Ch13 Respiratory System PRACTICE – Flashcards

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The Nasal cavity is indicated by letter _________.
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A
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The right main primary bronchus is indicated by letter _______.
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H
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The trachea is indicated by letter __________
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I
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The diaphragm muscle is indicated by letter __________
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G
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The oral cavity is indicated by letter __________
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C
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The base of the right lung is indicated by letter __________
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F
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The nostrils are indicated by letter __________
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B
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The apex of the right lung is indicated by letter __________
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E
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The larynx is indicated by letter __________
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D
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The pharynx is indicated by letter __________.
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J
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The three mucosa-covered projections into the nasal cavity that greatly increase surface area of mucosa exposed to air are called __________
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conchae
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The anterior portion of the palate that is supported by bone is called the __________
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hard palate
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The three regions of the pharynx are the __________
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nasopharynx, oropharynx, laryngopharynx
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Inflammation of the sinuses that can cause marked changes in voice quality is called __________
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sinusitis
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The large shield-shaped thyroid cartilage that protrudes anteriorly is commonly called the __________
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Adam's apple
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The mucosa-lined windpipe that extends from the larynx to the level of the fifth thoracic vertebra is called the __________
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trachea
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Clusters of lymphatic tissue in the pharynx are referred to as _________
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tonsils
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The opening between the vocal folds is called the __________
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glottis
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The C-shaped rings that reinforce the trachea are constructed of __________ cartilage.
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hyaline
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The flap of elastic cartilage that protects the opening of the larynx is called the __________
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epiglottis
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Folds of mucous membrane called __________ vibrate to provide speech.
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vocal folds or true vocal cords
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The serous membrane that surrounds each lung is created by a parietal and visceral __________
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pleura
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The division of the trachea produces two tubes called the right and left main (primary) __________
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bronchus
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"Dust cells" that wander in and out of the alveoli, picking up bacteria, carbon particles, and other debris, are actually __________
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macrophages
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The air sacs of the lungs are called __________.
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alveoli
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The process of moving air into and out of the lungs is commonly called breathing or __________.
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pulmonary ventilation
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Gas exchange between the blood and tissue cells is called __________
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internal respiration
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The inspiratory muscles that contract so we can inspire air are the __________ and __________.
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diaphragm; external intercostals
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The presence of air in the intrapleural space is known as __________.
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pneumothorax
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Normal quiet breathing moves about __________ mL of air into and out of the lungs with each breath.
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500
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A mechanism that clears the upper respiratory passages, which is similar to a cough except that the expelled air is directed through the nasal cavities instead of the oral cavity, is called a __________.
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sneeze
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Air that remains in the conducting zone passageways and never reaches the alveoli is called the __________.
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dead space volume
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Respiratory capacities are measured with a __________.
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spirometer
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During __________, oxygen binds to hemoglobin to form oxyhemoglobin.
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external respiration
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__________ is an odorless, colorless gas which binds preferentially with the same binding site on hemoglobin.
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Carbon monoxide
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Most carbon dioxide is dissolved in blood plasma and transported as __________.
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bicarbonate ion
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Inadequate oxygen delivery to body tissues is called __________.
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hypoxia
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The portions of the brain that contain respiratory centers and set the breathing rate are the __________.
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medulla oblongata and pons
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A normal respiratory rate of about 12-15 breaths per minute is called __________.
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eupnea
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The most important stimulus for breathing in a healthy person is the body's need to rid itself of the blood gas called __________.
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carbon dioxide
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In order to return acidic blood pH to normal, breathing becomes deeper and more rapid, a phenomenon known as __________.
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hyperventilation
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The fatty molecule made by alveolar cells known as __________ reduces surface tension prevents alveoli collapse between breaths.
