Lectures 5 and 6: Respiratory Flashcards

1
Q

Hypoxia causes production of what factor?

A

Hypoxia-inducible factor 1a

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2
Q

Hypoxia-inducible factor causes production of what?

A

Erythrocytes (red blood cells)

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3
Q

Three forms of CO2 in blood

A

Dissolved CO2
Carbaminohemoglobin
Bicarbonate

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4
Q

What is the most important form of CO2 in the blood?

A

HCO3, bicarbonate

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5
Q

CO2 and H2O form what weak acid?

A

H2CO3

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6
Q

H2CO3 dissociates into what?

A

H+ and HCO3

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7
Q

5 ways an animal can become hypoxemic

A

High altitude
Hypoventilation
Diffusion defect
V/Q defect
Right to left shunt

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8
Q

All of the causes of hypoxemia lead to what happening with PaO2

A

Decrease

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9
Q

A-a gradient for high altitude and hypoventilation

A

Normal

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10
Q

A-a gradient for diffusion defect, V/Q defect, right to left shunt

A

Increased

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11
Q

Which of the causes of hypoxemia is supplemental O2 not helpful?

A

Right to left shunt

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12
Q

Hypoxia

A

Decreased O2 delivery to the tissues

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13
Q

Hypoxemia

A

Decrease in arterial PO2

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14
Q

Distribution of pulmonary blood flow within the lung is

A

Uneven

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15
Q

Ventilation/perfusion ratio (V/Q)

A

Ratio of alveolar ventilation to pulmonary blood flow

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16
Q

Ratio between which two things is important for ideal gas exchange?

A

Alveolar ventilation and pulmonary blood flow

17
Q

Blood flow in Zone 1 is

A

Lowest

18
Q

Alveolar ventilation in Zone 1 is

A

Lowest

19
Q

V/Q in Zone 1 is

A

Highest

20
Q

PaO2 in Zone 1 is

A

Highest

21
Q

PaCO2 in Zone 1 is

A

Lower

22
Q

Blood flow in Zone 3 is

A

Highest

23
Q

Alveolar ventilation in Zone 3 is

A

Higher

24
Q

V/Q in Zone 3 is

A

Lowest

25
Q

PaO2 in Zone 3 is

A

Lowest

26
Q

PaCO2 in Zone 3 is

A

Higher

27
Q

Zone 1, lowest or highest perfusion?

A

Lowest

28
Q

Zone 3, lowest or highest perfusion?

A

Highest

29
Q

In Zone 3 the alveoli are

A

Smaller and more compliant

30
Q

In Zone 1 the alveoli are

A

Larger, less compliant

31
Q

Zone 3, intrapleural pressure is

A

Less negative compared to Zone 1

32
Q

What is the major factor regulating pulmonary blood flow?

A

Partial pressure of O2 in alveolar gas, PAO2

33
Q

Decreases in PAO2 produce

A

Pulmonary (Hypoxic) vasoconstriction

34
Q

Pulmonary vasoconstriction causes blood flow to be directed away from

A

Poorly ventilated regions of the lung where gas exchange would be inadequate

35
Q

Pulmonary vasoconstriction encourages blood flow toward

A

Well-ventilated regions of the lung, where gas exchange would be better

36
Q

In pulmonary vasoconstriction, NO activates guanlyl cyclase which leads to production of (and what effect)?

A

cGMP and relaxation of smooth muscle

37
Q
A
38
Q

Inhibition of nitric oxide synthase enhances

A

Pulmonary vasoconstrction