Exam 14: Regulation of Breathing

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What happens in chronic hypercapnia? I.The central chemoreceptive response to CO2 is decreased. II.The cerebrospinal fluid pH is restored to normal. III.Responsiveness to increased CO2 is decreased.

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You observe a patient's breathing pattern as very irregular, with periods of breathing interspersed with long periods of apnea. Which of the following terms would you use in charting this observation?

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Pulmonary J receptors can be stimulated by which of the following? I.edema II.inflammatory processes III.pulmonary vascular congestion

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In what manner would oxygen therapy induce worsening V˙\dot { V } / Q˙\dot { Q } mismatch and thus a further elevation in CO2 in a chronically hypercapnic patient?

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What receptors are known to cause an increase in ventilation when the patient's limbs are moved or cold water is splashed on the patient's face?

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What receptors cause a rapid shallow breathing pattern when stimulated by pulmonary disease?

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Which of the following can cause laryngospasm and bradycardia through a vagovagal reflex? I.bronchoscopy II.endotracheal intubation III.tracheal suctioning

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In the face of chronically elevated levels of CO2, what happens to the response mediated by the central chemoreceptors?

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Stimulation to increase ventilation does not occur until the PaO2 falls below what level?

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In what location are the inspiratory and expiratory centers found?

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The pneumotaxic center controls which of the following?

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The medulla oblongata contains which of the following areas? I.apneustic center II.dorsal respiratory group neurons (DRGs)III.pneumotaxic center IV.ventral respiratory group neurons (VRGs)

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While observing a patient's breathing, you note that the depth and rate first increase, then decrease, followed by a period of apnea. Which of the following terms would you use in charting this observation?

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The inhibitory neurons that switch off the inspiratory ramp signal are controlled by which of the following? I.apneustic center II.pneumotaxic center III.pulmonary stretch receptors

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Failure to switch off the brainstem inspiratory neurons can result in which of the following?

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Which statements describe aspects of the Hering-Breuer reflex? I.It affects the rate and depth of breathing during exercise. II.It is only activated at large tidal volumes in normal adults. III.Its impulses travel via the vagus nerve to the dorsal respiratory groups (DRGs). IV.Its receptors are located in the large and small airways.

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What reflex is associated with the sensory stimulation of the pulmonary stretch receptors that stimulate a deeper breath upon inspiration?

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Coexisting arterial hypoxemia, acidemia, and high PaCO2 (i.e., asphyxia) will have what affect on the peripheral chemoreceptors?

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What does apneustic breathing indicate?

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Sensory input to the dorsal respiratory neurons from the lungs, airways, and peripheral chemoreceptors is provided via which nerves? I.glossopharyngeal II.phrenic III.vagus

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