Respiration 3 Flashcards

1
Q

a law that states in a mixture of gasses, each gas will move independantly”
a. Ficks law
b. Daltons law

A

Daltons law

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2
Q

how is P(atm) determined?

A

determined by summing up all partial pressures of elements in the air (nitrogen, ocygen, h20, and CO2)

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3
Q

what does Fick’s law tell us?

A

the rate of transfer of a gas through a membrane is porportional to the area, diffusion constant, and the differences of partial pressure between the two sides

the rate of transfer of a gas is inversely porportional to thickness

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4
Q

Carbon dioxide (CO₂) diffuses more rapidly than oxygen (O₂) across the alveolar membrane. What primarily explains this difference?

A) CO₂ has a higher solubility in blood than O₂, allowing it to diffuse more efficiently despite similar molecular weights.
B) CO₂ has a higher diffusion constant than O₂, making its transport across the membrane faster.
C) CO₂ has a greater ability to dissolve in plasma compared to O₂, increasing its diffusion rate.

D) CO₂ has a higher dissolving capacity in bodily fluids than O₂, enhancing its transfer rate.

A

Answer:
A) CO₂ has a higher solubility in blood than O₂, allowing it to diffuse more efficiently despite similar molecular weights.

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5
Q

why is Po2 in the alveoli less than Po2 in the air? state the 3 reasons:

A
  • humidity and warmth in respiratory system ↓Po2
  • loss of oxygen by diffusion ↓Po2
  • mixing air with residual volume ↓Po2
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6
Q

Which of the following are the key determinants of alveolar partial pressure of oxygen (PAO₂) and carbon dioxide (PACO₂)?

A) Inspired PO₂, alveolar ventilation, metabolic rate, and perfusion.

B) Atmospheric pressure, respiratory rate, lung compliance, and tidal volume.

C) Oxygen solubility, airway resistance, pulmonary surfactant, and hemoglobin saturation.

D) Diffusion capacity, bronchial circulation, lung volume, and oxygen consumption.

A

Inspired PO₂ – The amount of oxygen in the air we breathe.

Alveolar ventilation (VA) – Determines how much fresh air reaches the alveoli.
Va=(Vt-Vdead space)xbpm

Metabolic rate – Higher oxygen consumption and CO₂ production shift alveolar gas levels.

Perfusion (pulmonary blood flow) – Affects gas exchange efficiency and equilibrium with blood.

(a)

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7
Q

what occurs for the ALVEOLAR partial pressures of oxygen and Co2 during hypoventilation and hyperventilation?

A

hypoventilation (shallow breath):
PO2<PCO2

hyperventilating (deep breath)
PO2>PCO2

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8
Q

amount of blood that passes through the pumonaty capillary system in the lung
a. lung perfusion
b. systematic circulation
c. pulmonary circulation

A

lung perfusion

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9
Q

a HIGH PRESSURE SYSTEM, overcome high resistance systems, and necessary for delivering blood to tissue
a. lung perfusion
b. systematic circulation
c. pulmonary circulation

A

systematic circulation

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10
Q

LOW PRESSURE SYSTEM, necessary for delivery blood to only lungsm and high pressures are risky (lung edema)
a. lung perfusion
b. systematic circulation
c. pulmonary circulation

A

pulmonary circulation

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11
Q

How does hypoxic pulmonary vasoconstriction (HPV) help optimize ventilation-perfusion (V/Q) matching in the lungs?

A) When alveolar PO₂ is low, pulmonary arterioles constrict, redirecting blood flow to alveoli with higher oxygen levels to improve gas exchange efficiency.

B) When alveolar PO₂ is low, pulmonary arterioles dilate, allowing more blood flow to compensate for reduced oxygen availability.

C) When alveolar PCO₂ is high, pulmonary vasoconstriction increases to limit CO₂ exchange and preserve acid-base balance.

D) When alveolar ventilation decreases, pulmonary arteries increase blood flow to restore normal gas exchange rates.

A

When alveolar PO₂ is low, pulmonary arterioles constrict, redirecting blood flow to alveoli with higher oxygen levels to improve gas exchange efficiency.

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12
Q

what is a major factor affecting alveolar levels of O2 and CO2?

A

the vasoconstriction/perfusion system

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13
Q

Under which condition does bronchoconstriction occur, and what is its physiological purpose?

A) When alveolar PO₂ is low, bronchoconstriction reduces airflow to poorly oxygenated alveoli to optimize ventilation-perfusion (V/Q) matching.

B) When alveolar PCO₂ is low, bronchoconstriction decreases ventilation to underperfused alveoli, maintaining proper V/Q balance.

C) When alveolar PO₂ is high, bronchoconstriction limits ventilation to prevent excessive oxygen intake.

