Chapter 23: The Respiratory System Flashcards Preview

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Flashcards in Chapter 23: The Respiratory System Deck (70)
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1
Q

the primary functions of the respiratory system are…

A
  1. to move air to and from the exchange surfaces of the lungs
  2. to provide an area for gas exchange between air and circulating blood
  3. to protect respiratory surfaces from dehydration and environmental variations
2
Q

the conversion of angiotensin I to angiotensin II in the lung capillaries indirectly assists in the regulation of…

A

blood volume and blood pressure

3
Q

the air-filled pockets within the lungs where all the gas exchange between air and blood occurs are the…

A

alveoli

4
Q

the “patrol force” of the alveolar epithelium involved with phagocytosis consists primarily of alveolar…

A

macrophages

5
Q

the respiratory system consists of structures that…

A
  1. provide an extensive surface area for gas exchange between air and circulating blood
  2. permit vocalization and production of sound
  3. move air to and from the exchange surfaces of the lungs along the respiratory passageways
6
Q

the entry of liquids or solid food into the respiratory passageways during swallowing is prevented by the…

A

epiglottis folding down over the glottis

7
Q

structures in the trachea that prevent its collapse or overexpansion as pressures change in the respiratory system are the…

A

C-shaped tracheal cartilages

8
Q

the trachea allows for the passage of large masses of food through the esophagus due to…

A

distortion of the posterior tracheal wall

9
Q

the function of the hilum along the medial surface of the lung is to…

A

provide access to pulmonary vessels and nerves

10
Q

pulmonary surfactant is a phospholipid secretion produced by alveolar cells to…

A

reduce the cohesive force of H2O molecules and lower surface tension

11
Q

dilation and relaxation of the bronchioles is possible because the walls of bronchioles contain….

A

smooth muscle tissue regulated by the ANS

12
Q

structural features that make the lungs highly pliable and capable of tolerating great changes in volume are…

A

the elastic fibers in the trabeculae, the septa, and the pleurae

13
Q

after passing through the trachea, the most complete pathway a molecule of inspired air would take to reach an alveolus is:

A

primary bronchus->secondary bronchus->bronchioles->terminal bronchioles->respiratory bronchioles->alveolus

14
Q

the serous membrane in contact with the lung is the….

A

visceral pleura

15
Q

the diffusion of gases between interstitial fluid and cytoplasm is…

A

internal respiration

16
Q

breathing, which involves the physical movement of air into and out of the lungs, is…

A

pulmonary ventilation

17
Q

the process that prevents the buildup of carbon dioxide in the alveoli and ensures a continuous supply of oxygen that keeps pace with absorption by the bloodstream is…

A

alveolar ventilation

18
Q

the absorption of oxygen and the release of carbon dioxide by cells is…

A

internal respiration

19
Q

a single respiratory cycle consists of…

A

inspiration and expiration

20
Q

air enters the respiratory passageways when the pressure inside the lungs is lower than the __________ pressure.

A

atmosphere

21
Q

the movement of air into and out of the lungs is primarily dependent on…

A

pressure differences between the air in the atmosphere and air in the lungs

22
Q

during inspiration, there will be an increase in the volume of the thoracic cavity and an…

A

increasing lung volume, decreasing intrapulmonary pressure

23
Q

during expiration, the diaphragm…

A

relaxes and the dome rises into the thoracic cage

24
Q

stiffening and reduction in chest movement effectively limit the…

A

respiratory minute volume

25
Q

during expiration, there is an…

A

increase in intrapulmonary pressure

26
Q

a lack of surfactant secretion onto alveolar surfaces causes the alveoli to…

A

collapse

27
Q

if there is a PO2 of 104 mm Hg and a PCO2 of 40 mm Hg in the alveoli, and a PO2 of 40 mm Hg and a PCO2 of 45 mm Hg within the pulmonary blood, there will be a net diffusion of…

A

O2 into the blood from the alveoli; CO2 from the blood into the alveoli

28
Q

when the partial pressure difference is greater across the respiratory membrane, the rate of gas diffusion is…

A

faster

29
Q

the arrangement that improves the efficiency of pulmonary ventilation and pulmonary circulation occurs when…

A

blood flow and air flow are coordinated

30
Q

if the partial pressure of oxygen is lower in the pulmonary capillaries than in the alveolus, then…

A

O2 will diffuse out of the alveolus into the pulmonary capillary

31
Q

blood entering the systemic circuit normally has a PCO2 of 40 mm of Hg, while peripheral tissues have a PCO2 of 45 mm of Hg; therefore…

A

CO2 diffuses into the blood

32
Q

each molecule of hemoglobin has the capacity to carry ___________ molecules of oxygen

A

four

33
Q

what percentage of total oxygen is carried within red blood cells chemically bound to hemoglobin?

