PA Recertifying Exam PANRE Practice Exam

Category - PANRE Practice Test

When the cardiac output decreases, the body compensates by which of the following mechanisms?
  1. The Frank-Starling mechanism decreases the preload to sustain cardiac performance
  2. Myocardial atrophy
  3. Epinephrine and norepinephrine cause vasoconstriction
  4. Activation of the RAAS to retain water and excrete sodium
Explanation
Answer - C - When cardiac output falls, the body initiates a cascade of compensatory mechanisms to keep up with the oxygen demand of the tissues. Epinephrine and norepinephrine are released to cause vasoconstriction, which increases the after load and increases the blood volume. The Frank-Starling mechanism increases the preload to sustain cardiac performance. The myocardium increases its size to deliver more oxygenated blood with each contraction. The RAAS is activated to retain water and sodium, increasing the blood volume.
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