Exam 3 - Pulmonary

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Questions and Answers

What is the primary function of alveoli in the respiratory system?

  • Connect upper and lower airways
  • Produce mucus
  • Warm and humidify air
  • Conduct gas exchange (correct)

Which structure is responsible for producing surfactant in the lungs?

  • Acinus
  • Cilia
  • Type II alveolar epithelial cells (correct)
  • Goblet cells

What is the main function of the dorsal respiratory group in the respiratory system?

  • Receive impulses from chemoreceptors in carotid bodies
  • Control inspiratory and expiratory neurons
  • Detect the amount of oxygen in arterial blood
  • Set the basic automatic rhythm of breathing (correct)

Which term refers to the volume of air inspired or expired with each normal breath?

<p>Tidal volume (TV) (D)</p> Signup and view all the answers

What does the Haldane effect depend on for effective gas exchange?

<p>Partial pressure of carbon dioxide (B)</p> Signup and view all the answers

In which area of the lungs does perfusion exceed ventilation due to gravity?

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

Which condition is characterized by excess water in the lung due to disturbances in capillary hydrostatic pressure, capillary oncotic pressure, or capillary permeability?

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

What is the most common cause of pulmonary edema?

<p>Left-sided heart disease (D)</p> Signup and view all the answers

Which syndrome is a rare life-threatening complication that can occur after relief of upper airway obstruction?

<p>Postobstructive pulmonary edema (A)</p> Signup and view all the answers

What are the typical clinical manifestations associated with acute lung injury (ALI) or acute respiratory distress syndrome (ARDS)?

<p>Dyspnea and hypoxemia with poor response to oxygen supplementation (D)</p> Signup and view all the answers

What sequence of events occurs in ARDS in terms of clinical manifestations?

<p>Hypercapnia, respiratory acidosis, and worsening hypoxemia (A)</p> Signup and view all the answers

What causes postobstructive pulmonary edema (POPE) to develop?

<p>Negative pressure after upper airway obstruction relief (A)</p> Signup and view all the answers

Which factor contributes to the pathophysiology of ARDS?

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

What is the primary cause of absorption atelectasis?

<p>Gradual absorption of air from obstructed alveoli (A)</p> Signup and view all the answers

Which condition is characterized by an excessive amount of fibrous tissue in the lung?

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

What are the clinical manifestations of idiopathic pulmonary fibrosis?

<p>Increasing dyspnea on exertion (B)</p> Signup and view all the answers

Which condition is characterized by a severe inflammatory response mediated primarily by oxygen radicals?

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

What are the most common causes of pneumoconiosis?

<p>Inhalation of inorganic dust particles (D)</p> Signup and view all the answers

Which of the following is NOT a clinical manifestation of oxygen toxicity?

<p>Hypoxemia with leukocytosis (C)</p> Signup and view all the answers

How does pulmonary fibrosis differ from atelectasis?

<p>Pulmonary fibrosis involves decreased surfactant production. (B)</p> Signup and view all the answers

What distinguishes systemic disorders affecting the lungs from pneumoconiosis?

<p>Effect on the airways, pleurae, or lung parenchyma (D)</p> Signup and view all the answers

Which type of pleural effusion is characterized by the presence of chyle exudate?

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

What is the main cause of hypercapnia?

<p>Decreased drive to breathe (C)</p> Signup and view all the answers

What are common clinical manifestations of empyema, an infected pleural effusion?

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

In acute respiratory failure, which of the following is a common characteristic?

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

In which condition is lung compliance reduced, making it difficult to get air in?

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

Which lung disorder is characterized by the passage of fluid and solid particles into the lungs?

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

What characterizes chest wall restriction?

<p>Impaired respiratory muscle function (D)</p> Signup and view all the answers

What is the most frequent site for aspiration in the lungs?

<p>Right lower lobe (D)</p> Signup and view all the answers

What is a key symptom of flail chest?

<p>Paradoxical movement of the chest with breathing (D)</p> Signup and view all the answers

What differentiates primary pneumothorax from secondary pneumothorax?

<p>Primary pneumothorax occurs unexpectedly in healthy individuals (C)</p> Signup and view all the answers

Which type of effusion is watery and diffuses out of the capillaries?

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

What leads to the presence of air or gas in the pleural space in a pneumothorax?

<p>Trauma to the lung tissue (A)</p> Signup and view all the answers

What are common clinical manifestations of restrictive lung disease?

<p>Dyspnea and pleural pain (D)</p> Signup and view all the answers

Why does a flail chest cause hypoventilation?

