Which of the following factors primarily determines airway resistance in the respiratory system?
Diameter of the bronchioles
Volume of alveolar fluid
Thoracic wall elasticity
Pulmonary surfactant levels
The Correct Answer is A
A. Diameter of the bronchioles: Airway resistance is most directly influenced by the radius of the airways, particularly the bronchioles. According to Poiseuille’s law, small changes in airway diameter result in exponential changes in resistance, making bronchiole constriction or dilation a primary determinant of airflow in the respiratory system.
B. Volume of alveolar fluid: While excessive alveolar fluid, as seen in pulmonary edema, can interfere with gas exchange, it has minimal direct impact on airway resistance. Resistance is determined by the path through which air flows, rather than the fluid volume within the alveoli themselves.
C. Thoracic wall elasticity: Thoracic wall elasticity affects lung compliance and the ease of lung expansion but does not directly regulate the resistance within the airways. Stiffness of the thoracic cage influences the work of breathing but is not the primary factor controlling airflow resistance.
D. Pulmonary surfactant levels: Surfactant reduces alveolar surface tension, preventing collapse and facilitating ventilation, but it has only an indirect effect on airway resistance. The main influence on resistance remains the bronchiole diameter rather than surfactant concentration.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
The bicarbonate buffering system in the blood helps maintain pH homeostasis by converting carbon dioxide into bicarbonate. When carbon dioxide (CO₂) dissolves in water, it forms carbonic acid (H₂CO₃), which can dissociate into hydrogen ions (H⁺) and bicarbonate ions (HCO₃⁻). This reversible reaction, catalyzed by the enzyme carbonic anhydrase, allows the blood to neutralize excess acids or bases. For example, when the blood becomes too acidic, bicarbonate binds H⁺ to form carbonic acid, which can be converted back into CO₂ and exhaled via the lungs. This system is the primary extracellular buffer, critical for stabilizing pH during metabolic and respiratory changes.
Correct Answer is B
Explanation
Correct answer: False
Asthma prevalence varies across different racial and ethnic groups. Epidemiological studies show that asthma is more prevalent among African American and Hispanic populations compared with Caucasian individuals. Factors such as genetics, environmental exposures, socioeconomic status, and access to healthcare contribute to these differences. While asthma can affect people of any race, assuming it is most common in Caucasians is inaccurate. Public health data emphasize that minority populations often experience higher rates of asthma morbidity and mortality, highlighting the importance of targeted prevention and management strategies in these groups.
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