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All questions of Respiratory System for MCAT Exam

If the mouth and nose are closed at the peak of a complete inspiration, but before expiration, and the breath is held, what is the pressure of gases within the alveoli relative to the pressure of atmospheric air?
  • a)
    Alveolar pressure is greater than the pressure of atmospheric air
  • b)
    Alveolar pressure is equal to the pressure of atmospheric air
  • c)
    Alveolar pressure is less than the pressure of atmospheric air
  • d)
    Cannot be predicted without more information
Correct answer is option 'A'. Can you explain this answer?

Nova Bell answered
Explanation:
When the mouth and nose are closed at the peak of a complete inspiration and the breath is held, the pressure of gases within the alveoli is greater than the pressure of atmospheric air.

Alveoli and Pressure:
- The alveoli are tiny air sacs in the lungs where gas exchange occurs. Oxygen from the inhaled air diffuses from the alveoli into the bloodstream, while carbon dioxide, a waste product, diffuses from the bloodstream into the alveoli to be exhaled.
- The pressure within the alveoli is determined by the balance between the forces that promote inspiration (inhalation) and expiration (exhalation).

Inspiration and Expiration:
- During inspiration, the diaphragm and other respiratory muscles contract, causing the volume of the thoracic cavity to increase. This expansion lowers the pressure within the lungs, creating a pressure gradient that allows air to flow in.
- During expiration, the diaphragm and respiratory muscles relax, and the volume of the thoracic cavity decreases. This increased pressure within the lungs pushes air out.

Hold Breath at Peak Inspiration:
- When the mouth and nose are closed at the peak of a complete inspiration and the breath is held, the muscles involved in expiration are relaxed. The thoracic cavity remains expanded, and the volume of the lungs is increased.
- However, since there is no airflow, the pressure within the alveoli remains higher than the pressure in the atmosphere.
- This is because the pressure within the alveoli is determined by the elastic recoil of the lungs and chest wall, which tends to collapse the lungs. The alveolar pressure is therefore higher than atmospheric pressure to keep the airways open and prevent lung collapse.

Conclusion:
Therefore, at the peak of a complete inspiration when the breath is held, the pressure of gases within the alveoli is greater than the pressure of atmospheric air. This pressure difference allows for the maintenance of lung inflation and helps to keep the airways open.

Septic shock is a serious condition resulting from the body’s response to systemic bacterial infections, which may impair oxygen uptake and delivery. What physiological change may result from septic shock which would decrease the ability of hemoglobin in the alveolar capillaries to become fully saturated with oxygen?
  • a)
    Increased blood pH
  • b)
    Decreased afferent capillary pO2
  • c)
    Increased capillary blood flow
  • d)
    Decreased alveolar wall thickness
Correct answer is option 'C'. Can you explain this answer?

Orion Classes answered
In septic shock, there is a dysregulated immune response to a systemic bacterial infection, leading to widespread inflammation and endothelial dysfunction. This can result in increased capillary blood flow as a compensatory mechanism to improve tissue perfusion and oxygen delivery.
However, increased capillary blood flow can reduce the ability of hemoglobin in the alveolar capillaries to become fully saturated with oxygen. This is because the increased blood flow can lead to a shorter transit time of red blood cells through the alveolar capillaries. As a result, there is less time for oxygen to equilibrate between the alveolar air and the blood, leading to a decreased ability of hemoglobin to fully bind with oxygen.
Therefore, in septic shock, the increased capillary blood flow can impair the ability of hemoglobin in the alveolar capillaries to become fully saturated with oxygen, contributing to a decrease in oxygen uptake and delivery.

In a situation where the respiratory bronchioles become inflamed and narrowed, such as is seen in asthma, which aspect of respiration would be most mechanically impaired?
  • a)
    Normal expiration
  • b)
    Forced inhalation
  • c)
    Normal inhalation
  • d)
    Forced expiration
Correct answer is option 'D'. Can you explain this answer?

Inflammation and narrowing of the respiratory bronchioles, as seen in asthma, can lead to impaired respiration. Among the different aspects of respiration, forced expiration would be most mechanically impaired in this situation.

Explanation:
1. Normal respiration:
- During normal respiration, the respiratory bronchioles play a role in conducting air to and from the alveoli in the lungs.
- In asthma, inflammation and narrowing of the respiratory bronchioles occur due to increased sensitivity and hyperreactivity of the airways.
- This inflammation and narrowing can make it more difficult for air to flow through the bronchioles, leading to increased resistance to airflow.
- However, during normal respiration, the air is still able to pass through the narrowed bronchioles, although it may be more restricted than in a healthy individual.

2. Forced inhalation:
- During forced inhalation, additional muscles are recruited to expand the thoracic cavity and increase the volume of the lungs.
- These muscles, such as the diaphragm and external intercostal muscles, contract to create a larger pressure gradient, allowing for increased airflow into the lungs.
- In asthma, the inflammation and narrowing of the respiratory bronchioles may still allow for increased airflow during forced inhalation, although it may be more limited compared to a healthy individual.

