Exam 4 Study Guide: Chapters 13 & 14
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Questions and Answers

What is the primary role of pulmonary surfactant in the lungs?

  • Facilitates oxygen transport in the blood
  • Decreases surface tension in the alveoli (correct)
  • Promotes lung expansion during rest
  • Increases alveolar pressure during expiration

In the case of surfactant deficiency, which of the following increases in the lungs?

  • Lung compliance
  • Airway resistance
  • Surface tension (correct)
  • Lung volume

Which condition is primarily associated with a lack of adequate surfactant production in premature infants?

  • Infant Respiratory Distress Syndrome (IRDS) (correct)
  • Asthma
  • Chronic Obstructive Pulmonary Disease (COPD)
  • Pneumonia

What must be countered at the end of expiration to prevent complete alveolar collapse?

<p>Elastic recoil of the pulmonary system (B)</p> Signup and view all the answers

Which of the following best describes the lungs at Functional Residual Capacity (FRC)?

<p>Muscles are relaxed and lungs tend to collapse (B)</p> Signup and view all the answers

What active process is required during inspiration and involves overcoming several forces?

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

Which force is NOT required to be overcome during the process of inspiration?

<p>Pressure from the thoracic vacuum (D)</p> Signup and view all the answers

What mechanism is primarily responsible for Na+ reabsorption in the early distal tubule?

<p>Na/Cl co-transporter and Na/K-ATPase (A)</p> Signup and view all the answers

What hormones regulate calcium reabsorption in the early distal convoluted tubule?

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

Which cells secrete renin in response to low blood pressure and low blood volume?

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

What is the primary effect of loop diuretics like Lasix/Furosemide on urine?

<p>Produce dilute, high volume urine (D)</p> Signup and view all the answers

What role do macula densa cells play in renal function?

<p>Act as chemoreceptors for NaCl concentration (A)</p> Signup and view all the answers

Which factor is NOT a requirement that must be overcome for normal ventilation?

<p>Oxygen consumption rate (A)</p> Signup and view all the answers

What is the partial pressure of oxygen (PO2) in the alveoli after accounting for humidity and CO2 presence?

<p>100 mmHg (C)</p> Signup and view all the answers

How does the process of alveolar ventilation utilize pressure gradients?

<p>O2 and CO2 diffuse along partial pressure gradients. (C)</p> Signup and view all the answers

What happens to the partial pressure of oxygen (PO2) upon reaching the alveoli after inhalation?

<p>It decreases due to the presence of CO2. (B)</p> Signup and view all the answers

Which of the following describes the effect of sympathetic stimulation on bronchodilation?

<p>It increases the radius of bronchioles. (C)</p> Signup and view all the answers

What is the typical energy expenditure required for quiet breathing?

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

How is Alveolar PCO2 calculated based on the rates of CO2 production and removal?

<p>VCO2/VA (B)</p> Signup and view all the answers

What happens to the partial pressure of gases when atmospheric pressure changes?

<p>Gases' partial pressures vary depending on their concentrations. (C)</p> Signup and view all the answers

What effect can abnormal breathing patterns have on CO2 levels in the body?

<p>They can lead to either acidosis or alkalosis. (C)</p> Signup and view all the answers

What is the effect of carbon monoxide on the hemoglobin-oxygen dissociation curve?

<p>It causes the curve to shift to the left. (B)</p> Signup and view all the answers

Which hormone is produced by the kidneys to stimulate red blood cell production?

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

In which part of the body does the majority of blood pass through the kidneys at any given time?

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

What is the normal value of P50 for hemoglobin-oxygen binding?

<p>26 (B)</p> Signup and view all the answers

Which of the following statements is true regarding the filtration of particle X in the kidneys?

<p>It will decrease in the renal vein. (B)</p> Signup and view all the answers

What is the primary function of the kidneys in maintaining body homeostasis?

<p>Maintaining H2O balance and osmolarity (C)</p> Signup and view all the answers

Which segment of the nephron is primarily responsible for water reabsorption?

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

How does an increase in sympathetic activity affect blood pressure?

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

Which type of nephron is primarily involved in the concentration of urine?

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

What is the primary factor that allows for higher permeability in the glomerulus?

<p>Fenestrations in the capillary wall (A)</p> Signup and view all the answers

When afferent arterioles are constricted, what is the most likely effect on GFR?

<p>It decreases due to increased resistance (C)</p> Signup and view all the answers

What is the Net Filtration Pressure (NFP) when hydrostatic pressure, colloid osmotic pressure, and Bowman’s capsule pressure are 55 mmHg, 30 mmHg, and 15 mmHg respectively?

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

Which condition could lead to an increase in Bowman’s Capsule hydrostatic pressure?

<p>Kidney stone blocking the ureter (C)</p> Signup and view all the answers

What role do the afferent and efferent arterioles play in maintaining constant blood pressure across the glomerulus?

