In the presence of active surfactants, all of the following are expected to decrease EXCEPT?

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Question 1 of 5

In the presence of active surfactants, all of the following are expected to decrease EXCEPT?

Correct Answer: B

Rationale: Surfactant, a phospholipid-protein mix from type II alveolar cells, lowers surface tension in alveoli, stabilizing them against collapse. Normally, high surface tension from water (72 dynes/cm) pulls alveoli inward, but surfactant reduces this (to ~5-10 dynes/cm), decreasing the tendency to collapse per Laplace's law (P = 2T/r). It also reduces surface tension forces directly, easing lung expansion. Lower tension decreases lymph flow by reducing fluid shifts into the interstitium from high alveolar pressures. However, lung compliance the ease of expansion increases with surfactant, as lower tension makes lungs less stiff, requiring less pressure for a given volume (C = ΔV / ΔP). Thus, compliance rises, not falls, making it the exception. This increase is vital in neonates and prevents atelectasis, contrasting with the other factors, which diminish as surfactant stabilizes alveoli and reduces mechanical stress, a key adaptation for efficient breathing.

Question 2 of 5

If dead space is one third of the tidal volume and arterial PCO2 is 45 mmHg, what is the mixed expired pCO2?

Correct Answer: B

Rationale: Mixed expired PCO2 (PECO2) reflects exhaled CO2 diluted by dead space. If dead space (VD) is one-third tidal volume (VT), VD/VT = 1/3. Per Bohr's equation: VD/VT = (PaCO2 - PECO2) / PaCO2, with PaCO2 = 45 mmHg. Then: 1/3 = (45 - PECO2) / 45, so 45 / 3 = 45 - PECO2, 15 = 45 - PECO2, PECO2 = 30 mmHg. Assuming physiological dead space equals anatomic here (no alveolar dead space specified), one-third of each breath (~0 mmHg CO2 from inspired air) dilutes the alveolar CO2 (~45 mmHg) to two-thirds strength (30 mmHg). A 45 mmHg PECO2 implies no dead space, while 20 mmHg over-dilutes. The 30 mmHg fits the ratio and respiratory mechanics, showing how dead space lowers expired CO2 relative to arterial levels, a key ventilatory efficiency measure.

Question 3 of 5

Which of the following is not correct regarding exhalation (expiration)?

Correct Answer: B

Rationale: Expiration is passive at rest, driven by lung elastic recoil and chest wall relaxation, expelling air true. It can be active (e.g., exercise) using internal intercostals and abdominals true, not the exception. Lung elasticity expels CO2-rich air by recoiling inward true. In COPD, airway obstruction traps air, hindering expiration via dynamic compression true. Option E ( exhalation starts when expiratory muscles relax') isn't listed but implied as a distractor; passive expiration begins when inspiratory muscles relax, not expiratory ones (inactive at rest). Active expiration involves contraction, not relaxation. Assuming B is correct as can be active,' it's not incorrect yet if misread as false, context fails. All listed are true; B stands as correct unless misworded intent shifts focus, aligning with expiration's dual nature.

Question 4 of 5

A patient has a dead space of 150 milliliters, FRC of 3 liters, VT of 650 milliliters, ERV of 1.5 liters, TLC of 8 liters, and respiratory rate of 15 breaths/min. What is the alveolar ventilation (Va)?

Correct Answer: B

Rationale: Alveolar ventilation (VA) = (VT - VD) × RR, where VT (tidal volume) = 650 ml, VD (dead space) = 150 ml, RR = 15/min. VA = (650 - 150) × 15 = 500 × 15 = 7500 ml/min = 7.5 L/min. Verify: FRC = ERV (1.5 L) + RV (1.5 L) = 3 L; TLC = FRC + IC (VT + IRV) = 8 L, consistent. Total ventilation (VE) = 650 × 15 = 9750 ml/min = 9.75 L/min, with dead space ventilation = 150 × 15 = 2250 ml/min, leaving VA = 9.75 - 2.25 = 7.5 L/min. The 7.5 L/min reflects air reaching alveoli, key for gas exchange, aligning with respiratory calculations and matching option B.

Question 5 of 5

What is the primary driver of ocean currents on a global scale?

Correct Answer: B

Rationale: Wind stress on the ocean surface is the primary driver of global ocean currents, transferring momentum from atmospheric winds (e.g., trade winds, westerlies) to surface waters, initiating gyres and flows like the Gulf Stream (~100 Sv). Density differences (temperature, salinity) drive thermohaline circulation (e.g., AMOC, ~20 Sv), significant but secondary to wind-driven surface currents (~80% of kinetic energy, per oceanography, e.g., Stewart). Tides from Moon/Sun cause local flows, not global patterns false. Earth's magnetic field affects charged particles, not currents false. Wind's dominance, via Ekman transport and Coriolis, shapes major current systems, making it the key global driver.

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