Exam #3 Flashcards

(83 cards)

1
Q

What are the two pumps that the heart consists of?

A

i. Left side: Left atrium and left ventricle
ii. Right side: Right atrium and right ventricle

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2
Q

(a) What does the arteries do?
(b) What is the largest artery called?
(c) Name the arteries from largest to smallest.

A

(a) Carry blood away from the heart
(b) Aorta
(c) Arteries→ arterioles → capillaries

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3
Q

(a) What does the veins do?
(b) What is the largest vein called?
(c) Name the vein from smallest to largest.

A

(a) Carry blood towards the heart
(b) Superior and inferior vena cava
(c) capillaries → venules → vein

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4
Q

(a) What is the smallest of all blood vessels?
(b) How thick are the walls of these blood vessels?
(c) What is the function of the blood vessels?

A

(a) Capillaries
(b) Capillary walls are only one cell thick
(c) Site of exchange for: O2, CO2, nutrients, metabolic by-products

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5
Q

(a) What is the cardiac cycle?
(b) What is systole?
(c) What is diastole?
(d) The two __ contract simultaneously, followed by __ contraction (__ of a second later).
(e) T/F: When the atria are in systole, the ventricles are in diastole, and vice-versa.

A

(a) A repetitive pattern of contraction/relaxation of the heart muscles.
(b) Systole: the contraction phase
(c) Diastole: the relaxation phase
(d) atria, ventricular, 0.10
(e) T

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6
Q

Differentiate between the pulmonary circulaiton/circuit vs systemic circulation/circuit. Mention…
i. Which side of the heart the circulation originates.
ii. What type of blood it pumps and to where.
iii. What type of blood returns to which side of the heart, via what blood vessels.

A

a. The Pulmonary Circulation (or circuit)
i. Originates on the right side of the heart
ii. Pumps deoxygenated blood to lungs via pulmonary arteries.
iii. Returns oxygenated blood to the left side of the heart via pulmonary veins.

b. The Systemic Circulation (or circuit)
i. Originates on the left side of the heart.
ii. Pumps oxygenated blood to entire body via arteries.
iii. Returns deoxygenated blood (venous return blood) to the right side of the heart via veins.

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7
Q

(a) What are the components of blood?
(b) What is blood plasma composed of?
(c) What is the function of white blood cells?
(d) What is the function of platelets?
(e) What is the function of red blood cells?

A

(a) Blood plasma, WBCs, RBC, platelets
(b) Ions, proteins, hormones, mostly fluid
(c) Fight infection
(d) Involved in blood clotting
(e) Contain Hb (hemoglobin) which bind/transport oxygen

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8
Q

(a) What is hematocrit (Ht)?
(b) What is a major contributor to blood viscosity (thickness)?
(c) What is the average Ht of college female?
(d) What is the average Ht of college males?

A

(a) The percentage of whole blood that is composed of blood cells.
(b) The concentration of red blood cells (RBCs)
(c) Average Ht of college female: 38%
(d) Average Ht of college males: 42%

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9
Q

With chronic endurance (or aerobic training)…
(a) What occurs to the number of red blood cells?
(b) What occurs to blood plasma volume?

A

(a) There is a small increase in the number of red blood cells.
(b) There is a much greater increase (10-15%) in blood plasma volume.

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10
Q

What is the fick equation?

A

VO2max = Qmax x (A-V)O2 diff. max
- Qmax = HRmax x SVmax

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11
Q

What is the Total Peripheral Resistance (TPR) or Total Vascular Resistance (TVR) equation?

A

TPR = l x v/ r^4
- l = vessel length
- v = blood viscosity
- r = radius (of vessel)

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12
Q

What is the blood pressure (BP) equation?

A

BP = Q x TPR

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13
Q

What is the blood flow equation?
(a) What occurs to blood flow during exercise and why?

A

Blood flow = P1 - P2/TPR
- P1 - P2 = Pressure gradient
(a) ↑ blood flow during exercise primarily due to ↓ TPR and slight ↑ in BP

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14
Q

Trace how blood flows through the heart. Consider when blood get deoxygenated to oxygenated.

A

SVC + IVC → R Atria → R Ventricle → Pulmonary artery → Lungs → Pulmonary veins → L Atria → L Ventricle → Aorta

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15
Q

(a) What regulates heartrate (HR)? Where is it located?
(b) What are the 2 competing branches of the autonomic nervous system?

A

(a) Cardiovascular Control Center (CVCC), loacted in medulla oblongata
(b) ParaSNS and SNS

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16
Q

Answer the following for each system:
1. ParaSNS:
(a) Primary Points of Innervation:
(b) Primary Nerve:
(c) Neurotransmitter:
(d) When Para SNS dominates:

  1. SNS:
    (a) Primary Points of Innervation:
    (b) Primary Nerve:
    (c) Neurotransmitter:
A
  1. ParaSNS: “rest & digest”
    (a) Primary Points of Innervation: SA + AV nodes
    (b) Primary Nerve: Vagus nerve
    (c) Neurotransmitter: ACh
    (d) When Para SNS dominates: “Vagal tone”
  2. SNS: “fight or flight”
    (a) Primary Points of Innervation: SA + AV nodes, atria, ventricles, and septum
    (b) Primary Nerve: cardiac accelerator nerves
    (c) Neurotransmitter: Norepi
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17
Q

(a) What is the normal resting heartrate (RHR) for an untrained individual?
(b) What is the normal resting heartrate (RHR) for an aerobically well-trained individual?
(c) What is the term if RHR < 60 bpm?

(d) What is the term if RHR >100 bpm?
(e) What is intrinsic HR? What would be the HR for a healthy person?

A

(a) 60-100 bpm
(b) 30-50 bpm
(c) Bradycardia
(d) Tachycardia
(e) Intrinsic HR refers to the cardiac cell w/n the heart if ALL nerves were cut; 100 bpm

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18
Q

Considering the transition from rest to exercise…
(a) At rest, only a __ # of ___ and ___ are necessary to
sustain function.
(b) As exercise begins, cells need ___ and ___ too
(c) What are the two necessary major blood flow adjustments so that celluar needs are met?
(d) Working skeletal muscles receive _____ blood flow or ___ (% Q)
(e) Less active or inactive tissues receive __ or same amount of blood flow or ____ (% Q)

A

(a) small, Q, low VE (ventilatory rate)
(b) ↑Q, ↑VE
(c) ↑Q and redistribution of blood flow
(d) ↑, ↑
(e) ↓, ↓

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19
Q

During exercise…
(a) There’s an ___ blood flow to working muscles; also known as ___
(b) What are blood flow to working muscles regulated by (2)?
(c) What do local vasodilators do?
(d) What are a partial list of local vasodilators? Understand where they originate from.

