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下图显示3个心室功能曲线(The following figure shows three ventricular function curves)
下图显示3个心室功能曲线(The following figure shows three ventricular function curves)
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TBL (cyclic physiology) applied practice (2011-4-6)
Sun yat-sen university, zhongshan university medical school
Professor wang ting huai
Name class fraction
1. Which of the following most likely causes Rodriguez to generate water and sodium retention? C
A, the high sodium diet B, the filtration fraction increased
C, renal sympathetic activity elevated D, and prostaglandin synthesis inhibitor (bulofen)
E, smoking,
A choice high sodium diet can rapidly improve the osmotic pressure of plasma
To transfer the water of intracellular and interorganizational fluid
The blood volume increases rapidly
Kidney supply improved
However, the glomerular filtration rate also increased
Increased drainage and lower sodium levels; It is not likely that the B option has been added to the patients with congestive heart failure; The increase of renal sympathetic activity may lead to water retention
The heart failure causes the output of the heart and the effective circulation decreases
On the one hand the RAAS system is activated
Safe water and sodium potassium discharge; On the other hand, there is excitement
Renal vasoconstriction
Renal blood flow declined
The filter scores went down
Water sodium retention; D option using prostaglandin synthesis inhibitors nearly Finn is mainly by inhibiting prostaglandin synthesis and play a role, because the white blood cell activity and lysosomal enzyme release is inhibited, the reduce of local tissue pain impulses, reduced susceptibility pain receptors, ultimately achieve analgesia, anti-inflammatory effect; E option smoking can bring energy to the patient
Most likely to be achieved by stimulating the sympathetic nerves
So the most likely option is C
2. Many patients with congestive heart failure showed elevated levels of blood ADH
The reason is? D
A, plasma osmotic pressure increases B, water, sodium retent
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