A&P2 Chapter 17 – Flashcards
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The respiratory quotient is calculated as the
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ratio of the volume of carbon dioxide per volume of oxygen consumed
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At sea level, if oxygen is consumed by the body cells at a rate of 300 mL per minute, then how
much oxygen diffuses from the alveoli into the blood in the pulmonary capillaries?
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300 mL per minute
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Oxygenated blood is found in which of the following?
A) right atrium only
B) pulmonary artery only
C) pulmonary vein only
D) both the right atrium and pulmonary artery
E) both the right atrium and pulmonary vein
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C) pulmonary vein only
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Movement of oxygen and carbon dioxide between alveoli and blood occurs by what process?
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simple diffusion
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Which of the following does NOT contribute to the rapid movement of gases into and out of the
blood within the lungs?
A) permeability of the membrane
B) large surface area
C) concentration gradient D) thin membrane
E) rapid blood flow
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E) rapid blood flow
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At sea level the air pressure which equals 1 atmosphere is
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760 mm Hg
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In a mixture of gases, the driving force for the movement of an individual gas within that mixture
is ultimately the
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partial pressure of that gas
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What is the most abundant gas in the air that we breathe?
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nitrogen
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What percentage of air is oxygen?
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21%
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What percentage of air is carbon dioxide?
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< 1%
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What is the partial pressure of oxygen in a gas mixture that is 40% oxygen, 40% argon, and 20%
helium, when the total pressure of the gas is 1000 mm Hg?
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400 mm Hg
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What is the partial pressure of oxygen in air at sea level?
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160 mm Hg
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As humidity increases, the partial pressure of oxygen in air
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decreases as the total pressure of air remains the same
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As the air is saturated with water vapor (humidified) upon entry into the conducting pathway,
there will be
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a decrease in the partial pressure of the remaining gases
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At equilibrium, the gas molecules that dissolve in solution and those that remain in the gaseous
phase are, by definition, at the same
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partial pressure
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The relationship between the concentration of a gas in solution and the partial pressure of that gas
can be described by
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Henry's law
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Which of the following can increase the concentration of a particular gas in a solution?
A) Increase the volume of the solution only.
B) Decrease the concentration of other gases in the solution.
C) Increase the volume of the container containing the gas and solution.
D) Increase the volume of the gas only.
E) Increase the partial pressure of that gas exposed to the solution.
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E) increase the partial pressure of that gas exposed to the solution
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At equilibrium, which of the following statements is TRUE when helium and nitrogen are present
in a gas at equal partial pressures over water?
A) The partial pressure of nitrogen is greater than the partial pressure of helium. B) The partial pressures of helium and nitrogen in the water are equal.
C) The concentrations of helium and nitrogen in both the water and gas are equal.
D) The concentrations of helium and nitrogen in the water are equal.
E) The concentrations of helium and nitrogen in the gas are equal.
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B) the partial pressures of helium and nitrogen in the water are equal
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Which statement best describes why O2 and CO2 can both be exchanged simultaneously at the alveoli and pulmonary capillaries?
A) Blood in the pulmonary capillaries is high in both O2 and CO2 . B) Nitrogen is at a high pressure in both the alveoli and pulmonary capillaries and drives the
exchange of O2 and CO2.
C) Each gas acts independently and diffuses down its own partial pressure gradient. D) Blood in both the alveoli and pulmonary capillaries is at equilibrium.
E) Blood in the alveoli is high in both O2 and CO2
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c) each gas acts independently and diffuses down its own partial pressure gradient
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Which statement best describes the cause of decompression sickness?
A) Carbon dioxide is driven into the cardiovascular system and causes acidosis.
B) Nitrogen gas bubbles form in the blood, joints, and nervous system as pressure decreases
from too fast an ascent.
C) Oxygen molecules are so tightly compressed due to pressure exerted by the water column
that they cannot deliver oxygen to the tissues.
D) Carbon dioxide bubbles come out of solution too quickly and burst blood vessels, especially
in the brain.
