Respiration Flashcards

1
Q

What is the primary function the respiratory system?

A

The primary function is gas exchange in the respiratory system occuring in the lungs, where oxygen (O2) is taken in during inspiration, and carbon dioxide (CO2) produced during oxidative processes is exhaled.

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2
Q

How are oxygen (O2) and carbon dioxide (CO2) transported in the body during respiration?

A

transported by the blood.

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3
Q

What is the path of airflow in the respiratory tract starting from the nose?

A

Air flows through the nose (nasal septum + turbinates), then through the pharynx, larynx, trachea, bronchi, and eventually to the periphery of the lungs.

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4
Q

How does the respiratory system clean the air of large particles?

A

Large particles are cleaned from the air as it flows through the nose, which contains the nasal septum and turbinates.

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5
Q

What are the divisions of the trachea, and how do they further branch?

A

The trachea divides into two main bronchi, which further divide into lobar and segmental bronchi. The right bronchus has three lobar bronchi, while the left bronchus has two.

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6
Q

What is the role of the pleura in the respiratory system? (+name the 2 pleuras and what they do)

A

The pleura is a thin cellular sheet forming two enclosed pleural sacs around each lung. The parietal pleura is attached to the internal thoracic cage, and the visceral pleura is attached to the lung surface.

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7
Q

Explain the function of conducting and respiratory zones in the respiratory system.

A

Conducting airways, from the mouth and nose to terminal bronchioles, form the anatomical dead space and do not contribute to gas exchange. The functions of conducting airways include defense against foreign particles, warming and moistening inhaled air, production of sound speech, and regulation of airflow through smooth muscle contraction/relaxation.

The respiratory zone is responsible for gas exchange.

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8
Q

How does mucociliary defense work in the respiratory system?

A

Mucociliary defense involves epithelial glands secreting thick mucus lining the respiratory passages. Foreign particles stick to the mucus, and cilia sweep them away. Nicotine can momentarily stop ciliary beating, leading to mucus accumulation.

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9
Q

What are the functions of the epithelial lining of bronchi in the respiratory system? (4 functions)

A

The functions of the epithelial lining of bronchi include
-defense against foreign particles through mucociliary defense
-warming and moistening inhaled air via blood vessels and fluid lining the airway
-production of sound speech as air passes over vocal cords
-and regulation of airflow through smooth muscle contraction/relaxation.

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10
Q

What structures make up the Respiratory Zone in the lungs? (3 things)

A

The Respiratory Zone consists of respiratory bronchioles, alveolar ducts, and alveoli. It serves as the site of gas exchange and features extensive branching, with the acinus being the smallest physiological unit of the lungs.

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11
Q

What is the role of Pulmonary Circulation in the respiratory system?

A

Pulmonary Circulation brings mixed deoxygenated blood to the lungs, allowing it to get oxygenated in the alveolar capillaries. Pulmonary arteries carry deoxygenated blood from the right ventricle, and pulmonary veins bring oxygenated blood from alveolar capillaries to the left heart.

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12
Q

Describe Bronchial Circulation and its role in the respiratory system.

A

Bronchial Circulation brings oxygenated blood from the systemic circulation to the tracheobronchial tree. Bronchial arteries, supplied by the aorta, provide blood to the airway walls.

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13
Q

What are the main types of cells found in the alveoli, and what are their functions?

A

The main alveolar cell types are Epithelial Type 1 and 2 Cells, Endothelial Cells, and Alveolar Macrophages. Type 2 Cells produce surfactant to decrease surface tension, while macrophages eliminate foreign particles.

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14
Q

Explain the concept of surface tension in the alveoli.

A

Surface tension in the alveoli arises because molecules at the film’s surface tend to arrange themselves for the lowest energy configuration. This tension, as per LaPlace’s Law, is inversely proportional to the radius, potentially producing pressure in curved surfaces like alveoli.

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15
Q

How do Pulmonary Surfactants prevent alveolar collapse?

A

Pulmonary surfactants, secreted by Type 2 Epithelial cells, decrease surface tension inside alveoli with lung volume changes. This prevents pressure from getting too high in small alveoli, reducing overall surface tension and allowing for proper breathing.

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16
Q

What are the primary respiratory muscles involved in inspiration?

