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220 Cards in this Set
- Front
- Back
What location is the most important for blood in the body, because it is where exchanges occur between the blood and surrounding tissues? |
Capillaries |
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What refers to the two way movement of fluid in the blood? |
Capillary exchange |
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What moves along with solutes into and out of the bloodstream across the capillary beds? |
Water |
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What are the three ways in which chemicals pass through a capillary wall? |
1. Endothelial cell cytoplasm 2. Intercellular clefts 3. Filtration pores (fenestrations) |
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What are the four mechanisms of movement through the capillary wall? |
1. Diffusion 2. Transcytosis 3. Filtration 4. Reabsorption |
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What is a process in which endothelial cells pick up material on one side of the plasma membrane, transport the material across the cell via a vesicle, and discharge the material on the other side of the cell via exocytosis? |
Transcytosis |
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What is a physical force exerted by a liquid against a surface such as a capillary wall: an example would be blood pressure? |
Hydrostatic pressure |
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What is the term for the portion of the osmotic pressure due to protein? |
Colloid osmotic pressure |
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What is the term for the difference between the colloid osmotic pressure of blood and tissue fluid: tends to draw water into a capillary by osmosis? |
Oncotic pressure |
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What are the two measurements that make up the net hydrostatic pressure, and are the measurements of pressure moving in or out? |
1. Blood pressure (out) 2. Interstitial pressure (out) |
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What are the two measurements that make up the oncotic pressure, and are the measurements of pressure moving in or out? |
1. Blood colloid osmotic pressure (in) 2. Tissue fluid colloid osmotic pressure (out) |
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What are the two measurements that make up the net filtration/reabsorption pressure: this will give you the idea of whether or not the pressure will be moving in or out of the capillary? |
1. Net hydrostatic pressure 2. Oncotic pressure |
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How much blood do the capillaries reabsorb of the fluid they filter? |
85% |
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How much blood do the capillaries absorb and return to the blood via the lymphatic system? |
15% |
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What are located in the kidneys in which there is little or no reabsorption, only filtration? |
Glomeruli |
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What are located in the lungs in which are entirely dedicated to absorption so fluid does not fill the air spaces? |
Alveolar capillaries |
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True/False: In a resting person, most precapillary sphincters are constricted and the capillaries collapsed. |
True |
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If a tissue becomes metabolically active are the capillaries reabsorbing or filtering? |
Filtering |
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If a tissue is resting are the capillaries reabsorbing or filtering? |
Reabsorbing |
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What is the accumulation of excess fluid in a tissue: occurs when fluid filters into a tissue faster than it is reabsorbed? |
Edema |
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What are the three causes of edema? |
1. Increased capillary filtration 2. Reduced capillary reabsorption 3. Obstructed lymphatic drainage |
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What type of pressure does calcium reabsorption depend on? |
Oncotic pressure |
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What is the term for a deficiency of albumin? |
Hypoproteinemia |
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What are the five mechanisms in which venous return is achieved? |
1. Pressure gradient 2. Gravity 3. Skeletal muscle pump 4. Thoracic/respiratory pump 5. Cardiac suction |
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True/False: Venous return decreases when blood volume increases. |
False: Venous return increases when blood volume increases. |
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What is considered the most important force in venous flow? |
Pressure generated by the heart |
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True/False: Venous return increases during generalized widespread vasoconstriction. |
True: It reduces the volume of the circulatory system and raises blood pressure thereby raising blood flow. |
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Where in the body does the skeletal muscle pump coordinate the contracting muscles to squeeze the blood out of the compressed vein and back up to the heart? |
Lower limbs |
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Where does the thoracic/respiratory pump aid the flow of venous blood? |
Abdominal to thoracic cavity |
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What happens when you inhale in reference to the thoracic/respiratory pump? |
1. Thoracic cavity expands 2. Internal thoracic cavity pressure drops 3. Diaphragm moves downward 4. Internal abdominal cavity pressure rises |
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What occurs when a person is standing still, allowing for blood to accumulate in the limbs because venous pressure is not high enough to override the weight of the blood and drive it upward? |
Venous pooling |
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What occurs in any state in which cardiac output is insufficient to meet the body's metabolic needs? |
Circulatory shock |
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What are the two divisions of circulatory shock? |
1. Cardiogenic shock 2. Low venous return shock |
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What type of circulatory shock is caused by inadequate pumping by the heart? |
Cardiogenic shock |
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What type of circulatory shock occurs when cardiac output is low because too little blood is returning to the heart? |
Low venous return shock |
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What are the three forms of low venous return shock? |
