ch 23 Flashcards

1
Q

Which structure is part of the lower respiratory system?

a. larynx
b. pharynx
c. internal nares
d. soft palate

A

a. larynx

a. larynx

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2
Q

Which structure is the final part of the conduction portion of the respiratory system?

a. alveolar sacs
b. tertiary bronchi
c. respiratory bronchioles
d. terminal bronchioles

A

d. terminal bronchioles

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3
Q

Why are the cartilages that reinforce the trachea C-shaped?

a. to prevent damage to the trachea
b. to conform to the shape of the thorax
c. to allow room for esophageal expansion
d. to ensure normal cardiac functioning

A

c. to allow room for esophageal expansion

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4
Q

Which arteries supply blood to the conducting portions of the respiratory tract?

a. internal carotid arteries
b. pulmonary arteries
c. bronchial arteries
d. pulmonary veins

A

c. bronchial arteries

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5
Q

What path does air take when flowing from the glottis to the respiratory membrane?

a. larynx, trachea, bronchi, bronchioles, respiratory bronchioles, alveoli
b. larynx, trachea, respiratory bronchioles, bronchioles, alveoli
c. trachea, bronchi, larynx, bronchioles, alveolar duct, alveolar sac
d. larynx, trachea, bronchioles, bronchi, alveolar sac, respiratory membrane

A

a. larynx, trachea, bronchi, bronchioles, respiratory bronchioles, alveoli

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6
Q

What statement(s) is (are) true with regard to the respiratory membrane?

a. It is formed by the fusion of endothelium and simple squamous cells of the alveoli.
b. Diffusion of gases across the respiratory membrane occurs rapidly.
c. Transport of O2 and CO2 across the respiratory membrane is simultaneous.
d. All of the above statements are true.

A

d. All of the above statements are true.

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7
Q

What statement below is true of the pleura?

a. It secretes surfactant and reduces surface tension.
b. It secretes mucus that traps particulate matter.
c. It is attached to the diaphragm and thoracic wall.
d. It prevents friction between the heart and lungs.

A

c. It is attached to the diaphragm and thoracic wall.

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8
Q

What role do the nasal conchae play in the respiratory system?

a. trapping airborne particles in mucus
b. warming and humidifying incoming air
c. bringing olfactory stimulation to olfactory receptors
d. all of the above

A

d. all of the above

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9
Q

If surfactant is not produced, alveoli _____ due to ______.

a. contract; elastic recoil of lungs
b. collapse; increase in surface tension
c. expand; decrease in intrapleural pressure
d. burst; increase in intrapulmonary pressure

A

b. collapse; increase in surface tension

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10
Q

Which of the following is NOT TRUE concerning the efficiency of gas exchange?

a. Total surface area for gas exchange is large.
b. Gases are lipid soluble.
c. The difference in partial pressure across the respiratory membrane is minimal.
d. Blood flow and airflow are coordinated.

A

c. The difference in partial pressure across the respiratory membrane is minimal.

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11
Q

If you have maximally exhaled all the air you can (ERV), what is the amount you can now maximally inhale?

a. inspiratory reserve volume
b. vital capacity
c. inspiratory capacity
d. residual volume

A

b. vital capacity

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12
Q

In pneumonia, fluid accumulates in the alveoli of the lungs and bronchioles constrict. What effect does pneumonia have on vital capacity?

a. increase in vital capacity
b. decrease in vital capacity
c. increase in breathing rate, with no effect on vital capacity
d. decrease in tidal volume, with no effect on vital capacity

A

b. decrease in vital capacity

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13
Q

Which respiratory muscles become actively involved only during a forced inspiration?

a. diaphragm and external intercostal muscles
b. internal intercostal muscles, as well as external and internal oblique muscles
c. pectoralis minor, scalenes, and serratus anterior
d. both A and C

A

c. pectoralis minor, scalenes, and serratus anterior

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14
Q

How is inspiratory capacity calculated?

a. It is the amount of air one can inhale beyond Tv.
b. Tv + IRV
c. ERV + Tv+ IRV
d. FRC + Tv + IRV

A

b. Tv + IRV

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15
Q

Why is VA more important than the respiratory minute volume?

a. VA determines the rate of O2 delivery to alveoli.
b. VA determines the volume of dead space.
c. VA determines the amount of air moved each minute.
d. VA determines functional reserve capacity.

