CVR 4: Respiratory Flashcards

1
Q

What two areas of the brain not in the medulla oblongata are involved in the control of breathing?

A

Pneumotaxic and apneustic centres in the pons.

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2
Q

How many different areas of the brain are involved in controlling breathing?

A

Four

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3
Q

What areas of the brain not in the pons are involved in the control of breathing?

A

Dorsal respiratory group and ventral respiratory group, both in the medulla oblongata.

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4
Q

Which area of the medulla oblongata is predominantly active during inspiration?

A

The dorsal respiratory group (DRG).

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5
Q

What is the central pattern generator?

A

A neural network in the dorsal and ventral respiratory groups in the medulla oblongata, provides background ventilatory drive.

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6
Q

Concentration of which gas predominantly influences breathing?

A

CO2

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7
Q

Where are the central chemoreceptors and what do they monitor in regards to breathing?

A

In the brainstem.
CO2 passes across blood/brain barrier, leading to increase in hydrogen ions in CSF (bicarbonate buffer system).
Hydrogen ion concentration is monitored by chemoreceptors in the brainstem.

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8
Q

Where are the peripheral chemoreceptors for respiration and what do they measure?

A

Carotid bodies and aortic arch.
Measure PaCO2 predominantly, but also measure PaO2 and pH.

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9
Q

If PaO2 increases, what happens to minute ventilation?

A

Increases.

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10
Q

In hypoxia, does a given PaCO2 level trigger higher or lower minute ventilation?

A

Higher.

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11
Q

What are the three types of mechanoreceptors in the lungs that send afferent information to the respiratory control centres via the vagus nerve?

A

Stretch, irritant, and “J” (juxtapulmonary capillary)

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12
Q

Where are the receptors, activated by swallowing, which prevent respiratory activity during swallowing?

A

The pharynx.

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13
Q

Why can x-rays be dangerous?

A

They are a form of ionising radiation, which can damage tissue, cells, and DNA (mutagen).

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14
Q

What colour are more dense structures on an x-ray? Give an example.

A

White. E.g. bones.

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15
Q

On a chest x-ray, why is the diaphragm higher on the right?

A

Due to the presence of the liver.

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16
Q

What anatomical landmark on a chest x-ray can be used to assess symmetry?

A

The clavicles.

17
Q

Why aren’t the anterior aspects of the ribs easily visible on a chest x-ray?

A

They are cartilaginous.

18
Q

Which view is most ideal for a chest x-ray and why; AP (anterior-posterior) or PA (posterior-anterior)?

A

PA (posterior-anterior); patient facing the detector, standing up.
This is because there will be a crisper image and accurate size of the heart than in AP view, and the scapulae can be protracted.

19
Q

Which causes more ionising radiation for a patient, chest x-ray or abdominal x-ray?

A

Abdominal x-ray.