Respiratory System Overview

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Questions and Answers

What is the primary role of surfactant in the lungs?

  • To increase the pressure in the alveoli
  • To increase the volume of the lungs
  • To reduce surface tension in the alveoli (correct)
  • To facilitate gas exchange between blood and alveoli

According to Boyle's law, what occurs when the volume of a gas increases?

  • Pressure remains unchanged
  • Temperature increases, leading to higher pressure
  • Density increases due to expanded space
  • Pressure decreases if temperature remains constant (correct)

Which statement accurately describes the movement of gases according to pressure?

  • Gases move equally in all directions regardless of pressure
  • Gases move from areas of lower pressure to higher pressure
  • Gases move from areas of high pressure to areas of low pressure (correct)
  • Gases do not depend on pressure for movement

What role does surfactant play specifically in smaller alveoli compared to larger ones?

<p>It reduces surface tension proportionally more in smaller alveoli (B)</p> Signup and view all the answers

How does the body counteract the increased risk of collapse in smaller alveoli?

<p>By secreting surfactant (B)</p> Signup and view all the answers

What is the relationship between lung compliance and pressure?

<p>Increased compliance leads to decreased pressure (B)</p> Signup and view all the answers

Which factor does not affect lung compliance?

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

Which statement accurately describes surfactant's role in the lungs?

<p>Prevents full lung collapse (A)</p> Signup and view all the answers

What condition may result from insufficient surfactant production?

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

What is the primary role of the pneumocytes type 2 in the lungs?

<p>To produce surfactant (A)</p> Signup and view all the answers

How does surface tension affect the lungs?

<p>It acts against lung expansion (A)</p> Signup and view all the answers

What term describes the tendency of a structure to return to its initial size after being distended?

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

How does increased elasticity affect lung function?

<p>It increases lung stiffness (B)</p> Signup and view all the answers

What happens to the resistance of airflow as the diameter of the tube increases?

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

During inspiration, which muscle primarily pulls the diaphragm down?

<p>External intercostal muscles (B)</p> Signup and view all the answers

What occurs to lung compliance in interstitial pulmonary fibrosis?

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

In forced inspiration, which muscle is primarily involved in expelling air quickly?

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

What is the intra-pulmonary pressure at rest?

<p>760 mm Hg (B)</p> Signup and view all the answers

Which of the following effectively prevents the lungs from collapsing?

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

What potential issue arises in the event of a pneumothorax?

<p>Increased transpulmonary pressure (D)</p> Signup and view all the answers

What does a pneumothorax indicate about transpulmonary pressure?

<p>Transpulmonary pressure is negative (B)</p> Signup and view all the answers

Which physiological change leads to increased air volume during inspiration?

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

What pressure difference does transthoracic pressure represent?

<p>Intra-pleural minus atmospheric pressure (C)</p> Signup and view all the answers

What is the primary effect of reducing the radius of a tube on airflow?

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

How does radius affect the pressure needed to keep smaller alveoli open?

<p>Smaller alveoli require higher pressure to stay open (D)</p> Signup and view all the answers

What is the transpulmonary pressure during quite expiration?

<p>4 mm/Hg (D)</p> Signup and view all the answers

The muscles involved in quiet expiration primarily rely on which mechanism?

<p>Elasticity of the lungs (D)</p> Signup and view all the answers

Which type of pleura surrounds the mediastinum and chest wall?

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

What is the value of intra-pleural pressure during forced inspiration?

<p>-7 mm/Hg (C)</p> Signup and view all the answers

During forced inspiration, which muscle is NOT involved?

<p>Internal intercostal muscle (A)</p> Signup and view all the answers

What is the role of pleural fluid in the respiratory system?

<p>To help lungs easily contract (D)</p> Signup and view all the answers

Which nerve innervates the diaphragm?

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

What is the transthoracic pressure during quite inspiration?

<p>-6 mm/Hg (A)</p> Signup and view all the answers

What happens to intra-pleural pressure during inhalation?

<p>Decreases and becomes more negative (C)</p> Signup and view all the answers

What does intra-pulmonary pressure equal during exhalation?

<p>760 mm Hg (C)</p> Signup and view all the answers

What effect does increased gas volume have on pressure within the pulmonary system?

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

Which type of pressure is calculated as intra-pleural pressure minus atmospheric pressure?

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

What is the intra-pleural pressure at rest?

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

What is the intra-pulmonary pressure during forced expiration?

<p>+2 mm/Hg (A)</p> Signup and view all the answers

During quite inspiration, what is the value of intra-pulmonary pressure?

<p>-1 mm/Hg (C)</p> Signup and view all the answers

What pressure difference indicates lung compliance ventilation mechanics?

<p>Intra-pulmonary - intra-pleural (A)</p> Signup and view all the answers

What is the intra-pleural pressure during quite expiration?

<p>-3 mm/Hg (D)</p> Signup and view all the answers

Flashcards

Intra-pulmonary pressure

Pressure inside the lungs, it changes during inspiration and expiration. It is negative during inspiration and positive during expiration.

Intra-pleural pressure

Pressure in the space between the lung pleura and the chest wall pleura. It is always negative to maintain lung expansion.

Atmospheric pressure

Pressure exerted by the atmosphere, it is 0 mm/Hg at sea level.

Transpulmonary pressure

Difference between intra-pulmonary pressure and intra-pleural pressure. It reflects the force that keeps the lung inflated.

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Transthoracic pressure

Difference between intra-pleural pressure and atmospheric pressure. It reflects the force that expands the chest wall.

