Chapter 13 The Respiratory System Questions Flashcards

1
Q

What are the 4 basic steps of external respiration?

A
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2
Q

Factors Affecting Airway Resistance

  • Bronchoconstriction
    • What is this effect on airway resistance?
    • Factors Produce Bronchoconstriction
  • Bronchodilation
    • What is this effect on airway resistance?
    • Factors Produce Bronchodilation
A
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3
Q

What is happening at each #?

A
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4
Q

Opposing Forces Acting on the Lung

  • What are the two Forces Keeping Alveoli Open?
  • What are the two Forces Promoting Alveolar Collapse?
A

Opposing Forces Acting on the Lung

  • What are the two Forces Keeping Alveoli Open?
    • Transmural pressure gradient
    • Pulmonary surfactant (which opposes alveolar surface tension)
  • What are the two Forces Promoting Alveolar Collapse?
    • Elasticity of stretched elastin fibers in lung connective tissues
    • Alveolar surface tension
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5
Q

What are the 4 ways that the work of breathing may be increased?

A
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6
Q

What is happening at each number?

A
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7
Q

What are the 4 factors that influence the Rate of Gas Transfer Across the Alveolar–Capillary Membrane?

A
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8
Q

Factors That Influence the Rate of Gas Transfer Across the Alveolar–Capillary Membrane

  • Fill this table out
A
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9
Q

Carbon dioxide transport in the blood

Describe what is happening at each number and overall in this picture.

A
  • Carbon dioxide picked up at the tissue level is transported in the blood to the lungs in three ways:
    • (1) physically dissolved
    • (2) bound to hemoglobin (Hb), and
    • (3) as bicarbonate ion (HCO3-).
  • Hemoglobin is present only in the red blood cells, as is carbonic anhydrase, the enzyme that catalyzes the production of HCO3-.
  • The H+ generated during the production of HCO3- also binds to Hb. HCO3- moves by facilitated diffusion down its concentration gradient out of the red blood cell into the plasma, and chloride (Cl-) moves by means of the same passive carrier into the red blood cell down the electrical gradient created by the outward diffusion of HCO3-.
  • The reactions that occur at the tissue level are reversed at the pulmonary level, where CO2 diffuses out of the blood to enter the alveoli.
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10
Q

Methods of Transport in Blood for the following gasses:

  • O2
  • CO2

****Also list what percentage of each gas is in each form of transport

A
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11
Q

Breathing is accomplished by alternate contraction and relaxation of muscles within the lung tissue. (True or false?)

A

False

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12
Q

Explain how either poor perfusion or poor ventilation of the lungs may result in a “right to left shunt”

A
  • O2 needs a steep gradient than CO2 because it is less soluble in the membrane ie more oxygen required to diffuse through the membrane
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13
Q

Normally, the alveoli empty completely during maximal expiratory efforts. (True or false?)

A

False

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14
Q

Alveolar ventilation does not always increase when pulmonary ventilation increases. (True or false?)

A

True

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15
Q

O2 and CO2 have equal diffusion constants. (True or false?)

A

False

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16
Q

Hemoglobin has a higher affinity for O2 than for any other substance. (True or false?)

A

False

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17
Q

Rhythmicity of breathing is brought about by pacemaker activity displayed by the respiratory muscles. (True or false?)

A

False

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18
Q

The expiratory neurons send impulses to the motor neurons controlling the expiratory muscles during normal quiet breathing. (True or false?)

A

False

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19
Q
  • The two forces that tend to keep the alveoli open are _____ and _____.
A
  • The two forces that tend to keep the alveoli open are transmural pressure gradient and pulmonary surfactant action.
20
Q
  • The two forces that promote alveolar collapse are ____ and ____.
A
  • The two forces that promote alveolar collapse are pulmonary elasticity and alveolar surface tension.
21
Q
  • _____ is a measure of the magnitude of change in lung volume accomplished by a given change in the transmural pres- sure gradient.
A
  • Compliance is a measure of the magnitude of change in lung volume accomplished by a given change in the transmural pres- sure gradient.
22
Q
  • ______ is the phenomenon of the lungs snapping back to their resting size after having been stretched.
A
  • Elastic recoil is the phenomenon of the lungs snapping back to their resting size after having been stretched.
23
Q

____________ is the erythrocytic enzyme that catalyzes
​the conversion of CO2 into HCO2-.

A

Carbonic anhydrase is the erythrocytic enzyme that catalyzes
the conversion of CO2 into HCO2 -.

24
Q

Which of the following reactions take(s) place at the pulmonary capillaries?

A

A

25
Q

Indicate the O2 and CO2 partial pressure relationships important in gas exchange by circling > (greater than), < (less than), or = (equal to) as appropriate in each of the following statements

A
26
Q

Using the answer code on the right, indicate which chemoreceptors are being described:

A
  1. d,
  2. a,
  3. b,
  4. a,
  5. b,
  6. a
27
Q
  • Distinguish between cellular and external respiration.
A
28
Q
  1. Describe the components of the respiratory system.
  2. What is the site of gas exchange?
A
29
Q

Compare atmospheric, intra-alveolar, and intrapleural pressures.

A
30
Q

Why are the lungs normally stretched even during expiration?

A
31
Q

Explain why air enters the lungs during inspiration and leaves during expiration.

A
32
Q

Why is inspiration normally active and expiration normally passive?

A
33
Q

Why does airway resistance become an important determinant of air flow rates in chronic obstructive pulmonary disease?

A
34
Q

Explain pulmonary elasticity in terms of compliance and elastic recoil.

A
35
Q

State the source and function of pulmonary surfactant.

A
36
Q

Define the various lung volumes and capacities.

A
37
Q

Compare pulmonary and alveolar ventilation.

What is the consequence of anatomic and alveolar dead space?

A
38
Q

Compare ventilation, perfusion, and the ventilation– perfusion ratio at the top and the bottom of the lung.

Explain what accounts for these differences.

A
39
Q

What determines the partial pressures of a gas in the air and in blood?

A
40
Q

List the methods of O2 transport and CO2 transport in the blood.

A
41
Q

What is the primary factor that determines the percent hemoglobin saturation?

What are the significances of the plateau and the steep portions of the O2–Hb dissociation curve?

A
42
Q

How does hemoglobin promote the net transfer of O2 from the alveoli to the blood?

A
43
Q

Explain the Bohr and Haldane effects.

A
44
Q

Define the following

  • hypoxic hypoxia
  • anemic hypoxia
  • circulatory hypoxia
  • histotoxic hypoxia
  • hypercapnia
  • hypocapnia
  • hyperventilation
  • hypoventilation
  • hyperpnea
  • apnea
  • dyspnea.
A
45
Q

What are the locations and functions of the three respira- tory control centers?

Distinguish between the dorsal respiratory group (DRG) and the ventral respiratory group (VRG).

A
46
Q

What brain region establishes the rhythmicity of breathing?

A
47
Q
A