Test Bank for Cardiopulmonary Anatomy and Physiology Essentials of Respiratory Care 7th Edition by Des Jardins Chapter 2 Ventilation
MULTIPLE CHOICE
1. What instrument is used to measure P
atm
?
a. dynameter c. barometer
b. altimeter d. hygrometer
ANS: C
Feedback
A
B
C
D
A barometer is used to measure barometric (P
B
A barometer is used to measure barometric (P
B
A barometer is used to measure barometric (P
B
A barometer is used to measure barometric (P
B
) or atmospheric (P
atm
) or atmospheric (P
atm
) or atmospheric (P
atm
) or atmospheric (P
atm
PTS: 1 DIF: Recall REF: The Airways
2. What is the term for the movement of gas from the external environment to the alveoli ?
a. external respiration c. internal respiration
b. ventilation d. osmosis
ANS: B
Feedback
A
B
C
D
) pressure.
) pressure.
) pressure.
) pressure.
The movement of gas from the external environment to the alveoli is called ventilation.
The movement of gas from the external environment to the alveoli is called ventilation.
The movement of gas from the external environment to the alveoli is called ventilation.
The movement of gas from the external environment to the alveoli is called ventilation.
PTS: 1 DIF: Recall REF: Introduction OBJ: 1
3. At sea level under standard conditions, what would the P
B
equal in mm Hg ?
a. 29.9 c. 14.7
b. 1034 d. 760
ANS: D
Feedback
A
B
C
D
At sea level under standard conditions, the normal barometric pressure is 760 mm Hg.
At sea level under standard conditions, the normal barometric pressure is 760 mm Hg.
At sea level under standard conditions, the normal barometric pressure is 760 mm Hg.
At sea level under standard conditions, the normal barometric pressure is 760 mm Hg.
PTS: 1 DIF: Recall REF: Mechanisms of Ventilation
OBJ: 2
4. What is the general term for a pressure difference between two points in a system?
a. diffusion c. pressure gradient
b. osmotic gradient d. system pressure variation
ANS: C
Feedback
A
B
C
D
A pressure gradient is defined as the difference in pressures occuring between two points.
A pressure gradient is defined as the difference in pressures occuring between two points.
A pressure gradient is defined as the difference in pressures occuring between two points.
A pressure gradient is defined as the difference in pressures occuring between two points.
PTS: 1 DIF: Recall REF: Pressure Gradients
OBJ: 2
5. At sea level, what would the alveolar pressure at end-expiration equal?
a. 760 mm Hg c. 764 mmHg
b. 0 mm Hg d. 756 mm Hg
ANS: A
Feedback
A
B
C
D
Because the alveolar and atmospheric pressure are identical at end-expiration, no air
movement occurs.
Because the alveolar and atmospheric pressure are identical at end-expiration, no air
movement occurs.
Because the alveolar and atmospheric pressure are identical at end-expiration, no air
movement occurs.
Because the alveolar and atmospheric pressure are identical at end-expiration, no air
movement occurs.
PTS: 1 DIF: Recall REF: Pressure Gradients
OBJ: 2
6. At what point in the ventilatory cycle would the intra-alveolar pressure be higher than the atmospheric
pressure?
a. pre-inspiration c. expiration
b. inspiration d. end-expiration
ANS: C
Feedback
A
B
C
D
For gas to leave the lungs during exhalation, the intra-alveolar pressure must be higher
than the atmospheric pressure.
For gas to leave the lungs during exhalation, the intra-alveolar pressure must be higher
than the atmospheric pressure.
For gas to leave the lungs during exhalation, the intra-alveolar pressure must be higher
than the atmospheric pressure.
For gas to leave the lungs during exhalation, the intra-alveolar pressure must be higher
than the atmospheric pressure.
PTS: 1 DIF: Recall REF: Pressure Gradients
OBJ: 2
7. Which gas law states that at constant temperature, a volume of gas varies inversely proportional to its
pressure?
a. Henry’s c. Boyle’s
b. Charles d. Gay-Lussac’s
ANS: C
Feedback
A
B
C
D
Boyle’s law states that at a constant temperature P
1
Boyle’s law states that at a constant temperature P
1
Boyle’s law states that at a constant temperature P
1
Boyle’s law states that at a constant temperature P
1
x V
1
x V
1
x V
1
x V
1
PTS: 1 DIF: Recall
REF: Boyle's Law and Its Relationship to Pressure Gradients OBJ: 2
8. At what point in the respiratory cycle is the equilibrium point reached?
I. Inspiration
II. End-inspiration
III. Expiration
IV. End-expiration
a. II only c. 1 and III only
b. IV only d. II and IV only
ANS: D
Feedback
A
B
C
D
=P
2
=P
2
=P
2
=P
2
x V
2
x V
2
x V
2
x V
2
.
.
.
.
At end-inspiration and end-expiration, no gas movement occurs because the pressure
gradient is zero.
At end-inspiration and end-expiration, no gas movement occurs because the pressure
gradient is zero.
At end-inspiration and end-expiration, no gas movement occurs because the pressure
gradient is zero.
At end-inspiration and end-expiration, no gas movement occurs because the pressure
gradient is zero.
PTS: 1 DIF: Recall
REF: The Primary Mechanism of Ventilation Applied to the Human Airways
OBJ: 3
9. What is the general term for the inward movement of tissue between the ribs during inspiration due to
increased negative intrapleural pressure generated during respiratory distress?
a. dyspnea c. supraclavicular retractions
b. intercostal retractions d. pectus excavatum
ANS: B
Feedback
A
B
C
D
Intercostal retractions are the inward movement of tissue between ribs during inspiration
due the high negative intapleural pressure generated during respiratory distress,
especially in newborns and infants.
Intercostal retractions are the inward movement of tissue between ribs during inspiration
due the high negative intapleural pressure generated during respiratory distress,
especially in newborns and infants.
Intercostal retractions are the inward movement of tissue between ribs during inspiration
due the high negative intapleural pressure generated during respiratory distress,
especially in newborns and infants.
Intercostal retractions are the inward movement of tissue between ribs during inspiration
due the high negative intapleural pressure generated during respiratory distress,
especially in newborns and infants.
PTS: 1 DIF: Recall
REF: The Primary Mechanism of Ventilation Applied to the Human Airways|Clinical Connection 2-1:
Inspiratory Intercostal Retractions OBJ: 4
10. What is the general term for the force required to move gas or fluid through a tube or vessel?
a. transthoracic pressure c. transpulmonary pressure
b. driving pressure d. transmural pressure
ANS: B
Feedback
A
B
C
D
The driving pressure is the pressure difference between two points in a tube or vessel.
The driving pressure is the pressure difference between two points in a tube or vessel.
The driving pressure is the pressure difference between two points in a tube or vessel.
The driving pressure is the pressure difference between two points in a tube or vessel.
PTS: 1 DIF: Recall REF: Driving Pressure
OBJ: 5
11. Which pressure is represented by P
rs
= P
B
- P
alv
?
a. transmural pressure c. transthoracic pressure
b. transpulmonary pressure d. transrespiratory pressure
ANS: D
Feedback
A
B
C
D
Transrespiratory pressure is the difference between the atmospheric pressure and alveolar
pressure.
Transrespiratory pressure is the difference between the atmospheric pressure and alveolar
pressure.
Transrespiratory pressure is the difference between the atmospheric pressure and alveolar
pressure.
Transrespiratory pressure is the difference between the atmospheric pressure and alveolar
pressure.
