Pregunta 1
Pregunta
inspiration occurs as a result of
Respuesta
-
an upward movement of the diaphragm
-
movement of the ribs closer together due to the contraction of the inspiratory intercostal muscles
-
downward movement of the diaphragm
-
a and b
-
b and c
Pregunta 2
Pregunta
in order for the lungs to function normally, the intrapleural pressure must
Respuesta
-
be lower than alveolar pressure
-
be between +5 and +10mmHg above the atmospheric pressure
-
alternate between being less than and greater than the atmospheric pressure
-
change as respiratory demands of the body change
-
be the same as the atmospheric pressure
Pregunta 3
Pregunta
most of the CO2 that is transported in blood is
Respuesta
-
dissolved in the plasma
-
bound to haemoglobin
-
in carbonic acid
-
in bicarbonate ions
-
in carbonic anhydrase
Pregunta 4
Pregunta
in which vesicular bed does hypoxia cause vasconstriction
Respuesta
-
coronary
-
pulmonary
-
cerebral
-
muscle
-
skin
Pregunta 5
Pregunta
which of the following is the site of the highest airway resisitance
Respuesta
-
mouth
-
largest bronchi
-
medium sized bronchi
-
smallest bronchi
-
alveoli
Pregunta 6
Pregunta
compared with the systemic circulation, the pulmonary circulation has a:
Pregunta 7
Pregunta
hypoventilation will cause
Respuesta
-
hypercapnia
-
anoxia
-
hypoxia
-
hypocapnia
-
a and c
Pregunta 8
Pregunta
which of the following events is caused by an increased pCO2 in tissues
Pregunta 9
Pregunta
vital capacity include
Pregunta 10
Pregunta
which muscles contract in quiet breathing
Pregunta 11
Pregunta
which of the following events are sympathetic effects
Respuesta
-
vasoconstriction in the lungs
-
dilation of the bronchi
-
vasodilation in the lungs
-
constriction of the bronchi
-
a and b
Pregunta 12
Pregunta
which of the following is related to the respiratory function of the lungs
Pregunta 13
Pregunta
which factors affect the gas diffusion through the respiratory membrane
Respuesta
-
membrane thickness
-
membrane area
-
tidal volume
-
diffusion quotient
-
a and b
Pregunta 14
Pregunta
gas exchange in the respiratory system of humans takes place in the
Respuesta
-
trachea
-
bronchus
-
bronchioles
-
alveoli
-
larynx
Pregunta 15
Pregunta
as regards the distribution of ventilation (V) and perfusion (Q), the V/Q ratio
Respuesta
-
gradient of change of ventilation is greater than that of perfusion
-
ventilation increases up the lung
-
perfusion increases up the lung
-
at apex is greater than at base in prone position
-
none of the above
Pregunta 16
Respuesta
-
is produced by type I alveolar cells
-
acts like detergent in water
-
reduces the amount of negative intrapleural pressure
-
reduces blood flow to the lungs
-
increases pulmonary compliance
Pregunta 17
Pregunta
carbon dioxide transport is
Pregunta 18
Pregunta
obligatory respiratory muscles are
Respuesta
-
the diaphragm and mm. intercostales interni
-
the diaphragm and mm. intercostales externi
-
mm.abdominales
-
mm. serrati posteriores inferiores
-
all of the above
Pregunta 19
Pregunta
the bronchial muscles relax under the influence of
Pregunta 20
Pregunta
for the surfactant it is true that
Respuesta
-
is produced by type II alveolar cells
-
consists of phospholipids, proteins and carbohydrates
-
decreases the alveolar surface tension at the end of expiration
-
protects the lungs from atelectasis and edema
-
all of the above
Pregunta 21
Pregunta
for the alveolar capillary membrane it is true that
Respuesta
-
consists of alveolar epithelium, pulmonary capillary endothelium and their base membranes with very thin interstitial space between them
-
diffusion of O2 and CO2 occurs across it
-
has better permeability for O2 than CO2
-
a and b
-
none of the above
Pregunta 22
Pregunta
dilation of bronchi can be achieved by
Respuesta
-
increased level of catecholamines
-
decreased level of catecholamines
-
