chapter 19 from notes Flashcards

1
Q

upper respiratory tract

A

nose
nasal cavity
sinuses
pharynx (throat)

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2
Q

nasal cavity

A

nasap septum
roof formed by ethmoid bone
nasal conchae

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3
Q

sinuses

A

ethmoid
maxillary
frontal
sphenoid

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4
Q

lower respiratory tract

A

larynx
trachea
bronchial tree

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5
Q

what is the larynx

A

voice box– vocal cords

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6
Q

trachea

A

“wind pipe”
- columnar

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7
Q

tracheostomy

A

incision in the windpipe to bypass a blockage in the pharynx

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8
Q

epiglottis

A

covers tracheal opening during swallowing

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9
Q

bronchial tree

A

primary bronchi (2)
secondary (lobar) bronchi: R:3, L:2
tertiary (segmental) bronchi

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10
Q

bronchioles

A

terminal
respiratory
alveolar ducts
alveolar sacs
alveoli (squamous epithelial)

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11
Q

does cartilage increase or decrease as branching tubes become thinner

A

decrease

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12
Q

terminal bronchioles

A
  • branch from an interlobular bronchiole
  • 50-80 occupy a lobule
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13
Q

respiratory bronchioles

A
  • branch from each terminal bronchiole
  • a few air sacs bud from their sides
  • they take part in gas exchange
  • short and ab 0.5mm in diameter
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14
Q

alveolar ducts

A

branch from each respiratory bronchiole

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15
Q

alveolar sacs

A
  • comprised of clusters of alveoli
  • similar in appearance to grapes
  • surrounds the terminal end of an alveolar duct
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16
Q

alveoli

A
  • thin walled microscopic air pouches
  • site of gas exchange
  • air diffuses from alveolar ducts into sacs
  • surrounded by capillaries
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17
Q

gas exchange

A

O2 goes through the alveolar walls to enter the blood
CO2 diffuses from the blood, to the alveoli

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18
Q

partial pressure

A

the amount of pressure each gas in the air contributes to the overall pressure

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19
Q

partial pressure of oxygen in atmosphere is …

A

21% partial pressure because it is 21% of the air

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20
Q

bronchi enter where

A

at hilum

21
Q

what do lobules contain

A
  • terminal bronchioles
  • lymphatic vessels
  • pulmonary arteries and venules
  • nerves
22
Q

blood flow through a capillary is mainly regulated through…

A

smooth muscle

23
Q

asthma

A

constricts bronchioles

24
Q

what force moves air into the lungs

A

atmospheric pressure

25
Q

atmospheric pressure at sea level

A

760mmHg

26
Q

when are alveolar and atmospheric pressure equal

A

when respiratory muscles are at rest

27
Q

what are used during forced inhalation

A

accessory muscles

28
Q

compliance

A

the ease with which the lungs can expand

29
Q

major events of inspiration

A
  1. impulses are conducted on phrenic
    nerves to muscle fibers in the diaphragm, contracting them
  2. diaphragm moves downward, thoracic cavity expands
  3. external intercostal muscles may contract, raising the ribs and expanding the cavity further
  4. the intra-alveolar pressure decreases
  5. atmospheric pressure forces air into the respiratory tract through passageways
  6. the lungs fill with air
30
Q

major events in expiration

A
  1. the diaphragm and external intercostal muscle relax
  2. elastic tissues of the lungs, stretched during inspiration, suddenly recoil, and tension surface pulls on alveolar walls
  3. tissues recoiling around the lungs increase the intra-alveolar pressure
  4. air is forced out of the lungs
31
Q

bronchial asthma

A
  • usually an allergic reaction to foreign antigens in airways
  • allergens and secretion irritate the smooth muscle in smaller airways causing bronchoconstriction
  • wheezing sound
32
Q

emphysema

A
  • progressive, degenerative disease that destroy the alveolar walls
  • decreased surface area for gas exchange
  • difficult to exhale
33
Q

ventral respiratory group

A

basic rhythm of breathing
- stimulates inspiratory muscles
- inhibits inspiration

33
Q

two parts of the medullary respiratory center

A

ventral and dorsal

34
Q

dorsal respiratory group

A
  • allows changes in rate and depth
  • integrates sensory information
  • modifies the activity of the ventral
  • can directly stimulate inspiration w the diaphragm
35
Q

apnuestic center of the pons…

A

controls inhaling

36
Q

pontine respiratory group

A

contributes to the rhythm of breathing by limiting inspiration

37
Q

medulla

A

responds to hydrogen ions due to CO2 increasing

38
Q

chemoreceptor

A

senses levels of certain electrolytes
- stimulated by changes of the blood pH
- monitor blood being sent to brain and body

39
Q

the chemoreceptors names

A

carotid bodies (walls of carotid sinus)
aortic bodies (walls of aortic arch)

40
Q

what kind of influence does oxygen have on normal respiration

A

minor influence (has to be 50% of normal for chemoreceptors to increase breathing rate)

41
Q

hyperventilation

A

decreases o2 in blood

42
Q

what inflation reflex helps regulate the depth of breathing

A

Hering Breuer

43
Q

what are chemoreceptors in the aortic and carotid bodies stimulated by

A

low plasma partial pressure of O2

44
Q

what are stretch receptors in teh visceral pleura, bronchioles, and alveoli stimulated by

A

stretch of tissues

45
Q

what are chemosensitive ares of the respiratory center stimulated by

A

high plasma partial pressure of CO2 and high cerebrospinal fluid hydrogen ion concentration

46
Q

carbon dioxide percentages

A

70% bicarbonate ion
23% bound to hemoglobin
7% dissolved in plasma

47
Q
A