CTB5 Flashcards

1
Q

What does the cardiopulmonary system include?

A

The heart and lungs working together to deliver oxygen and remove carbon dioxide.

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2
Q

How does the autonomic nervous system control the heart?

A

The sympathetic nervous system increases heart rate and contractility, while the parasympathetic system decreases them.

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3
Q

What is the role of the sinoatrial (SA) node?

A

The SA node generates the heart’s rhythm, acting as the natural pacemaker.

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4
Q

How is breathing controlled at rest?

A

Breathing is regulated by the medulla oblongata through signals to the diaphragm and intercostal muscles.

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5
Q

What is respiratory sinus arrhythmia?

A

A physiological variation in heart rate during breathing; heart rate increases during inspiration and decreases during expiration.

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6
Q

How does exercise affect the cardiopulmonary system?

A

Exercise increases heart rate, stroke volume, ventilation rate, and oxygen delivery to tissues.

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7
Q

What is VO2 max?

A

The maximum rate of oxygen consumption during exercise, reflecting aerobic fitness.

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8
Q

How does the cardiovascular system respond to acute exercise?

A

Increased cardiac output, redistribution of blood to active muscles, and vasodilation in peripheral vessels.

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9
Q

What is stroke volume?

A

The volume of blood ejected from the left ventricle during each heartbeat.

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10
Q

How does training improve stroke volume?

A

Cardiac hypertrophy and increased contractility result from endurance training.

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11
Q

What is tidal volume?

A

The amount of air inhaled or exhaled in a normal breath.

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12
Q

How does ventilation increase during exercise?

A

Both tidal volume and respiratory rate increase to meet oxygen demands.

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13
Q

What are the long-term effects of regular exercise on the heart?

A

Increased cardiac efficiency, ventricular hypertrophy, and improved stroke volume.

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14
Q

How does chronic exercise impact the lungs?

A

Enhanced respiratory muscle strength and improved alveolar ventilation.

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15
Q

What is the role of baroreceptors in blood pressure regulation?

A

Baroreceptors detect changes in blood pressure and adjust heart rate and vessel tone accordingly.

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16
Q

What is the ventilatory threshold?

A

The point during exercise where ventilation increases disproportionately to oxygen consumption due to lactic acid accumulation.

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17
Q

How does exercise improve arterial compliance?

A

Regular exercise reduces arterial stiffness, improving blood flow and pressure regulation.

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18
Q

What happens to oxygen delivery during exercise?

A

Oxygen delivery increases through higher cardiac output and improved oxygen extraction by tissues.

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19
Q

How does exercise affect blood flow distribution?

A

Blood is redistributed away from non-essential organs to working muscles.

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20
Q

What is pulmonary ventilation?

A

The total volume of air moved in and out of the lungs per minute.

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21
Q

What is alveolar ventilation?

A

The volume of air reaching the alveoli, where gas exchange occurs.

22
Q

How is lung function assessed clinically?

A

Through spirometry, measuring parameters like FEV1, FVC, and peak expiratory flow.

23
Q

What is the FEV1/FVC ratio?

A

A measure used to diagnose obstructive lung diseases like COPD.

24
Q

How does exercise increase oxygen extraction by muscles?

A

Through improved capillary density, mitochondrial function, and haemoglobin affinity adjustments.

25
Q

What is the Bohr effect?

A

A decrease in haemoglobin’s oxygen-binding affinity in response to increased carbon dioxide and hydrogen ion concentrations.

26
Q

How does lactic acid influence ventilation during exercise?

A

Lactic acid accumulation stimulates ventilation to expel excess carbon dioxide.

27
Q

What is the significance of measuring cardiac output during exercise?

A

It indicates the heart’s ability to meet metabolic demands.

28
Q

How is cardiac output calculated?

A

Cardiac output = Stroke volume × Heart rate.

29
Q

How does the phrenic nerve control breathing?

A

It sends signals from the medulla to the diaphragm to regulate contraction.

30
Q

What is the oxygen-hemoglobin dissociation curve?

A

A graph showing the relationship between oxygen saturation and partial pressure of oxygen.

31
Q

How does chronic exercise improve mitochondrial function?

A

It enhances the capacity for oxidative phosphorylation and ATP production.

32
Q

What are the effects of hypoxia on cardiopulmonary function?

A

Hypoxia increases ventilation and cardiac output to compensate for reduced oxygen availability.

33
Q

What is the role of chemoreceptors in respiratory control?

A

Chemoreceptors detect changes in CO2, O2, and pH levels, adjusting breathing accordingly.

34
Q

How is anaerobic threshold defined?

A

The point at which the body begins to rely on anaerobic metabolism during exercise.

35
Q

What is the relationship between ventilation and heart rate during exercise?

A

Both increase proportionally to oxygen demand and carbon dioxide production.

36
Q

How does training affect maximal oxygen uptake (VO2 max)?

A

Training increases VO2 max by improving cardiac output and oxygen extraction efficiency.

37
Q

How does exercise training reduce resting heart rate?

A

Increased stroke volume and vagal tone lower the heart rate at rest.

38
Q

How does pulmonary function adapt to exercise in disease states?

A

Pulmonary rehabilitation improves ventilation and oxygen exchange in patients with conditions like COPD.

39
Q

What is the role of bicarbonate in buffering lactic acid?

A

Bicarbonate neutralises excess hydrogen ions, maintaining blood pH during high-intensity exercise.

40
Q

How does exercise influence blood pressure regulation?

A

Exercise improves endothelial function, reducing vascular resistance and systolic pressure.

41
Q

What is ventilatory efficiency?

A

The ratio of ventilation to oxygen uptake, indicating the respiratory system’s effectiveness.

42
Q

What is the significance of respiratory exchange ratio (RER)?

A

RER indicates the predominant fuel source during exercise (carbohydrates vs. fats).

43
Q

How does exercise affect ventilation-perfusion matching?

A

Improved ventilation-perfusion matching enhances oxygen exchange during activity

44
Q

What happens to arterial oxygen levels during moderate exercise?

A

Arterial oxygen levels remain constant due to efficient ventilation and gas exchange.

45
Q

How does hyperventilation impact carbon dioxide levels?

A

Hyperventilation reduces CO2 levels, potentially leading to respiratory alkalosis.

46
Q

What adaptations occur in the diaphragm with chronic exercise?

A

Increased strength and endurance improve ventilation efficiency.

47
Q

What is oxygen debt?

A

The extra oxygen consumed post-exercise to restore physiological balance.

48
Q

How does training improve capillary density in muscles?

A

It increases capillary networks, enhancing oxygen delivery and waste removal.

49
Q

What role does adrenaline play during exercise?

A

Adrenaline increases heart rate, cardiac output, and bronchodilation.

50
Q

How is exercise capacity assessed clinically?

A

Through tests like VO2 max measurements and cardiopulmonary exercise testing (CPET).