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 (D)</p> Signup and view all the answers

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

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

In which lung zone is there continuous blood flow?

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

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

<p>2% (B)</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 (B)</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 (A)</p> Signup and view all the answers

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

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

What is the average diameter of pulmonary capillaries?

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

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

<p>Zone 3 (B)</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 (C)</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 (A)</p> Signup and view all the answers

What is the primary function of Pulmonary Circulation?

<p>Gas exchange (C)</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 (A)</p> Signup and view all the answers

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

<p>Intrapleural pressure (C)</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 (B)</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 (D)</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 (B)</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 (B)</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 (B)</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 (D)</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 (D)</p> Signup and view all the answers

Why does hypoxic pulmonary vasoconstriction (HPV) occur?

<p>In response to alveolar hypoxia or hypercapnia (B)</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; (D)</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 (B)</p> Signup and view all the answers

What happens to arterioles supplying hypoxic alveoli during HPV?

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

How do anesthetic gases affect the HPV response?

<p>Completely stop the HPV response (D)</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 (D)</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 (C)</p> Signup and view all the answers

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