One point is awarded for each of the following ten points; any equivalent wording earns the point.
Inspiration:
1. Quiet inspiration is an active process: it needs muscle contraction. (1 point)
2. The diaphragm contracts and flattens, moving downwards. (1 point)
3. The external intercostal muscles contract, raising the ribs and sternum upwards and outwards. (1 point)
4. As a result the volume of the thoracic cavity increases. (1 point)
5. The lungs follow the chest wall because the pleural membranes are held together by the thin layer of pleural fluid between them (the pressure in the pleural space is below atmospheric), so lung volume increases too. (1 point)
6. The increase in volume lowers the pressure in the alveoli below atmospheric pressure (Boyle's law: at constant temperature, pressure and volume of a gas are inversely related). (1 point)
7. Air flows into the lungs, down the pressure gradient, through the airways until the alveolar pressure equals atmospheric pressure. (1 point)
Expiration:
8. Quiet expiration is passive: the diaphragm and the external intercostal muscles relax. (1 point)
9. The elastic recoil of the stretched lungs and chest wall (and the surface tension in the alveoli) returns the thorax and lungs to their smaller resting volume. (1 point)
10. The smaller volume raises the alveolar pressure above atmospheric pressure, so air flows out of the lungs until the pressures are equal again. (1 point)
Note: forced expiration (for example during exercise) is active, using the internal intercostal muscles and the abdominal muscles; mentioning this is correct but earns no extra point, and it does not replace point 8.