Surface Tension/Airway Resistance Flashcards

1
Q

Stimulation of adrenergic receptors by endogenous ______ and ______ causes bronchodilation via activation of β2 receptors, as do drugs such as isoproterenol.

A

epinephrine; norepinephrine

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2
Q

An important factor in determining compliance is _____.

A

surface tension

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2
Q

Where does surfactant come from?

A

type II alveolar surface epi cells

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2
Q

The major site of airway resistance is found at the ______.

A

intermediate-sized bronchi

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3
Q

Stimulation of adrenergic receptors by endogenous epinephrine and norepinephrine causes bronchodilation via activation of β2 receptors, as do drugs such as ______.

A

isoproterenol

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3
Q

How do emphysemics combat airway collapse?

A

they expire while pursing their lips to maintain a larger air pressure in the airways (PAW) to keep the airway open

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4
Q

What are the problems created by surface tension in alveoli?

A
  1. Reduced lung compliance
  2. Fluid accumulation in alveoli
  3. Collapse of small alveoli
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5
Q

Surfactant’s efficacy increases in _____.

A

smaller alveoli

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7
Q

The surface tension of water is tamed by _____.

A

pulmonary surfactant

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8
Q

What are the factors that control airway resistance?

A
  1. lung volume
  2. bronchial smooth muscle tone
  3. dynamic airway collapse
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8
Q

Vagal stimulation induces ______ via release of acetylcholine.

A

bronchoconstriction

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8
Q

Stimulation of ______ by endogenous epinephrine and norepinephrine causes bronchodilation via activation of β2 receptors, as do drugs such as isoproterenol.

A

adrenergic receptors

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10
Q

What is pulmonary surfactant made of?

A

a mixture of lipids and proteins

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11
Q

Respiratory distress syndrome (in infants) is characterized by _____.

A

a surfactant deficiency

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12
Q

_______ is characterized by a surfactant deficiency.

A

Respiratory distress syndrome (in infants)

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14
Q

Why do emphysemics have airway collapse?

A
  1. reduced lung recoil 2. expiratory muscle use 3. loss of supporting CT in the airway
16
Q

In addition to acetylcholine, ______ contracts in response to histamine, several products of arachidonic acid metabolism (e.g., thromboxane A2, leukotrienes C4 and D4), and a low carbon dioxide partial pressure PCO2 in the airways.

A

bronchial smooth muscle

17
Q

Vagal stimulation induces bronchoconstriction via release of _______.

A

acetylcholine

18
Q

Surface tension is a property of the water that lines the inner surfaces of _____.

A

alveoli

19
Q

Bronchial smooth muscle is innervated by _____.

A

the vagus nerve

20
Q

In addition to acetylcholine, bronchial smooth muscle contracts in response to?

A
  • histamine
  • several products of arachidonic acid metabolism (e.g., thromboxane A2, leukotrienes C4 and D4)
  • a low carbon dioxide partial pressure (PCO2) in the airways
21
Q

What does surfactant do?

A
  • increase lung compliance
  • prevent collapse of small alveoli
  • prevent the accumulation of fluid inside the alveoli
23
Q

For a 2-fold reduction in radius, R increases ______.

A

16-fold

24
Q

Stimulation of adrenergic receptors by endogenous epinephrine and norepinephrine causes _______ via activation of ______, as do drugs such as isoproterenol.

A

bronchodilation; β2 receptors