D) When metabolic demand increases, bronchoconstriction ensures better oxygen distribution by restricting airflow.

A

When alveolar PCO₂ is low, bronchoconstriction decreases ventilation to underperfused alveoli, maintaining proper V/Q balance.

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14
Q

what happens to the partial pressure of oxygen and CO2 INITIALLY when ventilated alveoli LACK perfusion

A

Po2 ↑ and Pco2↓
increasing V/Q ratio

A lack of perfusion leads to bronchoconstriction

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15
Q

what happens to the partial pressure of oxygen and carbon dioxide INITIALLY when perfused alveoli are not ventilated?

A

Po2↓ and Pco2 ↑
decreasing V/Q ratio

Decreased ventilation leads to vasoconstriction

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16
Q

during CO2 transport, what chemical is mostly present?
a. carbonic acid
b. carbaminohemoglobin
c. oxygen
d. bicarbonate

A

bicarbonate is the most present

second is carbaminohemoglobin (carbon dioxide binded to hemoglobin)

17
Q

When Does Pressure Go Up or Down?
Which condition would most likely result in an increase in alveolar PO₂ and a decrease in alveolar PCO₂?
A) Hypoventilation with a reduced respiratory rate.
B) Increased metabolic rate due to intense physical activity.
C) Hyperventilation with rapid, deep breathing.
D) Decreased alveolar ventilation due to airway obstruction.

A

Hyperventilation leads to increased oxygen intake and faster expulsion of CO₂, increasing PO₂ and decreasing PCO₂.

C

18
Q

Which of the following best defines partial pressure in the context of respiratory physiology?
A) The total pressure exerted by all gases in a mixture, directly proportional to their molecular weights.
B) The pressure exerted by an individual gas in a mixture, independent of other gases present.
C) The cumulative pressure of gases in alveoli after diffusion has reached equilibrium.
D) The sum of atmospheric and alveolar gas pressures affecting ventilation rates.

A

: Partial pressure is the pressure exerted by a single gas within a mixture, independent of other gases, as explained by Dalton’s Law.

B

19
Q

According to Fick’s Law, which scenario would result in the greatest increase in the rate of gas diffusion across the alveolar membrane?
A) Decreasing the alveolar surface area while increasing the membrane thickness.
B) Increasing the partial pressure gradient while maintaining the same membrane thickness.
C) Reducing the diffusion constant for the gas to improve selective permeability.
D) Equalizing the partial pressures on both sides of the membrane to enhance equilibrium.

A

Fick’s Law states that the rate of diffusion is directly proportional to the surface area, diffusion constant, and partial pressure gradient, and inversely proportional to membrane thickness.

B

20
Q

What are the three pathways for CO2 in intersitiual fluid?

A
  1. Remain dissolved in plasma
  2. Enter RBC as dissolved CO2
  3. Reacts with water to make carbonic acid, then bicarbonate; regulate pH in th blood
21
Q

Which of the following best explains why CO₂ diffuses from the blood into the alveoli during gas exchange in the lungs?

A) CO₂ moves actively across the alveolar membrane using ATP-dependent transporters.
B) The concentration of oxygen in the alveoli pulls CO₂ out of the blood through competitive binding.
C) CO₂ diffuses down its partial pressure gradient, from higher PCO₂ in the blood to lower PCO₂ in the alveoli.
D) The alveolar walls contain enzymes that chemically force CO₂ out of the blood.

A

CO₂ moves due to the concentration gradient, specifically a partial pressure gradient.

22
Q

Which of the following best explains why most H⁺ ions are not freely dissolved in the blood and the role of hemoglobin (Hb) in buffering?

A) H⁺ ions are too large to remain dissolved in plasma and require binding to hemoglobin for transport.
B) Free H⁺ ions would drastically alter blood pH, so hemoglobin binds to H⁺ to help maintain acid-base balance.
C) H⁺ ions are hydrophobic and cannot dissolve in the aqueous environment of blood plasma.
D) Hemoglobin binds H⁺ ions to prevent them from interfering with oxygen binding at the heme group.

A

Free H⁺ ions in the blood would significantly disrupt acid-base homeostasis by rapidly lowering pH. Hemoglobin acts as a buffer by binding to these H⁺ ions, particularly at its histidine residues, thereby reducing fluctuations in blood pH and maintaining physiological balance without interfering with oxygen transport.