A

The primary inspiratory muscles include the diaphragm (innervated by phrenic nerves), external intercostal muscles, and parasternal intercartilaginous muscle. Accessory muscles like SCM and Scalenus can also be involved at higher ventilation levels.

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17
Q

How does expiration occur during quiet breathing?

A

During quiet breathing, expiration is passive and occurs as a result of the relaxation and recoil of inspiratory muscles.

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18
Q

Describe the role of inspiratory and expiratory muscles during active breathing.

A

Active breathing involves the diaphragm moving up and forcing air out of the lungs. Internal intercostal muscles depress ribs, and abdominal muscles depress lower ribs and compress abdominal contents.

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19
Q

What does a spirometer measure, and what are the measurable volumes in spirometry? (5 volumes)

A

A spirometer measures volumes of inhaled or exhaled gas. Measurable volumes include Tidal Volume (VT), Inspiratory Reserve Volume (IRV), Expiratory Reserve Volume (ERV), Inspiratory Capacity (IC), and Vital Capacity (VC).

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20
Q

What volumes are not measurable with a spirometer? (3 volumes)

A

Residual Volume (RV), Functional Residual Capacity (FRC), and Total Lung Capacity (TLC) cannot be directly measured.

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21
Q

How is Functional Residual Capacity (FRC) measured in spirometry?

A

FRC can be measured using helium gas dilution techniques. The equation is FRC = (C1 * V1 / C2) – V1, where C1 is the initial helium concentration, V1 is the volume in the spirometer, and C2 is the helium concentration after equilibration.

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22
Q

Define ventilation and explain Minute Ventilation (VE).

A

entilation is the amount of air inspired into the lungs over time. Minute Ventilation (VE) is the amount of air inspired or expired in one minute, calculated as VE = VT * f, where VT is the tidal volume, and f is the breaths per minute.

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23
Q

What comprises Physiological Dead Space, and how is Alveolar Ventilation (VA) calculated?

A

Physiological Dead Space includes Anatomical Dead Space (150 mL) and Alveolar Dead Space. Alveolar Ventilation (VA) is calculated as (VT – 150 mL) * f, representing the amount of air reaching the respiratory zone per minute available for gas exchange.

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24
Q

Differentiate between Alveolar Hyperventilation and Alveolar Hypoventilation.

A

Alveolar Hyperventilation involves more O2 supplied and more CO2 removed than the metabolic rate requires. Alveolar Hypoventilation, on the other hand, indicates less O2 supplied and less CO2 removed than the metabolic rate requires.

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25
Q

How is Normal Alveolar Ventilation related to arterial pressure of CO2 (PaCO2)?

A

Normal Alveolar Ventilation maintains the arterial pressure of CO2 (PaCO2) at a constant level.

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26
Q

Explain Gas Partial Pressures using examples.

A

Gas Partial Pressures (Px) can be calculated using the formula
Px = P * Fx

where P is the total pressure, and Fx is the fractional concentration in dry gas.

For example, PO2 = (760mmHg – 47mmHg) * 21/100 = 150mmHg, and PCO2 = (760mmHg – 47mmHg) * 0.03/100 = 0.2mmHg.

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27
Q

How does gas diffusion occur across the alveolar-capillary membrane (passive or active), and what is Fick’s Law?

A

Gas diffusion across the alveolar-capillary membrane is passive. Fick’s Law states that diffusion rate is proportional to surface area, the gas partial pressure between two sides, and inversely proportional to thickness.

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28
Q

Why does O2 diffuse slower than CO2 through the alveolar-capillary membrane?

A

O2 diffusion is slower because it is less soluble in liquid than CO2. Even though O2 has a smaller PCO2 difference, it diffuses more slowly due to lower solubility.

29
Q

How is Transit Time related to gas diffusion, and what happens during Pulmonary Edema?

A

Transit time is the time it takes for blood to go through pulmonary capillaries. In Pulmonary Edema, fluid in the interstitial space impairs diffusion, increases blood flow, decreases transit time, and leads to decreased PaO2 and increased PaCO2.

30
Q

What is the formula for minute ventilation?

A

VE =VT *f
■ VT = tidal volume
■ f = breaths per minute

31
Q

What is the formula for alveolar ventilation?