PTS: 1 DIF: Recall REF: Transrespiratory Pressure
OBJ: 5
12. What is the term for the pressure difference that occurs across the airway wall ?
a. Transmural pressure c. Transpulmonary pressure
b. Transrespiratory pressure d. Transthoracic pressure
ANS: A
Feedback
A
B
C
The transmural pressure is derived by subtracting the pressure on the inside of the airway
from the pressure on the ouside of the airway.
The transmural pressure is derived by subtracting the pressure on the inside of the airway
from the pressure on the ouside of the airway.
The transmural pressure is derived by subtracting the pressure on the inside of the airway
from the pressure on the ouside of the airway.
D
The transmural pressure is derived by subtracting the pressure on the inside of the airway
from the pressure on the ouside of the airway.
PTS: 1 DIF: Recall REF: Transmural Pressure
OBJ: 5
13. What is the term for the difference between the alveolar pressure and the pleural pressure?
a. transmural pressure c. transrespiratory pressure
b. transthoracic pressure d. transpulmonary pressure
ANS: D
Feedback
A
B
C
D
The transpulmonary pressure is the difference between the alveolar pressure and the
pleural pressure.
The transpulmonary pressure is the difference between the alveolar pressure and the
pleural pressure.
The transpulmonary pressure is the difference between the alveolar pressure and the
pleural pressure.
The transpulmonary pressure is the difference between the alveolar pressure and the
pleural pressure.
PTS: 1 DIF: Recall REF: Transpulmonary Pressure
OBJ: 5
14. What is the term for the difference between the alveolar pressure and the body surface pressure?
a. transmural pressure c. transrespiratory pressure
b. transthoracic pressure d. transpulmonary pressure
ANS: B
Feedback
A
B
C
D
Transthoracic pressure is the difference between the alveolar pressure and the body
surface pressure.
Transthoracic pressure is the difference between the alveolar pressure and the body
surface pressure.
Transthoracic pressure is the difference between the alveolar pressure and the body
surface pressure.
Transthoracic pressure is the difference between the alveolar pressure and the body
surface pressure.
PTS: 1 DIF: Recall REF: Transthoracic Pressure
OBJ: 5
15. In a flail chest, which pressure gradients are responsible for the inward movement on inspiration of the
section of unattached ribs?
I. Transpulmonary
II. Transmural
III.Transthoracic
IV.Transrespiratory
a. II and IV only c. I and II only
b. I and III only d. II and III only
ANS: B
Feedback
A
B
C
D
When a flail chest occurs, the section of unattached ribs moves inward on inspiration due
to the transpulmonary and transthoracic pressure gradients.
When a flail chest occurs, the section of unattached ribs moves inward on inspiration due
to the transpulmonary and transthoracic pressure gradients.
When a flail chest occurs, the section of unattached ribs moves inward on inspiration due
to the transpulmonary and transthoracic pressure gradients.
When a flail chest occurs, the section of unattached ribs moves inward on inspiration due
to the transpulmonary and transthoracic pressure gradients.
PTS: 1 DIF: Recall
REF: Lung Compliance|Clinical Connection 2-2: The Harmful Effects of Pressure Gradients When
the Thorax is Unstable OBJ: 6
16. Which clinical measurement is used to evaluate the elastic forces of the lungs?
a. elastance c. surface tension
b. lung compliance d. airway resistance
ANS: B
Feedback
A
B
C
D
The elastic forces of the lungs can be evaluated by measuring lung compliance.
The elastic forces of the lungs can be evaluated by measuring lung compliance.
The elastic forces of the lungs can be evaluated by measuring lung compliance.
The elastic forces of the lungs can be evaluated by measuring lung compliance.
PTS: 1 DIF: Recall REF: Elastic Properties of the Lung and Chest Wall
OBJ: 7
17. What of the following is used to calculate lung compliance?
a. P=(2ST) / r c. P1V1=P2V2
b.
V/ P
d.
P/ V
ANS: B
Feedback
A
B
C
D
Lung compliance is defined as the change in lung volume per unit of pressure change.
Lung compliance is defined as the change in lung volume per unit of pressure change.
Lung compliance is defined as the change in lung volume per unit of pressure change.
Lung compliance is defined as the change in lung volume per unit of pressure change.
PTS: 1 DIF: Recall REF: Lung Compliance
OBJ: 8
18. What would the lung compliance equal if a pressure change of 4 cm H20 resulted in a volume change
of 600 mL?
a. 0.15L/cm H20 c. 0.24 L/cm H20
b. 1.5 L/cm H20 d. 0.066 L/cm H20
ANS: A
Feedback
A
B
C
D
A volume change of 0.6 L from pressure change of 4 cm H20 would result in a lung
compliance of 0.15 L/cm H20 (0.6L/4 cm H20).
A volume change of 0.6 L from pressure change of 4 cm H20 would result in a lung
compliance of 0.15 L/cm H20 (0.6L/4 cm H20).
A volume change of 0.6 L from pressure change of 4 cm H20 would result in a lung
compliance of 0.15 L/cm H20 (0.6L/4 cm H20).
A volume change of 0.6 L from pressure change of 4 cm H20 would result in a lung
compliance of 0.15 L/cm H20 (0.6L/4 cm H20).
PTS: 1 DIF: Application REF: Lung Compliance
OBJ: 9
19. How does air trapping and hyperinflation of the lungs affect lung compliance?
a. lung compliance is increased
b. lung compliance is normal
c. lung compliance is unaffected by hyperinflation
d. lung compliance is reduced
ANS: D
Feedback
A
B
C
D
When air trapping and hyperinflation of the lungs occur, lung compliance decreases.
When air trapping and hyperinflation of the lungs occur, lung compliance decreases.
When air trapping and hyperinflation of the lungs occur, lung compliance decreases.
When air trapping and hyperinflation of the lungs occur, lung compliance decreases.
PTS: 1 DIF: Recall
REF: Lung Compliance|Clinical Connection 2-3: Pulmonary Disorders that Force the Patient to
Breathe at the Top Flat Portion of the Volume Pressure Curve OBJ: 10
20. How do obstructive lung diseases that cause air trapping affect lung compliance?
a. Lung compliance remains normal
b. Lung compliance is reduced
c. Lung compliance is increased
d. Lung compliance is unaffected by air trapping
ANS: B
Feedback
A
B
C
D
Lung compliance is decreased in the presence of obstructive lung diseases that cause air
trapping and hyperinflation.
Lung compliance is decreased in the presence of obstructive lung diseases that cause air
trapping and hyperinflation.
Lung compliance is decreased in the presence of obstructive lung diseases that cause air
trapping and hyperinflation.
Lung compliance is decreased in the presence of obstructive lung diseases that cause air
trapping and hyperinflation.
PTS: 1 DIF: Recall
REF: Lung Compliance|Clinical Connection 2-3: Pulmonary Disorders that Force the Patient to
Breathe at the Top Flat Portion of the Volume Pressure Curve OBJ: 10
21. What effect do restrictive lung diseases have on lung compliance?
a. Restrictive lung diseases do not affect lung compliance.
b. Lung compliance decreases
c. Lung compliance remains normal
d. Lung compliance increases
ANS: B
Feedback
A
B
C
D
Restrictive lung diseases shift the volume-pressure curve to the right so lung compliance
is reduced.
Restrictive lung diseases shift the volume-pressure curve to the right so lung compliance
is reduced.
Restrictive lung diseases shift the volume-pressure curve to the right so lung compliance
is reduced.
Restrictive lung diseases shift the volume-pressure curve to the right so lung compliance
is reduced.
