Apii Final - Q. 1-95

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1. Asthma is

Explanation

Asthma is an acute condition resulting from unusually sensitive, irritated conducting airways. This means that individuals with asthma have airways that are more sensitive and easily irritated, leading to symptoms such as wheezing, coughing, and difficulty breathing. It is not a collapsed lung, obstructive tumor, or caused by Mycobacterium tuberculosis. Fluid buildup in the alveoli is characteristic of a different condition called pulmonary edema.

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Apii Final - Q. 1-95 - Quiz

This quiz titled 'APII Final - Q. 1-95' assesses knowledge on respiratory therapy, focusing on pulmonary ventilation, Boyle's law, and pressure measurements. It is designed to test understanding... see moreof key respiratory concepts and their applications in clinical settings. see less

2. A glomerulus is

Explanation

A glomerulus is a knot of capillaries within the renal corpuscle. The renal corpuscle is the initial part of the nephron, which is the functional unit of the kidney. The glomerulus is responsible for the filtration of blood and the formation of urine. It acts as a filter, allowing small molecules such as water, salts, and waste products to pass through while preventing larger molecules like proteins and blood cells from entering the urine. The glomerulus plays a crucial role in maintaining the balance of fluids and electrolytes in the body.

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3. The primary function of the proximal convoluted tubule is

Explanation

The proximal convoluted tubule is responsible for reabsorbing nutrients from the filtrate back into the bloodstream. This process ensures that essential substances such as glucose, amino acids, and ions are not lost in the urine but are instead returned to the body for use. Reabsorption occurs through active and passive transport mechanisms, allowing the tubule to regulate the concentration of substances in the body and maintain homeostasis. Therefore, the primary function of the proximal convoluted tubule is reabsorbing nutrients.

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4. Which of the following is greater?

Explanation

The partial pressure of oxygen in atmospheric air is greater than the partial pressure of oxygen in the alveoli. This is because atmospheric air contains a higher concentration of oxygen compared to the alveoli. Oxygen is inhaled from the atmosphere into the lungs and then diffuses into the blood in the alveoli. During this process, some oxygen is consumed by the body and carbon dioxide is produced. As a result, the concentration of oxygen in the alveoli is lower than in the atmospheric air.

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5. When there is no air movement, the relationship between the intrapulmonary and atmospheric pressure is that

Explanation

When there is no air movement, the intrapulmonary pressure, which is the pressure inside the lungs, is equal to the atmospheric pressure, which is the pressure outside the body. This means that the pressure inside the lungs is the same as the pressure outside, resulting in no air movement.

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6. In quiet breathing,

Explanation

During quiet breathing, the diaphragm and intercostal muscles contract to expand the chest cavity, allowing air to enter the lungs. This process is called inspiration and involves muscular contractions. On the other hand, expiration during quiet breathing is a passive process where the diaphragm and intercostal muscles relax, causing the chest cavity to decrease in size and air to be expelled from the lungs. Therefore, the correct answer is that inspiration involves muscular contractions and expiration is passive.

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7. Most of the oxygen transported by the blood is

Explanation

Oxygen is primarily transported by the blood through a molecule called hemoglobin. Hemoglobin is found in red blood cells and has a high affinity for oxygen, allowing it to bind to the oxygen molecules in the lungs and release them in tissues that need oxygen. This process ensures efficient oxygen delivery throughout the body.

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8. Identify the structure labeled "5."

Explanation

The structure labeled "5" in the given options is the renal pyramid. The renal pyramid is a triangular-shaped structure in the kidney that contains the nephrons, which are the functional units responsible for filtering the blood and producing urine. Each kidney has several renal pyramids, and they are located within the renal medulla.

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9. Which of the following would be greater?

Explanation

When the BPG level is low, hemoglobin's affinity for oxygen is greater. This is because BPG (bisphosphoglycerate) is a molecule that binds to hemoglobin and reduces its affinity for oxygen. When BPG levels are high, more BPG molecules bind to hemoglobin, causing it to release oxygen more readily. Conversely, when BPG levels are low, there are fewer BPG molecules bound to hemoglobin, allowing it to have a higher affinity for oxygen and hold onto it more tightly.

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10. A 10 percent increase in the level of carbon dioxide in the blood will

Explanation

An increase in the level of carbon dioxide in the blood is detected by chemoreceptors in the brainstem. This triggers an increase in the rate of breathing in order to remove the excess carbon dioxide and bring oxygen into the body. Therefore, an increase in carbon dioxide levels would result in an increase in the rate of breathing.

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11. Use Figure 20-2 to answer the following questions: What is the relationship between the pressures at label "3

Explanation

According to Figure 20-2, the pressure outside (P outside) is greater than the pressure inside (P inside).

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12. The partial pressure of carbon dioxide in the interstitial space of peripheral tissues is approximately

Explanation

The correct answer is 45 mm Hg. The partial pressure of carbon dioxide in the interstitial space of peripheral tissues is approximately 45 mm Hg. This is because carbon dioxide is produced as a waste product of cellular metabolism and diffuses out of the cells into the interstitial space. From there, it is transported through the bloodstream to the lungs, where it is eliminated through exhalation. The partial pressure of carbon dioxide in the interstitial space is lower than in the cells, but higher than in the capillaries, allowing for efficient diffusion and transport.

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13. The condition resulting from inadequate production of surfactant and the resultant collapse of alveoli is

Explanation

Respiratory distress syndrome is a condition that occurs due to inadequate production of surfactant, a substance that helps keep the alveoli in the lungs open. Without enough surfactant, the alveoli collapse, leading to difficulty in breathing and inadequate oxygenation of the blood. This condition is commonly seen in premature infants, but can also occur in adults. COPD, anoxia, pulmonary embolism, and pneumothorax are all different conditions that can cause respiratory distress, but they are not specifically related to inadequate surfactant production and alveolar collapse.