<p>They dilate and constrict to regulate glomerular pressure (B)</p> Signup and view all the answers

If net filtration pressure (NFP) increases, what happens to glomerular filtration rate (GFR)?

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

What effect does the dilation of the afferent arteriole have on GFR when the efferent arteriole remains unchanged?

<p>GFR increases due to enhanced blood flow (A)</p> Signup and view all the answers

What occurs when Bowman’s capsule hydrostatic pressure decreases?

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

What is the primary force opposing filtration in the glomerulus?

<p>Oncotic pressure from plasma proteins (C)</p> Signup and view all the answers

Which of the following scenarios would most likely cause an increase in GFR?

<p>Constriction of the efferent arteriole (B)</p> Signup and view all the answers

Flashcards

Elastic Recoil of Lungs

The tendency of the lungs to return to their resting volume, driven by elastic fibers and surface tension.

Pulmonary Surfactant Function

Reduces surface tension in alveoli, preventing them from collapsing and maintaining lung volume.

Infant Respiratory Distress Syndrome (IRDS)

A lung disease in premature babies caused by insufficient surfactant production, making breathing difficult.

Inspiration as an Active Process

Requires energy to overcome forces resisting lung inflation.

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Forces of Inspiration

Elastic recoil of the lungs, tissue resistance, flow resistance, and inertia.

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Functional Residual Capacity (FRC)

Lung volume at rest, where the tendency to collapse from lungs equals the tendency to expand from the chest wall.

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Surfactant Deficiency Symptoms

Increased surface tension, lung elasticity, risk of edema, lung resistance, decreased lung compliance, decreased lung volume leading to difficulty, breathing in.

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Bronchodilation

Sympathetic stimulation increasing airway radius, reducing airflow resistance

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Work of Breathing

Energy expenditure for quiet breathing (normally 3%).

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Alveolar Ventilation

O2 and CO2 exchange between alveoli and environment; pressure gradients.

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Gas Partial Pressure

Pressure exerted by individual gas in a mixture; gas exchange by diffusion.

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PO2 at Atmosphere

Partial pressure of O2 in the atmosphere (160 mmHg in normal conditions).

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Alveolar PO2

Partial pressure of O2 in the alveoli (100 mmHg).

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Alveolar PCO2

Partial pressure of CO2 in alveoli (40 mmHg).

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Abnormal Breathing Patterns/Acidosis/Alkalosis

Abnormal breathing patterns affecting CO2 levels, potentially triggering acidosis or alkalosis.

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Factors Affecting Ventilation

Elastic recoil of lung and chest, frictional resistance, and tissue resistance

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Carbon Monoxide Toxicity

Carbon monoxide binds to hemoglobin more strongly than oxygen, hindering oxygen delivery to tissues.

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Hb-O2 Dissociation Curve Shift

In carbon monoxide poisoning, the curve shifts to the left, decreasing P50 and hindering oxygen unloading.

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Kidney Function: H2O Balance

Kidneys maintain the balance of water in the body, crucial for proper blood pressure and volume.

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Kidney Function: Waste Removal

Kidneys eliminate waste products, including urea and foreign compounds, from metabolic processes.

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Renal Artery vs. Renal Vein

Waste products, like Particle X, will be lower in concentration in the renal vein than in the renal artery after filtration and reabsorption by the kidneys.

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Nephron

Functional unit of the kidney responsible for filtering blood and forming urine.

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Vascular Components of Nephron

The blood vessels supplying the nephron – the afferent and efferent arterioles, glomerulus, peritubular capillaries.

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Tubular Components of Nephron

The structures along which the filtered fluid flows— Bowman's capsule, proximal tubule, loop of Henle, distal tubule, collecting ducts.

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Types of Nephrons

Cortical and juxtamedullary which play different roles in concentrating urine.

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Renal Blood Flow

Kidneys receive approximately 25% of the cardiac output, actively filtering the blood for waste removal.

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Loop Diuretics' Effect

Loop diuretics like Lasix inhibit NKCC2 transporters, reducing electrolyte reabsorption, which results in increased urine volume and electrolyte loss.

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Early DCT Na+ Reabsorption

Early distal convoluted tubule (DCT) reabsorbs ~5% of sodium ions via sodium-chloride cotransporters on the apical surface. This process is partly regulated by parathyroid hormone (PTH).

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DCT Ion Secretion

The distal convoluted tubule (DCT) secretes hydrogen (H+) and potassium (K+) ions.

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Macula Densa Role

Macula densa cells, located in the distal convoluted tubule, monitor sodium chloride (NaCl) levels in the filtrate and regulate renin release.

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Renin's Destination

Renin, produced by juxtaglomerular cells, enters the bloodstream and initiates the activation of the Renin-Angiotensin-Aldosterone System (RAAS).