E) The oxygen molecule expands upon ascent and bursts, therefore causing a lack of oxygen to
the tissues
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B) Nitrogen gas bubbles form in the blood, joints, and nervous system as pressure decreases from too fast an ascent.
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Gangrene is often caused by anaerobic bacteria deep in tissues that lack adequate blood flow and
adequate oxygen supply. Many times, gangrene can be treated by putting the patient into a
hyperbaric chamber. Which statement best describes why this type of therapy is effective?
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The increased pressure drives more oxygen into the bloodstream and, therefore, anaerobic bacteria cannot survive in the presence of oxygen
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The mixing of atmospheric air within the dead space of the conducting zone of the lung upon
inspiration results in a partial pressure of
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oxygen in the alveoli that is lower than atmospheric
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Which of the following causes a decrease in the PO2 of air as it enters the conducting zone of the lungs?
A) warming of the air
B) the increasing PCO2
C) humidifying the air
D) the consumption of oxygen
E) decreasing alveolar PO2
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C) humidifying the air
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Pulmonary edema describes a condition where the uptake of oxygen and unloading of carbon
dioxide is reduced as a consequence of a(n)
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thickening of the diffusion barrier by fluid accumulation in the alveoli
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Your patient is in the hospital due to left heart failure. In your observation, you notice that she has a
very low pulse oximeter reading, her skin is turning blue, and she appears to be in respiratory
distress (rapid shallow breathing). You immediately call the doctor because you recognize that
these symptoms indicate ________,a life-threatening situation.
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pulmonary edema
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What is the most common cause of pulmonary edema?
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left heart failure
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) During intense exercise, the metabolic activity of muscle causes ________ in the partial pressure of
oxygen in the tissue, ________ the movement of oxygen into the tissue.
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a decrease, facilitating
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Mixed venous blood samples can be taken from which of the following blood vessels?
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pulmonary artery
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The venous blood in the right ventricle is referred to as "mixed" because the blood that enters the
hear
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comes from tissue with differing metabolic activities
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What is an increase in alveolar ventilation to match the demands of increased metabolic activity in
the cells called?
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hyperpnea
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Hyperventilation would lead to a(n) ________ within the systemic arteries
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increase in PO2 and decrease in PCO2
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Hypoventilation would lead to a(n) ________ within the systemic arteries.
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decrease in PO2 and increase in PCO2
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What is a decrease in carbon dioxide within the blood called?
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hypocapnia
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What percentage of oxygen is transported in the plasma?
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1.5%
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What percentage of oxygen is transported by hemoglobin?
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98.5%
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The majority of oxygen present within the blood is
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bound to hemoglobin in RBCs
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Each ________ on the hemoglobin subunit is capable of binding an oxygen molecule, thereby
allowing ________ oxygen to bind with one hemoglobin molecule.
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heme, four
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What is the primary driving force for the binding of oxygen to hemoglobin?
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PO2
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Which statement best describes why the law of mass action explains the loading and unloading of
oxygen in hemoglobin?
A) As oxygen levels in the pulmonary capillaries decrease, more carbaminohemoglobin is
formed due to the concentration of carbon dioxide.
B) The mass of both carbon dioxide and oxygen is the same and therefore they exchange at the
same rates
C) As oxygen level rises, so does the pressure, which breaks the bonds of hemoglobin thereby
releasing hemoglobin to the tissues.
D) Oxygen has a greater mass than carbon dioxide and therefore can load more quickly than
carbon dioxide.
E) As oxygen levels in the pulmonary capillaries increase, more oxyhemoglobin is formed.
Conversely, as oxygen levels in the systemic capillaries decrease, the reaction reverses and
releases oxygen from hemoglobin.
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E) As oxygen levels in the pulmonary capillaries increase, more oxyhemoglobin is formed.
Conversely, as oxygen levels in the systemic capillaries decrease, the reaction reverses and
releases oxygen from hemoglobin.