A

(a) ↑, autoregulation or selective vasodilation
(b) Blood flow to working muscles regulated by:
i. O2 and nutrient needs of muscles, but more specifically…
ii. Exercise intensity and the number of motor units recruited (Type I → Type II)
(c) Local vasodilators promote relaxation of smooth muscles in arterioles → ↓ resistance to blood flow → ↑ blood flow.
(d) ↑[H+], ↓pH, ↑ temp, ↑PCO2, ↓PO2* (high altitude), ↑[nitric oxide]

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20
Q

(a) As one goes from rest to exercise, what do the changes in HR and BP during exercise reflect? (4)
(b) What does recovery from exercise depend on? (3)

A

(a) Changes in HR & BP during exercise reflect:
i. Exercise intensity & duration
ii. Environmental factors (hot, humid, cold, in, out, etc.)
iii. Type of exercise (related to body position)
iv. Emotional influences
(b) Recovery from exercise depends on:
i. Exercise intensity & duration
ii. Environmental factors (hot, humid, cold, in, out, etc.)
iii. The training status of the individual (UT or highly trained)

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21
Q

Distinguish what happens to the following circulatory responses during incremental exercise:

  1. Blood Pressure (BP)
    a. SBP
    b. DBP
    c. MAP (aka mean arterial pressure)
  2. Stroke Volume (SV)
    a. Untrained persons
    b. Highly-trained persons (aerobically)
  3. Cardiac Output (Q)
  4. Heartrate (HR)
  5. (A – V) O2 diff
A
  1. Blood Pressure (BP)
    a. SBP: ↑ all the way to VO2 max
    b. DBP: N/C
    c. MAP (aka mean arterial pressure): ↑ all the way to VO2 max
  2. Stroke Volume (SV)
    a. Untrained persons: ↑ to ~40% VO2max
    b. Highly-trained persons (aerobically): ↑ all the way to VO2 max
  3. Cardiac Output (Q)
    ↑ all the way to VO2 max
  4. Heartrate (HR)
    ↑ all the way to VO2 max *
    - UT individual may see ↑HR as SV ↑ to ~40%
    - Elite endurance athlete may see ↓HR max (allow for more blood to fill L ventricle)
  5. (A – V) O2 diff
    ↑ all the way to VO2 max
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22
Q

(a) Compare the Q, HR, & SV between an UT male vs. TR male at rest
(a) Compare the Q, HR, & SV between an UT female vs. TR female at max. exercise

A

(a) TR male has a slower HR but larger SV than an UT male at rest. But have the SAME Q at rest.
(b) TR female has a slower HR but larger SV than an UT female at max. exercise. Therefore, TR female has a larger Q than UT during max. exercise.

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23
Q

(a) What are the ways that blood flow is controlled during exercise? What do they mean?
(b) Explain the two ways the that blood flow is controlled extrinsically?
(c) Explain the one way the that blood flow is controlled intrinsically?
(d) What occurs to blood flow from exercise to rest?

A

(a) Extrinsic (blood flow controlled by factors outside of blood vessels) & intrinsic (blood flow controlled by blood vessels itself)

(b) Extrinsic Control of Blood Flow:
i. Endocrine system: During exercise, SNS activity ↑ → ↑ # epi/norepi released from the adrenal glands → ↑ HR & ↑ SV. (↑ blood flow)
ii. SNS innervation of arteriole smooth muscle: SNS innervates smooth muscle that makes up walls of arterioles. In the
transition from rest to exercise, there is an ↑ in SNS activity.
- As SNS activity ↑, arterial smooth muscle constricts, which leads to a ↓ in vessel diameter causing overall vasoconstriction, → ↓ blood flow.

(c) Intrinsic Control of Blood Flow:
i. Vasodilation due to local vasodilators → ↑ blood flow to working muscles

(d) Exercise → Rest:
↓ SNS activity & ↑ ParaSNS → overall vasodilation (from ↓ SNS activity) and ↑blood flow to all body tissues

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24
Q

(a) What is preload also known as?
(ai.) What does it represent?
(b) What is afterload also known as?
(bi.) What does this represent?
(bii.) What is the resistance of blood flow due to? (3)
(c) T/F: The LV must generate gretaer pressure than the amt. of afterload in order to eject blood from the heart.
(ci.) Therefore, what occurs to BP?

A

(a) Preload aka EDV (End-diastolic volume)
(ai.) Represents # blood in ventricles at end of ventricular diastole (relaxation phase) ; Determines the # of stretch on ventricular walls
(b) Afterload aka aortic pressure or MAP (Mean-arterial pressure)
(bi.) Represents # of resistance to blood being being ejected from L ventricle
(bii.) Resistance to blood flow could be due to:
1. Blood already in vessels from previous heart contraction
2. Vessel contraction due to SNS activity or disease
3. Blood viscosity