1. Hypovolemic shock 2. Obstructed venous return shock 3. Venous pooling shock |
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Which form of low venous return shock is the most common, and is produced by a loss of blood volume as a result of hemorrhage, trauma, bleeding, or dehydration? |
Hypovolemic shock |
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Which form of low venous return shock occurs when any object, such as a growing tumor or aneurysm, compresses a vein and impedes its blood flow? |
Obstructed venous return shock |
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Which form of low venous return shock occurs when the body has a normal total blood volume but too much of it accumulates in the lower body: long periods of standing or sitting? |
Venous pooling shock |
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What is a form of venous pooling shock that results from a sudden loss of vasomotor tone, allowing the blood vessels to dilate? |
Neurogenic shock |
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What occurs when bacterial toxins trigger vasodilation and increased capillary permeability? |
Septic shock |
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What results from exposure to an antigen to which a person is allergic, such as a bee sting? |
Anaphylactic shock |
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In __________ shock, several homeostatic mechanisms bring about spontaneous recovery. |
compensated |
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In __________ shock, several life threatening positive feedback loops occur because homeostatic mechanisms fail. |
decompensated |
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The brain regulates its own blood flow in response to changes in __________ and __________. |
blood pressure chemistry |
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What does a mean arterial pressure below 60 mmHg cause? |
Syncope |
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What does a mean arterial pressure above 140 mmHg cause? |
Cerebral edema |
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What is the term for the sudden death of brain tissue caused by ischemia? |
Stroke |
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What are the three functions of the lymphatic system? |
1. Fluid recovery 2. Immunity 3. Lipid absorption |
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What percentage of fluid do the blood capillaries not absorb? |
15% |
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What would happen to a person if the amount of fluid not absorbed by the capillaries were not returned to the bloodstream? |
They would die of circulatory failure |
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What absorb dietary lipids that are not absorbed by the blood capillaries? |
Lacteals |
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What are the four components of the lymphatic system? |
1. Lymph 2. Lymphatic vessels 3. Lymphatic tissue 4. Lymphatic organs |
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What fluid is similar to blood plasma but lacks protein? |
Lymph |
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What is the name of the vessels where lymph begins? |
Lymphatic capillaries (terminal lymphatics) |
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What are the five areas of the body in which terminal lymphatics are absent? |
1. CNS 2. Cartilage 3. Bone 4. Cornea 5. Bone marrow |
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True/False: Lymphatic capillaries are closed at one end. |
True: This is the primary difference between these and a blood capillary. |
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What prevents the sac of a lymphatic capillary from collapsing; tethers the cells to the surrounding tissue? |
Protein filaments |
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True/False: Lymphatic capillaries contain tight junctions. |
False: They have huge gaps in which bacteria and lymphocytes can enter along the tissue fluid. |
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What happens to the valves of the lymphatic capillary when tissue fluid becomes too high? |
They push inward (opening the valves of the lymphatic capillary) causing the fluid to rush into the lymphatic capillary. |
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What happens to the valves of the lymphatic capillary when the pressure becomes higher inside the capillary than out? |
They push outward (closing the valves of the lymphatic capillary). |
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What is the route from the tissue fluid back to the blood stream? |
Lymphatic capillaries - collecting vessels - six lymphatic trunks - two collecting ducts - subclavian veins |
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What are known as the largest of the lymphatic vessels? |
Collecting ducts |
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What are the two mechanisms that help move lymph throughout the body? |
1. Skeletal muscle pump 2. Thoracic/respiratory pump |
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What type of lymphatic cells are large lymphocytes that attack and destroy bacteria, transplanted tissue, and host cells that have become infected or cancerous? |
NK cells |
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What type of lymphatic cells are very large phagocytic cells that develop from monocytes? |
Macrophages |
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What type of lymphatic cells alert the immune system to pathogens that have breached the body's surfaces by engulfing the foreign matter, migrating it to the lymph node, and activating an immune reaction to it? |
Dendritic cells |
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What type of lymphatic cells contribute to the connective tissue framework of the lymphatic organs? |
Reticular cells |
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What are the five major lymphatic organs? |
1. Red bone marrow 2. Thymus 3. Lymph nodes 4. Tonsils 5. Spleen |
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What two lymphatic organs are known as the primary lymphatic organs, because they are where the B and T lymphocytes become able to recognize and respond to antigens (immunocompetent)? |
1. Red bone marrow 2. Thymus |
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What three lymphatic organs are known as the secondary lymphatic organs, because this is where the immunocompetent lymphocytes migrate after maturity? |
1. Lymph nodes 2. Tonsils 3. Spleen |
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What lymphatic organ produces all of the formed elements of blood? |
Red bone marrow |
