PSC1002/L18 Control of Respiration Flashcards

1
Q

Where is the respiratory control centre?

A

Medulla and pons (brainstem)

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2
Q

What is the role of the medulla with regards to respiration?

A

Generates automatic rhythmic breathing pattern

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3
Q

What are the 2 groups of neurones in the medulla?

A

Dorsal respiratory group (DRG)
Ventral respiratory group (VRG)

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4
Q

Activation of which neurones generates automatic rhythmic breathing?

A

DRG

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5
Q

Where is the apneustic centre and what is its function? (2)

A

Dorsally in pons
Promotes inspiration by stimulating inspiratory neurones in medulla

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6
Q

Where is the pneumotaxic centre and what is its function? (3)

A

Upper part of pons
Antagonists and dominates apneustic centre
Inhibits inspiration & allows for smooth breathing

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7
Q

Where are peripheral chemoreceptors located? (2)

A

Aortic bodies on aortic arch
Carotid bodies in bifurcation of internal and external carotid artery

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8
Q

Via which nerves do peripheral chemoreceptors transmit information?

A

Aortic - vagus nerve
Carotid - glossopharyngeal nerve

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9
Q

What do peripheral chemoreceptors sample in blood? (3)

A

O2
CO2
H+

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10
Q

Describe the signalling pathway within the carotid body. (7)

A

Low PO2
K+ channels close
Cell depolarises
VG Ca2+ channels open
Ca2+ enter cell
Exocytosis of DA vesicles
AP in sensory neurone

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11
Q

How does PCO2 affect respiratory rate?

A

Increase PCO2 = increase respiratory rate

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12
Q

Describe indirect sensing of PCOs by central chemoreceptors. (2)

A

Increased PCO2 in CSF generates H+
H+ stimulates chemoreceptor

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13
Q

What response occurs from increased PCO2/H+ in blood?

A

Hyperventilation

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14
Q

Describe how hyperventilation results in respiratory alkalosis. (5)

A

More CO2 expired
Blood CO2 decreases
Carbonic acid released fewer H+
[H+] decreases
Blood pH increases

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15
Q

What is metabolic acidosis?

A

Acidosis resulting from an increase in non-CO2 derived acid
E.g., lactic acid produced during exercise

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16
Q

Why does metabolic acidosis not stimulate central chemoreceptors?

A

H+ ions can’t penetrate blood brain barrier

17
Q

Describe the body’s response to metabolic acidosis. (3)

A

Increased respiration
Increased excretion of CO2
Reduces acid load in blood

18
Q

Describe the Hering Breuer Reflex. (2)

A

Prevents over-inflation of lung
Activation of stretch receptors in lung SM cessate inspiration

19
Q

What is the role of irritant receptors? (4)

A

Stimulated by mechanical stimuli, inhaled dusts etc.
Rapid adaptation when continuously stimulated
Impulses via myelinated fibres in vagus
Rapid shallow breaths and cough reflex

20
Q

How is cough initiated by irritant receptors? (7)

A

Impulse via vagus and superior laryngeal nerves to medulla activated
Diaphragm and external intercostal muscles contract
Pressure in pleural cavity decreases
Glottis and larynx close
Abdominal and other muscles contract at high speed
Glottis and larynx open
Air released at high speed
Bronchi and non-cartilaginous trachea collapes
Air forced through narrow openings clearing any irritants

21
Q

What is the role of proprioception in respiration?

A

Anticipates increased requirement for oxygen/removal of CO2 exercise requires