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Example Questions
Example Question #2 : Gas Exchange
There are two types of alvelolar cells that line the alveolar sacs in the lungs. Type I cells participate in gas exchange. What do type II cells do?
They secrete surfactant, a chemical that helps the alveoli close
They also participate in gas exchange
They secrete surfactant and also participate in gas exchange
They secrete surfactant, a chemical that helps the alveoli stay open
They provide structural support to type I cells
They secrete surfactant, a chemical that helps the alveoli stay open
Type II alveolar cells have the ability to differentiate into type I cells if needed. However, they do not participate in gas exchange. They do secrete surfactant, a chemical that helps the alveoli stay open so that gas exchange can occur effectively.
Example Question #3 : Respiratory System
Which of the following may signal a respiratory abnormality?
I. Low concentration of oxygen in the alveoli
II. High concentration of carbon dioxide in the alveoli
III. Contraction of intercostal muscles upon inhalation
Both I and II
Only III
I, II, and III
Only I
Only II
Both I and II
In a healthy individual, the concentration of oxygen in the alveoli is high and that of carbon dioxide is low. This allows oxygen to diffuse out of the alveoli into the blood stream while carbon dioxide diffuses into the alveoli to be eliminated via exhalation. Intercostal muscles and diaphragm contract, enlarging the thoracic cavity. Therefore, options I and II are both correct choices.
Example Question #1 : Gas Exchange
The brain is a very delicate structure with little room to move around. Surrounding the brain and the spinal cord are three protective layers in addition to the skull and the vertebral column. Directly surrounding the brain and spinal cord is the pia mater. Following the pia mater is the arachnoid mater. Between the pia mater and the arachnoid mater is the sub-arachnoid space where the cerebrospinal fluid circulates. Finally, the protective layer is the dura mater is loosely attached to the arachnoid mater but is strongly associated with the skull bone.
Depending on the type of injury, a certain type of vein and/or artery are more susceptible to injury. For example, the meningeal artery and vein run through the foramen spinosum and travel between the two layers making up the dura mater. As the artery and the vein are traveling in between the dura mater, there is a vulnerable region at the temple. A strike to the temple region could rupture these vessels and result in a epidural hematoma.
Traveling from the cerebral cortex to the venous dural sinus (located at certain regions between the two layers of the dura mater) is the cerebral vein. When an injury results in the dura mater shifting away from the arachnoid mater, the cerebral vein could rupture and lead to a subdural hematoma.
When the drainage system is compromised such as during an epidural hematoma, waste product in the blood concentrates. One of the waste products is carbon dioxide. What happens to the blood when the carbon dioxide is not properly removed?
More than one of these
The blood's oxygen level also increases
The hemoglobin's dissociation curve shifts to the left
The blood's pH increases
The blood's pH decreases
The blood's pH decreases
Without proper venous drainage, carbon dioxide level increases in the blood. As the carbon dioxide concentration increases, it reacts with water to create protons. This reaction will lower the blood's pH. The equilibrium reaction is shown below:
Recall Le Chatelier's principle. When the carbon dioxide on the left side of the equation builds up, it drives the reaction to the right. As such, the hydrogen ion concentration will increase, leading to a more acidic solution (plasma) and a lower pH.
Example Question #2 : Respiratory System
Which of the following is NOT a function of the upper respiratory system?
I. Inspired air is saturated with water.
II. Inspired air is filtered for particulates such as pollen.
III. Inspired air is brought to body temperature.
IV. Secretory immunoglobulins (IgA) bind certain antigens.
V. All of these are normal functions of the upper respiratory system.
I
IV
V
II
III
V
By its argumentative phrasing, the question invites the respondent to "bite" on the least commonly discussed function of the respiratory system. Three possible responses are pretty obviously correct, but the statement about immunoglobulins is also true. Recall that IgA is present in secretions such as tears, saliva, and mucous fluids, and it indeed constitutes an important barrier to infectious agents. Some pathogens are capable of destroying this protein, facilitating their attachment to mucosal cells or biofilms.
Example Question #1 : Respiratory System
Which of the following represents the pathway of the respiratory system?
Nasal cavity, trachea, pharynx, larynx, primary bronchi, secondary bronchi, tertiary bronchi, bronchioles, terminal bronchioles, respiratory bronchioles, alveolar duct, alveolar sac
Nasal cavity, pharynx, larynx, trachea, bronchioles, primary bronchi, secondary bronchi, tertiary bronchi, respiratory bronchioles, alveolar duct, alveolar sac
Nasal cavity, pharynx, larynx, trachea, primary bronchi, secondary bronchi, tertiary bronchi, respiratory bronchioles, terminal bronchioles, bronchioles, alveolar duct, alveolar sac
Nasal cavity, pharynx, larynx, trachea, primary bronchi, secondary bronchi, tertiary bronchi, bronchioles, terminal bronchioles, respiratory bronchioles, alveolar duct, alveolar sac
Nasal cavity, larynx, pharynx, trachea, primary bronchi, secondary bronchi, tertiary bronchi, bronchioles, terminal bronchioles, respiratory bronchioles, alveolar duct, alveolar sac
Nasal cavity, pharynx, larynx, trachea, primary bronchi, secondary bronchi, tertiary bronchi, bronchioles, terminal bronchioles, respiratory bronchioles, alveolar duct, alveolar sac
The respiratory system begins in the nasal cavity and proceeds into the pharynx followed by the larynx and trachea. The trachea then branches into left and right primary bronchi, which continue to branch into secondary and tertiary bronchi. The tertiary bronchi contain all smooth muscle and continue to branch into bronchioles. The bronchioles are then divided into terminal bronchioles followed by respiratory bronchioles, which are then attached to the alveolar ducts containing the alveolar sac.
