BMS 360 Lecture Notes - Pulmonary Edema, Pulmonary Vein, Alveolar Cells

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lemondog142

22 May 2014

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Oxygen diffusion along the length of the pulmonary capillaries quickly achieves diffusional equilibrium, unless disease processes in the lung reduce the rate of diffusion. About 1 sec for rbc to flow through pulmonary capillary. About sec for alveolar o2 to bind to hemoglobin (within 1/3 length of capillary) At rest, capillaries are closed at the apex (top) of lungs due to low blood pressure (standing). Due to gravity, the transit time for blood is fastest at the lower lungs, and slower at the upper lungs. During exercise, the blood pressure in apex of lungs increases, the capillaries open, so more capillaries are participating in gas exchange. This law determines gas exchange across the respiratory membrane. A greater partial pressure of the gas or a greater surface area results in a greater volume of gas that diffuses. The thicker the membrane, the less gas diffusion. Pulmonary edema: increased pulmonary vein pressure causes fluid accumulation in interstitial space, lung cells and alveoli.

Related Questions

True of False: Freshwater environments have a higher concentration of oxygen than saltwater environments.

QUESTION 2 If the difference in partial pressure of gas on either side of the barrier to diffusion is 0, which of these events will occur?

The area for gas exchange will increase to accommodate this similarity.

The constant for diffusion will decrease.

The rate of diffusion will be 0.

The distance thickness of the barrier to diffusion will also be 0.

QUESTION 3 On the x-axis of the oxygenâhemoglobin equilibrium curve is the partial pressure of oxygen in tissues. Which type of blood is most likely to be represented by the right-hand side of the axis? (Hint: the oxygen-hemoglobin equilibrium curve is figure 45.14 in your book on pg 913)

blood found in the left ventricle

blood found in the right atrium

blood found in the superior vena cava

blood found in the inferior vena cava

QUESTION 4 Which of these is an example of pulmonary circulation?

Blood is pumped from the right ventricle to the lungs.

Blood is pumped from the left ventricle to the aorta.

Blood is pumped from the aorta to the cardiac vein.

Blood is pumped from the inferior vena cava to the right atrium.

QUESTION 5 O2 will diffuse from blood to tissue faster in response to which of the following conditions?

an increase in the PO2 of the tissue

a decrease in the PO2 of the tissue

an increase in the thickness of the capillary wall

a decrease in the surface area of the capillary

QUESTION 6 Which of the following promotes oxygen release from hemoglobin?

a decrease in temperature

a decrease in carbon dioxide levels

a decrease in pH

a decrease in carbonic anhydrase

QUESTION 7 How does the medulla oblongata sense the amount of carbon dioxide in the blood?

A. Carbonic anhydrase produced by cells performing cellular respiration is exported and travels though the blood, and binds to a receptor on the medullary respiratory center, which causes a signal amplification resulting in a change in gene expression which results in the production of proteins that will cause the diaphragm to contract

B. CO2 produced by cells performing cellular respiration reacts with blood plasma for form an acid, which increases the pH of the blood, which causes the medullary respiratory center to contract the diaphragm

C. CO2 produced by cells performing cellular respiration reacts with blood plasma for form an acid, which decreases the pH of the blood, which causes the medullary respiratory center to contract the diaphragm

D. A and B

E. A and C

QUESTION 8 Which of the following parts of the lung are considered "dead space"? A. The alveoli B. The trachea C. The bronchi D. B and C E. All of the above

QUESTION 9 Which of the following blood vessels have the thinnest walls?

arteries

arterioles

capillaries

venules

veins

QUESTION 10 How does the interstitial fluid return to the bloodstream?

A. Interstitial fluid flows into the capillary where the osmotic pressure driving fluid into the bloodstream is greater than the blood pressure driving fluid out of the blood

B. Interstitial fluid flows into the capillary where the blood pressure driving fluid into the bloodstream is greater than the osmotic pressure driving fluid out of the blood

C. Interstitial fluid leaves the tissue via lymphatic ducts and travels through the lymphatic system, which returns the fluid to the veins. D. A and C

E. B and C

QUESTION 11 True or False: When an electrocardiogram (EKG or ECG) shows a flat line (aka asystole), medical personnel will restart the heart using a defibrillator.

azureprairie-dog128

PHYSIOLOGY

11. A subject is connected at FRC to a bag containing 2L of 8% He, 92% O₂. He rebreathes from the bag until mixing is complete; at which time the fraction of He is 4.6%. What is the value of FRC?

A. 1.15L

B. 1.48L (can you please explain this answer)

C. 2.48L

D. 3.48L

E. It cannot be calculated from the information given

The minimum time it takes a normal person to go from residual volume (RV) to total lung capacity (TLC) is less than the minimum amount of time to go from TLC to RV. The most probable explanation for this effect is:

A. the chest wall tends to spring outward when the respiratory system is at RV.

B. the chest wall is less compliant at RV.

C. inspiratory muscles are stronger than expiratory muscles.

D. the lungs have less recoil at TLC.

E. the airways tend to collapse during forced expiration. (can you please explain why this is the answer)

Two gases, A and B have the same partial pressure difference across the alveolar capillary barrier. Gas A has a molecular weight of 36 and solubility of 24 while gas B has a molecular weight of 16 and solubility of 2. What is the rate of diffusion of gas A through the barrier compared to gas B?

A. 12:1

B. 8:1 (can you explain why B is the answer?)

C. 6:4

D. 4:1

E. They are the same.

If an individual with a tidal volume of 500 ml and a dead space volume of 100 ml were to exercise and double the CO₂ production, with no change in respiratory rate, what tidal volume would be required to maintain their original P_CO2 of 40 mm Hg?

A. 1200 ml

B. 1100 ml

C. 1000 ml

D. 900 ml (can you explain why the answer is D?)

E. 800 ml

39. What is the total amount of oxygen in the arterial blood (in ml O₂ /100ml blood) of an individual who has P_O2=90mm Hg, P_CO2=40mm Hg, Hb=15g/100ml, hemoglobin saturation = 95%, (solubility coefficient of O₂=0.003 ml O₂/100 ml blood/mm Hg; at saturation Hb binds 1.34 ml O₂/g)

A. (0.95 x 15) + (95 x 0.003)

B. (90 x 1.34 x 15) + (95 x 0.003)

C. ((90 - 40) x 1.34 x 0.95) + (90 x 0.003)

D. (0.95x 1.34 x 15) + (90 x 0.003) (can you explain why the answer is D?)

E. none of the above

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BMS 360 Lecture Notes - Pulmonary Edema, Pulmonary Vein, Alveolar Cells

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