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WVSOM -- Control of Ventilation

Quiz yourself by thinking what should be in each of the black spaces below before clicking on it to display the answer.
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Question
Answer
How will arterial PO2 change in hypoventilation?   will go down  
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How will arterial Pco2 change in hypoventilation?   go up  
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How will arterial pH change in hypoventilation?   go down  
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What does ventilatory contol do?   maintains arterial PO2 and Pco2 in the face of changing demands  
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How is the respiratory system controlled?   thru negative feedback  
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What is the regulated variable in the respiratory control system?   arterial Pco2  
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What is the sensor in the negative feedback look for respiratory control?   chemoreceptors  
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What is the effector in the negative feedback look for respiratory control?   respiratory muscles  
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What are the 3 basic elements of the respiratory control system?   respiratory muscles, arterial Pco2 and chemoreceptors  
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Where is the respiratory control center controlled?   pons and medulla  
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What are the two basic roles of the respiratory control center?   integration and pattern generation  
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What can voluntarily override the medulla and pons?   the cortex by voluntary override and the hypothalums/limbic system with emotional changes  
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What does the Pons and medulla integrate?   chemoreceptors, lung receptors and the cortex/hypothalamus/limbic system  
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What are the three main collections of neurons that control inspiration and expiration?   pneumotaxicc center, apneustic area and medullary respiratory center  
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What does the pneumotaxic center do?   fine tuning  
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What does the apneustic area do?   prologns inspiration  
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What does the medullary respiratory center do?   respiratory pattern.  
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What are the two main groups of neurons in the medullary respiratory center?   dorsal respirtatory group and ventral respiratory group  
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What do the dorsal respiratory group do?   mainly inspiration  
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What does the ventral respiratory group do?   mainly expiration  
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Where is the pneumotaxic center at?   pons  
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Where is the apneustic area located?   lower pons  
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What synchronizes onset of inspiration and expiration?   integrator neurons  
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What lung receptors promote expiration?   lung stretch receptors  
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What receptors promote inspiration?   irritant  
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What do C-fibers do?   dectect inflammation and cause rapid, shallow breathing  
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Where are C-fibers?   bronchi  
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What do J receptors do?   dectect interstitial edema and promote rapid shallow breathing. Located in alveoli  
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Why are J receptors called J receptors?   they are close to junxtacapillaries  
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What are the 2 groups of chemo receptors?   central and peripheral  
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What is the primary chemo receptor?   central  
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Where is the central chemocreceptors?   medulla  
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Where are the peripheral chemoreceptors?   carotid and aortic  
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What do central chemoreceptors respond to?   pH of the CSF which is dependent on arterial Pco2  
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What do peripheral chemoreceptors mediate?   ventilatory response to hypoxia as well as respond ot arterial Pco2 and pH  
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What is the most important parameter controlling ventilation?   arterial co2  
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How much of an increase does it take in Paco2 to double ventilation?   2mmHg  
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How much PaO2 must be reduced for a significant increase in ventilation?   <50mmHg  
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What decreases sensitivity to arterial Pco2?   sleep, COPD and depressant drugs  
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What is the main chemoreceptor to drive breathing in severe COPD?   peripheral  
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Which chemoreceptors respond faster?   peripheral  
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What chemoreceptor gives most of the response?   central chemoreceptors. Peripheral chemoreceptors provide only 20%  
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Why do peripheral chemoreceptors respond faster?   they sense the blood first  
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Decreased areterial PO2 is detected by which receptors?   peripheral chemoreceptors  
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Explain Cheyne-Stokes respiration?   There is hyperventilation from stimulation of J receptor stimulation because of hypoxemia. Then there is a decreased Paco2 which causes apnea  
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Which chemorecpetors are important in the ventilatory response to hypoxia?   peripheral  
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