Physiology Book Notes Flashcards

(30 cards)

1
Q

in the airways, sympathetic adrenergic neurons activate ________ on bronchial smooth muscle, leading to their _______ and _______
activated by ______

A

B2 receptors
Relaxation and dilation
epinephrine

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2
Q

in the airways, parasympathetic cholinergic neurons activate _______ receptors, leading to _______ and _______ of airways

A

muscarinic receptors

contraction and constriction

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3
Q

pouchlike evaginations of the walls of the respiratory bronchioles, the alveolar ducts, and the alveolar sacs

A

alveoli

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4
Q

Type __ pneumocytes synthesize pulmonary surfactant

A

type II pneumocytes

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5
Q

changes in pulmonary arteriolar resistance are controlled mainly by

A

O2, a local factor

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6
Q

inspiratory reserve volume

A

additional volume that can be inspired above tidal volume (~3000mL)

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7
Q

expiratory reserve volume

A

additional volume that can be expired below tidal volume (~1200mL)

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8
Q

residual volume

A

volume of gas remaining in the lungs after a maximal forced expiration (~1200mL)

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9
Q

inspiratory capacity

A

composed of the tidal volume plus the inspiratory reserve volume

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10
Q

physiologic dead space

A

total volume of the lungs that does not participate i ngas exchange
includes anatomic dead space

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11
Q

minute ventilation

A

total rate of air movement into and out of the lungs

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12
Q

alveolar ventilation

A

total rate of air movement into and out of the lungs but correcting for the physiologic dead space

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13
Q

the higher the alveolar ventilation, the more ___ is pulled out of the blood and the lower the ____ and ____

A

CO2

PACO2 and PaCO2

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14
Q

if CO2 production doubles, like during strenuous exercise, the ventilation must

A

also double, sto maintain a constant PACO2

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15
Q

when alveolar ventilation is halved, the decrease in PAO2 will be slightly _____ than the increase in PACO2 due to the ______

A

slightly greater

respiratory exchange ratio of 0.8

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16
Q

FEV1 refers to

A

the volume of air that can be forcibly expired in the first second

17
Q

obstructive lung diseases, like asthma, COPD affect the FEV1/FVC ratio by

A

lowering both FEV1 and FVC

FEV1 is decreased more - increased RESISTANCE to expiratory air flow

18
Q

restrictive lung diseases, like fibrosis, affect the FEV1/FVC ratio by

A

lowers but FEV1 and FVC
FVC decreased more
FEV1/FVC ratio will be increased

19
Q

hysteresis accounts for the difference in lung volume during inspiration and expiration: lung volume is ______ during expiration than during inspiration

A

lung volume is greater during expiratino than during inspiration because compliance is higher during expiration than during inspiration

20
Q

when the volume of the lungs is at FRC, the collapsing pressure of the ____ and the expanding pressure of the ____ equally oppose each other

A

collapsing pressure of lungs

expandnig pressure of chest wall

21
Q

at volumes less than FRC, the collapsing pressure becomes ____ ____ the expanding pressure

A

the collapsing pressure becomes less than the expanding pressure
tendency to expand increases
airway pressure is negative

22
Q

at volumes greater than the FRC, the collapsing pressure becomes _____ ____ the expanding pressure

A

the collapsing pressure becomes greater than the expanding pressure
lung and chest-wall system wants to collapse
airway pressure is positive

23
Q

emphysema is associated with what change in compliance and why

A

loss of elastic fibers in the lungs, increasing the compliance
decreases collapsing force of lungs, increasing FRC

24
Q

due to their higher FRC, patients with emphysema tend to

A

breathe at higher lung volumes and have barrel-shaped chests

25
fibrosis is associated with what change in compliance and why
decreases compliance - due to being a restrictive disease (stiffening of lung tissues) tendency of lungs to collapse is greater than tendency of chest wall to expand new lower FRC is established
26
large alveoli have ____ collapsing pressure | small alveoli have ____ collapsing pressure
large have small collapsing while small have high collapsing pressure
27
surfactant has what effect on lung compliance
increases lung compliance, reducing work of expanding the lungs during inspiration
28
surfactant synthesis begins at week
24
29
infants born before 24 weeks will never have
surfactant
30
sites of highest airway resistance in the airways
medium-sized bronchi