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Respiratory system

1.

Air moves into the lungs because

The gas pressure in the lungs becomes less than outside pressure as the diaphragm contracts

2.

Alveolar ventilation rate is

the movement of air into and out of the alveoli during a particular time

3.

hemoglobin has a tendency to release oxygen where

pH is more acidic

4.

in the alveoli, the partial pressure of oxygen is

about 104 mmHg

5.

tidal volume + inspiratory reserve volume is equal to

inspiratory capacity

6.

the elastic cartilage that shields the opening of the larynx during swallowing is the

epiglottis

7.

the movement of air into and out of the lungs is called

pulmonary ventilation

8.

type of tissue that lines the trachea

pseudostratified columnar epithelium

9.

which respiratory measurement is normally the greatest

vital capactiy

10.

which respirator structure has the smallest diameter

alveoli

11.

involuntary hyperventilation during anxiety attack may cause the person to become faint due to

lowering CO2 levels in the blood and consequent constriction of cerebral blood vessels

12.

the terms that describes the increase in depth and force of breathing that occurs during vigorous exercise

hyperventilation

13.

about 20% of carbon dioxide is transported in the blood as

dissolved gas in the plasma

14.

which of the following controls respiratory rate

medula oblongata

15.

3 factors influencing external respiration

partial pressure gradients and gas solubility

thickness and surface area of the respiratory membrane

ventilation- perfusion coupling

16.

the loudness of a person's voice depends on

the force with which air rushes across the vocal folds

17.

the walls of the alveoli are composed of two types of cells, type I and type II. the function of type II is

to secrete surfactant

18.

intrapulmonary pressure is the

pressure withing the alveoli of the lungs

19.

surfactant helps to prevent the alveoli from collapsing by

interfering with the cohesiveness of water molecules, thereby reducing the surface tension of alveolar fluid

20.

with the bohr effect, more oxygen is released because

a decrease in pH weakens the hemoglobin-oxygen bond

21.

the most powerful respiratory stimulus for breathing in a health person is

increase of carbon dioxide

22.

Nerve impulses from___will result in inspiration

the ventral respiratory group

23.

another name for the inflation reflex is

hering-Breuer

24.

tidal volume is

normal breathing

25.

the lung volume that represents the total volume of exchangeable air is the

vital capacity

26.

since the lungs are filled with fluid during fetal life, which of the following statements is true regarding respiratory exchange

respiratory exchanges are made through the placenta

27.

respiratory control centers are located in the

medulla and pons

28.

the amount of air that can be inspired above the tidal volume is called

inspiratory reserve air

29.

Its accumulation in the blood is associated with a decrease in pH

true

30.

more of CO2 dissolves in the blood plasma than is carried in the RBCs

false

31.

Its concentration in the blood is decreased by hyperventilation

true

32.

CO2 concentrations are greater in venous blood than arterial blood

true

33.

oxygen and carbon dioxide are exchanged in the lungs and through all cell membranes by

diffusion

34.

inspiratory capacity is

the total amount of air that can be inspired after a tidal expiration

IC = TV + IRV

35.

total lung capacity is the sum of inspiratory capacity and expiratory reserve volume

false

36.

the functions of the larynx are

To provide a patent airway

to act as a switching mechanism to route air and food into the proper channels

to function in voice production

37.

Lung compliance is determined by distensibility of the lung tissue, resilience of surrounding thoracic cage and surface tension of the alveoli

true

38.

the volume of air that stays in the respiratory tube that does not reach to alveoli with each breath is

anatomical dead space

39.

transpulmonary pressure - difference between the intrapulmonary and intrapleural pressures (Ppul - Pip)

true

40.

Which of the following is the most common complication of premature birth

infant respiratory distress syndrome

41.

internal respiration is the gas exchange between pulmonary blood vessels and lung tissues

false

42.

breathing air into and out of the lungs is called

external breathing

43.

which respiratory measurement is normally about 1200ml?

expiratory reserve volume

44.

alveolar type I cells permit exchange of gases by simple diffusion

true

45.

which respiratory measurement is normally the smallest

tidal volume

46.

surface tension of alveolar fluid draws alveoli to their smallest possible size

true

47.

which of the following statement is incorrect

none of the above is incorrect

48.

the point of tracheal division is called

carina

49.

the elastic cartilage that shields the opening to the larynx during swallowing is the

epiglottis

50.

to auscultate to aortic semilunar valve, you would place your stethoscope in the

second intercostal space to the left of the sternum

51.

surfactant helps to prevent the alveoli from collapsing by interfering with the cohesiveness of water molecules, thereby reducing the surface tension of the aveolar fluid

true

52.

four processes that helps the respiratory system supply the body with oxygen and dispose carbon dioxide

Pulmonary ventilation - air moves in and out of lungs

external respiration - oxygen diffuses from lungs to blood and CO2 diffuses from blood to lungs

transport of respiratory gases- O2 from lungs to tissue cells, CO2 from tissue cells to lungs

Internal respiration - O2 from blood to tissue, O2 from tissue cells to blood

53.

upper respiratory and lower respiratory

upper respiratory consist of structures from the nose to the larynx

lower respiratory consist of structures from the larynx and all structures below it

54.