A

a. VA determines the rate of O2 delivery to alveoli.

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16
Q

What is the functional relationship between hemoglobin and pH?

a. As pH drops, Hb binds more oxygen.
b. As pH drops, HbO2 saturation declines.
c. As pH increases, Hb releases O2 more readily.
d. Both A and B are correct

A

b. As pH drops, HbO2 saturation declines.

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17
Q

Which gas law states, “At a given temperature, the amount of a particular gas in solution is directly proportional to the partial pressure of that gas”?

a. Boyle’s law
b. Dalton’s law
c. the Bohr effect
d. Henry’s law

A

d. Henry’s law

18
Q

What does Boyle’s law state concerning the relationship between pressure and volume?

a. If you decrease the volume of a gas, its pressure will decrease.
b. If you increase the volume of a gas, its pressure will decrease.
c. P = 1 / V
d. Both B and C are correct.

A

d. Both B and C are correct.

19
Q

A decrease in pneumotaxic output results in _______ because ______.

a. shorter breaths and increased respiration rate; of stimulation of the VRG
b. decreased respiratory rate and increased depth of respiration; the apneustic centers are stimulated
c. neurons of the VRG activating accessory muscles of inhalation; little pulmonary ventilation is occurring
d. none of the above

A

b. decreased respiratory rate and increased depth of respiration; the apneustic centers are stimulated

20
Q

What do increased temperature in active skeletal muscles and increased concentrations of BPG have in common? What is the result?

a. both allow the Hb molecule to release O2 more readily; improved tissue oxygenation
b. both cause the Hb molecule to bind O2 more tightly; determines how long a blood bank can store blood
c. both allow Hb to have a higher affinity for O2; improved O2 transfer across the placenta
d. Both A and C are correct

A

a. both allow the Hb molecule to release O2 more readily; improved tissue oxygenation

21
Q

Which of the following contributes the most to the expiration of carbon dioxide?

a. the formation of carbaminohemoglobin
b. the formation of a bicarbonate ion
c. the high solubility of CO2 in blood
d. the percentage of oxygen in inhaled air

A

b. the formation of a bicarbonate ion

22
Q

Which of the following is NOT true with regard to the transport of the respiratory gases in blood?

a. CO2 binds to the Fe2+ center of the hemoglobin molecule.
b. CO2 solubility is greater than O2.
c. O2 can bind to the heme center at nearly 100%.
d. All of the above are methods of gas transport

A

a. CO2 binds to the Fe2+ center of the hemoglobin molecule.

23
Q

The epithelium of the pharynx changes from ___ in the nasopharynx to ___ in the oropharynx because ______.

a. pseudostratified ciliated columnar; stratified squamous; the oropharynx is subject to abrasion
b. simple cuboidal; pseudostratified ciliated columnar; gas exchange occurs in the nasal cavity
c. stratified squamous; pseudostratified ciliated columnar; the nasopharynx contains goblet cells
d. none of the above

A

a. pseudostratified ciliated columnar; stratified squamous; the oropharynx is subject to abrasion

24
Q

Why is it important to exhale while lifting weights?

a. to relax the diaphragm
b. to equalize pressures inside and outside the thoracic cavity
c. to enhance action of the accessory respiratory muscles
d. to prevent intrapulmonary pressure from increasing