PTS: 1 DIF: Recall
REF: Lung Compliance|Clinical Connection 2-4: Pulmonary Disorders that Shift the Pressure
Volume Curve to the Right OBJ: 11
22. Which of the following would shift the volume-pressure curve to the right?
I. Acute asthma episode
II. Pneumothorax
III. Pleural effusion
IV. Pulmonary edema
a. II, II, and IV only c. I, II, and IV only
b. I. III and IV only d. Ii and IV only
ANS: A
Feedback
A
B
C
D
Restrictive lung conditions, including pneumothorax, pleural effusion, and pulmonary
edema shift the volume pressure curve to the right.
Restrictive lung conditions, including pneumothorax, pleural effusion, and pulmonary
edema shift the volume pressure curve to the right.
Restrictive lung conditions, including pneumothorax, pleural effusion, and pulmonary
edema shift the volume pressure curve to the right.
Restrictive lung conditions, including pneumothorax, pleural effusion, and pulmonary
edema shift the volume pressure curve to the right.
PTS: 1 DIF: Recall
REF: Lung Compliance|Clinical Connection 2-4: Pulmonary Disorders that Shift the Pressure
Volume Curve to the Right OBJ: 11
23. What is the reciprocal of compliance?
a. elastance c. resistance
b. viscosity d. surface tension
ANS: A
Feedback
A
B
C
D
The reciprocal of compliance is elastance.
The reciprocal of compliance is elastance.
The reciprocal of compliance is elastance.
The reciprocal of compliance is elastance.
PTS: 1 DIF: Recall REF: Hooke's Law
OBJ: 12
24. Which physical law explains elastance?
a. Gay-Lussac’s law c. Boyle’s law
b. Charles’ law d. Hooke’s law
ANS: D
Feedback
A
B
C
D
Hooke’s law explains elastance.
Hooke’s law explains elastance.
Hooke’s law explains elastance.
Hooke’s law explains elastance.
PTS: 1 DIF: Recall REF: Hooke's Law
OBJ: 12
25. When a positive pressure breath is delivered from a mechanical ventilator, how would intra-alveolar
and intrapleural pressures be affected during inspiration?
a. The intra-alveolar pressure would rise while the intrapleural pressure remains
subatmospheric
b. Both would remain constant at their resting levels
c. Both would decrease
d. Both would increase
ANS: D
Feedback
A
B
C
D
The intra-alveolar and intrapleural pressures would increase during a positive pressure
breath from a mechanical ventilator.
The intra-alveolar and intrapleural pressures would increase during a positive pressure
breath from a mechanical ventilator.
The intra-alveolar and intrapleural pressures would increase during a positive pressure
breath from a mechanical ventilator.
The intra-alveolar and intrapleural pressures would increase during a positive pressure
breath from a mechanical ventilator.
PTS: 1 DIF: Recall
REF: Hooke's Law|Clinical Connection 2-5: Positive Pressure Ventilation
OBJ: 13
26. When a tension pneumothorax occurs during positive pressure ventilation, how will the cardiac output
and blood pressure affected?
a. The BP will increase but the BP will decrease
b. Both will increase
c. The cardiac output will increase but the BP will decrease
d. Both will decrease
ANS: D
Feedback
A
B
C
D
When a tesnion pneumothorax occurs, the cardiac output and blood pressure decrease
due to compression of major vessels from accumulated gas in the pleural cavity.
When a tesnion pneumothorax occurs, the cardiac output and blood pressure decrease
due to compression of major vessels from accumulated gas in the pleural cavity.
When a tesnion pneumothorax occurs, the cardiac output and blood pressure decrease
due to compression of major vessels from accumulated gas in the pleural cavity.
When a tesnion pneumothorax occurs, the cardiac output and blood pressure decrease
due to compression of major vessels from accumulated gas in the pleural cavity.
PTS: 1 DIF: Recall
REF: Hooke's Law|Clinical Connection 2-6: Hazards of Positive Pressure Ventilation
OBJ: 14
27. Which law best explains the basic operation of the negative pressure ventilator?
a. Charles’ c. Hooke’s
b. Boyle’s d. Dalton’s
ANS: B
Feedback
A
B
C
D
The basic pressure and volume relationships described by Boyle’s law are implemented
by negative pressure ventilators.
The basic pressure and volume relationships described by Boyle’s law are implemented
by negative pressure ventilators.
The basic pressure and volume relationships described by Boyle’s law are implemented
by negative pressure ventilators.
The basic pressure and volume relationships described by Boyle’s law are implemented
by negative pressure ventilators.
PTS: 1 DIF: Recall
REF: Hooke's Law|Clinical Connection 2-7: Negative Pressure Ventilation
OBJ: 15
28. Which of the following are periods of no gas flow during negative pressure ventilation?
I. Inspiration
II. End inspiration
III. Expiration
IV. End expiration
a. II only c. IV only
b. I and III only d. II and IV only
ANS: D
Feedback
A
B
C
D
During negative pressure ventilation, no gas flow occurs at end-expiration and endinspiration.
During negative pressure ventilation, no gas flow occurs at end-expiration and endinspiration.
During negative pressure ventilation, no gas flow occurs at end-expiration and endinspiration.
During negative pressure ventilation, no gas flow occurs at end-expiration and end-
inspiration.
PTS: 1 DIF: Recall
REF: Hooke's Law|Clinical Connection 2-7: Negative Pressure Ventilation
OBJ: 15
29. What is the term for the molecular cohesive force at a liquid-gas interface?
a. compliance c. resistance
b. elastance d. surface tension
ANS: D
Feedback
A
B
C
D
Surface tension is the molecular, cohesive force that occurs at a liquid-gas interface.
Surface tension is the molecular, cohesive force that occurs at a liquid-gas interface.
Surface tension is the molecular, cohesive force that occurs at a liquid-gas interface.
Surface tension is the molecular, cohesive force that occurs at a liquid-gas interface.
PTS: 1 DIF: Recall REF: Surface Tension and its Effect on Lung Expansion
OBJ: 16
30. Who is credited with the following equation : P = (2ST)/r ?
a. Hooke c. Dalton
b. LaPlace d. Boyle
ANS: B
Feedback
A
B
C
D
The equation for LaPlace’s law with one liquid-gas interface is written as P=(2ST)/r.
The equation for LaPlace’s law with one liquid-gas interface is written as P=(2ST)/r.
The equation for LaPlace’s law with one liquid-gas interface is written as P=(2ST)/r.
The equation for LaPlace’s law with one liquid-gas interface is written as P=(2ST)/r.
PTS: 1 DIF: Recall REF: Laplace's Law
OBJ: 17
31. Which substance in the alveoli is responsible for lowering the surface tension?
a. saline c. plasma
b. pulmonary surfactant d. mucus
ANS: B
Feedback
A
B
C
D
Surfactant helps to reduce alveolar surface tension and helps prevent alveoli from
collapsing.
Surfactant helps to reduce alveolar surface tension and helps prevent alveoli from
collapsing.
Surfactant helps to reduce alveolar surface tension and helps prevent alveoli from
collapsing.
Surfactant helps to reduce alveolar surface tension and helps prevent alveoli from
collapsing.
PTS: 1 DIF: Recall
REF: LaPlace's Law Applied to the Alevolar Fluid Lining OBJ: 18
32. What is the primary surface tension lowering chemical in pulmonary surfactant?
a. PCP c. BPD
b. DPPC d. CPPD
ANS: B
Feedback
A
B
C
D
Dipalmitoyl phospatidycholine (DPPC) is the primary surface tension lowering
component of pulmonary surfactant.
