Chapter Overview & Weightage
Breathing and Exchange of Gases covers the respiratory system, mechanics of breathing, gas exchange at alveoli, transport of and in blood, and respiratory volumes. The oxygen dissociation curve is a NEET favourite.
This chapter carries 3-4% weightage in NEET with 2-3 questions per paper. Transport of gases (especially the oxygen-haemoglobin dissociation curve) and respiratory volumes are the most frequently tested areas.
| Year | NEET (Q count) | Key Topics Tested |
|---|---|---|
| 2024 | 2 | Bohr effect, residual volume |
| 2023 | 3 | Chloride shift, tidal volume, alveolar structure |
| 2022 | 2 | Oxygen dissociation curve, respiratory disorders |
Key Concepts You Must Know
Tier 1 (Core)
- Respiratory pathway: nostrils → pharynx → larynx → trachea → bronchi → bronchioles → alveoli
- Mechanism of breathing: inspiration (diaphragm contracts, volume increases, pressure decreases) and expiration (reverse)
- Gas exchange at alveoli: down partial pressure gradient ( into blood, out)
- transport: 97% as oxyhaemoglobin (), 3% dissolved in plasma
- transport: 70% as (bicarbonate), 23% as carbaminohaemoglobin, 7% dissolved
Tier 2 (Frequently tested)
- Oxygen-haemoglobin dissociation curve (sigmoid shape) and factors affecting it (Bohr effect)
- Respiratory volumes: tidal volume (TV = 500 mL), inspiratory reserve (IRV = 2500-3000 mL), expiratory reserve (ERV = 1000-1100 mL), residual volume (RV = 1100-1200 mL)
- Respiratory capacities: vital capacity (VC = TV + IRV + ERV), total lung capacity (TLC = VC + RV)
- Chloride shift (Hamburger phenomenon)
Tier 3 (Occasionally tested)
- Disorders: asthma, emphysema, occupational lung diseases (silicosis, asbestosis)
- Role of respiratory centre in medulla oblongata
- Pneumotaxic centre in pons
Important Formulas
| Parameter | Value (approx.) | Formula |
|---|---|---|
| Tidal Volume (TV) | 500 mL | — |
| Inspiratory Reserve (IRV) | 2500-3000 mL | — |
| Expiratory Reserve (ERV) | 1000-1100 mL | — |
| Residual Volume (RV) | 1100-1200 mL | — |
| Inspiratory Capacity (IC) | 3000-3500 mL | TV + IRV |
| Expiratory Capacity (EC) | 1500-1600 mL | TV + ERV |
| Vital Capacity (VC) | 3500-4600 mL | TV + IRV + ERV |
| Total Lung Capacity (TLC) | 5000-6000 mL | VC + RV |
| Functional Residual Capacity (FRC) | 2100-2300 mL | ERV + RV |
| Gas | Primary Transport | Secondary | Tertiary |
|---|---|---|---|
| Oxyhaemoglobin (97%) | Dissolved in plasma (3%) | — | |
| Bicarbonate (70%) | Carbaminohaemoglobin (23%) | Dissolved (7%) |
Bohr Effect: Increased / decreased pH shifts the dissociation curve to the right → easier release at tissues. This is physiologically perfect — tissues that produce more get more .
The percentages for transport (70-23-7) are tested directly in NEET. Remember: Bicarbonate = Biggest (70%). A quick mnemonic: “70 bicarbonates, 23 carbaminos, 7 dissolved.”
Solved Previous Year Questions
PYQ 1 — NEET 2024
Problem: Bohr effect refers to:
(A) Effect of on binding (B) Effect of on transport (C) Effect of temperature on breathing rate (D) Effect of altitude on haemoglobin
Solution:
The Bohr effect describes how increased concentration (and the resulting decrease in pH) reduces the affinity of haemoglobin for . This shifts the oxygen dissociation curve to the right, promoting release at the tissue level.
Answer: (A) Effect of on binding
PYQ 2 — NEET 2023
Problem: The volume of air remaining in the lungs after a forceful expiration is called:
(A) Tidal volume (B) Residual volume (C) Expiratory reserve volume (D) Vital capacity
Solution:
After a forceful expiration, you’ve pushed out everything you can, but some air still remains — this is the residual volume (about 1100-1200 mL). This air can never be voluntarily expelled; it keeps the alveoli from collapsing.
Answer: (B) Residual volume
PYQ 3 — NEET 2022
Problem: Maximum volume of is transported as:
(A) Dissolved in plasma (B) Carbaminohaemoglobin (C) Bicarbonate ions (D) Carbonic acid
Solution:
70% of is transported as bicarbonate ions () in plasma. The enzyme carbonic anhydrase in RBCs catalyses: . The moves out of RBCs into plasma (chloride shift).
Answer: (C) Bicarbonate ions
Difficulty Distribution
| Difficulty | % of Questions | What to Expect |
|---|---|---|
| Easy | 45% | Volume definitions, transport percentages |
| Medium | 40% | Bohr effect explanation, chloride shift, capacity calculations |
| Hard | 15% | Dissociation curve analysis, regulatory mechanisms |
Expert Strategy
Day 1: Learn the respiratory pathway and mechanism of breathing. Understand the pressure changes: inspiration = volume up, pressure down, air flows in. This is Boyle’s law applied to lungs.
Day 2: Gas transport — this is the highest-yield topic. Memorise the exact percentages for and transport. Understand the Bohr effect conceptually (not just as a fact) and the chloride shift mechanism.
Day 3: Respiratory volumes and capacities. Draw the spirogram from NCERT. Know the exact formula relationships (VC = TV + IRV + ERV, TLC = VC + RV). Practice calculating one capacity from given volumes.
Draw the oxygen dissociation curve yourself. Mark the steep part (tissue level, around 40 mmHg) and the plateau (lung level, around 100 mmHg). Then draw the right-shifted curve and label “high , low pH, high temp.” This visual understanding is faster than memorising descriptions.
Common Traps
Trap 1 — Vital capacity does NOT include residual volume. VC = TV + IRV + ERV. To include RV, you need Total Lung Capacity (TLC = VC + RV). Students often confuse VC with TLC.
Trap 2 — Most CO2 is transported as bicarbonate, not carbaminohaemoglobin. The “carbamino” in the name sounds dominant, but it’s only 23%. Bicarbonate (70%) is the primary form. NEET tests this fact almost every other year.
Trap 3 — Chloride shift is NOT about chloride entering the body. It’s the movement of ions INTO RBCs as moves OUT, maintaining electrical neutrality. The name is misleading if you don’t know the mechanism.
Trap 4 — Right shift of the dissociation curve means LESS affinity, MORE release. Right shift = haemoglobin releases more easily (good for tissues). Left shift = holds tighter (happens with fetal haemoglobin, which has higher affinity than adult Hb).