Chapter 22: Respiratory System

25 July 2022
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question
Which of the following processes is NOT properly matched with its description? a.) transport of respiratory gases: hemoglobin binds O2 b.) pulmonary ventilation: bulk movement of gases c.) external respiration: CO2 diffuses into the blood stream d.) internal respiration: O2 diffuses out of the blood
answer
C (external respiration: CO2 diffuses into the blood stream. CO2 diffuses into the blood stream at the tissues; this is internal respiration.)
question
Jane had been suffering through a severe cold and was complaining of a frontal headache and a dull, aching pain at the side of her face. What regions are likely to become sites of secondary infection following nasal infection? a.) The oral cavity and larynx b.) The paranasal sinuses c.) The larynx and trachea d.) The lower respiratory tract e.) The oral cavity
answer
B (The paranasal sinuses)
question
Which of the following plays a role in removing particles such as dust from inspired air? a.) ciliated mucous lining in the nose b.) porous structure of turbinate bones c.) abundant blood supply to nasal mucosa d.) action of the epiglottis
answer
A (ciliated mucous lining in the nose)
question
The main site of gas exchange is the ________. a.) alveolar sacs b.) respiratory bronchiole c.) alveoli d.) alveolar duct
answer
C (alveoli)
question
The respiratory membrane is a combination of ________. a.) respiratory bronchioles and alveolar sacs b.) atria and alveolar sacs c.) respiratory bronchioles and alveolar ducts d.) alveolar and capillary walls and their fused basement membranes
answer
D (alveolar and capillary walls and their fused basement membranes)
question
Which of the following is a conducting zone structure? a.) alveolar duct b.) alveolar sac c.) terminal bronchiole d.) respiratory bronchiole
answer
C (terminal bronchiole)
question
Which of the choices below is NOT a role of the pleurae? a.) allow the lungs to easily glide easily over the thorax wall during breathing movements b.) help limit the spread of local infections c.) assist in blood flow to and from the heart because the heart sits between the lungs d.) help divide the thoracic cavity into three chambers
answer
C (assist in blood flow to and from the heart because the heart sits between the lungs)
question
During pleurisy, the inflamed parietal pleura of one lung rubs against the inflamed ______. a.) thoracic wall b.) parietal pleura of the other lung c.) visceral pleura of the same lung d.) visceral pleura of the other lung
answer
C (visceral pleura of the same lung. Normally the visceral and parietal pleura of one lung glide easily over one another during breathing because they are smooth and lubricated by pleural fluid. During pleurisy, they become rough and friction between the two pleura develops.)
question
During inhalation, a.) oxygen molecules move into the lungs, and carbon dioxide molecules move out of the lungs. b.) air moves up the trachea. c.) the diaphragm relaxes. d.) the diaphragm and rib muscles contract. e.) the volume of the thoracic cavity decreases.
answer
D (the diaphragm and rib muscles contract. )
question
From which structures do oxygen molecules move from the lungs to the blood? a.) bronchioles b.) Alveoli c.) Trachea d.) Nose e.) Bronchi f.) Submit
answer
B (Alveoli. Alveoli are tiny sacs in the lungs surrounded by capillaries. The alveoli are where oxygen diffuses from the lungs to the blood.)
question
In pneumothorax, the lung collapses because ______. a.) intrapleural pressure is lower than transpulmonary pressure b.) intrapleural pressure is higher than intrapulmonary pressure c.) intrapulmonary pressure is lower than transpulmonary pressure d.) intrapulmonary pressure is higher than atmospheric pressure
answer
B (intrapleural pressure is higher than intrapulmonary pressure. Intrapleural pressure (Ppul) is the gas pressure within the pleural cavity, while intrapulmonary pressure (Pip) is the gas pressure within the alveoli. Normally Ppul is less than Pip to maintain lung expansion. If Ppul exceeds Pip, then the lungs collapse.)
