Ventilation Regulation: Carotid Body Cells
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Questions and Answers

What is the primary stimulus for increasing ventilation in the carotid and aortic glomus cells?

  • Arterial PO2 below 60 mmHg
  • Increased PCO2
  • Decreased plasma pH
  • All of the above (correct)

What is the mechanism by which Ca2+ enters the receptor cell in the carotid body?

  • Through voltage-gated K+ channels
  • Through voltage-gated Ca2+ channels (correct)
  • Through mechanically gated Ca2+ channels
  • Through ligand-gated Ca2+ channels

What is the primary response of the central chemoreceptors to an increase in arterial PCO2?

  • Increased ventilation (correct)
  • No change in ventilation
  • Decreased ventilation
  • bronchoconstriction

What is the primary function of the protective reflexes of the respiratory tract?

<p>To respond to physical injury or irritation (C)</p> Signup and view all the answers

What is the role of parasympathetic neurons in the respiratory tract?

<p>To mediate bronchoconstriction (C)</p> Signup and view all the answers

What is the threshold for stimulation of ventilation by low oxygen levels?

<p>Arterial PO2 below 60 mmHg (D)</p> Signup and view all the answers

What is the partial pressure of carbon dioxide above which is considered hypercapnia?

<p>45 mmHg (D)</p> Signup and view all the answers

What is the approximate partial pressure of oxygen in arterial blood at sea level?

<p>70 mmHg (D)</p> Signup and view all the answers

Which of the following factors that influence diffusion of respiratory gases is the most variable and important factor to consider?

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

What is the process by which dissolved gases are exchanged between the blood and interstitial fluids?

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

Which of the following lung pathologies is most likely to result from certain kinds of heart disease?

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

What is the approximate atmospheric pressure at sea level?

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

What is the primary factor influencing airway resistance?

<p>The diameter of the airway (C)</p> Signup and view all the answers

In which condition is fluid accumulation in interstitial spaces most likely to occur?

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

What happens to the diffusion distance in the alveoli-capillary interface in fibrotic lung disease?

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

What is the effect of increased temperature, PCO2, and 2,3-BPG on the affinity of haemoglobin for oxygen?

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

What is the role of carbonic anhydrase in red blood cells?

<p>To convert CO2 into bicarbonate ions (C)</p> Signup and view all the answers

What is the immediate product of carbonic acid dissociation?

<p>Bicarbonate anion and a proton (B)</p> Signup and view all the answers

What is the primary mechanism by which the diaphragm generates a negative alveolar pressure during inspiration?

<p>Downward movement of the diaphragm (B)</p> Signup and view all the answers

Which nervous system stimulates the contractility of airway smooth muscle during exercise?

<p>Parasympathetic nervous system (B)</p> Signup and view all the answers

What is the primary effect of lung surfactant on alveoli?

<p>It reduces the surface tension at the air-fluid interface (C)</p> Signup and view all the answers

What is the primary consequence of lacking lung surfactant?

<p>Decreased lung compliance (D)</p> Signup and view all the answers

What is the primary effect of stimulating lung stretch receptors?

<p>It decreases airway resistance (B)</p> Signup and view all the answers

What is the primary purpose of maintaining airways in a fully open state during breathing?

<p>To maximize airflow and minimize the effort of breathing (B)</p> Signup and view all the answers

What stimulus would most likely trigger an increase in ventilation in a healthy individual?

<p>Reduced arterial PO2, sensed by central chemoreceptors (C)</p> Signup and view all the answers

Which nerves carry afferent signals from peripheral chemoreceptors to the integrating center?

<p>Vagus and glossopharyngeal nerves (B)</p> Signup and view all the answers

What is the term for the space between the parietal and visceral pleura?

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

During inspiration, what happens to intrapleural pressure?

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

What is the primary function of the vagus nerve in the control of breathing?

<p>Carrying afferent signals from lung stretch and irritant receptors (D)</p> Signup and view all the answers

Which of the following statements about the control of breathing is true?

<p>The glossopharyngeal nerve carries afferent signals from the carotid sinus (B)</p> Signup and view all the answers

What is the percentage of oxygen transported in the blood that is dissolved directly in plasma?

