ch 22 quiz review Flashcards

1
Q

alveolus

alveolus

A

is a pouch about 0.2 to 0.5 mm in diameter

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2
Q

alveolus

squamous type 1 alveolar cells

A

thin, broad cells
cover about 95%

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3
Q

alveolus

type II alveolar cells

A

round, cuboidal cells
covers 5%

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4
Q

alveolus

dust cells

A

macrophages that eat bacteria
most numerous of all cells in the lung
wander the lumens of the alveoli and the connective tissue between them

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5
Q

alveolus

each alveolus is surrounded by a

A

web of blood capillaries supplied by small branches of the pulmonary artery

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6
Q

alveolus

respiratory membrane

A

the barrier between the alveolar air and blood
consists of
* squamous alveolar cells,
* the squamous endothelial cell of the capillary
* and their shared basement membrane

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7
Q

henry’s law

henry’s law

A

states that at the air-water interface, for a given temp, the amount of gas that dissolves in the water is determine by its solubility in water and its partial pressure in the air

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8
Q

henry’s law

thus the greater the

A
  • PO2PO2 in the alveolar air, the more O2O2 the blood picks up.
  • And since blood arriving at an alveolus has a higher Pco2Pco2 than air, it releases CO2CO2 into the air.
  • At the alveolus, the blood is said to unload CO2CO2 and load O2O2.
  • Each gas in a mixture behaves independently; the diffusion of one gas does not influence the diffusion of another.
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9
Q

hemoglobin

hemoglobin does not unload the same amount of

A

oxygen to all tissues

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10
Q

hemoglobin

some tissues need more and some less depending on their

A

state of activity

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11
Q

hemoglobin

hemoglobin responds to such variations and unloads

A

more oxygen to the tissues that need it most

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12
Q

hemoglobin

when temp rises the oxyhemoglobin dissociation curve shifts to the

A

right
* in other words elevated temp promotes oxygen unloading

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13
Q

hemoglobin

active tissues are wamer than

A

less active ones and thus extract more oxygen from the blood passing through them

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14
Q

hemoglobin

active tissues also generate extra

A

CO2 which raises the H+ concentration and lowers the pH of the blood

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15
Q

hemoglobin

hydrogen ions weaken the bond between

A

hemoglobin and oxygen and thereby promote oxygen unloading
* a phenomenon called the Bohr effect

this can be seen in the oxyhemoglobin dissociation curve where a drop in pH shifts the curve to the right

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16
Q

air that actually enters the alveoli becomes available for

A

gas exchange
* but not all inhaled air gets that far

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17
Q

anatomical dead space

A
  • about 150 mL of it fills the conducting zone of the airway
  • since this air cannot exchange gases with the blood
  • typically about 1 mL per pound of bodyw weight in a healthy person
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18
Q

Systemic gas exchange

Systemic gas exchange

A

is the unloading of O2 and loading of CO2 at the systemic capillaries.

19
Q

Systemic gas exchange

Oxygen Unloading

A
  • When H+ binds to oxyhemoglobin (HbO2), it reduces the affinity of hemoglobin for O2 and tends to make hemoglobin release it.
  • Oxygen consumption by respiring tissues keeps the PO2 of tissue fluid relatively low, thus the liberated oxygen diffuses from the blood into the tissue fluid.
20
Q

Systemic gas exchange

Carbon Dioxide Loading

A
  • Aerobic respiration produces a molecule of CO2 for every molecule of O2 it consumes.
  • The tissue fluid contains a relatively high Pco2, thus CO2 diffuses into the bloodstream.
  • Most of it reacts with water to produce bicarbonate and hydrogen ions
21
Q

Systemic gas exchange

chloride shift

A

An antiport called the chloride-bicarbonate exchanger then pumps most of the HCO3− out of the RBC in exchange for Cl– from the blood plasma.

22
Q

the automatic unconscious cycle of breathing is controlled by

A

3 pairs of respiratory centers in the reticular formation of the medulla oblongata and pons

23
Q

ventral respiratory group (VRG)

A

the primary generator of the respiratory rhythm

24
Q

dorsal respiratory group (DRG)

A

an integrating center that receives input from several sources
* respiratory center in the pons
* a chemosensitive center of the anterior medulla oblongata
* chemoreceptors in certain major ateries
* and stretch and irritant receptors in the airway

25
Q

the DRG issues output to the

A

VRG that modifies the respiratory rhythm to adapt to varying conditions

26
Q

furthermore each side of the pons has a

A

pontine respiratory group (PRG) that modifies the rhythm of the VRG

27
Q

the pontine group receives input from higher brain centers including the

A
  • hypothalamus
  • limbic system
  • cerebral cortex
  • and issues output to both DRG & VRG
28
Q

multiple sensory receptors also provide info to the

A

respiratory centers

29
Q

central chemoreceptors

A

brainstem neurons that respond especially to changes in the pH of the cerebrospinal fluid

30
Q

peripheral chemoreceptors

A
  • located in the carotid and aortic bodies of the large arteries above the heart
  • they respond to the O2 and CO2 content of the blood but most of all to ph
31
Q

normally the systemic arterial blood has a

A

PO2 of 95 mm Hg
PCO2 of 40 mm Hg
pH of 7.40

32
Q

systemic arterial blood

the rate and depth of breathing are adjusted to

A

maintain these values

33
Q

systemic arterial blood

this is possible only because the

A

brainstem respiratory centers receive input from central and peripheral chemoreceptors that monitor the composition of the blood and CSF

34
Q

systemic arterial blood

of these 3 chemical stimuli the most potent

A

stimulus for breathing is pH, followed by CO2; perhaps suprisingly the least significant is O2

35
Q

systemic arterial blood

PO2:
PCO2

A

PO2: partial pressure of oxygen
PCO2: partial pressure of carbon dioxide

36
Q

size of cell changes

the inner lining of the trachea is a

A

pseduostratified columnar epithelium composed mainly of mucus-secreting goblet cells, ciliated cells, and short basal stem cells

37
Q

size of cell changes

the mucus traps inhaled particles and the upward

A

beating of the cilia drives the debris-laden mucus toward the pharynx where is it swallowed

this mechanism of debris removal is called the mucociliary escalator

38
Q

size of cell changes

all of the bronchi are lined with

A

pseduostratified columnar epithelium but the cells grow shorter and the epithlium thinner as we progress distally

39
Q

bronchioles

bronchioles have a

A

ciliated epithelium and a well-developed layer of smooth muscle in their walls

40
Q

bronchioles

the terminal bronchioles have no

A

mucous glands or goblet cells

41
Q

bronchioles

they do have cilia however

A

so that mucus draining into them from above can be driven back by the mucociliary escalator preventing congestion of the terminal bronchioles and alveoli

42
Q

bronchioles

each respiratory bronchiole divides into

A

alveolar ducts which also have alveoli along their walls

43
Q

bronchioles

the alveolar ducts and smaller divisions have

A

nonciliated simple squamous epithelia

44
Q
A