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Chapter 22: The Respiratory System

front 1

What is the most immediate driving force behind pulmonary ventilation?

back 1

Intrapulmonary Pressure Change

front 2

The larynx contains ___.

back 2

The thyroid cartilage

front 3

back 3

As bicarbonate ions in the plasma

front 4

Which of the following is not a stimulus for breathing?

A) rising blood pressure

B) rising carbon dioxide levels

C) arterial Po2 below 60 mm Hg

D) acidosis resulting from CO2 retention

back 4

A) rising blood pressure

front 5

Calculate the transpulmonary pressure if atmospheric pressure is 755 mmHg

back 5

-1 mm Hg

front 6

Inspiratory capacity is ________.

back 6

the total amount of air that can be inspired after a tidal expiration

front 7

back 7

no data

front 8

The main site of gas exchange is the ________.

back 8

Alveoli

front 9

Gas Exchange: Steps in O2 Transport

back 9

1. Oxygen diffuses from the alveoli into surrounding capillaries

2. Oxygen enters a red blood cell

3. Oxygen binds to a molecule of hemoglobin

4. Oxygen is carried through blood vessels to a capillary

5. Oxygen diffuses from the blood to the body's tissues.

front 10

Which of the following respiratory rates illustrates eupnea for an average, healthy adult at rest?

back 10

15 breaths per minute

front 11

Which muscles are activated during normal quiet inspiration?

back 11

Diaphragm and external intercostal muscles

front 12

Which of the following stimuli is the most powerful respiratory stimulant to increase respiration?

back 12

Rising carbon dioxide levels

front 13

Which of the choices below determines the direction of respiratory gas movement?

back 13

Partial pressure gradient

front 14

The adenoids normally destroy pathogens because they contain ______.

back 14

lymphocytes

front 15

Which of the following is not possible?

A) The amount of gas flowing in and out of the alveoli is directly proportional to the difference in pressure or pressure gradient between the external atmosphere and the alveoli.

B) Gas flow equals pressure gradient over resistance.

C) Resistance equals pressure gradient over gas flow.

D) Pressure gradient equals gas flow over resistance.

back 15

D) Pressure gradient equals gas flow over resistance.

front 16

Gas Exchange: Carbon Dioxide Transport

back 16

1. Carbon Dioxide is released from the mitochondria

2. Carbon Dioxide diffuses into a capillary

3. Carbon Dioxide is carried to the lungs

4. Carbon Dioxide diffuses into an alveolus

5. Air exits through the nose or mouth

front 17

Select the correct statement about the physical factors influencing pulmonary ventilation.

A) A decrease in compliance causes an increase in ventilation.

B) As alveolar surface tension increases, additional muscle action will be required.

C) Surfactant helps increase alveolar surface tension.

D) A lung that is less elastic will require less muscle action to perform adequate ventilation.

back 17

B) As alveolar surface tension increases, additional muscle action will be required.

front 18

back 18

no data

front 19

Factors that influence the rate and depth of breathing include ________.

back 19

voluntary cortical control

front 20

Which of the following determines lung compliance?

A) muscles of inspiration

B) flexibility of the thoracic cage

C) airway opening

D) Alveolar Surface Tension

back 20

D) Alveolar Surface Tension

front 21

The relationship between gas pressure and gas volume is described by ________.

back 21

Boyle's Law

front 22

Oxygen and carbon dioxide are exchanged in the lungs and through all cell membranes by ________.

back 22

Diffusion

front 23

During the Valsalva's maneuver, what part of the larynx closes to increase intra-abdominal pressure, such as to help with defecation?

back 23

Glottis

front 24

Most inspired particles such as dust fail to reach the lungs because of the ________.

back 24

ciliated mucous lining in the nose

front 25

Which of the following conditions or scenarios increases the respiratory rate?

back 25

Acidosis

front 26

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 ___________.

back 26

Hilum

front 27

During pleurisy, the inflamed parietal pleura of one lung rubs against the inflamed ______.

back 27

visceral pleura of the same lung

front 28

Which of the following is NOT a function of the nasal conchae?

