Physiology 3 - Control of Respiration Flashcards

1
Q

Name the respiratory rhythm pacemaker cells in the medulla

A

Pre-Botzinger Complex

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2
Q

Which neurons do the pre-botzinger neurons stimulate to cause inspiration?

A

Activated pre-botzinger neurons stimulate dorsal respiratory neurons which contract inspiratory muscles

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3
Q

Which neurons cause hyperventilation (active expiration) and how are they activated?

A

Increased stimulation of the dorsal respiratory neurons activates the ventral respiratory neurons.

ventral respiratory neurons activate expiratory muscles (abdominal & internal intercostals)

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4
Q

Which neurons do not participate in normal quiet breathing?

A

Ventral respiratory neurons

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5
Q

Name the neuronal centre in the pons which terminates inspiration? And how is group of neurons activated?

A

Pneumotaxic centre (PC).

Activated when dorsal respiratory neurons are stimulated.

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6
Q

Which neuronal centre in the pons causes prolonged inspiration?

A

Apneustic Centre (AC).

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7
Q

Where are peripheral chemoreceptors located?

A

Carotid and Aortic bodies

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8
Q

What is the Hering-Breur inflation reflex?

A

A reflex triggered to prevent the over-inflation of the lung.

Pulmonary stretch receptors present on the wall of bronchi and bronchioles of the airways respond to excessive stretching of the lung during large inspirations.

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9
Q

Where are J receptors located?

A

J receptors are located within the alveolar walls in juxtaposition to the pulmonary capillaries of the lung, and are innervated by fibers of the vagus nerve.

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10
Q

Which receptors does oedema or PE activate?

A

J receptors

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11
Q

Where are central chemoreceptors located?

A

Surface of medulla

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12
Q

Central chemoreceptors detect H+ in CSF. How does H+ get into the brain?

A

CO2 readily diffuses across BBB.

CO2 conversion to bicarbonate creates H+, causing hyperventilation.

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13
Q

Define hypoxia

A

Inadequate supply of O2 to tissues

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14
Q

Define hypoxaemia

A

Lowered blood O2 content

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15
Q

Define hypercapnia

A

Build up of CO2 in blood

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16
Q

COPD patients can suffer from hypoxaemia due to chronic hypercapnia. What O2 saturation is recommended for them and why?

A

SaO2 around 88-92%

More O2 will worsen the hypercapnia