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Exercise Physiology Final Exam
Huang-overview
227
Physiology
Undergraduate 3
04/22/2014

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Term
what did A.V. Hill study?
Definition
heat production during muscle contraction and recovery
Term
what did Otto Meyerhof study?
Definition
the relationship of O2 consumption and lactic acid in muscle
Term
what did August Krogh study?
Definition
function of the capillary circulation
Term
who is D.B. Dill?
Definition
the first director of the Harvard Fatigue Laboratory
Term
what are the three components of a biological control system?
Definition
sensor
control center
receptor
Term
what is negative feedback?
Definition
response reverses the initial disturbance in homeostasis
Term
an increase in extracellular CO2 triggers chemoreceptors in the carotid bodies-> a signal is sent to the medulla-> medulla triggers the respiratory muscles to increase breathing-> CO2 concentration returns to normal.
this is an example of positive or negative feedback?
Definition
negative
Term
eating-> increase in blood glucose-> pancreas releases insulin-> increase cellular uptake of glucose-> decrease blood glucose concentration
this is an example of positive or negative feedback?
Definition
negative
Term
what is positive feedback?
Definition
response goes in the same direction as the disturbance in homeostasis
Term
during child birth,
the head of the baby pushes on the cervix-> nerve impulses from the cervix to the brain-> brain stimulates the hypothalamus-> the hypothalamus stimulates the posterior pituitary to release oxytocin-> oxytocin stimulates uterine contractions
this is an example of positive or negative feedback?
Definition
positive
Term
what is the main result of anabolic reactions?
Definition
store
Term
what is the main result of catabolic reactions?
Definition
breakdown
Term
what is an endergonic reaction?
Definition
a reaction that requires energy to be added to the reactant
Term
what is an exergonic reaction?
Definition
a reaction that releases energy
Term
what is a coupled reaction?
Definition
release of energy in an exergonic reaction drives an endergonic reaction
Term
what does oxidation mean?
Definition
removing an electron
Term
what does reduction mean?
Definition
gaining an electron
Term
what is an oxidizing agent?
Definition
the molecule that gives the electron
Term
what is a reducing agent?
Definition
the molecule that gains the electron
Term
what is the function of a coenzyme?
Definition
activates the enzyme
Term
what are the factors that can alter enzyme activity?
Definition
temperature
pH
Term
what are the some non steroid hormones?
Definition
insulin
glucagon
all pituitary hormones
all hypothalamic hormones
thyroid hormones
catecholamines
Term
what are the steroid hormones?
Definition
cortisol
estrogen
testosterone
Term
outline the ATP-PCr System.
Definition
power exercise lasting 0-10 or 14 seconds
weight lifting
does not involve O2
ATP and PCr are energy sources
Term
outline Fast Glycolysis.
Definition
speed exercises lasting 10 or 14 to 60 seconds
100m run
glucose and glycogen are energy sources
Term
outline Oxidative Phosphorylation.
Definition
endurance exercise lasting greater than 2 minutes
1500m run
glucose, glycogen, fatty acids, and amino acids are energy sources
Term
a marathon runner would use which energy system predominantly?
Definition
oxidative phosphorylation
Term
a olympic weight lifter would use which energy system primarily?
Definition
ATP-PCr System
Term
a 100m sprinter would used which energy system primarily?
Definition
Fast Glycolysis
Term
what is a product of fast glycolysis?
Definition
lactic acid
Term
what are the benefits of the ATP-PCr System?
Definition
represents the most rapidly available source of ATP
does not depend on long series of chemical reactions
stores can be enhanced
Term
what type of muscle fibers use fast glycolysis?
Definition
type 2a
type 2x
fast twitch muscle fibers
Term
what are the two phases of fast glycolysis?
Definition
energy investment
energy generation
Term
what is the ATP outcome of fast glycolysis?
Definition
net gain of 2 ATP
Term
what enzyme is needed to convert pyruvate to lactic acid?
Definition
lactate dehydrogenase
Term
what molecule is needed to convert pyruvate to lactic acid?
Definition
NADH
Term
what is the fate of lactate?
Definition
70% oxidized by other tissues
20% gluconeogensis by the Cori Cycle
10% converted to amino acids
Term
in terms of lactic acid what is the difference between anaerobic and aerobic systems?
Definition
aerobic systems have less pyruvate which means less lactic acid
Term
how many carbons does acetyl-CoA, oxaloacetate, and citrate have?
Definition
acetyl-CoA = 2 carbons
oxaloacetate = 4 carbons
citrate = 6 carbons
Term
what is the primary function of the Krebs Cycle?
Definition
complete the oxidation of CHO, fat, and protein
Term
T/F oxygen participates in the Krebs Cycle.
Definition
false
does not
Term
what is the role of oxygen in Oxidative Phosphorylation?
Definition
the final electron acceptor
Term
what are the byproducts of the krebs cycle? formation of acetyl-CoA?
Definition
Krebs cycle = 3 NADH, 1 FADH, 1 ATP, 2 CO2
acteyl-CoA formation = 1 NADH, 1 CO2
Term
in order to use fat as energy what can it be converted to?
Definition
acetyl-CoA
Term
in order to use protein as energy what can it be converted to?
Definition
glucose
pyruvic acid
acetyl-CoA
citrate
Term
what is the major functions of the hydrogen pump?
Definition
activate ATP Synthase
Term
what does the electron do in the ETC?
Definition
force hydrogen to go out
phosphorylate ADP
Term
1 molecule of glucose through Oxidative Phosphorylation yields how much ATP?
Definition
32
Term
how are fatty acids converted to acetyl-CoA?
Definition
Beta Oxidation
Term
what are the rate limiting enzymes?
Definition
creatine kinase
phosphofructokinase
isocitrate dehydrogenase
cytochrome oxidase
Term
how do we measure exercise energy metabolism?
Definition
VO2
Term
what are the criteria for a VO2 max test?
Definition
the plateau of oxygen consumption
the attainment of RER of 1 or 1.15 or higher
the attainment of APMHR
the exhaustion of the participant
blood lactate or 0.8mM/L
Term
what is oxygen deficit?
Definition
lag in oxygen consumption at the onset of exercise

