Pathophysiology, 5th Edition By Lee-Ellen C. Copstead
Pathophysiology, 5th Edition By Lee-Ellen C. Copstead
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Chapter 16: Alterations in Blood Pressure
Complete Chapter Questions With Answers
Sample Questions Are Posted Below
MULTIPLE CHOICE
| a. | two-thirds of systolic pressure + diastolic pressure. |
| b. | systolic pressure + diastolic pressure. |
| c. | systolic pressure – diastolic pressure. |
| d. | systolic pressure ´ systemic resistance. |
ANS: C
Pulse pressure is defined as the difference between systolic and diastolic blood pressure. Pulse pressure is the difference between systolic and diastolic pressure. Pulse pressure is not the sum of the systolic and diastolic pressures. Systemic resistance is not involved in determining the pulse pressure.
REF: Pg. 333
| a. | Hypovolemia |
| b. | Decreased cardiac output |
| c. | Vasoconstriction |
| d. | Decreased vascular resistance |
ANS: C
At the smooth muscle of the arterial system, neurotransmitters bind to receptors to initiate vasoconstriction and increase systemic vascular resistance An increase in vascular resistance causes the heart to work harder and thus increases blood pressure. Hypovolemia does not result in an increase in blood pressure. Cardiac output is not decreased when systemic blood pressure is increased. Vascular resistance is actually increased when the systemic blood pressure is increased.
REF: Pg. 336
| a. | positioning the arm above the heart level. |
| b. | using a cuff that is too small. |
| c. | positioning the arm at heart level. |
| d. | measuring blood pressure after exercise. |
ANS: A
An erroneous blood pressure result could occur with the arm above the level of the heart. It is important to measure blood pressure with the appropriate size cuff. The arm should be positioned at the level of the heart for a more accurate reading. Measuring pressure after exercise yields a higher measurement.
REF: Pgs. 334-335
| a. | release of rennin. |
| b. | conversion of angiotensin I to angiotensin II. |
| c. | conversion of angiotensinogen to angiotensin I. |
| d. | effect of aldosterone on the kidney. |
ANS: B
Angiotensin I is converted into angiotensin II while it is circulating through the pulmonary vessels, by the angiotensin converting enzyme. ACE inhibitors block the conversion of angiotension I to angiotension II. Renin plays a role in the regulation of arterial blood pressure. ACE inhibitors do not block the conversion of angiotensinogen to angiotensin or the effect of aldosterone on the kidney.
REF: Pg. 337
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