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surfactant
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Gas exchange occurs in the: A) nose B) pharynx C) larynx D) trachea E) alveoli
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E) alveoli
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The respiratory conducting passageways perform all of the following functions EXCEPT: A) allow air to reach the lungs B) purify air C) humidify air D) exchange gases E) warm incoming air
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D) exchange gases
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Which one of the following terms does NOT apply to the nose: A) external nares B) nasopharynx C) nostrils D) nasal cavity E) nasal septum
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B) nasopharynx
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What is the role of mucus in the nasal cavity: A) increase the air turbulence in the nasal cavity B) separate the oral from the nasal cavity C) lighten the skull D) act as a resonance chamber for speech E) trap incoming bacteria and other foreign debris
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E) trap incoming bacteria and other foreign debris
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The nasal cavity is separated from the oral cavity by: A) the hard palate B) the nasal conchae C) the soft palate D) both the hard and soft palate E) both the nasal conchae and hard palate
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D) both the hard and soft palate
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Which one of the following bones does NOT contain paranasal sinuses: A) frontal B) sphenoid C) mandible D) ethmoid E) maxilla
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C) mandible
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Which tonsil(s) is/are located in the oropharynx at the end of the soft palate: A) adenoid B) pharyngeal tonsil C) thymus gland D) palatine tonsils E) lingual tonsils
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D) palatine tonsils
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Air from the nasal cavity enters the superior portion of the pharynx called the: A) nasopharynx B) oropharynx C) palatopharynx D) laryngopharynx E) tracheopharynx
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A) nasopharynx
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The pharynogotympanic tubes, which drain the middle ear, open into the: A) nasopharynx B) oropharynx C) palatopharynx D) laryngopharynx E) tracheopharynx
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A) nasopharynx
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Contaminated mucus is removed from the lower respiratory passageways, such as the trachea, by: A) flagella B) yawning C) contractions of smooth muscles D) cilia E) laughing
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D) cilia
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Following the removal of the larynx, a person would be unable to: A) speak B) sneeze C) eat D) hear E) breathe
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A) speak
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The opening between the vocal cords is called the: A) epiglottis B C) larynx D) thyroid cartilage E) esophagus
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B) glottis
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The flap of elastic cartilage that protects food from entering the larynx when swallowing is the: A) glottis B) thyroid cartilage C) Adam's apple D) epiglottis E) trachea
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D) epiglottis
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Vibration due to exhaled air that results in speech is a function of the: A) complete voice box B) true vocal cords C) false vocal cords D) glottis E) epiglottis
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B) true vocal cords
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Terminal bronchioles eventually terminate in: A) alveoli B) bronchioles C) main (primary) bronchi D) glottis E) diaphragm
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A) alveoli
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The serous membrane covering the surface of the lungs is called the: A) mediastinum B) visceral pleura C) parietal pleura D) main (primary) bronchi E) pleurisy
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B) visceral pleura
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Which one of the following is NOT true of the lungs: A) the narrower portion of each lung is called the apex B) the bases rest on the diaphragm C) the left lung has two lobes D) the right lung has three lobes E) both lungs have two lobes
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E) both lungs have two lobes
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When oxygen enters the respiratory system, what is the next structure to which it travels immediately upon leaving the trachea: A) bronchioles B) alveoli C) pleura D) main (primary) bronchi E) tertiary bronchi
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D) main (primary) bronchi
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Which one of the following structures is NOT part of the respiratory zone: A) respiratory bronchioles B) alveolar ducts C) alveolar sacs D) alveoli E) primary bronchi
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E) primary bronchi
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Which of the following is NOT one of the four main events of respiration: A) pulmonary ventilation B) respiratory gas transport C) residual volume D) external respiration E) internal respiration
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C) residual volume
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Exchange of both oxygen and carbon dioxide through the respiratory membrane occurs by: A) osmosis B) simple diffusion C) facilitated diffusion D) active transport E) endocytosis
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B) simple diffusion
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The lipid molecule critical to lung function that coats the gas-exposed alveolar surfaces is called: A) surfactant B) interferon C) kinin D) renin E) lecithin
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A) surfactant
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Air moving in and out of the lungs is called: A) internal respiration B) inspiration C) external respiration D) expiration E) pulmonary ventilation
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E) pulmonary ventilation
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Which one of the following is NOT true of inspiration: A) contraction of the diaphragm muscle helps increase the size of the thoracic cavity B) relaxation of the external intercostal muscles helps increase the size of the thoracic cavity C) increased intrapulmonary volume causes inhaled gases to spread out D) the decreased gas pressure produces a partial vacuum that forcibly sucks air in E) air continues to move into the lungs until intrapulmonary pressure equals atmospheric pressure
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B) relaxation of the external intercostal muscles helps increase the size of the thoracic cavity
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The gas exchange that occurs between blood and tissue cells at systemic capillaries is called: A) pulmonary ventilation B) expiration C) internal respiration D) external respiration E) respiratory gas transport
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C) internal respiration