the difference between the total oxygen actually consumed during exercise and the total oxygen required in steady-state from the start of exercise
Term
what does oxygen deficit cause a delay of?
Definition
delay of steady state
Term
what does EPOC stand for?
Definition
Excess Post-exercise Oxygen Consumption
Term
what is EPOC?
Definition
after exercise, oxygen consumption does not return to resting levels immediately
Term
what is another name for EPOC?
Definition
oxygen debt
Term
what is happening during the rapid curve component of EPOC?
Definition
steep decline in oxygen consumption
replenish ATP, PC, and oxygen stores
Term
what is happening during the slow curve component of EPOC?
Definition
slow decline in oxygen consumption
elevated HR and breathing
elevated body temperature
elevated E and NE
conversion of lactic acid to glucose (gluconeogensis)
Term
when is EPOC greater?
Definition
after higher intensity exercise
Term
what is another name for the slow curve component of EPOC? why?
Definition
Lactic Acid Phase
because lactic acid is being converted to glucose
Term
T/F there is an upward drift in oxygen uptake during prolonged exercise.
Definition
true
Term
what are the explanations of the lactate threshold?
Definition
hypoxia
accelerated glycolysis
recruitment of fast-twitch muscle fibers
reduced rate of lactate removal
Term
what factors affect lactate appearance?
Definition
production and release
recruitment of fast twitch muscle fibers
LDH isoform
increase E
Term
what factors affect lactate disappearance?
Definition
rate of uptake into non-working muscles
oxidation by muscles and liver
blood flow
Term
what is the primary energy fuel during low intensity exercise?
Definition
fats
Term
what is the primary energy fuel during high intensity exercise?
Definition
CHO
Term
what are the three factors that stimulate endocrine gland activity?
Definition
hormonal factor
humoral factor
neural factor
Term
T/F non-steroid hormones can pass through the membranes easily
Definition
false
bind to receptors of the outside of the cell
Term
what is up regulation?
Definition
increase in receptor number or affinity in response to low concentration of hormone in a target tissue
Term
what is down regulation?
Definition
decrease in receptor number or affinity in response to high concentration of hormone in a target tissue
Term
what two hormones are made by the hypothalamus and stored in the posterior pituitary?
Definition
antidiuretic hormone
oxytocin
Term
what is the role of ADH?
Definition
help the body to conserve fluids/ water
Term
what is the role of oxytocin?
Definition
facilitates ejection of milk from the breast
Term
what hormones are released from the hypothalamus to stimulate the anterior pituitary?
Definition
prolactin releasing hormone
prolactin inhibiting hormone
thyrotropin releasing hormone
corticotropin releasing hormone
growth hormone releasing hormone
growth hormone inhibiting hormone
gonadotropin releasing hormone
Term
what hormones are released by the anterior pituitary?
Definition
prolactin
thyroid-stimulating hormone
adrenocorticotrophic hormone(ATCH)
growth hormone
follicle stimulating hormone
luteinizing hormone
Term
what are the three types of growth?
Definition
hyperplasia = increase in numbers
production of extracellular matrix = neurons swell
hypertrophy = cells enlarge
Term
what are the actions of growth hormone?
Definition
anabolic=increase muscle mass, by increasing protein synthesis
catabolic=increase gluconeogenesis
Term
what are the affect of GH and exercise?
Definition
increase protein synthesis
increase muscle mass
Term
what are the actions of T3 and T4?
Definition
increase metabolic rate
increase oxygen consumption
increase heat production
increase protein and lipid synthesis
increase of catecholamines
necessary for normal GH function
necessary for CNS development
Term
what is the effect of T3 and T4 on exercise?
Definition
studies show a major increase in heat in colder environments
Term
what hormones are released from the adrenal medulla?
Definition
epinephrine
norepinephrine
Term
what hormones are released from the adrenal cortex?
Definition
aldosterone
cortisol
sex steroid hormones
Term
the parasympathetic and sympathetic responses of the heart use which type of receptor?
Definition
beta 1
Term
the parasympathetic and sympathetic responses of the arterioles and veins use which type of receptor?
Definition
alpha
beta 2