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14. In emphysema, which of these occur?

Explanation

In emphysema, all of the above occur. Emphysema is a chronic lung disease characterized by the destruction of the alveoli, which leads to the collapse of these air sacs. This results in a decrease in the surface area available for gas exchange and a decrease in lung function. Additionally, emphysema causes a decrease in lung compliance, making it more difficult for the lungs to expand and contract properly. This can lead to shortness of breath and difficulty breathing. Finally, emphysema can cause an increase in the levels of carbon dioxide (PCO2) in the blood, as the damaged alveoli are less effective in removing this waste gas from the body.

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15. The filtrate first passes from the glomerular capsule to the

Explanation

The proximal convoluted tubule is the correct answer because it is the next structure that the filtrate passes through after leaving the glomerular capsule. This tubule is responsible for reabsorbing most of the water and solutes from the filtrate back into the bloodstream. It is located in the renal cortex and has a convoluted shape, which increases its surface area for reabsorption. After passing through the proximal convoluted tubule, the filtrate continues its journey through the nephron loop, distal convoluted tubule, collecting duct, and eventually into the minor calyx.

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16. The U-shaped segment of the nephron is the

Explanation

The correct answer is the nephron loop (loop of Henle). The nephron loop is a U-shaped segment of the nephron that plays a crucial role in the process of urine formation. It is responsible for reabsorbing water and certain ions from the filtrate, thereby concentrating the urine. The loop of Henle consists of a descending limb and an ascending limb, each with distinct characteristics and functions. The descending limb allows for passive reabsorption of water, while the ascending limb actively transports ions out of the tubule. Overall, the nephron loop is essential for maintaining a balance of water and electrolytes in the body.

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17. Boyle's law states that gas volume is

Explanation

Boyle's law states that the volume of a gas is inversely proportional to its pressure. This means that as the pressure of a gas increases, its volume decreases, and vice versa. This relationship holds true as long as the temperature and amount of gas remain constant. Therefore, the correct answer is "inversely proportional to pressure."

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18. The function of pulmonary ventilation is to

Explanation

The function of pulmonary ventilation is to maintain adequate alveolar ventilation. Pulmonary ventilation refers to the process of breathing, which involves inhaling oxygen and exhaling carbon dioxide. Adequate alveolar ventilation ensures that there is a sufficient exchange of gases in the alveoli of the lungs, allowing oxygen to enter the bloodstream and carbon dioxide to be removed. This is essential for maintaining proper oxygenation of the body's tissues and removing waste gases.

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19. Which of the following would be greater?

Explanation

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20. Which of the following factors would increase the amount of oxygen discharged by hemoglobin to peripheral tissues?

Explanation

A decreased pH would increase the amount of oxygen discharged by hemoglobin to peripheral tissues. This is because a decrease in pH (an increase in acidity) causes a shift in the oxygen-hemoglobin dissociation curve to the right, making it easier for hemoglobin to release oxygen to the tissues. This is known as the Bohr effect, and it allows for increased oxygen delivery to tissues that have a higher metabolic demand.

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21. Most of the carbon dioxide in the blood is transported as

Explanation

Carbon dioxide is transported in the blood in multiple forms, but the majority of it is carried as bicarbonate ions. When carbon dioxide enters the red blood cells, it combines with water to form carbonic acid, which then dissociates into bicarbonate ions and hydrogen ions. The bicarbonate ions are then transported out of the red blood cells and into the plasma, where they can be carried to the lungs for elimination. This bicarbonate ion transport is an important mechanism for maintaining the acid-base balance in the body.

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22. The term hypercapnia refers to

Explanation

Hypercapnia refers to the condition of having an elevated level of carbon dioxide (PCO2) in the blood. This can occur due to various reasons such as hypoventilation, lung diseases, or impaired gas exchange. When the PCO2 levels rise, it can lead to respiratory acidosis and can have detrimental effects on the body's pH balance. Therefore, the correct answer is elevated PCO2.

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23. Identify the structure labeled "10."

Explanation

The structure labeled "10" in the given options is the ureter. The ureter is a tube-like structure that connects the kidneys to the urinary bladder. It carries urine from the kidneys to the bladder for storage and eventual elimination from the body.

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24. Substances secreted by the distal convoluted tubule include

Explanation

The distal convoluted tubule is responsible for the reabsorption and secretion of various substances in the kidneys. Hydrogen ions, penicillin, creatinine, and potassium ions are all examples of substances that can be secreted by the distal convoluted tubule. Therefore, the correct answer is "all of the above" as all of these substances can be secreted by this part of the kidney.

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25. ________ is the amount of air that you can inhale above the resting tidal volume.

Explanation

The inspiratory reserve volume refers to the amount of air that can be inhaled above the resting tidal volume. It represents the maximum amount of air that can be forcefully inhaled after a normal inhalation. This additional volume allows for increased oxygen intake during physical activity or in situations where more air is needed, such as during exercise or when experiencing respiratory distress.

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26. Carbonic anhydrase

Explanation

Carbonic anhydrase is an enzyme found in red blood cells that plays a crucial role in the transportation and regulation of carbon dioxide in the body. It catalyzes the conversion of carbon dioxide into carbonic acid, which can then dissociate into bicarbonate ions. By increasing the amount of bicarbonate ions in the plasma, carbonic anhydrase helps maintain the acid-base balance in the body. Therefore, all of the statements mentioned in the options are correct, making "all of the above" the correct answer.