Dipalmitoyl phospatidycholine (DPPC) is the primary surface tension lowering
component of pulmonary surfactant.
Dipalmitoyl phospatidycholine (DPPC) is the primary surface tension lowering
component of pulmonary surfactant.
Dipalmitoyl phospatidycholine (DPPC) is the primary surface tension lowering
component of pulmonary surfactant.
PTS: 1 DIF: Recall
REF: How Pulmonary Surfactant Regulates Alveolar Surface Tension
OBJ: 19
33. IWhen the average alveolus is fully distended,, what is the approximate surface tension?
a. 5-15 dynes/cm c. 5-15 cm H20
b. 50 dynes/cm d. 50 cm H20
ANS: B
Feedback
A
B
C
D
When the average alveolus is inflated, the surface tension is approximately 50 dynes/cm.
When the average alveolus is inflated, the surface tension is approximately 50 dynes/cm.
When the average alveolus is inflated, the surface tension is approximately 50 dynes/cm.
When the average alveolus is inflated, the surface tension is approximately 50 dynes/cm.
PTS: 1 DIF: Recall
REF: How Pulmonary Surfactant Regulates Alveolar Surface Tension
OBJ: 19
34. Which of the following can cause pulmonary surfactant deficiency?
I. Pulmonary embolism
II. Pulmonary edema
III. Atelectasis
IV. ARDS
a. I, II, III, and IV c. I , II, and III only
b. II and III only d. II and IV only
ANS: A
Feedback
A
B
C
D
All of the factors listed can cause pulmonary surfactant deficiency.
All of the factors listed can cause pulmonary surfactant deficiency.
All of the factors listed can cause pulmonary surfactant deficiency.
All of the factors listed can cause pulmonary surfactant deficiency.
PTS: 1 DIF: Recall REF: Summary of the Lung's Elastic Properties
OBJ: 20
35. What is the treatment of choice for the early stages of RDS in premature infants?
a. oxygen therapy c. long acting bronchodilators
b. CPAP d. steroids
ANS: B
Feedback
A
B
C
D
CPAP is the treatment for the early stages of RDS.
CPAP is the treatment for the early stages of RDS.
CPAP is the treatment for the early stages of RDS.
CPAP is the treatment for the early stages of RDS.
PTS: 1 DIF: Recall
REF: Summary|Clinical Connection 2-8: Pulmonary Surfactant Deficiency
OBJ: 21
36. What term is used in respiratory care to describe the movement of gas in and out of the lung and the
pressure changes required to move the gas?
a. passive c. static
b. respiration d. dynamic
ANS: D
Feedback
A
B
C
D
Dynamic refers to movementof gas in and out of the lungs and the accompanying
pressure changes.
Dynamic refers to movementof gas in and out of the lungs and the accompanying
pressure changes.
Dynamic refers to movementof gas in and out of the lungs and the accompanying
pressure changes.
Dynamic refers to movementof gas in and out of the lungs and the accompanying
pressure changes.
PTS: 1 DIF: Recall REF: Dynamic Characteristics of the Lungs
OBJ: 22
37. When Poiseuille’s law is rearranged for flow with pressure remaining constant, what impact would
reducing the radius of a tube by 50% have on the gas flow?
a. It would be reduced to 1/16 of the original flow
b. It would increase to 16 times more than the original flow
c. It would be reduced to 1/4 the original flow
d. It would increase to 16 times more than the original flow
ANS: A
Feedback
A
B
C
D
When the radius of a tube is halved, the flow will decrease to 1/16 of the original output.
When the radius of a tube is halved, the flow will decrease to 1/16 of the original output.
When the radius of a tube is halved, the flow will decrease to 1/16 of the original output.
When the radius of a tube is halved, the flow will decrease to 1/16 of the original output.
PTS: 1 DIF: Application REF: Poiseuille's Law Arranged for Flow
OBJ: 23
38. When Poiseuille’s law is rearranged for pressure, what adjustment must be made in driving pressure to
maintain the same flowrate when the radius of the tube is reduced by 50% ?
a. The pressure must be increased to 4 times the original pressure
b. The pressure must be increased to 16 times the original
c. The pressure must be doubled
d. The pressure must be reduced by 50%
ANS: B
Feedback
A
B
C
D
Pressure is a function of the radius to the fourth power so 16 times the original pressure
would be required to restore the flowrate when the radius of the tube is halved.
Pressure is a function of the radius to the fourth power so 16 times the original pressure
would be required to restore the flowrate when the radius of the tube is halved.
Pressure is a function of the radius to the fourth power so 16 times the original pressure
would be required to restore the flowrate when the radius of the tube is halved.
Pressure is a function of the radius to the fourth power so 16 times the original pressure
would be required to restore the flowrate when the radius of the tube is halved.
PTS: 1 DIF: Application REF: Poiseuille's Law Arranged for Pressure
OBJ: 25
39. When the radius of the bronchial airways decreases during exhalation, what change must occur to
maintain a constant gas flow?
a. The transthoracic pressure must remain constant
b. The transthoracic pressure must vary inversely with the second power of the radius
c. The transthoracic pressure must vary directly with the fourth power of the radius
d. The transthoracic pressure must vary inversely with the fourth power of the radius
ANS: D
Feedback
A
B
C
D
As the radius of the bronchial airways decrease during exhalation, the transthoracic
pressure must vary inversely with the fourth power of the radius.
As the radius of the bronchial airways decrease during exhalation, the transthoracic
pressure must vary inversely with the fourth power of the radius.
As the radius of the bronchial airways decrease during exhalation, the transthoracic
pressure must vary inversely with the fourth power of the radius.
As the radius of the bronchial airways decrease during exhalation, the transthoracic
pressure must vary inversely with the fourth power of the radius.
PTS: 1 DIF: Recall
REF: Poiseuille's Law Rearranged to Simple Proportionalities OBJ: 25
40. What is derived when the pressure difference between the mouth and alveoli is divided by the
flowrate?
a. airway resistance c. chest wall compliance
b. lung compliance d. surface tension
ANS: A
Feedback
A
B
C
D
Airway resistance is defined as the change in transrespiratory pressure divided by flow
rate.
Airway resistance is defined as the change in transrespiratory pressure divided by flow
rate.
Airway resistance is defined as the change in transrespiratory pressure divided by flow
rate.
Airway resistance is defined as the change in transrespiratory pressure divided by flow
rate.
PTS: 1 DIF: Recall REF: Airway Resistance
OBJ: 27
41. If an individual generates a flow rate of 4 L/sec by generating a transrespiratory pressure of 6 cm H20,
what would Raw equal?
a. 1.5 L/sec/cm H20 c. 1.5 cm H20/L/sec
b. 2.4 L/sec/ cm H20 d. 0.67 cm H20/L/sec
ANS: C
Feedback
A
B
C
D
Airway resistance would be derived as 6 cm H20/4 L/sec to equal 1.5 cm H2O/L/sec.
Airway resistance would be derived as 6 cm H20/4 L/sec to equal 1.5 cm H2O/L/sec.
Airway resistance would be derived as 6 cm H20/4 L/sec to equal 1.5 cm H2O/L/sec.
Airway resistance would be derived as 6 cm H20/4 L/sec to equal 1.5 cm H2O/L/sec.