(c) T
(ci.) BP must ↑

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25
During exercise regarding the regualtion of Q, considering the Fick equation... (a) What are the factors that cause an increase in Q? (a) What are the factors that cause a decrease in Q?
(a) Increase in Q - ↑ HR due to: ↑ sympathetic nervous system - ↑ SV due to: ↑ Frank-starling (↑ stretch of heart)...→ ↑ EDV & ↑ contraction strength (from ↑ of SNS) (b) Decrease in Q - ↓ HR due to: ↑ parasympathetic nervous system - ↓ SV due to: ↑ MAP
26
(a) What are the 3 major factors to consider in regards to the regulation of SV during exercise? (b) What is the Frank-Starling Effect?
(a) 3 Major Factors to Consider: 1. Changes in end-diastolic volume (EDV) ~ 3 sub-factors to consider 2. Aortic Pressure 3. LV Contraction Strength (b) Frank-Starling Effect: ↑ VR → ↑ EDV → ↑ SV - The greater amt. of blood that can be returned to the heart, the greater the amt. of EDV & SV
27
What are the 3 sub-factors of end-diastolic volume when regulating SV?
1. Effects of venoconstriction on EDV 2. Effects of skeletal muscle pump on EDV 3. Effects of respiratory pump on EDV
28
In regards to the effects of venoconstriction on EDV... how does venoconstriction increase VR to increase EDV? - Consider what causes venoconstriction (rest → exercise) & what this does to venous pressure?
- Rest → exercise → ↑SNS activity → ↑# of Epi/NoE released → ↓ diameter of veins (venoconstriction) → ↑ pressure of blood within veins.... - ↑ venous pressure drives ↑ blood back to R atrium * All veins are under **lower pressure** compared to arteries *
29
In regards to the effects of skeletal muscle pump on EDV... (a) What is the skeletal muscle pump and how does it ↑EDV? (b) What do one-way valves do? (bi.) How would this relate to one with varicose veins? (c) What maximizes skeletal muscle pump activity post-exercise? Explain why this is important (active recovery)! (d) Is there a skeletal muscle pump during isometric contractions?
(a) Muscle contraction → rhythmic compression of veins → ↑ venous return blood → ↑ EDV * Between contractions, blood refills the blood vessels. This process is repeated with each repition (or contraction). (b) 1-way valves prevent blood flow away from heart (bi.) 1-way valves is open the other way, blue in appearance given O2 has been pulled away from the blood (c) Movement post-exercise maximizes skeletal muscle pump activity. - Active recovery or movement continually activatve skeletal muscle pump, allowing for blood to be pumped, clearing metabolic byproducts via lactate shuttle (d) No skeletal muscle pump during isometric contraction (no rthymic compression) vs. concentric/eccentric
30
(a) What is the relationship between pressure and volume? In regards to the effects of the respiratory pump on EDV... (b) How does the respiratory pump ↑ VR? Explain its significance with 1-way valves and active recovery.
(a) Inverse relationship; if volume ↑, then pressure ↓ and vice versa (b) Respiratory pump considers the thoracic cavity (TC) where the heart is nearly located and abdominal cavity (AC) ... - During inspiration, diaprhagm drops down = TC ↑ in vol & ↓ in pressure, whereas the AC ↓ in vol. & ↑ in pressure i. 1-way valves helps by keeping the blood in the abdominal cavity from flowing back down to the legs - During expiration, diaprhagm goes up = TC then ↓ in vol. & ↑ in pressure, where the AC ↑ in vol & ↓ in pressure - In general: creates a pressure gradient so that it moves blood from our lower limbs, into our midsection (abdomen to thoracic), thus active recovery play a role
31
Remember: (a) To eject blood, the __ pressure must be > aortic pressure. (b) Aortic pressure is aka.... (c) SV is ____ proportional to afterload (d) ↑ arteriole vasodilation during exercise due to ______ → ↑ blood flow to working muscles In regards to the effects of the aortic pressure on stroke volume... (e) In a healthy heart, the ↑ afterload during exercise countered by...
(a) LV (b) Afterload or MAP (mean-arterial pressure) (c) inversely ; the greater the afterload/resistance to flow, the smaller the SV (d) local vasodilatos (e) ↑ cardiac contractility due to ↑ SNS stimulation (↑Epi/NoE).
32
What are the two causes that effects the LV contraction on stroke volume?
1. Consider the effects of hormones during exercise * ↑ release of Epi/NoE → ↑ cardiac contractility by moving more extracellular calcium into cardiac muscle fiber. * ↑ # Ca 2+ → ↑ # x-bridge formation → ↑ # powerstrokes → ↑ # force produced. 2. Also during exercise: ↑ SNS stimulation of cardiac accelerator nerves (nerves that affect HR), which also releases ↑ # of Ca 2+
33
(a) From rest → exercise, what does the central command (higher brain centers) signal to set general CV response? (b) What is CV activity during exercise also regulated by? What is it also called? Where will it send its signals to? (bi.) List 4 of these afferent feedbacks and what it detects.
(a) During initial transition rest → exercise, Central Command signals **CV control center** which sets general CV response. (b) CV activity during exercise also regulated by **afferent feedback aka exercise pressor reflex** ; to CV control center (bi.) Afferent feedback: i. Heart mechanoreceptors detect changes in stretch in cardiac muscle fibers. ii. Muscle chemoreceptors detect changes in muscle metabolites (Potassium, lactate, lactic acid) iii. Muscle mechanoreceptors (GTO, muscle spindle) are sensitive to tension & stretch of movement. iv. Baroreceptors monitor changes in arterial blood pressure
34
Draw out a diagram regarding the summary of CV responses to exercise, leading to an ↑ in cardiac output & ↑ in blood flow to skeletal muscles
↑ Cardiac output... - deeper breathing → improved venous return (via skeletal muscle activity) → ↑ SV (also from metabolic vasodilation in muscles) - SNS → ↑ cardiac rate/HR & ↑ SV (also from metabolic vasodilation in muscles) ↑ Blood flow to skeletal muscles... - Skeletal muscle activity → metabolic vasodilation in muscles - Sympathetic vasoconstriction in viscera
35
(a) What is the primary purpose of respiratory (pulmonary) system? (b) What is the secondary purpose of respiratory (pulmonary) system?
(a) Primary purpose: i. Provides means of gas exchange between the atmosphere and body ii. Gas exchange occurs in two locations: - Alveoli and the capilaries that surround them (alveolar gas exchange) - Capillaries surrounding skeletal muscle (systemic gas exchange) (b) Secondary: Plays role in acid-base balance during heavy exercise - Ex: Bicarbonate buffer (H+ + HCO3- → H2CO3 → H2O + CO2)
