Question:

In respiratory distress syndrome (RDS) in a child, which cells are found to be defective?

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Think about which alveolar cell makes surfactant (DPPC).
Updated On: Jun 23, 2026
  • Type 1 pneumocytes
  • Type 2 pneumocytes
  • Bronchial epithelium
  • None
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The Correct Option is B

Solution and Explanation

Answer: Type 2 pneumocytes.
Step 1: Type I pneumocytes form the thin alveolar wall across which gas exchange happens. Type II pneumocytes are the cuboidal cells that synthesise and secrete pulmonary surfactant.
Step 2: The chief surfactant component is dipalmitoylphosphatidylcholine (DPPC, also called dipalmitoyl lecithin). It lowers alveolar surface tension and stops alveolar collapse at end-expiration.
Step 3: In RDS, immature or damaged Type II pneumocytes cannot make enough DPPC, so surfactant is deficient. Alveoli collapse, work of breathing rises, and the infant develops respiratory distress.
Step 4: Bronchial epithelium is not the source of surfactant, so it is not the answer. Ref: Robbins Basic Pathology, 10e.
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