A

VA =(VT –150mL)*f

32
Q

What is the formula for Physiological Dead Space (VD)?

A

VD = Anatomical + Alveolar Dead Space

33
Q

What is the blood pressure in the pulmonary circulation, and how does it compare to the systemic circulation?

A

The blood pressure in the pulmonary circulation is lower than in the systemic circulation.

Specifically, in the pulmonary circulation, it is 25/8 (right ventricle), 25/0 (circulation), with a mean pulmonary arterial pressure of 15mmHg.

34
Q

Explain Vascular Resistance in the pulmonary system.

A

Pulmonary resistance is 1/10 of the systemic resistance due to thin walls and less smooth muscle in the pulmonary system. The low resistance and high compliance of the pulmonary system allow the lungs to accept the entire cardiac output with little change to pulmonary arterial pressure.

35
Q

How does the pulmonary system accommodate increased pulmonary blood flow? (5 ways)

A

The accommodation of pulmonary blood vessels occurs through :
*Changing resistance: Recruitment (lower resistance) and Distention ( higher resistance)
* Drugs (serotonin, histamine, norepinephrine) which cause the
contraction of smooth muscle increase pulmonary vascular resistance in the larger pulmonary arteries
* Drugs (acetylcholine, isoproteranol) which can relax smooth muscle may decrease pulmonary vascular resistance.
* There is a reflex vasoconstriction in regions of the lungs that are poorly oxygenated
* Nitric oxide produced by endothelial cells relaxes vascular smooth muscle leading to vasodilation

36
Q

What are the ways in which pulmonary circulation differs from the systemic
one ? (3)

A

1) The right ventricle develops a pressure of ~25 mmHg during its systole (compared to 120mmHg in the left ventricle)

2) Blood pressure in the pulmonary circulation is lower than in the systemic circulation

3) The blood vessels are thinner and contain less smooth muscle than comparable vessels in the systemic circulation.

37
Q

What are the effects of gravity on pulmonary blood flow? (starling resistor complex) (hint: explain at top, bottom and middle)

A

Gravity affects blood flow in an upright position.
At the bottom, if PALVEOLAR > PCAPILLARIES, capillaries may compress, reducing blood flow.

At the top, if PALVEOLAR < PCAPILLARIES, capillaries may compress, limiting blood flow.

At the middle, PALVEOLAR is high enough on entrance but PCAPILLARIES is not high enough, so there is a little compression.

lecture 3 slide 12 picture

38
Q

How does gravity impact ventilation in the lungs? (hint: slinky)

A

At rest, alveoli at the top of the lungs are more open than at the bottom. When breathing in, bottom alveoli open up more, allowing more fresh air to reach the bottom and improving ventilation.

39
Q

What is the Ventilation-Perfusion (Blood Flow) Ratio, and how is it affected by gravity?

A

Ventilation is not as affected by gravity as blood flow. Rib 3 is considered to have a perfect ventilation-perfusion ratio. Above Rib 3 may have excess ventilation, below Rib 3 may have excess blood flow. The normal lung is not perfect in maintaining this ratio.

lecture 3 slide 16 picture

40
Q

Define Pulmonary Blood Flow (Q) and its relationship to O2 consumption (equation).

A

Pulmonary Blood Flow (Q) is the amount of blood pumped by the heart through the pulmonary circulation.

The relationship with O2 consumption (VO2) is described by the equation
Q = VO2 / (CaO2 – CVO2),
where CaO2 is the oxygen content in the blood leaving the lungs (100 mmHg) and CVO2 is the oxygen content in the blood entering the lungs (40 mmHg).

41
Q

According to Henry’s Law, how is the amount of gas dissolved in blood related to its partial pressure?

A

the amount of gas dissolved in blood is proportional to the partial pressure of that gas.

42
Q

How is O2 primarily transported in the blood, and what is the role of hemoglobin (Hb) in this process (explain how many subunits etc)?

A

Most of the O2 in blood is transported via hemoglobin (Hb). Hb, found in red blood cells, has four subunits with four Fe2+ each, allowing it to bind a total of four O2 molecules. O2 binds to the heme group on Hb, and the amount of O2 bound does not contribute to the PO2 of blood.

