A&P2 Chapter 16

24 July 2022
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question
Which of the following processes is NOT a part of external respiration? A) the transportation of oxygen and carbon dioxide between the lungs and body tissues by the blood B) the use of oxygen and generation of carbon dioxide by the mitochondria during energy metabolism C) the movement of air into and out of the lungs by bulk flow D) the exchange of oxygen and carbon dioxide between the lungs and blood by diffusion E) the exchange of oxygen and carbon dioxide between the blood and tissues by diffusion
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B) the use of oxygen and generation of carbon dioxide by the mitochondria during energy metabolism
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Which of the following specifically describes the movement of air into and out of the lungs? A) pulmonary ventilation B) internal respiration C) respiration D) expiration E) secondary ventilation
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A) pulmonary ventilation
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Which of the following is NOT a function of the respiratory system? A) vocalization B) heat loss C) electrolyte balance of blood D) enhancing venous return E) acid-base balance of blood
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C) electrolyte balance of blood
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What is the primary anatomical difference that marks the dividing line between the conducting zone and the respiratory zone of the respiratory tract?
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the thickness of the walls surrounding the air spaces
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What is the significance of the respiratory membrane to facilitate gas exchange?
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epithelial and endothelial cells share a common basement membrane
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Why are alveoli arranged in small grape-like clusters?
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maximize surface area and minimize thickness
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What are the smallest (and most distal) structures that remain a component of the conducting zone in the respiratory tract?
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terminal bronchioles
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What is the function of ciliated cells in the conducting zone?
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propel mucus containing trapped particles toward the glottis
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Which of the following becomes more abundant deeper into the conducting zone (from bronchi to bronchioles)? A) type I alveolar cells B) cartilage C) goblet cells D) cilia E) smooth muscle
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smooth muscle
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Which of the following is most abundant in the trachea and bronchi, becoming much less dense (and eventually absent) in the bronchioles? A) cartilage B) macrophages C) smooth muscle cells D) type II alveolar cells E) goblet cells
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cartilage
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The transition from the conducting to the respiratory zone in the lungs occurs at the
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respiratory bronchioles
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What is the function of alveolar pores?
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equalize pressure in the lungs
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What are the most common cells that line the surface of the alveoli and are therefore associated with the exchange of gases within the lungs?
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type I alveolar cells
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What is the thin barrier (0.2 ยตm) that allows for the efficient exchange of gases between the lungs and the blood called?
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respiratory membrane
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What happens to a dust particle that is too large to stay airborne and land in the alveoli?
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it lands in the mucociliary ladder and moves to the pharynx to be swallowed
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What happens to a dust particle that is too small to fall from the inspired air and land in the alveoli?
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it is inhaled and then exhaled
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Mycoplasma tuberculosis, the causative agent in tuberculosis, primarily infects the alveolar macrophages and is therefore very fortunate in its size. Why is this statement true?
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it is too small to be caught in the mucociliary ladder and too large to be immediately exhaled, thereby landing it in the alveoli
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An ex-smoker with emphysema has a pulmonary erosion into his intrapleural space. What life-threatening condition is he at imminent risk of developing?
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pneumothorax (air leaking into the intrapleural space)
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What keeps the visceral pleura in close proximity to the parietal pleura?
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surface tension of the intrapleural fluid
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The COPD called emphysema forces the afflicted to exhale through pursed lips to maintain intrabronchial backpressure, thereby preventing
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airway collapse
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Which of the following is a chronic inflammatory pulmonary disorder characterized by reversible obstruction of the airways? A) asthma B) pulmonary fibrosis C) tuberculosis D) pulmonary edema E) chronic obstructive pulmonary disease (COPD)
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A) asthma
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When air is no longer moving through the respiratory tract and the airway is open to the environment, the pressure within the lung is equal to
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atmospheric pressure
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The difference between what two pressures drives air into and out of the lungs?
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atmospheric and intra-alveolar
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Which of the following occurs when intra-alveolar pressure exceeds atmospheric pressure? A) Air moves out of the lung. B) Intrapleural pressure is greater than intra-alveolar pressure. C) Air moves into the lung. D) The lung collapses. E) The lung must be expanding.
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air moves out of the lung
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Which of the following varies rhythmically with respiration? A) atmospheric pressure only B) intrapleural pressure only C) intra-alveolar pressure only D) both intrapleural pressure and intra-alveolar pressure E) both atmospheric pressure and intrapleural pressure
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D) both intrapleural pressure and intra-alveolar pressure
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The difference between intrapleural pressure and intra-alveolar pressure is
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transpulmonary pressure
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Which of the following is a measure of the distending force across the lungs? A) intrapleural pressure B) atmospheric pressure C) transpulmonary pressure D) intra-alveolar pressure E) difference between intra-alveolar pressure and atmospheric pressure
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C) transpulmonary pressure
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Equilibration of pressure between the intrapleural space and the alveoli will lead to which of the following? A) air moving into the lungs B) restrictive pulmonary disease C) chronic obstructive pulmonary disease D) a pneumothorax (the lung will collapse) E) air moving out of the lungs
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D) a pnemothorax (the lung will collapse)
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What is the volume of air present in the lungs when the lungs are at rest (in between breaths)?