Example Question #11 : Respiratory System
What is the correct path of air flow during inspiration?
Nose and mouth -> pharynx -> larynx -> trachea -> bronchioles -> bronchi -> alveoli
Nose and mouth -> larynx -> pharynx -> trachea -> alveoli -> bronchi -> bronchioles
Nose and mouth -> pharynx -> larynx -> trachea -> bronchi -> bronchioles -> alveoli
Nose and mouth -> larynx -> pharynx -> trachea -> bronchi -> bronchioles -> alveoli
Nose and mouth -> pharynx -> larynx -> trachea -> bronchi -> bronchioles -> alveoli
Air travels through the nose and mouth through the pharynx. It then flows through the larynx and the trachea before entering the bronchi. The bronchi branch into the bronchioles and finally terminate into the alveoli, where gas exchange can take place between the lungs and the blood stream.
Example Question #1 : Respiratory Structures And Lung Mechanics
What important detergent lines the alveoli in the lungs and keeps the alveoli expanded?
Mucous
None of the other answers
Plasma
Surfactant
Surfactant
Surfactant is a vital detergent needed for gas exchange between the lungs and the blood stream. Its role is to lower the surface tension on the interior of the alveolar sac. Without surfactant, alveoli would collapse and gas exchange would be inhibited.
Example Question #11 : Respiratory System
Pleural membranes surround the lungs. These membranes serve as the glue between the lungs and the thoracic cavity. Which of the following statements is correct about these structures?
The thoracic cavity and lungs are only only connected by the parietal pleura
The parietal pleura lines the outside of the lungs, the visceral pleura lines the thoracic cavity, and the intrapleural space seals the two layers together
The thoracic cavity and lungs are only only connected by the visceral pleura
The visceral pleura lines the outside of the lungs, the parietal pleura lines the thoracic cavity, and the intrapleural space seals the two layers together
The visceral pleura lines the outside of the lungs, the parietal pleura lines the thoracic cavity, and the intrapleural space seals the two layers together
The visceral pleura lines the outside of the lungs, the parietal pleura lines the thoracic cavity, and the intrapleural space seals the two layers together. These three components are all necessary for normal inhalation. When the layers are broken, lungs are at risk for collapsing.
Example Question #2 : Respiratory Structures And Lung Mechanics
Which two muscles do humans use primarily for inhalation?
Diaphragm and teres minor
Diaphragm and external intercostal muscles
Internal and external intercostal muscles
Visceral and parietal pleurae
Diaphragm and external intercostal muscles
The two muscles that help with breathing are the diaphragm and the external intercostal muscles. The diaphragm pulls the thoracic cavity downward and the external intercostal muscles expand the cavity outward. This expansion of the thoracic cavity leads to a decrease in pressure and allows air to be drawn into the lungs.
Example Question #4 : Respiratory Structures And Lung Mechanics
Recall from your studies of the human lungs that total lung capacity (TLC) is given by the sum of residual volume (RV) and vital capacity (VC).
Which of the following correctly represents the lung's vital capacity (VC)?
The sum of tidal volume (TV), expiratory reserve volume (ERV), and inspiratory reserve volume (IRV)
Vital capacity (VC) and tidal volume (TV) are the same value
The sum of expiratory reserve volume (ERV) and inspiratory reserve volume (IRV)
The sum of tidal volume (TV) and expiratory reserve volume (ERV)
The sum of tidal volume (TV), expiratory reserve volume (ERV), and inspiratory reserve volume (IRV)
Vital capacity refers to the total volume of the lung through which air can be passed during respiration. Tidal volume is the average normal amount of air in a given breath. Expiratory reserve volume is the maximum volume of air that can be forcefully exhaled (minus the tidal volume), while inspiratory reserve volume is the volume of air that can be forcefully inhaled (minus the tidal volume). The total volume of the lung through which air can be passed is thus given by the sum of the normal volume (TV), forceful expiration (ERV), and forceful inspiration (IRV).
VC = TV + ERV+ IRV
Residual volume (RV) refers to the latent space in the lungs that cannot be compressed or expanded. Air cannot be fully dispelled from the lungs, or they would collapse; the remaining air volume after forceful expiration is the residual volume.
So TV + ERV + IRV + residual volume (RV) = total lung capacity (TLC).
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