Lecture 14 URT Flashcards

1
Q

What is the main role of the Respiratory System?

A

Provide air for gas exchange

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2
Q

what must the Surface for gas exchange be?

A

– Air and blood close but separate (thin)
– Safe location (deep in body - thorax) - protect by ribs and vertebral column
- large SA

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3
Q

what must the air be for gas exchange?

A

optimal condition for gas exchange

• Warm, clean, moist

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4
Q

what else does the respiratory system do?

A

Produce sounds

Olfaction

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5
Q

whats the Conducting region?

A

nasal cavity to bronchioles

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6
Q

whats the Respiratory region?

A

Sites of gas exchange = alveoli

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7
Q

what does the Upper Respiratory Tract (URT) consists of?

A

– Nose & Nasal cavity
– Paranasal sinuses
– Pharynx (naso, oro, laryngo)

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8
Q

whats the function of URT?

A

Conducting passage (not only air)

  • Prepares air for respiratory membrane (gas exchange)
  • Paranasal sinuses - resonating chambers for speech
  • Olfaction – sensory receptors smell
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9
Q

whats paranasal sinus?

A

resonating chambers for speech

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10
Q

whats Olfaction?

A

sensory receptors smell

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11
Q

A body system open to the environment is lined with

A

mucous membrane

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12
Q

Respiratory Tract

- Mucous membrane

A

Epithelium on layer of connective tissue (lamina propria)
Epithelium responds to function
Change along length of RS tract

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13
Q

what type of epithelium Lines chambers when there’s only air contact?

A

Respiratory epithelium

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14
Q

what type of epithelium Lines chambers when there’s air and food contact?

A

stratified squamous

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15
Q

what type of epithelium Lines chambers when there’s gas exchange?

A

thin squamous

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16
Q

URT: Respiratory epithelium

A

Pseudostratified, ciliated, columnar epithelium (with goblet cells)

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17
Q

URT: Function -> structure

A

Clean the incoming air

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18
Q

what do goblet cells of URT do?

A

secrete mucous

– Traps material

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19
Q

what do Ciliated cells of URT do?

A

Patterned movement -> current of mucus towards the pharynx

– swallowed and hydrolysed (digested) by stomach acid.

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20
Q

is there less mucous and more cilia or more mucous and less cilia in URT?

A

Lots of mucous less cilia

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21
Q

on a cold day what causes nose dribbles / runny nose?

A

cilia in your nose ‘cool down’ and stop ‘beating’

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22
Q

what does cigarette smoke do?

A

paralyses cilia,
increased particles -> increased mucous ->
accumulates ->
cough

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23
Q

URT epithelium

what does the nose consist of?

A

– Vestibule (just above/inside the nostrils), is lined with skin that contains sebaceous and sweat glands, and hair follicles (= protection)

– The hairs (vibrissae) filter coarse particles (dust, lint, pollen, ash etc.) from the inhaled air

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24
Q

whats the vestibule?

A

just above/inside the nostrils,

is lined with skin that contains sebaceous and sweat glands, and hair follicles (for protection)

25
Q

whats vibrissae?

A

hairs that filter coarse particles (dust, lint, pollen, ash etc.) from the inhaled air

26
Q

URT epithelium

what does the nasal cavity consist of?

A

– Olfactory mucosa

– Patch at the roof of the nasal cavity and contains smell (olfactory) receptors

27
Q

URT Nose

what makes up the nose?

A

Bridge of nose
- 2 nasal bones

Nasal cartilages

flexible, patent

nostrils
- exteranl nares (anterior nares)

28
Q

nose cartilages

A

– patent/ unobstructed airway

– soft/flexible

29
Q

URT: Nasal cavity

what makes up the nasal cavity?

A
• Lateral walls - three projections
– superior, middle and inferior conchae (turbinates)
– stuck in mucous
– cilia - moved to oropharynx
– assists to clean the incoming air
30
Q

what do the superior, middle and inferior conchae (turbinates) of the nasal cavity do?

