Ch. 23: Respiratory System Flashcards
Pulmonary ventilation.
Inhalation and exhalation of air. Involves exchange of air between atmosphere and alveoli caused by alternating pressure differences created by contraction and relaxation of respiratory muscles.
External/pulmonary respiration.
Exchange of gases between alveoli and blood in pulmonary capillaries across the respiratory membrane. Pulmonary capillary blood gains O2 and loses CO2. Converts deoxygenated blood to oxygenated blood.
Internal/tissue respiration.
Exchange of gases between blood in systemic capillaries and tissue cells. Blood loses O2 and gains CO2.
Cellular respiration.
Within cells. The metabolic reactions that consume O2 and give off CO2 during ATP production.
Structurally, the respiratory system consists of…
The upper respiratory system, and the lower respiratory system.
Upper respiratory system.
Nose, nasal cavity, pharynx.
Lower respiratory system.
Larynx, trachea, bronchi, lungs.
Functionally, the respiratory system consists of…
The conducting zone, and the respiratory zone.
Conducting zone.
Series of interconnecting cavities and tubes outside and within the lungs. Nose, nasal cavity, pharynx, larynx, trachea, bronchi, bronchioles, terminal bronchioles. Filter, warm and moisten air and conduct it to the lungs.
Respiratory zone.
Tubes and tissues within the lungs where gas exchange occurs. Respiratory bronchioles, alveolar ducts, alveolar sacs, alveoli.
What are the functions of the respiratory system?
Gas exchange, regulates blood pH, contains receptors for smell, filters inspired air, produces vocal sounds, excretes water and heat.
External nose.
Visible. Supporting bony framework and cartilaginous framework covered with muscle and skin. Lined by mucous membrane.
Which bones form the bony framework of the nose?
Frontal bone, nasal bones, maxillae.
Which cartilages form the cartilaginous framework of the nose?
Septal nasal cartilage (anterior nasal septum), lateral nasal cartilages (inferior to nasal bones), alar cartilages (walls of nostrils). These are all hyaline cartilage.
Internal nose.
Nasal cavity. Inferior to nasal bone. Superior to oral cavity. Lined with muscle and mucous membrane. Divided into a large inferior respiration region, and a small superior olfactory region.
External nares.
Nostrils. Lead into nasal vestibules.
What are the functions of the internal structures of the external nose?
Warming, moistening and filtering incoming air. Detecting olfactory stimuli. Modifying speech vibrations as they pass through the large hollow resonating chambers.
Nasal septum.
Divides nasal cavity into right and left sides. Anterior part of the nasal septum consists of hyaline cartilage, vomer and perpendicular plate of ethmoid, maxillae and palatine bones.
Anteriorly, the nasal cavity merges with…
The external nose.
Posteriorly, the nasal cavity communicates with…
The pharynx through internal nares.
Which ducts open into the nasal cavity and secrete mucus?
Paranasal sinus ducts. They also serve as resonating chambers for sound during speaking and singing.
Which ducts open into the nasal cavity and secrete tears?
Nasolacrimal ducts.
Which bones contain paranasal sinuses?
Frontal, sphenoid, ethmoid, maxillae.
Which bones make up the lateral walls of the internal nose?
Ethmoid, maxillae, lacrimal, palatine, inferior nasal conchae bones.
Which bones make up the lateral walls of the internal nose?
Ethmoid, maxillae, lacrimal, palatine, inferior nasal conchae bones.
Which bones form the roof of the internal nose?
Ethmoid.
Which bones form the floor of the internal nose?
Palatine bones, and palatine processes of maxillae.
Respiratory region of nasal cavity.
Lined with ciliated pseudo stratified columnar epithelium with numerous goblet cells. Contains olfactory receptor cells, supporting cells and basal cells which make up the olfactory epithelium (cilia, no goblet cells).
Vestibule.
Lined by skin containing coarse hairs that filter dust.
Projections of ____ extend out of each lateral wall of the nasal cavity.
Superior, middle and inferior nasal conchae.
Nasal conchae.
Subdivide each side of the nasal cavity into a series of grovelike air passageways, called superior, middle and inferior nasal meatuses. They increase SA of the internal nose and prevent dehydration by trapping water droplets during exhalation.
Pharynx.
Funnel-shaped tube that starts at the internal nares and extends to the cricoid cartilage. Posterior to nasal and oral cavities. Superior to larynx. Anterior to cervical vertebrae. Wall is composed of skeletal muscles lined with mucous membrane.
Pharynx functions.
Passageway for air and food. Provides a resonating chamber for speech sounds. Contains the tonsils.
Divisions of the pharynx.
Nasopharynx, oropharynx, laryngopharynx.
How are pharynx muscles arranged?
Outer circular layer. Inner longitudinal layer.
Nasopharynx.
Superior. Posterior to nasal cavity. Extends to soft palate. Through the internal nares, the nasopharynx receives air and packages of dust-laden mucus. Lined with ciliated pseudo stratified columnar epithelium. Exchanges small amounts of air with auditory tubes to equalize air pressure between the middle ear and atmosphere. Contains the pharyngeal tonsil (adenoid).
Soft palate.
Forms the posterior part of the roof of the mouth. Arch-shaped muscular partition between the nasopharynx and oropharynx. Lined with mucous membrane.
5 openings in soft palate.
2 internal nares, 2 openings that lead to auditory tubes, 1 opening to oropharynx.
Oropharynx.
Intermediate. Posterior to oral cavity. Extends from soft palate to the hyoid bone. Contains the fauces which is the opening from the mouth. Passageway for air, food and drink. Subject to abrasion by food particles so it is lined with nonkeratinized stratified squamous epithelium. Contains the paired palatine and lingual tonsils.
