Week 15: Respiratory System Flashcards

1
Q

For a gas, the direction of diffusion is determined by

A

partial pressure differences

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2
Q

Which of the following statements about partial pressures of gases in the blood and lungs is true?

PO2 in lung is greater than PO2 in blood; PCO2 in lung is greater than PCO2 in blood

PO2 in lung is greater than PO2 in blood; PCO2 in lung is less than PCO2 in blood

PO2 in lung is greater than PO2 in blood; PCO2 in lung = PCO2 in blood

PO2 in lung is less than PO2 in blood; PCO2 in lung is less than PCO2 in blood

PO2 in lung is less than PO2 in blood; PCO2 in lung is greater than PCO2 in blood

A

PO2 in lung is greater than PO2 in blood; PCO2 in lung is less than PCO2 in blood

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3
Q

Which of the following statements about partial pressures of gases in the blood and tissues is true?

PO2 in blood is greater than PO2 in tissues; PCO2 in blood is greater than PCO2 in tissues

PO2 in blood is greater than PO2 in tissues; PCO2 in blood = PCO2 in tissues

PO2 in blood is less than PO2 in tissues; PCO2 in blood is less than PCO2 in tissues

PO2 in blood is greater than PO2 in tissues; PCO2 in blood is less than PCO2 in tissues

PO2 in blood is less than PO2 in tissues; PCO2 in blood is greater than PCO2 in tissues

A

PO2 in blood is greater than PO2 in tissues; PCO2 in blood is less than PCO2 in tissues

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4
Q

T/F Oxygen-rich blood is carried through pulmonary arteries from the lungs to the heart.

A

False

Explanation: Deoxygenated blood is carried from the heart to the lungs (so it can become oxygenated).

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5
Q

T/F Oxygen-poor blood is carried through systemic veins from the body tissues back to the heart.

A

True

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6
Q

The direction of gas movement is determined by

A

partial pressure differences

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7
Q

Inspiration begins as

A

the diaphragm contracts

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8
Q

During inspiration there is

A

increased alveolar volume causes decreased alveolar pressure

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9
Q

During expiration there is

A

decreased alveolar volume causes increased alveolar pressure

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10
Q

T/F The alveoli never attain equal pressure with the atmospheric air.

A

False

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11
Q

T/F As the volume in the alveoli increases, the pressure decreases.

A

True

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12
Q

At the arterial ends of the pulmonary capillaries

the PO2 is higher in the capillaries than in the alveoli.

the PO2 is lower in the capillaries than in the alveoli.

the PO2 is equal in the capillaries and in the alveoli.

A

the PO2 is lower in the capillaries than in the alveoli.

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13
Q

At the venous ends of the pulmonary capillaries

the PCO2 is equal in the capillaries and in the alveoli.

the PCO2 is higher in the capillaries than in the alveoli.

the PCO2 is lower in the capillaries than in the alveoli.

A

the PCO2 is equal in the capillaries and in the alveoli.

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14
Q

For structures at the arterial ends of tissue capillaries, select the correct order of highest PO2 to lowest PO2 values.

A

Capillaries, tissue fluid, cells

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15
Q

T/F When partial pressures for a given gas are equal between the capillaries and the tissue fluids, no net movement of that gas occurs.

A

True

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16
Q

T/F Gasses diffuse from areas of higher partial pressure to areas of lower partial pressure.

A

True

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17
Q

At the arterial end of the pulmonary capillaries,

O2 diffuses from the blood into the alveoli, while CO2 diffuses from the alveoli into the blood.

both O2 and CO2 diffuse from the blood into the alveoli.

both O2 and CO2 diffuse from the alveoli into the blood.

O2 diffuses from the alveoli into the blood, but there is no net movement of CO2.

O2 diffuses from the alveoli into the blood, while CO2 diffuses from the blood into the alveoli.

A

O2 diffuses from the alveoli into the blood, while CO2 diffuses from the blood into the alveoli.