43
Q

What are the factors influencing the O2 Dissociation Curve, and why does it have a sigmoidal shape?

A

Factors influencing the O2 Dissociation Curve include:
-high PO2 leading to Hb saturation (plateau)
-low PO2 resulting in Hb desaturation (steep)
-cooperative binding where the first O2 binding increases Hb affinity for the second.
-the quaternary structure of Hb determines its affinity for O2

The sigmoidal shape provides an auto-mechanism of saturation/desaturation for O2 supply.

44
Q

Explain the shape of the dissociation curve for myoglobin and why its a safety mechanism.

A

Myoglobin, found in skeletal muscle, has a hyperbolic shape as it binds only one O2.
Safety: It follows that myoglobin will release its O2 only at very low PO2.

45
Q

Describe the Bohr Effect and its impact on the O2 Dissociation Curve.

A

The Bohr Effect shifts the HbO2 curve to the right due to increased blood CO2, temperature, and decreased blood pH. During exercise, the curve shifts right, requiring additional O2 release for a given drop in PO2.

46
Q

How does Carbon Monoxide (CO) Poisoning affect O2 transport, and what is the consequence?

A

CO has a high affinity for O2 binding sites in Hb, reducing the amount of O2 bound to Hb. This shifts the HbO2 curve to the left, decreasing O2 upload to tissues. In CO poisoning, PaO2 remains normal, leading to no stimulation for increased ventilation.

47
Q

Explain the mechanisms of CO2 transport in the blood. (3 ways)

A

CO2 is produced in tissues and removed by blood. It is carried in three forms:

-physically dissolved (10%)
-bound to globin in Hb (11%)
-as bicarbonate (79%)

48
Q

How does the CO2 Dissociation Curve differ from the O2 Dissociation Curve?

A

The CO2 Dissociation Curve shows a linear relationship between CO2 content and PO2. Hypoventilation increases alveolar PCO2 and arterial, capillary, tissue, and venous CO2. Increasing alveolar ventilation proportionally increases CO2 removal.

49
Q

What is the Haldane Effect, and how does it contribute to CO2 transport?

A

The Haldane Effect states that deoxyhemoglobin (DeoxyHb) carries more CO2 in the deoxygenated state than the oxygenated state.
In tissue capillaries, DeoxyHb may combine with H+, aiding blood loading of CO2 and pushing the reaction to the right. The reactions are reversible, contributing to CO2 transport.

50
Q

How is CO2 converted into bicarbonate? give reactions

A

Carbon dioxide (CO2) combines with water (H2O) to produce carbonic acid (H2CO3). This reaction is facilitated in red blood cells by the enzyme carbonic anhydrase (CA), as shown by the equation:
CO2 +H2O →H2CO3

Carbonic acid (H2CO3) then undergoes ionization to form bicarbonate (HCO3-) and hydrogen ions (H+), represented by the equation:
H2CO3 → HCO3- + H+

51
Q

What are the causes of respiratory failure, and how does it affect gas exchange? (3)

A

Respiratory failure can result from
-edema causing thickening of alveolar walls, leading to decreased diffusion, affecting gas exchange.
-neural control of ventilation failure
-neuromuscular breathing apparatus failure (e.g., muscular dystrophy).

52
Q

Define Arterial Hypoxia (Hypoxemia) and list some causes seen in class (5)

A

Arterial Hypoxia is deficient blood oxygenation, characterized by low PaO2 and low %Hb saturation.

Causes include:
-inhalation of low PO2 (high altitudes)
-hypoventilation (CNS disease, neuromuscular disease, barbiturates, drugs, narcotics)
-ventilation/perfusion imbalance (e.g., asthma)
-Shunts of blood in lungs
-O2 diffusion impairment

53
Q

Describe if control of breathing is voluntary or involuntary and explain the neuronal structures involved (sensors, controllers, effectors).

A

Control of breathing is both voluntary (cerebral hemispheres) and involuntary (brainstem).

Neuronal structures include sensors (pulmonary receptors, chemoreceptors), controllers (pons, medulla), and effectors (respiratory muscles).

54
Q

Explain the role of chemoreceptors in the control of breathing, distinguishing between central and peripheral chemoreceptors.

