
QSART: medial forearm site
ulnar
QSART: proximal foot site
sural
QSART: distal medial leg site
saphenous
QSART: proximal lateral leg site
peroneal/ fibular
QSART: is not a ____ reflex
true