Cardiovascular physiology: blood pressure: practice question

A Physiology question in the style of the NEET PG paper. Answer it first, then read why the right option is right and why each of the others is wrong.

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Physiology · Cardiovascular physiology: blood pressure

Sample item

A patient's blood pressure is 150/90 mmHg. Using diastolic pressure plus one-third of pulse pressure, what is the mean arterial pressure?

Original practice item, not a recalled exam question. Nothing here is recorded.

The answer and the reasoning

D. 110 mmHg

Pulse pressure is 150 minus 90, which is 60 mmHg. One-third of this is 20, so the mean arterial pressure is 90 plus 20, which is 110 mmHg. The mean lies closer to diastolic pressure because diastole occupies more of the cardiac cycle than systole at a normal heart rate.

Option by option

  • A. 90 mmHg

    This is just the diastolic pressure and ignores the contribution of pulsatile pressure.

  • B. 130 mmHg

    This comes from adding two-thirds of the pulse pressure to diastolic pressure, which is the wrong fraction.

  • C. 120 mmHg

    This is the simple average of systolic and diastolic pressure, which overestimates mean pressure because diastole is longer than systole.

  • D. 110 mmHg (correct)

    Correct. Diastolic pressure plus one-third of pulse pressure gives 110 mmHg.

Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.

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Questions about this Physiology question

What is the answer to this Physiology question?

The best answer is D, 110 mmHg. Pulse pressure is 150 minus 90, which is 60 mmHg.

Why is "90 mmHg" not the answer?

This is just the diastolic pressure and ignores the contribution of pulsatile pressure.

Why is "130 mmHg" not the answer?

This comes from adding two-thirds of the pulse pressure to diastolic pressure, which is the wrong fraction.

Why is "120 mmHg" not the answer?

This is the simple average of systolic and diastolic pressure, which overestimates mean pressure because diastole is longer than systole.

What concept does this question test?

It tests Cardiovascular physiology: blood pressure in Physiology. One-third of this is 20, so the mean arterial pressure is 90 plus 20, which is 110 mmHg. The mean lies closer to diastolic pressure because diastole occupies more of the cardiac cycle than systole at a normal heart rate.

How hard is this question?

We tag it as an application question: it asks you to use a fact on a patient or a finding. The tag is our own editorial judgement, not an official difficulty rating, so read the reason for every option, not only the answer.

How should I study Cardiovascular physiology: blood pressure?

For each system, sketch the key graph (pressure–volume loop, oxygen dissociation curve, nephron handling) and explain it aloud. Then use the flashcards and the other Physiology questions on this site to test what stuck.

Is this a real NEET PG question?

No. It is an original practice item (editorial status: sample, version 1). NextPrep does not publish recalled or leaked questions, and independent faculty review of this item has not been completed yet, so confirm important facts in a standard textbook.