PTS: 1 DIF: Application REF: Airway Resistance
OBJ: 28
42. If a patient who generates an intrapleural pressure of -4 mmHg to inhale 450 mL experiences
inflammation and bronchospasm that reduce the radius of the bronchial airways to one-half of their
original size, what pressure must the patient generate to inhale the same tidal volume?
a. 16 mm Hg c. 20 mm Hg
b. 64 mm Hg d. 48 mm Hg
ANS: B
Feedback
A
B
C
D
To maintain the same tidal volume when the radius of the bronchial airways is reduced
by one half, the intrapleural pressure must increase by a factor of 16 so the required
pressure would be 4 x 16 or 64 mm Hg.
To maintain the same tidal volume when the radius of the bronchial airways is reduced
by one half, the intrapleural pressure must increase by a factor of 16 so the required
pressure would be 4 x 16 or 64 mm Hg.
To maintain the same tidal volume when the radius of the bronchial airways is reduced
by one half, the intrapleural pressure must increase by a factor of 16 so the required
pressure would be 4 x 16 or 64 mm Hg.
To maintain the same tidal volume when the radius of the bronchial airways is reduced
by one half, the intrapleural pressure must increase by a factor of 16 so the required
pressure would be 4 x 16 or 64 mm Hg.
PTS: 1 DIF: Application
REF: Poiseuille's Law Arranged for Simple Proportionalities|Clinical Connection 2-9: Respiratory
Disorders that Decrease the Radius of the Airways OBJ: 26
43. Which flow pattern occurs in airways at low flow rates and low pressure-gradients?
a. turbulent flow c. tracheobronchial flow
b. laminar flow d. transitional flow
ANS: B
Feedback
A
B
C
D
Laminar flow occurs in airways where flow rate and pressure gradients are both low.
Laminar flow occurs in airways where flow rate and pressure gradients are both low.
Laminar flow occurs in airways where flow rate and pressure gradients are both low.
Laminar flow occurs in airways where flow rate and pressure gradients are both low.
PTS: 1 DIF: Recall REF: Laminar Flow
OBJ: 27
44. Which flow pattern occurs in airways at high flow rates and high pressure gradients?
a. laminar flow c. transitional flow
b. turbulent flow d. tracheobronchial flow
ANS: B
Feedback
A
B
C
D
Turbulent flow occurs in airways at high flow rates and high pressure gradients.
Turbulent flow occurs in airways at high flow rates and high pressure gradients.
Turbulent flow occurs in airways at high flow rates and high pressure gradients.
Turbulent flow occurs in airways at high flow rates and high pressure gradients.
PTS: 1 DIF: Recall REF: Turbulent Flow
OBJ: 27
45. What is defined as “the time required to inflate a lung region to 60% of its filling capacity”?
a. inspiratory time c. dynamic compliance
b. maximum inspiratory time d. time constant
ANS: D
Feedback
A
B
C
D
A time constant is the amount of time required to inflate a lung region to 60% its
potential filling capacity.
A time constant is the amount of time required to inflate a lung region to 60% its
potential filling capacity.
A time constant is the amount of time required to inflate a lung region to 60% its
potential filling capacity.
A time constant is the amount of time required to inflate a lung region to 60% its
potential filling capacity.
PTS: 1 DIF: Recall REF: Time Constants
OBJ: 29
46. When lung compliance is reduced by half, how will time constants be affected?
a. The time constants will double
b. The time constant will be reduced by half
c. The time constant will increase to four times the original
d. The time constant will be reduced to one-fourth of the original
ANS: B
Feedback
A
B
C
D
When lung compliance is halved, the time constant will also be halved.
When lung compliance is halved, the time constant will also be halved.
When lung compliance is halved, the time constant will also be halved.
When lung compliance is halved, the time constant will also be halved.
PTS: 1 DIF: Recall REF: Time Constants
OBJ: 29
47. What effect will increased R
aw
and increasedC
L
have on the time constants in the affected lung regions?
a. Time constants are unaffected by C
L.
but will require more time to inflate in the affected
region due to the increased
R
aw
b. Both factors require less time for the affected lung region to inflate
c. Time constants are unaffected by R
aw
but will require less time to inflate due to the
increased C
L.
d. Both factors require more time for the affected region to inflate.
ANS: D
Feedback
A
B
C
D
Lung regions with increased airway resistance and increased lung compliance require
more time to inflate
Lung regions with increased airway resistance and increased lung compliance require
more time to inflate
Lung regions with increased airway resistance and increased lung compliance require
more time to inflate
Lung regions with increased airway resistance and increased lung compliance require
more time to inflate
PTS: 1 DIF: Recall REF: Time Constants
OBJ: 29
48. What term is defined as “the change in volume of the lungs divided by the change in transpulmonary
pressure during the time required for one breath’?
a. static compliance c. airway resistance
b. time constant d. dynamic compliance
ANS: D
Feedback
A
B
C
D
Dynamic compliance is the change in volume of the lungs divided by the change in
transpulmonary pressure during the time required for one breath.
Dynamic compliance is the change in volume of the lungs divided by the change in
transpulmonary pressure during the time required for one breath.
Dynamic compliance is the change in volume of the lungs divided by the change in
transpulmonary pressure during the time required for one breath.
Dynamic compliance is the change in volume of the lungs divided by the change in
transpulmonary pressure during the time required for one breath.
PTS: 1 DIF: Recall REF: Dynamic Compliance
OBJ: 30
49. In the presence of restrictive lung disorders, how do patients typically offset the decreased time
constants?
a. They adopt a decreased respiratory rate and add a breath hold
b. They adopt a decreased respiratory rate
c. They adopt a decreased respiratory rate with an increased tidal volume
d. They adopt an increased respiratory rate
ANS: D
Feedback
A
B
C
D
With restrictive lung disorders, patients typically adopt an increased respiratory rate.
With restrictive lung disorders, patients typically adopt an increased respiratory rate.
With restrictive lung disorders, patients typically adopt an increased respiratory rate.
With restrictive lung disorders, patients typically adopt an increased respiratory rate.
PTS: 1 DIF: Recall
REF: Dynamic Compliance|Clinical Connection: Restrictive Lung Disorders, Time Constants, and
Breathing Pattern Relationships OBJ: 31
50. What changes in breathing patterns do patients with obstructive pulmonary disorders with increased
R
aw
and increased time constants typically adopt?
a. They increase their respiratory rate and tidal volume
b. They increase their respiratory rate and decrease their tidal volume
c. They decrease their respiratory rate and increase their tidal volume
d. The decrease their respiratory rate and tidal volume
ANS: C
Feedback
A
B
C
D
Patients with obstructive pulmonary disorders with increased R
aw
and increased time
constants typically decrease their respiratory rates and increase their tidal volumes.
Patients with obstructive pulmonary disorders with increased R
aw
and increased time
constants typically decrease their respiratory rates and increase their tidal volumes.
Patients with obstructive pulmonary disorders with increased R
aw
and increased time
constants typically decrease their respiratory rates and increase their tidal volumes.
Patients with obstructive pulmonary disorders with increased R
aw
and increased time
constants typically decrease their respiratory rates and increase their tidal volumes.
PTS: 1 DIF: Recall
REF: Dynamic Compliance|Clinical Connection 2-11: Obstructive Lung Disorders. Time Constants
and Breathing Pattern Relationships OBJ: 32
51. When rapid ventilatory rates occur, what is the term for the condition in which positive pressure
remains in the alveoli during exhalation due to the insufficient expiratory time?
a. auto-PEEP c. frequency dependence
b. WOB d. pendulluft
ANS: A
Feedback
A
B
C
D
Auto-PEEP is the condition in which positive pressure remains in the alveoli during
exhalation due to insufficient expiratory time.