B

23
Q

Hypoventilation that leads to increased PCO2 and Increased proton concentration (H+)
A. Respiratory acidosis
B. Respiratory acidosis
C. Metabolic acidosis
D. Metabolic alkalosis

A

Respiratory acidosis

24
Q

Hyperventilation occurs, where the partial pressure of CO2 decreases and the H+ concentration decreases

A. Respiratory acidosis
B. Respiratory alkalosis
C. Metabolic acidosis
D. Metabolic alkalosis

A

Respiratory alkalosis

25
Condition in which there is an increase of H+ in blood, where concentration is independant od changes in PCO2 A. Respiratory acidosis B. Respiratory acidosis C. Metabolic acidosis D. Metabolic alkalosis
Metabolic acidosis
26
fires during inspiration, stimulates inspiratory muscles a. DRG b. VRG c.PRG
Dorsal respiratory group
27
contains a respiratory rhythm generator in the Pre-Botzinger a. DRG b. VRG c.PRG
ventral respiratory group
28
____ sets the basal respiratory rate/breathing rhythm
prebot C
29
1. Which of the following best describes the role of the Pre-Bötzinger complex? a) It directly stimulates the diaphragm to initiate inspiration b) It serves as the pacemaker for respiratory rhythm c) It integrates input from peripheral chemoreceptors to regulate breathing d) It modulates the transition between inspiration and expiration
Answer: b) It serves as the pacemaker for respiratory rhythm Rationale: The Pre-Bötzinger complex, located in the VRG, generates the basal respiratory rhythm, making it the pacemaker of respiration
30
Peripheral chemoreceptors are most sensitive to which of the following? a) Small decreases in arterial PO2 within the normal range b) A large drop in arterial PO2 below 60 mmHg c) Increased PCO2 in the blood d) Decreased pH in brain extracellular fluid
A large drop in arterial PO2 below 60 mmHg Rationale: Peripheral chemoreceptors in the carotid and aortic bodies respond significantly only when arterial PO2 falls below 60 mmHg.
31
Which of the following factors primarily drives the activation of central chemoreceptors? a) Decreased oxygen concentration b) Increased CO2 concentration leading to increased H+ in brain extracellular fluid c) Increased bicarbonate concentration in blood d) Decreased arterial pH from metabolic acidosis
Increased CO2 concentration leading to increased H+ in brain extracellular fluid Rationale: Central chemoreceptors in the medulla respond to changes in CO2, which converts to H+ in brain extracellular fluid.
32
The Ventral Respiratory Group (VRG) differs from the DRG because it: a) Is responsible for the smooth transition between inspiration and expiration b) Primarily regulates breathing during quiet respiration c) Contains the Pre-Bötzinger complex, which sets the basal respiratory rhythm d) Responds exclusively to metabolic acidosis
Contains the Pre-Bötzinger complex, which sets the basal respiratory rhythm Rationale: The VRG includes the Pre-Bötzinger complex, which acts as the pacemaker for breathing.
33
How does metabolic acidosis primarily affect ventilation? a) It increases ventilation by stimulating central chemoreceptors b) It decreases ventilation by inhibiting peripheral chemoreceptors c) It increases ventilation by stimulating peripheral chemoreceptors d) It has no effect on ventilation because H+ cannot cross the blood-brain barrier
tncreases ventilation by stimulating peripheral chemoreceptors (Pchemoreceptors only react to changes in arterial blood) Rationale: H+ from metabolic acidosis cannot cross the blood-brain barrier and thus stimulates peripheral chemoreceptors.
34
The effect of the apneustic center and pneumotaxic center is to: a) Terminate inspiration at the appropriate time b) Prolong inspiration by stimulating the medullary inspiratory neurons c) Directly stimulate expiratory muscles d) smoothing transitions between inspiration and expiration
a and c
35
Which of the following is TRUE regarding respiratory response to hypercapnia? a) Peripheral chemoreceptors respond more strongly than central chemoreceptors b) Central chemoreceptors contribute to 70% of the response c) Only the DRG responds to hypercapnia d) The apneustic center is primarily responsible for detecting CO2 changes
Central chemoreceptors contribute to 70% of the response Rationale: Central chemoreceptors mediate the majority of the respiratory response to increased CO2 (hypercapnea)
36
Central chemoreceptors are stimulated most in response to: a. decreased arterial PO2 b. metabolic acidosis c. respiratory acidosis d. all the above e. both b and c
respiratory acidosis because Central chemoreceptors are sensitive to changes in PCO2, which is associated with changes in H+ concentration
37
What do peripheral chemoreceptors activate, and what happens when they are activated? a) They activate the DRG and VRG, increasing respiratory rate and tidal volume b) They inhibit the pneumotaxic center, leading to prolonged inspiration c) They stimulate central chemoreceptors, causing an increase in blood oxygen levels d) They decrease respiratory rate to conserve oxygen
They activate the DRG and VRG, increasing respiratory rate and tidal volume Rationale: Peripheral chemoreceptors detect low arterial PO2 and activate medullary centers to increase breathing rate and tidal volume.