Block 2b Pulmonary Ventilation Flashcards

1
Q

What size particles precipitate in the nose, trachea, and bronchi?

A

particles greater than 6 um

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What structures make up the respiratory zone?

A

respiratory bronchioles, alveolar duct, alveolar sac

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What structures make up the conducting zone?

A

trachea, bronchi, bronchioles, terminal bronchioles

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What is the function of the conducting zone?

A

warm, humidify, & filter inspired air

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What size particles precipitate / are filtered in the respiratory bronchioles?

A

1-5 um

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What size particles precipitate / are filtered in the alveoli?

A

less than 0.5 um

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

How are alveolar particles removed?

A

macrophages

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Describe the general composition of the conducting zone?

A

thick mucus & ciliated cells

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Describe the general composition of the respiraotry zone?

A

thin lung surfactant ,thinner cells, no cilia; dendritic cells & macrophages

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What substances cause bronchiolar constriction?

A

histamine, slow reactive substance of anaphylaxis, & irritants

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

How are the cough & nasal sneeze reflexes afferently transmitted to the brain?

A

via the vagus nerve (CN5 if sneeze) to the medulla

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

function of ciliated columnar cells

A

mucous movement

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

function of ciliary cells

A

periciliary fluid secretion

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

function of clara cells

A

surfactant & metabolism

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

function of basal cells

A

ciliated & goblet cell progenitor ONLY in trachea & bronchus

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

function of neuroendocrine cells

A

chemoreceptor & paracrine function

17
Q

function of Alveolar Type I cells?

A

alveolar gas exchange

18
Q

function of alveolar type II cells

A

surfactant production

19
Q

What are the expiratory muscles?

A

abdominals & internal intercostals

20
Q

What are the inspiratory muscles?

A

external intercostals

21
Q

Define transpulmonary pressure?

A

alveolar pressure less pleural pressure

22
Q

What are the axes of the compliance diagram of the lungs?

A

change in lung volume vs. pleural pressure

23
Q

What components make up the elastic forces in the lung?

A

surface tension (66%), collagen & elastin (33%)

24
Q

What are the components of surfactant?

A

10% protein, 90% phospholipids (primarily dipalmitoylphasphatidylcholine, also unsatured p-choline, p-glycerol, p-linositol, p-serine, p-ethanolamine, sphingomyelin, other lipis)

25
What is the percentage reduction in surface tension provided by surfactant?
50 - 95%
26
How is surfactant secreted?
1) lipids synthesized in ER 2) lamellar bodies secreted by golgi via exocytosis 3) lamellar bodies form tubular myelin 4) TM forms surfactant reservoir or the air-liquid interface
27
What is tidal volume?
volume of air inspired or expired during each breath
28
What is IRV/ERV?
extra volume of air that can be inspired/expired above max/min tidal volume
29
what is RV?
volume of air remainin in lungs after forceful expiration
30
What is inspiratory capacity?
tidal volume + IRV, the amount of air a person can breath in starting at end of normal expiration
31
What is FRC?
ERV + RV, the amount of air that remains in lungs at end of normal respiration
32
What is the normal TLC?
5.8 (4.3)
33
What is VC?
IRV + VT + ERV, max amount of air that can be expelled from lungs after filling to max extent
34
What is TLC?
RV + VC, max volume to which lungs can be expanded
35
Which lung capacity value is altered in lung disease?
FRC
36
Describe the cough reflex?
deep inspiration, epiglottis closes, expiratory muslces contract, epiglottis opens suddenly
37
How does the sneeze reflex differ from cough?
uvula depressed