2.3 Blood Flow to the Lung

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Questions and Answers

What happens to alveolar capillary walls when blood volume inside increases?

  • They shrink
  • They compress
  • They distend (correct)
  • They become more rigid

At high lung volumes, what happens to extra-alveolar vessel resistance to blood flow?

  • It remains the same
  • It increases
  • It becomes irregular
  • It decreases (correct)

What is the effect of increased cardiac output on pulmonary vascular resistance?

  • It decreases pulmonary vascular resistance (correct)
  • It has no effect on pulmonary vascular resistance
  • It increases pulmonary vascular resistance
  • It makes pulmonary vessels more rigid

What is the primary cause of decreased resistance to pulmonary blood flow during exercise?

<p>Increasing blood flow to the lungs (B)</p> Signup and view all the answers

What is the main factor contributing to a decrease in pulmonary vascular resistance when pulmonary capillary blood volume increases?

<p>Distention of open vessels (A)</p> Signup and view all the answers

At what lung volume is pulmonary vascular resistance usually lowest?

<p>At functional residual capacity (FRC) (B)</p> Signup and view all the answers

What is the main reason why edema fluid accumulates in the interstitium before the alveoli?

<p>The pulmonary capillary endothelium is more permeable to water than the alveolar epithelium. (A)</p> Signup and view all the answers

How does the resistance of pulmonary vessels compare to systemic circulation?

<p>Pulmonary vessels have 1/10 the resistance of systemic circulation. (C)</p> Signup and view all the answers

Which vessels of pulmonary circulation are analogous to the vessels where 70% of resistance in systemic circulation is found?

<p>In distributing vessels (B)</p> Signup and view all the answers

How do pulmonary vessels compare to systemic vessels in terms of compliance?

<p>Pulmonary vessels are more compressible than systemic arteries. (B)</p> Signup and view all the answers

How many pulmonary veins normally enter the left atrium?

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

What type of vessels are considered exchange vessels in the pulmonary circulation?

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

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

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

What is the characteristic of Zone 1 of the lung?

<p>Alveolar dead space (D)</p> Signup and view all the answers

How is pulmonary capillary wedge pressure (PCWP) estimated?

<p>By thermal dilution technique (D)</p> Signup and view all the answers

In which lung zone would capillary pressure never exceed alveolar pressure?

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

What is the function of the Swan-Ganz catheter in measuring PCWP?

<p>To estimate PCWP by being floated into the pulmonary artery (A)</p> Signup and view all the answers

How does positive pressure ventilation (PPV) affect pulmonary blood flow?

<p>Decreases pulmonary blood flow by decreasing RV preload (D)</p> Signup and view all the answers

What effect does intrathoracic pressure have on venous return during mechanical ventilation?

<p>Decreases venous return by compressing great veins (A)</p> Signup and view all the answers

What happens to alveolar pressure during inspiration in positive pressure ventilation (PPV)?

<p>Alveolar pressure increases (B)</p> Signup and view all the answers

How does positive alveolar pressure during mechanical ventilation affect Zone 1?

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

What role does positive end-expiratory pressure (PEEP) play in intrapulmonary shunting during ventilation?

<p>Decreases intrapulmonary shunting (C)</p> Signup and view all the answers

How does positive pressure ventilation affect total thoracic blood volume?

<p>Decreases total thoracic blood volume (C)</p> Signup and view all the answers

Which of the following situations would be expected to lead to an increase in the amount of the lung under zone 1 conditions?

<p>Positive-pressure ventilation with positive end-expiratory pressure (PEEP) (B)</p> Signup and view all the answers

Which of the following situations would be expected to decrease pulmonary vascular resistance?

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

What might be expected to contribute to the formation of pulmonary edema?

<p>Overtransfusion with saline (A)</p> Signup and view all the answers

What causes active vasoconstriction in pulmonary circulation according to the text?

<p>Alveolar hypoxia or atelectasis (C)</p> Signup and view all the answers

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