Understanding Airway Resistance
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Questions and Answers

Which of the following is the correct equation to determine airway resistance (AWR)?

  • AWR = Air flow / Cross sectional area
  • AWR = Driving pressure / Cross sectional area
  • AWR = (Driving pressure / Air flow) x Cross sectional area
  • AWR = Driving pressure / Air flow (correct)
  • In healthy individuals, where is the major site of resistance to flow of air?

  • Smaller airways
  • Larger airways (correct)
  • All airways have equal resistance
  • Mid-size airways
  • In most common disease states, where is the major site of resistance to flow of air?

  • Larger airways
  • All airways have equal resistance
  • Mid-size airways
  • Smaller airways (correct)
  • What are some factors that can cause a reduction in the luminal size of the smaller airways?

    <p>All of the above</p> Signup and view all the answers

    What is airway resistance (AWR)?

    <p>The force to reduce the air flow (in opposite air flow direction) during respiration</p> Signup and view all the answers

    Which factor indicates high airway resistance?

    <p>Slow air flow and high driving pressure</p> Signup and view all the answers

    What causes airway resistance?

    <p>The friction between the walls of the airway and the airflow</p> Signup and view all the answers

    In which generation of the bronchi have the greatest airway resistance?

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

    What factors can affect airway diameter?

    <p>All of the above</p> Signup and view all the answers

    What is the mechanism of mechanical tethering in relation to airway diameter?

    <p>It stretches and distends the airways during lung inflation</p> Signup and view all the answers

    What can cause the narrowing of the airway lumen during massive mucus secretion?

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

    Which factor helps keep the alveoli open?

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

    What is a characteristic of asthma in terms of airway inflammation?

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

    Which condition is associated with higher airway resistance (AWR)?

    <p>Chronic bronchitis/COPD</p> Signup and view all the answers

    Which neurotransmitter is responsible for parasympathetic stimulation in the autonomic nervous system?

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

    Which neurotransmitter is responsible for sympathetic stimulation in the autonomic nervous system?

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

    Which type of mediator is responsible for non-adrenergic non-cholinergic (NANC) stimulation in the autonomic nervous system?

    <p>Vasoactive intestinal peptide</p> Signup and view all the answers

    Which type of drug can reduce airway resistance by blocking parasympathetic stimulation?

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

    Which receptors are abundantly expressed on human airway smooth muscle and their stimulation causes bronchodilation?

    <p>β-adrenergic receptors</p> Signup and view all the answers

    Which part of the airways has high density parasympathetic innervation?

    <p>Bronchial smooth muscle</p> Signup and view all the answers

    What is the effect of sympathetic stimulation on airway smooth muscle?

    <p>bronchodilation and less secretion</p> Signup and view all the answers

    What is the effect of parasympathetic stimulation on airway smooth muscle?

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

    Which receptor is responsible for the contraction of airway smooth muscle when acetylcholine binds to it?

    <p>M3 muscarinic receptor</p> Signup and view all the answers

    Which receptor limits further acetylcholine release in the parasympathetic nervous system?

    <p>M2 muscarinic receptor</p> Signup and view all the answers

    What is the cause of histamine release in the airways?

    <p>All of the above</p> Signup and view all the answers

    Which neurotransmitter is responsible for parasympathetic stimulation in the autonomic nervous system?

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

    Which reflex mechanism is triggered by parasympathetic stimulation and helps cough out irritant particles?

    <p>Increased mucus production</p> Signup and view all the answers

    Which molecule is responsible for increasing smooth muscle contraction, vascular permeability, and mucus secretion?

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

    Which type of stimulation is important for the cough reflex?

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

    What happens to bronchospasm and reflex mechanisms in asthma?

    <p>They are exaggerated</p> Signup and view all the answers

    What is the role of increased mucus production in the airways during parasympathetic stimulation?

    <p>It helps to cough out particles</p> Signup and view all the answers

    Which receptors are targeted by β2-adrenergic agonists to induce bronchodilation?

    <p>Beta-adrenergic receptors</p> Signup and view all the answers

    Which type of stimulation is responsible for the release of histamine from mast cells in the airways?

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

    Which class of drugs acts on muscarinic receptors in the parasympathetic stimulation to counteract bronchoconstriction?

    <p>M3 muscarinic antagonists</p> Signup and view all the answers

    Which type of stimulation leads to bronchodilation and less secretion in the airways?

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

    What is the role of NANC (non-adrenergic non-cholinergic) neurotransmitters in the autonomic nervous system?

    <p>They are part of the parasympathetic nervous system</p> Signup and view all the answers

    Which of the following is NOT an example of a β2-adrenoceptor agonist used for bronchodilation?

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

    What is the effect of β2-adrenoceptor agonists on mediator release from mast cells?

    <p>Inhibition of mediator release</p> Signup and view all the answers

    Which type of pharmacological intervention acts on muscarinic receptors to block the effects of parasympathetic stimulation?

    <p>M3 muscarinic antagonists</p> Signup and view all the answers

    Which type of receptor is targeted by anti-histamines in the context of parasympathetic stimulation?

    <p>H1 receptor</p> Signup and view all the answers

    Select the correct statement on airway resistance:

    <p>Increased muscle tone of respiratory tract results in higher airway resistance</p> Signup and view all the answers

    Select the correct statement on autonomic nervous system of respiratory system:

    <p>There is no sympathetic innervation on the smooth muscle of respiratory tract</p> Signup and view all the answers

    Select the best statement on parasympathetic nervous system on respiratory system.

    <p>The mast cells release the histamine and cause bronchoconstriction when one is inhaling the cold air or contacted with air-borne allergens</p> Signup and view all the answers

    Select the correct statement on sympathetic nervous system on respiratory system.

    <p>Stimulation of sympathetic nervous system increases the cAMP level in respiratory tract smooth muscle</p> Signup and view all the answers

    Select the correct statement on drug in reducing the airway resistance.

    <p>Parasympathetic antagonist like atropine is helpful in inhibiting the bronchial muscle tone and secretion</p> Signup and view all the answers

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