16. McArdle ch. 12 Flashcards

1
Q

what is tidal volume? (Vt)

A

volume of air inspired or expired with each normal breath.

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2
Q

what is inspiratory reserve volume(IRV)?

A

extra volume of air that can be forcefully inspired over and above VT.

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3
Q

what is expiratory reserve volume(ERV)?

A

maximum extra volume of air that can be forcefully expired over and above VT.

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4
Q

what is residual volume(RV)?

A

volume of air remaining in lungs after forceful expiration.

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5
Q

what does residual lung volume allow for?

A

Allows an uninterrupted exchange of gas between the blood and alveoli, which prevents fluctuations in blood gases during phases of the breathing cycle

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6
Q

how does residual lung volume increase temporarily?

A

increases from an acute bout of either short-term or prolonged exercise due to:

  • Closure of the small peripheral airways
  • Increase in thoracic blood volume
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7
Q

what are the 4 pulmonary capacities?

A
  • inspiration capacity(IC)
  • functional residual capacity(FRC)
  • forced vital capacity(FVC)?
  • total lung capacity(TLC)
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8
Q

what is inspiration capacity(IC)?

A

maximum amount of air that can be inspired from end of normal expiration (= VT + IRV).

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9
Q

what is functional residual capacity(FRC)?

A

amount of air remaining in lungs after normal expiration (= ERV + RV).

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10
Q

what is forced vital capacity(FVC)?

A

maximum amount of air that can be forcefully inspired and expired (= IRV + VT+ ERV).

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11
Q

what is total lung capacity(TLC)?

A

maximum amount of air comprised in the lungs (= IRV + VT + ERV + RV).

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12
Q

what doe dynamic ventilation depend on?

A

-Maximum “stroke volume” of the lungs (FVC)
-Speed of moving a volume of air (breathing rate):
which is Determined by lung compliance, or the resistance of the respiratory passages to air and the “stiffness” imposed by the chest and lung

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13
Q

what does max voluntary ventilation evaluate?

A

-Evaluates ventilatory capacity with rapid and deep breathing for 15 seconds
:Extrapolated to the volume if the subject continued for 1 minute

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14
Q

what is the gender difference in lung measures?

A

women have a reduced lung size and airway diameter, a smaller diffusion surface and static and dynamic lung function measures

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15
Q

what does a smaller lung size lead to in women?

A

This leads to expiratory flow limitations, greater respiratory muscle work and use of ventilatory reserve during maximal exercise, particularly in highly trained women

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16
Q

Does regular endurance exercise stimulate large increases in the functional capacity of the pulmonary system?

A

Regular endurance exercise does not stimulate large increases in the functional capacity of the pulmonary system

17
Q

Dynamic lung function tests indicate the severity of obstructive and restrictive lung diseases, but provide _____ information about aerobic fitness or exercise performance when values fall within the normal range

A

little info

18
Q

how can minute ventilation be increased?

A

by an increase in the rate or depth of breathing, or both

19
Q

In moderate exercise, well-trained athletes maintain alveolar ventilation by increasing ____ with only a small increase in breathing rate

A

tidal volume

20
Q

true or false? Attempts to modify breathing during running or other general physical activities offer no benefit to exercise performance

A

true

21
Q

what is the ventilation/perfusion ratio?

A

the ratio of alveolar ventilation to pulmonary blood flow

avg=0.84 ratio

22
Q

what is anatomical dead space?

A

anatomical structures of the respiratory system that are not directly involved in gas exchange, generally ranges between 150-200 mL

23
Q

what is physiological dead space

A

The portion of the alveolar volume with a ventilation–perfusion ratio that approaches zero:
the alveoli may not function adequately in gas exchange because of:
-Underperfusion of blood
-Inadequate ventilation relative to the alveolar surface

24
Q

In certain pathologic situations, physiologic dead space increases to ___% of the tidal volume

A

50%

25
Q

Adequate gas exchange becomes _____ when the dead space of the lung exceeds ___% of total lung volume

A

impossible

60%

26
Q

what is Hyperventilation?

A

An increase in pulmonary ventilation that exceeds the O2 consumption and CO2 elimination needs of metabolism

27
Q

what is Dyspnea?

A

An inordinate shortness of breath or subjective distress in breathing

28
Q

what is valsalva maneuver?

A

Closing the glottis following a full inspiration while maximally activating the expiratory muscles, creating compressive forces that increase intrathoracic pressure above atmospheric pressure

29
Q

what is the physiological consequence of performing the valsalva maneuver?

A

Performing a prolonged Valsalva maneuver during static, straining-type exercise dramatically reduces venous return and arterial blood pressure
which:
-This diminishes the brain’s blood supply, often producing dizziness or fainting
-Once the glottis reopens and intrathoracic pressure normalizes, blood flow reestablishes with an “overshoot” in arterial blood pressure