Bronchopulmonary Anastomoses Quiz
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Questions and Answers

In which zone of the lung does no blood flow occur?

  • Zone 4
  • Zone 2
  • Zone 1 (correct)
  • Zone 3
  • What is the defining characteristic of Zone 1 in terms of blood flow?

  • High pulmonary venous pressure
  • Increased capillary pressure
  • Alveolar dead space (correct)
  • Hypovolemic states
  • Which pressure is always greater in the pulmonary circulation in relation to pulmonary venous pressure?

  • Systemic arterial pressure
  • Capillary pressure
  • Alveolar pressure (PA)
  • Pulmonary arterial pressure (Pa) (correct)
  • Under what conditions can Zone 1 occur?

    <p>+Pressure ventilation</p> Signup and view all the answers

    What effect does high alveolar pressures have on pulmonary blood flow?

    <p>Increase fluid in alveoli</p> Signup and view all the answers

    In which lung zone is there continuous blood flow?

    <p>Zone 3</p> Signup and view all the answers

    What percentage of Cardiac Output does the Bronchial Circulation account for?

    <p>2%</p> Signup and view all the answers

    Where is the alveolar pressure highest compared to arterial pressure, resulting in no forward blood flow?

    <p>Zone 1</p> Signup and view all the answers

    Why might new vessels branch from the bronchial veins?

    <p>To create collateral circulation for gas exchange airways</p> Signup and view all the answers

    During exercise and when recumbent, which lung zone exhibits recruitment due to gravity?

    <p>Zone 3</p> Signup and view all the answers

    What is the average diameter of pulmonary capillaries?

    <p>6 um</p> Signup and view all the answers

    Where is pulmonary capillary wedge pressure (PCWP) typically measured within the lung?

    <p>Zone 3</p> Signup and view all the answers

    How long does a red blood cell (RBC) take to travel through the pulmonary capillaries at resting Cardiac Output?

    <p>4-5 seconds</p> Signup and view all the answers

    Which lung zone maintains a matching balance between pulmonary blood flow and ventilation under normal conditions?

    <p>Zone 3</p> Signup and view all the answers

    What is the primary function of Pulmonary Circulation?

    <p>Gas exchange</p> Signup and view all the answers

    How many functional pulmonary capillaries are there that supply 300 million alveoli in the lungs?

    <p>280 billion</p> Signup and view all the answers

    What causes compression or collapse of vessels due to negative transmural pressure differences?

    <p>Intrapleural pressure</p> Signup and view all the answers

    Why is pulmonary vascular resistance (PVR) usually 1/10 systemic vascular resistance (SVR)?

    <p>Passive factors determining PVR</p> Signup and view all the answers

    At high lung volumes, what happens to the resistance of alveolar vessels?

    <p>Resistance increases due to vessel compression</p> Signup and view all the answers

    What is the relationship between lung volume and extra-alveolar vessel resistance?

    <p>Increases at high lung volumes</p> Signup and view all the answers

    How does the location of alveolar vessels affect their resistance?

    <p>Location affects resistance, with resistances being additive</p> Signup and view all the answers

    What happens to pulmonary vascular resistance (PVR) during exercise with increased cardiac output?

    <p>PVR decreases due to distention and recruitment</p> Signup and view all the answers

    What causes the decrease in pulmonary vascular resistance (PVR) with increased pulmonary blood flow?

    <p>Distention and recruitment of vessels</p> Signup and view all the answers

    In the lungs, where does pulmonary edema typically first occur according to Starling's forces?

    <p>Base of the lung</p> Signup and view all the answers

    Why does hypoxic pulmonary vasoconstriction (HPV) occur?

    <p>In response to alveolar hypoxia or hypercapnia</p> Signup and view all the answers

    How does gravity affect blood flow in the lungs?

    <p>&quot;Leads to more blood flow in lower regions&quot;</p> Signup and view all the answers

    How does HPV help mitigate shunt in the lungs?

    <p>By diverting blood away from poorly ventilated alveoli</p> Signup and view all the answers

    What happens to arterioles supplying hypoxic alveoli during HPV?

    <p>They constrict</p> Signup and view all the answers

    How do anesthetic gases affect the HPV response?

    <p>Completely stop the HPV response</p> Signup and view all the answers

    What is the role of O2-sensitive voltage-gated K+ channels in HPV?

    <p>Depolarize smooth muscle cells causing contraction</p> Signup and view all the answers

    What is the main purpose of hypoxic pulmonary vasoconstriction (HPV)?

    <p>To redistribute blood away from poorly ventilated alveoli</p> Signup and view all the answers

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