Lung volumes and Mechanics. lecture 1 systems exam 2

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Questions and Answers

Which structure does not decreases distally in the bronchopulmonary tree?

  • Glands/secretory cells
  • Cilia
  • Epithelium
  • Smooth muscle (correct)

What structure increases distally in the bronchopulmonary tree?

  • Epithelium
  • Glands/secretory cells
  • Cilia
  • Smooth muscle (correct)

Which structure contributes to the dispensability of lung parenchyma?

  • Elastic fiber (correct)
  • Cilia
  • Cartilage
  • Epithelium

What is the volume that enters and leaves with each breath, from normal quiet inspiration to normal quiet expiration called?

<p>Tidal volume (B)</p> Signup and view all the answers

What is the extra volume that can be inspired above tidal volume called?

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

What is the extra volume that can be expired below tidal volume called?

<p>Expiratory reserve volume (C)</p> Signup and view all the answers

What is the volume remaining after maximum expiration called?

<p>Residual volume/reserve volume (B)</p> Signup and view all the answers

What is the volume that can be exhaled after maximum inspiration called?

<p>Vital capacity/forced vital capacity (D)</p> Signup and view all the answers

What is the volume breathed in from quiet expiration to maximum inspiration called?

<p>Inspiratory capacity (A)</p> Signup and view all the answers

What is the volume remaining after quiet expiration called?

<p>Functional residual capacity (A)</p> Signup and view all the answers

What mechanism of defense changes for cilia into the lung?

<p>from mucociliary to Cellular defense (D)</p> Signup and view all the answers

What structure increases distally in the bronchopulmonary tree?

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

Which of the following best describes total lung capacity?

<p>The volume of air in the lungs after maximum inspiration (A)</p> Signup and view all the answers

What is the term for the volume of air that can be inspired above tidal volume?

<p>Inspiratory reserve volume (B)</p> Signup and view all the answers

What is the term for the volume of air remaining in the lungs after maximum expiration?

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

Which volume does not participate in gas exchange in the lungs?

<p>Dead space (B)</p> Signup and view all the answers

What is the total volume of the lungs that does not participate in gas exchange?

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

What is the term for the volume of air moved into and out of the lungs per unit time?

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

How do you calculate minute ventilation?

<p>Tidal volume multiplied by breaths per minute (A)</p> Signup and view all the answers

What does alveolar ventilation refer to?

<p>How much air is participating in gas exchange per minute (B)</p> Signup and view all the answers

How do you calculate alveolar ventilation?

<p>Tidal volume minus dead space multiplied by breaths per minute (B)</p> Signup and view all the answers

Which of the following is true about obstructive lung disease?

<p>FEV1 and FVC are both lower compared to normal (B)</p> Signup and view all the answers

What does a lower ratio of FEV1 to FVC indicate?

<p>Obstructive lung disease (A)</p> Signup and view all the answers

Which muscle is the most important inspiratory muscle?

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

What happens to intrathoracic pressure during inspiration?

<p>It decreases (C)</p> Signup and view all the answers

What law describes the relationship between gas volume and pressure and states that as the volume available to a gas increases, the gas pressure decreases.?

<p>Boyle's Law (B)</p> Signup and view all the answers

What is true about restrictive lung disease?

<p>The ration between FEV1 and FVC is higher than normal (C)</p> Signup and view all the answers

Which of the following can assist during exercise?

<p>External intercostals and accessory muscles (A)</p> Signup and view all the answers

What does a higher ratio of FEV1 to FVC suggest?

<p>Restrictive lung disease (A)</p> Signup and view all the answers

Which of the following describes the role of surfactant in the lungs?

<p>Surfactant decreases surface tension in the lungs (B)</p> Signup and view all the answers

What is the relationship between lung compliance and elastic properties?

<p>Lung compliance is inversely correlated with elastic properties (B)</p> Signup and view all the answers

What is distensibility?

<p>The ability of the lungs to stretch (D)</p> Signup and view all the answers

What provides potential energy for forcing air out of the lungs during expiration?

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

What is the term for the difference in inflation and deflation curves in the air-filled lung?

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

What is required to determine lung compliance?

<p>Measurement of pressure and volume (C)</p> Signup and view all the answers

Where is the equilibrium position of the combined system located?

<p>At functional residual capacity (FRC) (C)</p> Signup and view all the answers

What happens to the intrapleural pressure during a pneumothorax?

<p>It becomes zero (A)</p> Signup and view all the answers

What happens to the lungs and chest wall during inspiration?

<p>Lungs expand and chest wall collapses (A)</p> Signup and view all the answers

What happens to the elastic force of the lungs during forced expiration?

<p>It decreases (A)</p> Signup and view all the answers

What happens to the elastic force of the lungs during inspiration?

<p>It increases (B)</p> Signup and view all the answers

What happens to the expanding force on the chest wall during forced expiration?

<p>It increases (C)</p> Signup and view all the answers

Which of the following best describes the relationship between lung compliance and slope of the volume-pressure curve?

<p>Steeper slope = more compliance lung (D)</p> Signup and view all the answers

What happens to the elastic force of the lungs during forced expiration?