Term
the parasympathetic and sympathetic responses of the lungs use which type of receptor?
Definition
beta 2
Term
the parasympathetic and sympathetic responses of the digestive tract use which type of receptor?
Definition
alpha 2
beta 2
Term
what are the major roles of epinephrine?
Definition
increase rate and force of heart contraction
increase constriction of arterioles
increase glycogen breakdown
increase lipolysis
Term
what are the two major functions of aldosterone?
Definition
increase K+ excretion
increase Na+ and water reabsorption
Term
what are the two major regulators of aldosterone?
Definition
high K+ levels
blood levels of angiotensinogen
Term
when will aldosterone levels increase during exercise?
Definition
above 50% VO2 max
Term
what are the major actions of cortisol?
Definition
increase metabolic rate (CHO, fats, proteins)
suppress immune response
decrease insulin sensitivity
decrease bone formation
enhance vascular response to E
reduce inflammaiton
Term
what are the functions of insulin?
Definition
increase glycogenesis
protein synthesis in muscles
lipogenesis
decrease blood levels of food
Term
what are the roles of glucagon?
Definition
glycogenolysis
proteolysis
lipolysis
increase blood levels of food
Term
explain insulin and glucagon during exercise
Definition
increase in glucagon because you want to breakdown fuels to produce ATP
insulin levels will decrease
Term
what are the functions of FSH?
Definition
initiates follicle growth in the ovaries
germinal growth in the testes
stimulate the secretion of estrogen
promote sperm development
Term
what are the functions of LH?
Definition
causes the rupture of the follicle
stimulates the secretion of estrogen
stimulates the secretion of testosterone
Term
what are the roles of testosterone?
Definition
muscle tissue synthesis
promotes GH release
Term
during exercise NE, E GH, cortisol and glucagon increase?
Definition
theory the elevation of these hormones favor mobilization of FFA that could spare utilization of CHO
Term
what are the two subdivisions of the PNS?
Definition
sensory
motor
Term
what is the difference between afferent and efferent?
Definition
afferent=transmit impulses to the CNS
efferent=transmit impulses from the CNS to the effector
Term
what is the neurotransmitter post ganglionic neuron of the sympathetic nervous system?
Definition
NE
Term
what is the neurotransmitter of the post ganglionic neuron of the parasympathetic nervous system
Definition
ACh
Term
what is resting membrane potential?
Definition
the potential difference that exists across membrane of excitable tissue such as nerve and muscle
-70mV
Term
where is K+ concentration highest, inside or outside the cell?
Definition
inside
Term
where is Na+ concentration highest, inside or outside the cell?
Definition
outside
Term
what four major ions regulate resting membrane potential?
Definition
K
Cl
Na
Ca
Term
what happens during depolarization of a nerve cell?
Na+ gates opened or closed?
K+ gates opened or closed?
Definition
the Na+ gates open and Na+ diffuses into the cell.
K+ channels are closed
Term
what happen during depolarization of a nerve cell?
Na+ gates opened or closed?
K+ gates opened or closed?
Definition
the K+ gates are open and K+ leaves the cell rapidly
Na+ gates are closed
Term
what is the all or none law?
Definition
once the nerve impulse is initiated, it will travel the length of the neuron without a decrease in voltage
Term
what is the synapse?
Definition
small gap between the presynaptic and postsynaptic neuron
Term
what is the action of calcium after the muscle is depolarized?
Definition
Ca released from the SR o bind to triponin C
Term
how can we activate a neuron?
Definition
excitatory postsynaptic potentials
Term
what are extrafusal fibers?
Definition
normal muscle fibers
innervated by alpha motor neuron
used to generate force
Term
what are intrafusal fibers?
Definition
this muscle fibers
innervated by gamma motor neurons
too small to generate significant force
Term
what are alpha motor neurons?
Definition
large diameters
innervate extrafusal fibers
movement
Term
what are gamma motor neurons?
Definition
small diameters
innervate intrafusal fibers
sensory info
Term
what are the three reflexes?
Definition
stretch reflex
Golgi Tendon Organ
crossed-extensor reflex
Term
outline synaptic transmission
Definition
Step 1: action potential travels down the motor neuron to the presynaptic terminal