<p>2% (A)</p> Signup and view all the answers

What happens to the oxygen-haemoglobin curve when there is an increase in tissue PCO2?

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

What is the characteristic of haemoglobin that makes it a good match for its function as an oxygen carrier?

<p>It can bind four oxygen molecules (A)</p> Signup and view all the answers

What is the percentage saturation of haemoglobin with oxygen at a PO2 of 70 mmHg and normal temperature and pH?

<p>over 90% (C)</p> Signup and view all the answers

How is most of the oxygen transported by the blood?

<p>Bound to haemoglobin (D)</p> Signup and view all the answers

What is the primary carrier of oxygen in humans?

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

What is the mechanism by which the central chemoreceptors respond to changes in PCO2?

<p>By responding to changes in pH within the cerebrospinal fluid (A)</p> Signup and view all the answers

What is the effect of a decrease in plasma pH on ventilation?

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

What is the primary neurotransmitter involved in the signal transmission from the carotid body to the brainstem respiratory networks?

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

What is the response of the central chemoreceptors to an increase in CO2 in the cerebrospinal fluid?

<p>They increase ventilation (A)</p> Signup and view all the answers

What is the primary mechanism by which the carotid body cells respond to changes in PO2?

<p>By directly sensing changes in PO2 (C)</p> Signup and view all the answers

What is the primary function of the bronchoconstriction reflex in the respiratory tract?

<p>To respond to physical injury or irritation of the respiratory tract (C)</p> Signup and view all the answers

What is the primary effect of increased carbon dioxide levels on the haemoglobin dissociation curve?

<p>A rightward shift of the curve, decreasing haemoglobin's affinity for oxygen (C)</p> Signup and view all the answers

Which of the following methods is responsible for transporting most of the carbon dioxide in the blood?

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

What is the primary function of the nucleus tractus solitarius (NTS) in the medulla oblongata?

<p>Receiving inputs from fibres carrying sensory information (C)</p> Signup and view all the answers

What is the most important chemical regulator of respiration?

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

An increase in the level of carbon dioxide in the blood would most likely result in which of the following?

<p>An increase in the rate of breathing (A)</p> Signup and view all the answers

What is the effect of carbon dioxide on the binding capacity of haemoglobin?

<p>It decreases the binding capacity of haemoglobin (C)</p> Signup and view all the answers

What would be the direct effect of an inhibitor of carbonic anhydrase on the blood pH?

<p>Increase blood pH due to decreased conversion to protons (D)</p> Signup and view all the answers

When would the chloride shift occur in red blood cells?

<p>When hydrogen ions leave the red blood cells (D)</p> Signup and view all the answers

What is the name of the effect that causes a shift in the oxygen dissociation curve to the right?

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

Which structure pulls down during inspiration to generate a negative alveolar pressure and recoils back up during expiration to reverse that pressure change?

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

What is the effect of an inhibitor of carbonic anhydrase on the formation of bicarbonate in the blood?

<p>Decrease the formation of bicarbonate (B)</p> Signup and view all the answers

What is the effect of the Bohr effect on the oxygen binding capacity of haemoglobin?

<p>Decrease the oxygen binding capacity of haemoglobin (D)</p> Signup and view all the answers

What is the primary mechanism by which the diaphragm generates a negative alveolar pressure during inspiration?

<p>It pulls down to increase the thoracic volume. (C)</p> Signup and view all the answers

Which statement best describes the control of airway resistance?

<p>It is important to maintain airways in a fully open state during breathing to maximise airflow and minimise the effort of breathing. (C)</p> Signup and view all the answers

What is the primary effect of lung surfactant on alveoli?

<p>It reduces the surface tension at the air-fluid interface of alveoli, thus preventing alveolar collapse. (A)</p> Signup and view all the answers

What is sensed to cause the change in ventilation during exercise?

<p>Increase in arterial carbon dioxide levels. (C)</p> Signup and view all the answers

What happens to the diaphragm during expiration?

<p>It recoils back up to decrease the thoracic volume. (A)</p> Signup and view all the answers

What is the primary consequence of lacking lung surfactant?

<p>Alveolar collapse. (A)</p> Signup and view all the answers

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