RESPIRATORY 4 Flashcards

1
Q

gas diffusion in the respiratory membrane through the ______________ relationship of the atmospheric pressure

A

pressure-flow relationship

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2
Q

carbon dioxide is the byproduct of __________________

A

aerobic metabolism

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3
Q

oxygen is carried in blood in 2 forms

A
  1. chemical combination with hemoglobin in the RBC
  2. dissolved state in the plasma
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4
Q

globular protein of 4 subunits

contains 2 alpha and 2 beta subunits

A

hemoglobin

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5
Q

in the hemoglobin the iron is in the _________ state which binds oxygen

A

ferrous state

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6
Q

hemoglobin carries _____ O2 molecules

A

4

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7
Q

when O2 is bound to hemoglobin, it is termed as ___________

A

oxyhemoglobin

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8
Q

causes dissociation of hemoglobin

when oxyhemoglobin dissociates to release oxygen (O2), the heme iron is still in the reduced form

A

deoxyhemoglobin

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9
Q

iron is in the ferric state which does not bind to oxygen

decrease affinity of Oxygen to hemoglobin and reduces blood oxygen binding capacity

A

methemoglobin

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10
Q

a heme protein in muscle cells which combine chemically with a single molecule of oxygen

found in the muscle tissue

A

myoglobin

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11
Q

presence of 2 alpha and 2 beta hemoglobin, the beta chains are replaced by gamma chains

higher affinity for Oxygen

A

fetal hemoglobin

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12
Q

deoxyhemoglobin forms sickle shaped rods that deform rbcs

A

hemoglobin S

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13
Q

maximum amount of Oxygen that can be bound to oxygen per volume of blood

A

oxygen binding capacity

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14
Q

oxygen delivery to tissues are determined by:

A

blood flow
oxygen content in blood

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15
Q

an _________ in blood flow to tissue causes an increase in PO2

A

increase

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16
Q

oxyhemoglobin dissociation curve is a ___________ curve

A

sigmoidal

17
Q

upper portion of the oxyhemoglobin dissociation curve is termed as the ______ zone where O2 binds to hemoglobin

A

loading zone

18
Q

lower portion of the oxyhemoglobin dissociation curve is termed as the ______ zone where O2 is delivered to tissue cells

A

unloading zone

19
Q

PO2 in 50 percent saturation
indicator of the binding activity of hemoglobin to oxygen

A

p50

20
Q

increase PCO2 + decrease pH level = shift to the ________

A

right
results: more oxygen is delivered to target tissues

21
Q

Effect

causes the release of oxygen from hemoglobin
increase carbon dioxide binding with hemoglobin reduces affinity of oxygen with hemoglobin

A

Bohr Effect

22
Q

byproduct of red blood cells
usually seen in aerobic metabolism
examples: strenous exercise, hypoxia

A

2,3 BPG

23
Q

____________ binding of 2,3 DPG results in increased affinity of HbF for oxygen
curve to the __________

A

decreased binding
curve to the left

24
Q

among the different gases ______ has the highest affinity to hemoglobin

it is a potent vasodilator that leads to hypoxemia

A

nitric oxide

25
Q

carbon dioxide is transported in three forms

A

1.) dissolved in plasma
2.) chemically bound to hemoglobin (20%) is carried in red blood cells as carbaminohemoglobin
3.) HCO3 in plasma (70%)

26
Q

effect in the lungs

oxygen binding with hemoglobin reduces affinity of carbon dioxide with hemoglobin

A

haldane effect

27
Q

type of hypoxia

at high altitude climbing there is a decrease in Patm resulting to decrease in PO2

A

hypoxic hypoxia

28
Q

type of hypoxia
problem in oxygen content

A

anemia hypoxia

29
Q

type of hypoxia
problem in blood flow
decrease in cardiac output

A

circulatory hypoxia

30
Q

type of hypoxia
problem in binding of oxygen with hemoglobin and utilization of oxygen by the target tissue
carbon monoxide poisoning
cyanide poisoning - inhibition of cytochrome oxidase in the mitochondria

A

histotoxic hypoxia