Step 2 & 3: depolarization of the presynaptic terminal open Ca2+ channels and Ca2+ flow into the presynaptic terminal to cause the release of ACh (stored in the synaptic vesicles) by exocytosis.

Step 4 & 5: ACh diffuses across the synaptic cleft and binds to nicotinic receptors on the postsynaptic membrane and open Na+ channels, allowing Na+ to enter to cause depolarization.

Step 6: then depolarization of the postsynaptic membrane spread by local currents to muscle fibers to reach the action potential

Step 7: to prevent chronic depolarization, the ACh must be degraded by AChE to acetyl and choline on the postsynaptic membrane
Upon breakdown the postsynaptic neuron becomes replorarized and prepared to receive a new action potential.

about 50% of the choline is used to synthesize new ACh
Term
what are the three types of muscle?
Definition
smooth
cardiac
skeletal
Term
what are the layers of muscle from outside to inside?
Definition
epimysium
perimysium
endomysium
Term
1 muscle has many _____?
Definition
fasicles
Term
1 fasicle has many_____?
Definition
fibers
Term
1 muclse fiber has many ____?
Definition
myofibrils
Term
what is the best marker of muscle damage?
Definition
triponin I
Term
what kind of cells repair muscle fibers?
Definition
satellite cells
Term
what is the Z line?
Definition
distance between two sarcomeres
Term
what is the M line?
Definition
marks the overlap of the myosin and actin
Term
what is the H zone?
Definition
portion of myosin filament; no overlap with actin
Term
what is the A band?
Definition
myosin
Term
what is the I band?
Definition
actin
Term
during muscle contraction which filament doesn't move?
Definition
myosin
Term
what is the major site of Ca2+ storage in muscle?
Definition
SR
Term
what structure also stores Ca2+, other than the SR?
Definition
terminal cisternae
Term
what happens to the H zone during muscle contraction?
Definition
becomes narrow, may disappear
Term
what happens to the A band during muscle contraction?
Definition
remains unchanged
Term
what happens to the I band during muscle contraction?
Definition
becomes narrow
Term
what happens to the Z lines during muscle contraction?
Definition
brought together
sarcomere shortens
Term
explain the steps of excitation contraction coupling in skeletal muscle.
Definition
Na+ channels open to begin action potential