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

Which lung disease is characterized by increased lung compliance and loss of elastic fibers in the lungs?

<p>Emphysema (obstructive) (A)</p> Signup and view all the answers

Which lung disease is characterized by stiffening of lung tissues and decreased lung compliance?

<p>Fibrosis (restrictive) (C)</p> Signup and view all the answers

Compared to normal, which lung disease is associated with a higher functional residual capacity (FRC)?

<p>Emphysema (obstructive) (A)</p> Signup and view all the answers

Which of the following statements is true about the Law of Laplace?

<p>Surfactant decreases surface tension, allowing for smaller alveoli and greater surface area. (A)</p> Signup and view all the answers

According to Poiseuille's law, which factor has the most powerful effect on airway resistance?

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

Which of the following is true about airflow and resistance in the airways?

<p>Airflow is inversely proportional to the resistance of the airways. (D)</p> Signup and view all the answers

Which part of the bronchopulmonary tree has the highest resistance?

<p>Medium-sized bronchi (B)</p> Signup and view all the answers

Which of the following is true about the relationship between lung compliance and the work of expanding the lungs during inspiration?

<p>Lung compliance increases, reducing the work of expanding the lungs. (B)</p> Signup and view all the answers

Which of the following best describes the role of surfactant in the lungs?

<p>Surfactant decreases surface tension, allowing for smaller alveoli and greater surface area. (C)</p> Signup and view all the answers

According to Poiseuille's law, which of the following factors affects airway resistance?

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

During inspiration, what happens to intrapleural pressure?

<p>It becomes even more negative (A)</p> Signup and view all the answers

What happens to alveolar pressure during expiration?

<p>It becomes positive (C)</p> Signup and view all the answers

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Study Notes

Bronchopulmonary Tree Structure

  • Cartilage does not decrease distally in the bronchopulmonary tree
  • The number of bronchial branches increases distally in the bronchopulmonary tree

Lung Volumes

  • Tidal volume (TV) is the volume that enters and leaves with each breath, from normal quiet inspiration to normal quiet expiration
  • Inspiratory reserve volume (IRV) is the extra volume that can be inspired above tidal volume
  • Expiratory reserve volume (ERV) is the extra volume that can be expired below tidal volume
  • Residual volume (RV) is the volume remaining after maximum expiration
  • Inspiratory capacity (IC) is the volume that can be exhaled after maximum inspiration
  • Functional residual capacity (FRC) is the volume breathed in from quiet expiration to maximum inspiration
  • Expiratory reserve volume (ERV) is the volume remaining after quiet expiration

Defense Mechanisms

  • The mucociliary escalator defense mechanism changes for cilia into the lung

Lung Capacity

  • Total lung capacity (TLC) is the total volume of air in the lungs
  • Inspiratory capacity (IC) is the term for the volume of air that can be inspired above tidal volume
  • Residual volume (RV) is the term for the volume of air remaining in the lungs after maximum expiration
  • Dead space is the volume that does not participate in gas exchange in the lungs
  • Anatomical dead space is the total volume of the lungs that does not participate in gas exchange

Ventilation

  • Minute ventilation (MV) is the volume of air moved into and out of the lungs per unit time
  • MV is calculated by multiplying tidal volume by respiratory rate
  • Alveolar ventilation (VA) is the volume of air that participates in gas exchange
  • VA is calculated by subtracting dead space from tidal volume and multiplying by respiratory rate

Obstructive and Restrictive Lung Diseases

  • Obstructive lung disease is characterized by a lower ratio of FEV1 to FVC
  • Restrictive lung disease is characterized by stiffening of lung tissues and decreased lung compliance
  • The diaphragm is the most important inspiratory muscle
  • Intrathoracic pressure decreases during inspiration

Gas Laws

  • Boyle's law states that as the volume available to a gas increases, the gas pressure decreases
  • The diaphragm and other inspiratory muscles assist during exercise

Surfactant and Lung Compliance

  • Surfactant reduces the surface tension of water in the alveoli
  • Lung compliance is the ability of the lungs to expand and is related to the elastic properties of the lungs
  • Distensibility is the ability of the lungs to expand and is related to the elastic properties of the lungs
  • The elastic force of the lungs provides potential energy for forcing air out of the lungs during expiration

Lung Mechanics

  • Hysteresis is the difference in inflation and deflation curves in the air-filled lung
  • Lung compliance is required to determine lung compliance
  • The equilibrium position of the combined system is located at the functional residual capacity (FRC)
  • Intrapleural pressure becomes equal to atmospheric pressure during a pneumothorax
  • The lungs and chest wall expand during inspiration
  • The elastic force of the lungs decreases during forced expiration and increases during inspiration
  • The expanding force on the chest wall decreases during forced expiration

Lung Disease

  • Emphysema is characterized by increased lung compliance and loss of elastic fibers in the lungs
  • Pulmonary fibrosis is characterized by stiffening of lung tissues and decreased lung compliance
  • Chronic obstructive pulmonary disease (COPD) is associated with a higher functional residual capacity (FRC) compared to normal

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