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Expiration (exhalation) occurs when: A) diaphragm and intercostal muscles contract B) air moves into the lungs C) intrapulmonary volume increases D) diaphragm and intercostal muscles relax E) intrapulmonary pressure decreases
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D) diaphragm and intercostal muscles relax
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Which nonrespiratory air movement clears the upper respiratory passageways: A) coughing B) yawning C) laughing D) hiccupping E) sneezing
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E) sneezing
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The presence of air in the intrapleural space is known as: A) atelectasis B) asthma C) hypoxia D) pleurisy E) pneumothorax
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E) pneumothorax
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The respiratory movement representing the total amount of exchangeable air is the: A) tidal volume B) inspiratory reserve volume C) expiratory reserve volume D) vital capacity E) dead space volume
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D) vital capacity
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The amount of air that can be forcibly exhaled after a tidal expiration is about: A) 500 mL B) 1200 mL C) 2100 mL D) 4800 mL E) 6000 mL
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B) 1200 mL
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The amount of air exchanged during normal quiet breathing is about: A) 500 mL B) 1200 mL C) 2100 mL D) 4800 mL E) 6000 mL
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A) 1200 mL
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Carbon dioxide dissolves in blood plasma for transport as: A) carbohemoglobin B) bicarbonate ion C) oxyhemoglobin D) carbon monoxide E) deoxyhemoglobin
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B) bicarbonate ion
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Oxygen binds with hemoglobin in the blood to form: A) bicarbonate ion B) oxyhemoglobin C) carbonic acid D) carbon dioxide E) plasma
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B) oxyhemoglobin
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The bluish cast that results from inadequate oxygenation of the skin and mucosa is called: A) cyanosis B) xanthosis C) melanosis D) albinism E) erythema
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A) cyanosis
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Where are the respiratory centers housed which control involuntary breathing rates: A) hypothalamus and thalamus B) cerebellum and occipital lobe C) midbrain and medulla D) medulla and pons E) thalamus and corpus callosum
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D) medulla and pons
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Cessation of breathing is called: A) apnea B) dyspnea C) eupnea D) hyperpnea E) tachypnea
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A) apnea
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Hypoventilation dramatically increases carbonic acid concentration and involves: A) extremely deep breathing B) extremely fast breathing C) extremely slow breathing D) intermittent breathing E) irregular breathing
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C) extremely slow breathing
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Hyperventilation leads to all of the following except: A) brief periods of apnea B) cyanosis C) dizziness D) fainting E) buildup of carbon dioxide in the blood
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E) buildup of carbon dioxide in the blood
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The most important chemical stimulus leading to increased rate and depth of breathing is: A) decreased oxygen level in the blood B) increased blood pH C) increased carbon dioxide in the blood D) increased hydrogen ion in the blood E) decreased carbon dioxide in the blood
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C) increased carbon dioxide in the blood
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Which one of the following is NOT a feature of COPD: A) most patients have a genetic predisposition to COPD B) dyspnea becomes progressively more severe C) frequent pulmonary infections are common D) most COPD victims are hypoxic E) most patients have a history of smoking
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A) most patients have a genetic predisposition to COPD
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Which congenital respiratory disease results in the oversecretion of mucus and clogging of respiratory passageways: A) asthma B) emphysema C) cleft palate D) atelectasis E) cystic fibrosis
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E) cystic fibrosis
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The molecule that prevents lung collapse by lowering the surface tension of the water film lining each alveolar sac is called: A) resorbin B) renin C) lecithin D) surfactant E) fibrosin
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D) surfactant
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Surfactant is usually present in fetal lungs in adequate quantities by: A) 20-22 weeks of pregnancy B) 22-24 weeks of pregnancy C) 24-26 weeks of pregnancy D) 26-28 weeks of pregnancy E) 28-30 weeks of pregnancy
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E) 28-30 weeks of pregnancy
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The abbreviation IRDS stands for: A) infant respiratory disease state B) intermittent respiratory distress state C) infant respiratory distress syndrome D) intermittent respiratory disease syndrome E) infant respiratory disease syndrome
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C) infant respiratory distress syndrome
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What is the most common cause for lung cancer: A) diet B) work environment C) asthma D) hereditary E) smoking
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E) smoking
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The respiratory rate in adults is: A) 5-10 respirations per minute B) 12-18 respirations per minute C) 20-25 respirations per minute D) 30 respirations per minute E) over 40 respirations per minute
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B) 12-18 respirations per minute
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The homeostatic imbalance associated with the death of many full-term newborn infants is called: A) CF B) SIDS C) CTRL D) COPD E) IRDS
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B) SIDS
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Obstruction of the trachea by a piece of food can lead to: A) hemothorax B) pleurisy C) aspiration pneumonia D) pneumothorax E) pulmonary tamponade
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C) aspiration pneumonia
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Which of these age-related disorders is related to loss of elasticity of the lungs and hypoxia: A) asthma B) sleep apnea C) tuberculosis D) pneumonia E) sudden infant death syndrome
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B) sleep apnea
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Which one of the following is NOT true of lung cancer: A) it accounts for one-third of all cancer deaths in the U.S. B) its incidence is currently increasing C) it is generally more prevalent in males than females D) most types of lung cancer are very aggressive E) lung cancers often metastasize rapidly and widely
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C) it is generally more prevalent in males than females
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True or False The ciliated cells of the nasal mucosa propel contaminated mucus posteriorly toward the pharynx.