36
(a) What is the ventilation (VE) equation? (ai.) Understand what each factor means in the equation. (b) What is the bicarbonate buffering equation? (c) What is the greatest stimulator of ventilation? (ci.) When VE increases, what happens to arterial PCO2? (cii.) When VE decreases, what happens to arterial PCO2?
(a) Ventilation (VE) = tidal volume (VT) x frequency (f) (ai.) VT = # of air inspired per breath ; F = # of breaths per min. (b) Bicarbonate Buffering: H+ + HCO3- ↔ H2CO3 ↔ H2O + CO2 (c) PCO2 in arterial blood (ci.) ↓ (breathed out) (cii.) ↑
37
List out an overview of respiration starting with with atmospheric air containing O2 moving into the lungs.
1. Atmospheric air containing O2 moving into the lungs 2. O2 moves into the lungs 3. Blood containing O2 gets transported 4. Once blood reaches the systemic cells, the O2 moves into the systemic cells via gas exchange 5. At the systemic cells, as O2 moves in, CO2 then moves into blood 6. Blood containg CO2 gets transported back to the heart and to the lungs 7. Within the lungs, alveolar gas exchange occurs where CO2 moves into the alveoli 8. CO2 is then expired out into atmospheric air
38
What are the two fucntional organziation/zone of the respiratory system? Distinguish what occurs in each zone.
1. Conducting zone - All structures leading to the respiratory zone - Warm, filters, humidifies air - NO gas exchange - Air trapped here known as "dead space ventilation" 2. Respiratory zone (at the alveoli) - Gas exchange (O2 & CO2)
39
(a) During alveolar gas exhange within the capillaries, between the R ventricle and L atrium, which has greatest [CO2]? (b) During alveolar gas exhange within the capillaries, between the R ventricle and L atrium, which has least [CO2]?
(a) R ventricle (b) L atrium
40
(a) What is the formula for Fick's Law of Gas Diffusion (b) What does each variable mean?
(a) Vgas = A/T x D x (P1-P2) (b) Variable: - A = Surface area of diffusion - T = Membrane thickness - D = diffusion coeffcient - (P1-P2) = pressure gradient between two areas
41
(a) What is airflow? (b) What is the equation for airflow? (c) What is the primary factor contributing to airway resistance? (d) List the 3 common examples of respiratory disfunction covered in class.
(a) Airflow: Air from atmosphere to aveoli, and back (Inspiration/expiration) (b) Airflow = P1-P2/airway resistance (c) Diameter of airways (d) Common examples of respiratory disfunction: 1. Asthma: can be caused by either or both of the following: - Contraction of smooth muscle of air passageways - Collection of mucous w/n air passageways 2. COPD: usually, a combination of two separate lung diseases: - Chronic bronchitis: Over prod. of mucous - Emphysema: decreased elastictiy of airways 3. Exercise induced asthma: tends to occur during or just after exercise. - Contraction of smooth muscle surrounding airways - Symptoms include wheezing &/or labored breathing - 10% of elite endurance athletes affected
42
(a) What is asthma? (b) What is COPD? (bi.) What occurs during inspiration for COPD? (bii.) What occurs during expiration for COPD? (c) What are some risk factors for COPD?
(a) Asthma: Temporary & reversible narrowing of airways (b) COPD (Chronic obstructive pulmonary disease): Constant narrowing of airways → ↑ airway resistance → ↓ expiratory airflow → ↑ # work for respiratory muscles → sensation of being short of breath (aka dsypnea). (bi.) Inspiration: Normal (bii.) Expiration: Labored (airways tend to collapse) (c) Risk factors: 1. Tobacco smoking 2. Family history of emphysema
43
(a) What moderate damage occurs to the lungs with COVID-19? (b) What severe damage occurs to the lungs with COVID-19? (c) Consider how this changes Fick's Law of Gas Diffusion?
(a) Capillaries leak fluid which collects in alveoli and space between alveolar wall and capillary wall → ↑ membrane thickness (b) Capillaries leak fluid which collects in alveoli and space between alveolar wall and capillary wall → ↑ membrane thickness .... - But also see the formstion of scar tissue within the walls of alveoli (c) **↓↓**Vgas = A/**↑↑**T x D x (P1-P2)
44
Distinguish the PO2 & PCO2 & its gradient in the following scenarios: (a) At rest: (i.) Arterial PO2 (ii.) PO2 (Tissue Fluid) (iii.) Gradient (iv.) PCO2 (Tissue Fluid) (v.) Arterial PCO2 (vi.) Gradient (b) During exercise (i.) Arterial PO2 (ii.) PO2 (Tissue Fluid) (iii.) Gradient (iv.) PCO2 (Tissue Fluid) (v.) Arterial PCO2 (vi.) Gradient (c) Why is there a small change in CO2 gradient between rest and during exercise? (d) Consider why there's a huge gradient bewteen arterial PO2 and PO2 in tissue fluid in both scenarios.
(a) At rest: (i.) Arterial PO2: 100mmHg (ii.) PO2 (Tissue Fluid): 40mmHg (iii.) Gradient: 60mmHg (iv.) PCO2 (Tissue Fluid): 46mmHg (v.) Arterial PCO2: 40mmHg (vi.) Gradient: 6mmHg (b) During exercise: (i.) Arterial PO2: 100mmHg (ii.) PO2 (Tissue Fluid): 20mmHg (or 2-3mmHg if intense) (iii.) Gradient: 80mmHg (or 98mmHg) (iv.) PCO2 (Tissue Fluid): 48mmHg (v.) Arterial PCO2: 40mmHg (vi.) Gradient: 8mmHg (c) CO2 has a different diffusion coefficient (D), which gas exchnage happens faster (easier) (d) O2 consumption within the tissue fluid as its used in Krebs, ETC, & Beta
45
(a) What is hemoglobin (Hb)? (ai.) How much O2 does each molecule of Hb can transport? (aii.) With 100% saturation, each molecule Hb transports...? (b) When O2 is bound to a Hb, what is it then called? Which portion of the Hb does the O2 bind to? (bi.) What percent of O2 traveling in blood is bound to Hb? (c) What is it called when Hb unbound to O2? Where would this Hb go to for O2 to be unleashed? (d) What does the # O2 transported in blood depend on? (e) What is the normal blood concentrations of Hb in men? (grams/liter of blood) (f) What is the normal blood concentrations of Hb in women? (grams/liter of blood) (g) Which gender is better at aerobic sport/activity and why?
(a) Hemoglobin (Hb): Protein found in red blood cells (RBCs) aka erythrocytes (ai.) 4 (aii.) 4 (b) Hb + O2 → Oxyhemoglobin ; oxygen bound to "heme" portion of Hb (bi.) 99% (c) Deoxyhemoglobin ; Hb travels to working muscle (where PO2 is low) as it utilizes O2 at ETC (d) # O2 transported in blood depends on [Blood hemoglobin] (e) 150 grams/liter of blood (f) 130 grams/liter of blood (g) Men as they cary more O2, so tend to be better at aerobic sport/activity
46