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What lymphatic organ houses developing lymphocytes and secretes hormones that regulate their activity? |
Thymus |
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Which organ shows a huge amount of degeneration with age; becomes involuted? |
Thymus |
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What is formed by the reticular epithelial cells that seal off the cortex of the thymus from the medulla, isolating the developing lymphocytes from blood borne antigens? |
Blood-thymus barrier |
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True/False: There is no blood-thymus barrier in the medulla of the thymus. |
True |
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What happens if the thymus is removed from new born mammals? |
They waste away and never develop immunity. |
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What is considered the most numerous lymphatic organ that cleans the lymph, and acts as a site of B and T cell activation? |
Lymph nodes |
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True/False: Lymph nodes are the only lymphatic organs that contain both an efferent and an afferent lymphatic vessel. |
True |
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What lymphatic organ stands guard against ingested and inhaled pathogens? |
Tonsils |
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What is considered the largest lymphatic organ that has blood capillaries that allow red blood cells to leave the blood stream, accumulate in the sinuses, and reenter the blood stream? |
Spleen |
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What lymphatic organ is known as the erythrocyte graveyard? |
Spleen |
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Which line of defense consists of external barriers like the skin and mucous membranes? |
First line of defense |
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Which line of defense consists of macrophages, leukocytes, antimicrobial proteins, immune surveillance, inflammation, and fever? |
Second line of defense |
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Which line of defense is the immune system, which defeats the pathogen and leaves the body with a "memory" of it so that it will easily be defeated next time? |
Third line of defense |
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What category do the first and second line of defenses fall under, because they guard against several pathogens and their effectiveness does not depend on prior exposure? |
Nonspecific resistance |
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What category does the third line of defense fall under, because it results from prior exposure and only provides protection against a specific antigen? |
Specific defense |
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What is produced from sweat that forms a thin film of lactic acid on the skin that inhibits bacterial growth? |
Acid mantle |
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What vitamin enhances that effects of the external barrier defenses? |
Vitamin D |
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What are secreted by infected cells that alert neighboring cells and protect them from becoming infected? |
Interferons |
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What are the four steps involved in the complement system? |
1. Inflammation 2. Immune clearance 3. Phagocytosis 4. Cytolysis |
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What are the two characteristics that distinguish immunity from nonspecific resistance? |
1. Specificity 2. Memory |
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What type of immunity employs lymphocytes that directly attack and destroy foreign cells or diseased host cells? |
Cellular immunity |
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What type of immunity employs antibodies, which do not destroy the pathogen but mark them for destruction? |
Humoral immunity |
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What type of immunity is effective against extracellular pathogens? |
Humoral immunity |
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What is the term for one complete breath in and out? |
Respiratory cycle |
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True/False: The lungs ventilate themselves. |
False: They only contain smooth muscle in the walls, which adjusts the diameter of the airway and affects the speed of airflow. |
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What are the two principal muscles of respiration? |
1. Diaphragm 2. Intercostal muscles |
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What happens to the internal pressure of the lungs when the thoracic cavity is enlarged? |
Decreases (air moves in) |
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Is the diaphragm relaxed or contracted when it bulges upward, compressing the lungs, and expelling the air inside? |
Relaxed |
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Which muscles have the primary function of stiffening the thoracic cage during respiration and prevent it from caving inward when the diaphragm descends? |
External and internal intercostal muscles |
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What is the term for when the muscles in the thoracic cavity relax gradually rather than abruptly, preventing the lungs from recoiling too fast; makes the transition from inspiration to expiration smoother? |
Braking action (only muscular effort in normal expiration) |
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What are the six principal organs of the respiratory system? |
1. Nose 2. Pharynx 3. Larynx 4. Trachea 5. Bronchi 6. Lungs |
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What division of the respiratory system consists of those passages that serve only for airflow? |
Conducting division |
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What division of the respiratory system consists of the alveoli and other gas exchange regions of the distal airway? |
Respiratory division |
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What is the region called that extends from the nose to the larynx? |
Upper respiratory tract |
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What is the region called that extends from the trachea to the lungs? |
Lower respiratory tract |
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What organ is known as the "windpipe"? |
Trachea |
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What reinforce the trachea and keep it from collapsing when you inhale? |
C shaped rings of hyaline cartilage |
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What mechanism involves mucous trapping inhaled particles, and the cilia beating upward to move the debris toward the pharynx where it is then swallowed? |