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18
Q

At the arterial end of the tissue capillaries,

O2 diffuses from tissue cells into the blood, while CO2 diffuses from the blood into tissue cells.

both O2 and CO2 diffuse from the blood into tissue cells.

both O2 and CO2 diffuse from tissue cells into the blood.

O2 diffuses from the blood into tissue cells, but there is no net movement of CO2.

O2 diffuses from the blood into tissue cells, while CO2 diffuses from tissue cells into the blood.

A

O2 diffuses from the blood into tissue cells, while CO2 diffuses from tissue cells into the blood.

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19
Q

T/F The partial pressure of a gas can be measured in millimeters of mercury.

A

True

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20
Q

T/F At the venous end of tissue capillaries, there is no net movement of O2 and CO2 because an equilibrium has been reached.

A

True

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21
Q

Which of the following is not a function of the respiratory system?

Olfaction

Taste

Innate immunity

Voice production

Regulation of blood pH

A

Taste

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22
Q

Arrange the following structures in the order air passes through them during inhalation.

(1) alveolar ducts
(2) alveolus
(3) respiratory bronchiole
(4) terminal bronchiole

A

4, 3, 1, 2

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23
Q

Gas exchange between the air in the lungs and the blood takes place across the walls of the

A

alveoli

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24
Q

Expiration during quiet breathing

A

occurs when the diaphragm and external intercostal muscles relax.

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25
Q

For air to flow into or out of the lungs, there must be

A

a pressure gradient established between the atmosphere and the alveoli.

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26
Q

What type of alveolar cells produce surfactant?

A

Type II pneumocytes

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27
Q

Calculate the vital capacity of an individual with an inspiratory reserve volume of 3200 mL, a tidal volume of 525 mL, and an expiratory reserve volume of 900 mL.

A

4625 mL

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28
Q

A decrease in the surface area of the respiratory membrane will cause the rate of gas diffusion to

A

decrease

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29
Q

Arrange the following in order from highest to lowest PO2.

(1) PO2 of pulmonary veins
(2) PO2 of pulmonary artery
(3) PO2 of alveolar air

A

3, 1, 2

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30
Q

Most oxygen is carried in the blood ______, whereas most carbon dioxide is ________.

A

bound to hemoglobin; transported as bicarbonate

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31
Q

Rhythmicity of breathing involves

conscious effort and control.

stimulation of expiration; inspiration is a passive process.

the pontine respiratory group.

the pre-Bötzinger complex of the ventral respiratory group.

A

the pre-Bötzinger complex of the ventral respiratory group.

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32
Q

The Hering-Breuer reflex

A

helps prevent overinflation of the lungs.

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33
Q

A(n) ________ in blood CO2 levels causes a(n) _________ in blood pH, resulting in a(n) __________ in breathing rate.

A

increase; decrease; increase

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34
Q

Which of the following is not a respiratory adaptation to exercise training?

A

Increased minute ventilation after training

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35
Q

Which of the following is an effect of aging on the respiratory system?

A

Residual volume increases.

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36
Q

Check all that are a function of the respiratory system.

Respiration

Voice production

Hormone production

Regulation of blood pH

Nutrient absorption

Olfaction

Protection from microorganisms

A

Respiration

Voice production

Regulation of blood pH

Olfaction

Protection from microorganisms

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37
Q

Visible structure on the face

A

External nose

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38
Q

Extends from the nares to the choanae

A

Nasal cavity

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39
Q

Common opening for digestive and respiratory systems

A

Pharynx

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40
Q

Located posterior to the choanae and superior to the soft palate

A

Nasopharynx

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41
Q

Extends from the soft palate to the epiglottis

A

Oropharynx

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42
Q

Extends from the tip of the epiglottis to the esophagus

A

Laryngopharynx

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43
Q

Passageway for air; extends from the base of the tongue to the trachea

A

Larynx

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44
Q

Windpipe; membranous tube attached to the larynx

A

Trachea

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45
Q

Large, conical shaped organs of respiration

A

Lungs

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46
Q

Small, air-filled chambers for where gas exchange takes place

A

Alveoli

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47
Q

T/F The left lung has two lobes and right lung has three.

