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NBCE Part 1
LaRose Respiratory
71
Health Care
Professional
08/23/2012

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Cards

Term
1.       2 main functions of the respiratory system.
Definition
1) GASSEOUS EXCHANGE, 2) ACID-BASE BALANCE
Term
2.       Gaseous exchange is dependent on these 3 mechanisms.
Definition
1) VENTILATION, 2) PERFUSION, 3) DIFFUSION
Term
3.       _____ deals with the amount of gas delivered by the lungs.
Definition
VENTILATION
Term
4.       _____ states that when the temperature is constant, the volume of a fixed amount of gas is inversely proportional to its pressure.
Definition
BOYLE’S LAW
Term
5.       _____ states that when the pressure is constant, the volume of a fixed amount of gas is directly proportional to the absolute temperature.
Definition
CHARLES’ LAW
Term
6.       _____ deals with the amount of blood delivered by the heart to the lungs.
Definition
PERFUSION
Term
7.       _____ deals with the amount of gas that passes through the air-blood barrier.
Definition
DIFFUSION
Term
8.       The air-blood barrier is made up of these 3 components.
Definition
1) CAPILLARY ENDOTHELIUM, 2) BASEMENT MEMBRANE, 3) TYPE 1 PNEUMOCYTES
Term
9.       Type 1 pneumocytes make up _____% of the cell types in the alveolus.
Definition
90.00000%
Term
10.   Type 2 pneumocytes produce _____, which reduces the surface tension in the alveoli.
Definition
SURFACTANT (DIPALMITOYL PHOSPHATIDYCHOLINE)
Term
11.   The rate of diffusion in gaseous exchange is governed by _____, which states that diffusion through a tissue membrane is inversely proportional to the tissue thickness.
Definition
FICK’S LAW
Term
12.   In the ventilation/profusion ration (Va/Q), Va is _____L/min and the pulmonary blood flow is _____L/min.
Definition
4, 5 L/min
Term
13.   Va/Q is highest in the _____ of the lung, and lowest in the base of the lung; while it is closest to the ideal ratio of 0.8 in the _____ of the lung.
Definition
APEX, BASE, MIDZONE
Term
14.   _____ is highest in the apex of the lung.
Definition
VENTILATION
Term
15.   _____ is highest in the base of the lung.
Definition
PERFUSION
Term
16.   The oxygen carrying capacity of the blood is dependent on the amount of _____ and _____.
Definition
OXYGEN IN PLASMA, AND AMOUNT CARRIED AS OXYHEMOGLOBIN
Term
17.   4 factors that cause the oxygen saturation curve to shift to the right, which decreases hemoglobin’s affinity for oxygen (releases more oxygen).
Definition
1) ACIDOSIS, 2) INCREASE IN CO2, 3) INCREASE IN TEMP, 4) 2,3-DPG (DIPHOSPHOGLYCERATE)
Term
18.   An increase in CO2 and decrease in pH causes the oxyhemoglobin to give up O2, which is referred to as the _____.
Definition
BOHR EFFECT
Term
19.   The Bohr effect causes the oxidation saturation curve to shift to the _____.
Definition
RIGHT
Term
20.   Does blood carry more CO2 or O2?
Definition
CO2
Term
21.   Blood carries about _____mL of CO2 compared to _____mL of O2 per 100mL of blood.
Definition
4mL, 1.35Ml
Term
22.   3 ways CO2 is transported in the blood.
Definition
1) AS BICARBONATE (70%) , 2) CARBAMINOHEMOGLOBIN (23%) , 3) DISSOLVED IN PLASMA (7%)
Term
23.   The maiN way the body transmits CO2 in the blood is through the use of a _____.
Definition
BICARBONATE ION (70%)
Term
24.   _____is the binding of oxygen to hemoglobin causing CO2 to be displaced.
Definition
HALDANE EFFECT
Term
25.   High O2 levels in the _____ displaces CO2, and low O2 levels in the _____ binds more CO2.
Definition
LUNGS, TISSUES
Term
26.   _____and _____ of breathing so that arterial PCO2 is roughly _____mmHg.
Definition
RATE AND DEPTH, 40mmHg
Term
27.   Under normal circumstances, the concentration of _____ in the blood is the major determinant of breathing.
Definition
CO2
Term
28.   5 components of the brain stem that control respiration.
Definition
1) PNEUMOTAXIC CENTER, 2) APNEUSTIC CENTER, 3) DORSAL MEDULLA, 4) VENTRAL MEDULLA, 5) CEREBRAL CORTEX
Term
29.   _____ in the upper pons turns off or inhibits the respiratory center, causing a decrease in the depth of inspiration. This results in an increase of the respiratory rate.
Definition
PNEUMOTAXIC CENTER
Term
30.   _____ in the lower pons prevents the turning off of the inspiratory center.
Definition
APNEUSTIC CENTER
Term
31.   The dorsal center in the medulla is responsible for _____, while the ventral centers in the medulla are responsible for _____.
