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Question #46361

Difficulty: 8/10 | 🟢 Free

The Question

A high-altitude resident experiences chronic hypoxia, leading to an enhanced Bohr effect and increased chloride shift at the tissue level. To compensate, the juxtaglomerular cells release a specific hormone. How does the long-term action of this hormone ultimately alter the temporal precision of the cardiac cycle?

Options

  • A.

    It stimulates erythropoiesis, leading to polycythemia, which increases blood viscosity and afterload, thereby prolonging the ventricular ejection phase.

  • B.

    It stimulates renin release, which activates the RAAS pathway to increase blood volume and preload, thereby shortening the isovolumetric relaxation phase.

  • C.

    It increases the synthesis of carbonic anhydrase in RBCs, accelerating the Hamburger phenomenon and decreasing peripheral resistance, which shortens ventricular systole.

  • D.

    It promotes the maturation of erythrocytes, decreasing overall blood viscosity and reducing the afterload, which accelerates the opening of the semilunar valves.

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Correct Answer

Step-by-Step Solution

Explanation

How the Examiner Thinks

Regulatory_Failure

Understand how NOT, EXCEPT, and logical constraints are used to manipulate exam results.

Concepts Behind This Question

Hemoglobin|Bicarbonate|Oxygen Dissociation Curve

Why This Question Is Tricky

Common Mistakes

Conceptual Pivot: Students often isolate respiratory physiology (Chloride shift/Bohr effect), renal endocrinology (EPO), and cardiovascular hemodynamics (Cardiac cycle).

The trap lies in understanding that increased RBC production (erythropoiesis) directly alters the physical properties of blood (viscosity).

This mechanically forces the heart to adjust its systolic timing, as increased afterload prolongs the ejection phase.

Failing to link blood rheology to ventricular afterload leads to selecting incorrect compensatory mechanisms.

Quick Facts About This Question

Question Information

SubjectBiology
ChapterBody Fluids and Circulation - Class 11
ConceptCardiac Cycle Temporal Precision
Difficulty8
Cognitive Load5
Target Solve Time120 sec
AccessFree