Auto-PEEP is the condition in which positive pressure remains in the alveoli during
exhalation due to insufficient expiratory time.
Auto-PEEP is the condition in which positive pressure remains in the alveoli during
exhalation due to insufficient expiratory time.
Auto-PEEP is the condition in which positive pressure remains in the alveoli during
exhalation due to insufficient expiratory time.
PTS: 1 DIF: Recall
REF: Dynamic Compliance|Clinical Connection 2-12: Auto-PEEP and its Relationship to Raw
During Rapid Ventilatory Rates OBJ: 33
52. What is the term for the volume of gas that is typically measured during exhalation of one quiet
breath?
a. expiratory reserve volume c. tidal volume
b. minute volume d. expiration
ANS: C
Feedback
A
B
C
D
The amount of gas exhaled from one quiet breath is the tidal volume.
The amount of gas exhaled from one quiet breath is the tidal volume.
The amount of gas exhaled from one quiet breath is the tidal volume.
The amount of gas exhaled from one quiet breath is the tidal volume.
PTS: 1 DIF: Recall REF: The Normal Ventilatory Patterns
OBJ: 34
53. What is the average respiratory rate for an adult at rest?
a. 19-26 breaths/min c. 5-12 breaths/min
b. 12-18 breaths/min d. 14-24 breath/min
ANS: B
Feedback
A
B
C
D
The average respiratory rate for an adult at rest is 12-18 breaths/min.
The average respiratory rate for an adult at rest is 12-18 breaths/min.
The average respiratory rate for an adult at rest is 12-18 breaths/min.
The average respiratory rate for an adult at rest is 12-18 breaths/min.
PTS: 1 DIF: Recall REF: The Normal Ventilatory Patterns
OBJ: 34
54. With the end expiratory pause is factored in, what is the normal I:E ratio for an adult at rest?
a. 1 : 3 c. 1 : 1
b. 1 : 2.5 d. 1 : 2
ANS: D
Feedback
A
B
C
When the end expiratory pause is included, the normal I:E ratio for an adult at rest is 1:2.
When the end expiratory pause is included, the normal I:E ratio for an adult at rest is 1:2.
When the end expiratory pause is included, the normal I:E ratio for an adult at rest is 1:2.
D
When the end expiratory pause is included, the normal I:E ratio for an adult at rest is 1:2.
PTS: 1 DIF: Recall REF: The Normal Ventilatory Patterns
OBJ: 34
55. What is the average respiratory rate for a healthy toddler at rest?
a. 15-24 breaths/min c. 12-20 breaths/min
b. 25 - 40 breaths/min d. 30-60 breaths/min
ANS: B
Feedback
A
B
C
D
The average respiratory rate for a healthy toddler at rest is 25-40 breaths/min.
The average respiratory rate for a healthy toddler at rest is 25-40 breaths/min.
The average respiratory rate for a healthy toddler at rest is 25-40 breaths/min.
The average respiratory rate for a healthy toddler at rest is 25-40 breaths/min.
PTS: 1 DIF: Recall
REF: The Normal Ventilatory Patterns|Clinical Connection 2-13: Normal Respiratory Rates for
Different Age Groups OBJ: 35
56. A 5 ft tall female who weighs 300 lb requires mechanical ventilation. If the prescribed tidal volume for
this patient’s condition is 6 mL/kg IBW, where should the set tidal volume be set?
a. approximately 520 mL c. approximately 820 mL
b. approximately 380 mL d. approximately 290 mL
ANS: D
Feedback
A
B
C
D
A 5 ft tall female’s IBW would be approximately 100-105 pounds or 47 kg, so 47 x
6mL/kg would equal approximately 290 mL.
A 5 ft tall female’s IBW would be approximately 100-105 pounds or 47 kg, so 47 x
6mL/kg would equal approximately 290 mL.
A 5 ft tall female’s IBW would be approximately 100-105 pounds or 47 kg, so 47 x
6mL/kg would equal approximately 290 mL.
A 5 ft tall female’s IBW would be approximately 100-105 pounds or 47 kg, so 47 x
6mL/kg would equal approximately 290 mL.
PTS: 1 DIF: Application
REF: The Normal Ventilatory Patterns|Clinical Connection 2-14: Tidal Volume and Breathing Rate
Strategies for Mechanical Ventilation OBJ: 36
57. What are the boundaries of anatomic dead space?
a. nose and mouth to the alveolar sacs
b. nose and mouth through the terminal bronchioles
c. nose and mouth to the segmental bronchi
d. nose and moth to the bronchioles
ANS: B
Feedback
A
B
C
Anatomic deadspace extends from the nose and mouth through the terminal bronchioles.
Anatomic deadspace extends from the nose and mouth through the terminal bronchioles.
Anatomic deadspace extends from the nose and mouth through the terminal bronchioles.
D
Anatomic deadspace extends from the nose and mouth through the terminal bronchioles.
PTS: 1 DIF: Recall REF: Anatomic Deadspace
OBJ: 37
58. What is the approximate volume of anatomic deadspace?
a. 2.2 mL/lb of ideal body weight c. 1 mL/lb of ideal body weight
b. 2.2 mL/kg actual body weight d. 1 mL/kg of ideal body weight
ANS: C
Feedback
A
B
C
D
The volume of anatomic deadspace is approximately 1mL/lb of ideal body weight.
The volume of anatomic deadspace is approximately 1mL/lb of ideal body weight.
The volume of anatomic deadspace is approximately 1mL/lb of ideal body weight.
The volume of anatomic deadspace is approximately 1mL/lb of ideal body weight.
PTS: 1 DIF: Recall REF: Anatomic Deadspace
OBJ: 37
59. What does frequency multiplied by (V
T
-V
D
) equal?
a. alveolar deadspace c. minute alveolar ventilation
b. physiologic deadspace ventilation d. minute ventilation
ANS: C
Feedback
A
B
C
D
The minute alveolar ventilation equals the frequency multiplied by (tidal volume minus
anatomic deadspace).
The minute alveolar ventilation equals the frequency multiplied by (tidal volume minus
anatomic deadspace).
The minute alveolar ventilation equals the frequency multiplied by (tidal volume minus
anatomic deadspace).
The minute alveolar ventilation equals the frequency multiplied by (tidal volume minus
anatomic deadspace).
PTS: 1 DIF: Recall REF: Anatomic Deadspace
OBJ: 37
60. What is the term for alveolar ventilation without pulmonary capillary perfusion?
a. alveolar deadspace c. minute alveolar ventilation
b. physiologic deadspace d. anatomic deadspace
ANS: A
Feedback
A
B
C
D
Alveolar deadspace is alveolar ventilation without pulmonary capillary perfusion
Alveolar deadspace is alveolar ventilation without pulmonary capillary perfusion
Alveolar deadspace is alveolar ventilation without pulmonary capillary perfusion
Alveolar deadspace is alveolar ventilation without pulmonary capillary perfusion
PTS: 1 DIF: Recall REF: Anatomic Deadspace
OBJ: 37
61. What does the sum of anatomic deadspace and alveolar deadspace equal?
a. minute ventilation c. physiologic deadspace
b. alveolar ventilaion d. total gas exchange
ANS: C
Feedback
A
B
C
D
Anatomic deadspace plus alveolar deadspace equals physiologic deadspace.
Anatomic deadspace plus alveolar deadspace equals physiologic deadspace.
Anatomic deadspace plus alveolar deadspace equals physiologic deadspace.
Anatomic deadspace plus alveolar deadspace equals physiologic deadspace.
