Basic and Clinical Sciences (BCSE) Practice Exam

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What is the role of type I pneumocytes in the blood-gas barrier?

  1. Secretion of surfactant

  2. Gas exchange surface

  3. Modulation of alveolar pressure

  4. Facilitating mucus clearance

The correct answer is: Gas exchange surface

Type I pneumocytes play a crucial role as the primary cells of the alveolar surface in the lungs, forming part of the alveolar epithelium. Their main function is to provide a thin barrier for gas exchange between the air in the alveoli and the blood in the surrounding capillaries. The thinness of these cells enables efficient diffusion of oxygen and carbon dioxide through the blood-gas barrier. They cover about 95% of the alveolar surface area, facilitating the primary process of respiration by allowing oxygen to enter the bloodstream and carbon dioxide to be expelled from it. This specialization is essential for maintaining proper gas exchange and, subsequently, effective respiration in the body. While type II pneumocytes are responsible for the production and secretion of surfactant, which reduces surface tension and prevents alveolar collapse, type I pneumocytes are specifically focused on the gas exchange aspect. Thus, their structural adaptation and role in forming a large surface area for diffusion are fundamental to respiratory function.