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Questions and Answers
What is the approximate pressure within the pleural cavity when the glottis is open?
What is the approximate pressure within the pleural cavity when the glottis is open?
According to Boyle's Law, what is the relationship between the pressure and volume of a gas in a system?
According to Boyle's Law, what is the relationship between the pressure and volume of a gas in a system?
What is the percentage of oxygen in the atmosphere?
What is the percentage of oxygen in the atmosphere?
During the Valsalva manoeuvre, what happens to the intrathoracic and intrapleural pressures?
During the Valsalva manoeuvre, what happens to the intrathoracic and intrapleural pressures?
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What is the relationship between changes in lung volume and intrapulmonary pressure?
What is the relationship between changes in lung volume and intrapulmonary pressure?
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What is the pressure within the thoracic cavity approximated to?
What is the pressure within the thoracic cavity approximated to?
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What is the relationship between the volume of gas crossing the alveolar-capillary barrier and the pressure difference between the two surfaces?
What is the relationship between the volume of gas crossing the alveolar-capillary barrier and the pressure difference between the two surfaces?
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What is the effect of high O2 administration on diffusion capacity?
What is the effect of high O2 administration on diffusion capacity?
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What is the primary reason why CO is used as a diffusion capacity estimator?
What is the primary reason why CO is used as a diffusion capacity estimator?
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What is the result of an increase in hydrogen ions in the blood?
What is the result of an increase in hydrogen ions in the blood?
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Which of the following pulmonary diseases is caused by a bacillus bacterium?
Which of the following pulmonary diseases is caused by a bacillus bacterium?
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What is the effect of diseases that calcify lung parenchyma on the diffusion of gases?
What is the effect of diseases that calcify lung parenchyma on the diffusion of gases?
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What is the primary mechanism by which respiratory membranes are cleared of CO?
What is the primary mechanism by which respiratory membranes are cleared of CO?
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What is the primary effect of fibrous connective tissue buildup in lungs during pulmonary fibrosis?
What is the primary effect of fibrous connective tissue buildup in lungs during pulmonary fibrosis?
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How many phases are involved in gas transport and exchange in terrestrial vertebrates?
How many phases are involved in gas transport and exchange in terrestrial vertebrates?
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Which of the following is NOT a characteristic of emphysema?
Which of the following is NOT a characteristic of emphysema?
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What is the primary cause of inflammation in bronchitis?
What is the primary cause of inflammation in bronchitis?
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What is the percentage of lung cancers caused by smoking?
What is the percentage of lung cancers caused by smoking?
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What is the primary form of oxygen in arterial blood?
What is the primary form of oxygen in arterial blood?
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What is the effect of high affinity binding of oxygen to haemoglobin?
What is the effect of high affinity binding of oxygen to haemoglobin?
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What is the approximate percentage of oxygen transported in dissolved state in blood at 95 mmHg?
What is the approximate percentage of oxygen transported in dissolved state in blood at 95 mmHg?
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What is the effect of CO poisoning on oxygen transport in blood?
What is the effect of CO poisoning on oxygen transport in blood?
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What is the significance of the oxygen-haemoglobin dissociation curve?
What is the significance of the oxygen-haemoglobin dissociation curve?
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What is the purpose of a hyperbaric chamber in oxygen therapy?
What is the purpose of a hyperbaric chamber in oxygen therapy?
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What percentage of the total surface area of the alveoli is comprised of Type I cells?
What percentage of the total surface area of the alveoli is comprised of Type I cells?
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What is the primary function of Type II cells in the alveoli?
What is the primary function of Type II cells in the alveoli?
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What is the result of increased surface tension in the alveoli?
What is the result of increased surface tension in the alveoli?
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What is the relationship between alveolar radius and surfactant efficacy?
What is the relationship between alveolar radius and surfactant efficacy?
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What is the primary mechanism by which surfactant reduces surface tension in the alveoli?
What is the primary mechanism by which surfactant reduces surface tension in the alveoli?
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What is the result of the Law of Laplace on the alveoli?
What is the result of the Law of Laplace on the alveoli?
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Study Notes
Pleural Cavity Pressure
- The pleural cavity pressure is approximately -4 mmHg when the glottis is open.
Boyle's Law
- Boyle's Law states that the pressure and volume of a gas in a closed system are inversely proportional to each other. This means that if the volume increases, the pressure decreases, and vice versa.
Atmospheric Oxygen
- The percentage of oxygen in the atmosphere is approximately 21%.
