In emphysema the patient becomes breathless because

Correct answer: B. the walls between alveoli break down, reducing the surface area for gas exchange

  • A. the trachea is blocked by mucus
  • B. the walls between alveoli break down, reducing the surface area for gas exchange
  • C. the diaphragm is paralysed
  • D. the blood contains too few white cells

Explanation

Smoke attracts phagocytes that release elastase, which digests the elastic tissue, so alveoli merge into large air spaces with much less total surface and the lungs lose the recoil needed to breathe out. Gas exchange falls and expiration becomes an effort, so even mild exertion leaves the patient gasping. The damage is permanent, since alveolar walls cannot regenerate.

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About Effects of Smoking

Smoking exposes the respiratory system to nicotine, tar and carbon monoxide, damaging cilia, reducing oxygen transport and narrowing or inflaming airways. The topic covers dependence, chronic bronchitis, emphysema, lung cancer and cardiovascular effects, while separating short-term physiological changes from long-term disease.

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