A) filtering, heating, and moistening incoming air during inhalation

B) increasing the mucosal surface area exposed to air

C) reclaiming heat and moisture from expired air

D) Routing air and food into proper channels

back 28

D) Routing air and food into proper channels

front 29

Which of the following respiratory structures is more commonly known as the "throat"?

back 29

Pharynx

front 30

The most powerful respiratory stimulus for breathing in a healthy person is ________.

back 30

Increase of carbon dioxide

front 31

Functional Residual Capactiy

back 31

ERV + RV

front 32

Vital Capacity

back 32

TV + IRV + ERV

front 33

Inspiratory Capacity

back 33

TV + IRV

front 34

Total Lung Capacity

back 34

TV + IRV + ERV + RV

front 35

Surfactant helps to prevent the alveoli from collapsing by ________.

back 35

interfering with the cohesiveness of water molecules, thereby reducing the surface tension of alveolar fluid

front 36

What is the tidal volume of an average adult male?

back 36

500 mL

front 37

Which blood vessels supply oxygenated systemic blood to the lung tissue?

back 37

bronchial arteries

front 38

back 38

no data

front 39

back 39

no data

front 40

Which of the following would NOT be involved in causing bronchiolar constriction during an asthma attack?

A) acetylcholine

B) central nervous system

C) peripheral nervous system

D) adrenal medulla

back 40

D) adrenal medulla

front 41

Which of the following arterial blood levels is the most powerful respiratory stimulant?

A) low CO2 level

B) rising CO2 levels

C) low oxygen level

D) arterial pH

back 41

B) rising CO2 levels

front 42

Which of the following is NOT a function of the larynx?

A) providing a patent airway

B) serving as part of the respiratory zone

C) voice production

D) routing air and food into the proper channels

back 42

B) serving as part of the respiratory zone

front 43

What part of the larynx covers the laryngeal inlet during swallowing to keep food out of the lower respiratory passages?

A) epiglottis

B) vocal folds

C) glottis

D) thyroid cartilage

back 43

A) epiglottis

front 44

The amount of air that can be inspired above the tidal volume is called ________.

back 44

Inspiratory Reserve

front 45

Which cartilage belonging to the larynx anchors the vocal cords?

back 45

Arytenoid Cartilages

front 46

back 46

no data

front 47

The smallest subdivisions of the lung visible with the naked eye are the __________, which appear to be connected by black carbon in smokers.

back 47

Lobules

front 48

In which region are the palatine tonsils found?

back 48

Oropharynx

front 49

Which form of CO2 transport accounts for the least amount of CO2 transported in blood?

back 49

Dissolved in Plasma

front 50

back 50

no data

front 51

back 51

no data

front 52

What is the amount of air that can be exhaled with the greatest possible exhalation after the deepest inhalation called?

back 52

vital capacity

front 53

Which of the following is the primary factor in oxygen attachment to, or release from, hemoglobin?

A) temperature

B) blood pH

C) partial pressure of oxygen

D) partial pressure of carbon dioxide

back 53

C) partial pressure of oxygen

front 54

Which of the following initiates inspiration?

A) ventral respiratory group (VRG)

B) dorsal respiratory group (DRG)

C) diencephalon

D) pontine respiratory centers

back 54

A) ventral respiratory group (VRG)

front 55

For gas exchange to be efficient, the respiratory membrane must be ________.

back 55

0.5 to 1 micrometer thick

front 56

Hypocapnia causes ______.

back 56

Hypoxia

front 57

Which of the following gives the relationship between the pressure and volume of a gas?

A) Henry's law

B) Haldane effect

C) Dalton's law of partial pressures

D) Boyle's law

back 57

D) Boyle's law

front 58

Select the correct statement about oxygen transport in blood:

A) Increased BPG levels in the red blood cells enhance oxygen-carrying capacity.

B) During normal activity, a molecule of hemoglobin returning to the lungs carries one molecule of O2.

