Ventilation Mechanics and Lung Volumes - Anatomy and Physiology

  1. Which two volumes make up the functional residual capacity?
    Expiratory reserve volume plus residual volume.
  2. Why is intrapleural pressure normally negative?
    The lungs tend to recoil inward while the chest wall tends to spring outward, pulling the pleural layers apart.
  3. What is lung compliance, and how does pulmonary fibrosis change it?
    Compliance is the change in lung volume per change in pressure. Fibrosis decreases it, making the lungs stiffer.
  4. Why is quiet expiration a passive process?
    Inspiratory muscles relax, and the elastic recoil of the lungs and chest wall reduces lung volume.
  5. Tidal volume is 500 mL and respiratory rate is 12 breaths per minute. What is minute ventilation?
    6,000 mL/min (6 L/min), because 500×12=6000500 \times 12 = 6000.
  6. Which lung volume cannot be measured with simple spirometry?
    Residual volume, so capacities that include it, such as FRC and TLC, also cannot be measured that way.
  7. Which lung capacity is the sum of tidal volume, inspiratory reserve volume and expiratory reserve volume?
    Vital capacity.
  8. Which muscle is the main muscle of quiet inspiration, and which nerve supplies it?
    The diaphragm, supplied by the phrenic nerve (C3 to C5).
  9. Air enters the pleural space through a chest wound. What happens to the lung on that side, and why?
    It collapses. Intrapleural pressure rises to atmospheric, so nothing opposes the lung's elastic recoil.
  10. How does the FEV1/FVC ratio typically differ between obstructive and restrictive lung disease?
    It is reduced in obstructive disease and normal or increased in restrictive disease.
  11. Tidal volume is 500 mL, dead space is 150 mL and rate is 12 breaths per minute. What is alveolar ventilation?
    4,200 mL/min, because (500−150)×12=4200(500 - 150) \times 12 = 4200.
  12. How does Boyle's law explain airflow into the lungs during inspiration?
    As the thoracic cavity expands, lung volume rises and alveolar pressure falls below atmospheric pressure, so air flows in.

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