Mucociliary escalator |
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What does the trachea fork into? |
Left and right main bronchi |
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What structure does the lung receive the main bronchus, blood vessels, lymphatics, and nerves through? |
Hilum |
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What are the names of the three lobes of the right lung? |
1. Superior 2. Middle 3. Inferior |
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What separates the superior and middle lobes of the right lung? |
Horizontal fissure |
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What separates the middle and inferior lobes of the right lung? |
Oblique fissure |
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What are the names of the two lobes of the left lung? |
1. Superior 2. Inferior |
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What separates the superior and inferior lobes of the left lung? |
Oblique fissure |
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What are the three branches off of the right main bronchus? |
1. Superior lobar/secondary bronchi 2. Middle lobar/secondary bronchi 3. Inferior lobar/secondary bronchi |
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What are the two branches off of the left main bronchus? |
1. Superior lobar/secondary bronchi 2. Inferior lobar/secondary bronchi |
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What do the lobar/secondary bronchi branch into? |
Segmental/tertiary bronchi |
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How many segmental/tertiary bronchi are in the right lung? |
10 |
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How many segmental/tertiary bronchi are in the left lung? |
8 |
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What does each segmental/tertiary bronchi ventilate? |
Bronchopulmonary segment (independent unit of lung tissue) |
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What structure supports the main bronchi? |
C shaped rings of hyaline cartilage |
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What structure supports the lobar/secondary and segmental/tertiary bronchi? |
Crescent shaped cartilaginous plates |
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What are continuations of the airway that lack supportive cartilage, but contain cilia and quite a bit of smooth muscle? |
Bronchioles |
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What does each bronchiole divide into, which lack mucous and goblet cells, but still contains cilia to move stuff that gets there back into the mucociliary escalator: marks the end of the conducting division? |
Terminal bronchioles |
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What do the terminal bronchioles branch into, which have alveoli budding off of their walls: considered the start of the respiratory division? |
Respiratory bronchioles |
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What do the respiratory bronchioles divide into? |
Alveolar ducts |
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Where do the alveolar ducts end? |
Alveolar sacs |
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What is the pathway for the conducting division of the respiratory system? |
Nasal cavity - pharynx - trachea - main bronchus - lobar/secondary bronchus - segmental/tertiary bronchus - bronchioles - terminal bronchioles |
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What is the difference between the conducting division and the respiratory division? |
The conducting division has no alveoli, thus there is no significant gas exchange going on. The respiratory division contains alveoli along all the walls. |
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What is the pathway for the respiratory division of the respiratory system? |
Respiratory bronchioles - alveolar duct - atrium - alveolus |
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What type of cells cover about 95% of the alveolar surface and allow for rapid gas diffusion between the air and the blood? |
Squamous/type I alveolar cells |
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What type of cells are the most numerous but cover less surface area, repair alveolar epithelium, and secrete pulmonary surfactant, which coats the alveoli to prevent them from collapsing during exhalation? |
Great/type II alveolar cells |
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What are found in the lumen of alveoli that keep them free from debris by phagocytizing dust particles and rid the alveoli of these by the mucociliary escalator? |
Alveolar macrophages/dust cells |
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What are the two layers of the lungs? |
1. Visceral pleura 2. Parietal pleura |
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What is the name of the space between the visceral and parietal pleura? |
Pleural cavity |
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What are the three functions of the pleurae and the pleural fluid? |
1. Reduction of friction (enables expansion and contraction) 2. Creation of pressure gradient 3. Compartmentalization (prevents infections from spreading from one organ to the other) |
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What are the two reasons that breathing is dependent on the brain? |
1. Skeletal muscles cannot contract without nervous stimulation 2. Breathing involves the action of multiple muscles which require a central coordinating mechanism |
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What are the two levels by which breathing is controlled by the brain? |
1. Cerebral (conscious) 2. Automatic (unconscious) |
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Where are the respiratory centers found that control the automatic unconscious cycle of breathing? |
Reticular formation of the medulla oblongata |
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What is the formula for cellular respiration? |
C6H2O6 + 6O2 <-> 6H2O + 6 CO2 |
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What is the formula for pH control? |
CO2 + H2O <-> H2CO3 <-> H+ + HCO3- |
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Do hydrogen ions increase or decrease if the pH has increased CO2? |
Increase |
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What happens to the pH if CO2 increases? |
Becomes more acidic |
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Do hydrogen ions increase or decrease if the pH has decreased CO2? |
Decrease |
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What happens to the pH if the CO2 decreases? |
Becomes more basic |
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What works with the respiratory system to control pH? |