The nose and paranasal sinuses

provides airway for respiration

moistens and warms entering air

filters and cleans inspired air

serves as a resonating chamber for speech

houses the olfactory receptors

55.

The pharynx

connects the nasal cavity and mouth superiorly to the larynx and esophagus. divided into three regions: nasopharynx, oropharynx, laryngopharynx

56.

nasopharynx

it serves only as an air passageway. pseudostratified ciliated epithelium.

pharyngeal tonsil - traps and destroys pathogens entering the nasopharynx in air

57.

oropharynx

swallowed food and inhaled air pass through it. stratified squamous epithelium

58.

laryngopharynx

serves as a passageway for food and air. stratified squamous epithelium

59.

respiratory zone

site of gas exchange

60.

conducting zone

consist of respiratory passageways from nose to respiratory bronchioles

61.

The larynx

provides a patent airway

act as a switching mechanism to route air and food into the proper channels

voice productions

stratified squamous epithelium

62.

arytenoid, cuneiform, corniculate catilages, and epiglottis

pairs of small cartilages. arytenoid anchors the vocal folds.

63.

glottis

medial opening between the vocal folds which air passes through

64.

vestibular folds

helps close the glottis when we swallow

65.

The trachea

descends from larynx through the neck into mediastinum

consis of mucosa, submucosa, and adventitia

66.

mucosa

its cilia continually propel debris-laden mucus toward the pharynx

67.

submucosa

contains seromucous glands that helps produce mucus sheets within the trachea

68.

adventitia

encases the hyaline cartilage

69.

bronchi and subdivisions

trachea divides into right main bronchus and left main bronchus. each bronchus divides into lobar bronchi, 3 on the right and 2 on the left. the lobar divides into tertiary bronchi

70.

respiratory zone structures

begins as the terminal bronchioles feed into respiratory bronchioles, which leads into alveolar ducts, then leads into alveolar sacs

71.

respiratory membrane

formed by the capillary, alveolar walls, and their fused basement membranes

72.

Type II aveolar cells

secretes surfactant that coats the gas exposed alveolar surfaces

73.

bronchopulmonary segments

right lung has 10 bronchopulmonary segments. left lung consists of 8-10 segments. Each segment is served by its own artery and vein and receives air from an individual segmental bronchus

74.

what does a negative respiratory pressure indicate

pressure in that region is lower than atmospheric pressure

75.

positive respiratory

pressure is higher than atmospheric pressure and zero respiratory pressure is equal to atmospheric pressure

76.

intrapulmonary pressure (Ppul)

pressure in the alveoli

rises and falls with phases of breathing

always equalizes with atmospheric pressure

77.

intrapleural pressure (Pip)

pressure in the pleural cavity

Pip is always negative to intrapulmonary pressure

78.

What causes negative intrapleural pressure

lungs natural tendency to collapse

surface tension of the alveolar fluid

79.

transpulmonary pressure

intrapumonary pressure - intrapleural pressure

keeps lungs from collapsing

the size of transpulmonary pressure determines the size of lungs

80.

what will happen if intrapleural pressure is equal to intrapulmonary pressure

the lungs will collapse

81.

pulmonary ventilation

depends on volume changes in the thoracic cavity

volumes change, pressure changes

pressure changes, flow of gases

82.

Inspiration

diaphragm contracts

thoracic cavity volume increases

lungs are stretched, intrapulmonary volume increases

intrapulmonary pressure drops

air flows into lungs

83.

expiration

intercostal muscles contracts

thoracic volume decreases

intrapulmonary volume decreaes

intrapulmonary pressure rises

air flows out of lungs

84.

lung compliance

stretchy healthy lungs. the greater the lung compliance, the easier the lungs will expand.

determined by: disensibility of lung tissue and alveolar surface tension

85.

tidal volume

500ml of air moves in and out of lungs with each breath

86.

inspiratory reserve volume

amount of air that can be inspired forcibly beyond tidal volume (2100ml-3200ml)

87.

expiratory reserve volume

amount of air that can be expelled from the lungs after normal tidal volume expiration (1000ml-1200ml)

88.

residual volume

amount of air that remains int he lungs after expiration (1200ml)

89.

inspiratory capacity

amount of air that can be inspired after normal tidal volume expiration

IC = TV + IRV

90.

functional residual capacity

amount of air remaining in the lungs after a normal tidal volume expiration

FRC = RV + ERV

91.

vital capacity

total amount of exchangeable air

VC = TV + IRV + ERV

92.

total lung capacity

sum of all lung volumes

93.

dead space

some inspired air fills the conducting respiratory passageways and never contributes to gas exchange in the alveoli (150ml)

94.

forced vital capacity

amount of gas expelled when you take a deep breath and forcefully exhale

95.

forced expiratory volume

amount of air expelled during specific time intervals of FVC

96.

obstuctive pulmonary disease

increased airway resistance

97.

restrictive pulmonary disease

reduced total lung capacity

98.

alveolar ventilation

AVR = frequency X (TV -dead space) m

99.

minute ventilation

total amount of gas that flows in or out of the respiratory tract in a minute (6L/min)

100.

3 factors influencing external respiration

partial pressure grandients and gas solubility

thickness and surface area of the respiratory membrane

ventilation- perfusion coupling

101.

internal respiration

involves capillary gas exchange in body tissues

tissue cells use O2 for metabolic activities and produce CO2