increase of acetylcholine and serotonin levels
-
increase of bradikinine and histamine levels
-
a,c, and d
Pregunta 23
Pregunta
normal breathing at rest is called
Respuesta
-
polypnoe
-
eupnoe
-
tachypnoe
-
dyspnoe
-
hyperpnoe
Pregunta 24
Pregunta
during expiration
Respuesta
-
the thoracic cage recoils and the diaphragm moves upwards
-
the intrapleural pressure decreases
-
the intrapleural pressure increases
-
a and b
-
a and c
Pregunta 25
Pregunta
the sympathetic division of ANS affects the bronchial muscles activating
Pregunta 26
Pregunta
tidal volume (TV) is
Respuesta
-
the volume of air, which passes through the lungs per minute
-
bigger than the residual volume (RV)
-
an element of the functional residual capacity (FRC)
-
a, b and c
-
0.5 1 approximately
Pregunta 27
Pregunta
the intrapleural pressure is
Respuesta
-
higher than the atmospheric pressure
-
lower than the atmospheric pressure
-
equal to the atmospheric pressure
-
depends on the water molecules surface tension and elastic fibers
-
b and d
Pregunta 28
Pregunta
the anatomical dead space
Pregunta 29
Pregunta
the residual volume (RV) is
Respuesta
-
the volume of air, which remains in the lungs after maximal expiration
-
the volume of air, which remains in the lungs after maximal inspiration
-
is about 2-3l
-
is the tidal volume plus the inspiratory reserve volume
-
a component of the vital capacity (VC)
Pregunta 30
Pregunta
which of the following factors shifts the dissociation curve of HbO2 to the right
Respuesta
-
increased pCO2
-
decreased pCO2
-
decreased pO2
-
increased pO2
-
increased pH
Pregunta 31
Pregunta
it is not true that vital capacity (VC)
Respuesta
-
is a sum of ERV + TV + IRV
-
depends on sex and age
-
depends on chest measurement
-
is a sum of IC + ERV
-
is a sum of TV + ERV + RV
Pregunta 32
Pregunta
there are smooth muscles in the respiratory system
Respuesta
-
on the external surface of the lungs
-
on the medial surface of the lungs
-
in the trachea, bronchi and bronchioles
-
around the alveoli
-
on the external and medial surfaces of the lungs
Pregunta 33
Pregunta
it is true that the air in the alveoli
Respuesta
-
has a higher CO2 content than the atmosphere
-
has lower O2 content than in the atmosphere
-
consists of N2 approximately equal to that in the atmosphere
-
has the same components as the atmosphere
-
a, b and c
Pregunta 34
Pregunta
the elastic fibers in the lungs are situated
Pregunta 35
Pregunta
the peripheral chemoreceptors are situated
Respuesta
-
on the ventral surface of medulla oblongata
-
on the dorsal surface of medulla oblongata
-
in arcus aortae and arteria carotis communis
-
in the inferior and superior vena cavae and the right atrium
-
in the hypothalamus
Pregunta 36
Pregunta
which of the following compounds doesnt take part in the transport of CO2 under physiological conditions
Pregunta 37
Pregunta
which of the following factors increases the rate of breathing
Pregunta 38
Pregunta
the ventilation/ perfusion (V/Q) ratio of 0.8 refers to
Respuesta
-
the upper parts of the lungs in upright position
-
the middle parts of the lungs in upright position
-
the lower parts of the lungs in upright position
-
in all parts of the lungs in supine position
-
b and d
Pregunta 39
Pregunta
which of the following does not happen during inspiration
Respuesta
-
the ribs move upward
-
the diaphragm lifts up
-
the anterior-posterior dimensions of the chest are increased
-
the transverse dimensions of the thorax are increased
-
the scalene and sternocleidomastoid muscles can be recruited for inspiration
Pregunta 40
Pregunta
total lung capacity (TLC) of men would normally be about
Respuesta
-
4200ml
-
1500ml
-
6000ml
-
8000ml
-
10000ml
Pregunta 41
Pregunta
oxygen enters the cell via
Respuesta
-
diffusion
-
filtration
-
osmosis
-
active transport
-
passive transport
Pregunta 42
Pregunta
most of the carbon dioxide produced by tissues is transported to the lungs as
