The main site of gas exchange is the ________. |
alveoli |
The loudness of a person’s voice depends on the ________. |
force with which air rushes across the vocal folds |
The walls of the alveoli are composed of two types of cells, type I and type II. The function of type II is to |
secrete surfactant |
Complete the following statement using the choices below. Air moves out of the lungs when the pressure inside the lungs is ________. |
greater than the pressure in the atmosphere |
Unlike inspiration, expiration is a passive act because no muscular contractions are involved. Expiration,however, depends on two factors. Which of the choices below lists those two factors? |
the recoil of elastic fibers that were stretched during inspiration and the inward pull of surface tension |
Which of the following maintains the patency (openness) of the trachea? |
C-shaped cartilage rings |
Intrapulmonary pressure is the ________. |
pressure within the alveoli of the lungs |
The relationship between gas pressure and gas volume is described by ________. |
Boyle’s Law |
The statement, "in a mixture of gases, the total pressure is the sum of the individual partial pressures of gases |
Dalton’s Law |
Surfactant helps to prevent the alveoli from collapsing by ________. |
interfering with the cohesiveness of water molecules, thereby reducing the surface tension of alveolar fluid |
For gas exchange to be efficient, the respiratory membrane must be ________. |
0.5 to 1 micrometer thick |
With the Bohr effect, more oxygen is released because a(n) ________. |
decrease in pH (acidosis) weakens the hemoglobin-oxygen bond |
The most powerful respiratory stimulus for breathing in a healthy person is ________. |
increase of carbon dioxide |
The local matching of blood flow with ventilation is ________. |
ventilation-perfusion coupling |
In the plasma, the quantity of oxygen in solution is ________. |
only about 1.5% of the oxygen carried in blood |
Which of the following statements is incorrect? |
Respiratory rate is lowest in newborn infants |
Which of the choices below describes the forces that act to pull the lungs away from the thorax wall and thus |
the natural tendency for the lungs to recoil and the surface tension of the alveolar fluid |
Which of the following counteracts the movement of bicarbonate ions from the RBC? |
chloride shifting |
Which of the following is not a form of lung cancer? |
Kaposi’s sarcoma |
Which of the following is not an event necessary to supply the body with O2 and dispose of CO2? |
blood pH adjustment |
The major nonelastic source of resistance to air flow in the respiratory passageways is ________. |
friction |
Which of the following determines lung compliance? |
alveolar surface tension |
Tidal volume is air ________. |
exchanged during normal breathing |
Which of the choices below determines the direction of respiratory gas movement? |
partial pressure gradient |
Possible causes of hypoxia include ________. |
too little oxygen in the atmosphere |
Which of the following is NOT involved in respiration? |
external ventilation |
The respiratory zone is composed of the trachea and the paranasal sinuses. T or F |
False |
Which of the following are the hairs within the nasal cavity that filter coarse particles such as pollen and dust from inspired air? |
vibrissae |
__________ is the inflammation of the nasal mucosa accompanied by excessive mucus production, nasal congestion, and postnasal drip. Sinusitis |
rhinitis |
Which of the following lists the regions of the pharynx from superior to inferior? nasopharynx, oropharynx, laryngopharynx |
nasopharynx, oropharynx, laryngopharnyx NOL |
The __________ is covered by a mucosa containing taste buds and keeps food out of the lower respiratory passages. glottis |
epiglottis |
The bronchial, or respiratory, tree branches approximately 23 times within the lungs. T or F |
True |
The __________ are the main site of gas exchange within the lungs. alveoli |
alveoli |
The two lungs differ in shape and size. T or F |
True |
The __________ is the elastic connective tissue found within the lungs. parietal pleura |
stroma |
________, or lung collapse, is a homeostatic imbalance that occurs when a bronchiole becomes plugged. Pneumothorax |
Atelectasis |
Which of the following occurs during infant respiratory distress syndrome (IRDS)? Histamine and other inflammatory chemicals cause the baby’s bronchioles to constrict. |
The baby is unable to keep his or her alveoli inflated between breaths because of a lack of surfactant. |
Henrys Law states that the total pressure extorted by a mixture of gases is the sum of the pressures exerted independently by each gas in the mixture. T or F |
False |
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. T or F |
True |
Which form of hypoxia occurs when body cells are unable to use O2 even though adequate amounts are delivered? (This type of hypoxia is usually the consequence of metabolic poisons, such as cyanide.) hypoxemic hypoxia |
histotoxic hypoxia |
Which form of CO2 transport accounts for the greatest amount of CO2 transported in blood? as carbon monoxide in plasma |
as bicarbonate ions in plasma |
The increase in ventilation in response to metabolic needs is called __________. hypocapnia |
hyperpnea |
Emphysema is distinguished by permanent enlargement of the alveoli and loss of lung elasticity. T or F |
True |
Lung cancer is among the easiest forms of cancer to successfully treat and cure. T or F |
False |
The lung volume that represents the total volume of exchangeable air is the ________. |
vital capacity |
Because the lungs are filled with fluid during fetal life, which of the following statements is true regarding |
Respiratory exchanges are made through the placenta |