A

d. to prevent intrapulmonary pressure from increasing

25
Edward breaks a rib that punctures his left lung. What will happen to his left lung and how will it be treated? a. fluids leak into the alveoli; surfactant administration b. atelectasis; vacuum air from pleural space c. bronchospasm; muscle relaxant d. bronchitis; antibiotics
b. atelectasis; vacuum air from pleural space
26
Beyond transport of respiratory gases, how do the respiratory and cardiovascular systems interact? a. regulation of BP by activation of angiotensin II b. bicarbonate ions contribute to the buffering capacity of blood c. maintenance of normal fluid and ion balance d. Both A and B are correct.
d. Both A and B are correct
27
1. In the alveoli, which of the following cells is not commonly found? a. Alveolar Macrophages b. Type I cells c. Septal Cells d. Type II cells e. All of the above are commonly found
e. All of the above are commonly found
28
2. During a motorcycle ride, you cruise through a Gnat cloud. Which of the following would provide the primary defense mechanism for filtration of the air? a. Mucosal tissue of the trachea b. The cilia of the pseudostratified cells c. Nasal hairs of the nasal vestibule d. Oropharynx e. Alveolar macrophages
c. Nasal hairs of the nasal vestibule
29
3. Surfactant, a chemical used in the alveoli for reduction of surface tension is produced by what cells? a. Type I cells b. Type II cells c. Type III cells d. Alveolar Macrophages e. None of the above
b. Type II cells
30
4. Ventilation is defined as the a. Exchange of oxygen and carbon dioxide b. Gas exchange between plasma and interstitial fluids c. Movement of air in and out of lungs d. Utilization of the oxygen in the intracellular fluid e. None of the above
c. Movement of air in and out of lungs
31
5. Air passing thru the glottis on forced exhalation vibrating the vocal folds results in what? a. Phonation b. Articulation c. Gagging d. Coughing e. Burping
a. Phonation
32
6. Which of the following is the last respiratory structure to contain cartilage for support? a. Bronchioles b. Tertiary Bronchi c. Alveolar ducts d. Alveolar sacs e. All of the above structures contain cartilage for support
b. Tertiary Bronchi
33
7. In the lung, if the intraplueral (not interpulmonary) pressure is the same as atmospheric pressure, the lung is described as what? a. Atelectasis b. Normal c. Inspiratory d. Exhalitory e. None of the above
a. Atelectasis
34
8. At rest and disease free conditions, how many molecules of Oxygen is the hemoglobin unloading to the tissues in the capillary beds? a. All 4 b. 3 c. 2 d. 1
d. 1
35
9. What is the driving force for exchange of gases in the lungs and cell membranes? a. Hydrostatic Pressure b. Diffusion c. Osmosis d. Osmotic Pressure e. Luck
b. Diffusion
36
10. Which of the following muscles are involved with normal, quiet inspirations? 1. Diaphragm 2. Internal intercostals 3. Sternocleidomastoid 4. rectus abdominis 5. External intercostals 6. Pectoralis minor a. 1,3 b. 1,2,4,5 c. 1,5 d. 2,3,4,5 e. 1,2,3,4,5,6
. 1,5
37
11. Which of the following would increase the rate of gas exchange across the respiratory membrane? a. An increase in the thickness of the respiratory membrane b. A decrease in the pressure gradients c. Decrease in surface area d. All of the above increase gas exchange e. None of the above (All decrease the gas exchange rate)
e. None of the above (All decrease the gas exchange rate)
38
12. Systemic Venous blood has partial pressures at which of the following? a. pO2 = 45, pCO2= 50 b. pO2= 40, pCO2= 45 c. pO2= 100, pCO2= 45 d. pO2= 50, PCO2= 50 e. pO2= 35, pCO2= 65
b. pO2= 40, pCO2= 45
39
13. What is the normal percentage of CO2 being transported bound to hemoglobin? a. 15% b. 45% c. 20% d. 99% e. 1%
c. 20%
40
14. Joe takes a full breath in, then blows out until he cannot exhale any more, the amount of air that he expelled would be his a. Tidal volume b. Inspiratory reserve volume c. Expiratory reserve volume d. Minimal volume e. Vital capacity
e. Vital capacity
41
15. Which of the following situations would increase the amount of oxygen released by hemoglobin to the peripheral tissues? a. Temperature decrease b. Decreased amounts of DPG c. Increased tissue pO2 d. Decreased pH e. Decreased pCO2
d. Decreased pH