Respuesta
-
small gas bubbles in the plasma
-
gas bound to hemoglobin in the red blood cells
-
bicarbonates in the plasma
-
gas bound to white blood cells and albumin
-
gas transported through the lymphatic system
Pregunta 43
Pregunta
the need to breathe is caused by
Pregunta 44
Pregunta
where does gas exchange take place
Respuesta
-
bronchioles
-
bronchi
-
pulmonary capillaries
-
roots of the lungs
-
trachea
Pregunta 45
Respuesta
-
makes expiration difficult
-
reduces the surface tension of the water layer within alveoli
-
relaxes the bronchi
-
increases in concentration when the sympathetic tone is increased
-
in increased concentration causes oedema
Pregunta 46
Pregunta
hemoglobin gives up oxygen when the environment is more
Respuesta
-
acidic
-
alkaline
-
icy
-
open
-
none of the above
Pregunta 47
Pregunta
acidosis is when blood pH is below
Pregunta 48
Pregunta
the bronchodilatory effect of atropin is due to blocking
Pregunta 49
Pregunta
the carotid bodies
Respuesta
-
are stretch receptors in the walls of the internal carotid arteries
-
have a blood flow per unit volume similar to that in the brain
-
are influenced by the blood temperature
-
generate less afferent impulses when blood H+ concentration rises
-
and the aortic bodies are mainly responsible for the increased ventilation in hypoxia
Pregunta 50
Pregunta
pulmonary surfactant increases
Respuesta
-
the surface tension of the fluid lining alveolar walls
-
lung complaince
-
in effectiveness as the lungs are inflated
-
in amount when pulmonary blood flow is interrupted
-
the airflow resistance in bronchi
Pregunta 51
Pregunta
the hemoreceptors in the carotid artery and aortic arc are excited when
Respuesta
-
pCO2 in plasma is decreased
-
plasma pH is increased
-
pO2 in plasma is increased
-
pO2 in plasma is decreased
-
tO is increased
Pregunta 52
Pregunta
during inspiration
Respuesta
-
intrapleural pressure is lowest at mid-inspiration
-
intrapulmonary pressure is lowest around mid-inspiration
-
intraoesophageal pressure is lowest at mid-inspiration
-
the rate of air flow is greatest at end-inspiration
-
the lung volume/intrapleural pressure relationship is the same as in expiration
Pregunta 53
Pregunta
the bronchial muscles relax under the influence of
Pregunta 54
Respuesta
-
the rate of alveolar ventilation at rest exceeds the rate of alveolar capillary perfusion
-
the ventilation/ perfusion (V/Q) ratio in less 0.6 during maximal exercise
-
the V/Q ratio is higher at the apex than at the base of the lungs when a person is standing
-
oxygen transfer can be explained by active transport
-
dead space decreases during inspiration
Pregunta 55
Pregunta
bronchial smooth muscle contracts in response to
Respuesta
-
bronchial mucosal irritation
-
local beta adrenoceptor stimulation
-
a fall in bronchial pO2
-
inhalation of air warmed to 37C
-
circulating noradrenaline
Pregunta 56
Pregunta
which of the following factors stimulate respiration
Respuesta
-
decrease pCO2
-
increased pO2
-
alkalosis
-
decreased pCO2, increased pO2 alkalosis
-
increased pCO2, decreased pO2, alkalosis
Pregunta 57
Pregunta
CO2 is transported basically as
Pregunta 58
Pregunta
during inspiration
Respuesta
-
venous return to the heart is increased
-
less energy is expended than during expiration
-
lung expansion is assisted by surface tension forces in the alveoli
-
lung expansion begins when intrapleural pressure falls below atmospheric
-
the relative concentration of surfactant increases in alveoli
Pregunta 59
Pregunta
the residual volume (RV) is
Respuesta
-
the volume of air remaining in the lungs at the end of an expiration
-
greater on average in women than in men
-
3-4 liters on average in young adults
-
measured directly using a spirometer
-
smaller in old than in young people
Pregunta 60
Pregunta
a rise in arterial pCO2 causes
Respuesta
-