(a) What does the Oxyhemoglobin Dissociation Curve illustrate? (b) What does dissociation refer to in this case? (c) Combining O2 with Hb (alveolar capillaries) →.... (ci) Hb releasing O2 at body tissues →... Deoxyhemoglobin + O2 ↔ Oxyhemoglobin (d) What are the two factors that determine the direction of the reaction above?
(a) Illustrates relationship between PO2 and binding of O2 to Hb in blood (b) "Dissociation” refers the seperation of O2 from hemoglobin (c) Oxyhemoglobin (ci) Deoxyhemoglobin (d) Factors determining direction: 1. The partial pressure of O2 in blood (PO2) a. High PO2 drives rxn to the right (more oxyhemoglobin). b. Low PO2 drives rxn to the left (more O2 dropped off). 2. The affinity or “bond strength” between Hb and O2. Two related, local factors: a. ↓ pH b. ↑ temp.
47
(a) What are the four standard atmospheric condition that the oxyhemoglobin dissociation curve is dependent on? (b) Between ____ mmHg, arterial PO2 is well maintained. (bi.) What are two reasons as to why this is helpful? (c) If muscles are at rest are at PO2 of 40mmHg, what is the percent oxyhemoglobin saturation? In other words how much O2 molecule is dropped at the muscle and how many O2 molecule is still attached to Hb?
(a) Standard Atmospheric Conditions: 1. Assume barometric pressure = 760mmHg 2. Dry-air 3. Sea-level 4. 32°F (b) 90-100mmHg (bi) Helpful because: 1. Arterial PO2 ↓ as we age 2. Arterial PO2 ↓ at high altitude (c) 75% ; 1 molecule of O2 dropped off at muscle & 3 molecules of O2 remain bound to Hb.
48
(a) What is the Bohr effect? (ai.) How will the oxyhemoglobin dissociation curve shift? (aii.) How will an increase in pH affect the affinity between O2 and Hb? (b) How does an increase core temperature affect the oxyhemoglobin dissociation curve? How does increase in core temp. occur? (bi.) How will the oxyhemoglobin dissociation curve shift? * CONSIDER HOW THIS APPLIES TO WARMING UP!
(a) As pH decreases, Hb's affinity for O2 ↓, which means ↑ # of O2 is dropped off at working muscles (ai) Curve shifts down and to the right (aii.) It increase the affinity (thus making it harder for O2 to be dropped off) (b) Increase in core temp. (via ATP hydrolysis), ↓Hb's affinity for O2, which means ↑ # of O2 is dropped off at working muscles (bi) Curve shifts up and and to the left
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(a) What is 2-3 DPG (2-3 diphosphoglycerate) the product of? (ai.) What can 2-3 DPG combine with? What does this result in? (b) What are 2 causes of an increase in production of RBC [2-3 DPG]?
(a) Product of red blood cell metabolism (ai.) Can combine with Hb → lowers Hb's affinity for O2, which means ↑ amt. of O2 dropped off at working muscle (b) Production of RBC [2-3 DPG] increases due to: 1. Exposure to high altitude (% of gas is still the same, just further apart = ↓ pressure) 2. Anemia (low [Hb]); allowing for more O2 to be dropped off
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(a) What transports O2 in the muscle? What is it? (ai.) Where is it found? (b) T/F: Mb has a much greater affinity for O2 vs. Hb, but can transport only 1molecule of oxygen (c) What are its 2 functions?
(a) Myoglobin: an oxygen-binding protein (ai.) Cardiac and skeletal muscle fibers (b) T (c) Functions: 1. Transports O2 from sarcolemma to mitochondria (for ETC) ~ PO2 at mito is 1mmHg for ETC 2. Stores small amt. of O2 in muscle cells (used during transition from rest to exercise) ~ Restroration of this occurs w/n fast component of EPOC; TR athelts have ↑ [Mb], therefore O2 deficit time is shorter
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(a) What are the three modes that CO2 can transport in blood? (b) Can Hb transport both oxygen and carbon dioxide AT ONCE?
(a) Three modes of CO2 transport in Blood: 1. 10% travels in blood, dissolved in plasma 2. 20% bound to “globin” within Hb → carbaminohemoglobin 3. 70% becomes HCO3- → travels in blood plasma - CO2 + H2O ↔ H2CO3 ↔ H+ + HCO3- (b) Not typically
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Explain how CO2 transport in blood occurs from: working tissue → blood
1. There's a pressure gradient bwteen the working tissue and blood as there's ↑ PCO2 in the working tissue/tissue cells and ↓ in PCO2 within (blood) plasma 2. Gas exhange takes place between working muscle cells and the capillaries that surround them i. 10% CO2 dissolved in plasma ii. 20% CO2 combined with Hb to form carbaminohemoglobin iii. 70% CO2 enters RBC to form carbonic acid (+ H2O) → H+ + HCO3- ~ HCO3- leaves the RBC and is replaced with Cl- (Chloride shift) ~ H+ combines with Hb 3. After gas exchange, this blood becomes part of the venous return
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Explain how CO2 transport in blood occurs from: blood → alveoli
1. There's a pressure gradient bewteen the alveoli and blood as there's ↓ PCO2 in the alveoli and ↑ in PCO2 within (blood) plasma 2. Gas exhange takes place between alveoli and the capillaries that surround them i. CO2 dissolved in plasma enters alveoli ii. CO2 bound to carbaminohemoglobin dissociates and enter alveoli iii. Cl- leaves RBC and HCO3- reenters (Reverse Cl- shift), combining with H+ to form H2CO3 → H2O + CO2 ~ CO2 leaves RBC and enters the alveoli 3. After gas exchange, this blood returns to the L side of heart for systemic circulation, CO2 that enters alveoli gets exhaled out
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(a) What are respiratory muscles? (ai.) What muscle fiber type is it most similar to? (b) What type of training may see improvements in? (bi.) What type of adaptations occur? (bii.) How does exercise intensity affect the workload on these muscles? (c) Which type of exercise can cause a fatigue in the respiratory muscles?
(a) Repsiratory muscles: A type of skeletal msucle (ai.) Type I muscle fibers (b) Chronic endurance training (bi.) ↑ mito. density, ↑ oxidative capacity, ↑ capillary density, ↑[Mb], ↑ buffering capacity (bii.) ↑ exercise intensity → ↑ pulmonary ventilation → ↑ workload on respiratory muscles (c) Respiratory muscles can fatigue during exercise: 1. Prolonged moderate-intensity: 120+ minutes 2. Very heavy exercise (80-100% VO2 max): ~ 10 minutes
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(a) What is the primary drive for the higher brain centers/"central command" to send signals to the respiartory control center during exercise? (b) Where is the respiratory control center located? (c) What are the 3 receptors that send signals to the respiratory control center? What do they each detech (ci.) Which act to fine tune ventilation during exercise? (d) What is the response from the respiratory control center?