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27. The obstructive lung disease in which elastic fibers are lost, leading to collapse of alveoli and bronchioles, is called

Explanation

Emphysema is the correct answer because it is a type of obstructive lung disease characterized by the loss of elastic fibers in the lungs. This loss of elasticity causes the alveoli (air sacs) and bronchioles to collapse, leading to difficulty in exhaling and impaired airflow. Asthma, bronchitis, tuberculosis, and pneumonia are all different respiratory conditions that do not specifically involve the loss of elastic fibers and collapse of alveoli and bronchioles.

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28. Triangular or conical structures located in the renal medulla are called

Explanation

Triangular or conical structures located in the renal medulla are called pyramids. These pyramids are made up of tiny tubules called nephrons, which are responsible for filtering the blood and producing urine. The pyramids contain the collecting ducts that carry the urine to the renal pelvis, which then transports it to the bladder for elimination. The renal columns are areas of cortical tissue that separate the pyramids, while the renal pelvises are the expanded upper ends of the ureters. Calyces are cup-like structures that collect urine from the pyramids and transport it to the renal pelvis.

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29. The portion of the nephron that empties into the collecting duct is the

Explanation

The distal convoluted tubule is the portion of the nephron that empties into the collecting duct. This tubule is located after the loop of Henle and the proximal convoluted tubule. It plays a crucial role in the reabsorption of water and electrolytes, as well as in the regulation of pH and concentration of urine. The collecting duct, which receives the filtrate from the distal convoluted tubule, further concentrates the urine before it is excreted from the body.

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30. Use Figure 20-2 to answer the following questions: What pressure will be present in the space labeled "5"?

Explanation

The pressure present in the space labeled "5" is intrapulmonary pressure. This is because the term "intrapulmonary" refers to the pressure within the lungs. Therefore, the pressure in the space labeled "5" is specifically referring to the pressure within the lungs, which is known as intrapulmonary pressure.

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31. Air moves out of the lungs when the pressure inside the lungs is

Explanation

When the pressure inside the lungs is greater than the pressure in the atmosphere, air moves out of the lungs. This is because air always moves from an area of higher pressure to an area of lower pressure. When the pressure inside the lungs is greater than the pressure in the atmosphere, there is a pressure gradient that allows air to flow out of the lungs and into the lower pressure environment of the atmosphere.

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32. Which of the following muscles might be recruited to increase inspired volume?

Explanation

All of the muscles listed (sternocleidomastoid, pectoralis minor, scalenes, and serratus anterior) can be recruited to increase inspired volume. These muscles are involved in the process of inhalation and play a role in expanding the thoracic cavity, allowing for increased air intake into the lungs. By contracting and expanding, these muscles help to increase the volume of the thoracic cavity, creating a pressure gradient that allows air to flow into the lungs. Therefore, all of these muscles can be recruited to increase inspired volume.

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33. ________ is the amount of air that moves into the respiratory system during a single respiratory cycle under resting conditions.

Explanation

Tidal volume is the amount of air that moves into the respiratory system during a single respiratory cycle under resting conditions. It represents the normal amount of air that is inhaled and exhaled during each breath. The other options mentioned are not correct as they represent different measurements of lung capacity or volumes that are not specific to a single respiratory cycle under resting conditions.

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34. Which of the following can be calculated if the tidal volume and respiratory rate are known?

Explanation

The respiratory minute volume can be calculated if the tidal volume and respiratory rate are known. The respiratory minute volume is the total volume of air that is inhaled and exhaled in one minute. It is calculated by multiplying the tidal volume (the volume of air inhaled or exhaled in one breath) by the respiratory rate (the number of breaths taken per minute).

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35. Prolonged deep inspirations can result from stimulating the ________ center.

Explanation

Prolonged deep inspirations can result from stimulating the apneustic center.

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36. The most important chemical regulator of respiration is

Explanation

The most important chemical regulator of respiration is carbon dioxide. During respiration, carbon dioxide is produced as a waste product by cells. It diffuses into the bloodstream and is carried to the lungs, where it is exhaled. The level of carbon dioxide in the blood is closely monitored by chemoreceptors in the brain and blood vessels. High levels of carbon dioxide trigger an increase in respiratory rate and depth, ensuring that more carbon dioxide is eliminated from the body. This mechanism helps to maintain the balance of gases in the body and regulate the pH of the blood.

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37. Which of these age-based changes is false?

Explanation

As a person ages, various changes occur in the respiratory system. The lungs lose elastic tissue, causing them to become less flexible. The compliance of the lungs also changes, meaning they become stiffer and less able to expand and contract easily. The respiratory muscles weaken, leading to a decrease in respiratory function. Additionally, the costal cartilages become more flexible, which can affect the ability of the ribcage to expand during breathing. However, vital capacity, which is the maximum amount of air a person can exhale after a deep breath, generally decreases with age rather than increases.

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38. Identify the structure labeled "6."

Explanation

The structure labeled "6" in the given options is the renal column. The renal column is a part of the kidney that separates the renal pyramids. It contains blood vessels, nerves, and connective tissue that provide support to the kidney.

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39. Expiratory movements are produced by contraction of the ________ muscle(s).

Explanation

Expiratory movements are produced by contraction of the internal intercostal muscles. These muscles are located between the ribs and play a role in decreasing the size of the thoracic cavity during expiration. When they contract, they pull the ribs downward and inward, reducing the volume of the chest cavity and pushing air out of the lungs. The other muscles listed, such as the scalene, diaphragm, external intercostal, and serratus anterior, are involved in other respiratory movements but not specifically in expiration.

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40. The glomeruli are best described as being tufts of

Explanation

The glomeruli are small, ball-shaped structures located in the kidneys. They are responsible for filtering waste products and excess fluids from the blood to form urine. Capillaries are the smallest blood vessels in the body, with thin walls that allow for the exchange of nutrients, oxygen, and waste products between the blood and surrounding tissues. The glomeruli consist of a network of capillaries, making capillaries the best description for the glomeruli.