3. Normal expiration:
- During normal expiration, the respiratory bronchioles mainly function as conduits for expelling air from the alveoli.
- The process of normal expiration is largely passive, as the relaxation of the inspiratory muscles and the elastic recoil of the lungs and chest wall help to decrease the volume of the thoracic cavity, resulting in air being pushed out.
- In asthma, the inflammation and narrowing of the respiratory bronchioles may slightly increase resistance to airflow during normal expiration, but it is less significant compared to forced expiration.

4. Forced expiration:
- During forced expiration, additional muscles, such as the internal intercostal muscles and abdominal muscles, contract to actively decrease the volume of the thoracic cavity and increase the pressure in the lungs.
- This increased pressure helps to expel air more forcefully.
- In asthma, the inflammation and narrowing of the respiratory bronchioles can significantly impair the ability to forcefully exhale, as it increases resistance to airflow.
- The narrowed bronchioles limit the amount of air that can be expelled from the lungs, resulting in a decreased ability to generate the necessary pressure for forced expiration.

In summary, while all aspects of respiration may be affected to some degree in asthma, forced expiration would be most mechanically impaired due to the increased resistance to airflow caused by the inflammation and narrowing of the respiratory bronchioles.

Interstitial lung disease (ILD) refers to a set of conditions which affect the pulmonary interstitium-- the area of tissue and space which lies between the alveoli and alveolar capillaries. What factor in the setting of severe ILD, would NOT decrease the extent to which oxygen passes from the air sacs of the lungs into the blood?
  • a)
    Decreased interstitial thickness
  • b)
    Increased lung elastic recoil
  • c)
    Decreased lung capacity
  • d)
    Increased alveolar surface tension
Correct answer is option 'A'. Can you explain this answer?

Orion Classes answered
In the setting of severe interstitial lung disease (ILD), several factors can contribute to a decreased extent of oxygen passing from the air sacs of the lungs into the blood. These factors include increased lung elastic recoil, decreased lung capacity, and increased alveolar surface tension. However, decreased interstitial thickness would not contribute to this decrease in oxygen transfer.
In ILD, the pulmonary interstitium becomes thickened due to inflammation, fibrosis, or scarring. This increased interstitial thickness can impair gas exchange by increasing the diffusion distance between the alveoli and the alveolar capillaries. As a result, it becomes more difficult for oxygen to cross the thickened interstitium and reach the bloodstream.
Therefore, if the interstitial thickness is decreased in the setting of severe ILD, it would not further impede the transfer of oxygen. In fact, a decrease in interstitial thickness would potentially improve gas exchange by reducing the diffusion distance and facilitating the passage of oxygen from the air sacs of the lungs into the blood.
Hence, option A is the correct answer. Decreased interstitial thickness would not decrease the extent to which oxygen passes from the air sacs of the lungs into the blood in the setting of severe ILD.

Many respiratory diseases affect pulmonary function by altering the ability of alveoli to participate in gas exchange. What physical change would most greatly reduce the degree to which a particular alveolus is ventilated?
  • a)
    Increased alveolar elastic recoil
  • b)
    Decreased capillary flow
  • c)
    Increased alveolar volume
  • d)
    Decreased temperature
Correct answer is option 'A'. Can you explain this answer?

Understanding Alveolar Ventilation
Ventilation of alveoli is crucial for effective gas exchange in the lungs. Various factors can influence this process, and understanding their impact is essential for grasping pulmonary function.
Impact of Increased Alveolar Elastic Recoil
- Definition: Elastic recoil refers to the ability of the alveolar walls to return to their original shape after being stretched during inhalation.
- Effect on Ventilation:
- Increased elastic recoil means that the alveoli will collapse more readily after inhalation. This makes it harder for air to enter and fill the alveoli during subsequent breaths.
- When the alveoli are overly elastic, they do not stay open effectively, reducing their capacity to participate in gas exchange.
Comparison with Other Options
- Decreased Capillary Flow: While this could affect gas exchange efficiency, it does not directly reduce the ventilation of the alveolus itself.
- Increased Alveolar Volume: A larger volume might initially seem beneficial for gas exchange; however, it does not directly relate to the mechanics of ventilation affecting the alveolar walls.
- Decreased Temperature: Although temperature can influence gas solubility and reaction rates, it does not significantly alter the physical structure or function of the alveoli in terms of ventilation.
Conclusion
Increased alveolar elastic recoil significantly limits the ability of the alveolus to remain open, thereby reducing the degree of ventilation. This mechanical change directly impacts the alveolus's role in effective gas exchange, making it the most critical factor among the options presented.

Which of the following structures is responsible for preventing food and drink from entering the airway during swallowing?
  • a)
    Epiglottis
  • b)
    Vocal cords
  • c)
    Trachea
  • d)
    Alveoli
Correct answer is option 'A'. Can you explain this answer?

