F - Respiratory System - Karius and Cole Flashcards

1
Q

Respiratory portion lined by

A

Pseudostratified ciliated epithelium with goblet cells supported by a lamina propria with seromucous glands and venous plexus

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

Mucus contains

A

Mucins MUC5AC and MUC5B
Antimicrobial molecules
Immuno molecules

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

What cells rest on the basal lamina and secrete hormones?

A

Basal cells and neuroendocrine cells (NE, cells of Kulchitsky)
Secrete - serotonin, somatostatin, calcitonin, ADH, ACTH

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

Smoker’s respiratory epithelium

A

Metaplasia - changed to stratified squamous
More goblet cells
Smoker’s melanosis - benign focal pigment

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

Trachealis m.

A

Smooth m. that narrows during cough reflex

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

Where does cartilage become irregular plates instead of rings

A

Secondary (lobar) bronchi

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

Defining characteristics of bronchioles

A

Cartilage and glands disappear

No gas exchange yet

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

Club (Clara) Cells

A

Secrete surfactant that differs from type II alveolar cells

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

If airway resistance is high airflow

A

Slow down

More m. effort to produce

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

What controls the airway resistance? And what is the easiest way to change it?

A

Smooth m.

Radius

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

Physiological dead space

A

Air you took in that did nothing for you + alveolar dead space
In trachea, bronchi, bronchioles

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

Anatomical dead space

A

In normal person should equal the phys dead space

-150ml

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

Alveolar dead space

A

No blood flow to alveolus or no ventilation

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

Alveolar ventilation

A

Volume of air reaching the alveoli
Per minute - VA(dot)
4 L/min
= (tidal volume - dead space) x RR

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

Perfusion

A

(Q)
From RV
5L/min

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

How much O2 and CO2 are exchanged every minute?

A

O2 - 250ml
CO2 - 200ml
INDEPENDENT of one another

17
Q

Alveolar gas exchange (J) equation

A

J = SA x D x (P1-P2)/distance

18
Q

Alveolar cells

A

Type I - 40% and cover 90% of surface

Type II - surfactant - reduces surface tension

19
Q

Heart failure cells

A

Alveolar macrophages

LV fails to keep pace with venous return from the lungs

20
Q

How much blood is in cap?

A

Rest - 70ml

Exercise - 200ml

21
Q

Emphysema

A

Irreversible destruction of elastic tissue
serum a1-antitrypsin that neutralizes elastase is decreased
Elastase released by neutrophils destroys elastic tissue

22
Q

Collagen in interstitial spaces

A

Increases the diffusion distance and decreases the diffusion of the gases

23
Q

Under resting conditions RBC spends how much time in pulmonary cap?

A

.75 seconds

Safety margin - only needs .25s

24
Q

Main purpose of surfactant?

A

Changes the surface tension
Reduces surface tension in smallest alveoli more than in large
Prevents collapse