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BIOL 3350 Test 4
Test Review 4 for Pathophysiology
50
Biology
Undergraduate 3
12/09/2009

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Term
1.What is the purpose of the horseshoe shaped cartilages?
Definition
Protecting the trachea from collapsing when the pressure in the thoracic cavity becomes negative
Term
2. What is lung compliance?
Definition
The ability for the lungs to inflate and change volume reasonable pressure
Term
3. What is the function of the larynx?
Definition
Speech, conducts air, protects lungs from things other than air.
Term
4. What is the glottis?
Definition
The opening at the larynx, between the vocal cords
Term
5. Why is the right bronchus more prone to obstruction?
Definition
It is wider, thus more likely an obstruction will occur
Term
6. What supplies blood to the conducting airways?
Definition
Bronchial circulation (not pulmonary circulation)
Term
7. What are the two parts of the respiratory system?
Definition
Conducting airway (supplies the air), and the respiratory tissue (gas exchange occurs) – gas exchange occurs in the respiratory bronchioles and alveolar structures
Term
8. What is the function of the mucociliary blanket?
Definition
It serves to clean (by trapping dust, etc.) and to moisten air that passes over it
Term
9. What is the purpose of the moisture in the conducting airway in relation to temperature?
Definition
A direct relationship – as the body temperature rises, more moisture is added (evaporation)
Term
10. What is the pleural effusion?
Definition
Abnormal collection of fluid in the pleural cavity
Term
11. Adequate ventilation depends on…?
Definition
Compliant lungs, patent airways, lung/atm (atmospheric) pressure differences
Term
12. What is the primary muscle that functions during inspiration?
Definition
Diaphragm (all others are just accessories)
Term
13. How is oxygen transported in the blood?
Definition
Most, but not all, is attached to hemoglobin
Term
14. To what does the PO2 level refer?
Definition
Plasma O2 levels, thus the amount of oxygen dissolved in plasma
Term
15. Describe the functions of surface tension on alveoli?
Definition
Slows rate of expansion of alveoli, helps alveoli expand at the same rate
Term
16. Define vital capacity?
Definition
Maximum volume of air that can be inhaled and forced out
Term
17. What is the relation between the surface area of the alveoli and the rate of gas diffusion in the lungs?
Definition
Direct relationship – more area means more gas diffusion
Term
18. Removal of a lung would cause what in relation to diffusing capacity?
Definition
Direct relationship – it reduces surface area thus decreasing the diffusing capacity of the lungs
Term
19. Bicarbonate carries what in the blood?
Definition
Carbon dioxide is transported mostly in the form of bicarbonate
Term
20. A prolonged fever can initiate dehydration by?
Definition
Increased amount of water removed (evaporation) from increased temperature, fever increases the respiratory rate, resulting in additional loss of water vapor through the lungs
Term
21. What is % of humidity of the air in the lungs?
Definition
The air in the alveoli of the lungs is 100% saturated at the normal body temperature (percent saturation – 100% = 4% water)
Term
22. Define dyspnea.
Definition
Difficult breathing
Term
23. What causes acute respiratory distress syndrome?
Definition
(ARDS) caused by impaired gas diffusion, characterized by loss of surfactant, interstitial edema, formation of hyaline membrane, wide spread atclectasis
Term
24. What does positive tuberculosis skin test indicate?
Definition
They have been exposed and sensitized (possibly from immunization)
Term
25. What is the purpose of the two-step testing of tuberculosis?
Definition
Check for boosted response to the first test
Term
26. What are the symptoms of influenza?
Definition
Fever, chills, general malaise
Term
27. What is the pleura?
Definition
The pleura is covering that protects the lungs (a double-layered serous membrane to reduce friction of lung movement)
Term
28. What is spontaneous pneumothorax?
Definition
It is collapse of a portion of lung, not caused be outside influences
Term
29. Define tension pneumothorax.
Definition
It is caused by a side shift of the mediastinum to the opposite side (caused by an injury or other outside influence)
Term
30. What agent causes pneumonia?
Definition
S. pneumonia (streptococcus pneumonia)
Term
31. The polysaccharides capsule of S. pneumonia protects it from what?
Definition
Polysaccharide protection means it will be difficult to be eaten by phagocytes
Term
32. Define Legionnaire’s Disease.
Definition
It is common in persons with chronic illness and it consolidates lung tissue. It is preceded by diarrhea, hyponatremia, and confusion. Outbreaks have been traced to AC cooling towers and evaporative condensers
Term
33. Common opportunistic infection in children with AIDS.
Definition
Pneumocystis carinii (fungus)
Term
34. The common cold is transmitted via…
Definition
Fingers
Term
35. What virus is responsible for the common cold?
Definition
Rhinoviruses, parainfluenza viruses, RSV (respiratory syncytial virus), and adenoviruses
Term
36. What are the features of the mycobacterium that cause tuberculosis?
Definition
Do not spore, waxy coat that retains acid/red dye, they are aerobes (use oxygen environment in the lungs)
Term
37. How do antihistamines adversely affect the lungs?
Definition
They dry the bronchial secretions
Term
38. Sinuses favor the growth of organisms because they…
Definition
Sinuses have low oxygen concentration; many organisms favor this.
Term
39. What is the pressure in relation to the lungs during a tension pneumothorax compared to the atmospheric pressure?
Definition
Intraplueral pressure exceeds the atmospheric pressure
Term
40. What happens to the trachea’s position during a tension pneumothorax?
Definition
It deviates (from its normal position)
Term
41. Acute respiratory distress syndrome causes what lung difficulties?
Definition
Impaired gas exchange, lungs do not inflate and become stiff
Term
42. What are signs of hypercapnia [increases carbon dioxide in blood]?
Definition
Headache, flushed skin, conjuctival hyperemia (abnormally high amount of blood in eyes)
Term
43. Define hyperventilation.
Definition
Higher than normal ventilation rate which will cause a decrease in blood CO2 levels
Term
44. What is empyema?
Definition
A special pleural effusion, it differs in that the pleural cavity fills with pus
Term
45. What is atelectasis?
Definition
Part of the lung does not expand completely
Term
46. What happens to the residual lung volume during an asthmatic attack?
Definition
It increases, as air is trapped, and cannot contribute to vital capacity
Term
47. What is chronic obstructive pulmonary disease?
Definition
(COPD) small airway obstruction during expiratory phase of ventilations; group of diseases
(chronic bronchitis, emphysema, and bronchiectasis)
Term
48. Emphysema affects what part of the lungs?
Definition
Air space abnormally enlarges with destruction of alveolar walls
Term
49. Why not give a person with hypoxia a high concentration of oxygen?
Definition
Chemoreceptors for blood O2 would infer high O2 and reduce breathing stimuli. High concentrations suppress CO2 chemoreceptors which provide the main stimulus for ventilation
Term
50. What happens to the lungs during asbestosis?
Definition
Injury causes scar tissue and stiffening of lung tissue
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