Test 4(Ch 17,18, 19) Flashcards

1
Q

Sleep apnea

Obstructive:
_______ of airflow through nose and mouth
Respiratory muscle ____ active

Central:
_______of airflow
No ________ muscular effort

A

Cessation, still

Cessation, respiratory

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2
Q

Muscle blood flow may increase as much as ___-fold

A

25

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3
Q

Alveolar ventilation, oxygen consumption, and heat production may increase as much as ___-fold

A

20

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4
Q

Size of ______ _______ and heart mass in elite athletes may increase by 40 percent

A

heart chambers

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5
Q

Mechanisms by Which Exercise Stimulates Ventilation:
Collateral fibers from motor neurons travel to ______
_______ signals from exercising limbs sent to medulla
_______ in body temperature during exercise may also increase ventilation

A

medulla
Sensory
Increase

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6
Q

During normal, quiet breathing, adult exchanges approximately __ L of gas per minute

A

6

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7
Q

At rest, normal oxygen consumption (VO2) is approximately ___ mL/min

A

250

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8
Q

During heavy exercise, VO2 of untrained person may be more than _____ mL of O2/min

A

3500

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9
Q

VO2 of elite athlete while running marathon may be more than _____ mL O2/min

A

5000

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10
Q

A-VO2 diff at rest

A

18-12 = 6 ml/dL

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11
Q

A-VO2 diff at max exercise

A

19.5 – 2 = 17.5 ml/dL

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12
Q

What essential physiologic responses must occur to supply muscles with adequate blood supply during exercise?

A

Sympathetic discharge
Increase in cardiac output
Increase in arterial blood pressure

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13
Q

When does SV plateau?

A

50-60% of max Q

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14
Q

Increase in arterial blood pressure during exercise due to:
________ discharge
Increased ______ _____
Vasoconstriction of blood vessels in non-working ______areas

A

Sympathetic
cardiac output
muscle

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15
Q

At high-altitude, ______ diffusion across alveolar-capillary membrane is limited.
Results in ________ alveolar-arterial oxygen tension difference (P(A-a)O2).

A

oxygen

increased

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16
Q

Upon arrival at altitude, what happens to ventilation?

A

Increases

17
Q

When staying at altitude for a few weeks, what happens to RBC and hemoglobin level count?
Why is this beneficial?

A

Increase in RBC production
Increase in hemoglobin level
Increases oxygen delivery to peripheral cells

18
Q

Why would being at altitude induce respiratory alkalosis?

Due to increased ventilation generated by ________ chemoreceptors at high altitudes, _____ decreases

A

peripheral

PaCO2

19
Q

Acute altitude (mountain) sickness:

Onset- __ to 48 h after arrival, most severe days 2 to 3.
Symptoms- Headache, nausea/vomiting, dyspnea, _______

A

6

insomnia

20
Q

__________ chemoreceptors do not acclimate to decreased oxygen concentration

A

Peripheral

21
Q

During acute exposure to hypoxic environment, cardiac output during both rest and exercise _________ .

A

increases

22
Q

Normal CP physiology during sleep.

Autonomic nervous system:
Increased ___ activity

A

PSN

23
Q

Normal CP physiology during sleep.

Musculoskeletal system:
Tone _______ throughout Non-REM and further ________during REM
REM usually results in loss of ______ impulses to SK M

A

decreases
decreases
neural

24
Q

Normal CP physiology during sleep.

Thermal regulation:
1-2°C _____ during Non-REM
Body temp varies during REM

A

drop

25
Q

Normal CP physiology during sleep.

Renal function:
Increases water _________ during Non-REM= ________ urine production
Further decreases during REM

A

reabsorption

decreased

26
Q

Normal CP physiology during sleep.

Endocrine function:
Growth hormone peaks ~__ min into sleep
ACTH and Cortisol
Circadian pattern

A

90

27
Q

Normal CP physiology during sleep.

Gastrointestinal function:
________ activity due to decreased PSN

A

Decreased

28
Q

Normal CP physiology during sleep.

Cardiovascular function:
HR and BP adjust up and down depending on _______ vs ________and phase of sleep
Sleep-related arrhythmias

Cerebral blood flow:
_______ Non-REM
_______ REM

A

inspiration, expiration

Decreases, Increases