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functional residual capacity
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Which of the following is TRUE when the lung volume is equal to the functional residual capacity? A) Intra-alveolar pressure is less than intrapleural pressure. B) The elastic recoil of the lungs is balanced by the elastic recoil of the chest wall. C) Intrapleural pressure is zero. D) Intra-alveolar pressure is greater than atmospheric pressure. E) Intra-alveolar pressure is less than atmospheric pressure.
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B) the elastic recoil of the lungs is balanced by the elastic recoil of the chest wall
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As the lungs expand, intra-alveolar pressure ________ and air moves ________ the lungs.
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decreases, into
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As the volume of the lung increases, atmospheric pressure
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will not change
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What does contraction of the diaphragm cause?
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increase in the volume of the thoracic cavity and, therefore, a decrease in intra-alveolar pressure
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What are the primary inspiratory muscles?
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diaphragm and external intercostals
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The muscles of respiration are
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skeletal muscle, innervated by the somatic nervous system
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As the volume of the chest wall increases, the concomitant expansion of the lungs is due to a(n)
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increase in transpulmonary pressure
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At rest, expiration is a(n) ________ process that involves ________.
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passive: relaxation of the diaphragm and external intercostals
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Which of the following pressures is lower during inspiration than during expiration? A) intra-alveolar pressure only B) transpulmonary pressure only C) intrapleural pressure only D) both intra-alveolar and transpulmonary pressures E) both intra-alveolar and intrapleural pressures
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E) both intra-alveolar and intrapleural pressures
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The compliance of the lungs can be determined by measuring the change in ________ for a given change in ________.
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lung volume, intra-alveolar pressure
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The compliance of the lung is determined by the elasticity of the lung and
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surface tension
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The surface tension of the alveolus is reduced by surfactants produced by what type of cells?
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type II alveolar
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Which of the following is NOT involved in altering the resistance of the airway to air movement?
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pulmonary surfactant concentration
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How do tractive forces affect the airways during inspiration?
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decrease in airway resistance
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Which of the following is responsible for changes in airway resistance that occur in a single breath? A) passive forces exerted on the airways B) contractility of smooth muscle cells C) sensitivity of smooth muscle cells to allergens D) autonomic nervous system E) surrounding atmospheric pressure
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A) passive forces exerted on the airways
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Which of the following chemicals will NOT result in a decrease in airway resistance? A) norepinephrine B) histamine C) bronchodilators D) epinephrine E) carbon dioxide
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B) histamine
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Which of the following is NOT part of the response of an airway to specific allergens that initiate an asthmatic response? A) increased airway resistance B) increased inflammatory response C) increased secretion of mucus D) increased release of corticosteroids E) increased histamine release
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D) increased release of corticosteroids
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What benefit are corticosteroids in the treatment of asthma?
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they reduce inflammation of the airways
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A(n) ________ is used clinically to measure lung volumes and rates of air flow.
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spirometer
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What is the volume of air moved into and out of the lungs in a single breath during unforced breathing called?
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tidal volume
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The presence of a negative intrapleural pressure at maximum expiration is responsible for which of the following?
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residual volume
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The tidal volume and inspiratory reserve volume together make up which of the following?
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inspiratory capacity
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Functional residual capacity is comprised of which of the following? A) tidal volume, inspiratory reserve volume, and expiratory reserve volume B) vital capacity and expiratory reserve volume only C) residual volume and expiratory reserve volume only D) tidal volume and inspiratory reserve volume only E) tidal volume and expiratory reserve volume only
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C) residual volume and expiratory reserve volume only
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Which of the following measurements cannot be determined by a spirometer? A) inspiratory capacity B) tidal volume C) inspiratory reserve volume D) vital capacity E) residual volume
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E) residual volume
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A normal tidal volume at rest is approximately ________ mL
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500
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A normal vital capacity is approximately ________ mL
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4500
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A healthy person can normally exhale what percentage of his or her vital capacity in one second?
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80
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In an obstructive disease, the lungs can become overinflated because the difficulty in ________ tends to ________.
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expiration, increase residual volume and total lung capacity
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A decrease in ________ is indicative of a restrictive pulmonary disease
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vital capacity
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A decrease in ________ is indicative of an obstructive pulmonary disease.
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forced expiratory volume
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What is the term for the volume of air moved into the lungs every minute?
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minute ventilation
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What is the term for the volume of air that reaches the respiratory zone each minute?
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alveolar ventilation
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What is the volume of the respiratory pathway that is NOT able to exchange gases (conducting pathway) called?