question
In babies born prematurely, pulmonary surfactant may not be present in adequate amounts ______. a.) in the conducting zone structures of the lungs b.) due to insufficient exocytosis in the type II alveolar cells c.) to permit adequate surface tension in the alveoli d.) because the presence of collapsed alveoli prevents surfactant production
answer
B (due to insufficient exocytosis in the type II alveolar cells. Type II alveolar cells make surfactant. Without surfactant, the surface tension created by the water vapor within the alveoli would cause them to collapse.)
question
The major nonelastic source of resistance to air flow in the respiratory passageways is ________. a.) air pressure b.) friction c.) surfactant d.) surface tension
answer
B (friction)
question
Which of the following descriptions accurately describes Boyle's law? a.) The partial pressure of a gas in the air you breathe in is equal to the total atmospheric pressure times the fractional concentration of the gas. b.) How well a gas dissolves in a liquid such as blood depends on both its partial pressure and its solubility. c.) The pressure of gas in your lungs is inversely proportional to the volume in your lungs.
answer
C (The pressure of gas in your lungs is inversely proportional to the volume in your lungs. Yes, Boyle's Law describes how air moves into and out of the lungs during inspiration and expiration. By changing the volume of the thoracic cavity, the pressure changes in the lungs. Increasing volume of the thoracic cavity leads to a decreased pressure, causing air to flow into the lungs (down its pressure gradient) and thus causing inspiration.)
question
Which muscles, when contracted, would increase the volume of air in the thoracic cavity? a.) diaphragm and external intercostals b.) diaphragm and internal intercostals c.) internal intercostals and external oblique
answer
A (diaphragm and external intercostals. Yes, contraction of both the diaphragm (the diaphragm flattens) and the external intercostals (pulls the ribs up and out) will increase the volume of the thoracic cavity. This will cause air to move into the lungs (inspiration).)
question
Which pressure is the result of the natural tendency of the lungs to decrease their size (because of elasticity) and the opposing tendency of the thoracic wall to pull outward and enlarge the lungs? a.) intrapulmonary pressure b.) intrapleural pressure c.) atmospheric pressure
answer
B (intrapleural pressure. Yes, the lungs tend to decrease their size while the chest wall tends to pull the thorax outward. This makes the intrapleural pressure more negative than the other two pressures (described as subatmospheric), thus keeping the lungs inflated.)
question
During an allergic reaction, which of the following would aid respiration? a.) acetylcholine (ACh) b.) histamine c.) an increase in the parasympathetic nervous system d.) epinephrine
answer
D (epinephrine. Yes, during an allergic reaction, there is increased resistance in the bronchioles and epinephrine dilates the bronchioles, thus making it easier to breathe. Epinephrine is released from the adrenal gland during stressful situations. People with severe allergies carry an EpiPen in case the allergic reaction produces anaphylaxis.)
question
If the transpulmonary pressure equals zero, what will happen to the lung? a.) lung volume will stay the same b.) lungs will collapse c.) lungs will inflate
answer
B (the lungs will collapse. Yes, the transpulmonary pressure creates the suction that keeps the lungs inflated. When room air enters the pleural space, transpulmonary pressure is zero and the lungs deflate - this is known as a pneumothorax.)
question
Minute Ventilation (definition/formula)
answer
BPM x TV (The minute ventilation is calculated by multiplying the breaths per minute by the tidal volume, so in this case, 10 breaths/minute x 500 ml/breath = 5000 ml/minute.)
question
Inspiratory Capacity (definition/formula)
answer
TV + IRV (The inspiratory capacity, which is the total amount of air that can be taken into the lungs after a normal relaxed exhalation, is equal to the tidal volume (TV) plus inspiratory reserve volume (IRV).)
question
Which of the following findings consistently matches pulmonary function with problems with ventilation? a.) A person with a decreased FVC and a normal FEV1 has a restrictive disorder. b.) A person with decreased FVC and increased FEV1 has an obstructive disorder. c.) A person with a decreased FVC and FEV1 has an obstructive disorder. d.) A person with a FEV1 below 80% has a restrictive disorder.