action potential transmitted to the T-tubules

depolarization of the T-tubule causes Ca2+ channels to open and release from the SR

Ca2+ binds to troponin C to move tropomyosin from the myosin binding site

myosin forms the cross bridge, causes a phosphate to be removed from ATP resulting in the power stroke sliding actin over myosin

ATPase helps pump Ca2+ back into the SR to stop contraction

Ca2+ is removed from troponin C and tropomyosin covers the myosin binding site again
Term
what are the three types of muscle fibers?
Definition
type 2x
type 2a
type 1
Term
what are the characteristics of type 2x muscle fibers?
Definition
fast-twitch fibers
fast-glycolytic fibers
high myosin ATPase activity
Term
what are the characteristics of type 2a muscle fibers?
Definition
intermediate fibers
fast-oxidative glycolytic fibers
medium-high myosin ATPase activity
Term
what are the characteristics of type 1 muscle fibers?
Definition
slow-twitch fibers
slow-oxidative fibers
low myosin ATPase activity
Term
how do you type muscle fibers?
Definition
muscle biopsy
Term
do fast fibers exert more force than slow fibers?
Definition
yes
10-20% higher
Term
T/F more force in fast fibers because there are more cross bridges.
Definition
true
Term
T/F high force=high fatigue.
Definition
true
Term
if someone has more slow twitch fibers what could this say about their VO2 max?
Definition
higher VO2 max than someone with less slow twitch fibers
Term
type 2x fibers:
number of mitochondria?
resistance to fatigue?
energy system?
speed of shortening?
ATPase activity?
efficiency?
Definition
low
low
anaerobic
highest
highest
low
Term
type 2a fibers:
number of mitochondria?
resistance to fatigue?
energy system?
speed of shortening?
ATPase activity?
efficiency?
Definition
high/moderate
high/moderate
combination
high
high
moderate
Term
type 1 fibers:
number of mitochondria?
resistance to fatigue?
energy system?
speed of shortening?
ATPase activity?
efficiency?
Definition
high
high
aerobic
low
low
high
Term
how does endurance training alter muscle fiber types?
Definition
cannot change from type 2 to type 1
the 2x to type 2a become more oxidative
Term
how does strength training alter muscle fibers?
Definition
hypertrophy
hyperplasia
Term
what is a isometric movement?
Definition
muscle exerts force without changing length
pulling against immoveable object
ie postural muscles
Term
what is an isotonic movement?
Definition
concentric=muscle shortens during force production
eccentric=muscle produces force but length increases
Term
outline cardiac muscle.
Definition
striated
actin and myosin
calcium is needed for contraction
sliding filament theory
fibers connected by intercalated discs
shorter than skeletal muscle
all type 1 fibers
highly aerobic
single nucleus
Term
what is systole?
Definition
contraction phase
0.3 sec at rest
Term
what is diastole?
Definition
relaxation phase
0.5 sec at rest
Term
outline the three stages of diastole.
Definition
isovolumetric ventricular relaxation=atrium relaxed, ventricle relaxed, all valves closed

ventricular filling
-AV valve opens and begins filling 70% of the blood into the ventricle (atria and ventricle relaxed)
-AV valve remains open, atria contract to push remaining 30% of blood into the ventricle
Term
outline the two stages of systole.
Definition
isovolumetric ventricular contraction=atria relaxed, ventricles contracting, all valves closed