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41. Each of the following is a normal constituent of urine, except .

Explanation

Proteins are not normally found in urine. Urine is primarily composed of water, urea, amino acids, creatinine, and various ions. Proteins are usually too large to pass through the filtration system of the kidneys and are therefore not present in normal urine. Their presence in urine can indicate a potential health issue such as kidney damage or urinary tract infection.

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42. Pulmonary ventilation refers to the

Explanation

The correct answer is "movement of air into and out of the lungs." Pulmonary ventilation refers to the process of breathing, where air is drawn into the lungs through inhalation and expelled through exhalation. This movement of air allows for the exchange of oxygen and carbon dioxide between the lungs and the external environment.

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43. The unit of measurement for pressure preferred by many respiratory therapists is

Explanation

The unit of measurement for pressure preferred by many respiratory therapists is torr. Torr is a unit of pressure equal to one millimeter of mercury (mm Hg), which is commonly used in medical settings to measure blood pressure and respiratory pressures. It is also equivalent to one centimeter of water (cm H2O), another unit of pressure often used in respiratory therapy. Therefore, torr encompasses both mm Hg and cm H2O, making it the correct answer.

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44. Boyle's Law of Gases states that

Explanation

According to Boyle's Law of Gases, there is an inverse relationship between the volume and pressure of a gas. This means that as the volume of a gas increases, the pressure decreases, and vice versa. This relationship holds true as long as the temperature and amount of gas remain constant. Therefore, the correct answer is that if the volume goes up, the pressure goes down.

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45. Under quiet conditions, blood returning to the heart retains about ________ of its oxygen content when it leaves the lungs.

Explanation

Under quiet conditions, blood returning to the heart retains about 75 percent of its oxygen content when it leaves the lungs. This means that even after oxygen is delivered to the body's tissues, there is still a significant amount of oxygen remaining in the blood. This is important because it ensures that enough oxygen is available to meet the body's demands, especially during periods of increased activity or stress.

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46. The renal sinus is

Explanation

The renal sinus is an internal cavity lined by the fibrous capsule. The fibrous capsule is a layer of connective tissue that surrounds the kidney and helps maintain its shape. The renal sinus contains the renal pelvis, blood vessels, nerves, and fat. It acts as a space for these structures to pass through and provides support and protection for the kidney.

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47. Renal columns are

Explanation

Renal columns are bundles of tissue that extend between pyramids from the cortex. The renal columns are located in the renal medulla and serve to separate and support the renal pyramids. They contain blood vessels, nerves, and connective tissue that help maintain the structural integrity of the kidney. These columns also provide a pathway for blood vessels and urine drainage between the pyramids, allowing for efficient filtration and excretion of waste products by the kidney.

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48. The majority of glomeruli are located in the ________ of the kidney.

Explanation

The correct answer is "cortex". The majority of glomeruli, which are the functional units of the kidney responsible for filtration, are located in the cortex of the kidney. The cortex is the outer region of the kidney, while the medulla is the inner region. The vasa recta refers to the blood vessels that surround the nephrons in the medulla. The pelvis and calyces are parts of the renal collecting system that collect urine from the nephrons.

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49. Use Figure 20-2 to answer the following questions: What is the relationship between the pressures at label "8"?

Explanation

The relationship between the pressures at label "8" is that the pressure outside (P outside) is less than the pressure inside (P inside).

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50. At a PO2 of 70 mm Hg and normal temperature and pH, hemoglobin is ________ percent saturated with oxygen.

Explanation

At a PO2 of 70 mm Hg and normal temperature and pH, hemoglobin is more than 90 percent saturated with oxygen. This means that a large majority of the available hemoglobin molecules have bound to oxygen molecules.

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51. The pneumotaxic center

Explanation

The correct answer is "both is in the pons and inhibits the apneustic center." The pneumotaxic center is located in the pons, which is a region of the brainstem. It plays a role in regulating the rate and depth of breathing. Additionally, the pneumotaxic center inhibits the apneustic center, which is also located in the pons. This inhibition helps to regulate the inspiratory and expiratory phases of respiration, preventing prolonged inspiratory gasps.

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52. All of the following provide chemoreceptor input to the respiratory centers of the medulla oblongata, except the

Explanation

The olfactory epithelium is not involved in providing chemoreceptor input to the respiratory centers of the medulla oblongata. The medullary chemoreceptors, aortic body, and carotid body all play a role in detecting chemical changes in the blood and providing input to the respiratory centers.

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53. The cavity of the kidney that receives urine from the calyces is called the

Explanation

The renal pelvis is the cavity of the kidney that receives urine from the calyces. It is a funnel-shaped structure that is located at the innermost part of the kidney. The calyces collect urine from the renal pyramids and transport it to the renal pelvis, which then funnels the urine into the ureter for elimination from the body. The renal pelvis acts as a reservoir for urine and helps in its transportation.

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54. Identify the structure labeled "9."

Explanation

The structure labeled "9." in the given options is the renal pelvis.

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55. Glomerular (Bowman's) capsule and the glomerulus make up the

Explanation

The glomerular (Bowman's) capsule and the glomerulus together form the renal corpuscle. The renal corpuscle is a part of the nephron, which is the functional unit of the kidney. It is responsible for the initial filtration of blood and the formation of urine. The glomerulus is a network of capillaries where filtration occurs, and the glomerular capsule surrounds and collects the filtered fluid. Therefore, the renal corpuscle is the correct answer as it accurately describes the structure formed by the glomerular capsule and glomerulus.

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56. Use Figure 20-2 to answer the following questions: Which muscle(s) produce(s) the movement labeled "1"?

Explanation

The correct answer is external intercostals. This can be determined by looking at Figure 20-2, which likely shows a diagram or illustration of the human body. The movement labeled "1" is most likely associated with the muscles located between the ribs, known as the intercostal muscles. Therefore, the external intercostals are the muscles responsible for producing this movement.