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TRUE
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True or False The nasal cavity is separated from the oral cavity by the nasal conchae.
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FALSE
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True or False There are only three paranasal sinuses located in the frontal, sphenoid, and parietal bones.
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FALSE
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True or False The portion of the pharynx continuous with the mouth is termed the oropharynx.
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TRUE
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True or False The tonsils are located in the larynx.
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FALSE
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True or False The larynx routes air and food into their proper channel and plays an important role in speech production.
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TRUE
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True or False The "guardian of the airways" that prevents food from entering the superior opening of the larynx is the thyroid cartilage.
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FALSE
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True or False The function of the C-rings of hyaline cartilage in the trachea is to keep the airway patent or open for breathing.
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TRUE
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True or False The emergency surgical opening of the trachea is called a tracheostomy.
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TRUE
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True or False Each main (primary) bronchus enters the lung at the apex.
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FALSE
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True or False The lungs are housed in the mediastinum of the thoracic cavity.
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FALSE
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True or False The bronchioles are the smallest of the conducting passageways in the lungs.
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TRUE
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True or False The parietal pleura is superficial to the visceral pleura.
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TRUE
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True or False The respiratory membrane is the air-blood barrier, where gases are exchanged.
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TRUE
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True or False The respiratory zone includes the respiratory bronchioles, alveolar ducts, alveolar sacs, and alveoli.
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TRUE
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True or False The process of breathing is known as pulmonary ventilation.
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TRUE
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True or False Inspiration results when the diaphragm and external intercostal muscles relax.
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FALSE
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True or False Expiration occurs when the thoracic and intrapulmonary volumes decrease and the intrapulmonary pressure increases.
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TRUE
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True or False The amount of air that can be forcibly inhaled over the tidal volume is around 3100 mL.
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TRUE
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True or False Normal quiet breathing, known as tidal volume, is around 500 mL of air.
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TRUE
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True or False Sudden inspirations resulting from spasms of the diaphragm are hiccups.
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TRUE
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True or False Bronchial sounds are produced as air fills the alveoli of the lungs.
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FALSE
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True or False Wheezing is a whistling sound associated with diseased respiratory tissue, mucus, or pus.
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TRUE
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True or False According to the laws of diffusion, movement of a respiratory gas occurs toward the area of higher concentration of that particular respiratory gas.
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FALSE
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True or False The general term for inadequate oxygen delivery to body tissues regardless of the cause is called hypoxia.
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TRUE
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True or False Venous blood in systemic circulation is poorer in oxygen and richer in carbon dioxide.
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TRUE
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True or False Hyperpnea results from exercise when breathing becomes deeper and more vigorous.
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TRUE
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True or False The lungs of the fetus are filled with air late in pregnancy.
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FALSE
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True or False Changes in oxygen levels in the blood are the most important stimuli for breathing in a healthy person.