<p>Paradoxical chest movement impairs ventilation (A)</p> Signup and view all the answers

What type of lung disease increases the stiffness of the lung and limits expansion?

<p>Restrictive lung disease (A)</p> Signup and view all the answers

What is a hallmark feature of chest wall pain arising from muscle or rib pain?

<p>Increased work of breathing (A)</p> Signup and view all the answers

What is the primary cause of primary emphysema?

<p>Inherited deficiency of α1-antitrypsin (A)</p> Signup and view all the answers

Which type of lung disease involves damage that is more randomly distributed throughout the entire acinus?

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

What is a fundamental abnormality in cystic fibrosis?

<p>Chloride transport abnormality (A)</p> Signup and view all the answers

Which lung condition results in a chronic productive cough lasting at least 3 months of the year for 2 consecutive years?

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

In which lung disease does the involved lobe undergo consolidation?

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

What multi-system disease is characterized by autosomal recessive inheritance and leads to chronic inflammation and fibrosis in the lungs?

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

What is the primary function of surfactant in the lungs?

<p>Keeping alveoli open and free of fluid (D)</p> Signup and view all the answers

In which condition does hypoxic vasoconstriction occur to direct blood flow to better-ventilated areas of the lungs?

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

Which factor has the most significant effect on the ventilation-perfusion ratio in the lungs?

<p>PaO2 levels (B)</p> Signup and view all the answers

What is the primary function of the dorsal respiratory group in the respiratory system?

<p>Maintain the basic automatic rhythm of breathing (B)</p> Signup and view all the answers

Which characteristic distinguishes pulmonary circulation from systemic circulation?

<p>Blood pressure (18mmHg vs 90mmHg) (B)</p> Signup and view all the answers

What is the primary difference between absorption atelectasis and compression atelectasis?

<p>Absorption atelectasis results from obstructed or hypo-ventilated alveoli, while compression atelectasis results from external compression on the lung. (D)</p> Signup and view all the answers

How does oxygen toxicity primarily cause damage to the lungs?

<p>By disrupting surfactant production and causing interstitial edema. (B)</p> Signup and view all the answers

What distinguishes idiopathic pulmonary fibrosis from pulmonary fibrosis due to exposure to toxic gases?

<p>Increasing dyspnea on exertion is a clinical manifestation of idiopathic pulmonary fibrosis but not toxic gas exposure. (A)</p> Signup and view all the answers

Which systemic diseases specifically affect the lung parenchyma?

<p>Idiopathic pulmonary fibrosis and systemic disorders (B)</p> Signup and view all the answers

What is the most common cause of pneumoconiosis?

<p>Silica, asbestos, and coal (B)</p> Signup and view all the answers

How does pulmonary fibrosis differ from systemic disorders affecting the lungs?

<p>Pulmonary fibrosis involves an excessive amount of fibrous tissue in the lung, while systemic disorders affect the airways or pleurae. (C)</p> Signup and view all the answers

What characteristic distinguishes obstructive lung diseases like asthma, bronchitis, and emphysema?

<p>Increased airway resistance (C)</p> Signup and view all the answers

What physiological change occurs in obstructive lung diseases leading to the need for greater pressure to overcome resistance to airflow?

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

What is the primary characteristic of asthma that distinguishes it from other obstructive lung diseases?

<p>Chronic inflammatory disorder of the bronchial mucosa (B)</p> Signup and view all the answers

Which factor contributes to the pathophysiology of obstructive lung diseases such as asthma?

<p>Variable airflow obstruction (B)</p> Signup and view all the answers

Why do obstructive lung diseases like emphysema make it difficult to get air out?

<p>Increased mucous secretions (D)</p> Signup and view all the answers

What happens to the FEV1/FVC ratio in obstructive lung diseases?

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

What is the primary cause of an abscess in the lung?

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

Which of the following is a common manifestation of pulmonary embolism?

<p>Chest pain and shortness of breath (C)</p> Signup and view all the answers

What is a significant risk factor for laryngeal cancer?

<p>Smoking and alcohol consumption (A)</p> Signup and view all the answers

Which type of lung cancer is characterized by chest wall pain, pleural effusion, and cough?

<p>Large cell carcinoma (B)</p> Signup and view all the answers

What is the worst prognosis associated with small cell carcinoma (oat) of the lung?

<p>Rapid growth and early metastasis (D)</p> Signup and view all the answers

In pulmonary artery hypertension, what is the key feature that differentiates it from other lung conditions?

<p>Mean pulmonary artery pressure above 25 mm Hg at rest (C)</p> Signup and view all the answers

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