3.1 Levitzky Ch 6

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Questions and Answers

Which gas has the fastest equilibration between alveolar partial pressure and partial pressure in blood?

  • Carbon monoxide
  • Nitrous oxide (correct)
  • Oxygen
  • None of the above

What factor limits the diffusion of carbon monoxide from the alveolus to the pulmonary capillary blood?

  • Rapid equilibration with the alveolar partial pressure
  • Surface area and thickness of the barrier
  • Diffusivity in the barrier (correct)
  • Chemical combination with hemoglobin

Why does the partial pressure of carbon monoxide in the pulmonary capillary blood not match that of the alveoli?

  • High inspired concentration of carbon monoxide
  • Chemical combination with hemoglobin (correct)
  • Rapid equilibration with the alveolar partial pressure
  • Low diffusivity in the alveolar-capillary barrier

Why is carbon monoxide transfer considered diffusion-limited rather than perfusion-limited?

<p>Chemical combination with hemoglobin (D)</p> Signup and view all the answers

At resting cardiac outputs, how long does blood typically spend in a pulmonary capillary?

<p>0.75 second (D)</p> Signup and view all the answers

What contributes to the decrease in velocity of bulk flow as air approaches the alveoli during inspiration?

<p>Increased total cross-sectional area in distal airways (A)</p> Signup and view all the answers

How does oxygen primarily move through the alveoli according to its partial pressure gradient?

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

According to Henry's law, what determines the amount of a gas absorbed by a liquid with which it does not chemically combine?

<p>The partial pressure of the gas and its solubility in the liquid (C)</p> Signup and view all the answers

What determines the rate of diffusion of gas through the alveolar-capillary barrier according to Fick's law for diffusion?

<p>Surface area, diffusivity, and barrier thickness (A)</p> Signup and view all the answers

How does an increase in capillaries recruited during exercise impact the surface area available for diffusion?

<p>Increases surface area for diffusion (C)</p> Signup and view all the answers

What factor can increase the transfer of nitrous oxide from a particular alveolus to its pulmonary capillary?

<p>Increasing the time blood stays in the pulmonary capillary (C)</p> Signup and view all the answers

At what point does oxygen transfer from alveolus to pulmonary capillary become perfusion-limited?

<p>When the partial pressure of oxygen in the blood rises to that in the alveolus (C)</p> Signup and view all the answers

What happens to the partial pressure gradient across the alveolar-capillary membrane when oxygen is chemically bound to hemoglobin?

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

What effect does exercise have on the time blood spends in the pulmonary capillary?

<p>It decreases, allowing less time for gas exchange (A)</p> Signup and view all the answers

How does increasing cardiac output affect nitrous oxide transfer in pulmonary capillaries?

<p>It increases nitrous oxide transfer by decreasing equilibration time (C)</p> Signup and view all the answers

What is the relationship between solubility and diffusion through the alveolar-capillary barrier?

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

According to Graham's law, what is the relative rate of diffusion of two gases inversely proportional to?

<p>The square roots of their molecular weights (B)</p> Signup and view all the answers

Which factor is NOT a component that limits the movement of a gas through the alveolar-capillary barrier according to Fick's law for diffusion?

<p>Molecular weight of the gas (B)</p> Signup and view all the answers

Why is the partial pressure gradient of a gas across the barrier considered a major determinant of its rate of diffusion?

<p>It determines how gases move from mixed venous blood to pulmonary capillaries (B)</p> Signup and view all the answers

What is the main difference between gas movement by diffusion and gas movement through conducting airways?

<p>Gas movement by diffusion is based on partial pressure gradients, while gas movement through conducting airways is based on differences in total pressure. (C)</p> Signup and view all the answers

Why does gas transfer during diffusion depend on temperature?

<p>Temperature influences molecular movement, with higher temperatures leading to increased molecular movement. (D)</p> Signup and view all the answers

How does gas transfer occur in a static situation?

<p>Gas transfer stops as equilibrium is reached, and no partial pressure differences exist for any gases. (C)</p> Signup and view all the answers

Why does the net movement of gas during diffusion depend on the partial pressure difference?

<p>The area with higher partial pressure has proportionately more random 'departures', leading to a net movement towards lower partial pressure. (C)</p> Signup and view all the answers

How does Fick's Law describe oxygen transfer into the alveoli?

<p>Oxygen is brought into the alveoli by bulk flow through the conducting airways. (A)</p> Signup and view all the answers

What contributes to the increased total oxygen transfer during exercise?

<p>Recruitment of previously unperfused capillaries (B)</p> Signup and view all the answers

When might a person experience diffusion limitation of oxygen transfer?

<p>During normal rest with an extremely abnormal alveolar-capillary barrier (B)</p> Signup and view all the answers

What sets the upper limit for the end-capillary blood PO2?

<p>Low alveolar PO2 (B)</p> Signup and view all the answers

In a normal person, why is carbon dioxide transfer typically perfusion-limited?

<p>Normal partial pressure gradient for carbon dioxide (C)</p> Signup and view all the answers

What is the diffusing capacity of the lung?

<p>The rate of gas uptake per unit pressure gradient (D)</p> Signup and view all the answers

What does the diffusing capacity of the lung depend on?

<p>Both diffusing capacity of the membrane and reaction with hemoglobin (A)</p> Signup and view all the answers

Why is carbon monoxide most frequently used in determinations of the diffusing capacity?

<p>Its mean pulmonary capillary partial pressure is virtually zero at nonlethal alveolar partial pressures (B)</p> Signup and view all the answers

What happens to the DLCO in conditions causing interstitial or alveolar fibrosis?

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

Which conditions lead to a decrease in the surface area available for diffusion?

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

What happens to the DLCO in conditions leading to ventilation-perfusion mismatch?

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

What does DM represent in determining the diffusing capacity of the lung?

<p>Diffusing capacity of the membrane (C)</p> Signup and view all the answers

The diffusing capacity of the lung is solely determined by the diffusing capacity of the membrane, DM.

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

Carbon monoxide diffusion is considered perfusion-limited rather than diffusion-limited.

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

The DLCO decreases in conditions associated with decreased surface area available for diffusion, such as emphysema.

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

Ventilation-perfusion mismatch can lead to an increase in the surface area available for diffusion.

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

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