(a) Primary drive to increase ventilation during exercise (b) Medulla oblongata (c) Receptors: i. Peripheral chemoreceptors: - Aortic bodies (in aortic arch): detect ↑PCO2, ↓pH - Carotid bodies (in carotid arteries): ↑PCO2, ↑[H+], *↓PCO2 @ high altitude ii. Skeletal muscle - Chemoreceptors: detect ↑[K], ↑[H+] - Mechanoreceptors: Muscle spindle (stretch), GTO (tension) iii. Signals from stretch receptors in lungs, limit depth of inspiration (ci.) Peripheral chemoreceptors & chemoreceptors in skeletal muscle (d) Respiratory muscle work to increase ventilation
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Fine-tuning respiratory control: Know the stimulus for the following receptor and how it will control breathing... (a) Chemoreceptors located in medulla oblongata (central chemoreceptor) Stimulus: Response: (b) Carotid body (peripheral chemoreceptor) Stimulus: Response: (c) Aortic body (peripheral chemoreceptor) Stimulus: Response: (d) Muscle mechanoreceptors Stimulus: Response: (e) Muscle chemoreceptors (also called muscle metaboreceptors) Stimulus: Response:
(a) Chemoreceptors located in medulla oblongata (central chemoreceptor) Stimulus: ↑ PCO2 (leads to ↑[H+] or ↓pH) Response: Central chemoreceptors are sensitive to changes in pH of the cerebrospinal fluid. An increase in arterial PCO2 results in diffusion of CO2 from the blood into the brain; this lowers pH and stimulates the central chemoreceptor to send signals to the respiratory control center to increase breathing. This results in increased alveolar ventilation and the elimination of CO2. (b) Carotid body (peripheral chemoreceptor) Stimulus: ↑PCO2, ↓pH, ↓PO2 (only at altiude) Response: The carotid body is sensitive to changes in arterial PO2, PCO2, and pH. An increase in arterial PCO2 stimulates the carotid bodies to send signals to the respiratory control center to increase breathing. Similarly, a decrease in either arterial pH and PO2 stimulates the carotid bodies to send signals to the respiratory control center to increase ventilation. (c) Aortic body (peripheral chemoreceptor) Stimulus: ↑PCO2, ↓pH Response: The aortic body is sensitive to changes in arterial PCO2, and pH. Increased arterial PCO2 or a decrease in blood pH stimulates the aortic body to send signals to the respiratory control center to increase breathing. (d) Muscle mechanoreceptors Stimulus: ↑ Muscle contractile activity Response: Skeletal muscle contains several mechanoreceptors (e.g., muscle spindle and Golgi tendon organ). Muscle contractile activity stimulates these receptors to send neural signals to the respiratory control center to increase breathing in direct proportion to the exercise intensity. (e) Muscle chemoreceptors (also called muscle metaboreceptors) Stimulus: ↓pH, ↑ Potassium (K) Response: Skeletal muscle contains chemoreceptors that are sensitive to chemical changes inside and around the muscle fibers. Exercise can decrease muscle pH and increase extracellular potassium concentration; this stimulates these chemoreceptors to send neural signals to the respiratory control center to increase breathing.
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(a) What is Dalton's Law? (b) What is the composition of atmospheric air? (c) What is the barometric pressure (at sea level)? (d) Know the partial pressure of gases making up atmospheric air and how to find it.
(a) Dalton's Law: Total pressure of a gas mixture = Sum of pressures of each gas in the mixture (b) Composition of atmospheric air: - Oxygen = 20.93% - Nitrogen = 79.04% - CO2 = 0.03% (c) 760mmHg
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(a) Find the partial pressure of gases making up the atmoshperic air @ sea level. Show work. (MUST KNOW THE **COMPOSITION OF ATMOSPHERIC AIR** AND **BAROMETRIC PRESSURE mmHG**) i. Oxygen ii. Nitrogen iii. CO2 (b) What is the airflow equation? (bi.) What happens to gradients (P1-P2) as altitiude (above sea level) increases? (bii.) How would this then impact rates of gas diffusion?
(a) MUST KNOW: Composition of atmospheric air: - Oxygen = 20.93% - Nitrogen = 79.04% - CO2 = 0.03% Barometric pressure at sea level: 760mmHg i. Oxygen: .2093 x 760mmHg = 159 mmHg ii. Nitrogen .7904 x 760mmHg = 600.7mmHg iii. CO2: .0003 x 760mmHg = 0.23mmHg (b) Airflow = P1-P2/resistance to airflow* (*diameter of air passageway) (bi) Rate of airflow decreases as P1-P2 decreases (bii) Smaller gradient leads to a slower and less diffusion
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(a) What are ions? (ai.) What are cations? (aii.) What are anions? (b) What are acids? Provide an example. (c) What are bases? Provide an example.
(a) Ions: Any atom that has **gained** or **lost** electrons (a small atom that revolves around the outer circle of a nucleus) (ai.) Cations: Lost electrons. Overall, have a + charge (aii.) Anions: Gained electrons. Overall, have a - charge (b) Acids: Molecules that release H+ into solution, which causes the solution to become more acidic - EX: Lactic acid → Lactate + H+ (c) Bases: Molecules that take up or combine with H+, which removes the H+ from solution, which causes the solution to become more basic or alkalytic - EX: HCO3- + H+ → H2CO3 → H2O + CO2
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(a) What is meant by “pH”? (b) Concentration of H+s is expressed with pH values on a scale from ___________ to ___________. (c) Solutions with a pH under 7.0 are considered to be...? (ci.) Solutions with a pH over 7.0 are considered to be...? (d) What does pure water have a pH of? What is it considered? (e) A neutral solution has equal concentration of what? (f) Normal pH of arterial blood is ___________, +/- 0.05, so the normal range is between _______ and _______.
(a) A quantitative measure of acidity or alkalinity (b) 0 to 14 (c) Acidic (ci.) Basic or alkalytic (d) 7.0 ; neutral (e) OH- & H+ (f) 7.4 ; 7.35 to 7.45
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In the pH value: (a) Acidic solution have H+ that is ____ than OH- (ai.) What does this mean for pH? (b) Basic solution have H+ that is ____ than OH- (bi.) What does this mean for pH?
(a) > (ai.) Decrease in pH (b) < (bi.) Increase in pH
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(a) What is acidosis the result of? What is this due to? (ai.) What happens to pH? (b) What is alkalosis the result of? What is this due to? (bi.) What happens to pH?