an increase in ventilation due to stimulation of peripheral and central chemoreceptors
-
a decrease in ventilation due to stimulation of central and peripheral chemoreceptors
-
a decrease in arterial pressure
-
a decrease in cerebral blood flow
-
a decrease in the plasma bicarbonate level
Pregunta 61
Pregunta
ventilation is increased during
Respuesta
-
periods when cerebrospinal fluid pH is reduced
-
compensated chronic renal failure
-
periods when plasma bicarbonate level is increased
-
deep sleep
-
exercise because of the ensuing fall in arterial pO2
Pregunta 62
Respuesta
-
arterial mean pressure is about one-sixth of systemic mean arterial pressure
-
blood flow/minute is greater then the systemic blood flow/minute
-
vascular resistance is about 50 per cent that of systemic vascular resistence
-
vascular capacity is similar to systemic vascular capacity
-
arterial pressure increases by about 50 per cent when cardiac output rises by 50 per cent
Pregunta 63
Pregunta
carbon dioxide is carried in the blood in
Respuesta
-
combination with the myoglobin molecule
-
combination with plasma globulins
-
physical solution in red blood cells
-
greater quantity in red blood cells than in plasma
-
greater quantity as HCO3- than as other forms
Pregunta 64
Pregunta
a shift of the oxygen dissociation curve of blood to the right
Respuesta
-
occurs in the pulmonary capillaries
-
occurs if blood temperature decreases
-
favours oxygen delivery to the tissues
-
favours oxygen uptake from the lungs by alveolar capillary blood
-
occurs if the pH of the blood increases
Pregunta 65
Pregunta
the compliance of the lungs and chest wall is
Respuesta
-
expressed as volume change per unit change in pressure
-
minimal during quiet breathing
-
increased by the surface tension of the fluid lining the alveoli
-
decreased by surfactant
-
changed by parallel displacement of the line relating lung volume to distending pressure
Pregunta 66
Pregunta
respiratory dead space
Respuesta
-
includes the volume of air in the airways up to the terminal bronchi
-
is where the gas exchange occur
-
is about 360ml
-
makes great changes in O2 and CO2 contain in alveolar air
-
includes the volume of air which reaches the alveoli
Pregunta 67
Pregunta
the correct statement is
Respuesta
-
the diffusion velocity of O2 and CO2 is equal
-
O2 diffuses 20 times faster than CO2
-
CO2 diffuses with 20 times higher velocity than CO2
-
the diffusion velocity of O2 is higher than that of CO2 when the concentration of O2 is increased
-
the diffusion velocity doesn't depend on cellular membrane permeability
Pregunta 68
Respuesta
-
the amount of O2 consumed after cessation of exercise
-
incurred because the pulmonary capillary walls limit O2 uptake during exercise
-
possible since skeletal muscle can function temporarily without oxygen
-
associated with a decrease in blood lactate
-
associated with metabolic alkalosis
Pregunta 69
Pregunta
the CO2 dissociation curve for whole blood shows that
Respuesta
-
its shape is sigmoid
-
blood saturates with CO2 when pCO2 exceeds normal alveolar levels
-
blood contains some CO2 even when the pCO2 is zero
-
oxygenation of the blood drives CO2 out of the blood
-
adding CO2 to the blood drives O2 out of the blood
Pregunta 70
Pregunta
bronchial asthma is likely to be relieved by
Respuesta
-
stimulation of cholinergic receptors
-
stimulation of beta adrenoreceptors
-
histamine aerosols
-
non steroidal anti-inflamatory drugs
-
mineralcorticoids
Pregunta 71
Pregunta
air in the pleural cavity (pneumothorax)
Respuesta
-
allows intrapleural pressure to rise and become equal to the atmospheric pressure
-
causes the underlying to collapse by compressing it
-
increases the functional residual capacity
-
leads to a slight inward movement of the chest wall
-
increases the vital capacity
Pregunta 72
Pregunta
loss of pulmonary elastic tissue in 'emphysema' reduces