Kidneys |
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Flow is proportional to the pressure difference between two points and inversely proportional to _________? |
resistance |
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What law states that the pressure of a given amount of gas is inversely proportional to its volume? |
Boyle's law |
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What law states that the volume of a quantity of gas is directly proportional to its absolute temperature? |
Charles's law |
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What law states that the total pressure of a gas mixture is equal to the sum of the partial pressure of its individual gases? |
Dalton's law |
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What law states that at the air-water interface, the amount of gas that dissolves in water is determined by its solubility in water and its partial pressure in the air? |
Henry's law |
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What filters clots in the lungs by picking them up and breaking them down? |
Respiratory pump |
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What is the term for a collapsed lung? |
Neumothorax |
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For Boyle's law, if pressure goes up what happens to the volume? |
Goes down |
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For Boyle's law, if pressure goes down what happens to the volume? |
Goes up |
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For Charles's law, if volume goes up what happens to the pressure? |
They go down |
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For Charles's law, if volume goes down what happens to the pressure? |
They go up |
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What has to be created in order to cause gases to move? |
Pressure gradient |
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What are the three factors that affect ventilation? |
1. Compliance 2. Airway resistance 3. Surface tension |
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If you have a high resistance then you will have a __________ compliance? |
low |
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Is it easy to inflate the lungs? |
Yes because of the elastic tissue. |
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What can alter lung compliance? |
Disease causes a buildup of scar tissue that takes over the elasticity |
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True/False: Decreased vessel radius makes it easier to move air. |
False: It makes it harder (airway resistance is high) |
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Because water molecules are attracted to each other, does it make it easier or harder for the alveoli to inflate? |
Harder |
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What reduces the surface tension of the lungs, thus making it easier for the alveoli to inflate? |
Surfactant |
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True/False: The smaller alveoli would collapse into the larger alveoli. |
True (due to the surface tension) |
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What law states that the smaller alveoli would collapse into the larger alveoli? |
Law of La Place |
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True/False: All alveoli in the uterus are collapsed. |
True |
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When does a baby begin to produce surfactant? |
7 months old in the womb |
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What can occur if a baby is born prematurely resulting in an absence of surfactant on the lungs? |
Respiratory Distress Syndrome |
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What category of lung disorder would limit the ability to expand (inhale) your chest? |
Restrictive disorder |
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What category of lung disorders would narrow your airways, taking longer to breath in and out? |
Obstructive disorder |
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Would the occurrence of fibrosis occur in a restrictive or obstructive disorder? |
Restrictive (buildup of scar tissue replaces the elasticity) |
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What type of lung disorder is tuberculosis an example of? |
Restrictive disorder |
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What type of lung disorder are emphysema and bronchitis an example of? |
Obstructive disorder |
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True/False: No one disease can be both restrictive and obstructive disorders. |
False |
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What are the three types of respiratory groups? |
1. Pontene 2. Dorsal 3. Ventral |
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Where are the nuclei located in the pontene respiratory group? |
Pons |
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Where are the nuclei located in the dorsal respiratory group? |
Medulla |
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Where are the nuclei located in the ventral respiratory group? |
Medulla |
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Which respiratory group initiates normal breathing? |
Ventral respiratory group |
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What is the term for when inspiratory neurons fire for two seconds, which are then stopped by the expiratory neurons, which in turn block them? |
Eupna |
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What is the term for an abnormal breathing rate? |
Apnea |
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What are the three main gases that make up the atmosphere? |
1. Nitrogen (78%) 2. Oxygen (21%) 3. Carbon Dioxide (Trace) |
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Does atmospheric pressure increase of decrease as you go further up into the atmosphere? |
Decreases |
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If partial pressure between two gases are the exact same what happens? |
There will be no gradient because the gases will not move |
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When we inhale, mixing clean air with leftover air found in the trachea, the partial pressure of the oxygen __________, while the partial pressure of the carbon dioxide __________ in the alveoli. |
decreases increases |
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The partial pressure on the arterial side of the capillaries is __________ than partial pressure of the tissue fluid, so gas exchange occurs from capillary to tissue fluid. |
More |
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What are the five factors that effect exchange?