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If hemoglobin is saturated (1.3 mL of oxygen per gram) and there are 150 grams of hemoglobin per
liter of blood, how much oxygen can be delivered to the tissue if cardiac output is 15 liters per
minute?
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2925 mL O2/min
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What is the definition of anemia?
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a decrease in the oxygen carrying capacity of the blood
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What is labored or difficult breathing called?
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dyspnea
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What is a deficiency of oxygen in the tissues called?
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hypoxia
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What is rapid shallow breathing called?
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tachypnea
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What is a decrease in oxygen in the blood called?
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hypoxemia
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As oxygen binds to hemoglobin, the ________ of the hemoglobin molecule will change through a
process of ________ such that the binding of oxygen is enhanced
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affinity, positive cooperativity
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Which of the following statements is FALSE regarding a leftward shift in the hemoglobin-oxygen dissociation curve?
A) It can be caused by an increase in blood pH.
B) It can be caused by an increase in PCO2. C) Oxygen loading onto the hemoglobin is increased.
D) Hemoglobin is more saturated at a given PO2.
E) Affinity for oxygen is increased.
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B) it can be caused by an increase in PCO2
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Which of the following statements is FALSE regarding a rightward shift in the hemoglobin-oxygen dissociation curve?
A) Hemoglobin unloading of oxygen is increased.
B) Oxygen loading onto hemoglobin is decreased.
C) Affinity for oxygen is decreased.
D) A rightward shift usually occurs in active tissue.
E) It can be caused by a decrease in 2,3-BPG.
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E) It can be caused by a decrease in 2,3-BPG
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Which of the following will cause a shift in the hemoglobin-oxygen dissociation curve to the right?
A) increase in temperature only B) increase in plasma pH only
C) increase in 2,3-BPG (2,3-bisphosphoglycerate) only
D) both an increase in temperature and an increase in 2,3-BPG
E) both an increase in temperature and an increase in plasma pH
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D) both an increase in temperature and an increase in 2,3-BPG
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As it leaves the lung in the pulmonary vein, blood is ________ saturated with oxygen
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98%
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Which of the following increases oxygen unloading from hemoglobin? A) decreased temperature
B) increased carbon dioxide in the tissue
C) increased oxygen levels in the tissue
D) decreased metabolism
E) increased blood pH
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B) increased carbon dioxide in the tissue
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Which of the following will increase the unloading of oxygen within the tissue?
A) increased hydrogen ion concentration only
B) increased PCO2 only
C) increased body temperature only D) both increased hydrogen ion concentration and increased body temperature
E) increased hydrogen ion concentration, increased body temperature, and increased PCO2
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E) increased hydrogen ion concentration, increased body temperature, and increased PCO2
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Which of the following will increase the loading of oxygen onto the hemoglobin molecule within
the lungs?
A) increased PCO2
B) increased body temperature
C) decreased hydrogen ion concentration
D) increased 2,3-bisphosphoglycerate (2,3-BPG)
E) decreased pH
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C) decreased hydrogen ion concentration
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In the systemic arteries, the partial pressure of oxygen is approximately ________, and hemoglobin
is approximately ________ saturated with oxygen
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100 mm Hg, 98%
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In the pulmonary arteries, the partial pressure of oxygen is approximately ________, and
hemoglobin is approximately ________ saturated with oxygen.
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40 mm Hg, 75%
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Which statement best describes why oxygen is unloaded in tissue that is highly active?
A) As temperature increases, the Bohr effect causes hemoglobin to release oxygen.
B) As temperature increases, the carbamino effect causes hemoglobin to release oxygen. C) Highly active tissues produce more carbon dioxide, which competes for the heme groups in
hemoglobin, thereby displacing oxygen.
D) As temperature increases, the affinity for oxygen to hemoglobin increases, allowing more
oxygen to be carried to the tissues.
E) As temperature increases due to increased metabolism, the affinity of hemoglobin for oxygen
is decreased.
