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Systems Exam III (L)
Control of Respiration
30
Medical
Graduate
04/09/2009

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Cards

Term
What are the peripheral chemoreceptors?
Definition
Carotid Body, Aortic Body
Term
What are the central chemoreceptors?
Definition

Receptors that are separated from the blood by the blood-brain barrier that are responsive to PCO2

.

Term
Which Respiratory Group is involved with inspiration?
Definition
Medually Dorsal Respiratory Group (DRG)
Term
Which Respiratory Group is involved with expiration?
Definition
Medullary Ventral Respiratory Group (VRG)
Term
Where does the automatic rhytmicity of normal respiration result from?
Definition
Results from activities of the neurons in the medulla.
Term
What is the Central Inspiratory Activity Generator?
Definition
Postulated group of cells located within the medullary reticular formation that collects a background amount of pro inspiratory information.
Term
Direct input to the DRG come from peripheral chemorecptors and apneustic centers via which nerves?
Definition
Via the vagus and glossopharyngeal nerves
Term
T/F: The VRG is more complex than the DRG.
Definition
True. It is composed of three groups 2 of which are associated with expiration, while the intermediate is involved with inspiration.
Term
When does the activity of the VRG come into play during respiration?
Definition
Usually the VRG is minimally active, but with forced expiration, it becomes very active.
Term
What is the Inspiratory Cutoff Switch?
Definition
A group of neurons within the medulla which acts on the DRG in a negative fashion.
Term

What is the Apneustic Center?

What is apenustic breathing?

Definition

Neurons from this group impinge upon the DRG and stimulate inspiration.

 

Series of prolonged inspiratory gasps that is ended by a brief and rapid expiratory effort.

Term
What is the Pneumotaxic Center?
Definition
This is group of neurons that can inhibit inspiration when stimulated. It is thought to be a fine tuning mechanism for breathing.
Term
What effect does the cortex have on breathing?
Definition
The cortex allows voluntary control of breathing.
Term
What is the role of chemoreceptors?
Definition
Chemoreceptors measure the content of oxygen, carbon dioxide, and hydrogen ion in various compartments.
Term
What is the major variable that is measured in chemoreceptors in regard to maintaining the rate and depth of inspiration?
Definition
PCO2 of arterial blood. The systems operates to maintain a value of 40 mmHg.
Term
Which chemoreceptor is more important in controlling respiration? Aortic or Carotid?
Definition
Carotid
Term
T/F: The influence of oxygen on the carotid and aortic bodies is largest at higher oxygen partial pressures.
Definition
False. PaO2 under 50 mmHg will cause aortic and carotid receptors have to have a larger effect.
Term
What are the two types of cells that are in the carotid body?
Definition

Type I Glomus Cells - these act as the real chemoreceptors

 

Type II Glial Cells - used to form a supportive framework for the environment of glomus cells

Term
In terms of percentage, how much influence do the peripheral chemoreceptors have on the entire control system?
Definition
About 20-25%
Term
During normal conditions, which chemoreceptors have the primary influence on respiration?
Definition
Central. They originate over 75% of the afferent signaling that reaches the medullary centers.
Term
How does the blood brain barrier's permeability to CO2 play into respiration control?
Definition
CO2 diffuses into the CSF through the blood brain barrier to for carbonic acid which dissociates into H+ and HCO3-. The H+ diffuses into the chemoreceptor cell to stimulate it.
Term
What effect does [H+] have on respiration?
Definition
Higher [H+] leads to an increased respiratory rate.
Term
What are slowly adapting stretch receptors?
Definition
Receptors that are present in the walls of the tracheobronchial tree that respond to stretch of the airway muscles.
Term
What is the Hering-Breuer reflex?
Definition
This reflex is activated when lung volumes are larger to result in smaller tidal volumes and a decrease in frequency of breathing. This is used to protect the lungs from over-inflation.
Term
What are Rapidly Apdapting "Irritant Receptors"?
Definition
These are receptors that fire a rapid burst of neuronal activity when stimulated but then accommodate to the stimulus and decrease their firing rate. They are used to monitor airways for irritants and chemicals.
Term
What are Juxtacapillary or "J" receptors?
Definition
Act much like "Irritant Receptors" in sensing stimuli to result in rapid, shallow breathing, bronchoconstriction, and production of mucous. Result in foreign materials from being cleared from the alveolar area.
Term
Where are Proprioreceptors located, and what is their function?
Definition
Located in the joints, tendons, and muscles. These receptors monitor the position of muscles of respiration in order to control the level of contraction.
Term
What is the response of respiration to pain stimuli?
Definition
Initial apnea followed by rapid hyperventilation.
Term
What happens to breathing during sleep?
Definition
Decreased irregular rate during REM sleep. The basal metabolic activity takes over with little stimuli from external receptors.
Term
What happens to the lungs in the eldery?
Definition
Lung elasticity decreases, lung compliance increases and the functional residual capacity increases.
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