(a) ↑ concentration of H+ due to: - Accumulation of acids OR - Loses of bases (ai.) pH drops (down the pH scale) (b) ↓ concentration of H+ due to: - Loss of acids OR - Accumulation of bases (bi.) pH rises (up the pH scale)
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(a) What are the 3 primary sources of H+ in the working skeletal muscle? (b) Out of the three sources, which produces more of a balance? Explain how. (c) When [H+] ↑ in the working muscle, what happens to pH?
(a) Primary Sources of H+ in Working Skeletal Muscles: 1. Aerobic metabolism of CHO, FATS, & proteins produces CO2 (via slow glycolysis or Beta-ox → Krebs), which combines with H2O to form H2CO3, which dissociates into H+ & HCO3-. 2. Fast (or anaerobic) glycolysis produces lactic acid, which dissociates into H+ & lactate. 3. As exercise intensity ↑ , do rates of ATP hydrolysis, which releases greater quantities of H+ into the cellular environment. (b) ATP hydrolysis as it produces OH- , providing a balance. (c) pH ↓
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(a) What type of exercise can create significant quantities of H+? (b) How can this impact performance (fatigue)?
(a) High-intensity muscle contractions lasting > 45 seconds (b) Fatigue: 1. ↑ [H+]: inhibits rate-limiting enzymes in aerobic & anaerobic ATP-producing pathways. The result can be fatigue related to slowing speed of contraction 2. H+ competes with Ca2+ for binding sites on troponin → ↓ # of x-bridges formed → ↓ # of powerstrokes → ↓ # of force produced = fatigue.
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(a) What does buffering refer to? (b) What are buffers? (bi.) What do buffers do when pH is more acidic? (bii.) What do buffers do when pH is more basic? (c) What do the ability of buffers depend on? (d) What type of training imrpoves buffering capacity?
(a) Buffering refers to chemical reactions that minimize change in pH. (b) Buffers: Chemical and physiological mechanisms that help maintain pH. (bi.) Buffers remove hydrogen ions when ↑ [H+] (more acidic) (bii.) Buffers release hydrogen ions when ↓ [H+] (more basic) (c) Ability of buffers to resist changes in pH depends upon: - [Buffer]; the greater the concentration, the greater the ability to resist change in pH (better ability to maintain pH) - Type of buffer: Some buffers are better able to maintain pH vs. others. (d) Interval training
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(a) What are intracellular buffers and where are they located? (b) What are the two categories of intracellular buffers? Where are these located?
(a) Intracellular buffers are the first line of defense when pH decreases, loacted w/n the muscle cell (buffers pH first) (b) Two Categories: 1. Chemical buffers (within sarcoplasm) 2. Hydrogen ion transporters (embedded within the sarcolemma) a. Move hydrogen ions from inside muscle fiber into interstitial space outside of muscle cells
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What are the two ways that chemical intracellular buffers work?
(Chemical) Intracellular buffers work in two ways: 1. Make strong acids less likely to release H+ into sarcoplasm a. Examples: Bicarbonates and phosphates, including bicarbonate. ~ Bicarbonate is primarily produced in: Stomach, prancreas, and kidneys 2. Pick up (remove) H+ from sarcoplasm, making it less acidic. ~ Will transport H+ out of the muscle cell, maintaining pH w/n the muscle cell
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(a) What are the two hydrogen ion transporters that are part of the intracellular buffer systems? (b) Which transporter play a role in lactate shuttle? Explain what that lactate can become.
(a) Hydrogen ion transporters in sarcolemma (all require energy): 1. Sodium-Hydrogen Exchanger (NHE) a. Moves one Na+ into muscle cell for every H+ moved out of the cell. 2. Monocarboxylate Transporters (MCT) a. Co-transports one H+ and one lactate out of muscle cell. (b) Monocarboxylate Transporters (MCT); As lactate moves out of the muscle cell, the lactate can be shuttled to various parts of the body via lactate shuttle... 1. 70% oxidized by Type I fibers in heart & within the same or nearby skeletal muscles 2. 20% → liver → glucose, via the process known as gluconeogenesis 3. 10 % → liver where it is synthesized into various amino acids (can also produce substrates from the kreb cycle)
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(a) Where are extracellular buffer systems located? (b) What are the three extracellular buffer systems?
(a) Blood (b) 3 principal buffer systems: 1. Blood proteins: Found in small quantities; not very effective during heavy exercise. 2. Hemoglobin (Hb): Found in great quantities. 6 times more effective than other blood proteins, especially in the form of deoxyhemoglobin. ~ Once Hb drops off O2 at the working muscle, deoxyhemoglobin will then pick up CO2 at the working muscle 3. Bicarbonate (HCO3-): The most important extracellular buffer. ~ A tyep of metabolic compensation: various products of metabolism is used to maintain pH w/n a normal range (7.35-7.45)
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(a) What is respiratory ventilation and acid-base balance together also known as? (b) Since H+ (from lactic acid) can't be exhaled, what must it be converted to? Via what? (c) How does the respiratory system provide the rapid means of regulating blood pH? Consider the bicarbonate buffer: H+ and HCO3- ↔ H2CO3 ↔ H2O and CO2 (d) When [H+] ↑, formation of H2CO3 ___, and so does the formation of CO2 in blood (e) ↑ PCO2 stimulates ventilatory rate to.... (f) As blood CO2 levels decrease, so does.... *CONSIDER POINTS (E) & (F) IF ONE WAS TO HAVE A BREAK BETWEEN A GAME
(a) Respiratory compensation (b) CO2, via the bicarbonate buffering system (HCO3- + H+ → H2CO3 → H2O + CO2) (c) Human respiratory system provides a rapid means of regulating blood pH by controlling # of CO2 in the blood (d) ↑ (one end of the buffer must also be the same for the other end) (e) ↑ (to get rid of it) (f) Ventilatory rate
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(a) What do the kidneys do in relation to blood pH/acid-base balance? (b) Kidneys help control ____ acid-base balance, but kidney responses can take ____ to _____ affect change. (c) Do the kidneys play a significant role in acid-base balance during exercise. What does the body more so rely on?