A

Chemoreceptors sense changes in PO2, PCO2, and pH in arterial blood, leading to ventilation changes.

Central chemoreceptors, located in the ventral surface of the medulla, detect CSF pH changes.

Peripheral chemoreceptors, in carotid and aortic bodies, sense changes in PO2 in arterial blood.

55
Q

What are the specific functions of the upper pons, lower pons and medulla; and what would happend to the breathing if we cut them off (with vagi intact)?

A

Medulla: Generate rhythm
If cut off: Rhythmic breathing but no control in volume

Lower pons: Promotes inspiration
If cut off: slow and deep breaths

Upper pons: Turn off inspiration
If cut off: normal breathing pattern

56
Q

What is the value of pressure which is the signal to increase ventilation?

A

less then 60 mm Hg

57
Q

What is the value of pressure which is the signal to decrease ventilation?

A

more than 100 mm Hg

58
Q

How does CO2 affect CSF pH? and explain the feedback mechanism

A

CO2 easily di uses from blood vessels to CSF = Decrease CSF pH = stimulates central
chemoreceptors = increase minute ventilation = decrease PCO2 in blood + CSF = CSF pH returned to normal

59
Q

which sensory neurons are associated with the carotid and which are associated with the aortic bodies? Where do these neurons project?

A

Sensory Neurons:
● Carotid: Glossopharyngeal Nerve (IX)
● Aortic: Vagus Nerve (X)

A fferent Neurons → project to the Dorsal Group of Neurons in Medulla

60
Q

What is the Haldane Effect, and how does it relate to the control of CO2?

A

The Haldane Effect states that deoxyhemoglobin (DeoxyHb) carries more CO2 in the deoxygenated state than the oxygenated state. This contributes to CO2 transport. DeoxyHb helps with blood loading of CO2, pushing the reaction to the right, and increases minute ventilation.

61
Q

Describe the types of receptors involved in the control of breathing, their location and their function
(pulmonary stretch receptors, irritant receptors, and juxta-capillary receptors)

A

Pulmonary stretch receptors, located in smooth muscles of trachea to terminal bronchioles, sense lung distention.

Irritant receptors, Located between airway epithelial cells, stimulated by noxious stimuli, cause bronchoconstriction and hyperpnea.

Juxta-capillary receptors, Located in alveolar walls close to capillaries, are stimulated by increased pulmonary interstitial fluid, leading to apnea or dyspnea.

62
Q

Explain the role of the pleural space in the ventilatory apparatus.

A

The pleural space couples the chest wall to the lungs. When the ribcage expands, it creates negative pressure in the pleural space, causing the lungs to pull open. Pneumothorax, a hole in the pleura, can lead to lung collapse as the pressure difference between the atmosphere and the lungs is lost.

63
Q

Define Lung Recoil Pressure (PL) and Trans-Chest Wall Pressure (PW).

A

Lung Recoil Pressure (PL) is the pressure difference between the atmosphere and the lungs (PL = PALV – PPL). Trans-Chest Wall Pressure (PW) is the pressure difference between the pleural space and the body surface (PW = PPL – PBody Surface).

64
Q

Describe Trans-Respiratory System Pressure (PRS) and its components.

A

Trans-Respiratory System Pressure (PRS) is the sum of Lung Recoil Pressure (PL) and Trans-Chest Wall Pressure (PW) (PRS = PL + PW). It represents the overall pressure difference across the respiratory system.

65
Q

What is Compliance, and how is it related to the ease of lung distension?

A

Compliance (C) is the ease with which the lungs can be distended or inflated. It is defined as the change in volume (ΔV) divided by the change in pressure (ΔP) (C = ΔV/ΔP). Higher compliance indicates easier lung distension.

66
Q

Explain the effect of fibrosis and emphysema on Lung Compliance (CL)

A

Conditions like fibrosis decrease compliance, while emphysema increases compliance.

67
Q

Define Chest Wall Compliance (Cw) and its impact on lung volume changes.

A

Chest Wall Compliance (Cw) is the elastic property of the thorax’s tissues causing recoil. During lung volume changes, decreased lung volume results in outward recoil of the chest wall (negative pressure), and increased lung volume results in inward recoil (positive pressure).

68
Q
A