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E) as temperature increases due to increased metabolism, the affinity of hemoglobin for oxygen is decreased
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Which statement best describes the Bohr effect?
A) The Bohr effect refers to a decrease in pH which decreases the affinity of hemoglobin for
oxygen.
B) The Bohr effect refers to the cascading events that must take place in order to chemically
remove oxygen from hemoglobin. C) The Bohr effect refers to the release of a chemical 2,3 BPG from erythrocytes that degrades
hemoglobin and releases oxygen.
D) The Bohr effect speeds up metabolism and therefore increases the temperature in the body
releasing oxygen to the tissues.
E) The Bohr effect refers to a decrease in carbon dioxide concentration which decreases the
affinity of hemoglobin for oxygen.
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A) The Bohr effect refers to a decrease in pH which decreases the affinity of hemoglobin for oxygen
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The carbamino effect describes a change in the conformation of hemoglobin that is induced by a(n)
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increase in CO2
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Which of the following statements about 2,3-BPG is FALSE?
A) 2,3-BPG synthesis is inhibited by high levels of oxyhemoglobin.
B) 2,3-BPG increases the affinity of hemoglobin for oxygen.
C) 2,3-BPG is produced by red blood cells.
D) 2,3-BPG produces a rightward shift in the hemoglobin-oxygen dissociation curve.
E) 2,3-BPG is an intermediate of glycolysis.
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B) 2,3-BPG increases the affinity of hemoglobin for oxygen.
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Where in blood does the conversion of CO2 to bicarbonate occur?
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erythrocytes
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What is the primary mechanism of carbon dioxide transport in blood?
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as bicarbonate dissolved in the plasma
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Which statement best describes how people die of carbon monoxide poisoning?
A) Carbon monoxide is toxic because it binds more readily to hemoglobin than oxygen, thereby
decreasing the oxygen carrying capacity of blood. B) Carbon monoxide causes decompression sickness which can lead to death.
C) Carbon monoxide is toxic because it readily picks up oxygen to produce carbon dioxide,
causing acidosis and eventual death.
D) As the carbon dioxide content of blood increases, a phenomenon known as the Haldane effect
converts the excess carbon dioxide to carbon monoxide until it reaches toxic levels.
E) Carbon monoxide causes the carbamino effect where carbon dioxide is stripped of an oxygen,
producing carbon monoxide.
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A) Carbon monoxide is toxic because it binds more readily to hemoglobin than oxygen, thereby
decreasing the oxygen carrying capacity of blood.
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The presence of bicarbonate ions in the blood has an important direct effect, aside from the
transport of CO2, that involves
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maintaining acid-base balance
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Within an erythrocyte, the conversion of CO2 to bicarbonate is prevented from reaching equilibrium by the
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efflux of bicarbonate from the erythrocyte via the chloride shift
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The hydrogen ions released by the dissociation of carbonic acid are buffered by their
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binding to hemoglobin
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The Haldane effect describes the increase in the affinity of hemoglobin for CO2 in the presence of a lowered
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PO2
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During quiet breathing, a person's breathing cycle consists of
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contraction and relaxation of inspiratory muscles
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Which of the following nerves has activity during quiet inspiration? A) phrenic nerve only
B) internal intercostal nerve only
C) external intercostal nerve only
D) both the phrenic nerve and internal intercostal nerves E) both the phrenic nerve and external intercostal nerves
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E) both the phrenic nerve and external intercostal nerves
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During active breathing, bursts of action potentials are observed to occur
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asynchronously in the inspiratory and expiratory motor neurons
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The ________ is the respiratory center that appears to facilitate the transition between inspiration
and expiration.
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pontine respiratory group
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In the model for quiet breathing, expiration is induced by
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abrupt termination of inspiration
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Coughing is initiated by ________ located in the ________.