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anatomical dead space
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What happens to the inner diameter of the walls of the respiratory tract as it moves down from the upper conducting zone to the lower respiratory zone?
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decreases
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What happens to the amount of cartilage in the walls of the respiratory tract as it moves down from the upper conducting zone to the lower respiratory zone?
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decreases
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What happens to the amount of cilia lining the inner walls of the respiratory tract as it moves down from the upper conducting zone to the lower respiratory zone?
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decreases
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What happens to the number of goblet cells found in the walls of the respiratory tract as it moves down from the upper conducting zone to the lower respiratory zone?
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decreases
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What happens to the amount of smooth muscle found in the walls of the respiratory tract as it moves down from the upper conducting zone to the lower respiratory zone?
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decreases
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Which cells secrete surfactant?
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type II alveolar cells
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Which cells secrete mucus?
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goblet cells
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Which cells form the mucus escalator?
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ciliated cells
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Which cells engulf foreign particles that reach the lungs?
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alveolar macrophages
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Which cells form the lung tissue component of the respiratory membrane?
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type I alveolar cells
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Which pressure is created by the elastic recoil of the lungs and chest wall?
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intrapleural pressure
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Which pressure is constant during the respiratory cycle?
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atmospheric pressure
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Which pressure is the distending force on the lungs?
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transpulmonary pressure
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Which of the following has the difference between its pressure and atmospheric pressure driving the air into and out of the lungs? A) intra-alveolar pressure B) intrapleural pressure C) transpulmonary pressure D) atmospheric pressure E) rebound pressure (elastic recoil)
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intra-alveolar pressure
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Which pressure changes with the phases of respiration but is always negative?
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intrapleural pressure
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Which pressure equals atmospheric pressure during a pneumothorax, causing the lungs to collapse?
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intrapleural pressure
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Which pressure changes with the phases of respiration from a negative value during inspiration and a positive value during expiration?
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intra-alveolar pressure
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The volume of air remaining in the lungs following a maximum expiration is called
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residual volume.
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The volume of air exchanged with the environment during an unforced breath is called
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tidal volume.
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The maximum volume of air that can be inspired following a resting inspiration is called
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inspiratory reserve volume.
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The maximum volume of air that can be inspired following a resting expiration is called
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inspiratory capacity
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The maximum volume of air that can be expired following a maximum inspiration is called
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vital capacity.
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The maximum volume of air that can be expired following a resting expiration is called
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expiratory reserve volume.
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The volume of air in the lungs following a maximum inspiration is called
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total lung capacity.
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The volume of air in the lungs at rest, between breaths, is called
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functional residual capacity
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Tidal volume + inspiratory reserve volume is called
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inspiratory capacity.
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What is the residual volume + expiratory reserve volume called?
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functional residual capacity
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What is the tidal volume + inspiratory reserve volume + expiratory reserve volume called?
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vital capacity
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What is the tidal volume + inspiratory reserve volume + expiratory reserve volume + residual volume called?
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total lung capacity
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The intra-alveolar pressure is determined by what two factors?
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quantity of air in the alveolus and volume of the alveoli
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What is the primary determinant of airway resistance?
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airway radius
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Internal respiration refers to the use of oxygen and production of carbon dioxide by cells.
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True
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The upper airway refers to the passageway for air that is located within the head and neck.
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True
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The bronchus diverges into two lobes, the left and right lungs.
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False
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The trachea rhythmically collapses and expands during the respiratory cycle.
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False
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The conducting zone adjusts the temperature and humidity of the air entering the respiratory tract.
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True
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The mucus escalator involves cilia causing movement of mucus with its trapped particles toward the alveoli where the particles can be engulfed by alveolar macrophages.
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False
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Air flows between alveoli through pores.
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True
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Alveolar macrophages function to engulf pathogens and foreign particles that have been inhaled into the lungs.
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True
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Intrapleural fluid is incompressible, which means that its volume does not change even as the chest wall expands and contracts as one breathes.
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True
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The elasticity of the lungs facilitates expansion during inspiration.
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False
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The force that moves air into and out of the lungs is the difference in pressure between the atmosphere and alveolus.
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True
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The distending pressure across the lungs is the intrapleural pressure.
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False
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Transpulmonary pressure is the difference between intra-alveolar pressure and intrapleural pressure.
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True
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The lung is expanded during inspiration by the transpulmonary pressure that pulls on the lung as the chest wall expands.
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True
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The decrease in transpulmonary pressure during expiration reduces the distending forces on the airways.
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True
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Residual volume can be measured because the lungs are able to collapse under experimental conditions.
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False
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Obstructive pulmonary disorders are characterized by an interference with the expansion of the lungs.
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False
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Activation of the sympathetic nervous system causes bronchodilation.
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True
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It is more efficient to increase alveolar ventilation by increasing tidal volume than by increasing respiration rate.
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True
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During expiration, the intra-alveolar pressure decreases, causing air to move out of the lungs.
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False