1.
The respiratory system includes (Select 3)
Correct Answer(s)
A. Pulmonary ventilation (breathing)
B. External Respiration
D. Transport
Explanation
Internal respiration is accomplished by the circulatory system, not the respiratory system.
2.
Gas exchange with the blood first occurs in the
Correct Answer
B. Respiratory Zone
Explanation
The conducting zone does not contain alveoli and exchange of gases occurs in the alveolar sacs
3.
Surfactant ______ surface tension and is produced by _______
Correct Answer
B. Decreases, type 2 pneuocytes
Explanation
Surfactant is a substance that decreases surface tension. It is produced by type 2 pneumocytes.
4.
After taking a deep breath, you blow up a balloon and exhale as much air as possible. What best describes the volume of air used to do this.
Correct Answer
D. Vital Capacity
Explanation
IRV and ERV are part of it but VC takes both of these into account as well as the Tidal volume, which is also present in a maximal inhalation and exhalation.
5.
Minute ventilation will always be greater than alveolar ventilation
Correct Answer
A. True
Explanation
Minute ventilation = Tidal volume x breaths/min......
Alverolar ventilation = (Tidal volume - Dead space) x breaths/minute
6.
In a restrictive lung disease, the tiffeneau index (FEV1/FVC) will be
Correct Answer
A. 0.8
Explanation
Both FEV1 and FVC are reduced and so the ration between them stays the same. In an obstructive disease FEV1 is reduced more than FVC and so the tiffeneau index will be
7.
Anatomical dead space is the volume of space in the conducting portion not involved in ideal gas exchange.
Correct Answer
A. True
Explanation
The statement is true because anatomical dead space refers to the areas in the respiratory system that are involved in conducting air but not in gas exchange. This includes the nasal passages, trachea, and bronchi. These areas serve the purpose of warming, humidifying, and filtering the air before it reaches the alveoli where gas exchange occurs. Therefore, the anatomical dead space does not participate in the exchange of oxygen and carbon dioxide between the lungs and blood.
8.
In an obstructive disease (Select 3)
Correct Answer(s)
A. Vital capacity will be decreased
B. Total lung capacity will be increased
C. Residual Volume will be increased
Explanation
FEV1/FVC is
9.
A ventilation rate which is inappropriately high for the metabolic demands (select 2)
Correct Answer(s)
A. Is called hyperventliation
C. Would result in metabolic alkalosis
Explanation
Hyperventilation refers to a ventilation rate that is higher than necessary for the body's metabolic demands. This excessive breathing can lead to a decrease in carbon dioxide levels in the blood, causing respiratory alkalosis. When carbon dioxide levels drop, the pH of the blood increases, resulting in metabolic alkalosis. Therefore, the statement "is called hyperventilation, would result in metabolic alkalosis" accurately describes the relationship between hyperventilation and the resulting metabolic condition.
10.
Orthopnea is tachypnea while laying down
Correct Answer
B. False
Explanation
Orthopnea is dyspnea while laying down
11.
In a container (such as the lungs), if volume is increased
Correct Answer
A. Pressure is decreased
Explanation
When the volume of a container, such as the lungs, is increased, there is more space for the molecules of gas to move around. This means that the molecules collide with the container walls less frequently, resulting in a decrease in the pressure inside the container. Therefore, the correct answer is "Pressure is decreased."
12.
CO2 is more soluble in water than O2 and N2
Correct Answer
A. True
Explanation
CO2 is more soluble in water than O2 and N2 because it forms weak chemical bonds with water molecules, resulting in the formation of carbonic acid. This makes CO2 highly soluble in water. On the other hand, O2 and N2 do not have the ability to form such bonds with water molecules, making them less soluble in water. Therefore, the statement is true.
13.
When alveolar O2 is high
Correct Answer
A. Arterioles will dilate to pick up more oxygen
Explanation
Bronchioles dilate when CO2 is high, not 02.
14.
In oxygenated blood, the large majority of oxygen is dissolved freely in the plasma and a small portion is bound to hemoglobin.
Correct Answer
B. False
Explanation
Only 1.5% is dissolved freely in plasma, the rest is bound to hemoglobin for transport
15.
The most important factor that determines oxygen binding to hemoglobin (binding affinity) is
Correct Answer
A. Oxygen
Explanation
The most important factor that determines oxygen binding to hemoglobin is the presence of oxygen itself. Hemoglobin has a high affinity for oxygen, meaning it readily binds to oxygen molecules when they are present in the surrounding environment. When oxygen is bound to hemoglobin, it forms oxyhemoglobin, which can then be transported throughout the body to deliver oxygen to tissues and organs. Therefore, the presence of oxygen is crucial for the binding of oxygen to hemoglobin and subsequent oxygen transport in the body.