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irritant receptors, trachea
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Peripheral chemoreceptors are specialized cells in contact with arterial blood that respond directly
to changes in blood
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PO2, pH, and PCO2
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Central chemoreceptors are neurons in the medulla that respond directly to changes in
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cerebrospinal fluid pH.
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Chemoreceptors respond primarily to changes in PCO2 indirectly by its effect on
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hydrogen ion concentration.
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Hyperventilation will cause changes in PCO2 that are detected by the chemoreceptors which causes a(n)
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decrease in breathing rate and depth of breathing.
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Which of the following best describes a chemoreceptor response to PO2?
A) Peripheral chemoreceptors respond to small changes in PO2.
B) Central chemoreceptors do not respond to changes in PO2.
C) Central chemoreceptors respond to only large decreases in PO2.
D) Peripheral chemoreceptors respond only indirectly to PO2.
E) Peripheral chemoreceptors respond to oxyhemoglobin.
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Central chemoreceptors do not respond to changes in PO2.
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A decrease in PCO2 within the lung will result in a ________ in the pulmonary vasculature and a ________ in the bronchioles
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weak vasodilation : bronchoconstriction
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A local bronchodilation within the alveolus will result in a(n) ________ in the ventilation-perfusion ratio in that region. A vasoconstriction of pulmonary arteriole diameter will result in a(n) ________
in the ventilation-perfusion ratio in that region.
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increase : increase
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The primary effect of increased PO2 in the lungs is to cause ________ which ________ the ventilation-perfusion ratio back to a normal level.
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vasodilation : decreases
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The primary effect of increased PCO2 in the lungs is to cause ________ which ________ the ventilation-perfusion ratio back to a normal level.
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bronchodilation : increases
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What is the normal pH range for blood?
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7.38-7.42
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Which statement best describes the effect on the body due to pH changes either above or below the
normal range?
A) Changes in pH can only lower pH causing acidosis, meaning organs deteriorate due to high
levels of acid.
B) pH ranges vary throughout the body; therefore, blood pH has no detrimental effects on the
body as it changes pH. C) Changes in pH out of the normal range are normal and will not have any detrimental effects
on the body.
D) Changes in pH destroy the nephrons of the kidney, making kidney failure is inevitable.
E) Changes in pH can denature proteins that serve as enzymes and receptors throughout the
body, resulting in widespread effects on the body.
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Changes in pH can denature proteins that serve as enzymes and receptors throughout the
body, resulting in widespread effects on the body.
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When the blood becomes ________, it can lead to a depression in the activity of the central nervous
system
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acidic
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The buffering capacity of hemoglobin is directly related to its ability to bind with
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hydrogen ions.
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Bicarbonate is an important buffer in blood and its concentration is regulated by the
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kidneys.
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A change in the ratio of bicarbonate to carbon dioxide concentration in the blood will
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change blood pH.
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Respiratory acidosis will result from a(n)
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increase in blood CO2 concentration
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Assuming resting conditions at sea level, what is the partial pressure of oxygen in air?
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160 mm Hg
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Assuming resting conditions at sea level, what is the partial pressure of oxygen in alveoli?
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100 mm Hg
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Assuming resting conditions at sea level, what is the partial pressure of carbon dioxide in alveoli?
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40 mm Hg
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Assuming resting conditions at sea level, what is the partial pressure of oxygen in pulmonary
veins?
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100 mm Hg
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Assuming resting conditions at sea level, what is the partial pressure of carbon dioxide in
pulmonary veins?
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40 mm Hg
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Assuming resting conditions at sea level, what is the partial pressure of oxygen in systemic
arteries?
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100 mm Hg
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Assuming resting conditions at sea level, what is the partial pressure of carbon dioxide in systemic
arteries?
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40 mm Hg
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Assuming resting conditions at sea level, what is the partial pressure of oxygen in systemic veins?
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40 mm Hg
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Assuming resting conditions at sea level, what is the partial pressure of carbon dioxide in systemic
veins?
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46 mm Hg
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Assuming resting conditions at sea level, what is the partial pressure of oxygen in pulmonary
arteries?