C) During conditions of acidosis, hemoglobin is able to carry oxygen more efficiently.

D) A 50% oxygen saturation level of blood returning to the lungs might indicate an activity level higher than normal.

back 58

D) A 50% oxygen saturation level of blood returning to the lungs might indicate an activity level higher than normal.

front 59

Why is a patient with tuberculosis often noncompliant with treatment?

back 59

Due to the time length of treatment, the pt may stop taking the medication when they start to feel better

front 60

back 60

no data

front 61

In babies born prematurely, pulmonary surfactant may not be present in adequate amounts ______.

back 61

due to insufficient exocytosis in the type II alveolar cells

front 62

T/F: The alveoli are also known as alveolar sacs.

back 62

False

front 63

Patients with rhinitis often have "watery eyes" because ______.

back 63

the infection has caused inflammation of the nasolacrimal ducts

front 64

back 64

no data

front 65

Which respiratory-associated muscles would contract if you were to blow up a balloon?

back 65

internal intercostals and abdominal muscles would contract

front 66

The loudness of a person's voice depends on the ________.

back 66

force with which air rushes across the vocal folds

front 67

Which of the following represents all of the processes involved in respiration in the correct order?

A) pulmonary ventilation; external ventilation; internal ventilation; transport of respiratory gases

B) external respiration; internal respiration; transport of respiratory gases

C) pulmonary respiration; external ventilation; transport of respiratory gases; internal ventilation

D) pulmonary ventilation; external respiration; transport of respiratory gases; internal respiration

back 67

D) pulmonary ventilation; external respiration; transport of respiratory gases; internal respiration

front 68

Which of the choices below is not a role of the pleura?

A) helps divide the thoracic cavity into three chambers

B) allows the lungs to inflate and deflate without friction

C) helps limit the spread of local infections

D) aids in blood flow to and from the heart because the heart sits between the lungs

back 68

D) aids in blood flow to and from the heart because the heart sits between the lungs

front 69

Gas Exchange: Path of Air

back 69

1. Air enters through the nose or mouth

2. Air travels down the trachea and then enters the bronchi

3. Air travels down smaller and smaller bronchioles

4. Air reaches small sacs called alveoli

front 70

The erythrocyte count increases after a while when an individual goes from a low to a high altitude because the ________.

back 70

concetration of oxygen and/or total atmospheric pressure is lower at high altitudes

front 71

Which of the following pressures must remain negative to prevent lung collapse?

A) intrapleural pressure

B) atmospheric pressure

C) intrapulmonary pressure

D) transpulmonary pressure

back 71

A) intrapleural pressure

front 72

Which of the following pressures rises and falls with the phases of breathing, but eventually equalizes with the atmospheric pressure?

A) atmospheric pressure

B) intrapleural pressure

C) intrapulmonary pressure

D) transpulmonary pressure

back 72

C) intrapulmonary pressure

front 73

Which of the choices below describes the forces that act to pull the lungs away from the thorax wall and thus collapse the lungs?

A) compliance and transpulmonary pressures

B) the natural tendency for the lungs to recoil and transpulmonary pressures

C) the natural tendency for the lungs to recoil and the surface tension of the alveolar fluid

D) compliance and the surface tension of the alveolar fluid

back 73

C) the natural tendency for the lungs to recoil and the surface tension of the alveolar fluid

front 74

The lung volume that represents the total volume of exchangeable air is the ________.

back 74

Vital Capacity

front 75

Since mucus-producing cells and cilia are sparse in the bronchioles and alveoli, how does the body remove microorganisms that make their way into the respiratory zone?

back 75

alveolar macrophages crawl freely along internal alveolar surfaces

front 76

What type of epithelial tissue forms the walls of the alveoli?

back 76

simple squamous epithelium

front 77

Which parts of the respiratory system function as the main sites of gas exchange?

back 77

Alveoli

front 78

The local matching of blood flow with ventilation is ________.

back 78

Ventilation-perfusion coupling