Chapter 7 TF
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Questions and Answers

The lungs are located outside the chest cavity.

False

The upper nasal airway cools and dehydrates the air.

False

In the pulmonary circulation, veins carry deoxygenated blood and arteries carry oxygenated blood.

False

During exhalation, the chest wall muscles contract and the diaphragm moves downward.

<p>False</p> Signup and view all the answers

Carbon dioxide can be adjusted rapidly by the body to maintain critical levels.

<p>True</p> Signup and view all the answers

If oxygen levels drop too low, tetany and convulsions may occur.

<p>True</p> Signup and view all the answers

CT angiography is always recommended when the serum creatinine is elevated.

<p>False</p> Signup and view all the answers

Emphysema is less common in individuals with liver disease.

<p>False</p> Signup and view all the answers

Snoring is not a risk factor for obstructive sleep apnea.

<p>False</p> Signup and view all the answers

Hypothyroidism is a potential risk factor for central apneas.

<p>True</p> Signup and view all the answers

Continuous oximetry can help identify obstructive apneas during sleep.

<p>True</p> Signup and view all the answers

Alcohol abuse is not associated with an increased risk of respiratory system issues.

<p>False</p> Signup and view all the answers

Sodium bicarbonate is a strong alkali.

<p>False</p> Signup and view all the answers

A decrease in FEV larger than the decrease in FVC indicates airway restriction.

<p>True</p> Signup and view all the answers

In chest wall or lung restriction, FVC and FEV remain normal.

<p>False</p> Signup and view all the answers

Normal FEV1/FVC ratio with reduced FVC suggests airway obstruction.

<p>False</p> Signup and view all the answers

Wheezes are typically heard in individuals with thin chest walls.

<p>False</p> Signup and view all the answers

Progressive worsening is a good prognostic sign in lung disease.

<p>False</p> Signup and view all the answers

Children raised in sterile environments are more likely to develop a tolerance to immune systems compared to children raised in the city.

<p>True</p> Signup and view all the answers

Status asthmaticus is a mild asthma attack that responds well to usual measures.

<p>False</p> Signup and view all the answers

Bronchiectasis in an otherwise healthy person always leads to excess morbidity and mortality.

<p>False</p> Signup and view all the answers

If the kyphosis exceeds 20 degrees, respiratory compromise can occur.

<p>True</p> Signup and view all the answers

FEV percent predicted > 80% indicates mild respiratory impairment.

<p>True</p> Signup and view all the answers

Acute isolated bronchitis is usually not seen in otherwise healthy individuals.

<p>False</p> Signup and view all the answers

Sarcoidosis mainly involves intrathoracic structures like the lungs in children and the elderly.

<p>True</p> Signup and view all the answers

In stage 1 of sarcoidosis, symptoms are common, and the prognosis includes high mortality.

<p>False</p> Signup and view all the answers

Without corticosteroids, sarcoidosis is likely to recur.

<p>False</p> Signup and view all the answers

Permanent lung damage can still occur even after the stabilization of the lung involvement in sarcoidosis.

<p>True</p> Signup and view all the answers

Smoking does not have any impact on the prognosis of sarcoidosis.

<p>False</p> Signup and view all the answers

Nervous system involvement in sarcoidosis is typically associated with low mortality rates.

<p>False</p> Signup and view all the answers

Study Notes

Respiratory Anatomy and Physiology

  • Lungs are situated outside the chest cavity, providing a protective space for respiration.
  • The upper nasal airway plays a critical role in cooling and dehydrating inhaled air.
  • In pulmonary circulation, veins transport deoxygenated blood while arteries carry oxygenated blood.

Breathing Mechanics

  • During exhalation, chest wall muscles contract, and the diaphragm moves downward to expel air.
  • Body can rapidly adjust carbon dioxide levels to maintain homeostasis.
  • Low oxygen levels may induce tetany and convulsions, highlighting the importance of oxygen maintenance.

Diagnostic Imaging and Disease Associations

  • CT angiography is recommended if serum creatinine levels are elevated, indicating potential kidney issues.
  • Emphysema is less common in patients with liver disease, suggesting possible protective mechanisms.

Sleep and Respiratory Disorders

  • Snoring is not considered a risk factor for obstructive sleep apnea.
  • Hypothyroidism poses a potential risk for central sleep apneas.
  • Continuous oximetry can effectively identify obstructive apneas during sleep assessments.

Substance Abuse and Respiratory Impact

  • Alcohol abuse does not show a significant correlation with increased respiratory system issues.

Pulmonary Function Testing

  • A decrease in FEV larger than the decrease in FVC signifies airway restriction.
  • Normal FEV and FVC values indicate chest wall or lung restriction without obstructive disease signs.
  • A normal FEV1/FVC ratio with decreased FVC suggests the presence of airway obstruction.

Clinical Observations

  • Wheezes are prevalent in individuals with thin chest walls, indicating potential airway issues.
  • Progressive worsening of symptoms is a favorable prognostic sign in lung diseases.

Pediatric Immunology

  • Children raised in sterile environments develop better immune tolerance compared to those raised in urban settings.

Asthma and Bronchial Conditions

  • Status asthmaticus refers to a mild asthma attack that responds well to standard treatment.
  • Bronchiectasis in healthy individuals leads to significant morbidity and mortality outcomes.

Skeletal and Respiratory Interactions

  • Kyphosis exceeding 20 degrees can result in respiratory compromise due to mechanical obstruction.
  • An FEV percent predicted above 80% indicates mild respiratory impairment.

Bronchitis and Sarcoidosis

  • Acute isolated bronchitis is typically not observed in healthy individuals.
  • Sarcoidosis frequently affects intrathoracic structures, especially in children and the elderly.
  • Stage 1 sarcoidosis presents with common symptoms and high mortality risk.
  • Without corticosteroid treatment, sarcoidosis is prone to recurrence.
  • Permanent lung injury can occur even after stabilization of sarcoidosis, emphasizing the long-term impact of lung involvement.
  • Smoking does not significantly affect the prognosis of sarcoidosis outcomes.
  • Nervous system involvement in sarcoidosis typically results in low mortality rates, suggesting better overall outcomes.

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Description

Test your knowledge on the respiratory system with this quiz focusing on the anatomy, functions, and processes of the lungs and pulmonary circulation. Topics include the bronchial tree, gas exchange in alveoli, and the role of red blood cells in transporting oxygen and carbon dioxide.

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