Mastering A&P II Chapter 22 - The Respiratory System

24 July 2022
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question
Chronic bronchitis is a component of chronic obstructive pulmonary disease, or COPD, in smokers. What is the other main component of this disease? tuberculosis asthma laryngitis emphysema
answer
emphysema
question
Viral sinusitis may be caused by a direct extension of an upper respiratory infection involving the __________. pharynx larynx trachea bronchi
answer
pharynx
question
The palatine tonsils are found in which of the following regions?

oropharynx 
nasopharynx 
larynx 
laryngopharynx
The palatine tonsils are found in which of the following regions? oropharynx nasopharynx larynx laryngopharynx
answer
The palatine tonsils are found in the part of the pharynx that is shared with the oral cavity and is known as the oropharynx.
question
Which of the following is NOT a function of the nasal conchae? increasing the mucosal surface area exposed to air reclaiming heat and moisture from expired air routing air and food into proper channels filtering, heating, and moistening incoming air during inhalation
answer
routing air and food into proper channels While the nasal conchae are used for routing air, they are not involved in routing food. This passage near the nasal conchae, which are coated with membrane that has a rich blood supply, cleans, humidifies, and warms incoming air.
question
Which of the following regions contains the opening of a canal that equalizes pressure in the middle ear?

larynx 
oropharynx 
nasopharynx 
laryngopharynx
Which of the following regions contains the opening of a canal that equalizes pressure in the middle ear? larynx oropharynx nasopharynx laryngopharynx
answer
nasopharynx The opening to the pharyngotympanic tube is in the nasopharynx above the uvula and near the pharyngeal tonsil.
question
The division between the upper and lower respiratory system is around the nasopharynx. True False
answer
False The separation between the upper and lower respiratory system occurs around the larynx.
question
What part of the larynx covers the laryngeal inlet during swallowing to keep food out of the lower respiratory passages?

thyroid cartilage 
epiglottis 
vocal folds 
glottis
What part of the larynx covers the laryngeal inlet during swallowing to keep food out of the lower respiratory passages? thyroid cartilage epiglottis vocal folds glottis
answer
epiglottis When the larynx is elevated during the act of swallowing, the epiglottis is pressed over the glottis to prevent swallowed food from entering the lower respiratory passages.
question
Which cartilage belonging to the larynx anchors vocal cords?

arytenoid cartilage 
epiglottis 
cricoid cartilage 
thyroid cartilage
Which cartilage belonging to the larynx anchors vocal cords? arytenoid cartilage epiglottis cricoid cartilage thyroid cartilage
answer
The arytenoid cartilages serve as an anchor for the vocal cords. They can be controlled using muscles to give different tones during speech.
question
Which of these cells would be most effective in the ingestion and disposal of microorganisms that may enter the alveoli? alveolar macrophages type II alveolar cells type I alveolar cells lymphocytes in blood circulating through the lungs
answer
Alveolar macrophages wander freely, ingesting and destroying invading microorganisms or foreign matter.
question
What type of epithelial tissue forms the walls of the alveoli? simple cuboidal epithelium stratified squamous epithelium simple squamous epithelium pseudostratified ciliated columnar epithelium
answer
simple squamous epithelium Squamous epithelia are thin and easily passed by respiratory gases. The membrane is also kept thin by organizing the squamous cells in a single layer.
question
In children with infant respiratory distress syndrome (IRDS), the walls of the alveoli cling to each other and make them difficult to inflate. It is common in babies born prematurely. What cells in these infants are NOT fully developed and are NOT doing their job? endothelial cells of alveolar capillaries type II alveolar cells alveolar macrophages type I alveolar cells
answer
Type II alveolar cells secrete a detergent-like surfactant that lessens the surface tension on the alveolar walls, preventing them from sticking to each other. Infants with IRDS can be treated until their cells produce adequate surfactant.
question
The alveolar ducts are part of the conducting zone. True False
answer
False Gas exchange occurs at the alveolar duct surfaces; they are part of the respiratory zone.
question
What structure prevents food and liquids from entering the trachea? glottis epiglottis vestibular folds larynx
answer
epiglottis When swallowing, the epiglottis covers the laryngeal inlet. This keeps food and liquids from entering the lower respiratory passages.
question
Which of the following cavities surround(s) the lungs alone?

