Surfactant, Compliance and Lung Function Tests Flashcards

1
Q

Type I alveolar wall cells

A

thin walled cells that permit gas exchange

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2
Q

Type II alveolar wall cells

A

secrete surfactant fluid

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3
Q

Surfactant

A

detergent-like fluid produced by alveolar type II cells

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4
Q

Surfactant function

A

reduced surface tension on alveolar surface membrane (therefore reducing the tendency for the alveoli to collapse)

increases lung compliance

reduced lung tendency to recoil

makes work of breathing easier

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5
Q

Surfactant is more effective in…

A

smaller alveoli

because surfactant molecules come closer together and therefore are more concentrated

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6
Q

Law of LaPlace

A

p = 2T/r

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7
Q

Surfactant production begins at

A

25 weeks gestation

complete at 36 weeks

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8
Q

Premature babies without surfactant can have

A

infant respiratory distress syndrome

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9
Q

Compliance

A

change in volume relative to change in pressure

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10
Q

High compliance is a

A

large increase in lung volume for a small decrease in ip pressure

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11
Q

Low compliance is a

A

small increase in lung volume for a large decrease in ip pressure

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12
Q

Pulmonary fibrosis

A

hardening

less compliance

inert fibrous tissues means effort of inspiration increases

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13
Q

emphysema

A

loss of elastic tissue means expiration requires effort

destruction of alveoli/ loss of elasticity

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14
Q

obstructive lung disease examples

A

emphysema

bronchitis

COPD

Influenza

Asthma

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15
Q

Fibrosis leads to a decrease in

A

compliance

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16
Q

obstructive lung disease

A

obstruction of air flow - especially on expiration

17
Q

restrictive lung disease

A

restriction of lung expansion

18
Q

Spirometry

static

A

measure the volume exhaled

19
Q

Spirometry

dynamic

A

measure the time taken to exhale a certain volume

20
Q

FEV 1 in healthy male

A

4 litres

21
Q

FVC in healthy male

A

5 litres

22
Q

FEV1 / FVC ratio

A

80%

23
Q

FEV1/FVC in obstructive disease ratio

A

lower

24
Q

FEV1/FVC in restrictive disease ratio

A

higher or the same

25
Q

Obstructive

A

rate at which air is exhaled is much slower

FVC (total expired volume) is also reduced

ratio is also reduced

26
Q

Alveolar Ventilation

A

volume available for exchange in the alveoli

27
Q

Pulmonary (minute) ventilation

A

product of tidal volume and respiratory frequency

28
Q

Compliance is determined by…

A

elastic forces

surface tension at the alveolar air-liquid interface

airway resistance

29
Q

Restrictive lung disease examples

A

pulmonary fibrosis

oedema

pneumothorax

infant respiratory distress syndrome