16.
Which of the following will increase oxygen affinity for hemoglobin
Correct Answer
A. Increase in pH
Explanation
All the others will decrease oxygen binding to hemoglobin (resulting in an increase in oxygen release from hemoglobin..which is whats needed in each case)
17.
Which of the following are outward forces for filtration (select 3)
Correct Answer(s)
A. Negative interstitial pressure (hydrostatic)
B. Interstitial osmotic pressure (oncotic)
C. Pulmonary capillary pressure (hydrostatic)
Explanation
The correct answer choices for outward forces for filtration are negative interstitial pressure (hydrostatic), interstitial osmotic pressure (oncotic), and pulmonary capillary pressure (hydrostatic). Negative interstitial pressure pushes fluid out of the capillaries and into the interstitial space. Interstitial osmotic pressure attracts fluid out of the capillaries due to the difference in solute concentration. Pulmonary capillary pressure, similar to hydrostatic pressure, pushes fluid out of the capillaries and into the surrounding tissues. These three forces combined contribute to the filtration process.
18.
Central chemoreceptors detect changes in (select all that apply)
Correct Answer(s)
A. PCO2
B. H+
Explanation
Peripheral chemoreceptors detect changes in pO2, central do not
19.
Oxygen deficiency caused by bleeding is classified as
Correct Answer
A. Anemic Hypoxia
Explanation
Anemic hypoxia is the correct classification for oxygen deficiency caused by bleeding. Anemia refers to a decrease in the number of red blood cells or a decrease in their ability to carry oxygen. Bleeding can lead to a decrease in the number of red blood cells, resulting in a reduced oxygen-carrying capacity of the blood. This leads to a deficiency of oxygen in the tissues, which is known as anemic hypoxia.
20.
A decrease in pC02 and a pH of 7.6 means that the body is in
Correct Answer
B. Respiratory alkalosis
Explanation
Could have been metabolic alkalosis if the CO2 level wasnt decreased
21.
Acidosis is when blood pH is ________ and causes ______ of the central nervous system
Correct Answer
A. Below 7.35, depression
Explanation
Acidosis refers to a condition where the blood pH falls below the normal range, which is typically between 7.35 and 7.45. When blood pH is below 7.35, it is considered acidic, and this acidic environment can lead to depression of the central nervous system. This means that the normal functioning of the nervous system may be impaired, resulting in symptoms such as lethargy, confusion, and decreased mental alertness.
22.
The respiratory zone begins at the level of the
Correct Answer
A. Respiratory bronchioles
Explanation
alveolar sacs are part of the respiratory zone but they are not the level at which it begins. The other two are not part of the respiratory zone
23.
At the period between breaths where there is no air flow (called unforced expiration),
Correct Answer
C. Alveolar pressure is equal to atmospHeric pressure
Explanation
During unforced expiration, the alveolar pressure, which is the pressure inside the alveoli (air sacs in the lungs), is equal to atmospheric pressure. This means that there is no pressure difference between the alveoli and the outside air, resulting in no airflow.
24.
Which of the following is not measured by a spirometer?
Correct Answer
A. Residual volume
Explanation
A spirometer is a device used to measure lung volumes and capacities. It is used to measure tidal volume, inspiratory reserve volume, and expiratory reserve volume. However, the residual volume, which is the volume of air remaining in the lungs after a maximal exhalation, cannot be directly measured using a spirometer. It can only be estimated using other techniques such as gas dilution or body plethysmography. Therefore, the residual volume is not measured by a spirometer.
25.
The most powerful respiratory stimulant is rising CO2 levels
Correct Answer
A. True
Explanation
Slide 87
26.
Acid-base balance is maintained in the body by 3 major mechanisms. Which of the options acts the fastest to prevent immediate drastic changes in pH?
Correct Answer
A. Buffer system
Explanation
Works in fractions of a second. Buffer systems can be subdivided into - protein buffer system, carbonic acid-bicarbonate buffer system, and phosphate buffer system.
27.
Activation of what autonomic receptor would cause dilation of the bronchioles?
Correct Answer
A. Beta 2 adrenergic receptor
Explanation
Beta 2 adrenergic is sympathetic and causes dilation of the airways. All the others are parasympathetic and cause constriction. Histamine is not an autonomic receptor but still causes constriction.