Definition
INSPIRATION, EXPIRATION
Term
32.   Higher centers in the _____ are responsible for controlling the medullary centers.
Definition
CEREBRAL CORTEX
Term
33.   CO2 can freely cross the blood brain barrier and enter the _____.
Definition
CSF
Term
34.   In the CSF, CO2 combines with _____ to form _____, which then dissociates to form _____ and _____.
Definition
H2O, H2CO3; H+, HCO3-
Term
35.   The medulla senses the levels of _____ directly, and the _____ indirectly.
Definition
H+ IN THE CSF; CO2 IN THE BLOOD
Term
36.   Are the medullary receptors sensitive to O2?
Definition
NO
Term
37.   Chemoreceptors in the carotid body, and adjacent to the aorta are peripheral chemoreceptors that are stimulated by these 3 things.
Definition
1) DECREASED PO2, 2) INCREASED PCO2, 3) DECREASED pH
Term
38.   _____ is characterized by periods of rapid breathing with increasing then decreasing the tidal volume, followed by a period of apnea.
Definition
CHEYNE-STOKES BREATHING
Term
39.   Cheyne-stokes breathing can be seen in a patient with _____.
Definition
CONGESTIVE HEART FAILURE
Term
40.   _____ is characterized by deep rapid regular breathing (air hunger).
Definition
KUSSMAUL BREATHING
Term
41.   Kussmaul breathing can be seen in patients with _____.
Definition
DIABETIC KETOACIDOSIS
Term
42.   _____ is characterized by bouts of irregularly irregular breathing and apnea.
Definition
BIOT’S RESPIRATION
Term
43.   Biot’s respiration can be seen in patients with _____.
Definition
BRAIN STEM COMPRESSION
Term
44.   _____ is a reflex that limits over inflation of the lungs. It is mediated by stretch receptors found in the smooth muscle of the airways.
Definition
HERING-BREUER REFLEX
Term
45.   The hering-breuer reflex sends afferents along the _____ nerve, and efferents via the _____ nerve.
Definition
VAGUS NERVE; PHRENIC NERVE
Term
46.   _____ is a measure of the distensibility of the lungs and chest wall.
Definition
LUNG COMPLIANCE
Term
47.   Lung compliance is the changing _____ caused by a given change in _____.
Definition
LUNG VOLUME, RESPIRATORY PRESSURE
Term
48.   Lung compliance is related to the _____, _____ and _____ in the lungs.
Definition
ELASTIC FIBERS, WATER CONTENT, AND SURFACTANT
Term
49.   Lung compliance is inversely related to the amount of _____, and proportional to the _____.
Definition
ELASTIC TISSUE; FORCE NEEDED TO EXPAND THE CHEST
Term
50.   The elasticity of the lungs tends to_____ the lung.
Definition
COLLAPSE
Term
51.   _____ helps to counter the lungs tendency to collapse.
Definition
SURFACTANT
Term
52.   _____ is a condition that increases lung compliance, allowing the lungs to over-expand.
Definition
EMPHYSEMA
Term
53.   _____ and _____ are 2 conditions that decrease lung compliance.
Definition
PULMONARY FIBROSIS, PULMONARY EDEMA
Term
54.   _____ is a condition that decreases the ability of the chest wall to expand.
Definition
ANKYLOSING SPONDYLOSIS
Term
55.   _____ is a condition that will cause a decrease in the chest wall’s ability to expand.
Definition
KYPHOSCOLIOSIS
Term
56.   _____ is a measurement of the total volume held in the lungs.
Definition
TLC (TOTAL LUNG CAPACITY)
Term
57.   The average total lung capacity is _____mL.
Definition
5800mL
Term
58.   _____ is a measurement of lung volume expired after maximal inspiration.
Definition
VITAL CAPACITY
Term
59.   The average vital capacity is _____mL.
Definition
4600mL
Term
60.   _____ is a measurement of the volume of normal breath.
Definition
TIDAL VOLUME
Term
61.   The average tidal volume is _____mL.
Definition
500mL
Term
62.   _____ is a measurement of the volume inspired after tidal volume.
Definition
INSPIRATORY RESERVE VOLUME
Term
63.   The average inspiratory reserve volume is _____mL.
Definition
3000mL
Term
64.   _____ is a measurement of the volume expired after normal breath.
Definition
EXPIRATORY RESERVE VOLUME
Term
65.   The average expiratory reserve volume is _____mL.
Definition
1100mL
Term
66.   _____ is a measurement of the lung volume after maximal expiration.
Definition
RESIDUAL VOLUME
Term
67.   The average residual volume is _____mL.
Definition
1200mL
Term
68.   _____ is a measurement of the air left in lungs after normal expiration.
Definition
FUNCTIONAL RESIDUAL VOLUME
Term
69.   The average functional residual volume is _____mL.
Definition
3300mL
Term
70.   _____ is a measurement of forced volume expired after 1 second of time.
Definition
FORCED EXPIRATORY VOLUME
Term
71.   The average forced expiratory volume is _____% of air.
Definition
80.00000%
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