PTS: 1 DIF: Recall REF: Physiologic Deadspace
OBJ: 37
62. How would the addition of a length of tubing between a ventilator and the endotracheal tube affect on
dead space?
a. It would have no effect on deadspace
b. It would have no effect on deadspace but would increase the tidal volume
c. It would decrease the deadspace
d. It would increase the deadspace
ANS: D
Feedback
A
B
C
D
When a length of tubing is added between the ventilator and endotracheal tube, the
deadspace increases.
When a length of tubing is added between the ventilator and endotracheal tube, the
deadspace increases.
When a length of tubing is added between the ventilator and endotracheal tube, the
deadspace increases.
When a length of tubing is added between the ventilator and endotracheal tube, the
deadspace increases.
PTS: 1 DIF: Recall
REF: Physiologic Deadspace|Clinical Connection 2-15: A Giraffe's Neck: Alveolar Ventilation vs
Deadspace Ventilation OBJ: 40
63. Which of the following can cause pulmonary emboli?
I. Prolonged inactivity
II. Pregnancy and childbirth
III. Obesity
IV. Hypercoagulation disorders
a. I, II, III, and IV c. I and IV only
b. I, III, and IV only d. I, II, and III only
ANS: A
Feedback
A
B
Pulmonary emboli can result from prolonged inactivity, pregnancy and childbirth,
obseity, and hypercoagulation disorders.
Pulmonary emboli can result from prolonged inactivity, pregnancy and childbirth,
C
D
obseity, and hypercoagulation disorders.
Pulmonary emboli can result from prolonged inactivity, pregnancy and childbirth,
obseity, and hypercoagulation disorders.
Pulmonary emboli can result from prolonged inactivity, pregnancy and childbirth,
obseity, and hypercoagulation disorders.
PTS: 1 DIF: Recall
REF: Physiologic Deadspace|Clinical Connection 2-16: Pulmonary Embolus and Deadspace
Ventilation OBJ: 41
64. What would the minute alveolar ventilation equal if a 6 ft tall, 170 lb male has a VT of 550 mL and a
respiratory rate of 11 breaths/min?
a. 550 - (170/2.2) x 11= 4.65 L c. (550 + 170) x 11 = 7.9 L
b. (550-170) x 11 = 4.18 L d. 550 + (170 x 11) = 1.87 L
ANS: B
Feedback
A
B
C
D
The alveolar ventilation would be [550 mL tidal volume-170 anatomic dead space
volume) x 11 breaths/min = 4.18 L /min .
The alveolar ventilation would be [550 mL tidal volume-170 anatomic dead space
volume) x 11 breaths/min = 4.18 L /min .
The alveolar ventilation would be [550 mL tidal volume-170 anatomic dead space
volume) x 11 breaths/min = 4.18 L /min .
The alveolar ventilation would be [550 mL tidal volume-170 anatomic dead space
volume) x 11 breaths/min = 4.18 L /min .
PTS: 1 DIF: Application REF: Anatomic Deadspace
OBJ: 39
65. In the upright position, which portion of the lungs has the most negative pleural pressure?
a. hilum
b. base
c. apex
d. intrapleural pressure is uniform throughout all lung areas
ANS: C
Feedback
A
B
C
D
In the upright postion the apex of the lung has a more negative pleural pressure than at
the bases.
In the upright postion the apex of the lung has a more negative pleural pressure than at
the bases.
In the upright postion the apex of the lung has a more negative pleural pressure than at
the bases.
In the upright postion the apex of the lung has a more negative pleural pressure than at
the bases.
PTS: 1 DIF: Recall
REF: How Normal Pleural Pressure Differences Cause Regional Differences in Normal Lung
Ventilation OBJ: 42
66. In the upright lung, how does compliance vary across the lung?
a. The compliance in the apices is lower than in the bases
b. The compliance is higher at the hilum than in the apices or bases.
c. The compliance in the bases is lower than in the apices
d. The compliance is uniform in all regions of the lung
ANS: A
Feedback
A
B
C
D
The compliance in the apices of the lungs is lower than the compliance in the bases.
The compliance in the apices of the lungs is lower than the compliance in the bases.
The compliance in the apices of the lungs is lower than the compliance in the bases.
The compliance in the apices of the lungs is lower than the compliance in the bases.
PTS: 1 DIF: Recall
REF: How Normal Pleural Pressure Differences Cause Regional Differences in Normal Lung
Ventilation OBJ: 42
67. In a healthy adult at rest, what portion of the total energy output is required for the work of breathing?
a. 5% c. 25%
b. 15 % d. 35%
ANS: A
Feedback
A
B
C
D
In a healthy adult at rest, the work of breathing consumes 5% of the total energy output.
In a healthy adult at rest, the work of breathing consumes 5% of the total energy output.
In a healthy adult at rest, the work of breathing consumes 5% of the total energy output.
In a healthy adult at rest, the work of breathing consumes 5% of the total energy output.
PTS: 1 DIF: Recall
REF: The Effect of Airway Resistance and Lung Compliance on Ventilatory Pressure
OBJ: 43
68. What is the term for alteration of the ventilatory pattern to minimize dead space ventilation?
a. metabolic efficiency c. ventilatory efficiency
b. hyperventilation d. Hyperefficiency
ANS: C
Feedback
A
B
C
D
Alteration of the ventilatory pattern to minimize dead space ventilation is called
ventilatory efficiency.
Alteration of the ventilatory pattern to minimize dead space ventilation is called
ventilatory efficiency.
Alteration of the ventilatory pattern to minimize dead space ventilation is called
ventilatory efficiency.
Alteration of the ventilatory pattern to minimize dead space ventilation is called
ventilatory efficiency.
PTS: 1 DIF: Recall
REF: The Effect of Airway Resistance and Lung Compliance on Ventilatory Pressure
OBJ: 43
69. How does the normal adult’s respiratory pattern change when lung compliance decreases?
a. respiratory rate and tidal volume increase
b. respiratory rate and tidal volume decrease.
c. respiratory rate increases and tidal volume decreases
d. respiratory rate decreases and tidal volume increase
ANS: C
Feedback
A
B
C
D
When lung compliance decrease, the respiratory rate increases and tidal volume
decreases.
When lung compliance decrease, the respiratory rate increases and tidal volume
decreases.
When lung compliance decrease, the respiratory rate increases and tidal volume
decreases.
When lung compliance decrease, the respiratory rate increases and tidal volume
decreases.
PTS: 1 DIF: Recall
REF: The Effect of Airway Resistance and Lung Compliance on Ventilatory Patterns|Clinical
Connection 2-17: How the Adopted Breathing Pattern Changes in COPD when Compromised by a
Restrictive Disorder OBJ: 44
70. How does the breathing pattern change when a patient with COPD develops a secondary restrictive
lung condition such as pneumonia?
a. respiratory rate increases
b. no breathing pattern changes would occur.
c. respiratory rate and tidal volume decrease.
d. respiratory rate decreases and tidal volume increase
ANS: A
Feedback
A
B
C
D
When a patient with COPD develops pneumonia, one would expect hyperventilation to
occur.
When a patient with COPD develops pneumonia, one would expect hyperventilation to
occur.
When a patient with COPD develops pneumonia, one would expect hyperventilation to
occur.
When a patient with COPD develops pneumonia, one would expect hyperventilation to
occur.
PTS: 1 DIF: Recall
REF: The Effect of Airway Resistance and Lung Compliance on Ventilatory Patterns|Clinical
Connection 2-17: How the Adopted Breathing Pattern Changes in COPD when Compromised by a
Restrictive Disorder OBJ: 44
71. Which ventilatory pattern is defined as the complete absence of spontaneous breathing?
a. apnea c. apneusis
b. dyspnea d. eupnea
ANS: A
Feedback
A
The absence of spontaneous breathing is called apnea.
