Respiration and Pulmonary Function Quiz

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Questions and Answers

What is a potential result of decreased heart rate and blood pressure in cases of respiratory distress?

  • Improved lung function
  • Cardiac arrest (correct)
  • Enhanced oxygen delivery
  • Increased respiratory rate

Which type of dyspnea is characterized by relief when sitting up?

  • Paralytic dyspnea
  • Sleep apnea
  • Orthopnea (correct)
  • Obstructive dyspnea

What causes sleep apnea according to the information provided?

  • Increased CO2 sensitivity
  • Loss of sensitivity to respiratory neurons (correct)
  • Obstructive lung disease
  • Respiratory muscle paralysis

Which of the following is NOT considered a cause of asphyxia?

<p>Excessive oxygen exposure (A)</p> Signup and view all the answers

Mechanical ventilation is used for which of the following purposes?

<p>To aid in chronic respiratory failure (C)</p> Signup and view all the answers

What is the primary cause of Decompression Sickness?

<p>Rapid escape of nitrogen from tissues to blood (C)</p> Signup and view all the answers

What breathing pattern describes rapid shallow breathing?

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

What is the volume of air inspired or expired in one respiratory cycle at rest?

<p>500mL (D)</p> Signup and view all the answers

In the context of breathing, what is dyspnea?

<p>Difficulty in breathing (A)</p> Signup and view all the answers

What characterizes Cheyne-Stokes breathing?

<p>Alternating periods of apnea and breathing (C)</p> Signup and view all the answers

Which capacity represents the maximum volume of air that can be inspired after normal expiration?

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

What is the significance of residual volume (RV) in the lungs?

<p>Prevents collapse of the lung (C)</p> Signup and view all the answers

What is the primary physiological effect of hyperventilation?

<p>Decreased carbon dioxide levels in the blood (B)</p> Signup and view all the answers

What is the main consequence of air embolism during SCUBA diving?

<p>Rupture of pulmonary vessels (C)</p> Signup and view all the answers

How is functional residual capacity (FRC) calculated?

<p>ERV + RV (D)</p> Signup and view all the answers

Which type of apnea occurs with periodic breathing?

<p>Cheyne-Stokes apnea (A)</p> Signup and view all the answers

Which of the following is true regarding vital capacity (VC)?

<p>It is an index of pulmonary function (B)</p> Signup and view all the answers

What is the cause of asphyxia?

<p>Prevention of ventilation in the alveoli (B)</p> Signup and view all the answers

What is the primary characteristic of chronic hypoxia?

<p>Severe fatigue and tachycardia (D)</p> Signup and view all the answers

Which condition is associated with a marked resistance to airflow?

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

What is the typical P02 range associated with acute hypoxia?

<p>25-40mmHg (A)</p> Signup and view all the answers

What is the primary compensatory mechanism the body uses to respond to chronic hypoxia at high altitudes?

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

Which condition leads to pulmonary hypertension due to alveolar hypoxia?

<p>Hypoxic pulmonary vasoconstriction (B)</p> Signup and view all the answers

What effect does a right shift of the oxygen dissociation curve have in response to high altitude acclimatization?

<p>Improved oxygen delivery to tissues (B)</p> Signup and view all the answers

Which symptom is commonly associated with acute alcohol intoxication?

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

What physiological change occurs after two weeks of acclimatization to high altitude?

<p>Return of heart rate and cardiac output to normal (A)</p> Signup and view all the answers

What is a common outcome of nitrogen narcosis at deeper sea levels?

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

Which of the following adaptations does not occur in individuals living permanently at high altitudes?

<p>Greater susceptibility to altitude sickness (A)</p> Signup and view all the answers

What is one reason helium is preferred over nitrogen to avoid nitrogen narcosis?

<p>Helium is less soluble in fatty tissues (D)</p> Signup and view all the answers

Flashcards

Tidal Volume (TV)

The volume of air inhaled or exhaled during a normal breath at rest. It's typically around 500mL.

Inspiratory Reserve Volume (IRV)

The additional volume of air that can be forcibly inhaled after a normal inhalation. It's typically around 3000mL.

Expiratory Reserve Volume (ERV)

The additional volume of air that can be forcibly exhaled after a normal exhalation. It's typically around 1100mL.

Residual Volume (RV)

The amount of air remaining in the lungs after a maximal exhalation. It's typically around 1200mL.

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Inspiratory Capacity (IC)

The total volume of air that can be inhaled after a normal exhalation. It's calculated: TV + IRV.

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Functional Residual Capacity (FRC)

The amount of air remaining in the lungs after a normal exhalation. It's calculated: ERV + RV.

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Vital Capacity (VC)

The maximum volume of air that can be exhaled after a maximal inhalation. It's calculated: TV + IRV + ERV.

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Total Lung Capacity (TLC)

The total volume of air that the lungs can hold after a maximal inhalation. It's calculated: TV + IRV + ERV + RV.

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Hyperventilation at High Altitude

A physiological response to high altitude, characterized by increased breathing rate and depth to compensate for reduced oxygen availability.

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Polycythemia at High Altitude

A physiological response to high altitude, characterized by an increase in the number of red blood cells, increasing oxygen carrying capacity.

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Tachycardia at High Altitude

An increase in heart rate caused by high altitude hypoxia, stimulating peripheral chemoreceptors.

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Angiogenesis at High Altitude

Formation of new blood vessels in response to high altitude hypoxia, improving oxygen delivery to tissues.

