• Shuffle
    Toggle On
    Toggle Off
  • Alphabetize
    Toggle On
    Toggle Off
  • Front First
    Toggle On
    Toggle Off
  • Both Sides
    Toggle On
    Toggle Off
  • Read
    Toggle On
    Toggle Off
Reading...
Front

Card Range To Study

through

image

Play button

image

Play button

image

Progress

1/189

Click to flip

Use LEFT and RIGHT arrow keys to navigate between flashcards;

Use UP and DOWN arrow keys to flip the card;

H to show hint;

A reads text to speech;

189 Cards in this Set

  • Front
  • Back
What is the most important muscle for inspiration (in most animals)?
Diaphragm
T or F:
Expiratory muscles are used during exercise or with respiratory distress.
True!
Which muscles are used for expiration?
Intercostal
Abdominal
T or F:
In a healthy animal, intrapleural pressure is always positive.
False! It is always negative!
What is the approximate intrapleural pressure at rest? At full inspiration?
-3mm Hg
-6mm Hg
What is the formula for compliance?
C = V/P
C = compliance
V = volume
P = pressure
Compliance is inversely related to what other variable (other than pressure)?
Elastance
T or F:
At high expanding pressure, the compliance is high.
False! Compliance and pressure are inversely related.
What is the main contributing factor to the negative intrapleural pressure?
Lymphatic vessel action
If a patient is in respiratory distress, what is the first thing to do?
Give O2!!
The normal volume of air inspired or expired is the...
...tidal volume
What is the volume that can be inspired OVER AND ABOVE the tidal volume?
Inspiratory reserve volume
T or F:
The total lung capacity minus the vital capacity would equal the expiratory reserve volume.
False!
This equals the Residual volume
What is the volume that can be expired after the expiration of the tidal volume?
Expiratory reserve volume
T or F:
All aspects of the vital capacity can be measured by spirometry.
True!
T or F:
All aspects of the total lung capacity can be measured by spirometry.
False!
What are the two types of dead space?
Anatomic and physiologic
Inspiratory capacity is the sum of which two volumes?
Inspiratory reserve volume and tidal volume.
Functional residual capacity is the sum of which two volumes?
Expiratory reserve volume and residual volume
Which equation describes the collapsing pressure of an alveolus due to its surface tension?
Laplace's Law
P = 2T/r
P = collapsing pressure
T = surface tension
r = radius
What is the primary component of alveolar surfactant?
DPPC (Dipalmitoyl Phosphatidylcholine)
Which cell produces alveolar surfactant?
Type II alveolar cells
Who's law describes the resistance of an airway? What is the equation?
Poiseuille's law
R = (8nl)/(pi r^4)
n = gas viscoscity
l = airway length
r = radius
pi = pi
Which level of the bronchi have has the most resistance?
Medium sized bronchi
T or F:
Parasympathetic stimulation decreases airway resistance.
False! Parasympathetic stimulation decreases airway radius and INCREASES airway resistance.
Stimulation of which type of sympathetic receptor dilates the airways?
Beta-2 receptors
Which domestic species have complete lobular separation of the lungs?
Pigs and cattle
Which domestic species have no lobular separation?
Dogs and cats
Which two substances are measured to determine fetal lung maturity? What is their target ratio?
Lecitin:sphingomyelin (2:1)
T or F:
Patients with chronic asthma have high lung volumes.
True!
T or F:
The resting tidal volume of horses and cattle is approximately the same.
False!
Horse 7.5L
Ox 4.2L
T or F:
The resting tidal volume of a dog is 10x that of a cat.
True!
Dog 0.3L and cat 0.03L
If a dog breathes through the mouth, how does this affect the dead space? Which dead space is impacted?
Decreases anatomical dead space
If tidal volume is increased, what must increase in order to compensate?
Respiratory rate
Confluent alveoli is a symptom of which respiratory disease?
Emphysema
What is the condition characterized by collapsed alveoli known as?
Atelectasis
T or F:
Alveolar surfactant increases compliance.
True!
T or F:
If a cow has an obstructed mid-bronchial airway, the entire distal lobe becomes dead space.
True!
T or F:
If a dog has an obstructed mid-bronchial airway, the entire distal lobe becomes dead space.
False! Dogs and cats have no separation between lobes, thus they have collateral ventilation
Where does gas exchange occur in the avian lung?
Air capillaries
What keeps the trachea from collapsing?
Cartilagenous rings
What keeps the bronchi from collapsing?
Cartilagenous plates
What keeps the bronchioles expanded?
Smooth muscle
T or F:
The musculature of the bronchioles is strongly controlled by sympathetic nervous stimulation.
False! It is weakly controlled.
What adrenergic substances cause dilation of the bronchial tree? How do these substances reach the bronchi?
Epinephrine and norepinephrine reach the bronchi via the blood
What effect does histamine have on the bronchi? What releases histimine?
Histimane causes bronchoconstriction and is released by mast cells.
Which of the following can be measured by spirometry?
Total lung capacity
Vital capacity
Physiologic dead space
Functional residual capacity
Residual volume
Vital capacity
A dog presents that is lethargic, febrile, and has high pulse and respiratory rates. Auscultation reveals diffuse crackling and tests show mild normochromic anemia and left-shift leukocytosis. What is the best differential dx?