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Hydrostatic Pressure in Glomerulus

The pressure exerted by blood within the glomerular capillaries, pushing fluid out of the blood and into Bowman's capsule.

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Colloid Osmotic Pressure

The pressure generated by proteins in the blood, pulling fluid back into the blood.

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Ultrafiltration

The process of filtering blood in the glomerulus, driven by hydrostatic pressure exceeding colloid osmotic pressure.

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Reabsorption in Peritubular Capillaries

The process of reabsorbing fluid and solutes back into the blood, driven by colloid osmotic pressure exceeding hydrostatic pressure.

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Glomerular Filtration Rate (GFR)

The rate at which fluid is filtered from the blood into Bowman's capsule.

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GFR Decreases

A reduced rate of fluid filtration by the glomerulus.

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GFR Increases

An increased rate of fluid filtration by the glomerulus.

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Net Filtration Pressure (NFP)

The difference between hydrostatic and osmotic forces favoring filtration.

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Renal Autoregulation

The kidney's ability to maintain a constant glomerular capillary blood pressure despite changes in systemic blood pressure.

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Bowman's Capsule Hydrostatic Pressure

Pressure inside Bowman's capsule resisting filtration.

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Study Notes

Exam 4 Study Guide

  • Exam covers chapters 13 and 14, use PowerPoint slides and notes as primary material
  • Consult textbook and online resources for further clarification, don't solely rely on provided guide
  • Exam is 50 multiple choice/true/false questions, 23 respiratory, 27 renal
  • 2 sequential order questions, one each for respiratory, and renal

Chapter 13 - Respiratory

  • Respiration is the sum of processes for O2 movement from atmosphere to tissues and CO2 from tissues to atmosphere to support cell metabolism
  • Cellular Respiration intracellular processes in mitochondria using O2 to produce CO2
  • External Respiration is the complete O2 and CO2 exchange sequence between the external environment and tissue cells
  • PO2 and Hb Saturation are proportionally related; increasing PO2 increases Hb saturation.
  • External Respiration steps
  • Ventilation: air movement in and out of lungs
  • Diffusion: O2 and CO2 exchange between alveoli and blood
  • Blood Transport: O2 and CO2 transport between lungs and tissues
  • Diffusion: O2 and CO2 exchange between tissues and blood
  • Lungs vs. Airways: Lungs are in the thoracic cavity, consisting of lobes and segments with airways, alveoli, and blood vessels. Airways are the tubes for air passage.
  • Lung Anatomy: Conducting zone (no gas exchange, trachea and bronchi have cartilage) and respiratory zone (alveoli, the sites of gas exchange)
  • Conducting zone includes trachea and bronchi, these structures branch and narrow continuously
  • Respiratory zone involves bronchioles and alveoli for gas exchange
  • Alveoli: Type 1 alveolar cells form the walls and Type 2 cells secrete surfactant to prevent collapse. Pulmonary capillaries surround the alveoli for gas exchange.

Other Concepts

  • Mucociliary Escalator: Mucus-covered cilia in lungs move foreign particles upward out of respiratory system.
  • Surface Area: Alveoli have high surface area for efficient gas exchange
  • Alveolar Pressure: This accounts for lung and chest interactions. Intra-alveolar Pressure should match atmospheric pressure.

Chapter 14 - Renal

  • Kidney Functions: Maintaining water balance, regulating osmolarity, blood pressure and electrolytes, waste excretion (urea), acid-base balance, and producing hormones.
  • Kidney Structure: Cortex with nephrons, medulla with renal pyramids collecting fluid, and associated vessels (renal artery and vein, ureters).
  • Nephron: The functional unit of the kidney consisting of glomerulus, Bowman's capsule, PCT, loop of Henle, and DCT.
  • Glomerulus and Filtration: High hydrostatic pressure in the glomerulus forces water and small solutes into Bowman's capsule.
  • Types of nephrons: Cortical nephrons (shorter loop of Henle, majority) and juxtamedullary nephrons (longer loop of Henle for concentration gradient).
  • Tubular Reabsorption: Selective movement of substances from filtrate back into the blood to maintain fluid balance (Na+, water, etc).
  • Tubular Secretion: Transfer substances from the blood into the filtrate to maintain homeostasis or to excrete waste (H+, K+, etc).
  • The Renin-Angiotensin-Aldosterone System (RAAS) is important in fluid, electrolyte, and blood pressure regulation.
  • Micturition Reflex: The process of urine elimination activated by stretch receptors in bladder.

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Description

This study guide covers important concepts from Chapters 13 and 14, focusing on respiratory and renal systems in preparation for the upcoming exam. It includes key processes such as respiration, external respiration, and cellular respiration, along with review guidelines and question formats. Make sure to consult your textbook and available online resources for comprehensive understanding.

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