|
2. Solubility 3. Distance 4. Surface area 5. Ventilation perfusion coupling |
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What is the normal partial pressure of the lungs?
|
160 |
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What is the normal partial pressure of the alveoli found in the lungs? |
104 |
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What is the normal partial pressure of arterial blood? |
100 |
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What is the normal partial pressure of tissue fluid? |
40 |
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Because the partial pressure of the tissue fluid is 40 and arterial partial pressure is 100, what direction will gases, such as oxygen, move? |
From the blood to the tissue fluid |
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What is the normal partial pressure of the venous blood? |
40 |
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Since the venous blood and the tissue fluid have the same partial pressure, what has occurred? |
Equilibrium |
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Which has a negative effect on exchange, a shorter distance or a longer distance?
|
Longer distance (has to travel far) |
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What type of disease can reduce the surface area of the lungs, by replacing the elastic tissue with fibrous scar tissue, thus making exchange more difficult?
|
Emphysema |
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True/False: You can alter BOTH perfusion and ventilation. |
True |
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In the lungs, if the capillaries sense bad ventilation they constrict and reduce blood flow. They are trying to match blood flow to __________ flow?
|
air |
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If there is a sudden increase in blood flow, there will be an increase in CO2 delivery unloading into the lungs causing the bronchioles to __________ in order to increase airflow. |
dilate |
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True/False: Oxygen easily dissolves into water and the blood stream.
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False: Only 1.5% is dissolved. The rest is transported by hemoglobin. |
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According to Henry's law if some liquid had a 0.05 solubility and a partial pressure of 40, what would the content be? |
2 mL (40 x 0.05) |
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According to Henry's law, if the solubility is higher, then is the content higher or lower?
|
Higher
|
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According to Henry's law, the steeper the slope, the __________ the solubility. |
higher |
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Why is there a steep slope at the beginning of the deoxyhemoglobin disassociation curve? |
Lots of binding sites available
|
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What happens to the deoxyhemoglobin disassociation curve once partial pressure is very high? |
It levels off because the binding sites have all been filled. |
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What is the hemoglobin considered once they are ALL carrying oxygen? |
Saturated |
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If something has a high affinity, does it bind quickly or slowly? |
|
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If something binds quickly, does it have a high or low solubility? |
High |
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Why is the high affinity of blood great in the lungs but horrible in the tissues? |
The blood will not want to give up its oxygen to the tissues. |
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What happens to the affinity of a gas if temperature rises? |
Becomes lower |
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What happens to the affinity of a gas if pH lowers? |
Becomes lower (Bohr shift) |
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If BPG is low, then affinity is __________. |
high
|
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Since fetal hemoglobin has a higher affinity than the mother, where will oxygen move? |
From mother to baby |
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Once a baby is born, what begins to break down? |
Fetal hemoglobin into adult hemoglobin which has a lesser affinity |
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True/False: Oxygen ALWAYS binds to hemoglobin over carbon monoxide because it has a higher affinity.
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False: Carbon monoxide has the higher affinity, so it would bind over oxygen. This is what causes carbon monoxide poisoning. |