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57. Which of these descriptions best matches the term external intercostal?

Explanation

The term "external intercostal" refers to a muscle that is primarily involved in the process of inspiration, which is the act of inhaling air into the lungs. This muscle helps to elevate the ribcage, expanding the thoracic cavity and allowing for the intake of air. It is not an accessory muscle of expiration, as expiration is the act of exhaling air from the lungs. Additionally, it does not affect lung compliance or increase airway resistance. Therefore, the best description that matches the term "external intercostal" is "primary muscle of inspiration."

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58. If a patient being tested inhales as deeply as possible and then exhales as much as possible, the volume of air expelled would be the patient's

Explanation

When a patient inhales as deeply as possible and then exhales as much as possible, the volume of air expelled is known as the vital capacity. Vital capacity is the maximum amount of air that can be exhaled after a maximum inhalation. It is calculated by adding the tidal volume, inspiratory reserve volume, and expiratory reserve volume. Therefore, the volume of air expelled in this scenario would be the patient's vital capacity.

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59. The partial pressure of carbon dioxide in venous blood is approximately

Explanation

The partial pressure of carbon dioxide in venous blood is approximately 45 mm Hg. This is because as blood flows through the tissues, carbon dioxide is produced as a waste product of cellular respiration. This carbon dioxide diffuses into the blood and is carried back to the lungs, where it is exhaled. The partial pressure of carbon dioxide in venous blood represents the pressure exerted by carbon dioxide molecules in the blood. It is lower than the partial pressure of carbon dioxide in arterial blood because some of the carbon dioxide has been exchanged for oxygen during the process of respiration.

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60. Each 100 ml of blood leaving the alveolar capillaries carries away roughly ________ ml of oxygen.

Explanation

Each 100 ml of blood leaving the alveolar capillaries carries away roughly 20 ml of oxygen. This is because the alveolar capillaries are responsible for the exchange of gases in the lungs. Oxygen from the inhaled air diffuses into the capillaries and binds to hemoglobin in red blood cells. This oxygen-rich blood then travels to the rest of the body to deliver oxygen to the tissues. Therefore, it can be concluded that approximately 20 ml of oxygen is carried by each 100 ml of blood leaving the alveolar capillaries.

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61. Which statement about the chloride shift is false?

Explanation

The chloride shift is a physiological process that occurs in red blood cells (RBCs) during gas exchange in the lungs and tissues. It involves the movement of chloride ions into RBCs and bicarbonate ions into the plasma, facilitated by the chloride-bicarbonate counter-transporter. This shift is driven by a rise in PCO2, which promotes the conversion of carbon dioxide into bicarbonate ions in RBCs. The process does not cause RBCs to swell; instead, it helps maintain the shape and integrity of RBCs by balancing the movement of ions and maintaining osmotic equilibrium.

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62. A patient with a connective tissue disease experiences increased pulmonary vascular resistance. Over a period of time you would expect to observe v

Explanation

In connective tissue disease, the increased pulmonary vascular resistance causes the right ventricle to work harder to pump blood into the lungs. Over time, this increased workload can lead to the thickening of the right ventricular wall as a compensatory mechanism to handle the increased pressure and workload. This thickening helps to maintain adequate pumping function of the right ventricle.

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63. If the dorsal respiratory group of neurons in the medulla oblongata were destroyed bilaterally,

Explanation

If the dorsal respiratory group of neurons in the medulla oblongata were destroyed bilaterally, a person would stop breathing. The dorsal respiratory group is responsible for initiating the inspiratory phase of breathing by sending signals to the muscles involved in respiration. Without these neurons, the person would lose the ability to breathe voluntarily and would rely solely on reflexes to regulate their breathing, which would likely lead to respiratory failure and cessation of breathing.

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64. Blocking afferent action potentials from the chemoreceptors in the carotid and aortic bodies would interfere with the brain's ability to regulate breathing in response to

Explanation

Blocking afferent action potentials from the chemoreceptors in the carotid and aortic bodies would interfere with the brain's ability to regulate breathing in response to changes in PCO2. The chemoreceptors in these bodies are sensitive to changes in the partial pressure of carbon dioxide (PCO2) in the blood. When PCO2 levels rise, the chemoreceptors send signals to the brain, which then stimulates an increase in the rate and depth of breathing to remove excess carbon dioxide from the body. Blocking these action potentials would disrupt this feedback loop and prevent the brain from adequately responding to changes in PCO2 levels, leading to impaired regulation of breathing.

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65. The expanded beginning of the ureter connects to the

Explanation

The expanded beginning of the ureter connects to the renal pelvis. The renal pelvis is a funnel-shaped structure that collects urine from the kidney and funnels it into the ureter. It is located at the innermost part of the kidney, within the renal sinus. The renal calyx is a cup-like structure that surrounds the renal pelvis and collects urine from the renal pyramids. The renal hilum is a concave area on the medial side of the kidney where the renal artery, renal vein, and ureter enter or exit. The renal corpuscle is a part of the nephron, responsible for filtering blood and forming urine.

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66. Use Figure 20-2 to answer the following questions: Which muscle(s) contract(s) to cause the movement indicated by the arrows labeled "6" and "7"?

Explanation

The arrows labeled "6" and "7" indicate the movement of the ribcage during inhalation and exhalation. The rectus abdominis muscle contracts to pull down the ribcage during exhalation, while the internal intercostals muscle contracts to pull up the ribcage during inhalation. Therefore, both the rectus abdominis and internal intercostals muscles are involved in causing the movement indicated by the arrows.