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40 mm Hg
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A decrease in the affinity of hemoglobin for oxygen caused by the binding of carbon dioxide to
hemoglobin is described by the
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carbamino effect
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A decrease in the affinity of hemoglobin for oxygen caused by the binding of a hydrogen ion to
hemoglobin is described by the
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Bohr effect.
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A decrease in the affinity of hemoglobin for carbon dioxide caused by the binding of oxygen to
hemoglobin is described by the
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carbamino effect.
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At an altitude where atmospheric pressure is 500 mm Hg, what is the partial pressure of oxygen?
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105 mm Hg
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A decrease in the affinity of oxygen for hemoglobin is reflected as a ________ shift in the
hemoglobin-oxygen dissociation curve, which would facilitate the ________ of oxygen.
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rightward : unloading
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What is the partial pressure of nitrogen if it accounts for 20% of a mixed gas with a total pressure of
1000 mm Hg?
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200 mm Hg
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Respiratory acidosis can occur during
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hypoventilation.
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Over a period of time and under resting conditions, the amount of carbon dioxide generated by the
body is greater than the amount of oxygen the body consumes.
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False
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The average respiratory quotient at rest and on a mixed diet is 0.5.
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False
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The partial pressure of an individual gas within a mixture of gases is determined by the total
pressure of those gases and the fractional concentration of that gas in the mixture.
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True
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The most abundant gas in air is oxygen.
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False
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The percentage of air that is oxygen decreases as altitude increases.
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False
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At the same partial pressure, all gases in a solution will be at equal concentration.
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False
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Dalton's law describes the solubility of a gas in a liquid.
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False
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Oxygen is much more soluble in aqueous solution than carbon dioxide.
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False
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There is a substantial safety margin for the uptake of gases in the alveolus because at rest, blood is
completely oxygenated after traveling only 1/3 the length of the pulmonary capillary bed.
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True
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In active skeletal muscle, the gradient for oxygen movement into the muscle is increased by a
decreased PO2 within the muscle cell.
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True
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The blood in the pulmonary vein is called mixed venous blood.
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False
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Hyperpnea describes the increase in ventilation that occurs to meet an increase in metabolic
demands of the tissues.
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True
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A decrease in oxygen-carrying capacity can result from alterations in hemoglobin structure or concentration.
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True
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Hyperventilation decreases blood pH.
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False
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The compound 2,3-bisphosphoglycerate is a metabolic intermediate of glycolysis within the erythrocyte that can affect the binding of oxygen to hemoglobin.
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True
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Hemoglobin has a greater affinity for oxygen in the lungs than it does in respiring tissue.
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True
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Carbaminohemoglobin is hemoglobin with carbon dioxide bound to it
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True
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The reaction catalyzed by carbonic anhydrase is an irreversible reaction.
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False
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As blood flows through systemic capillaries, carbonic acid dissociates into a bicarbonate ion and a
hydrogen ion within the erythrocyte; the bicarbonate is moved out by the chloride shift while the
hydrogen ion binds with hemoglobin.
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True
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The Haldane effect refers to the decrease in affinity of oxyhemoglobin for carbon dioxide.
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True
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The Bohr effect describes the effects of pH on the affinity of hemoglobin for oxygen.
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True
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The inspiratory neurons of the ventral and dorsal respiratory groups stimulate motor neurons in
the phrenic nerve, which stimulates contraction of the diaphragm.
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True
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The central chemoreceptor responds to hydrogen ions generated from the dissociation of hydrogen
from carbonic acid and lactic acid produced by active skeletal muscle.
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False
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The chemoreceptor reflex regulates ventilation primarily through sensing changes in blood PO2.
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False
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The resistance of the airways is controlled by bronchioles that are sensitive to changes in PCO2
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True
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A respiratory acidosis is cause by increased carbon dioxide within the blood
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True
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Hemoglobin can bind O2, CO2 and H+ all at the same time.
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False