Pneumonia
Which has the lower pressure, pulmonary or systemic circulation?
Pulmonary
Which has the lower resistance, pulmonary or systemic circulation?
Pulmonary
T or F:
Since the pulmonary resistance and pressure is lower, the cardiac output to the lungs is less than that going to the rest of the body.
False! CO is same on both sides!
T or F:
Hydrostatic pressure in the lungs has no effect on the majority of domestic species.
True! This only effects primates.
Let's play pulmonary vasodilator or vasoconstrictor!
What does Angiotensin II do?
Vasoconstriction!
Let's play pulmonary vasodilator or vasoconstrictor!
What does Histamine do?
usually vasoconstriction
Let's play pulmonary vasodilator or vasoconstrictor!
What does NE do?
vasodilation
Let's play pulmonary vasodilator or vasoconstrictor!
What does isoproterenol do?
vasodilation! (it's a beta 1 and beta 2 agonist)
Approximately what % of total blood carried to the lung is borne by the brachial arteries? The pulmonary arteries?
2% brachial (oxygenated)
98% pulmonary (no O2)
T or F:
As cardiac output increases, pulmonary pressure increases at the same rate.
False!
Dilating vasculature decreases resistance causing pressure to rise at a much slower rate.
What is the assumed pressure in pulmonary capillaries? What it is in the peripheral tissue capillaries?
~7mmHg
~17mmHg peripherally
About how long does a RBC stay in a pulmonary capillary? How about with increased cardiac output?
0.8sec (normal)
0.3sec (increased CO)
What is the net filtration pressure in a normal pulmonary capillary?
+1 mmHg (toward interstitum)
If the plasma colloid osmotic pressure is 25mmHg and the pulmonary capillary pressure in a dog is 7mmHg, at what is the "safety factor" against edema before which the lymphatic pump can no longer keep up?
18mmHg
T or F:
In cases of chronic pulmonary hypertension, the lymphatic pump enlarges concurrently.
True!
What are three main causes of pleural edema?
Lymph obstructions
Left sided heart failure
Anything removing proteins in blood (liver failure)
T or F:
If the oxygen concentration falls below 70% of normal, bronchodilation occurs.
False, dummy!
VASOCONSTRICTION happens in the alveolar vessels!
T or F:
A right to left shunt has little impact on blood oxygenation.
False! This is bad as unoxygenated blood is shunted back into the system.
T or F:
A left to right shunt has little impact on blood oxygenation.
True! This has oxygenated blood from the lungs going back to the lungs which isn't all that bad.
What four features characterize the Tetralogy of Fallot?
Ventricular foramen patent
PDA
R ventricle hypertrophy
Aortic displacement
Above what pulmonary capillary pressure does edema occur in dogs?
>25mmHg
If the radius of a bronchiole becomes constricted so that its radius is one-half its original value then what does this do to the final resistance?
Resistance is 16x greater
If the radius of a bronchiole becomes dilated so that its radius is twice its original value then what does this do to the final resistance?
Resistance is 16x less
Which volume remains in the lungs after a maximal expiration?
Residual volume
Which volume remains in the lungs after the tidal volume is expired?
Functional residual capacity (expiratory reserve volume + residual volume)
What is the general makeup of atmospheric air?
79% N2
21% O2
<1% CO2 and other gases
If air pressure is 760mmHg (dry) then what are the partial pressures of O2 and N2?
600mmHg N2 (.79 * 760)
160mmHg O2 (.21 * 760)
T or F:
CO2 and O2 diffuse at the same rate.
False! CO2 diffuses much faster
What is Henry's Law?
Hint: has to do with partial pressure and solubility of the gas...
Partial pressure = (conc. of dissolved gas/(solubility))
What are some of the factors that can affect the rate of gas diffusion in a fluid?
Pressure difference
Solubility of the gas in the fluid
Cross sectional area of the fluid
The distance through which the gas must diffuse
Molecular wt. of the gas
Temp of fluid
How long does it take for O2 equilibrium to be achieved between a capillary and alveolus?
0.25sec
What are some conditions where diffusion-limited gas exchange is an issue?
Strenuous exercise
Fibrosis (thickening alveolar membrane)
Emphysema (alveolar surface area decreased)
T or F:
If an area of the lung is not ventilated because of bronchial obstruction, the pulmonary capillary blood serving that area will have a PaO2 that is equal to the atmospheric PO2.
False!
It would be equal to the venous PaO2 due to no diffusion going on in the blocked area.
T or F:
Increasing breathing rate will decrease alveolar PCO2.
True!
What is the ideal ventilation-perfusion ratio (V/Q)? What is the more normal V/Q value?
1 is ideal
0.8 is more normal
What is the normal PaO2 and PaCO2 at a V/Q of 0.8?
PaO2 100mmHg
PaCO2 40mmHg
If there is a diffusion abnormality, which decreases first, PO2 or PCO2?
PO2
What are some factors affecting diffusion across a respiratory membrane?
Thickness of membrane
Surface area of membrane
Diffusion coefficient of gas
Partial pressure difference of gas
T or F:
PaCO2 is the main indicator for alveolar gas exchange.
True! If the CO2 isn't changing, then there is a problem with alveolar exchange.
What is the V/Q of an airway obstruction?
Zero!
What is the V/Q of an area of pulmonary embolus?
Infinite (dividing by zero)
What is the Bohr equation?
(VDphys/VT) = (PaCO2 - PECO2)/PaCO2