mediastinum 
thoracic cavity 
pericardial cavity 
pleural cavities
Which of the following cavities surround(s) the lungs alone? mediastinum thoracic cavity pericardial cavity pleural cavities
answer
The pleural cavities, which are located between the visceral and parietal pleural membranes, surround the lungs alone.
question
Which blood vessels supply oxygenated systemic blood to the lung tissue?

pulmonary arteries 
bronchial arteries 
pulmonary veins 
bronchial veins
Which blood vessels supply oxygenated systemic blood to the lung tissue? pulmonary arteries bronchial arteries pulmonary veins bronchial veins
answer
The bronchial arteries, which usually originate in the thoracic aorta, supply oxygenated blood to the lung tissue.
question
The indentation on the medial surface of each lung through which pulmonary and systemic blood vessels, bronchi, lymphatic vessels, and nerves enter and leave is called the __________. base cardiac notch hilum apex
answer
The term hilum applies to any indentation or crack in an organ through which vessels or ducts enter it. The kidneys, lungs, spleen, and ovaries all have hila.
question
Which of the following pressures rises and falls with the phases of breathing but eventually equalizes with the atmospheric pressure? atmospheric pressure intrapulmonary pressure transpulmonary pressure intrapleural pressure
answer
Intrapulmonary pressure rises when the thorax volume is reduced (during exhalation) and drops when the thorax volume rises (during inhalation). When there is no change in thorax volume, intrapulmonary pressure equalizes with the atmospheric pressure.
question
Which of the following pressures must remain negative to prevent lung collapse?

transpulmonary pressure 
intrapulmonary pressure 
atmospheric pressure 
intrapleural pressure
Which of the following pressures must remain negative to prevent lung collapse? transpulmonary pressure intrapulmonary pressure atmospheric pressure intrapleural pressure
answer
intrapleural pressure Intrapleural pressure is created as the lungs attempt to shrink away from the thoracic wall. This negative pressure, as well as the adherence due to moisture, is what keeps the lungs from collapsing.
question
Which of the following pressure relationships best illustrates when inspiration will occur?