Laryngopharynx.
Inferior. Hypopharynx. Begins at hyoid bone. Opens into the esophagus posteriorly, and the larynx anteriorly. Passageway for air, food and drink. Subject to abrasion by food particles so it is lined with nonkeratinized stratified squamous epithelium.
Larynx.
Short passageway between laryngopharynx and trachea. Extends to cricoid cartilage.
Larynx wall is composed of 9 pieces of cartilage.
3 occur singly: thyroid cartilage, epiglottis, cricoid cartilage.
3 occur in pairs: arytenoid, cuneiform, corniculate cartilages.
Which of the paired cartilages in the larynx wall are the most important?
Arytenoid cartilages, because they influence changes in position and tension of the vocal folds. Triangular pieces of hyaline cartilage located at posterior and superior border of cricoid cartilage.
Describe the extrinsic and intrinsic muscles of the larynx.
Extrinsic: connect the cartilages to other structures in the throat.
Intrinsic: connect the cartilages to each other, and attach to the rigid cartilages and vocal folds.
Laryngeal vestibule.
The part of the cavity of the larynx above the vestibular folds.
Infraglottic cavity.
The part of the cavity of the larynx below the vestibular folds.
Adam’s apple.
Thyroid cartilage. Consists of 2 fused plates of hyaline cartilage that form the anterior wall of the larynx and give it a triangular shape.
Epiglottis.
Large leaf-shaped elastic cartilage covered with epithelium. Closes the larynx during swallowing to direct food and liquid into the esophagus.
Stem: taper inferior portion that is attached to the anterior rim of the thyroid cartilage.
Leaf: unattached and free to move up and down.
What occurs in the larynx and pharynx during swallowing?
Elevation of the pharynx widens it to receive the food and drink.
Elevation of the larynx causes the epiglottis to move down and form a lid over the glottis to close it off.
Glottis.
Consists of vestibule/vocal folds covered in mucous membrane. The rima glottidis/vestibuli is the space between the vocal folds.
Cricoid cartilage.
Ring of hyaline cartilage that forms the inferior wall of the larynx.
Corniculate cartilages.
Horn-shaped pieces of elastic cartilage located at the apex of each arytenoid cartilage.
What is the lining of the larynx superior to the vocal folds, and inferior to the vocal folds?
Superior: nonkeratinized stratified squamous epithelium.
Inferior: ciliated pseudo stratified columnar epithelium consisting of ciliated columnar cells, goblet cells and basal cells.
Describe cilia in the upper respiratory tract, and the lower respiratory tract.
Upper: cilia move mucus and trapped particles down toward pharynx.
Lower: cilia move mucus and trapped particles up toward pharynx.
False vocal cords.
Superior vestibular folds. Do not function in voice production. When they are brought together, they function in holding the breath against pressure in the thoracic cavity.
True vocal cords.
Inferior vocal folds. The principal structures of voice production.
What happens when intrinsic laryngeal muscles contract?
Moves rigid cartilages –> pulls elastic ligaments tight –> stretches vocal folds into the airways –> rima glottidis is narrowed. Arytenoid cartilages also pivot and slide.
How do the vocal folds produce sound?
Air passing through the larynx vibrates the vocal folds and produces sound by setting up sound waves in the column of air in the pharynx, nose and mouth.
What causes a variation in pitch?
Tension of vocal folds. If vocal folds are pulled taut by muscles, they vibrate rapidly to create a higher pitch.
Contraction of posterior cricoarytenoid muscles moves the…
Vocal folds apart to open the rima glottidis.
Contraction of lateral cricoarytenoid muscles moves the…
Vocal folds together to close the rima glottidis.
Whispering.
Occurs by closing all but the posterior part of the rima glottidis. Vocal folds do not vibrate. There is no pitch.
Trachea.
Anterior to esophagus. Extends from larynx to T5 where it divides into right and left primary bronchi. Tracheal wall consists of mucosa, submucosa, hyaline cartilage and adventitia.
Mucosa of trachea consists of…
Epithelial layer of ciliated pseudo stratified columnar epithelium, and an underlying layer of lamina propria that contains elastic and reticular fibres.
Submucosa of trachea consists of…
Areolar connective tissue that contains seromucous glands and their ducts.
Describe the horizontal rings of hyaline cartilage in the trachea.
16-20 rings are stacked on top of each other connected by dense connective tissue. The open part of each C-shaped ring faces posteriorly toward the esophagus and is spanned by a fibromuscular membrane. Within the fibromuscular membrane are transverse smooth muscle fibres and elastic connective tissue that allow the diameter of the trachea to change during inhalation and exhalation. The solid C-shaped rings provide a semi-rigid support to maintain latency so that the trachea wall does not collapse inward.
Adventitia of trachea consists of…
Areolar connective tissue that joins the trachea to surrounding tissues.
Trachea divides into…
A right primary bronchus that leads to the right lung.
A left primary bronchus that leads to the left lung.
Which bronchus is more likely to have a lodged aspirated object?
Right.
Primary bronchi contain…
Incomplete rings of cartilage. Lined by ciliated pseudo stratified columnar epithelium.
Carina.
Internal ridge. Formed by a posterior and inferior projection of the last tracheal cartilage. Located where the trachea divides into right and left primary bronchi. The mucous membrane of the carina is the most sensitive area of the larynx and trachea for triggering a cough reflex.
What does widening and distortion of the carina usually indicate?
Carcinoma of the lymph nodes around the region where the trachea divides.
How many lobes do the right and left lungs have?
Right: 3
Left: 2