Orion Classes answered
The epiglottis is a flap of cartilage located at the base of the tongue. During swallowing, it moves downward to cover the opening of the larynx (voice box) and prevent food and drink from entering the airway. This ensures that the food and drink are directed into the esophagus and down to the stomach, rather than going into the respiratory system. The vocal cords, trachea, and alveoli are not directly involved in the process of preventing food and drink from entering the airway during swallowing.

Bronchodilators are a class of drug often used in the treatment of asthma and COPD, which act on β-adrenergic receptors of the airways to induce smooth muscle relaxation. The anatomic distribution of these receptors is closely correlated to the function of each structural component of the lungs. What structural component(s) of the airway would be most affected by the use of a bronchodilator, and in what functional zone(s) are they found?
  • a)
    Lobar bronchi and alveoli would be affected equally, and they are both found in the respiratory zone
  • b)
    Lobar bronchi and alveoli would be affected equally, and they are found in the conducting and respiratory zones respectively
  • c)
    Lobar bronchi, which are found in the conducting zone
  • d)
    Alveoli, which are found in the respiratory zone
Correct answer is option 'C'. Can you explain this answer?

Orion Classes answered
Bronchodilators, which act on β-adrenergic receptors, induce smooth muscle relaxation in the airways, leading to bronchodilation. The anatomic distribution of β-adrenergic receptors is more prominent in the larger airways, such as the lobar bronchi. These bronchi are part of the conducting zone of the respiratory system, which includes the trachea, bronchi, and bronchioles. The primary function of the conducting zone is to transport air to and from the respiratory zone.
The alveoli, on the other hand, are small, thin-walled air sacs found in the respiratory zone of the lungs. They are responsible for gas exchange, where oxygen is taken up by the bloodstream and carbon dioxide is released. While bronchodilators may indirectly impact alveolar function by improving airflow, their primary effect is on the smooth muscles in the larger airways, such as the lobar bronchi.

What is the pressure of gas within the alveoli at the peak of inspiration, just before expiration, relative to that of atmospheric air?
  • a)
    Less than atmospheric air
  • b)
    Greater than atmospheric air
  • c)
    Cannot be predicted without more information
  • d)
    The same as atmospheric air
Correct answer is option 'D'. Can you explain this answer?

Orion Classes answered
The pressure of gas within the alveoli at the peak of inspiration, just before expiration, is the same as atmospheric air.
Explanation: During the peak of inspiration, just before expiration, the pressure of gas within the alveoli is equal to atmospheric pressure. This occurs when the lungs are at their maximum inhalation and the volume of the alveoli is increased.
At rest, the respiratory system operates under the principle of equalizing pressure between the alveoli and the atmosphere. The pressure within the alveoli is maintained at atmospheric pressure to ensure efficient exchange of gases between the alveoli and the pulmonary capillaries.
During inspiration, the diaphragm and other respiratory muscles contract, causing the thoracic cavity to expand. This expansion leads to an increase in lung volume, resulting in a decrease in alveolar pressure. As a result, air flows from the atmosphere, where the pressure is higher, into the alveoli to equalize the pressures.
At the peak of inspiration, when the inhalation is at its maximum, the pressure within the alveoli is the same as atmospheric pressure. This allows for effective gas exchange to occur in the lungs.

During inhalation, the diaphragm contracts and flattens. What effect does this have on the volume and pressure within the thoracic cavity?
  • a)
    Volume decreases, pressure increases
  • b)
    Volume decreases, pressure decreases
  • c)
    Volume increases, pressure increases
  • d)
    Volume increases, pressure decreases
Correct answer is option 'D'. Can you explain this answer?

Orion Classes answered
During inhalation, the diaphragm contracts and moves downward, causing it to flatten. This results in an increase in the volume of the thoracic cavity. According to Boyle's law, an increase in volume leads to a decrease in pressure. Therefore, the pressure within the thoracic cavity decreases during inhalation, creating a pressure gradient that allows air to flow into the lungs.

What produces the force which drives normal exhalation, and is the process active or passive?
  • a)
    Diaphragm, active
  • b)
    Intercostal muscles, active
  • c)
    Elastic force, passive
  • d)
    Reflex arcs, passive
Correct answer is option 'C'. Can you explain this answer?

Orion Classes answered
During normal exhalation, the force that drives the process is primarily the elastic recoil of the lungs and chest wall. When we inhale, the muscles involved in breathing, such as the diaphragm and intercostal muscles, contract and expand the thoracic cavity, allowing air to enter the lungs. Once inhalation is complete, these muscles relax, and the elastic fibers in the lungs and chest wall passively recoil. This recoil generates a force that helps push air out of the lungs during exhalation.
The diaphragm and intercostal muscles are involved in active processes during inhalation. The diaphragm contracts and moves downward, while the intercostal muscles contract to lift the ribcage and increase the volume of the thoracic cavity. However, during normal exhalation, these muscles are at rest, and the process is primarily driven by the passive recoil of elastic tissues.
Therefore, option C is the correct answer. The force driving normal exhalation is the elastic force, and the process is passive.

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