A

curved structures on lateral wall

create turbulence, heavier particles fall to the epithelial surface

31
Q

URT: Bones of nasal complex

A
• Nasal cavity
• midline nasal septum 
anterior - hyaline cartilage
posterior - bone
• Roof
• Floor
• conchae - on lateral walls
32
Q

what are the facial and cranial bones?

A
Frontal
Nasal
Palatine
Maxilla
Vomer
Sphenoid
Ethmoid
33
Q

what is a sinus?

A

cavity within a bone – normally air filled)

34
Q

what paranasal sinuses surround the nose?

A

frontal, sphenoid, ethmoid and

maxillary sinuses

35
Q

URT: Paranasal Sinuses drain into the

A

pharynx

36
Q

whats are the Paranasal Sinuses functions?

A

– lighten skull
– Increase area of RS epithelium (mucosa)
– clean, warm and moisten air
– sound resonance

37
Q

blocked sinuses

A

Infected mucus can block the drainage

38
Q

Lamina Propria

A

Epithelium lies on a layer of connective tissue

- Plexus of thin walled veins

39
Q

what does the URT: lamina propria Plexus of thin walled veins do?

A

Help to warm the incoming air (act as a radiator).

40
Q

what happens to the Plexus of thin walled veins if air temp drops?

A

vascular plexus dilates (a
greater volume of warm blood),
greater heat transfer.

41
Q

where do nose bleeds originate from?

A

damage to these lamina propria plexus thin-walled

veins

42
Q

what are the 3 pharynx of URT?

A

Nasopharynx
Oropharynx
Laryngopharynx

43
Q

Nasopharynx

A

Choanae -> tip of soft palate
Auditory tube opening
Air only – RS epithelium

44
Q

Oropharynx

A

Soft palate -> hyoid bone
Air and food
Stratified squamous

45
Q

Laryngopharynx

A

Hyoid bone -> opening of larynx
Air and food
Stratified squamous

46
Q

Lower RT: Larynx

where is larynx located?

A

Anterior/inferior to esophagus

47
Q

Lower RT: Larynx

what is it made of?

A

Plates of cartilage – protects and maintains open airway

48
Q

Lower RT: Larynx

what does it do?

A

Air only passage

– Surrounds, protects glottis (voicebox) – produces sound

– Swallowing, food has the ‘right of way’, no breathing

49
Q

what happens when larynx close?

A

epiglottis pushed over to cover airway entry

50
Q

draw larynx structure

ant view

A
epiglottis
Hyoid bone
thyroid
laryngeal prominence
cricoid
cartilage rings trachea
51
Q

draw larynx structure

sag view

A
thyroid
Vestibular fold
Vocal fold (vocal chord)
cricoid
arytenoid
synovial joint -muscles to move vocal chords
52
Q

draw larynx structure

post view

A

epiglottis
thyroid
arytenoid complex
cricoid

53
Q

URT: Larynx – sound production

A

Membranes and ligaments lined with mucous membrane

arytenoid complex - Group of paired cartilages – arytenoid largest
Rima glottidis
Vocal fold
Vestibular fold

54
Q

What type of epithelium lines most of the upper respiratory tract?

A

pseudostratified, ciliated, columnar epithelium containing goblet cells

55
Q

What is the main function of pseudostratified, ciliated, columnar epithelium containing goblet cells epithelium?

A

to warm, humidify (moisten) and clean inhaled air

56
Q

What is the main function of the epiglottis?

A

to protect the airway

57
Q
Which of the following structures is NOT lined with pseudostratified columnar epithelium?
A. frontal sinus
B. nasopharynx
C. trachea
D. oropharynx
E. superior conchae
A

D. oropharynx

58
Q

What feature of the mucous membrane is very important in warming the incoming air?

A

the thin walled veins form an extensive plexus in the lamina propria and they dilate in the cold so there is more warm blood to warm incoming air