Where VDphys = physiological dead space
VT = tidal volume
PaCO2 = partial pressure of CO2 in arteries
PECO2 = partial pressure of CO2 expired
T or F:
Supplemental O2 is more helpful in a situation with a low V/Q vs. a high V/Q.
True! Low V/Q means that there is less ventilation and more O2 would help out!
T or F:
When the physiologic dead space is great, much of the work of ventilation is wasted effort.
True
T or F:
In alveoli with no ventilation but adequate blood flow the PaO2 is 100mm Hg and the Pa CO2 is 45mm Hg.
False!
PaO2 will go down and PaCO2 will stay the same or go up!
T or F:
Oxygen diffusion is normally perfusion limited.
True
Which law deals with the diffusion of a gas through a membrane?
Fick's law!
What is Fick's law?
V = (AD*(P1-P2))/T
Where:
V = volume of gas diffusing/min
A = surface area
D = diffusion constant (inversely proportional to square root of gas molecular wt)
T = membrane thickness
P1-P2 = partial pressure difference across membrane
T or F:
According to Fick's law, as membrane thickness increases, the rate of gas diffusion increases concurrently.
False! Diffusion rate and membrane thickness are inversely proportional!
T or F:
Myoglobin has considerable homology with the four subunits of hemoglobin.
False!
Myoglobin has homology with the Beta subunit of hemoglobin
What are the subunits of hemoglobin? Of fetal hemoglobin?
Alpha and Beta
Alpha and Gamma in fetal
T or F:
The O2 partial pressure of myoglobin at P50 is greater than that of hemoglobin.
False! Myoglobin has a much greater affinity for O2 and, thus, is saturated at a lower partial pressure than Hb is.
Which has a higher O2 affinity? Fetal Hb or adult Hb?
Fetal Hb
T or F:
2,3-DPG binds more avidly to fetal Hb than adult Hb.
False! It has less affinity for fetal Hb, thereby giving adult Hb a lower O2 affinity than fetal Hb.
T or F:
Iron is in the ferric state in hemoglobin.
False! Ferric is methemoglobin! Remember, METH is ICK!!
T or F:
The affinity of the hemoglobin tetramer for the first molecule of O2 is much higher than for the fourth molecule.
False! Affinity for the 4th molecule is the highest (due to heme-heme interactions)
T or F:
Hb is 100% saturated at 100mm of Hg and 50% saturated at 50mm Hg.
False!
It is P50 is 40mmHg
Pick Right or Left shift...
Increased H+
RIGHT SHIFT = decreased O2 affinity
Pick Right or Left shift...
Increased pH
LEFT SHIFT = increased O2 affinity
Pick Right or Left shift...
Decreased temp
LEFT SHIFT = increased O2 affinity
Pick Right or Left shift...
Increased 2,3-DPG
RIGHT SHIFT = decreased O2 affinity
Pick Right or Left shift...
Change from fetal to adult Hb
RIGHT SHIFT = decreased O2 affinity
Pick Right or Left shift...
Decreased PCO2
LEFT SHIFT = increased O2 affinity (PCO2 increases H+ which decreased pH)
T or F:
The Bohr Effect is named after Niels Bohr's dad.
Yup. Dr. Christian Bohr himself fathered the genius who gave us the concept of electron energy shells.
The right shift and subsequent decrease of Hb affinity for O2 is called the _________ effect.
Bohr
T or F:
The Bohr effect facilitates the unloading of O2 in peripheral tissues.
True!
T or F:
Ruminants and Elephants have little to no response to 2,3-DPG.
True! What weirdos.
T or F:
Hb affinity for CO is ~200x greater than O2.
True!
Between hypoxemia and hypoxia, which is more commonly caused by lung issues?
Hypoxemia.
T or F:
Hypoxemia describes a decrease in PaO2.
True!
T or F:
Hypoxia describes a decrease in PaO2.
False! This describes a decrease in the DELIVERY of O2 to tissues (PaO2 can be just fine)
How many heme groups are bound to O2 at P50?
2 of 4 heme groups
How can one determine the O2 delivery? (think of using the heart as a pump to deliver O2 to tissues)
O2 delivery = Cardiac Output x PaO2
What is the alveolar gas equation?
PAO2 = PIO2 - (PACO2/R)
Where:
PAO2 = alveolar PO2
PIO2 = inspired PO2
PACO2 = alveolar PCO2
