Pulmonary Blood Flow Quiz

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Questions and Answers

What is the main cause of the development of pulmonary edema?

  • Decreased pulmonary arterial pressure
  • Increased left atrial pressure exceeding plasma colloid osmotic pressure (correct)
  • Decreased interstitial fluid colloid osmotic pressure
  • Increased systemic vascular resistance

What happens when alveolar O2 decreases to ~70% of normal?

  • Pulmonary capillary pressure decreases
  • Pulmonary arterial pressure increases
  • Adjacent vessels dilate, decreasing resistance by 5x
  • Adjacent vessels constrict, increasing resistance by 5x (correct)

What is the mean pulmonary capillary pressure?

  • About 28 mm Hg
  • About 7 mm Hg (correct)
  • About 23 mm Hg
  • About 14 mm Hg

What happens to the pulmonary capillaries when alveoli apply little to no pressure at end-exhalation?

<p>Pulmonary capillaries are compressed (D)</p> Signup and view all the answers

What is the main effect of alveolar vs extra-alveolar vessels on pulmonary vascular resistance?

<p>Alveoli-filled alveoli compress capillaries, whereas larger vessels are pulled open further by elastic recoil (C)</p> Signup and view all the answers

What happens to the resistance when alveolar O2 decreases to ~70% of normal?

<p>Adjacent vessels constrict, increasing resistance by 5x (A)</p> Signup and view all the answers

What happens to the cardiac output during exercise?

<p>It can increase 4-7 times (D)</p> Signup and view all the answers

What is the main accommodation to increased cardiac output?

<p>Increase number of open capillaries ('Recruitment') (C)</p> Signup and view all the answers

What are the outward fluid pressures from capillaries into interstitium?

<p>Capillary pressure, 7 mm Hg (D)</p> Signup and view all the answers

What happens as left atrial pressure rises in the development of pulmonary edema?

<p>Pulmonary capillary pressures rise by about 1-2 mm Hg more (D)</p> Signup and view all the answers

What is the effect of increased left atrial pressure exceeding plasma colloid osmotic pressure?

<p>Fluid begins to accumulate in the lungs (A)</p> Signup and view all the answers

Which of the following best describes the major functions of the bronchial circulation?

<p>Supplying oxygenated blood to the conducting airways and supporting lung tissue metabolism (D)</p> Signup and view all the answers

In which zone of the lung do alveolar pressure exceed pulmonary vascular pressure?

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

How does pulmonary vascular resistance change with alterations in cardiac output or pulmonary arterial pressure?

<p>It may change due to distention and recruitment of pulmonary vessels (A)</p> Signup and view all the answers

What is the consequence of hypoxic pulmonary vasoconstriction on the distribution of pulmonary blood flow?

<p>It redirects blood flow away from poorly-ventilated areas of the lung (A)</p> Signup and view all the answers

How does inspired nitric oxide affect pulmonary vascular resistance and hypoxic vasoconstriction?

<p>It decreases pulmonary vascular resistance and inhibits hypoxic vasoconstriction (C)</p> Signup and view all the answers

Which of the following best describes the regional differences in pulmonary blood flow in an upright person?

<p>Greater blood flow to the base of the lung compared to the apex (D)</p> Signup and view all the answers

What describes zone two in the lung with respect to pulmonary vascular pressure and alveolar pressure?

<p>Pulmonary vascular pressure exceeds alveolar pressure but is less than arterial pressure (D)</p> Signup and view all the answers

How does pulmonary vascular resistance change with alterations in lung volume?

<p>It changes due to alterations in alveolar and extra-alveolar blood vessels (A)</p> Signup and view all the answers

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