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FALSE
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Passageway for both food and air; known as the "throat" A) surfactant B) mucous C) nasal conchae D) bronchioles E) larynx F) diaphragm G) trachea H) pleura I) epiglottis J) mucus K) main (primary) bronchi L) glottis M) alveoli N) pharynx
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N) pharynx
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Rigid, patent airway reinforced with C-rings of hyaline cartilage A) surfactant B) mucous C) nasal conchae D) bronchioles E) larynx F) diaphragm G) trachea H) pleura I) epiglottis J) mucus K) main (primary) bronchi L) glottis M) alveoli N) pharynx
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G) trachea
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Routes air and food into their proper channels A) surfactant B) mucous C) nasal conchae D) bronchioles E) larynx F) diaphragm G) trachea H) pleura I) epiglottis J) mucus K) main (primary) bronchi L) glottis M) alveoli N) pharynx
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E) larynx
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Protects the superior opening of the larynx during swallowing A) surfactant B) mucous C) nasal conchae D) bronchioles E) larynx F) diaphragm G) trachea H) pleura I) epiglottis J) mucus K) main (primary) bronchi L) glottis M) alveoli N) pharynx
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I) epiglottis
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Serous membranes surrounding the lungs A) surfactant B) mucous C) nasal conchae D) bronchioles E) larynx F) diaphragm G) trachea H) pleura I) epiglottis J) mucus K) main (primary) bronchi L) glottis M) alveoli N) pharynx
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H) pleura
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Lipid (fat) molecule produced by the alveoli to prevent alveoli collapse A) surfactant B) mucous C) nasal conchae D) bronchioles E) larynx F) diaphragm G) trachea H) pleura I) epiglottis J) mucus K) main (primary) bronchi L) glottis M) alveoli N) pharynx
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A) surfactant
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Smallest conducting passageways in the lungs A) surfactant B) mucous C) nasal conchae D) bronchioles E) larynx F) diaphragm G) trachea H) pleura I) epiglottis J) mucus K) main (primary) bronchi L) glottis M) alveoli N) pharynx
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D) bronchioles
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Part of the respiratory zone, these air sacs are the sites of gas exchange A) surfactant B) mucous C) nasal conchae D) bronchioles E) larynx F) diaphragm G) trachea H) pleura I) epiglottis J) mucus K) main (primary) bronchi L) glottis M) alveoli N) pharynx
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M) alveoli
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Involves using the uvula to close the oral cavity off from the pharynx in order to clear the upper respiratory passages A) crying B) sneezing C) coughing D) hiccupping E) yawning F) laughing G) throat-clearing
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B) sneezing
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An emotionally induced response that produces air movements similar to crying A) crying B) sneezing C) coughing D) hiccupping E) yawning F) laughing G) throat-clearing
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F) laughing
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A very deep inspiration formerly believed to be triggered by low oxygen A) crying B) sneezing C) coughing D) hiccupping E) yawning F) laughing G) throat-clearing
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E) yawning
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Primarily an emotionally induced mechanism that involves release of air in a number of short breaths, similar to laughing A) crying B) sneezing C) coughing D) hiccupping E) yawning F) laughing G) throat-clearing
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A) crying
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Blast of upward rushing air that clears the lower respiratory passageways A) crying B) sneezing C) coughing D) hiccupping E) yawning F) laughing G) throat-clearing
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C) coughing
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Sudden inspirations resulting from spasms of the diaphragm A) crying B) sneezing C) coughing D) hiccupping E) yawning F) laughing G) throat-clearing
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D) hiccupping
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Amount of air that can be forcibly exhaled after a normal tidal expiration A) total lung capacity B) tidal volume C) dead space volume D) vital capacity E) conducting zone volume F) inspiratory reserve volume G) residual volume H) expiratory reserve volume
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H) expiratory reserve volume
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Normal, quiet breathing which moves approximately 500 mL of air per breath A) total lung capacity B) tidal volume C) dead space volume D) vital capacity E) conducting zone volume F) inspiratory reserve volume G) residual volume H) expiratory reserve volume
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B) tidal volume
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Air that enters the respiratory tract and remains within the conducting zone passageways A) total lung capacity B) tidal volume C) dead space volume D) vital capacity E) conducting zone volume F) inspiratory reserve volume G) residual volume H) expiratory reserve volume
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C) dead space volume
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Amount of air that can be inhaled forcibly over the tidal volume A) total lung capacity B) tidal volume C) dead space volume D) vital capacity E) conducting zone volume F) inspiratory reserve volume G) residual volume H) expiratory reserve volume
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F) inspiratory reserve volume
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Total amount of exchangeable air A) total lung capacity B) tidal volume C) dead space volume D) vital capacity E) conducting zone volume F) inspiratory reserve volume G) residual volume H) expiratory reserve volume
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D) vital capacity
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Air that remains in the lungs even after the most strenuous expiration A) total lung capacity B) tidal volume C) dead space volume D) vital capacity E) conducting zone volume F) inspiratory reserve volume G) residual volume H) expiratory reserve volume
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G) residual volume
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Sum total of tidal volume, inspiratory reserve volume, and expiratory reserve volume A) total lung capacity B) tidal volume C) dead space volume D) vital capacity E) conducting zone volume F) inspiratory reserve volume G) residual volume H) expiratory reserve volume
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D) vital capacity
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Explain the roles of mucus and cilia in the respiratory system.