A

98 percent

34
Q

factors that cause a decrease in hemoglobin saturation at a given PO2 are…

A

increasing 2, 3-bisphosphoglycerate (BPG), increasing temperature, and decreasing pH

35
Q

each hemoglobin molecule consists of…

A

four globular protein subunits, each containing one heme unit

36
Q

when hemogolbin binds with molecules of oxygen, the end product is…

A

oxyhemoglobin

37
Q

carbon dioxide is transported in the blood by…

A
  1. conversion to a molecule of carbonic acid
  2. binding to the protein part of the hemoglobin molecule
  3. disolving in plasma
38
Q

if the rate and depth of respiration exceed the demands for oxygen delivery and carbon dioxide removal, the condition is called…

A

hyperventilation

39
Q

under normal conditions, the greatest effect on the respiratory centers is initiated by…

A

increases and decreases in PCO2

40
Q

emotional states that initiates sympathetic activation in the ANS cause….

A

bronchodilation and increase the respiratory rate

41
Q

the initiation of inspiration originates with discharge of inspiratory neurons in the…

A

medulla

42
Q

examples of protective reflexes that operate when you are exposed to toxic vapors, chemical irritants, or mechanical stimulation of the respiratory tract include…

A

sneezing, coughing, and laryngeal spasms

43
Q

as the volume of the lungs increases during times of forced breathing, the…

A

inspiratory center is inhibited, the expiratory center stimulated

44
Q

with increasing age, elastic tissue deterioration and stiffening and reduction in chest movement effectively limit…

A

the respiratory minute volume

45
Q

the nervous system interacts with the respiratory system by…

A

monitoring respiratory volume, blood gas levels, and blood and CSF pH

46
Q

the paranasal sinuses include…

A

frontal, sphenoid, ethmoid, and maxillary

47
Q

a rise in arterial PCO2 elevates cerebrospinal fluid (CSF) carbon dioxide levels and stimulates the chemoreceptive neurons of the medulla to produce…

A

hyperventilation

48
Q

the primary function of pulmonary ventilation is to maintain adequate…

A

alveolar ventilation

49
Q

the purpose of the fluid in the pleural cavity is to…

A

reduce friction between the parietal and visceral pleura

50
Q

when the diaphragm and external intercostal muscles contract….

A

intrapleural pressure decreases

51
Q

if a person is stabbed in the chest and the thoracic wall is punctured but the lung is not penetrated, the…

A

lung will probably collapse

52
Q

the most important factor determining airway resistance is…

A

the airway radius

53
Q

the sympathetic division of the ANS causes __________ of airway smooth muscle; therefore, resistance is __________.

A

relaxation; decreased

54
Q

the substance often administered during an asthmatic attack to decrease resistance via airway dilation is…

A

epinephrine

55
Q

decreased amounts of CO2 concentration in the bronchioles cause an…

A

increase in bronciolar constriction

56
Q

matching air flow and blood flow in the right proportion at each alveolus improves…

A

external respiration

57
Q

if a person is breathing 15 times a minute and has a tidal volume of 500 ml, the total minute respiratory volume is…

A

7500 ml

58
Q

the residual volume is the volume of air….

A

that remains in lungs after maximal expiration

59
Q

the maximum amount of air moved in and out during a single respiratory cycle is the…

A

vital capacity

60
Q

if a person is breathing 12 times per minute, the tidal volume is 350 ml, and the volume in the anatomic dead space is 150 ml, what is the alveolar ventilation rate?

A

2400 ml/min

61
Q

the most effective means of increasing alveolar ventilation is to…

A

breathe slowly and deeply

62
Q

when a person does not produce enough surfactant and becomes exhausted by the effort required to keep inflating and deflating the lungs, the condition is called…

A

respiratory distress syndrome

63
Q

the partial pressure of O2 in the atmosphere at sea level is…

A

160 mm Hg

64
Q

what is not a process involved with internal respiration?

A

hemoglobin binds more oxygen

65
Q

movement of air into and out of the lungs is accomplished by the process of _________, while all movement of gases across membranes is by ________.

A

bulk flow; passive diffusion

66
Q

the correct sequential transport of O2 from the tissue capillaries to O2 consumption in cells is:

A

erythrocytes, plasma, interstitial fluid, cells

67
Q

it is important that free H+ resulting from dissociation of H2CO3 combine with hemoglobin to reduce the possibility of…

A

an acidic condition within the blood

68
Q

intracellular bicarbonate ions are exchanged for extracellular chloride ions, resulting in a mass movement of chloride ions into the…

A

red blood cells

69
Q

a respiratory disorder characterized by fluid leakage into the alveoli or swelling and constriction of the respiratory bronchioles is…

A

pneumonia

70
Q

in the chronic, progressive condition on emphysema….

A

respiratory bronchioles and alveoli are functionally eliminated