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Sheet 5 Physiology

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61 Questions

What is the calculated value for the left heart area in the given context?

1

Based on the calculation provided, what is the total peripheral resistance (TPR) in this scenario?

100

If the blood output is 3L per min, what would be the corresponding value for the left heart area?

3

How does a decrease in total peripheral resistance (TPR) affect the left heart area?

It increases

If the left heart area is 0.5, what would be the corresponding value for blood output per min?

2.5L

At what pressure level does the site at the apex reach?

-8 mmHg

What is the pressure level at the base site?

-2 mmHg

How much pressure difference is there between the apex and the base?

6 mmHg

What is the pressure value at the mid-point between the apex and base?

-5 mmHg

If the apex site has a pressure of -5 mmHg, what is the most likely pressure at the base site?

-8 mmHg

Where does most air go during inhalation according to the passage?

To the partially inflated alveoli at the base

Which region of the lungs has higher ventilation during a breath?

Base

What is the compliance level of the apical alveoli mentioned in the passage?

Very low

Why does most air go directly to the base during a breath as per the passage?

Due to gravity's influence

What effect does the inflation level of apical alveoli have on ventilation?

Decreases ventilation at the apex

What is the total filtration force outward mentioned in the text?

29 mmHg

Which force contributes to reabsorption according to the text?

28 mmHg

What does the value '14 mmHg' represent in the context provided?

Filtration force outward due to proteins

How much is the summation of the reabsorption force and the filtration force outward due to proteins?

28 mmHg

Which force is responsible for moving fluid inside according to the text?

-28 mmHg

What is the reason for the increase in Pc to 28 mmHg in a patient with acute MI?

Accumulation of blood in left ventricle and pulmonary veins

What happens if Pc reaches 25 mmHg in a patient with acute MI?

Lymphatics can still take care of the extra filtered fluid

In chronic left heart failure, what is the maximum Pc that lymphatics can handle according to the text?

45 mmHg

What role do lymphatics play in managing extra filtered fluid in chronic left heart failure?

Taking care of the extra filtered fluid

What is the term used to describe the situation when lymphatics can still handle extra filtered fluid even if Pc reaches 45 mmHg?

Pulmonary edema safety factor

What happens to the intrapleural pressure when the alveoli expand during inhalation?

It decreases to -6 mmHg

How does the dilation of the extra capillary relate to the alveolar expansion during inhalation?

It dilates

When calculating Total R (resistance), how is it computed based on the given scenario?

TR = R1 + R2

What is the location of the least point of Total R (resistance) as indicated on the graph?

At the FRC

Considering the two different R values mentioned, what will happen to Total R if both R1 and R2 decrease?

Total R will decrease

How does the expansion of alveoli during inhalation affect the Total R value?

Decreases Total R

What is the primary function of the lymphatics in the lung according to the passage?

To manage extra filtrated fluids and prevent edema

How does the presence of lymphatics in the lung impact the occurrence of edema?

It helps manage excess filtrated fluids and prevents edema

What happens if the lung lacks sufficient lymphatics according to the passage?

Edema occurs due to the inability to manage excess filtrated fluids

How does the absence of lymphatics in the lung affect fluid management?

Results in the inability to handle excess filtrated fluids, potentially causing edema

Which of the following statements best describes the role of lymphatics in preventing edema in the lung?

Managing excess filtrated fluids to avoid edema formation

What is the main factor responsible for the high interstitial pressure (πinterstitial) of 14mmHg in the pulmonary capillary?

Presence of proteins in the interstitial

What value can be used as an approximation for the Average V/Q in the context provided?

0.84

What contributes to the overall capillary hydrostatic pressure (Pc) value of 10mmHg inside the pulmonary capillary?

Albumin and Globulin

If the Alveolar Ventilation were halved, what would be the new Average V/Q?

0.42

Which factor contributes to the πcap value of 28mmHg inside the pulmonary capillary?

Albumin

What would be the likely result on the filtration force if the capillary hydrostatic pressure (Pc) is reduced?

Filtration force decreases

What does the value '1' refer to in relation to the Average V/Q?

An approximation

How would a decrease in Cardiac Output affect the Average V/Q?

Decrease

How does the presence of πcap contribute to fluid dynamics inside the pulmonary capillary?

Increases filtration force

If Alveolar Ventilation were increased to 5 L per min, what effect would this have on the Average V/Q?

Decrease

In the context of Total Peripheral Resistance (TPR) and Pulmonary Vascular Resistance (PVR), why is the left area thicker than the right area?

Due to a higher TPR and PVR in the left area.

What is the relationship between the thickness of a particular area and its corresponding vascular resistance according to the information provided?

The thicker the area, the higher the vascular resistance.

What effect would a decrease in Total Peripheral Resistance (TPR) have on the thickness of a specific area, according to the passage?

Decrease in thickness

If Pulmonary Vascular Resistance (PVR) were to increase by 10 times relative to Total Peripheral Resistance (TPR), what impact would this have on the relative thickness between two areas?

The left area would become thicker.

How does a significant difference in vascular resistance between two areas affect their respective thicknesses as outlined in the passage?

The area with higher resistance will be thicker.

In an alveolus at the apex where V/Q >1, what is the approximate partial pressure of oxygen (PAO2)?

130mmHg

If V/Q is <1 in a basal alveolus, what would be the expected PAO2?

90mmHg

How does the PAO2 in an apical alveolus compare to that of a basal alveolus?

Apical alveolus has lower PAO2

What happens to the PAO2 in an apical alveolus if V/Q is exactly 1?

PAO2 remains unchanged

If V/Q in a basal alveolus is 0.8, what would be a plausible PAO2 for this scenario?

95mmHg

Which type of blood flow is described in pulmonary capillaries in Zone 1 compared to systemic capillaries?

Pulsatile in pulmonary capillaries, non-pulsatile in systemic capillaries

What proportion of the capillaries are open at any time in the pulmonary circulation according to the passage?

1/3

What contributes to the intermittent nature of blood flow in the pulmonary capillaries?

Opening and closing of 1/3 of the capillaries

What characteristic distinguishes the blood flow in pulmonary capillaries from systemic capillaries temporally?

Intermittent in pulmonary, continuous in systemic

What role do the pre-capillary sphincters play in the context of pulmonary blood flow?

Regulating the opening and closing of capillaries

This quiz involves calculating blood output based on the left heart area and total peripheral resistance. In this specific case, the blood output is calculated to be 5L per minute.

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