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67. Henry's law states that

Explanation

Henry's law states that the volume of gas that will dissolve in a solvent is proportional to the partial pressure of that gas. This means that as the partial pressure of a gas increases, more of that gas will dissolve in the solvent. Conversely, if the partial pressure decreases, less gas will dissolve. This relationship is important in various fields, such as in the solubility of gases in liquids and in understanding gas exchange in biological systems.

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68. Dalton's law states that

Explanation

Dalton's law of partial pressures states that in a mixture of gases, the total pressure exerted is equal to the sum of the individual partial pressures of each gas in the mixture. This means that each gas in the mixture contributes to the total pressure independently and does not affect the pressure exerted by the other gases present. This law is important in understanding the behavior of gases in mixtures and is used in various applications, such as in the study of atmospheric pressure and gas solubility.

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69. Which of the following is greatest?

Explanation

The partial pressure of carbon dioxide in venous blood is the greatest among the options given. This is because carbon dioxide is produced as a waste product by cells during cellular respiration and is carried away from the tissues by the bloodstream. As it travels through the body, carbon dioxide accumulates in the venous blood, resulting in a higher partial pressure compared to other locations such as alveolar air, expired air, inspired air, and arterial blood.

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70. Carbon dioxide is more soluble in water than oxygen. To get the same amount of oxygen to dissolve in plasma as carbon dioxide, you would have to

Explanation

Carbon dioxide is more soluble in water than oxygen, meaning it can dissolve more readily. In order to achieve the same amount of oxygen to dissolve in plasma as carbon dioxide, the partial pressure of oxygen would need to be increased or the partial pressure of carbon dioxide would need to be decreased. This is because increasing the partial pressure of oxygen would increase the driving force for oxygen to dissolve in plasma, while decreasing the partial pressure of carbon dioxide would decrease the competition for dissolved gas molecules in the plasma, allowing more oxygen to dissolve.

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71. When the diaphragm and external intercostal muscles contract,

Explanation

When the diaphragm and external intercostal muscles contract, it causes the thoracic cavity to expand. This expansion leads to an increase in the volume of the thorax. As the thorax expands, it creates more space for the lungs to expand and fill with air, allowing for inhalation to occur. Therefore, the correct answer is that the volume of the thorax increases.

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72. Low pH alters hemoglobin structure so that oxygen binds less strongly to hemoglobin at low PO2. This increases the effectiveness of

Explanation

Low pH alters hemoglobin structure, causing oxygen to bind less strongly to hemoglobin at low partial pressure of oxygen (PO2). This change in hemoglobin structure enhances the release of oxygen to tissues during internal respiration, where oxygen is unloaded from hemoglobin and taken up by cells. This process ensures that oxygen is efficiently delivered to the body's tissues for cellular respiration.

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73. Stimulation of the apneustic center would result in

Explanation

Stimulation of the apneustic center, which is located in the brainstem, would result in more intense inhalation. The apneustic center plays a role in controlling the depth and intensity of breathing by sending signals to the respiratory muscles. When it is stimulated, it causes a prolonged and intense activation of the inspiratory muscles, leading to a deeper inhalation. This can be seen as an increase in the strength and force of each breath taken.

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74. Identify the structure labeled "8."

Explanation

The structure labeled "8." in the given options is the renal papilla. The renal papilla is the apex or tip of the renal pyramid, which is located in the renal medulla. It is responsible for collecting urine from the collecting ducts and transferring it to the renal pelvis.

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75. Increasing the alveolar ventilation rate will

Explanation

Increasing the alveolar ventilation rate refers to increasing the amount of air that is brought into and out of the alveoli in the lungs. This increased ventilation rate allows for more efficient removal of carbon dioxide from the alveoli. As a result, the partial pressure of carbon dioxide in the alveoli decreases. This is because more carbon dioxide is being eliminated from the lungs, reducing its concentration in the alveoli. Therefore, the correct answer is that increasing the alveolar ventilation rate will decrease the partial pressure of carbon dioxide in the alveoli.

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76. The pneumotaxic center of the pons

Explanation

The pneumotaxic center of the pons is responsible for modifying the rate and depth of breathing. It works in coordination with the medulla, which controls the basic rhythm of breathing, to fine-tune the respiratory pattern. By adjusting the timing and intensity of inspiratory and expiratory signals, the pneumotaxic center helps regulate the overall rate and depth of breathing.

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77. The process by which dissolved gases are exchanged between the blood and interstitial fluids is

Explanation

Internal respiration is the process by which dissolved gases, such as oxygen and carbon dioxide, are exchanged between the blood and the interstitial fluids. This occurs at the cellular level, where oxygen is taken up by the cells and carbon dioxide is released as a waste product. Pulmonary ventilation refers to the process of breathing, external respiration is the exchange of gases between the lungs and the blood, and cellular respiration is the process by which cells generate energy from glucose. Therefore, internal respiration is the correct answer as it specifically describes the exchange of gases between the blood and interstitial fluids.

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78. The ________ delivers urine to a minor calyx.

Explanation

The papillary duct delivers urine to a minor calyx. This duct is located in the inner medulla of the kidney and is responsible for transporting urine from the collecting ducts to the minor calyx, which is the first part of the renal pelvis. The other options listed are not involved in the transport of urine to the minor calyx. The nephron loop (loop of Henle) is responsible for reabsorbing water and ions from the filtrate, the distal convoluted tubule is involved in further reabsorption and secretion, the renal corpuscle is responsible for filtration, and the ureter transports urine from the kidneys to the bladder.

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79. The partial pressure of oxygen in the interstitial space of peripheral tissues is approximately

Explanation

The partial pressure of oxygen in the interstitial space of peripheral tissues is approximately 40 mm Hg. This is because oxygen is delivered to the tissues through the bloodstream, and as it diffuses from the capillaries into the interstitial space, its partial pressure decreases. This decrease in partial pressure is due to the consumption of oxygen by the cells in the tissues. Therefore, the partial pressure of oxygen in the interstitial space is lower than in the arterial blood, which is typically around 100 mm Hg.

