Respiratory practice questions Flashcards

1
Q

Wha is the effect of HIF-1 (hypoxia inducible factor 1) under hypoxic conditions?

A
  • Upregulates glucose transporters
  • Inhibits pyruvate dehydrogenase (PD kinase inactivates PDH)
  • This upregulates lactic dehydrogenase and BNIP3 and BNIP3L —> trigers mitochondrial autophagy
  • Glycolysis is promoted and TCA inhibited to prevent toxicity from ROS
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2
Q

What changes in a fibrotic lung?

A
  • Decrase in FRC
  • Increase in FEV1
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3
Q

What factors influence Zone 2 of lungs?

A
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4
Q

Coupling between metabolic rate and ventilation best discribed as?

A

PaCO2

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5
Q

What does qty of gas diffused into a liquid over given time period depends on?

A
  • Diffusion coefficient of gas
  • Temperature
  • Solubility coefficient

*Partial pressure gradient, not concentration gradients

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6
Q

What influences O2 consumption?

A
  • Concentration of inspired O2
  • Pulmonary ventilation
  • Plumonary extraction coefficient
  • NOT resp. exchange ratio
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7
Q

Respiratory quotient?

A

Relationship between CO2 produciton and O2 consumption at tissue level

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8
Q

Why is gas echange more efficieny in birds than mammals?

A
  • Air sacs
  • No diaphragm
  • High body temperature
  • Cross-current for gas exchange
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9
Q

How does the work of breathing change when Breathing faster?

A
  • Increased total work of breathing
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10
Q

Abdominal muscles for?

A
  • Cough
  • Forced expiration
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11
Q

How are the different pressures at the end of expiration when the subject relaxes?

A

All positive pressure expect pleural pressure

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12
Q

During quiet breathing, what does the rate of pulmonary airflow depend on?

A
  • Pleural pressure
  • Alveolar pressure
  • Airway resistance
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13
Q

What is the maximum ventilatory ventilation limited by?

A

Expiratory flow-volume curve
- NOT inspiration or max muscle force

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14
Q

How are slow adapting stretch receptors related to difference between inspiration vs expiration flow?

A

SAR increase muscle recruitement during inspiration by sensing stretch (faster inspiration)

Expiration = passive recoil

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15
Q

When is the lowest PCO2 expired during expiration?

A

During 1st part (dead space)

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16
Q

How do FRC, TLC, RV, VT change from standing to supine?

A

All decrease!

17
Q

How does lung compliance influence expiration duration?

A

Lung compliance ~ 1/lung recoil
Increased compliance → increase expiration duration

18
Q

What would an abnormal reduction in ventilatory response to hypoxia due to?

A

Due to neural components, not to a reduced compliance or any mechanical factor

19
Q

What is the diffusion time of O2 saturation to Hb?

A

0.25 sec

20
Q

What is the importance of water-vapour pressure in the alveoli compartement?

A

47 mm Hg
PAO2 = (Pb - 47 mm Hg)*0.209

21
Q
A