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</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</p> Signup and view all the answers

    At what lung volume is pulmonary vascular resistance usually lowest?

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

    How many pulmonary veins normally enter the left atrium?

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

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

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

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

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

    What is the characteristic of Zone 1 of the lung?

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

    How is pulmonary capillary wedge pressure (PCWP) estimated?

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

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

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

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

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

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

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

    How does positive pressure ventilation affect total thoracic blood volume?

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

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

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

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

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

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

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

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