Mastering CH 22B

25 July 2022
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question
Which of the following pressures rises and falls with the phases of breathing but eventually equalizes with the atmospheric pressure? a) intrapulmonary pressure b) intrapleural pressure c) transpulmonary pressure d) atmospheric pressure
answer
A - Intrapulmonary pressure 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? a) intrapleural pressure b) intrapulmonary pressure c) atmospheric pressure d) transpulmonary pressure
answer
A - 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? a) Ppul < Patm b) Ppul = Patm c) Ppul > Patm d) Ppul < Pip
answer
A - 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
Which muscles are activated during forced expiration? a) the diaphragm and external intercostal muscles b) the internal intercostal muscles and abdominal wall muscles c) the scalenes, sternocleidomastoid, and pectoralis minor muscles d) the diaphragm and internal intercostal muscles
answer
B - the internal intercostal muscles and abdominal wall muscles During forced expiration, the internal intercostal muscles and the oblique, and transversus abdominal muscles contract to increase the intra-abdominal pressure and depress the rib cage.
question
In this activity, you will follow oxygen on its path from the lungs to the body tissues.
answer
Oxygen diffuses from the alveoli into surrounding capillaries. --> Oxygen enters a red blood cell. --> Oxygen binds to a molecule of hemoglobin. --> Oxygen is carried through blood vessels to a capillary. --> Oxygen diffuses from the blood to the body's tissues.
question
During inhalation: a) air moves up the trachea. b) the diaphragm relaxes. c) the diaphragm and rib muscles contract. d) oxygen molecules move into the lungs, and carbon dioxide molecules move out of the lungs. e) the volume of the thoracic cavity decreases.
answer
C - the diaphragm and rib muscles contract. The contraction of these muscles causes air to enter the lungs.
question
From which structures do oxygen molecules move from the lungs to the blood? a) Trachea b) Bronchioles c) Bronchi d) Nose e) Alveoli
answer
E - Alveoli Alveoli are tiny sacs in the lungs surrounded by capillaries. The alveoli are where oxygen diffuses from the lungs to the blood.
question
Which statement is correct? a) As oxygen diffuses from the lungs into capillaries, blood becomes deoxygenated. b) Carbon dioxide diffuses from the alveoli into surrounding capillaries. c) Oxygen diffuses from large blood vessels into the body's cells. d) In the blood, oxygen is bound to hemoglobin, a protein found in red blood cells. e) Oxygen is released from the mitochondria as a product of cellular respiration.
answer
D - In the blood, oxygen is bound to hemoglobin, a protein found in red blood cells. When oxygen diffuses from the alveoli to the surrounding capillaries, it enters a red blood cell and binds to hemoglobin.
question
After blood becomes oxygenated: a) it does not return to the heart, but goes directly to capillaries that supply the body's cells with oxygen. b) it returns to the heart, and is then pumped to body cells. c) it returns to the heart, and is then pumped to the lungs. d) it does not return to the heart, but goes directly to the lungs. e) it does not return to the heart, but goes to the nose and mouth.
answer
B - it returns to the heart, and is then pumped to body cells.
question
Hemoglobin: a) is the site of cellular respiration. b) is found in blood plasma. c) is a protein that can bind four molecules of oxygen. d) uses ATP to move oxygen from blood to body cells. e) has five subunits.
answer
C - is a protein that can bind four molecules of oxygen.
question
Which force acts against the other two forces? a) alveolar fluid surface tension b) the elasticity of the chest wall c) lung elasticity
answer
B - the elasticity of the chest wall The natural elasticity of the chest wall pulls the thorax outward and enlarges the lungs. Whereas alveolar surface tension and lung elasticity work in the opposite direction by collapsing the lungs and making them smaller
question
__________ pressure, the difference between the intrapulmonary and intrapleural pressures, prevents the lungs from collapsing. a) Atmospheric b) Intra-alveolar c) Transthoracic d) Transpulmonary
answer
D - Transpulmonary
question
Quiet inspiration is __________, and quiet expiration is __________. a) an active process; also an active process b) an active process; a passive process c) a passive process; an active process d) a passive process; also a passive process
answer
B - an active process; a passive process During quiet breathing, inspiration requires muscle actions, while expiration is caused by elastic recoil.
question
During inspiration, the external intercostal muscles can work to increase the volume changes that drive ventilation. T/F
answer
- True When the external intercostal muscles are activated, the rib cage is elevated, increasing thoracic volume. This increases ventilation.
question
Which of the following is NOT a physical factor that influences pulmonary ventilation? a) partial pressure of oxygen in the air b) airway resistance c) lung compliance d) alveolar surface tension
answer
A - partial pressure of oxygen in the air Partial pressures affect the diffusion and dissolving of gasses into and out of the blood.
question
Which of the following descriptions accurately describes Boyle's law? a) How well a gas dissolves in a liquid such as blood depends on both its partial pressure and its solubility. b) The pressure of gas in your lungs is inversely proportional to the volume in your lungs. c) 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.
answer
B - 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) internal intercostals and external oblique b) diaphragm and internal intercostals c) diaphragm and external intercostals
answer
C - 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) atmospheric pressure b) intrapleural pressure c) intrapulmonary 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) an increase in the parasympathetic nervous system b) acetylcholine (ACh) c) histamine 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) lungs will inflate b) lungs will collapse c) lung volume will stay the same
answer
B - 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
Residual volume is detected with a spirometer. T/F
answer
False Residual volume cannot be measured; it has to be estimated, generally based on the size and sex of an individual. The volume cannot be detected with a spirometer because the volume of residual air left in the lungs at the end of expiration cannot pass through a spirometer to be measured.
question
Which volumes are combined to provide the inspiratory capacity? a) tidal volume (TV), inspiratory reserve volume (IRV), expiratory reserve volume (ERV), and residual volume (RV) b) tidal volume (TV), inspiratory reserve volume (IRV), and expiratory reserve volume (ERV) c) expiratory reserve volume (ERV) and residual volume (RV) d) tidal volume (TV) and inspiratory reserve volume (IRV)
answer
D - 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
According to this spirographic record, what is the total volume of exchangeable air for a normal male? a) 2400 milliliters b) 3600 milliliters c) 4800 milliliters d) 6000 milliliters
answer
C - 4800 milliliters The total volume of exchangeable air (vital capacity) for a normal male is the amount of air that can be drawn into the lungs after a forced exhalation and, in this case, is 4800 milliliters.
question
Which of the following statements is true? a) Rapid shallow breathing can reduce the amount of gas exchange without changing the total amount of gas moved in a minute. b) Breathing rate and depth do not affect gas exchange. c) Normal breathing rates and depth provide the most oxygen for exchange. d) Slow, deep breathing makes less gas available for gas exchange.
answer
A - Rapid shallow breathing can reduce the amount of gas exchange without changing the total amount of gas moved in a minute. Minute ventilation, the total amount of gas moved in a minute, might not be reduced during rapid shallow breathing, but because much of that gas remains in the dead space, less gas is available for gas exchange.
question
What is the amount of air that is normally ventilated in one breath? a) tidal volume b) inspiratory reserve volume c) vital capacity d) expiratory reserve volume
answer
A - 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.