Page 1 Name: Unit 6.1 Control over ventilation roster # date: 1. The Central nervous system contains these structures: a. pons b. cerebellum c. medulla d. a, b and c e. none of these 2. The contain both the apneustic center and the pneumotaxic center. a. pons b. cerebellum c. medulla d. cerebral cortex 3. The concerned diaphragm a. b. c. d. e. is the part of the brain that is with sending motor impulses to via the phrenic nerve. pons cerebellum DRG of the medulla cerebral cortex none of these 4. The chemoreceptors that notice the pH of the cerebral spinal fluid are located on the surface of the: a. pons b. cerebellum c. medulla d. a, b and c e. none of these 5. The peripheral chemoreceptors are: a. located in the carotid arteries and in the aorta b. note the presence of low Sa02 [below 60%] c. note the presence of low Pa02 below 60 mmHg d. note the presence of acidosis e. a, c, d f. a, b and d 6. The effect of both hypercapnia and hypoxemia will: a. result in a massive increase of Ve b. result in the same level of Ve as hypercapnia along 7. The role of the cerebral cortex in breathing is: a. minimal and seen in cases of SOB b. involved with altering breathing for talking, swimming or singing c. both d. none 2008 8. the role of the pons is to: a. translate the commands of the cerebrum to the medulla b. translated the commands of the medulla to the phrenic nerve c. alter the actual inspiratory time d. b and c e. a and c Unit 6.1 Control over ventilation review 2 1. The chemoreceptors that notice that the Pa02 has dropped to below 60mm Hg are located here: a. medulla b. pons c. carotid bodies d. aortic body e. c and d 2. When the notices acidosis, as well as hypoxemia, it sends an sensory impulse via the cranial nerve to the medulla. a. the pons b. the apneustic center c. the carotid bodies d. the dorsal respiratory group [DRG] e. the ventral respiratory group [VRG] 3. The dorsal respiratory group [DRG] : a. is located on the pons b. sends message to the diaphragm to control quiet breathing c. sends message to the chest wall muscles and abdominal muscles for deep breathing d. a and b e. a and c 4. [An] Example[s] of sensory nerves are [is] the: a. vagus nerve b. phrenic nerve c. glossophrenygeal nerve d. a and c e. b and c 5. The motor nerve that goes from the medulla to the diaphragm is called the: a. vagus nerve b. phrenic nerve c. glossophrenygeal nerve Page 2 6. The reflex that prevents one from overinflating the lungs is called the: a. Herring-Breur reflex b. Deflation reflex c. Head's paradoxical reflex 7. The reflex that results in bradycardia due to tactile stimulation of the back of the throat is thea. Deflation reflex b. Head's paradoxical reflex c. Cholinergic reflex d. Vago vago reflex 8. The reflex that comes into action when there is a sudden lung collapse a. Herring-Breur reflex b. Deflation reflex c. Head's paradoxical reflex d. Cholinergic reflex e. Vago vago reflex Unit 6.1 Control over ventilation review 3 1. The J receptor stimulation results in: a. rapid shallow breathing when pulmonary capillaries pressure rises b. coughing and wheezing due to tactile stimulation of central airways c. bradycardia due to tactile stimulation of the back of the throat 2. 3. 4. Your patient is breathing with a increasing Ve that peaks then apnea follows a. Biots breathing b. Apneustic breathing c. Cheye-Stokes breathing d. Central neurogenic hypoventilation A person who is sedated deeply may breathe irregularly because he is suffering from: a. Biot’s breathing b. Apneustic breathing c. Cheye-Stokes breathing d. Central neurogenic hypoventilation This abnormal breathing pattern results from increased intracranial pressure and results in apnea periodically between times of normal breathing. a. b. c. d. 5. Biot's breathing Apneustic breathing Cheye-Stokes breathing Central neurogenic hypoventilation In this type of abnormal breathing pattern the patient will have a persistant hyperventilation. a. Biot's breathing b. Apneustic breathing c. Cheye-stokes breathing d. Central neurogenic hypoventilation Review # 4 1. The waste produces of metabolism include excessive acids. To deal with these acids, the renal system must: a. excrete H+ and keep HC03b. excrete HC03- and keep H+ c. excrete both HC03- and H+ d. none of these 2. The renal system's functional unit, called the____, is constructed of a series of blood vessels surrounding a renal tubular. a. Alveoli b. Capillary c. Bowman's capsule d. Nephron 3. TRUE/FALSE Inside the tubular, as the filtrate moves along, the H+ are captured by various substances [buffers] so that they cannot return to the blood stream. 4. TRUE/FALSE The pH of the blood rises as the H+ leaves the filtrate. 5. As C02 enters the renal cell, HC03- and H+ are created by the rapid increase of C02 hydrolysis in the presence of ----in the renal system. a. b. c. d. Capillaries Carbon dioxide Carbamino Carbonic anhydrase Page 3 6. TRUE/FALSE The renal cells actively transport H+ into the filtrate via counter transport in which Na+ exchanges place with the H+. 7. TRUE/FALSE But HC03- can return to the bloodstream, as C02 due to the rapid hydrolysis of C02 inside the renal cell. 8. Once in the filtrate, ammonia can accept H+ and the result is [an ammonium ion.] a. b. c. NH4+ NHNaHC03- 9. TRUE/FALSE Because it captured the H+, ammonia is a buffer. 10. In the renal system, the H+ are captured by: a. b. c. d. 11. Ammonia Phosphate Both None The pH of the urine of the normal person is about: a. 8.0 b. 7.0 c. 6.0 d. 5.0