answer
A (A person with a decreased FVC and a normal FEV1 has a restrictive disorder. Restrictive diseases, such as tuberculosis, decrease FVC but do not affect flow, so FEV1 stays the same)
question
The local matching of blood flow with ventilation is ________. a.) the Bohr effect b.) ventilation-perfusion coupling c.) the Haldane effect d.) chloride shifting
answer
B (ventilation-perfusion coupling)
question
The law that applies to the amount of CO2 you could dissolve in a soda is called ________ law. a.) Boyle's b.) Dalton's c.) Murphy's d.) Henry's
answer
D (Henry's Law)
question
Henry's Law
answer
(Henry's law states that when a gas is in contact with a liquid, that) gas will dissolve in the liquid in proportion to its partial pressure.
question
During pneumonia, the lungs become "waterlogged"; this means that within the alveoli there is an abnormal accumulation of ______. a.) blood b.) blood plasma c.) interstitial fluid d.) water
answer
C (interstitial fluid. Pneumonia is an infection within the lung tissue often accompanied by inflammation. In response to inflammation, the increased permeability of the respiratory membrane results in increased formation of interstitial fluid that enters the alveoli.)
question
Emphysema can result in an ______. a.) increased level of carbaminohemoglobin b.) increased level of deoxyhemoglobin c.) increased likelihood of the skin of Caucasians developing a slightly blue coloration d.) All of the listed responses are correct.
answer
D (all of the above)
question
Dalton's Law
answer
Dalton's law of partial pressures (states that the total pressure exerted by a mixture of gases is the sum of the pressures exerted independently by each gas in the mixture.)
question
Which of the choices below determines the direction of respiratory gas movement? a.) the temperature b.) molecular weight and size of the gas molecule c.) partial pressure gradient d.) solubility in water
answer
C (partial pressure gradient)
question
Which of the following processes are unique to the respiratory system? a.) external and internal respiration b.) pulmonary ventilation and external respiration c.) pulmonary ventilation and internal respiration d.) pulmonary ventilation and transport of respiratory gases
answer
B (pulmonary ventilation and external respiration)
question
Which of the following is(are) obstructive conditions? a.) emphysema and an acute asthma attack b.) exercise c.) an acute asthma attack d.) emphysema
answer
A (emphysema and an acute asthma attack)
question
Which of the following resulted in an increase in tidal volume above the normal value? a.) acute asthma attack plus inhaler b.) moderate exercise c.) moderate exercise, acute asthma attack plus inhaler and emphysema d.) emphysema
answer
B (moderate exercise)
question
Which of the disorders below is characterized by destruction of the walls of the alveoli producing abnormally large air spaces that remain filled with air during exhalation? a.) coryza b.) pneumonia c.) emphysema d.) tuberculosis
answer
C (emphysema)
question
The erythrocyte (red blood cell) count increases after a while when an individual goes from a low to a high altitude because the ________. a.) temperature is lower at higher altitudes b.) basal metabolic rate is higher at high altitudes c.) concentration of oxygen and/or total atmospheric pressure is higher at higher altitudes d.) concentration of oxygen and/or total atmospheric pressure is lower at high altitudes
answer
D (concentration of oxygen and/or total atmospheric pressure is lower at high altitudes)
question
Which of the following is correct regarding acclimatization? a.) At high altitudes, hemoglobin's affinity for O2 is increased because BPG concentrations increase. b.) When blood O2 levels decline, the kidneys produce more erythropoietin, which stimulates breakdown of red blood cells in the spleen. c.) High-altitude conditions always result in lower-than-normal hemoglobin saturation levels because less O2 is available to be loaded. d.) Decreases in arterial PO2 cause the peripheral chemoreceptors to become less responsive to increases in PCO2.
answer
C (High-altitude conditions always result in lower-than-normal hemoglobin saturation levels because less O2 is available to be loaded.)
