Anatomy and Histology of Respiratory Flashcards

1
Q

What is the pathway of air?

A
  • Entry via Nasopharynx and Oropharynx
  • Convergence at Laryngopharynx and Larynx
  • Down through trachea
  • Lungs begin at branches at bronchi and bronchioles
  • Respiratory Bronchioles, Alveolar Ducts, Alveolar Sacs
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2
Q

Where does lower respiratory tract begin?

What is the conduction portion?

What is the respiratory portion?

A
  1. LRT begins at larynx
  2. Nasopharynx to terminal bronchiole
  3. Respiratory bronchioles, alveolar ducts, alveolar sacs
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3
Q

What does the conducting portion do?
What is it stabilized by?

A

Function: Conducting passages deliver clean, warm and moist air; produce seromucous secretions

Stabilized by bone, cartilage or muscle

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4
Q

What is the lining of the conducting portion?
What is its functions?
What are the divisions in the lining?

A

Mucosa - Lining of a cavity in contact with the outside world

Functions as an immunolgoical and physical barrier, source of secretory products, and selective absroptive interface

Has Epithelium (Surface) and Lamina Propria (CT layer that supports epithelium)

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5
Q

What are the types of cells common in the respiratory epithelium? (5)
What are the functions of small granule and brush cells?
What type of epithelium is present in the general respiratory system?

A

Columnar, Goblet, Basal, Small Granule, and Brush cells

Small Granule likely have endocrine function
Brush have unknown function

Ciliated pseudostratified columnar

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6
Q

What cells are unique in the nasal epithelium?

A

Olfactory epithelium

Olfactory cells – Stereocilia, recognition of smells
Supporting cells – Provide nutrition to olfactory cells
Basal cells, brush cells

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7
Q

What is contained in the lamina propria of nasal cavity?
What role do glands and cilia have?
How can this role be inhibited?

A

Lamina propria – Seromucous glands, venous plexus

Role of glands and cilia to remove particulates from the mucosa (Called mucociliary escalator)

Smoking and irritants can reduce the effectiveness of this function – Cause non-stratified squamous epithelium
Also genetic syndromes can cause deficit (Congenital Immotile Cilia or Kartagener’s syndrome)

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8
Q

What cells are unique about the histology of the nasopharynx?

A

Large amount of lymph cells under the epithelium

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9
Q

What type of epithelium is in the larynx and why?
Which part of mucosa vibrates?
Which part of mucosa makes up the vocal ligament?

A

Vocal cord epithelium is non-stratified squamous – more resistant to air forces

Epithelium and superficial lamina propria vibrate in vocal cord

Vocal ligament – Deep lamina propria

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10
Q

What is the structural support of the trachea?
Where are seromucous glands in the trachea?

A

Several cartilaginous rings

Abundant seromucous glands deep to LP in submucosa

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11
Q

What is the structural support of bronchi?
What unique cells make up bronchi’s LP?

A

Plates of cartilage instead of rings

Smooth muscle cells and mast cells in LP

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12
Q

What are the size of bronchioles?
What supports them?
What unique cells do they have?
What is special about terminal bronchioles?

A

1-5 mm in diameter (Can expand and contract)

No cartilage plates, now smooth muscle supports

Special neuroendocrine cells

Last generation is terminal bronchioles which have Clara cells instead of ciliated cells

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13
Q

What is the defining feature of respiratory passageways?
What happens to the amount of smooth muscle cells in respiratory passages?
What types of tissue are dominant in the respiratory passageways?

A

All have alveoli

Smooth muscle disappears after alveolar duct

Plenty of elastic and fibrous tissue

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14
Q

What is the distribution of alveoli in the respiratory passages?

A

Respiratory bronchioles – Sparse alveoli
Alveolar ducts – Lined with lots alveoli
Alveolar sacs – Cul-de-sacs filled with alveoli

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15
Q

What are pulmonary lobules and acinus?

A
  • *Pulmonary lobule** – Terminal bronchiole and the lung tissue it supplies
  • *Pulmonary acinus** – Portion of the lung supplied by a respiratory bronchiole
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16
Q

What are the cell types in the alveoli?

A
Type I (40%) – More surface area, thin
Type II(60%)  –More numerous, big but compact
Capillaries, mast cells, fibroblasts, macrophages also present
17
Q

Where does surfactant come from?

What is it composed of and why?

A

Type II cells

Phospholipid (Surface tension agent), Proteins (Support), Antioxidants (Protection)

18
Q

What is the blood-air barrier?
What does it consist of?

A

Space of gas exchange

Type I epithelial cell, basement membrane to basement membrane, capillary endothelial cell

19
Q

What conditions affect conducting airways?

A
  • Chronic bronchitis
  • Cystic fibrosis
  • Carcinoma
  • Asthma – Affects smooth muscle wall passageways via inflammation
    • Big buildup of mucous
    • Less Clara cells
20
Q

What conditions affect respiratory passages?

A

ARDS
Interstitial Fibrosis
Infections
Emphysema
Lung cancer