TEST BANK FOR PILBEAM’S MECHANICAL VENTILATION, 6TH EDITION, J M CAIRO

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,Chapter 01: Basic Terms and Concepts of Mechanical Ventilation
Cairo: Pilbeam’s Mechanical Ventilation: Physiological and Clinical Applications, 6th
Edition


MULTIPLE CHOICE

1. The body’s mechanism for conducting air in and out of the lungs is known as which of the
following?
a. External respiration
b. Internal respiration
c. Spontaneous ventilation
d. Mechanical ventilation
ANS: C
The conduction of air in and out of the body is known as ventilation. Since the question asks
for the body’s mechanism, this would be spontaneous ventilation. External respiration
involves the exchange of oxygen (O2) and carbon dioxide (CO2) between the alveoli and the
pulmonary capillaries. Internal respiration occurs at the cellular level and involves movement
of oxygen from the systemic blood into the cells.

REF: pg. 2

2. Which of the following are involved in external respiration?
a. Red blood cells and body cells
b. Scalenes and trapezius muscles
c. Alveoli and pulmonary capillaries
d. External oblique and transverse abdominal muscles
ANS: C
External respiration involves the exchange of oxygen and carbon dioxide (CO2) between the
alveoli and the pulmonary capillaries. Internal respiration occurs at the cellular level and
involves movement of oxygen from the systemic blood into the cells. Scalene and trapezius
muscles are accessory muscles of inspiration. External oblique and transverse abdominal
muscles are accessory muscles of expiration.

REF: pg. 2

3. The graph that shows intrapleural pressure changes during normal spontaneous breathing is
depicted by which of the following?
a.

, b.




c.




d.




ANS: B
During spontaneous breathing, the intrapleural pressure drops from about 5 cm H2O at end-
expiration to about 10 cm H2O at end-inspiration. The graph depicted for answer B shows
that change from 5 cm H2O to 10 cm H2O.

REF: pg. 3

4. During spontaneous inspiration alveolar pressure (PA) is about: ________________.
a. 1 cm H2O
b. +1 cm H2O
c. 0 cm H2O
d. 5 cm H2O
ANS: A
1 cm H2O is the lowest alveolar pressure will become during normal spontaneous
ventilation. During the exhalation of a normal spontaneous breath the alveolar pressure will
become 1 cm H2O.

REF: pg. 4

5. The pressure required to maintain alveolar inflation is known as which of the following?
a. Transairway pressure (PTA)
b. Transthoracic pressure (PTT)
c. Transrespiratory pressure (PTR)
d. Transpulmonary pressure (PL)
ANS: D