Ppul > Patm
Ppul = Patm
Ppul < Patm
Ppul < Pip
Which of the following pressure relationships best illustrates when inspiration will occur? Ppul > Patm Ppul = Patm Ppul < Patm Ppul < Pip
answer
Ppul < Patm When the atmospheric pressure exceeds the pressure in the alveoli of the lungs (pulmonary pressure), air will flow into the lungs (inspiration).
question
During inspiration, the external intercostal muscles can work to increase the volume changes that drive ventilation. True False
answer
When the external intercostal muscles are activated, the rib cage is elevated, increasing thoracic volume. This increases ventilation.
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__________ pressure, the difference between the intrapulmonary and intrapleural pressures, prevents the lungs from collapsing. Transthoracic Intra-alveolar Transpulmonary Atmospheric
answer
Transpulmonary
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Quiet inspiration is __________, and quiet expiration is __________. an active process; also an active process a passive process; an active process a passive process; also a passive process an active process; a passive process
answer
active process, passive process
question
Which of the following is NOT a physical factor that influences pulmonary ventilation? alveolar surface tension lung compliance partial pressure of oxygen in the air airway resistance
answer
partial pressure of oxygen in the air airway resistance Partial pressures affect the diffusion and dissolving of gasses into and out of the blood.
question
Which volumes are combined to provide the inspiratory capacity? tidal volume (TV), inspiratory reserve volume (IRV), expiratory reserve volume (ERV), and residual volume (RV) tidal volume (TV) and inspiratory reserve volume (IRV) tidal volume (TV), inspiratory reserve volume (IRV), and expiratory reserve volume (ERV) expiratory reserve volume (ERV) and residual volume (RV)
answer
tidal volume (TV) and inspiratory reserve volume (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
What is the amount of air that is normally ventilated in one breath? tidal volume inspiratory reserve volume expiratory reserve volume vital capacity
answer
tidal volume A tidal volume is a normal breath. One way to remember this is to compare tidal breathing to ocean tides that go in and out, day and night, without ceasing.
question
Henry's law of partial pressures states that when a gas is in contact with a liquid, that gas will dissolve in the liquid in proportion to its partial pressure. True False
answer
True 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
What is the most common method of carbon dioxide transport? dissolved in the plasma as bicarbonate ions in the plasma chemically bound to hemoglobin as oxyhemoglobin chemically bound to hemoglobin as carbaminohemoglobin
answer
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
If your core temperature becomes colder, it is more difficult for oxygen to dissociate with hemoglobin at any PO2. True False
answer
True Page 835 has the dissociation curve for oxygen and hemoglobin at different temperatures. As the temperature gets colder, it become much more difficult for oxygen to dissociate from hemoglobin.
question
Which form of hypoxia reflects poor O2 delivery resulting from too few RBCs or from RBCs that contain abnormal or too little hemoglobin? histotoxic hypoxia hypoxemic hypoxia ischemic (stagnant) hypoxia anemic hypoxia
answer
anemic hypoxia
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Which form of CO2 transport accounts for the least amount of CO2 transported in blood? as bicarbonate ion in plasma as carbon monoxide in plasma dissolved in plasma chemically bound to hemoglobin
answer
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.
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Which of the following is the primary factor in oxygen's attachment to, or release from, hemoglobin? temperature partial pressure of oxygen blood pH partial pressure of carbon dioxide
answer
partial pressure of oxygen Partial pressure of oxygen influences the binding of oxygen with hemoglobin.
question
What is the primary form in which oxygen is carried in blood? chemically bound to hemoglobin as a bicarbonate ion in plasma dissolved in plasma as carbonic acid in plasma
answer
chemically bound to hemoglobin 98% of O2 is transported by hemoglobin.
question
Which of the following initiate(s) inspiration?

midbrain 
pontine respiratory centers 
ventral respiratory group (VRG) 
dorsal respiratory group (DRG)
Which of the following initiate(s) inspiration? midbrain pontine respiratory centers ventral respiratory group (VRG) dorsal respiratory group (DRG)
answer
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 modifies and smoothes the respiratory pattern?

pontine respiratory centers 
diencephalon 
ventral respiratory group (VRG) 
dorsal respiratory group (DRG)
Which of the following modifies and smoothes the respiratory pattern? pontine respiratory centers diencephalon ventral respiratory group (VRG) dorsal respiratory group (DRG)
answer
pontine respiratory centers The pontine respiratory centers transmit impulses to the ventral respiratory group (VRG) of the medulla to smooth the respiratory pattern and modify it based on activities such as exercise and sleeping.
question
Which of the following stimuli is the most powerful respiratory stimulant to increase respiration? rising carbon dioxide levels a rise in body temperature arterial pH an increase in blood pH
answer
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 inhibits/reduces the respiratory rate? elevated carbon dioxide levels in the blood a rise in body temperature partial pressure of oxygen below 60 millimeters of mercury at chemoreceptors stimulation of stretch receptors in the lungs
answer
stimulation of stretch receptors in the lungs The stimulation of stretch receptors in the lungs 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
Which of the following conditions or scenarios increases the respiratory rate? a drop in carbon dioxide levels in the blood acidosis alkalosis an increase in partial pressure of oxygen
answer
A low pH in blood indicates a high level of carbon dioxide, which in turn increases the urge to ventilate the lungs.
question
Which of the following arterial blood levels is the most powerful respiratory stimulant? low CO2 level low oxygen level rising CO2 levels arterial pH
answer
rising CO2 levels Rising CO2 levels are the strongest respiratory stimulant.
question
What is the most powerful respiratory stimulant in a healthy person? arterial blood oxygen level oxygen needs of cells arterial blood pH arterial blood carbon dioxide level
answer
arterial blood carbon dioxide level