Which of the following is not a stimulus for breathing? |
rising blood pressure |
Respiratory control centers are located in the ________. |
medulla and pons |
The amount of air that can be inspired above the tidal volume is called ________. |
inspiratory reserve |
Which statement about CO2 is incorrect? |
More CO2 dissolves in the blood plasma than is carried in the RBCs |
Oxygen and carbon dioxide are exchanged in the lungs and through all cell membranes by ________. |
diffusion |
Select the correct statement about the pharynx. |
The auditory tube drains into the nasopharynx |
The larynx contains ________. |
the thyroid cartilage |
Which respiratory- associated muscles would contract if you were to blow up a balloon? |
internal intercostals and abdominal muscles would contract |
How is the bulk of carbon dioxide carried in blood? |
as the bicarbonate ion in the plasma after first entering the red blood cells |
Which of the choices below is not a role of the pleura? |
aids in the blood flow to and from the heart because the heart sits between the lungs |
Which of the following incorrectly describes mechanisms of CO2 transport? |
attached to the heme part of hemoglobin |
Factors that influence the rate and depth of breathing include ________. |
voluntary cortical control |
Which of the following provide the greatest surface area for gas exchange? |
alveoli |
The respiratory membrane is a combination of ________. |
alveolar and capillary walls and their fused basement membranes |
Gas emboli may occur because a ________. |
diver holds his breath upon ascent |
Inspiratory capacity is ________. |
the total amount of air that can be inspired after a tidal expiration |
Which center is located in the pons? |
PRG pontine respirator group |
The nose serves all the following functions except ________. |
as the direct initiator of the cough reflex |
A premature baby usually has difficulty breathing. However, the respiratory system is developed enough for |
28 weeks |
Which of the following statements is true regarding the respiratory rate of a newborn? |
the respiratory rate of a newborn is, at its highest rate, approximately 40-80 respirations per minute |
Select the correct statement about the neural mechanisms of respiratory control. |
The pons is thought to be instrumental in the smooth transition from inspiration to expiration |
Which of the choices below is not a factor that promotes oxygen binding to and dissociation from hemoglobin? |
number of red blood cells |
The factors responsible for holding the lungs to the thorax wall are ________. |
surface tension from pleural fluid and negative pressure in the pleural cavity |
The erythrocyte count increases after a while when an individual goes from a low to a high altitude because |
concentration of oxygen and/or total atmospheric pressure is lower at higher altitudes |
Most inspired particles such as dust fail to reach the lungs because of the ________. |
ciliated mucous lining in the nose |
Which of the following is not possible? |
Pressure gradient equals gas flow over resistance |
Select the correct statement about the physical factors influencing pulmonary ventilation. |
as alveolar surface tension increases, additional muscle action will be required |
Select the correct statement about oxygen transport in blood. |
A 50% oxygen saturation level of blood returning to the lungs might indicate an activity level higher than normal |
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? |
emphysema |
Which of the following does not influence hemoglobin saturation? |
nitric oxide |
Increased temperature results in decreased O2 unloading from hemoglobin. T or F |
False |
Oxygenated hemoglobin releases oxygen more readily when the PH is more basic. T or F |
False |
The largest amount of carbon dioxide is transported in the bloodstream in the form of carbonic anhydrase. T or F |
False |
As carbon dioxide enters systematic blood, it causes more oxygen to dissociate from hemoglobin (the haldane effect) which in turn allows more CO2 to combine with hemoglobin and more bicarbonate ions to be generated (the Bohr effect) T or F |
False |
Strong emotions and pain acting through the limbic system activate sympathetic centers in the hypothalamus, thus modulating respiratory rate and depth by sending signals to the respiratory centers. T or F |
True |
ventilation perfusion coupling means that more blood flows past functional alveoli than past nonfunctional alveoli. T or F |
True |
The olfactory mucosal lining of the nasal cavity contain the receptors for sense of smell. T or F |
True |
The functions of the nasal conchae are to enhance the air turbulence in the cavity and to increase the mucosal surface area exposed to the air. T or F |
True |
The lungs are perfused by two circulations: the pulmonary and the bronchial. The pulmonary circulation is for oxygenation of blood. The bronchial circulation supplies blood to the lung structures (tissue). T or F |
True |
Changes in arterial pH can modify respiration rate and rhythm even when carbon dioxide and oxygen levels are normal. T or F |
True |
Intrapleural pressure is normally about 4 mm Hg less than the pressure in the alveoli. T or F |
True |
During normal quiet breathing, approximately 750 ml of air moves into and out of the lungs with each breath. T or F |
False |
The alveolar ventilation rate is the best index of effective ventilation. T or F |
True |
In chronic bronchitis, mucus production is decreased and his leads to the inflammation and fibrosis of the mucosal lining of the bronchial tree. T or F |
False |
Labored breathing is termed dyspnea. T or F |
True |
The paired lungs occupy all of the thoracic cavity. T or F |
False |