A

True

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48
Q

T/F The cardiac notch is located on the hilum.

A

False

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49
Q

T/F Each lobe is subdivided into bronchopulmonary segments.

A

True

50
Q

T/F The bronchopulmonary partitions in each lung are separated by connective tissue.

A

True

51
Q

T/F Bronchopulmonary segments are subdivided into lobes.

A

False

52
Q

Volume of air inspired or expired with each breath

A

Tidal volume

53
Q

Amount of air that can be inspired forcefully after normal inspiration

A

Inspiratory reserve volume

54
Q

Amount of air that can be forcefully expired after normal exhalation

A

Expiratory reserve volume

55
Q

Volume of air in the lungs after forceful expiration

A

Residual volume

56
Q

T/F The thinner the membrane, the more readily gas exchange occurs.

A

True

57
Q

T/F Oxygen diffuses into the venous ends of pulmonary capillaries.

A

False

58
Q

T/F A larger surface area allows for more gas exchange.

A

True

59
Q

T/F Gases diffuse from areas of lower partial pressure to higher partial pressure.

A

False

60
Q

At the lungs, carbon dioxide travels _____ the blood ____ the alveoli.

A

from; to

61
Q

Most oxygen transported in the blood is bound to __________.

A

hemoglobin

62
Q

The part of the ventral respiratory group that establishes the basic breathing pattern is called the _____________.

A

pre-Bötzinger complex

63
Q

Check all that are a function of the Hering-Breuer reflex.

Prevent overinflation of the lungs in adults

Regulate the basic rhythm of breathing in infants

Regulate the basic rhythm of breathing in adults

Prevent overinflation of the lungs in infants

A

Prevent overinflation of the lungs in adults

Regulate the basic rhythm of breathing in infants

Prevent overinflation of the lungs in infants

64
Q

Increase or decrease the respiratory rate:

Blood pH decreases

A

Increases respiratory rhythm

65
Q

Increase or decrease the respiratory rate:

Levels of CO2 in the blood increase

A

Increases respiratory rhythm

66
Q

Increase or decrease the respiratory rate:

Blood levels of hydrogen ions increase

A

Increases respiratory rhythm

67
Q

Increase or decrease the respiratory rate:

Blood pH increases

A

Decreases respiratory rhythm

68
Q

Increase or decrease the respiratory rate:

Blood levels of hydrogen ions decrease

A

Decreases respiratory rhythm

69
Q

T/F Ventilation increases gradually at the start of exercise.

A

False

70
Q

T/F Movement of skeletal muscles has a stimulatory effect on respiration.

A

True

71
Q

T/F The highest level of exercise that can occur without causing a change in blood pH is called the anaerobic threshold.

A

True

72
Q

T/F Changes in blood gases and blood pH are largely responsible for increasing ventilation during aerobic exercise.

A

False

73
Q

Select all that decrease as a result of aging.

Tidal volume

Residual volume

Vital capacity

Gas exchange

Dead space

Maximum ventilation rate

A

Vital capacity

Gas exchange

Maximum ventilation rate

74
Q

Indicate which muscles contract during inspiration and expiration.

Sternocleidomastoid

Abdominal muscles

Scalenes

Internal intercostals

Pectoralis minor

External intercostals

Diaphragm

A

Inspiration:

Sternocleidomastoid

Scalenes

Pectoralis minor

External intercostals

Diaphragm

Expiration:

Internal intercostals

Abdominal muscles

75
Q

When alveolar pressure is equal to atmospheric pressure, there is ____ air movement into or out of the lungs.

A

no change in

76
Q

When alveolar pressure is less than atmospheric pressure, air moves ____ the lungs.

A

into

77
Q

Alveolar pressure above atmospheric pressure results in air moving ____ the lungs.

A

out of

78
Q

As air moves into the lungs, alveolar pressure ____.

A

increases

79
Q

As air moves out of the lungs, alveolar pressure ____.

