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    Respiratory Physiology Powerpointwith Quiz questions and

    FEEDBACK

    by Dr. Patricia MansfieldWritten Fall, 2006Revised Fall, 2007

    All figures from Silverthorns Human Physiology

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    Figure 18-1 - Overview

    GENERAL

    OVERVIEW OF

    TOPICSCONSIDERED INCHAPTER 18

    BUZZWORDS:EXCHANGE AND

    TRANSPORT

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    Question #1-#4

    List the 4 rules

    for diffusion ofgasses in anyorder.

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    Question #1-#4

    List the 4 rules

    for diffusion ofgasses in anyorder.

    Surface area

    Thickness

    Concentration

    Distance

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    Table 5-1

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    Figure 18-4a

    UNDERSTANDING DIFFUSION CAN HELPYOU IN PATHOPHYSIOLOGY

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    Figure 18-4e

    What effect does increased airwayresistance have on the concentrationgradient for diffusion?

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    Question #5.

    The more soluble a

    gas is in a particularliquid, the (HIGHEROR LOWER) thepartial pressure

    required to force thegas into solution.

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    Question #5.

    The more soluble a

    gas is in a particularliquid, the (HIGHEROR LOWER) thepartial pressure

    required to force thegas into solution.

    LOWER

    Solubilities or Bunsens solubility

    coefficients for gasses in body-warmblood. Ignore units at standardmeasurement conditions.

    Carbon dioxide:0.52

    Carbon monoxide:0.018

    Nitrogen: 0.012 (Water: 0.013; Fat: 0.065)

    Oxygen:0.022

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    Figure 18-2cd

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    Question #6-7.

    Which two cell

    layers mustgases cross togo from thealveoli to the

    plasma? (anyorder)

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    Question #6-7.

    Which two cell

    layers mustgases cross togo from thealveoli to the

    plasma? (anyorder)

    Alveolar

    epithelium Capillary

    endothelium akacapillary simplesquamousepithelium

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    Figure 18-5

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    Question #8.

    In some cases of

    pulmonary edema,arterial PO2 is lowbut arterial PCO2 isnormal. What

    difference betweenthe two gasesexplains this clinicalphenomenon?

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    Question #8.

    In some cases of

    pulmonary edema,arterial PO2 is lowbut arterial PCO2 isnormal. What

    difference betweenthe two gasesexplains this clinicalphenomenon?

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    Solubilities or Bunsens solubility coefficients forgasses in body-warm blood. Ignore units at

    standard measurement conditions.

    Carbon dioxide:0.52

    Carbon monoxide:0.018

    Nitrogen: 0.012 (Water: 0.013; Fat: 0.065)

    Oxygen:0.022

    Note: Learn the principle. Dont memorize the table.

    Answer to Question #8. Solubility

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    Question #9.

    What is the

    name forhemoglobinbound to

    oxygen?

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    Question #9.

    What is the

    name forhemoglobinbound to

    oxygen?

    Oxyhemoglobin

    Hb.O2

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    Figure 18-6

    Buzz Words:

    1.LoadingReaction

    2. Unloading

    Reaction

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    Question #10.

    What determines

    the number ofbinding sites foroxygen?

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    Question #10.

    What determines

    the number ofbinding sites foroxygen?

    Number of

    hemoglobinmolecules

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    Figure 18-7 - Overview

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    Question #11.

    About 70% of

    what element isfound in thecenter of the

    heme group ofhemoglobin?

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    Question #11.

    About 70% of

    what element isfound in thecenter of the

    heme group ofhemoglobin?

    Iron

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    Figure 18-8 - Overview

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    Question #12.

    What is the name of

    the graph thatindicates therelationshipbetween PO2 levels

    and how muchoxygen binds tohemoglobin?

    Oxyhemoglobin

    dissociation curve

    Normal PO2 valuesin situ

    Loading

    reaction

    Unloading

    reaction

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    Figure 18-9

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    Question #13-15.

    Which three

    factors affect theability ofhemoglobin to

    bind to oxygen?(any order)

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    Question #13-15.

    Which three

    factors affect theability ofhemoglobin to

    bind to oxygen?(any order)

    Temperature

    pH Metabolite

    specifically

    2,3-DPG

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    Figure 18-10b

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    Figure 18-11

    Effects of 2,3-DPG.

    2,3-diphosphoglycerate,or 2,3-DPG, is an

    organophosphatecreated in

    erythrocytes duringglycolysis.

    2,3-DPG binds todeoxyhemoglobin butnot the oxygenatedform, thereforediminishing the oxygen

    affinity for hemoglobin.This reaction enableshemoglobin to unloadoxygen at the tissues.

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    Figure 18-10a

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    Figure 18-3b

    Normal Pco2

    values in situ

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    Interactive Dissociation Tool at

    http://www.ventworld.com/resources/oxydisso/oxydisso.html

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    Figure 18-10c

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    Table 18-1

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    Figure 18-13

    HALDANEEFFECT ATTHE LUNGS

    BOHR EFFECTAT THETISSUES

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    Figure 18-15

    Transport of

    Oxygen vs.Transport of

    Carbon Dioxide

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    Figure 18-14

    ChlorideShift atthe

    Tissues

    ReverseChloride

    Shift attheLungs

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    Figure 18-16

    REGULATION OF RESPIRATION

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    Figure 18-17

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    Figure 18-18

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    Figure 18-19

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    Figure 18-20