Physiology Flashcards

1
Q

Ventilation

A

The mechanical process of moving gas in and out of the lungs

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2
Q

The Four Steps of External Respiration

A

Ventilation
Gas exchange between alveoli and blood
Gas transport in the blood
Gas exchange at the tissue level

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3
Q

Boyle’s Law

A

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

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4
Q

Two forces hold the thoracic wall and the lungs in close opposition

A

The intrapleural fluid cohesiveness

The negative intrapleural pressure:

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5
Q

The intrapleural fluid cohesiveness

A

The 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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6
Q

The negative intrapleural pressure

A

The sub-atmospheric intrapleural pressure create a transmural pressure gradient across the lung wall and across the chest wall. So, the lungs are forced to expand outwards while the chest is forced to squeeze inwards.

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7
Q

Inspiration

A

During which the diaphragm descends on contraction, increasing the vertical dimension of the thoracic cavity.

Contraction of the external intercostal muscles elevates the ribs and subsequently the sternum to enlarge the thoracic cavity from front to back and from side to side.

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8
Q

Respiratory Distress Syndrome of the New Born

A

Developing foetal lungs are unable to synthesize surfactant until late in pregnancy
Premature babies may not have enough pulmonary surfactant
This causes respiratory distress syndrome of the new born

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9
Q

Major inspiratory muscles

A

Diaphragm and external intercostal muscles

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10
Q

Accessory muscles of inspiration (contracts only during forceful inspiration)

A

Sternocleidomastoid, scalenus, pectoral

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11
Q

Muscles of active expiration (contracts only during active expiration)

A

Abdominal muscles and internal intercostal muscles

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12
Q

Total lung capacity

A

Maximum volume of air that the lungs can hold

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13
Q

FVC

A

Forced Vital Capacity (maximum volume that can be forcibly expelled from the lungs following a maximum inspiration)

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14
Q

FEV1

A

FEV1 = Forced Expiratory volume in one second. Volume of air that can be expired during the first second of expiration in an FVC (Forced Vital Capacity) determination.

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15
Q

Primary determinant of airway resistance

A

The radius of the conducting airway

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16
Q

Compliance

A

A measure of effort that has to go into stretching or distending the lungs
Volume change per unit of pressure change across the lungs

17
Q

Alveolar Ventilation

A

Is the volume of air exchanged between the atmosphere and alveoli per minute

18
Q

To increase pulmonary ventilation

A

Both the depth (tidal volume) and rate of breathing (RR) increase. 🡪 because of dead space

19
Q

The partial pressure

A

The pressure that one gas in a mixture of gases would exert if it were the only gas present in the whole volume occupied by the mixture at a given temperature.

20
Q

Fick’s Law of diffusion

A

The amount of gas that moves across a sheet of tissue in unit time is proportional to the area of the sheet but inversely proportional to its thickness

21
Q

Alveolar Gas Equation

A

PAO2 = PiO2 – [PaCO2/0.8]

22
Q

The Haldane effect

A

Removing O2 from Hb increases the ability of Hb to pick-up CO2 and CO2 generated H+.

23
Q

Where is breathing rhythm generated?

A

Pre-botzinger complex in the medulla

24
Q

Pre-botzinger complex

A

Excites dorsal respiratory group neurones (inspiratory) - fire in bursts - leads to contraction of inspiratory muscle and inspiration

25
Q

The apneustic centre

A

Prolong inspiration

26
Q

Peripheral chemoceptors

A

Located at the carotids

Sense tension of CO2, O2 AND H+ in blood

27
Q

Central chemoceptors

A

Near medulla

Responds to H+ changes in CSF