B
C
D
The absence of spontaneous breathing is called apnea.
The absence of spontaneous breathing is called apnea.
The absence of spontaneous breathing is called apnea.
PTS: 1 DIF: Recall REF: Overview of Specific Breathing Conditions
OBJ: 45
72. What is the term for the breathing condition in which short episodes of rapid, uniform deep breaths are
followed by 10-30 seconds of apnea?
a. Levy’s c. Biot’s
b. Cheyne-Stokes d. Kussmaul’s
ANS: C
Feedback
A
B
C
D
Biot’s breathing is characterized by short episodes of uniform, rapid deep breaths
followed by 10-30 seconds of apnea.
Biot’s breathing is characterized by short episodes of uniform, rapid deep breaths
followed by 10-30 seconds of apnea.
Biot’s breathing is characterized by short episodes of uniform, rapid deep breaths
followed by 10-30 seconds of apnea.
Biot’s breathing is characterized by short episodes of uniform, rapid deep breaths
followed by 10-30 seconds of apnea.
PTS: 1 DIF: Recall REF: Overview of Specific Breathing Conditions
OBJ: 45
73. What is the term for a rapid respiratory rate?
a. hyperpnea c. eupnea
b. hyperventilation d. tachypnea
ANS: D
Feedback
A
B
C
D
A rapid respiratory rate is called tachpnea.
A rapid respiratory rate is called tachpnea.
A rapid respiratory rate is called tachpnea.
A rapid respiratory rate is called tachpnea.
PTS: 1 DIF: Recall REF: Overview of Specific Breathing Conditions
OBJ: 45
74. What is the term for the breathing pattern in which the depth of breathing increases?
a. hyperpnea c. hyperventilation
b. Kussmaul’s d. tachypnea
ANS: A
Feedback
A
B
C
D
Hyperpnea is an increase in the depth of breathing.
Hyperpnea is an increase in the depth of breathing.
Hyperpnea is an increase in the depth of breathing.
Hyperpnea is an increase in the depth of breathing.
PTS: 1 DIF: Recall REF: Overview of Specific Breathing Conditions
OBJ: 45
75. In which breathing pattern is an individual only able to breathe comfortably in the upright position?
a. tachypnea c. eupnea
b. orthopnea d. hyperpnea
ANS: B
Feedback
A
B
C
D
When one can only breathe comfortably while in the upright position, it is called
orthopnea.
When one can only breathe comfortably while in the upright position, it is called
orthopnea.
When one can only breathe comfortably while in the upright position, it is called
orthopnea.
When one can only breathe comfortably while in the upright position, it is called
orthopnea.
PTS: 1 DIF: Recall REF: Overview of Specific Breathing Conditions
OBJ: 45
76. Which abnormal breathing pattern is most commonly associated with ketoacidosis?
a. Cheyne Stokes c. Biot’s
b. Hypopnea d. Kussmaul’s
ANS: D
Feedback
A
B
C
D
Kussmaul’s breathing is most often associated with ketoacidosis.
Kussmaul’s breathing is most often associated with ketoacidosis.
Kussmaul’s breathing is most often associated with ketoacidosis.
Kussmaul’s breathing is most often associated with ketoacidosis.
PTS: 1 DIF: Recall REF: Overview of Specific Breathing Conditions
OBJ: 45
77. What is the only absolute way of confirming hyperventilation?
a. assess the tidal volume c. monitor the PaCO
2
b. ask the patient d. assess the respiratory rate
ANS: C
Feedback
A
B
C
D
The absolute confirmation of hyperventilation is made by assessing the PaCO
2
The absolute confirmation of hyperventilation is made by assessing the PaCO
2
The absolute confirmation of hyperventilation is made by assessing the PaCO
2
The absolute confirmation of hyperventilation is made by assessing the PaCO
2
PTS: 1 DIF: Recall
REF: Overview of Specific Breathing Conditions|Clinical Connection 2-18: The Arterial Carbon
Dioxide Level and its Relationship to the Clinical Verification of Hyperventilation and
Hypoventilation
Content preview
TEST BANK FOR
CARDIOPULMONARY ANATOMY
AND PHYSIOLOGY ESSENTIALS OF
RESPIRATORY CARE 7TH EDITION
BY DES JARDINS
,Chapter 01: The Anatomy and Physiology of the Respitory System
1. Which of the following are primary components of the upper airway?
a. nose, oral cavity, pharynx
b. larynx, trachea, and bronchi
c. nose, oral cavity, larynx and trachea
d. nose, oral cavity, pharynx, larynx, and trachea
ANSWER: a
2. Which of the following is NOT a primary function of the nose?
a. humidfy inspired gas
b. conduct gas and food to lower airway
c. filter the inspired gas
d. warm the inspired gas
ANSWER: b
3. Which of the following are functions of the upper airway?
I. Conduction of gas to lower airway
II. Prevent foreign materials from entering lower airway
III. Warm, filter, and humidify inspired gas
IV. Aid in speech and smell
a. I, II, III, and IV
b. I, III, and IV only
c. I, II, and III only
d. I, II, and IV only
ANSWER: a
4. Which structures form the upper third of the nose?
I. Nasal bones
II. Frontal process of maxilla
III. Lateral nasal cartilage
IV. Greater alar cartilage
a. Nasal bones
b. Frontal process of maxilla
c. Lateral nasal cartilage
d. Greater alar cartilage
ANSWER: b
,Name: Class: Date:
Chapter 01: The Anatomy and Physiology of the Respitory System
5. Which structure form the lower two-thirds of the nose?
I. Lateral nasal cartilage
II. Lesser and greater alar cartilages
III. Septal cartilage
IV. Fibrous fatty tissue
a. Lateral nasal cartilage
b. Lesser and greater alar cartilages
c. Septal cartilage
d. Fibrous fatty tissue
ANSWER: c
6. What is the term for widening of the nostrils that can occur during respiratory distress?
a. grunting
b. retractions
c. alar collapse
d. nasal flaring
ANSWER: d
7. Which of the following structures form the anterior nasal septum?
I. Septal cartilage
II. Vomer
III. Perpendicular plate of ethmoid bone
IV. Frontal process of maxilla
a. Septal cartilage
b. Vomer
c. Perpendicular plate of ethmoid bone
d. Frontal process of maxilla
ANSWER: a
8. The lymphatic channels are larger and more numerous in what location?
a. upper lobes
b. right lower lobe
c. left lower lobe
d. middle lobes
ANSWER: b
, Name: Class: Date:
Chapter 01: The Anatomy and Physiology of the Respitory System
9. What is the term for the openings created by the alae nasi and septal cartilage?
a. nares
b. glottis
c. vestibule
d. choana
ANSWER: a
10. What type of epithelium lines the anterior third of the nasal cavity?
a. cuboidal
b. pseudostratified ciliated columnar
c. stratified squamous
d. pseudostratified ciliated squamous
ANSWER: c
11. In which structure would vibrissae normally be found?
a. oropharynx
b. laryngopharynx
c. nasal cavity
d. trachea
ANSWER: c
12. What is the submucosal layer of the tracheobronchial tree?
a. lamina propria
b. cartilaginous layer
c. epithelial lining
d. mucous blanket
ANSWER: a
13. What is another term for conchae?
a. alae
b. choana
c. vestibule
d. turbinates
ANSWER: d