lec 1 Flashcards

1
Q

respiratory + non-respiratory functions of the respiratory system

A

-oxygen respiration
-remove CO2
-homeostasis

-olfaction
-vocalization
-1st lines of immune defense
-filter blood borne substances

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2
Q

roles of ribcage

A

-protection- from fraction/injury
-support-muscle attachment + frame
-breathing

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3
Q

explain the anatomy of the lungs

A

-paired
connected to trachea on left, bronchi on right.
-enclosed in pleurae (2 layers- visceral-lines lungs, and parietal- lines thoracic cavity), which is attached to mediastinum
-bordered by diaphragm
-surrounded by pleural fluid- secreted by the pleura, decreases friction between layers to prevent trauma when breathing + create surface tension that sucks against the thoracic wall

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4
Q

what ensures that the lungs are ‘attached’ to the thoracic wall

A

-pleural fluid
-pleural pressure (Ppl) (should be slightly neg. (-3/-4 mmHg) to ensure lungs stuck to chest wall, so will move when breathing, which is ESSENTIAL to maintain normal air flow, otherwise deflate)

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5
Q

what causes the negative pleural pressure + why is it important + what is it called when the pleural pressure is NOT neg.

A

-thoracic recoil out + lung recoil in
- keeps lungs ‘attached’ to thoracic wall, allowing normal airflow
-pneumothorax- when pleural pressure is 0 or +ve

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6
Q

explain the zones of the respiratory system.

A

-conducting zone (no gas exchange- dead space): includes nose/mouth, trachea, bronchi, bronchioles, terminal bronchioles
-important, as provides conduction of air, warmth, cleanses, and humidifies
- if you breathed directly into the trachea (tracheostomy), causes lung injury/infection

-respiratory zone (gas exchange): includes respiratory bronchioles, alveolar ducts, alveolar sacs

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7
Q

REFER TO ONENOTE

function seperate + together

explain the nose

A

–opens into the nasal cavity which is separated into left + right by the nasal septum
-conchae- 3 bony projections: superior, middle, and inferior nasal conchae
-meatuses- passage for airflow located beneath each nasal concha
-conchae + meatuses act to increase SA + disrupt airflow, warn + humidify air when inspiring, cool + dry air during expiration, decrease water loss to prevent dehydration
-heat and water exchange in a COUNTER EXCHANGE (move in opposite directions)

-is important for heat + water exchange, filtration

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8
Q

counter vs concurrent flow

A

counter:
-move in opposite directions
- small gradients
-enables max. exchange for max. efficiency

concurrent:
-move in same direction
gradient for exchange disappears
-not efficient

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9
Q

Heat exchange in the nasal cavity

A
  1. surface of nasal cavitiy to incoming air
  2. nasal blood vessels to air
  3. mucosal film in nasal cavity
  4. mucosal film on nostrils inner lining

*note: all via convection

  1. nostril tissues (via radiation)
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10
Q

how are particles filtered in the nose

A

-mucous membranes containing sebaceous glands + hair follicles
-nasal hairs

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11
Q

what is the epithelium of the nasal cavity to bronchi, bronchioles, and alveoli

A

-pseudostratified columnar

-simple columnar to simple cuboidal with fewer ciliated cells

-thin squamous epithelium with no cilia

-respiratory epithelium is thinner as goes deeper down (for diffusion)

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12
Q

explain the lung extracellular matrix

A

-is a mesh structure made of elastic fibers, proteoglycans, collagens, and adhesion proteins: fibronectins + laminin

-lung structural integrity depends on ECM for mechanical stability, elastic recoil, form basement membrane, regulate growth factors, cell proliferation, differentiation, attachment, migration, shape and protein synthesis

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13
Q

explain collagen as a structural proteins of the ECM + 4 types

A

-collagen- made of glycoprotein = mostly fibroblasts, essential for strength + integrity
-4 types

*type 1: contributes to lung mechanisms, (stability), and structural framework (note: too much of type 1 : fibrotic lung disease, too stiff)
*type 2: contributes to airway cartilage (95% of total collagen), allows chondrocyte synthesis
*type 3: contributes to lung mechanics + structural framework (same as 1)
*type 4: contributes (strength + funtion of basement membrane)

+ note the type 1:3 ratio determines the resistance of collagen fibres to tearing

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14
Q

explain elastin as a structural protein of the ECM

A

-made of glycoprotein
-provides alveoli flexibility
helps pull airways open- radial traction
-synthesised by fibroblasts + smooth muscle cells in when embryo (not as adult)
-able to deal wth stretching + recoiling over lifetime

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15
Q

explain proteoglycans as a structual protein of the ECM

A
  • produced by ER + golgi complex
    -forms net which collagen fibres are incorporated into
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16
Q

explain fibronectins + laminin as adhesion proteins of the ECM

A

-fibronectins: connect ECM to cell membrane integrins
-laminin- sticky glycoprotein secreted by epithelial cells, connect type 4 collagen of the basal lamina to epithelial cells

17
Q

what is the role of airway cilia

A

-cilia beat generates a force which sweeps mucus towards the pharynx
-the cilia beat occurs in the periciliary fluid (less viscose than mucus), which then moves the mucus layer (mucus + periciliary layer = ASL/airway surface liquid)

18
Q

what is mucus produced by + what is its role + what makes up the mucociliary escalator?

A

-epithelial secretory cells: club, goblet, serous cells
-club cells + submucosal glands secrete MUC5B when HEALTHY,
and goblet and some club cells secrete MUC5AC when STRESSED

-host defense system- barrier to airway water loss, microbial invasion, and clears inhaled foreign mater

-airway cilia, goblet cells, and submucosal glands (note: smoking + infection causes hyperplasia- mucus hypersecretion)

19
Q

explain mucus clearance

A

-cleared by cough + ciliary beat
-depends on mucus viscosity, elasticity, adhesiveness, and ciliary function (which depends on ASL hydration) {so hydrated mucus = easier to clear}

-failed clearance: airway obstruction, infection + inflammation