question
What is the most common method of carbon dioxide transport? a.) dissolved in the plasma b.) chemically bound to hemoglobin as carbaminohemoglobin c.) chemically bound to hemoglobin as oxyhemoglobin d.) as bicarbonate ions in the plasma
answer
D (as bicarbonate ions in the plasma. Carbon dioxide reacts with water inside RBCs to form carbonic acid, which dissociates into bicarbonate and hydrogen ions. About 70% of carbon dioxide travels in the plasma as bicarbonate. )
question
Which form of CO2 transport accounts for the least amount of CO2 transported in blood? a.) chemically bound to hemoglobin b.) as bicarbonate ion in plasma c.) dissolved in plasma d.) as carbon monoxide in plasma
answer
C (dissolved in plasma. Most CO2 is transported by combining with hemoglobin or dissolved in the plasma as bicarbonate. A very small percentage is dissolved into the plasma.)
question
With the Bohr effect, more oxygen is released because a(n) ________. a.) decrease in pH (acidosis) weakens the hemoglobin-oxygen bond b.) decrease in pH (acidosis) strengthens the hemoglobin-oxygen bond c.) increase in pH (alkalosis) strengthens the hemoglobin-oxygen bond d.) increase in pH (alkalosis) weakens the hemoglobin-oxygen bond
answer
A (decrease in pH (acidosis) weakens the hemoglobin-oxygen bond)
question
According to the oxygen-hemoglobin dissociation curve, PO2 in the lungs of 100 mm Hg results in Hb being 98% saturated. At high altitude, there is less O2. At a PO2 in the lungs of 80 mm Hg, Hb would be ________ saturated. a.) 98% b.) 95% c.) 100% d.) less than 50%
answer
B (95% saturated)
question
Which of the following is an appropriate response to carbon monoxide (CO) poisoning? a.) slow breathing into a paper bag b.) immediate application of bicarbonate ions to facilitate removal of CO from Hb c.) hyperbaric oxygen chamber to increase PO2 and clear CO from the body d.) hyperventilation to exhale CO from the body
answer
C (hyperbaric oxygen chamber to increase PO2 and clear CO from the body)
question
Which of the following does NOT influence hemoglobin saturation? a.) BPG b.) nitric oxide c.) temperature d.) partial pressure of carbon dioxide
answer
B (nitric oxide)
question
Which of the following stimuli is the most powerful respiratory stimulant to increase respiration? a.) a rise in body temperature b.) arterial pH c.) rising carbon dioxide levels d.) an increase in blood pH
answer
C (rising carbon dioxide levels. Excessive carbon dioxide is a powerful stimulant to respiratory rate, as the brain assumes that when carbon dioxide levels are high, the oxygen levels must be correspondingly low.)
question
Which of the following initiate(s) inspiration? a.) ventral respiratory group (VRG) b.) dorsal respiratory group (DRG) c.) pontine respiratory centers d.) midbrain
answer
A (ventral respiratory group (VRG). The urge to breathe comes from the ventral respiratory group in the medulla oblongata. This urge is accelerated during hypoxia and can be suppressed by certain drugs.)
question
Which of the following inhibits/reduces the respiratory rate? a.) partial pressure of oxygen below 60 millimeters of mercury at chemoreceptors b.) a rise in body temperature c.) stimulation of stretch receptors in the lungs d.) elevated carbon dioxide levels in the blood
answer
C (The stimulation of stretch receptors in the lungs. Its reduces the urge to inspire air. When the lungs recoil back to a relaxed shape during expiration, the urge to breathe is again initiated (inflation reflex).)
question
What is the most powerful respiratory stimulant in a healthy person? a.) arterial blood carbon dioxide level b.) oxygen needs of cells c.) arterial blood pH d.) arterial blood oxygen level
answer
A (arterial blood carbon dioxide level)
question
How will the lungs compensate for an acute rise in the partial pressure of CO2 in arterial blood? a.) Respiratory rate will increase. b.) Respiratory rate will decrease. c.) Respiratory depth will decrease and respiratory rate will increase. d.) Respiratory depth will decrease. e.) Respiratory depth and respiratory rate will decrease.
answer
A (Respiratory rate will increase.)
question
Respiratory control centers are located in the ________. a.) medulla and pons b.) midbrain and medulla c.) upper spinal cord and medulla d.) pons and midbrain
answer
A (medulla and pons)