Pregunta 73
Pregunta
complete obstruction of a major bronchus usually results in
Respuesta
-
collapse of the alveoli supplied by the bronchus
-
a rise in local intrapleural pressure
-
an increase in physiological dead space
-
an increase in blood flow to the lung tissue supplied by the bronchus
-
cyanosis
Pregunta 74
Pregunta
a shift of the oxygen dissociation curve of blood to the left
Respuesta
-
decreases the O2 content of blood at a given pO2
-
impairs O2 delivery to the tissues at the normal tissue pO2
-
occurs in blood perfusing hot extremities
-
occurs in blood with lower pH than with higher pH
-
is characteristic of adult blood when compared with fetal blood
Pregunta 75
Pregunta
a diver breathing air at depth of 30 metres under water
Respuesta
-
is exposed to a pressure equal to the surface
-
has a raised pressure of nitrogen in the alveoli
-
has a four fold increase in the oxygen content of blood
-
has a four fold increase in alveolar water vapour pressure
-
expends less energy than normal on the work of breathing
Pregunta 76
Respuesta
-
may be caused by high levels of carboxyhaemoglobin in the blood
-
may be caused by high levels of methaemoglobin in the blood
-
is seen in fingers of hands immersed in iced water
-
occurs more easily in anaemic than in polycythaemic patients
-
is severe in cyanide poisoning
Pregunta 77
Pregunta
histamine affects the bronchial muscles via
Pregunta 78
Respuesta
-
is reflexly initiated by irritation of the alveoli
-
is associated with relaxation of airways smooth muscles
-
depends on contraction of the diaphragm for expulsion of air
-
differs from sneezing in that the glottis is initially closed
-
is equivalent of sneezing
Pregunta 79
Pregunta
the sympathetic branch of the autonomic nervous system affects the bronchial muscles via
Pregunta 80
Pregunta
a 50% fall in the ventilation/perfusion (V/Q) ratio in each of lungs would
Respuesta
-
lower systemic arterial oxygen content
-
has no effect on the O2 in systemic circulation
-
increase the physiological dead space
-
lower systemic arterial carbon dioxide content
-
be compensated (with respect to oxygen uptake) by a high ratio in the other lung
Pregunta 81
Pregunta
the total amount of O2 carried by the circulation to the tissues/min. (oxygen delivery or total available oxygen)
Respuesta
-
normally equals the rate of O2 consumption by the body/min
-
is normally more than 95% combined with haemoglobin
-
must fall by about half if haemoglobin concentration is halved
-
is more closely related to PO2 than to percentage saturation of the blood with O2
-
must double if body oxygen consumption doubles
Pregunta 82
Pregunta
for air to enter the lungs during inspiration
Respuesta
-
the pressure inside the lungs must be higher than the atmospheric pressure
-
the pressure inside the lungs must become lower than the atmospheric pressure
-
the pressure inside the lungs must be equal to the atmospheric pressure
-
the diaphragm must be relaxed
-
the external intercostal muscles be relaxed
Pregunta 83
Pregunta
given: Co2 + H2O <-> H2CO3 <-> HCO3- + H+, what happens if bicarbonate ions are increased
Respuesta
-
more carbon monoxide produced
-
more bicarbonate ions produced
-
an increase in protons
-
there would be a shift to the left
-
there would be a shift to the right first, then to the left
Pregunta 84
Pregunta
the values (mmHg) for pCO2 and pO2 in the interstitial spaces of peripheral tissues are approximately
Respuesta
-
60;40
-
40;60
-
46;40
-
66;46
-
46;100
Pregunta 85
Pregunta
if forcefully exhaling as much air as possible after a normal breath, this is
Respuesta
-
tidal volume
-
expiratory reserve volume
-
maximum expiratory flow rate
-
eupnea
-
inspiratory reserve volume
Pregunta 86
Pregunta
which of the following reactions takes place in the systemic capillaries (where CO2 is higher and O2 is lower)?
