10/23 Lower Respiratory Tract - Carter 2017 (Completed) Flashcards

1
Q

What structures are part of the lower respiratory tract?

A

bronchi

bronchial tubes

alveoli

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2
Q

How long is the trachea?

A

extends from C6 –> T4 (sternal angle)

3.5” - 5”

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3
Q

What makes up the structure of the trachea

A

20 U-shaped hyaline cartilaginous rings

posterior wall consisting of smooth muscle

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4
Q

What supplies the trachea?

A

superior thyroid a

inferior thyroid a

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5
Q

What are the characteristics of the right vs left primary bronchi?

A

the Right bronchus:

Large diameter
More vertical
not as long

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6
Q

How many lobes does the left and right secondary (lobar) bronchi have?

A

Right –> 3 lobes/bronchi

Left –> 2 lobes/bronchi

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7
Q

How many segments does the left and right tertiary (segmental) bronchi have?

A

Right –> 10 segments

left –> 8 segments

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8
Q

What branches off the tertiary (segmental) bronchi?

A

terminal bronchioles

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9
Q

What do we call bronchioles that contain alveoli?

A

respiratory bronchioles

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10
Q

What supplies and drains blood from the bronchiole system?

A

descending aorta gives 2 branches to the left and a single branch to the right

azygos v –> superior vena cava

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11
Q

What fissure is associated with both lobes?

A

oblique fissure

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12
Q

What fissure is associated solely with the right lobe?

A

horizontal fissure –> divides the upper and middle lobe

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13
Q

What does the oblique fissure of the right lobe divide?

A

middle and lower lobe

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14
Q

What does the oblique fissure of the left lobe divide?

A

superior and inferior lobe

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15
Q

What accommodates for the heart in the superior left lobe?

A

cardiac notch

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16
Q

What is the lingula?

A

a projection of the inferior part of the cardiac notch

17
Q

What’s the most superior portion of the lungs?

A

Apex or cupola

18
Q

What passes through the hilum of the lungs?

A

bronchi

lobar bronchi

bronchpulmonary lymph node

19
Q

What is the pathway that supplies the lungs?

A

Right ventricle —> pulmonary trunk —> pulmonary a (splits into left/right) —> alveoli capillary network

20
Q

What is important to understand about the surface area of alveoli capillary network?

A

The SA of alveoli capillary network much match the SA of the capillaries of all the organs of the body

21
Q

What types of General Visceral Afferent neurons are found in the lower respiratory tract?

A
Stretch receptors
Irritant receptors
Tactile receptors
Baroreceptors
Chemoreceptors
22
Q

What innervates the lower respiratory tract?

A

Vagus (CN X)

GVE and GVA

23
Q

Where are stretch receptors found within the lower respiratory tract? What modality governs them?

A

Alveoli and smooth muscle

General Visceral Afferent

24
Q

Where are irritant receptors found within the lower respiratory tract? What modality governs them?

A

Respiratory epithelium

General Visceral Afferent (GVA)

25
Where are tactile receptors found within the lower respiratory tract? What modality governs them?
Cough reflex General Visceral Afferent (GVA)
26
Where are Baroreceptors found within the lower respiratory tract? What modality governs them?
Pulmonary arteries General Visceral Afferent (GVA)
27
Where are Chemoreceptors found within the lower respiratory tract? What modality governs them?
Pulmonary veins (detects blood gases) General Visceral Afferent (GVA)
28
What is the motor division of the Vagus nerve that innervates lower respiratory tract?
General Visceral Efferent Sympathetic and parasympathetic division
29
What is the sympathetic function of the GVE modality of the vagus nerve to the lower respiratory tract?
Smooth muscles —> vasoconstriction Glands —> inhibition Vasculature —> vasoconstriction
30
What is the parasympathetic function of the GVE modality of the vagus nerve to the lower respiratory tract?
Smooth muscle —> constriction Glands —> increase secretion Vasculature —> vasodilation
31
What are the lymphatic plexuses of the lower respiratory tract?
Superficial plexus Deep plexus
32
What is the lymphatic pathway within the lower respiratory tract?
Tracheal nodes (lat. surface of trachea —> Tracheobronchial nodes (bifurcation of trachea) —> Bronchopulmonary nodes (hilum) —> Pulmonary nodes (bifurcation of larger bronchi)
33
How does lymph leave the lower respiratory tract after moving to the trachea?
Via the left and right bronchomediastinal lymph trunk that drains to the Thoracic duct
34
Where can you pierce the parietal pleural without entering the intercostal space?
Costovertebral angle (listen to recording)
35
What is not present in bronchioles?
Hyaline cartilage plates