Surfactant Metabolism in the Alveolus

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Questions and Answers

What is the main effect of exercise on the metabolism of working muscles?

  • Decreases oxygen demand
  • Reduces carbon dioxide production
  • Increases oxygen demand (correct)
  • Reduces lactic acid production

What is a common physiological response of the respiratory system during moderate to severe levels of exercise?

  • Reduced removal of carbon dioxide
  • Decreased lactic acid production
  • Increased lactic acid production (correct)
  • Increased oxygen consumption

How do the respiratory and cardiovascular systems respond to the stress caused by exercise?

  • Increase oxygen supply to exercising tissues (correct)
  • Decrease heart rate during exercise
  • Reduce removal of carbon dioxide from the body
  • Supply less oxygen to exercising tissues

What is a common physiological response of the respiratory system to ascent to altitude?

<p>Initial difficulty in adaptation (D)</p> Signup and view all the answers

What is acclimatization in the context of high-altitude residence?

<p>Changes in lung capacity (D)</p> Signup and view all the answers

What do diving and exercise have in common in relation to the respiratory system?

<p>Both increase demand for oxygen (A)</p> Signup and view all the answers

How does long-term exercise affect the respiratory system according to the text?

<p>Improves overall respiratory function (A)</p> Signup and view all the answers

What happens to lactic acid production during moderate to severe levels of exercise?

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

What is a primary demand on the respiratory system during exercise?

<p>Supplying more oxygen to tissues (D)</p> Signup and view all the answers

During exercise, why does the work of breathing increase according to the text?

<p>Larger tidal volumes lead to increased elastic recoil of the lungs. (B)</p> Signup and view all the answers

How does active expiration during exercise affect the work of breathing?

<p>It combines with greater airflow rates to increase the work of breathing. (A)</p> Signup and view all the answers

What happens to minute ventilations above about 40 L/min during exercise?

<p>They are achieved by breathing through the mouth. (C)</p> Signup and view all the answers

Why is inspiratory work increased during exercise?

<p>Due to inward elastic recoil of the chest wall at high thoracic volumes. (B)</p> Signup and view all the answers

What role do airflow rates play in the resistive work of breathing during exercise?

<p>High airflow rates generate greater turbulent airflow and increase resistive work. (A)</p> Signup and view all the answers

How does increased tidal volume affect the work of breathing during exercise?

<p>Lowers the work necessary to overcome chest wall elastic recoil. (C)</p> Signup and view all the answers

During strenuous exercise, the increase in tidal volume mainly occurs at the expense of which lung volume?

<p>Expiratory reserve volume (A)</p> Signup and view all the answers

What is the primary limiting factor for exercise in healthy people according to the text?

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

During exercise, what contributes to the increase in cardiac output along with an increase in heart rate?

<p>Deeper inspiratory efforts (D)</p> Signup and view all the answers

What happens to arterial PCO2 during strenuous exercise?

<p>It remains relatively constant (B)</p> Signup and view all the answers

What effect do deeper tidal volumes and active expirations during exercise have on pulmonary vascular resistance?

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

What might be slightly elevated during strenuous exercise due to an increase in central blood volume?

<p>Total lung capacity (C)</p> Signup and view all the answers

At what range does the breathing frequency increase in healthy adults during strenuous exercise?

<p>40-50 breaths per minute (B)</p> Signup and view all the answers

What may result in greater ventilation of upper parts of the lung during expiration?

<p>Gravity-related deflation of alveoli (A)</p> Signup and view all the answers

During active expiration, what should be done to the extraalveolar vessels?

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

What is the main reason for the increase in ventilation-perfusion ratios during moderate to severe exercise?

<p>Opening of intrapulmonary arteriovenous shunts (B)</p> Signup and view all the answers

What effect does increased pulmonary artery pressure have on the ventilation-perfusion ratio during exercise?

<p>Increases ventilation-perfusion ratios (B)</p> Signup and view all the answers

What is one potential cause for the decrease in arterial PO2 during severe exercise?

<p>Opening of intrapulmonary arteriovenous shunts (A)</p> Signup and view all the answers

What contributes to the increased (A-a)DO2 in severe exercise?

<p>Decreased mixed venous PO2 (C)</p> Signup and view all the answers

What does the reduced 'scatter' of ventilation-perfusion ratios during exercise suggest?

<p>Better matching of perfusion and ventilation (B)</p> Signup and view all the answers

How do intrapulmonary arteriovenous shunts affect pulmonary vascular pressures during exercise?

<p>Increase to prevent pulmonary edema (A)</p> Signup and view all the answers

What may be a consequence of increased perfusion of poorly ventilated alveoli during exercise?

<p>Reduced arterial PO2 (D)</p> Signup and view all the answers

'Scatter' of ventilation-perfusion ratios can be reduced by which mechanism?

<p>'Shunt-like' areas formation (A)</p> Signup and view all the answers

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