Respuesta
-
Hb + O2 -> HbO2
-
Hb + CO2 -> HbCO2
-
HbCO2 -> Hb + CO2
-
H2CO3 -> HCO3- + H+
-
Na+ + HCO3- -> NaHCO3
Pregunta 87
Pregunta
water molecules on the surface of the alveoli generate surface tension. This force
Pregunta 88
Pregunta
what does the ventral respiratory group within the medulla oblongata do
Respuesta
-
triggers inspiration
-
decreased ventilation rate
-
nothing
-
triggers forced breathing
-
inhibits apneustic center, sets limit to over inflation of lungs
Pregunta 89
Pregunta
the region in the brain that sets the limit for over-inflation of lungs is located in the
Respuesta
-
pons
-
apneustic center
-
arterial blood chemistry
-
medulla oblongata
-
stretch receptors
Pregunta 90
Pregunta
in caissons disease pain in the joints and muscles is due to
Pregunta 91
Pregunta
normal value of FEV in an adult is
Pregunta 92
Pregunta
the most important gas maintaining alveolar ventilation is
Respuesta
-
oxygen
-
hydrogen
-
carbon dioxide
-
N2
-
CO
Pregunta 93
Pregunta
intrapleural pressure
Respuesta
-
is higher than the atmospheric pressure one as in inspiration
-
is lower than the atmospheric one as in inspiration
-
is equal to the atmospheric one
-
does not depend on the water molecules
-
does not change when pleural cavity hermeticity is inpaired
Pregunta 94
Pregunta
as one ascends to higher than 3000 meters above sea level changes in alveolar pO2 and pCO2 are as follows
Respuesta
-
decrease in pO2, increase in pCO2
-
decrease in pO2, decrease in pCO2
-
increase in both pO2 and pCO2
-
increase in pO2, decrease in pCO2
-
no change in pO2 and pCO2
Pregunta 95
Pregunta
surfactant is secreted by
Pregunta 96
Pregunta
which of the following effects is not observed during prolonged stay is space
Pregunta 97
Pregunta
airway resistance
Pregunta 98
Pregunta
decrease of pCO2 decrease in H+ and increased pO2 causes
Respuesta
-
hyperventilation
-
hypoventilation
-
hypercapnoea
-
hypoxia
-
none of the above
Pregunta 99
Pregunta
the intrapleural pressure at the end of deep inspiration is
Respuesta
-
-4mmHg
-
+4mmHg
-
-6mmHg
-
+6mmHg
-
-10mmHg
Pregunta 100
Pregunta
exercise which doubles the metabolic rate is likely to at least double the
Pregunta 101
Pregunta
sudden complete obstruction of the respiratory tract causes
Pregunta 102
Pregunta
the effects of moving from sea level to an altitude of 5000 metres include an increase in
Respuesta
-
alveolar ventilation
-
blood bicarbonate level
-
appetite for food
-
exercise tolerance
-
muscle strength
Pregunta 103
Pregunta
which of the following factors decrease the affinity of Hb to O2 in tissues
Respuesta
-
decreased pCO2
-
decreased pCO2 and lowered pH
-
lowered tO
-
increased pCO2 and lowered pH
-
decreased pCO2, higher pH and lowered tO
Pregunta 104
Pregunta
the bronchial muscles increase their tone under the influence of
Respuesta
-
adrenaline
-
noradrenaline
-
histamine
-
atropin
-
curare
Pregunta 105
Pregunta
the bronchial muscles dilate under the influence of
Respuesta
-
cateholamines
-
acetylcholine
-
histamine
-
bradikinine
-
serotonin
Pregunta 106
Pregunta
the pulmonary ventilation is a process that includes
Respuesta
-
only expiration
-
only inspiration
-
inspiration and expiration
-
exchange of O2 and CO2 via the capillary walls
-
transport of O2 and CO2 via blood
Pregunta 107
Pregunta
during inspiration
Respuesta
-
the water surface tension in alveoli decreases
-
the chest volume decreases and the diaphragm goes up
-
the tidal volume decreases
-
alveolar pressure increases
-
intrapleural pressure decreases
Pregunta 108
Pregunta
the exchange of O2 and CO2 between the capillary blood and the cells is carried out by
Respuesta
-
osmosis
-
diffusion
-
filtration
-
transport across pores
-
reabsorbtion