R = respiratory exchange ratio
T or F:
Residing at high altitude will result in increased 2,3-DPG concentration.
True (unless you're a high altitude elephant)
T or F:
Residing at high altitude will cause a left shift of the Hb-O2 dissociation curve.
False! Increased CO2 will increase H+ which will decrease pH, causing a RIGHT SHIFT!
What is the major form of CO2 in the blood?
HCO3-
CO2 bound to Hb is known as...
...carbaminohemoglobin
What buffers H+ inside erythrocytes?
Deoxyhemoglobin
HCO3- leaving erythrocytes in exchange for Cl- is known as the _____________ phenomenon.
HAMBURGER
What is the major factor causing the Bohr effect?
increased CO2 increases H+ which decreases pH shifting curve to R and unloads O2 into tissues
What is the opposite of the Bohr effect?
Haldane effect.
In the transport of CO2 from the tissues to the lungs, which of the following occurs in the venous blood?
A. conversion of CO2 and H2O to H+ and HCO3- in the RBCs.
B. buffering of H+ by oxyhemoglobin
C. shifting of HCO3- into the RBCs from plasma in exchange for Cl-
D. Binding of HCO3- to Hb
E. Alkalinization of the RBCs
A. conversion of CO2 and H2O to H+ and HCO3- in the RBCs
What is the Henderson-Hasselbalch equation?
pH = pKa + log(10) ([base]/[acid])
T or F:
Emphysema and asthma are both characterized by an EXCESS of air in the lungs.
True!
T or F:
One of the effects of chronic emphysema is pulmonary hypotension caused by weakening of the capillary walls.
False!
Capillary numbers actually decrease leading to pulmonary HYPERtension
When alveoli become filled with fluid and/or blood in pneumonia, what is the effect on the V/Q ratio?
Decreases it (due to reduced ventilation)
How do you say increased CO2 in greek?
Hypercapnia
What happens to the permeability of the blood-alveolar barrier during pneumonia?
Permeability increases
Why is arterial O2 concentration higher in a case of unilateral pneumothorax than in a case of unilateral pneumonia?
In pneumothorax, affected lung collapses and the perfusion AND ventilation both decrease. Other lung takes over. In pneumonia, perfusion is unaffected.
CN- poisoning blocks what enzyme?
Cytochrome c oxidase
Name some conditions where O2 therapy is worthless.
R to L shunt
Abnormal Hb O2 transport
Circulatory deficiency
Anemia
What is normal blood pH?
7.40
T or F:
Ventilation is the key to respiratory control of pH.
True!
Crap! Your stupid dog ate a ton of asprin! Whats-a-gonna happen?
Salycilate intoxication causes metabolic acidosis AND respiratory alkalosis (mostly metabolic acidosis though)
What acid/base effect can severe diarrhea cause?
Metabolic acidosis due to lost HCO3-
Severe and chronic vomiting can cause what acid/base condition?
Metabolic alkalosis due to lost H+
Which experiences the greater increase in H+, going from 7.4 to 7.3 or from 7.1 to 7.0?
From 7.1 to 7.0
What is the respiratory compensation for metabolic acidosis?
Hyperventilation
What is the compensation mechanism for metabolic alkalosis?
Increase HCO3- excretion
(laxatives maybe???)
T or F:
There is no way to compensate for respiratory alkalosis via respiration.
True!
What size particles can make it all the way to the alveoli?
<1um
What kind of epithelium is found in the large and small conducting airways of the lung?
Pseudostratefied columnar epithelium w/cilia
What is the serous fluid layer covering the lumenal surface of bronchial respiratory epithelium?
Pericilliary fluid
T or F:
Periciliary fluid is produced by active ion transport of Na+ and Ca++.
False! It is Na+ and Cl-
What layer lies on top of the periciliary fluid layer?
Mucus layer (comfy mucous blanket)
T or F:
B-adrenergic agonists open Cl- channels in the respiratory epithelium by increasing cAMP.
True!
The propulsion of mucus toward the trachea by cilia is called...
...ESCALATOR MOTION
Which respiratory cells produce mucus?
Goblet, Clara, Mucous, and serous cells
