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Physiology · Respiratory system: juxtacapillary receptors
Sample itemA patient with acute left heart failure feels short of breath with rapid shallow breathing. Which receptors, lying in the alveolar walls near the capillaries and stimulated by interstitial fluid, contribute to this?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
B. Juxtacapillary (J) receptors
J receptors are C-fibre endings in the alveolar interstitium next to the capillaries. They are stimulated by pulmonary congestion, oedema and some chemicals, and cause rapid shallow breathing and a sensation of dyspnoea via vagal afferents.
Option by option
A. Slowly adapting pulmonary stretch receptors
Slowly adapting stretch receptors lie in airway smooth muscle and mediate the Hering-Breuer inflation reflex.
B. Juxtacapillary (J) receptors (correct)
Correct. J receptors respond to interstitial fluid and cause dyspnoea.
C. Rapidly adapting irritant receptors
Rapidly adapting irritant receptors lie in the airway epithelium and cause cough and bronchoconstriction.
D. Central chemoreceptors
Central chemoreceptors lie in the medulla and respond to hydrogen ion changes in the cerebrospinal fluid.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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