Valsalva Manoeuvre
- During the Valsalva manoeuvre, both intrathoracic and intrapleural pressures increase.
Lung Volume and Intrapulmonary Pressure
- Changes in lung volume are directly related to intrapulmonary pressure. Increased lung volume results in decreased intrapulmonary pressure, and vice versa.
Thoracic Cavity Pressure
- The pressure within the thoracic cavity is approximated to -4 mmHg.
Alveolar-Capillary Barrier Gas Exchange
- The volume of gas crossing the alveolar-capillary barrier is directly proportional to the pressure difference between the two surfaces.
High O2 and Diffusion Capacity
- High O2 administration has minimal effect on diffusion capacity.
CO as Diffusion Capacity Estimator
- CO is used as a diffusion capacity estimator because it binds to haemoglobin with very high affinity, permitting measurement of gas transfer across the alveolar-capillary membrane.
Increased Hydrogen Ions
- An increase in hydrogen ions in the blood results in acidosis, which can lead to respiratory distress.
Bacillus-Caused Pulmonary Disease
- Tuberculosis is a pulmonary disease caused by a bacillus bacterium (Mycobacterium tuberculosis).
Calcification and Gas Diffusion
- Diseases that calcify lung parenchyma, such as silicosis, significantly decrease gas diffusion due to the rigid, inflexible nature of the calcified tissue.
CO Removal From Respiratory Membranes
- Carbon monoxide (CO) is primarily cleared from respiratory membranes through diffusion into the bloodstream and subsequent binding to haemoglobin.
Pulmonary Fibrosis Effects
- Fibrous connective tissue buildup in lungs during pulmonary fibrosis impairs gas exchange and reduces lung compliance, leading to a restrictive lung disease.
Gas Transport Phases
- There are four phases involved in gas transport and exchange in terrestrial vertebrates:
- Pulmonary ventilation (breathing)
- Gas diffusion across the alveolar-capillary membrane
- Gas transport in blood
- Gas diffusion between blood and cells
Emphysema Characteristics
- Emphysema is characterized by:
- Abnormal permanent enlargement of airspaces distal to terminal bronchioles
- Destruction of alveolar walls
- Reduction in elastic recoil
- Air trapping
- Dyspnea
Bronchitis Inflammation
- The primary cause of inflammation in bronchitis is irritation and infection of the airways by viruses, bacteria, or other irritants.
Smoking and Lung Cancer
- 80-90% of lung cancers are caused by smoking.
Oxygen in Arterial Blood
- The primary form of oxygen in arterial blood is bound to haemoglobin.
High Affinity Oxygen Binding
- High affinity binding of oxygen to haemoglobin ensures efficient oxygen transport in the blood.
Dissolved Oxygen in Blood
- The percentage of oxygen transported in a dissolved state in blood at 95 mmHg is approximately 1.5%.
CO Poisoning and Oxygen Transport
- CO poisoning reduces oxygen transport because CO binds to haemoglobin with much higher affinity than oxygen.
Oxygen-Haemoglobin Dissociation Curve Significance
- The oxygen-haemoglobin dissociation curve depicts the relationship between oxygen saturation of haemoglobin and partial pressure of oxygen in the blood. It demonstrates the factors that can shift this curve, such as pH, temperature, 2,3-DPG, and CO2 levels.
Hyperbaric Chamber in Oxygen Therapy
- A hyperbaric chamber used in oxygen therapy is a sealed environment that increases atmospheric pressure to deliver higher concentrations of oxygen to tissues.
Alveoli Surface Area - Type I Cells
- Type I cells comprise approximately 95% of the total surface area of the alveoli.
Type II Cells Function
- Type II cells in the alveoli are responsible for producing surfactant.
Increased Alveolar Surface Tension
- Increased surface tension in the alveoli can lead to alveolar collapse.
Surfactant Efficacy and Alveolar Radius
- Surfactant efficacy is more pronounced in small alveoli, preventing their collapse due to the Laplace law effect.
Surfactant Surface Tension Reduction
- Surfactant reduces surface tension in the alveoli by decreasing the cohesive forces between water molecules.
Law of Laplace and Alveoli
- The Law of Laplace states that pressure within a sphere is directly proportional to surface tension and inversely proportional to radius. This means that smaller alveoli have a higher tendency to collapse due to higher pressure unless surfactant is present.
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Description
Test your understanding of the different pressures involved in the respiratory system, including airway pressure, intra-alveolar pressure, and intrapleural pressure. Learn how these pressures work together to facilitate breathing and gas exchange.