A

decreases

80
Q

Select all that are true regarding surfactant.

Surfactant is composed primarily of carbohydrate molecules.

Surfactant is produced by the ciliated pseudostratified columnar epithelium.

The surfactant molecules form a single layer on the surface of the thin fluid layer lining the alveoli, reducing surface tension.

The surface tension causing alveoli to recoil is much greater when surfactant is present.

Surfactant greatly reduces the tendency of the lungs to collapse.

A

The surfactant molecules form a single layer on the surface of the thin fluid layer lining the alveoli, reducing surface tension.

Surfactant greatly reduces the tendency of the lungs to collapse.

81
Q

The respiratory system can alter ____ by changing blood ____ levels.

A

blood pH; carbon dioxide

82
Q

Air movement past the vocal cords makes ____ possible.

A

voice production

83
Q

The sensation of ____ occurs when airborne molecules are drawn into the nasal cavity.

A

smell

84
Q

The respiratory system is involved in ____ by preventing microorganisms from entering the body and by removing them from respiratory surfaces.

A

innate immunity

85
Q

Put the following structures in order describing the movement of oxygen from inside the alveolus to the blood.

Basement membrane of capillary endothelium

Alveolar fluid

Pulmonary capillary endothelium

Interstitial space

Alveolar epithelium

Basement membrane of alveolar epithelium

A

Alveolar fluid

Alveolar epithelium

Basement membrane of alveolar epithelium

Interstitial space

Basement membrane of capillary endothelium

Pulmonary capillary endothelium

86
Q

Normally, the alveoli are in the expanded state because pleural pressure is ____ than alveolar pressure.

A

lower

87
Q

As the lungs ____, the visceral and parietal pleurae tend to be pulled apart.

A

recoil

88
Q

This pull ____ pressure in the pleural cavity.

A

decreases

89
Q

Classify the following as either decreasing gas exchange through the respiratory membrane or promoting gas exchange through the respiratory membrane.

Fluid accumulation in the alveoli

Decreased surface area
of respiratory membrane

PO2 in the blood is
40mm Hg and the PO2 in
the alveoli is 104mm Hg

PCO2 in the blood is
45mm Hg and the PCO2
in the alveoli is 40mm Hg

PCO2 in the blood is
40mm Hg and the PCO2
in the alveoli is 40mm Hg

Respiratory membrane is
very thin

A

Decrease gas exchange:

Fluid accumulation in the
alveoli

Decreased surface area
of respiratory membrane

PCO2 in the blood is
40mm Hg and the PCO2
in the alveoli is 40mm Hg

Promote gas exchange:

PO2 in the blood is
40mm Hg and the PO2 in
the alveoli is 104mm Hg

PCO2 in the blood is
45mm Hg and the PCO2
in the alveoli is 40mm Hg

Respiratory membrane is
very thin

90
Q

Place the following in order from the highest to the lowest values:

PO2 in tissue cells

PCO2 in the venous ends of pulmonary capillaries

PO2 in the alveoli

PO2 in the arterial ends of tissue capillaries

PCO2 in the alveoli

A

PO2 in the alveoli

PO2 in the arterial ends of tissue capillaries

PCO2 in the venous ends of pulmonary capillaries

PCO2 in the alveoli

PO2 in tissue cells

91
Q

The majority of the oxygen transported in the blood combines reversibly with a blood protein to form ____.

A

oxyhemoglobin

92
Q

At high PO₂, this protein ____ to oxygen, and at low PO₂, it ____ oxygen.

A

binds; releases

93
Q

About 1.5% of the oxygen remains dissolved in the ____.

A

plasma

94
Q

____ is transported in the blood in three ways.

A

Carbon dioxide

95
Q

About 7% is transported as dissolved gas in the ____.

A

plasma

96
Q

About 23% is transported in combination with blood proteins, primarily ____.

A

hemoglobin

97
Q

The majority of this gas is transported in the form of ____.

