Heart, Pulmo Flashcards

1
Q

site of highest oxygenation

A

Pulmonary Vein

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2
Q

Only arteries that contain deoxygenated blood

A

pulmonary artery
umbilical artery.

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3
Q

Most important determinant of
Pulse Pressure

A

SV

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4
Q

Distensibility of blood vessel

A

Capacitance/Compliance

C= V/P
capacitance of veins > arteries
capacitance decreases with age

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5
Q

systemic disease that can cause 3rd degree AV block

A

Amyloidosis
Sarcoidosis
SLE

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6
Q

one drug that causes Torsades de pointes

A

Macrolides

prominent U wave – suscep to Torsades

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7
Q

inotrope affect

A

Ventricular contraction - SV

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8
Q

Chronotrophe affects

A

SA node - HR
affected by inward Calcium

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9
Q

Dromotrophe affects

A

AV node - conduction velocity
slowest conduction velocity

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10
Q

predisposes athlete to premature ventricular contraction

A

bradycardia

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11
Q

3 factors increase SV

A

Digitalis
Beta 1 stimulation
increase HR

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12
Q

main energy for stroke work

A

fatty acids

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13
Q

longest phase of cardiac cycle

A

Reduced ventricular filling
dependent on HR

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14
Q

3 instances when atrial pressure increases

A

a wave
c wave
v wave

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15
Q

auscultatory hallmark of ASD

A

Fixed splitting

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16
Q

vasoactive metabolites of the Coronary circulation

A

Hypoxia, Adenosine
mechanical compensation during systole

17
Q

vasoactive metabolites of the Cerebral circulation

A

CO2 H+
Increases in intracranial pressure decrease cerebral
blood flow

18
Q

FUNCTIONAL ANATOMIC UNIT OF THE LUNG

A

Bronchopulmonary Segments
(segmental bronchi to alveoli)

19
Q

RESPIRATORYUNIT OF THE LUNG

A

Respiratory bronchiole, alveolar ducts,
alveolar sacs
capable of gas exchange

20
Q

Air in the respiratory unit of the lung
(respiratory zone) that does NOT
undergo gas exchange due to V/Q
mismatch

A

Alveolar dead space

NV: 0 ml

21
Q

Air from the Nose to Terminal
Bronchioles (conducting zone) that does
NOT undergo gas exchange

A

Anatomic dead space

NV: 150ml

22
Q

volume remains in the lungs after a tidal volume (TV) is expired

A

Functional residual capacity (FRC)

23
Q

volume in the lungs after maximal expiration

A

Residual volume

24
Q

drugs that can cause ILD/RLD

A

Busulfan
Amiodarone
MTX

25
Q

main component of the surfactant

A

water

26
Q

active component of the surfactant

A

DIPALMITOYLPHOSPHATIDYLCHOLINE
(DPPC)

amphiphathic nature - hydrophilic and hydrophobic

27
Q

start of the surfactant

A

24 wks

mature: 35 wks

28
Q

test for surfactant

A

AMNIOTIC LECITHIN:SPHINGOMYELIN RATIO

ratio of >/2:1 = MATURE FETAL LUNGS

29
Q

major site of highest airway resistance

A

medium-sized bronchi

30
Q

Ratio of the thickness of the mucus
gland layer to the wall thickness

A

Reid Index

Chronic Bronchitis

31
Q

Charcot-Leyden crystals is Derived from eosinophil-derived

A

galectin 10

32
Q

Most prevalent chronic occupational disease

A

SILICOSIS

egg cell calcifications
form of silica/quartz
increased risk of lung cancer