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Quiet inspiration

Normal, effortless breathing, involves contraction of the diaphragm.

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Forced inspiration

Deep, forceful inhalation, requires additional muscle contraction.

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Quiet expiration

Normal, passive exhalation, relies on elastic recoil of the lungs.

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Forced expiration

Active, forceful exhalation, requires contraction of abdominal muscles.

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Phrenic nerve

Nerve that innervates the diaphragm, responsible for breathing.

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DRG

Dorsal Respiratory Group, a group of neurons in the medulla oblongata responsible for initiating inspiration.

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VRG

Ventral Respiratory Group, a group of neurons in the medulla oblongata responsible for modulating breathing, particularly expiration and forceful exhalation.

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Lung Compliance

A measure of how easily the lungs can expand in response to pressure changes. A higher compliance means less pressure is required to expand the lungs.

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Factors affecting Lung Compliance

Factors influencing lung compliance include: elastic recoil of the lungs, elasticity of the chest wall, and surface tension.

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Elastic Recoil of the Lungs

The tendency of the lungs to return to their original size after being stretched or inflated.

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Surface Tension

The force exerted by water molecules on the surface of the lung tissue, pulling them together and resisting expansion.

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Surfactant Function

Surfactant, produced by pneumocytes type II, reduces surface tension in the alveoli, preventing lung collapse.

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Atelectasis

Lung collapse due to insufficient surfactant production, leading to difficulty in breathing.

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Visceral pleura

The inner layer of the pleura that directly covers the lungs.

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Parietal pleura

The outer layer of the pleura that lines the chest wall, mediastinum, and diaphragm.

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Pleural cavity

The space between the visceral and parietal pleura that contains pleural fluid.

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Pleural fluid

A lubricating fluid in the pleural cavity that helps the lungs easily contract during inhalation and exhalation.

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Pneumothorax

A condition where air enters the pleural space, causing transpulmonary pressure to become negative and the lung to collapse.

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Smaller alveoli require higher pressure

For a smaller alveoli radius (r), the pressure (P) required to counteract surface tension (T) increases to keep the alveoli open.

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Alveoli Collapse

Small alveoli are more likely to collapse than larger ones due to surface tension and pressure forces.

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Surfactant's Role

Surfactant, produced by type II alveolar cells, reduces surface tension in alveoli, especially smaller ones, preventing collapse.

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Boyle's Law & Breathing

Boyle's Law explains how pressure inside the lungs changes during breathing. When volume increases (inspiration), pressure decreases. When volume decreases (expiration), pressure increases.

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Laplace's Law & Alveoli

Laplace's Law states that pressure inside a sphere is inversely proportional to its radius. This means smaller alveoli have higher pressure, making them more prone to collapse.

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Surface Tension & Collapse

Surface tension in alveoli is caused by the attraction of water molecules at the air-water interface. Smaller alveoli have higher surface tension, making them collapse more easily.

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Air Flow Resistance

The opposition to air movement through the respiratory tract. Determined by the diameter of the airways, a wider diameter means less resistance and easier air flow.

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Inspiration

The process of breathing in, where air is drawn into the lungs. This involves muscles like the diaphragm contracting and expanding the chest cavity.

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Expiration

The process of breathing out, where air is expelled from the lungs. This can be passive (relying on lung elasticity) or active (using muscles).

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Interstitial Pulmonary Fibrosis

A lung disease where the tissue surrounding the air sacs (alveoli) becomes thickened and scarred, making it harder to breathe.

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Ambiguous Nucleus and Retrotrapezoid Nucleus

These are areas in the brainstem that are believed to control the basic rhythm of breathing, acting like a pacemaker for respiration.

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Study Notes

Respiratory System

  • COPD (Chronic Obstructive Pulmonary Disease): A group of lung diseases characterized by breathing problems.
  • Forced Expiration: Active process requiring muscle contraction.
  • Quiet Expiration: Passive process relying on elastic recoil of lungs.
  • Emphysema: A type of COPD where damage is to the alveoli in the lungs.
  • Blood Flow Zonal Differences: Pressure gradients in pulmonary circulation affect blood flow through different parts of the lung.
  • Gas Exchange: Key process of oxygen uptake and carbon dioxide removal.
  • Oxyhemoglobin Saturation Curve: Shows how well hemoglobin carries oxygen. Shifting the curve can occur based on factors like pH and temperature.
  • Factors affecting Oxygen Loading/Unloading: Factors such as pH, 2,3-DPG and temperature impact the ability of hemoglobin to bind and release oxygen in tissues.
  • Central & Peripheral Chemoreceptors: Detect changes in blood gas levels and stimulate breathing rate.
  • Control of Breathing: The brain stem plays a crucial role, with specific regions regulating breathing rate and depth.
  • Respiratory Pathways: Involve the central, and peripheral nervous systems including receptors, and effector organs.
  • Respiratory Regulation: Occurs by monitoring of factors like PO2 in the air, and PCO2 and pH in the blood.
  • Respiratory Mechanisms: The body employs various mechanisms for breathing adjustments in response to changes in internal and external environments.

Respiratory Mechanisms

  • Pacemaker: The Dorsal Respiratory Group (DRG) is a crucial respiratory pacemaker.
  • Breathing Rhythm : Set by DRG with input from VRG, this determines the rhythmic pattern of breathing.
  • Progressive/Threshold Mechanism: The mechanisms are triggered by changes that happen when parameters like levels of PCO2 or PO2 get to a certain level.

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