A

bicarbonate ions

98
Q

The ____ respiratory center consists of four respiratory groups, each forming a longitudinal column of cells located bilaterally in the dorsal and ventral regions of the ____.

A

medullary; medulla oblongata

99
Q

The ____ respiratory group is primarily responsible for stimulating contraction of the diaphragm. The ____ respiratory group is primarily responsible for stimulating the external intercostal, internal intercostal, and abdominal muscles.

A

dorsal; ventral

100
Q

The ____ respiratory group is a collection of neurons in the ____ and appears to play a role in switching between inspiration and expiration.

A

pontine; pons

101
Q

The ____ supports rhythmic respiratory movements by limiting the extent of inspiration.

A

Hering-Breuer reflex

102
Q

As the lungs fill with air, ____ located in the lungs are stimulated. Action potentials from these receptors are then sent to the ____, where they inhibit the respiratory center neurons and cause expiration.

A

stretch receptors; medulla oblongata

103
Q

In infants, this reflex plays an important role in regulating the basic rhythm of breathing and in preventing ____ of the lungs. In adults, this reflex is important only when the tidal volume is ____, as occurs during strenuous exercise.

A

overinflation; high

104
Q

At the onset of exercise, the rate of breathing immediately ____.

A

increases

105
Q

During exercise, action potentials in the motor pathways stimulate ____, and action potentials in the collateral fibers from these motor pathways stimulate the ____.

A

skeletal muscle contractions; respiratory center

106
Q

During exercise, body movements stimulate ____ in the joints of the limbs. Ultimately, these movements have a strong ____ influence on the respiratory center.

A

proprioceptors; stimulatory

107
Q

After athletic training, vital capacity ____ slightly, and residual volume ____ slightly. Tidal volume at rest and during standardized, submaximal exercise ____ . At maximal exercise, however, the tidal volume ____ . Increased efficiency of the respiratory system in response to training is evident because the respiratory rate at rest or during standardized submaximal exercise in trained individuals is slightly ____ ; however, at maximal exercise, their respiratory rate is usually ____

increases; decreases; lower; higher; does not change

A

increases; decreases; does not change; increases; lower; higher

108
Q

Vital capacity decreases with age because of reduced ability to fill the lungs (decreased inspiratory reserve volume) and to empty the lungs (decreased expiratory reserve volume).

A

decreases; (decreased inspiratory reserve volume); (decreased expiratory reserve volume).

109
Q

Residual volume increases with age as the alveolar ducts and many of the larger bronchioles increase in diameter. This increases the dead space, which decreases the amount of air available for gas exchange.

A

increases; increases; decreases

110
Q

In addition, gas exchange across the respiratory membrane declines because parts of the alveolar walls are lost, which decreases the surface area available for gas exchange, and the remaining walls thicken, which decreases the diffusion of gases. A gradual increase in resting tidal volume with age compensates for these changes.

A

decreases; decreases; tidal volume

111
Q

Procedure used to make an opening through the membrane between the cricoid and thyroid cartilages in order to insert a tube to establish an airway

A

Cricothyrotomy

112
Q

Procedure to make an opening into the trachea

A

Tracheostomy

113
Q

Insertion of a tube into an opening, a canal, or a hollow organ

A

Intubation

114
Q

T/F A pneumothorax is the introduction of air into the pleural cavity.

A

True

115
Q

T/F Asthma is characterized by abnormally increased constriction of the trachea and bronchi in response to various stimuli.

A

True

116
Q

T/F Contraction of smooth muscle increases airway diameter and decreases resistance to airflow.

A

False

117
Q

T/F The effects of inflammation and airway hyperactivity combine to cause airway obstruction.

A

True

118
Q

T/F Many cases of asthma appear to be associated with a chronic inflammatory response by the immune system.

A

True

119
Q

T/F In asthmatics, the number of immune cells in the bronchi decreases.

A

False

120
Q

Inflammation of the vocal folds is called ______.

A

laryngitis

121
Q

The portion of the pharynx that extends from the uvula to the epiglottis is called the ______.

A

oropharynx