2.3 Quiz 2

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Questions and Answers

What percentage of the cardiac output does bronchial circulation account for?

  • 10%
  • 15%
  • 2% (correct)
  • 5%

Why might new vessels branch from the bronchial veins?

  • To improve drainage by the azygos system
  • To supply oxygen to the heart
  • To increase pulmonary capillary diameters
  • As a response to pulmonary circulation blockage (correct)

What is the average diameter of pulmonary capillaries?

  • ~10 um
  • ~6 um (correct)
  • ~8 um
  • ~4 um

How long does it take for a red blood cell to travel through the pulmonary capillaries at resting cardiac output?

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

What is the primary function of the pulmonary circulation?

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

In which zone of the lung does continuous blood flow normally occur?

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

Which parameter is used to estimate left ventricular preload?

<p>Pulmonary capillary wedge pressure (C)</p> Signup and view all the answers

In Zone 1 of the lung, what is the typical state regarding blood flow?

<p>No blood flow (A)</p> Signup and view all the answers

Which technique is used to measure total pulmonary blood flow (cardiac output)?

<p>Thermal dilution technique with Swan-Ganz catheter (A)</p> Signup and view all the answers

Where is pulmonary capillary wedge pressure (PCWP) typically measured to estimate left ventricular preload?

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

What is a major determinant of Pulmonary Vascular Resistance (PVR)?

<p>Transmural pressure difference (A)</p> Signup and view all the answers

How does the thin walls of pulmonary vessels affect Pulmonary Vascular Resistance (PVR)?

<p>Allows PVR to be influenced by varying pressures (A)</p> Signup and view all the answers

How does the distribution of resistance in the pulmonary circulation compare to systemic circulation?

<p>Pulmonary circulation has 1/3 resistance in each vessel type: distributing, exchange, and collecting (A)</p> Signup and view all the answers

What happens to Pulmonary Vascular Resistance (PVR) due to vasoconstriction in response to hypoxia?

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

In the pulmonary circulation, what is the typical drop in pressure from the Pulmonary Artery (PA) to the left atrium?

<p>~10 mmHg (B)</p> Signup and view all the answers

What happens to the extra-alveolar vessel resistance to blood flow at high lung volumes?

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

How does pulmonary vascular resistance (PVR) change as cardiac output increases?

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

What effect does distention have on the diameter of blood vessels?

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

How are alveolar and extraalveolar vessels related in terms of resistance?

<p>They are in series and their resistances are additive (A)</p> Signup and view all the answers

What happens to the resistance to pulmonary blood flow with an increase in mean pulmonary artery pressure?

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

Where is the hilar region located in relation to the apex and base of the lungs?

<p>15cm below apex/15cm above base (B)</p> Signup and view all the answers

What is the pulmonary arterial blood pressure at the apex of the lung if the pulmonary arterial pressure is 25/8 and a 15cm column of blood exerts a pressure of 11mmHg at its base?

<p>14 mmHg (A)</p> Signup and view all the answers

According to Starling’s forces, where is the first place pulmonary edema occurs based on the interaction of pressures in the lung?

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

Why does more blood flow occur in the lower regions of the lung compared to the upper regions?

<p>Higher extravascular pressure in lower regions (B)</p> Signup and view all the answers

What is the total pulmonary blood flow conceptually influenced by in terms of pulmonary artery pressure, pulmonary vein pressure, and alveolar pressure?

<p>Interaction of all three pressures (A)</p> Signup and view all the answers

How does negative-pressure (eupnea) breathing affect LV filling and stroke volume?

<p>Decreases LV filling and stroke volume (B)</p> Signup and view all the answers

What happens to pulmonary blood flow during positive pressure ventilation (PPV)?

<p>Pulmonary blood flow decreases (A)</p> Signup and view all the answers

How does positive pressure ventilation affect the afterload of the right ventricle (RV)?

<p>Increases the afterload of RV by increasing PVR (D)</p> Signup and view all the answers

How do positive alveolar pressures and decreased venous return affect Zone 1 in the lungs?

<p>Increase Zone 1 (B)</p> Signup and view all the answers

How does positive pressure ventilation (PPV), especially with PEEP, affect low ventilation-perfusion ratios (shunt)?

<p>May decrease or prevent low ventilation-perfusion ratios (shunt) (D)</p> Signup and view all the answers

What is the primary determinant of pulmonary vascular resistance?

<p>Pulmonary artery pressure (A)</p> Signup and view all the answers

How does increased cardiac output affect pulmonary vessels?

<p>Decreases pulmonary vascular resistance (A)</p> Signup and view all the answers

In which zone of the lung do the effects of gravity have the greatest impact on pulmonary blood flow?

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

What is the major contributor to regional distribution of pulmonary blood flow in the lungs?

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

How does hypoxic pulmonary vasoconstriction impact pulmonary blood flow?

<p>Decreases pulmonary blood flow (A)</p> Signup and view all the answers

Which condition is most likely to cause an increase in total pulmonary blood flow?

<p>Positive pressure breathing (A)</p> Signup and view all the answers

What is the main factor influencing distention and recruitment of vessels in pulmonary circulation?

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

How does the location of vessels affect their resistance in the pulmonary circulation?

<p>Vessels near the apex have higher resistance (C)</p> Signup and view all the answers

What effect does mechanical ventilation have on pulmonary blood flow?

<p>Decreases total pulmonary blood flow (A)</p> Signup and view all the answers

Which factor is NOT a determinant of pulmonary vascular resistance?

<p>Bronchial circulation (B)</p> Signup and view all the answers

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