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80. The inflation reflex

Explanation

The inflation reflex is a protective mechanism that prevents the lungs from being over-inflated. When the lungs are filled with too much air, this reflex causes the muscles involved in breathing to relax, allowing the excess air to be expelled. This prevents damage to the delicate lung tissues and maintains the optimal level of inflation for proper gas exchange.

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81. The outermost layer of the kidney is the

Explanation

The fibrous capsule is the correct answer because it is the outermost layer of the kidney. It is a tough, fibrous membrane that surrounds and protects the kidney. The renal cortex is the next layer beneath the fibrous capsule, followed by the renal medulla. The major calyx and renal pelvis are internal structures of the kidney and are not part of the outermost layer.

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82. External respiration involves the

Explanation

External respiration refers to the process of exchanging gases between the lungs and the bloodstream. In this process, oxygen is taken in from the air into the alveoli (tiny air sacs in the lungs) and diffuses across the alveolar membrane into the bloodstream. At the same time, carbon dioxide, a waste product of metabolism, diffuses from the bloodstream into the alveoli to be exhaled. This exchange of gases occurs due to the difference in partial pressure of oxygen and carbon dioxide between the alveoli and the circulating blood. Therefore, the correct answer is the diffusion of gases between the alveoli and the circulating blood.

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83. Pneumotaxic centers in the pons

Explanation

The pneumotaxic centers in the pons are responsible for regulating the respiratory rate and depth. They receive input from the hypothalamus and cerebrum, which helps in modifying the respiratory pattern. Additionally, these centers inhibit the apneustic centers, which are responsible for promoting passive or active exhalation. Therefore, all of the given options are correct explanations for the role of pneumotaxic centers in the pons.

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84. Major calyces are

Explanation

Major calyces are large tributaries of the renal pelvis. The renal pelvis is a funnel-shaped structure that collects urine from the kidney and transports it to the ureter. The major calyces are the main branches that receive urine from the minor calyces, which in turn collect urine from the renal pyramids. Therefore, major calyces can be considered as large tributaries that help in the drainage of urine from the kidney.

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85. Each of the following factors affects the rate of external respiration, except the

Explanation

The rate of external respiration is influenced by several factors including the PO2 of the alveoli, PCO2 of the blood, thickness of the respiratory membrane, and solubility of oxygen in plasma. However, the diameter of an alveolus does not directly affect the rate of external respiration. The diameter of an alveolus may impact the efficiency of gas exchange within the alveoli, but it does not directly affect the overall rate of external respiration.

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86. For maximum loading of hemoglobin with oxygen at the lungs, the

Explanation

In order for maximum loading of hemoglobin with oxygen to occur at the lungs, the PCO2 (partial pressure of carbon dioxide) should be low. This is because high levels of PCO2 indicate that there is an excess of carbon dioxide in the blood, which can lead to a decrease in the affinity of hemoglobin for oxygen. Therefore, to maximize the binding of oxygen to hemoglobin, it is necessary for the PCO2 to be low.

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87. Higher brain centers that alter the activity of the respiratory centers include all of the following, except

Explanation

Higher brain centers, such as the cortical association areas, the limbic system, the hypothalamus, and Broca's center, play a role in altering the activity of the respiratory centers. However, the precentral motor gyrus is not involved in this process.

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88. The apneustic centers of the pons

Explanation

The apneustic centers of the pons inhibit the pneumotaxic center. This means that they suppress the activity of the pneumotaxic center, which is responsible for regulating the duration and depth of each breath. By inhibiting the pneumotaxic center, the apneustic centers prolong the inspiratory phase of respiration, leading to longer and deeper breaths.

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89. Which of these components of the nephron is largely confined to the renal medulla?

Explanation

The collecting ducts are largely confined to the renal medulla. The collecting ducts are responsible for reabsorbing water and concentrating the urine. They receive urine from multiple nephrons and carry it through the renal medulla to the renal pelvis. This allows for the concentration of waste products and the reabsorption of water, helping to maintain the body's water balance. The other components mentioned, such as the glomerular (Bowman's) capsule, distal convoluted tubule, proximal convoluted tubule, and glomerulus, are located in different parts of the nephron but are not primarily confined to the renal medulla.

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90. Alveolar ventilation refers to the

Explanation

The correct answer is "amount of air reaching the alveoli each minute." Alveolar ventilation refers to the movement of air into and out of the lungs, specifically the amount of air that reaches the alveoli, which are tiny air sacs in the lungs where gas exchange occurs. This measure is important because it determines how much fresh oxygen is available for the body and how much carbon dioxide is removed.

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91. ________ equals the respiratory rate m (tidal volume - anatomic dead space).

Explanation

Alveolar ventilation rate is the correct answer because it is the product of the respiratory rate multiplied by the difference between the tidal volume and the anatomic dead space. This calculation represents the amount of fresh air that reaches the alveoli per minute, which is important for efficient gas exchange in the lungs. Vital capacity refers to the maximum amount of air that can be exhaled after a maximal inhalation. Respiratory minute volume is the total amount of air inhaled and exhaled per minute. Pulmonary ventilation rate is the total volume of air inhaled and exhaled per minute. External respiration rate refers to the exchange of gases between the lungs and the blood.

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92. Which of the following descriptions best matches the term calyx?

Explanation

The term calyx refers to the structure where the final urine enters. The calyx is part of the renal pelvis, which is responsible for collecting the urine produced by the kidneys. It acts as a funnel, allowing the urine to flow from the renal pyramids into the renal pelvis and eventually into the ureter. Therefore, the description "final urine enters here" best matches the term calyx.

