Lungs: Fine-tuning Flashcards

1
Q

What happens to pH of the blood as it passes through systemic capillaries

A

It decreases

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

How is the efficiency of O2 transmission to cells affected as blood passes through systemic capillaries

A

The oxygen dissociation curve shifts which causes MORE O2 to be delivered to the cells

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Is the airway involved in the swallowing reflex and vomiting reflex. If so, how?

A

They are:
Swallowing reflex - Respiration is INHIBITED to prevent aspiration of food

Vomiting Reflex - Oesophagus relaxes and the glottis is CLOSED

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What happens to the amount of surfactant as the lungs inflate and why is this the case

A

The amount of surfactant decreases to prevent OVERINFLATION

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What happens to the amount of pulmonary surfactant when blood flow is interrupted

A

The amount of surfactant decreases when pulmonary blood flow is interrupted as this occlusion causes the lungs to collapse

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

How does lung residual volume vary as people age?

A

The lung residual volume INCREASES

Tidal Volume DECREASES

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

How does the lung volume level at which small airways start to close during expiration change with age

A

Increases with age

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

At what stage of inspiration is INTRAPLEURAL PRESSURE is lowest?

A

End of inspiration

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

At what stage of inspiration is INTRAPULMONARY PRESSURE lowest?

A

mid-inspiration

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

At what stage of inspiration is INTRAOESOPHAGEAL PRESSURE lowest?

A

end of inspiration

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

An increase in CO2 uptake causes an equal increase in HCO3- and H+. True or False?

A

False

H+ is largely buffered by haemoglobin so it doesn’t enter the blood while HCO3- is

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What has the highest conc in arterial blood, CO2 or O2

A

CO2

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What is usually bigger, the rate of perfusion or the rate ventilation

A

Rate of perfusion

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What receptors bring about bronchoconstriction

A

M3

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Describe the hering-breuer inflation reflex

A
  • Stretch receptors found throughout the bronchi and bronchioles send impulses down the vagi to the DRG when stretched
  • Stops APs being transmitted to inspiratory muscles, causing them to RELAX
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Describe the flow-volume curve

A

Flow into the lungs increases as volume increases initially until we reach a peak called the peak expiratory flow. The flow rate begins to decrease as we reach the end of inspiration

We then reach FVC

Flow reaches a lower peak during inspiration (the peak inspiratory flow)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

What does the volume-time curve of a spirometer show

A

FEV1 + volume of air breathed out during maximal exhalation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

What kind of receptor is M3

A

G-coupled

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

What do M3 receptors cause in the bronchioles

A

Increased intracellular Ca2+ - BRONCHOCONSTRICTION

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

What do M3 receptors cause in the endothelium

A

Increased release of NO - VASODILATION

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

What binds to beta-2 receptors

A

adrenaline

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

When is beta-2 receptor binding adrenaline released

A

When noradrenaline binds to the adrenal glands - BRONCHODILATION

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

When is compliance of lung greatest (spirometer wise)

A

Within the normal range of the tidal volume

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

What happens to the rate of ventilation at high altitudes

25
What happens to the blood pH at high altitudes
Increased ventilation causes respiratory alkalosis (increased pH)
26
What is the difference between the right and left main bronchus
Right is wider, shorter and more vertical than the left
27
Is the right or left bronchus more prone to aspiration
Right as it's more vertical
28
At what level do the trachea divide into the left and right main bronchus
T5 (Carina)
29
How many branches of the left bronchi are there
2
30
How many branches of the right bronchi are there
3
31
What does the main bronchi divide into
Lobar bronchi
32
What does the lobar bronchi divide into
Segmental bronchi
33
What does the segmental bronchi divide into
Terminal bronchi
34
What does the terminal bronchioles divide into
respiratory bronchioles
35
How many segmental bronchioles are there in the right and left lung
Right - 10 | Left - 8
36
At what vertebral level does the trachea begin at
C6
37
What innervates the vocal folds
Vagus nerve
38
Where are the vocal folds located
Larynx just under the trachea
39
What structure do the vocal folds belong to
Rima Glottidis
40
What is the rima glottidis
The opening between the true vocal cords and arytenoid cartilage of the larynx
41
What muscles cause the closure of the rims glottides
Lateral cricoarytenoid and arytenoid muscles
42
What is the rima glottides opened by
Posterior cricoarytenoid muscle
43
How do the vocal folds produce noise
They are brought close enough together that air pressure begins to build up below the larynx Eventually the sub glottal pressure pushes the folds apart producing sound
44
What cartilage is the corniculate made of
Elastic cartilage
45
What cartilage do the corniculate articulate with
Arytenoid
46
What is the role of the corniculate
Prolong cartilage posteriorly and medially
47
Where can we find the corniculate cartilage
In the aryepiglottic fold
48
What structure is attached to the arytenoid
Vocal cords
49
Role of the arytenoid
Allow vocal cords to be tensed and relaxed
50
What cartilage is the cuneiform made of
Elastic
51
Where are the cuneiform cartilage found
Aryepiglottic fold
52
What is the laryngeal inlet
An opening that connects the pharynx to the larynx
53
What forms the border of the laryngeal inlet
Anteriorly by the epiglottis Posteriorly by arytenoid and corniculate Inferiorly by the aryepiglottic fold
54
Define 'functional residual capacity'
The volume of gas PRESENT in the lungs when respiratory muscles are completely relaxed
55
How does standing upright affect the distribution of air in the lungs
Alveoli at the apex recieve more air than those at the base due to gravity
56
How does the size of the alveoli in the lungs vary
Those further towards the apex are larger than those closer to the base - due to gravity
57
At what level is FiO2 supplied to patients and why can't it be higher than this
0.5, can't be higher because oxygen toxicity can occur.
58
What muscle fixes the 12th rib during inspiration
Quadratus Lumborum