What are the regenerative cells of the bronchi?
Clara cells
What cell type is seen in bronchial airways in COPD cases?
Goblet cells
The coordinated, bi-phasic beating of respiratory cilia is known as...
...METACHRONISM
Where is Angiotensin I converted to Angiotensin II and what enzyme does this?
In the endothelium of the lungs, angiotensin converting enzyme
T or F:
The lung endothelium metabolizes angiotensin and bradykinin
True!
Which is the most efficient APC?
Dendritic cells
When ascending to high altitude, would you expect respiratory alkalosis or acidosis and why?
Respiratory alkalosis
Increased respiration to compensate for decreased O2; eliminates more CO2 causing increase of pH.
What region(s) of the brain controls respiration?
Pons and medulla
What does transection at the level of the low medulla do to breathing rates?
Apnea! Comadeath
What are the four respiratory centers or groups in the pons and medulla?
Apneustic center
Ventral respiratory group
Dorsal respiratory group
Pneumotaxic center
Which respiratory centers or groups are responsible for inspiration?
Ventral and dorsal respiratory groups
Which respiratory centers or groups are responsible for expiration?
Ventral respiratory group
Which respiratory center or group controls rate and depth of respiration?
Pneumotaxic center
T or F:
The dorsal and ventral respiratory groups send signals to the phrenic nerve.
False! It's only the dorsal respiratory group.
Which complex or nucleus inhibits the dorsal and ventral respiratory groups?
Botzinger complex
Which nucleus, group, or complex is the pacemaker of respiration?
NONE HAS BEEN IDENTIFIED DUMBBO (but it might be the Botzinger complex)!!
Why not have all inspiratory neurons fire simultaneously?
Allows for inspiratory ramp; gradual lung inflation; captures more O2
T or F:
Expiratory neurons begin to fire at the end of an inspiration.
False! They begin to fire mid-inspiration! Helps with inspiratory ramp and stopping inspiration.
The stretch-receptors in the lung smooth muscle generate what reflex that controls inspiration?
Hering-Breurer Inflation Reflex
T or F:
The Hering-Breurer reflex is generated during quiet as well as labored breathing.
False! It is only generated with large tidal volumes (not quiet breathing)
T or F:
The Hering-Breurer DEFLATION reflex triggers the lung to deflate after maximal inspiration.
False! It triggers inflation once the lung is deflated.
What would happen if the pneumotaxic area and the respiratory stretch receptors were somehow disabled?
Your lungs a-splode! (uncontrolled inflation without deflation)
T or F:
The Hering-Breuer reflex may prevent alveolar collapse by periodic deep sighs.
False!
This is HEAD's REFLEX (Head's Paradoxical Effect)
What effect does cooling the Vagus n. have on the Hering-Breuer reflex?
Lung hyperinflation causes a FURTHER increase in inspiratory effort
What are some responses to stimulation of irritant receptors in the respiratory tract?
Bronchoconstriction
Coughing
Sneezing
Tachypnea
Vagovagal reflex
Irritant receptors can cause the vagovagal reflex. What are effects of this reflex?
Laryngospasm
Bronchospasm
Cough
Bradycardia
Respiratory receptors stimulated by inflammatory processes are called...
J-Fibers (Justacapillary fibers)
T or F:
Stimulation of justacapillary fibers causes inspiratory activity.
True!
Causes tachypnea
What effect will clumsy tracheal suction of a dog have?
Stimulate the irritant receptors causing vagovagal reflex - bradycardia and drop in BP
How does coughing cause a decrease in BP?
Increases chest pressure, decreases blood return to heart which decreases CO
T or F:
Medullary chemoreceptors respond directly to H+ and CO2 concentrations.
False! They respond directly to H+ but INDIRECTLY to CO2
What effect does changing O2 concentration have on carotid chemoreceptors?
Decreased O2 increases H+ sensitivity