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93. The normal rate and depth of breathing is established by the ________ center.

Explanation

The correct answer is apneustic. The apneustic center is responsible for stimulating the inspiratory neurons in the medulla oblongata, which helps regulate the rate and depth of breathing. It works in conjunction with other respiratory centers, such as the pneumotaxic center and the ventral respiratory group (VRG), to maintain a normal breathing pattern. The VRG controls the muscles involved in breathing, while the pneumotaxic center helps regulate the duration and intensity of each breath. However, neither the pneumotaxic nor the expiratory center alone establish the normal rate and depth of breathing, making them incorrect choices.

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94. Which of the following descriptions best matches the term renal papilla?

Explanation

The term renal papilla refers to the tip of the medullary pyramid in the kidney. The medullary pyramids are triangular structures in the kidney that contain the collecting ducts, which are responsible for transporting urine. The renal papilla is where the final urine enters, as it is the endpoint of the collecting ducts. Therefore, the description "tip of the medullary pyramid" best matches the term renal papilla.

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95. The partial pressure of oxygen in arterial blood is approximately

Explanation

The partial pressure of oxygen in arterial blood is approximately 95 mm Hg. This is because oxygen is transported from the lungs to the body tissues through the arterial blood. In the lungs, oxygen diffuses from the alveoli into the blood, and it binds to hemoglobin in red blood cells. The oxygen-rich blood is then pumped by the heart to the rest of the body. The partial pressure of oxygen in arterial blood is highest because it is freshly oxygenated and has not yet reached the body tissues where oxygen is consumed.

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Asthma is
A glomerulus is
The primary function of the proximal convoluted tubule is
Which of the following is greater?
When there is no air movement, the relationship between the...
In quiet breathing,
Most of the oxygen transported by the blood is
Identify the structure labeled "5."
Which of the following would be greater?
A 10 percent increase in the level of carbon dioxide in the blood will
Use Figure 20-2 to answer the following questions:...
The partial pressure of carbon dioxide in the interstitial space of...
The condition resulting from inadequate production of surfactant and...
In emphysema, which of these occur?
The filtrate first passes from the glomerular capsule to the
The U-shaped segment of the nephron is the
Boyle's law states that gas volume is
The function of pulmonary ventilation is to
Which of the following would be greater?
Which of the following factors would increase the amount of oxygen...
Most of the carbon dioxide in the blood is transported as
The term hypercapnia refers to
Identify the structure labeled "10."
Substances secreted by the distal convoluted tubule include
________ is the amount of air that you can inhale above the resting...
Carbonic anhydrase
The obstructive lung disease in which elastic fibers are lost, leading...
Triangular or conical structures located in the renal medulla are...
The portion of the nephron that empties into the collecting duct is...
Use Figure 20-2 to answer the following questions:...
Air moves out of the lungs when the pressure inside the lungs is
Which of the following muscles might be recruited to increase inspired...
________ is the amount of air that moves into the respiratory system...
Which of the following can be calculated if the tidal volume and...
Prolonged deep inspirations can result from stimulating the ________...
The most important chemical regulator of respiration is
Which of these age-based changes is false?
Identify the structure labeled "6."
Expiratory movements are produced by contraction of the ________...
The glomeruli are best described as being tufts of
Each of the following is a normal constituent of urine, except .
Pulmonary ventilation refers to the
The unit of measurement for pressure preferred by many respiratory...
Boyle's Law of Gases states that
Under quiet conditions, blood returning to the heart retains about...
The renal sinus is
Renal columns are
The majority of glomeruli are located in the ________ of the kidney.
Use Figure 20-2 to answer the following questions:...
At a PO2 of 70 mm Hg and normal temperature and pH, hemoglobin is...
The pneumotaxic center
All of the following provide chemoreceptor input to the respiratory...
The cavity of the kidney that receives urine from the calyces is...
Identify the structure labeled "9."
Glomerular (Bowman's) capsule and the glomerulus make up the
Use Figure 20-2 to answer the following questions:...
Which of these descriptions best matches the term external...
If a patient being tested inhales as deeply as possible and then...
The partial pressure of carbon dioxide in venous blood is...
Each 100 ml of blood leaving the alveolar capillaries carries away...
Which statement about the chloride shift is false?
A patient with a connective tissue disease experiences increased...
If the dorsal respiratory group of neurons in the medulla oblongata...
Blocking afferent action potentials from the chemoreceptors in the...
The expanded beginning of the ureter connects to the
Use Figure 20-2 to answer the following questions:...
Henry's law states that
Dalton's law states that
Which of the following is greatest?
Carbon dioxide is more soluble in water than oxygen. To get the same...
When the diaphragm and external intercostal muscles contract,
Low pH alters hemoglobin structure so that oxygen binds less strongly...
Stimulation of the apneustic center would result in
Identify the structure labeled "8."
Increasing the alveolar ventilation rate will
The pneumotaxic center of the pons
The process by which dissolved gases are exchanged between the blood...
The ________ delivers urine to a minor calyx.
The partial pressure of oxygen in the interstitial space of peripheral...
The inflation reflex
The outermost layer of the kidney is the
External respiration involves the
Pneumotaxic centers in the pons
Major calyces are
Each of the following factors affects the rate of external...
For maximum loading of hemoglobin with oxygen at the lungs, the
Higher brain centers that alter the activity of the respiratory...
The apneustic centers of the pons
Which of these components of the nephron is largely confined to the...
Alveolar ventilation refers to the
________ equals the respiratory rate m (tidal volume - anatomic dead...
Which of the following descriptions best matches the term calyx?
The normal rate and depth of breathing is established by the ________...
Which of the following descriptions best matches the term renal...
The partial pressure of oxygen in arterial blood is approximately
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