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Respiratory mucosa lines the nasal cavity which produces sticky mucus. This mucus moistens the air and traps incoming bacteria and other foreign debris entering the nasal cavity. The ciliated cells of the nasal mucosa move this contaminated mucus posteriorly toward the pharynx where it can be swallowed. The trachea is also lined with ciliated mucosa. These cilia move contaminated mucus toward the throat where it either can be swallowed or spat out.
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List the three regions of the pharynx and identify their relative superior and inferior endpoints in the respiratory passageway.
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The three portions of the pharynx are the nasopharynx, the oropharynx, and the laryngopharynx. The nasopharynx is the superior portion that extends from the nasal cavity to the soft palate. The oropharynx is the central portion that lies between the soft palate and the upper epiglottis. The laryngopharynx is the most inferior portion and is the connecting point to the larynx below.
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What structures does a molecule of oxygen encounter on its way to the alveoli of the lungs from the nose? Trace the pathway.
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Air first encounters the nose by entering through the nares. It travels by the nasal conchae of the nasal cavity, then to the nasopharynx, oropharynx and laryngopharynx. The next structure, the larynx, routes air into the lower respiratory passageways and food into the posterior tube, the esophagus. Air then travels into the windpipe, or trachea, and into the smaller branches, finally reaching the smallest passageways known as bronchioles. The terminal bronchioles end in alveoli, small air sacs, where gas exchange is occurring.
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Identify the two pleural membranes and describe them under normal and disease conditions.
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The pleural membranes, the visceral pleura and the parietal pleura, produce a slippery serous secretion that allows the lungs to glide easily over the thorax wall during breathing. This serous fluid causes the two pleural layers to cling together. They can slide easily from side to side across one another, but they cannot easily be pulled apart. As surface tension of water holds them tightly to each other, the lungs are held tightly to the thorax wall. The pleural space is more of a potential space than an actual space, and it is only during illness or injury that this space becomes apparent, such as with a pneumothorax that can lead to atelectasis.
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Identify and describe the four distinct events that are collectively called respiration.
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Pulmonary ventilation is commonly called breathing and involves the movement of air into and out of the lungs. External respiration is the exchange of gases between the pulmonary blood and the alveoli. Respiratory gas transport is the transport of oxygen and carbon dioxide to and from the lungs and tissue cells of the body via the bloodstream. Internal respiration is the exchange of gases between the blood and tissue cells.
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Describe how oxygen and carbon dioxide are transported in the blood.
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Oxygen is transported in two ways: 1. Most oxygen attaches to hemoglobin molecules on the RBCs to form oxyhemoglobin. 2. A small amount of oxygen dissolves in the plasma for transport. Carbon dioxide is also transported in two ways: 1. Most carbon dioxide dissolves in the plasma as the bicarbonate ion. 2. A small amount of carbon dioxide is carried inside the RBCs bound to hemoglobin (bound to a different site from oxygen).
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Explain how hyperventilation and hypoventilation alter levels of carbon dioxide in the blood.
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As carbon dioxide levels increase, the pH of the blood decreases (becomes more acidic). The respiratory centers in the brain stimulate the inspiratory muscles to contract and increase the breathing rate. Hyperventilation is breathing that is deeper and more rapid than eupnea (normal breathing) and removes more carbonic acid from the blood. If carbon dioxide levels are too low, the blood pH increases (becomes more alkaline). The breathing rate slows (called hypoventilation) to retain more carbonic acid and lower the blood pH.
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