Valsalva’s maneuver involves closing off the glottis (preventing expiration) while contracting the muscles of expiration, causing an increase in intra-abdominal pressure. T or F |
True |
Smoking diminishes ciliary action and eventually destroys the cilia. T or F |
True |
Tracheal obstruction is life threatening. T or F |
True |
Air moves into the lungs because __________. the internal intercostal muscles decrease the thoracic cavity volume |
the gas pressure in the lungs becomes lower than the outside pressure as the diaphragm contracts |
Alveolar ventilation rate is __________. the utilization of oxygen by alveolar cells to support metabolism |
the movement of air into and out of the alveoli during a particular time |
Hemoglobin has a tendency to release oxygen where __________. pH is more alkaline |
pH is more acidic |
Most of the carbon dioxide transported by the blood is __________. bound to hemoglobin |
converted to bicarbonate ions and transported in plasma |
In the alveoli, the partial pressure of oxygen is __________. equal to that in the tissues |
about 104 mmHg |
The elastic cartilage that shields the opening to the larynx during swallowing is the __________. thyroid cartilage |
epiglottis |
The movement of air into and out of the lungs is called __________. oxidative phosphorylation |
pulmonary ventilation |
This tissue lines the trachea. areolar connective tissue |
pseudostratified columnar epithelium |
Which respiratory measurement is normally the greatest? residual volume |
vital capacity |
Which respiratory structure has the smallest diameter? larynx |
bronchiole |
Involuntary hyperventilation during an anxiety attack can cause the person to become faint because of __________. decreased O2 levels in the blood, causing cells to lack enough ATP |
lowered CO2 levels in the blood and consequent constriction of cerebral blood vessels |
Which of the following gases has no effect in the blood until hyperbaric conditions occur (as in SCUBA diving) and can form bubbles in blood when one comes to the surface too quickly? oxygen |
nitrogen |
Which of the following terms describes the increase in depth and force of breathing that occurs during vigorous exercise? hypercapnia |
hyperpnea |
Which of the following controls the respiratory rate? medulla |
medulla |
Approximately 20% of carbon dioxide is transported in the blood as __________. dissolved gas in the plasma |
carbaminohemoglobin |
Which of the following is NOT a function of the conducting zone? mucous secretion |
gas exchange |
Which of the following statements about voice production is INCORRECT? The larynx enlarges in males during puberty. |
Loudness of voice depends on the size of the vocal cords. |
Which of the following is NOT a function of the trachealis muscle? It decreases its diameter during expiration to expel air with a greater force. |
It prevents the trachea from collapsing and keeps it patent, despite the pressure changes that take place during breathing. |
An example of an enzyme located in the lung capillary membrane that acts on material in the blood is __________. prostoglandins |
angiotensin converting enzyme |
__________ pressure keeps the air spaces in the lung open. Atmospheric |
Transpulmonary |
Which of the following conditions would NOT cause atelectasis? a chest wound that perforates the pleura and allows air into the pleural cavity |
loss of lung elasticity |
Airway resistance is insignificant in relationship to gas flow because __________. the gas flow stops in the medium-sized bronchioles and diffusion takes over; therefore, airway resistance is no longer an issue |
the airways branch more as they get smaller, resulting in a huge total cross-sectional area |
The transpulmonary pressure is the difference between the __________ and the __________ pressure. intrapleural; alveolar |
intrapulmonary; intrapleural |
Which of the following conditions would NOT decrease the total respiratory compliance? calcification of the coastal cartilages |
increase lung compliance |
Which of the following nonrespiratory movements would ventilate all of the alveoli? sneezing |
yawning |
All of the following would be caused by breathing excessively high concentrations of oxygen for a long period, EXCEPT __________. coma |
emphysema |
Which of the following nonrespiratory movements is caused by irritation of the diaphragm? hiccups |
hiccups |
The dorsal respiratory group __________. is located dorsally at the root of cranial nerve IX |
is located dorsally at the root of cranial nerve IX |
The pontine respiratory group is responsible for all of the following functions, EXCEPT __________. regulating and modifying the activity of the medullary neurons |
stimulating the contraction of the diaphragm |
Which of the following would NOT be found in a "blue bloater"? pulmonary hypertension |
weight loss |
External respiration refers to gas exchange between the blood and the alveoli. |
True |
If intrapulmonary pressure and intrapleural pressure equalize, atelectasis will occur. |
True |
The most prevalent gas in the atmosphere is oxygen. |
False |
The transpulmonary air pressure is greatest during initial inspiratory events. |
False,expiration |
Without the secretions of the type II alveolar cells, the lungs would collapse between breaths. |
True |
The respiratory rate increases from birth until adulthood. |
False |
An increase in temperature of the blood will decrease Hb affinity for O2. |
True |
An increase in carbon dioxide in the blood will cause a slight increase in H+ concentration (drop in pH). |
True |
The dorsal respiratory group is the rhythm-generating and integrative center. |
False |
Most oxygen is transported in the blood as oxyhemoglobin, while most carbon dioxide is transported as carbaminohemoglobin. |
False |
CHP 22 anatomy
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