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Increased Erythropoietin at High Altitude

A physiological response to high altitude hypoxia, characterized by increased production of the hormone erythropoietin, which stimulates red blood cell production.

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2,3-DPG and Oxidative Enzymes at High Altitude

A physiological response to high altitude hypoxia, characterized by increased production of 2,3-diphosphoglycerate (2,3-DPG) and oxidative enzymes, enhancing oxygen release to tissues.

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Pulmonary Hypertension at High Altitude

A condition that can occur at high altitude, caused by constricted blood vessels in the lungs due to low oxygen levels.

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Increased Barometric Pressure Effects

A condition caused by increased pressure from being underwater, potentially leading to nitrogen narcosis, oxygen toxicity, or carbon dioxide narcosis.

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Decompression Sickness (Caisson's Disease)

A condition that occurs when gases rapidly escape from tissues into the blood, forming nitrogen bubbles. These bubbles can block capillaries and lead to various symptoms like bone pain, paralysis, convulsions, and even death.

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Air Embolism (SCUBA)

A condition arising from rapid pressure changes, specifically during diving. Air from a scuba tank, still under high pressure, enters the lungs rapidly as the diver surfaces, causing lung expansion and potential rupture.

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Eupnea

Normal breathing, characterized by a regular rhythm and depth.

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Tachypnea

Rapid and shallow breathing, where the rate of breathing is increased.

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Hyperpnea

Deep and forceful breathing, where the volume of air inhaled and exhaled is greater than normal.

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Hypoventilation

Decreased rate and depth of breathing, resulting in less air exchanged.

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Apnea

The complete cessation of breathing, which can be voluntary or involuntary.

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Dyspnea

Difficult or labored breathing, often accompanied by a feeling of shortness of breath.

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Asphyxia

A state where the body's tissues are deprived of oxygen due to insufficient ventilation, causing the body to struggle for air.

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Cardiac Dyspnea

Breathing difficulties caused by a heart condition, often due to fluid build-up in the lungs.

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Sleep Apnea

A condition where breathing stops during sleep, most commonly caused by airway obstruction.

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Artificial Breathing

A life-saving technique used to aid breathing when someone is unable to do so on their own, usually involving mouth-to-mouth resuscitation or mechanical ventilation.

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Airway Obstruction

An emergency situation caused by a blockage in the airway, preventing the body from getting enough oxygen.

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Study Notes

Respiration

  • Tidal Volume (TV): Volume of air inspired or expired in one respiratory cycle at rest. = 500mL
  • Inspiratory Reserve Volume (IRV): Maximum volume of air inspired by forced inspiration after normal inspiration. = 3000 mL
  • Expiratory Reserve Volume (ERV): Maximum volume of air expired by forced expiration after normal expiration. = 1100 mL
  • Residual Volume (RV): Volume of air remaining in the lung after forced expiration. = 1200 mL
  • Functional Residual Capacity (FRC): ERV + RV = 2300 mL. Prevents lung collapse.
  • Vital Capacity (VC): TV + IRV + ERV = 4600 mL. Maximum volume of air that can be expired after maximum inspiration.
  • Inspiratory Capacity (IC): TV + IRV = 3500 mL. Maximum volume of air that can be inspired after normal expiration.
  • Total Lung Capacity (TLC): TV + IRV + ERV + RV = 5800 mL. Total volume of air in the lungs after maximum inspiration.

Pulmonary Function

  • Spirometry: Measuring lung function.
  • Vital Capacity (not measured) (VC): Maximum volume of air that can be expired after maximum inspiration
  • Large in: Males, Athletes, Standing Position
  • Small in: Females, Pregnancy, Recumbent Position
  • TLC (not in study): Measured by helium dilution method
  • Conditions: Emphysema (loss of elasticity), Restrictive lung disease (spino deformity), Obstructive lung disease

High Altitude Physiology

  • Chronic Hypoxia: Slowly developing, "chronic mountain sickness"
  • Acute Hypoxia: Rapidly developing, "acute mountain sickness"
  • PO2: 25-40 mmHg. Affects symptoms like fatigue, headache, drowsiness in high altitude, 6-40 mmHg if severe
  • Compensatory Mechanisms:
    • Hyperventilation
    • Polycythemia (increase in red blood cells)
    • Tachycardia (increased heart rate)
    • Increased blood flow to tissues
  • Acclimatization: Body's response to chronic hypoxia
    • Hyperventilation
    • Polycythemia
    • Tachycardia + angiogenesis (formation of new capillaries)
    • 2,3-DPG (increases oxygen delivery)
    • Increased number of mitochondria and enzymes
    • Peripheral chemoreceptors respond to changes in oxygen levels

Effect of Increased Barometric Pressure

  • Descent (Compression): Dissolved gases in tissues.
  • Ascent (Decompression): Dissolved gases diffuse from tissues to blood to lungs.
  • Harmful if rapid: Decompression sickness, and air embolism.
  • Causes: Nitrogen narcosis, oxygen toxicity,
  • Treatment: Recompression in pressure chamber.

Abnormal Breathing Patterns

  • Tachynea: Rapid, shallow breathing
  • Hypernea: Deep breathing
  • Apnea: Cessation of breathing; stoppages of breathing
  • Dyspnea: Difficult breathing.
  • Orthopnea: Dyspnea when lying down
  • Apneusis: Maintained inspiration

Other Conditions (Asthma etc)

  • Asthma: Airway obstruction, airway inflammation, hyperresponsiveness to stimuli

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