ventricular ejection=atria relaxed, ventricle contracting, aortic and pulmonary valves are open 2/3 blood will be pumped out
Term
what factors effect vascular resistance?
Definition
diameter or vessel
length of vessel
viscosity of blood
Term
what is systolic BP?
Definition
the highest aortic pressure measured during a cardiac cycle
Term
what is diastolic BP?
Definition
the aortic blood pressure during diastole phase of the cardiac cycle
Term
if vessel A and vessel B have the same radius and vessel A has twice the length compared to vessel B, which will have higher resistance to flow?
Definition
vessel A will have twice the resistance
Term
if the viscosity of the blood increase twice, how many folds does the resistance increase or decrease?
Definition
resistance will increase twice
Term
if a 2-fold increase in radius, how many folds does the resistance increase or decrease?
Definition
decrease by 16-fold
Term
what controls long term regulation of BP?
short term regulation of BP?
Definition
kidneys

sympathetic nervous system
Term
what two hormones help regulate BP?
Definition
aldosterone
vasopressin
Term
what are the parts of the conduction system of the heart?
Definition
SA node
AV node
bundle branches
Purkinje fibers
Term
the sympathetic nervous system has what effects on the heart?
Definition
excitatory effects
-increase SA node pacing
-increase rate of conduction
-increase force of contraction
Term
the parasympathetic nervous system has what effects on the heart?
Definition
inhibitory effects
-decrease rate of SA node pacing
-decrease rate of conduction
-decrease force of contraction
Term
what factors effect blood pressure?
Definition
increase in blood volume
increase in heart rate
increase in stroke volume
increase peripheral resistance
increase in blood viscosity
Term
what is happening during the P wave on an ECG?
Definition
upward=right atrium depolarize
downward=left atrium depolarizes
Term
what is happening during the QRS wave on an ECG?
Definition
ventricles depolarize and contract
Term
what is happening during the PQ segment on an ECG?
Definition
isoelectric
atria are depolarized and still contracting
ventricular filling
Term
what is happening during the ST segment on an ECG?
Definition
isoelectric
ventricles are still depolarized and contracting
Term
what is happening during the T wave on an ECG?
Definition
ventricles relax and repolarize
Term
what does it mean when the ST segment is below the baseline?
Definition
blockage of the carotid artery
Term
what is cardiac output?
Definition
the amount of blood pumped by the heart each minute
Term
what is the formula for cardiac output?
Definition
HR * SV
Term
can training effect cardiac output at rest? exercise?
Definition
no

yes
Term
what three variables regulate stroke volume?
Definition
end-diastolic volume
average aortic blood pressure
strength of ventricular contraction
Term
what is end-diastolic volume?
Definition
volume of blog in the ventricles at the end of diastole before they begin to contract
Term
what three factors regulate venous return?
Definition
venoconstriction
skeletal muscle pump
respiratory pump
Term
what happens to stroke volume with an increase in mean arterial pressure?
Definition
decreases
Term
is blood pressure greater in the veins or arteries?
Definition
arteries
Term
what factors effect resistance?
Definition
vessel length
viscosity of blood
vessel radius
Term
discuss stroke volume during exercise.
Definition
increases linearly until about 40% VO2 max, then reaches a steady state
Term
discuss heart rate during exercise.
Definition
heart rate increases linearly, does not reach a steady state
Term
T/F increase intensity, HR and SV increase linearly.
Definition
false
Term
when do you see cardiac output plateau?
Definition
exhaustion
Term
what does the Fick principle state?
Definition
CO of left and right ventricles is equal

in a steady state, the rate of O2 consumption must equal the amount of O2 leaving the lungs in the pulmonary veins minus the amount of O2 returning to the lungs

the amount of O2 in the pulmonary vein = pulmonary blood flow times O2 content in pulmonary venous blood