(a) Kidneys alter the of HCO3- being released into circulating blood, depending on blood pH. (b) Long-term, hours to days (c) NO! Body relies more on respiratory compensation & acid base balance & metabolic compensation
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Distinguish the range for the following factors/variables? **(ONLY KNOW pH for the exam)** i. pH - Normal range - Acidic - Basic ii. PCO2 (respiratory variable) - Normal range - Acidic - Basic iii. HCO3- (metabolic variable) - Normal range - Acidic - Basic
i. pH - Normal range: 7.35-7.45 - Acidic: < 7.35 - Basic: > 7.45 ii. PCO2 (respiratory variable) - Normal range: 45-35 - Acidic: >45 (↑CO2 = ↑[H+]) - Basic: < 35 iii. HCO3- (metabolic variable) - Normal range: 22-26 - Acidic: < 22 - Basic: > 26
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Identify two conditions (or diseases) that lead to metabolic acidosis.
Metabolic acidosis occurs due to a gain in the amount of acid in the body. Indeed, even relatively small changes in arterial pH can have a significant negative effect on organ function. A number of conditions and disease states can promote metabolic acidosis: 1. For example, long-term starvation (i.e., several days without food) can result in metabolic acidosis due to the production of ketoacids in the body as a by-product of high levels of fat metabolism. In extreme circumstances, the type of metabolic acidosis can result in death. 2. Diabetes is a common metabolic disease that promotes metabolic acidosis. Uncontrolled diabetes can result in a form of metabolic acidosis called diabetic ketoacidosis. Similar to starvation-induced acidosis, this form of acidosis is also due to the overproduction of ketoacids due to high levels of fat metabolism. Worldwide, numerous deaths occur each year from this form of acidosis.
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Identify two conditions (or diseases) that lead to metabolic alkalosis.
Metabolic alkalosis results from a loss of acids from the body: 1. Conditions leading to metabolic alkalosis include severe **vomiting** and **diseases such as kidney disorders** that result in a loss of acids. In both of these circumstances, the loss of acids results in an overabundance of bases in the body, leading to metabolic alkalosis
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The amount of hydrogen ions produced during exercise is dependent on which three variables (or factors)?
1. The exercise intensity 2. The amount of muscle mass involved 3. The duration of the exercise
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What are the first and second lines of defense against acid production during exercise? Provide two examples of each and how they impact acid-base balance during exercise.
1. The first line of defense against exercise-induced acidosis resides in the muscle fiber (i.e., bicarbonate, phosphate, and protein buffers). However, because the muscle fiber’s buffering capacity is limited, additional buffer systems are required to protect the body against exercise-induced acidosis. 2. In this regard, the second line of defense against pH shifts during exercise is the blood buffer systems (i.e., bicarbonate, phosphate, and protein buffers including hemoglobin). Importantly, an increase in pulmonary ventilation during intense exercise assists in eliminating carbonic acid by “blowing off carbon dioxide.” This respiratory compensation to exercise-induced acidosis plays an important role against pH change during intense exercise. Together, these first and second lines of defense protect the body against exercise-induced acidosis.
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What is meant by the term bulk flow? (Consider the lungs and atmospheric pressure during inspiration and expiration)
Movement of air from the environment to the lungs is called pulmonary ventilation and occurs via a process known as bulk flow. **Bulk flow refers to the movement of molecules along a passageway due to a pressure difference between the two ends of the passageway**. Thus, inspiration occurs due to the pressure in the lungs (intrapulmonary) being reduced below atmospheric pressure. Conversely, expiration occurs when the pressure within the lungs exceeds atmospheric pressure.
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What is the most important muscle of inspiration?
Diaphragm
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Consider inspiration and expiration, during rest and exercise. Are these processes active or passive?
Inspiration is active during rest and exercise as muscles have to contract to draw air in. At rest, expiration is passive. However, during exercise, expiration becomes active, using muscles located in the abdominal wall (e.g., rectus abdominus and external oblique).
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What is anatomical dead space?
Note that not all of the air that passes the lips reaches the alveolar gas compartment where gas exchange occurs. Part of each breath remains in conducting airways (trachea, bronchi, etc.) and thus does not participate in gas exchange. This “unused” ventilation is called dead space ventilation (VD), and the space it occupies is known as anatomical dead space.
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During exercise, how is breathing different between women and men?
Women have smaller airways compared to men... 1. This is important because a smaller airway results in a greater resistance to airflow, which could **limit the maximal ventilatory capacity during high intensity exercise**. 2. Because women have smaller airways, the energy requirement for breathing during exercise is higher in women compared to men. This is significant because an **increased work of breathing can accelerate the respiratory muscle fatigue** that occurs during prolonged or high-intensity exercise. 3. A growing number of studies suggest that **elite female endurance athletes are more likely to experience exercise-induced hypoxemia** than their male counterparts. It is unclear if the increased incidence of exercise-induced hypoxemia in elite female endurance athletes is due to differences in airway diameter between the sexes.
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The amount of gas moved per breath is known as?
Tidal volume
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What is the enzyme associated with combining carbon dioxide and water?
Carbonic anhydrase