Physiology 1 Flashcards

1
Q

What is meant by “internal respiration?”

A

The intracellular mechanisms, which consume oxygen and produce carbon dioxide.

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2
Q

What is meant by “external respiration?”

A

The sequence of events that lead to exchange of oxygen and carbon dioxide between the external atmosphere and the body cells.

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3
Q

What are the four steps of external respiration?

A
  • Ventilation
  • Exchange of O2 and CO2 between air in the alveoli and blood
  • Transport
  • Exchange of O2 and CO2 between blood and tissues
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4
Q

What is meant by ventilation?

A

The process of moving gas in and out of the lungs

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5
Q

Which three body systems are involved with external respiration?

A
  • Respiratory
  • Cardiovascular
  • Haematological
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6
Q

What does Boyle’s law state?

A

At any constant temperature the pressure exerted by a gas varies inversely with the volume of a gas
i.e. as volume increases pressure decreases

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7
Q

Which two forces hold the thoracic wall and the lungs together?

A
  • Intrapleural fluid cohesiveness

- Negative intrapleural pressure

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8
Q

What is “intrapleural fluid cohesiveness?”

A

Water molecules in the intrapleural fluid are attracted to each other and resist being pulled apart, hence the pleural membranes tend to stick together.

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9
Q

What is meant by “negative intrapleural pressure?”

A

The sub-atmospheric intrapleural pressure creates transmural pressure gradient across lung wall and chest wall. The lungs are forced to expand and the chest is forced inwards.

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10
Q

Which three pressures are important in ventilation?

A
  • Atmospheric pressure
  • Intra-alveolar pressure
  • Intrapleural pressure
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11
Q

Is inspiration and active or passive process?

Why?

A

Active- It depends on muscle contraction

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12
Q

Which muscle causes the thorax volume to increase vertically?

A

Diaphragm

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13
Q

Which direction does the diaphragm move during contraction?

A

Inferiorly

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14
Q

Which nerves supply the diaphragm?

A

C3, C4 and C5 phrenic nerves

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15
Q

Where do the nerves which supply the diaphragm originate?

A

C3, C4 and C5 vertebrae

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16
Q

What is the “bucket handle mechanism?”

A

Contraction of the external intercostal muscles lifting the ribs and moving the sternum outwards

17
Q

Is expiration an active or passive process?

A

Passive

18
Q

What causes air to move into the alveoli?

A

The increase in size of the lungs–> decreased pressure, Air moves in down pressure gradient. (Boyle’s law)

19
Q

What causes air to move out of the alveoli?

A

Decrease in size of lungs due to their elastic properties–> Pressure increase–> Air moves out down pressure gradient
(Boyle’s law)

20
Q

What is a pneumothorax?

A

Air in the pleural space

21
Q

What causes the lungs to recoil during expiration?

A
  • Elastic connective tissue in the lungs

- Alveolar surface tension

22
Q

What is alveolar surface tension?

A

The attraction between water molecules at the liquid air interface.

23
Q

What is surfactant?

A

A complex mixture of water and lipid molecules that line alveoli

24
Q

What is the function of surfactant?

A

It prevents the collapse of alveoli.

25
Q

What type of cells secrete surfactant?

A

Type 2 alveolar cells

Type 2 pneumocytes

26
Q

What is LaPlace’s Law?

A

Smaller alveoli (with smaller radius-r) have a higher tendency to collapse

27
Q

Does surfactant reduce the surface more greatly in smaller or larger alveoli?

A

Smaller alveoli

28
Q

Why does respiratory distress syndrome occur in new born?

A

They are unable to produce surfactant until late pregnancy, hence may have not produced enough by birth

29
Q

What is alveolar interdependence?

A

If an alveolus starts to collapse, the surrounding alveoli are stretched and recoil causing expanding forces to be placed upon the collapsing alveolus, hence opening it.

30
Q

Which three forces keep the alveoli open?

A
  • Alveolar interdependence
  • Pulmonary surfactant
  • Transmural pressure gradient