the amount of O2 in the pulmonary artery = pulmonary blood flow time O2 content in pulmonary arterial blood
Term
T/F there is a redistribution of blood flow to skeletal muscle during exercise.
Definition
true
Term
what are the three types of regulation for blood flow during exercise?
Definition
extrinsic regulation
paracrine regulation
intrinsic regulation
Term
what factors can induce auto regulation?
Definition
decreased O2 concentration
increased CO2 concentration
decrease pH volume
release of K+ from tissues
Term
changes in HR and BP during exercise depend on:
Definition
type, intensity, and duration
environmental condition
emotional influence
Term
does arm or leg exercise result in higher HR and BP?
Definition
arm
Term
what is cardiovascular drift?
Definition
when cardiac output maintains but stroke volume and HR changes
Term
what is ventilation?
Definition
moving air into and out of the lungs
Term
outline inspiration.
Definition
diaphragm contracts, ribs lift outward
volume of lungs increases
intrapulmonary pressure is lowered
chest pressure decreases, abdomen pressure increases
Term
outline expiration.
Definition
diaphragm relaxes, ribs pulled downward
volume of lungs decreases
intrapulmonary pressure is raises
chest pressure increases, abdomen pressure decreases
Term
what is Boyle's Law?
Definition
pressure and volume are inversely related
Term
what does spirometry measure?
Definition
pulmonary volumes and rate of expired airflow
used for diagnosing lung diseases
Term
what is the average FEV1/VC ratio?
Definition
80%
less means abnormal
Term
what is asthma?
Definition
a chronic disease and an inflammatory reaction
can be controlled by medication
a reversible narrowing of the airways called a bronchospasm
occurs when exposed to pollution, temperature, humidity, smoke, virus, allergens
Term
when is someone most likely to suffer exercise induced asthma?
Definition
during or immediately after exercise
Term
what is COPD?
Definition
chronic obstructive lung disease
a constant narrowing of the airways
Term
what is chronic bronchitis?
Definition
a constant swelling of the breathing tubes and a constant production of mucus within airways
Term
what is the diagnosis of chronic bronchitis?
Definition
continuous cough with mucus
Term
what is emphysema?
Definition
damage to the alveoli
decreased elasticity of the airway
Term
what is the diagnosis of emphysema?
Definition
shortness of breath
Term
what is Fick's Law of Diffusion?
Definition
the rate of gas transfer is proportional to the tissue area, the diffusion coefficient of the gas, and difference in the partial pressure of the gas on the two sides of the tissue

inversely proportional to the thickness
Term
what is Dalton's Law?
Definition
the total pressure of a gas mixture is equal to the sum of the pressure that each gas would exert independently
Term
what does dissolve O2 contribute to?
Definition
partial pressure
Term
what factors effect the O2-Hb Dissociation Curve?
Definition
pH
temperature
2-3 DPG
Term
what factors will shift the O2-Hb Dissociation Curve to the right?
Definition
increase PCO2
decrease pH
increase temperature
increase 2-3 DPG
Term
what factors will shift the O2-Hb Dissociation Curve to the left?
Definition
decrease PCO2
increase pH
decrease temperature
decrease 2-3 DPG
Term
what is the idea ventilation/perfusion ratio?
Definition
0.8
Term
what are the three ways CO2 is transported in the blood?
Definition
10% dissolved in plasma
20% bound to Hb
70% bicarbonate
Term
what happens to ventilation in hot and humid environment?
Definition
ventilation tends to drift upward
Term
at the onset of constant load sub maximal exercise the PO2 and PCO2 in there artery:
Definition
remain unchanged
slight decrease in PO2
slight increase in PCO2
Term
outline hemoglobin buffering.
Definition
deoxygenated hemoglobin is better then oxygenated
6 times the buffering capacity than plasma proteins
Term
what does the bicarbonate buffering system consist of?
Definition
carbonic acid and sodium bicarbonate
Term
what are the first line cellular buffers?
Definition
proteins
bicarbonate
phosphate
Term
what are the first like blood buffers?
Definition
bicarbonate
Hb
and proteins
Term
what is the second line buffers?
Definition
respiratory compensation
Term
what factors regulate respiratory compensation?
Definition
O2
CO2
pH
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