lecture 17 Flashcards

1
Q

What are the major functions of the respiratory system?

A

Gas exchange (Oxygen in, Carbon dioxide out), Regulation of blood pH, Voice production (phonation), Olfaction (sense of smell), Protection from pathogens and debris

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2
Q

What processes are associated with the respiratory system?

A

Ventilation (Movement of air into and out of the lungs), External respiration (Gas exchange between alveoli and blood), Gas transport (Movement of gases through the bloodstream), Internal respiration (Gas exchange between blood and body tissues)

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3
Q

What is the difference between the conducting and respiratory portions of the respiratory tract?

A

Conducting zone: Transports air (nose, pharynx, larynx, trachea, bronchi, bronchioles). Respiratory zone: Site of gas exchange (respiratory bronchioles, alveolar ducts, alveoli)

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4
Q

What are the anatomical divisions of the upper and lower respiratory tract?

A

Upper tract: Nose, nasal cavity, pharynx. Lower tract: Larynx, trachea, bronchi, lungs

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5
Q

List the respiratory structures that air passes through during inspiration and expiration.

A

Nasal cavity -> Pharynx -> Larynx -> Trachea -> Primary bronchi -> Secondary bronchi -> Tertiary bronchi -> Smaller bronchi -> Bronchioles -> Terminal bronchioles -> Respiratory bronchioles -> Alveolar ducts -> Alveolar sacs -> Alveoli

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6
Q

What are the major functions of the nasal cavity and pharynx?

A

Functions: air filtration, air humidification and warming, olfaction, resonance for speech, protection

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7
Q

What is the epithelial lining of the nasal cavity and pharynx?

A

Epithelial lining of nasal cavity: Ciliated pseudostratified columnar epithelium. Epithelial lining of pharynx: Ciliated pseudostratified columnar epithelium and non-keratinized stratified squamous epithelium

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8
Q

What are the anatomical features of the nasal cavity?

A

Nasal cavity: external nares (nostrils), nasal septum, nasal conchae, meatuses, olfactory region, hard and soft palate. Pharynx: nasopharynx, oropharynx, laryngopharynx.

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9
Q

What are the major functions of the larynx?

A

Functions: Air passageway, prevents food from entering airway, sound (voice) production

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10
Q

What are the anatomical features of the larynx?

A

Has a cartilaginous framework, made of paired and unpaired cartilage. Has vocal folds which help form the vocal cords that produce sounds.
- the hyoid, then the thyroid cartilage, then the cricoid cartilage

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11
Q

How do the vocal folds and larynx function in phonation?

A

The larynx houses the vocal folds which vibrate air from the lungs, creating sound that is shaped in the vocal tract to form speech.
- they vibrate and close to form the sounds

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12
Q

What is the primary function of the trachea?

A

The trachea serves as a passageway for air to travel to and from the lungs, also playing a role in warming, humidifying, and filtering air.

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13
Q

What are the gross anatomical features of the trachea?

A

The trachea (windpipe) is a cartilaginous tube that extends from the larynx to the bronchi, located anterior to the esophagus and comprised of 16-20 C-shaped cartilage rings.
- it facilitates air passage to and from the lungs
it is also inferior to the cricoid cartilage of the larynx

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14
Q

What is the significance of the C-shaped hyaline cartilage rings in the trachea?

A

The open part of C faces the esophagus, permitting expansion of the esophagus.

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15
Q

What are the features of the bronchial tree?

A

The bronchial tree is a branching system of airways that conducts air from the trachea into the lungs, leading to gas exchange in the alveoli.

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16
Q

What is the difference between the right and left primary bronchi?

A

Main primary: The right and left primary bronchi branch off from the trachea at the carina (T4-T5 vertebral level).
 Right primary bronchus: Wider, shorter, and more vertical than the left. More prone to foreign object aspiration.
- Left primary bronchus: Narrower, longer, and more horizontal due to the position of the heart.

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17
Q

What are the lobar bronchi and their function?

A

Each primary bronchus branches into lobar bronchi, which supply individual lobes of the lungs: Structure remains similar to the primary bronchi but becomes slightly smaller in diameter.
 Right lung: 3 lobar bronchi (superior, middle, inferior).
 Left lung: 2 lobar bronchi (superior, inferior).

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18
Q

What are segmental bronchi?

A

each lobar bronchus divides into segmental (tertiary) bronchi, supplying specific bronchopulmonary segments (independent functional units of the lung). These segments are functionally and structurally independent, allowing for surgical removal of diseased segments without affecting the rest of the lung.
 Right lung: 10 segmental bronchi.
 Left lung: 8-10 segmental bronchi.

19
Q

What are bronchioles?

A

Bronchioles have a diameter of less than 1 mm, no cartilage, only smooth muscle, and are lined with ciliated simple columnar or cuboidal epithelium.

20
Q

What is the function of the respiratory bronchioles?

A

Respiratory bronchioles are the first structures of the respiratory zone where gas exchange occurs.

21
Q

What are alveolar ducts and sacs?

A

Alveolar ducts are thin-walled passageways lined by alveoli, leading into clusters of multiple alveoli (alveolar sacs).

22
Q

What are alveoli?

A

Alveoli are tiny air sacs where the primary site of gas exchange occurs, lined with simple squamous epithelium.
- Structure: Lined with simple squamous epithelium for easy gas diffusion. Surrounded by capillaries for oxygen and carbon dioxide exchange. Contain type I pneumocytes (gas exchange) and type II pneumocytes (produce surfactant to prevent alveolar collapse).

23
Q

What is the respiratory membrane?

A

The respiratory membrane is a thin barrier in the lungs that facilitates gas exchange by allowing oxygen to move from the alveoli into the blood and carbon dioxide to move from the blood into the alveoli.

24
Q

What histological changes occur along the bronchial tree?

A

The epithelium transitions from ciliated pseudostratified columnar to simple cuboidal, cartilage and submucosal glands decrease, and club cells become more prominent.

25
What is the structure and function of the pleura?
The pleura is a two-layered serous membrane surrounding each lung, with the visceral pleura covering the lungs and the parietal pleura lining the chest wall.
26
What is the pleural cavity?
The pleural cavity is the space between the visceral and parietal pleura, containing serous fluid that lubricates and allows for smooth lung movement during breathing.  Visceral pleura: The inner layer that directly covers the lungs, blood vessels, nerves, and bronchi.  Parietal pleura: The outer layer that lines the inner surface of the chest wall, mediastinum, and diaphragm
27
What are the differences between the left and right lungs?
The right lung is larger and has three lobes, while the left lung is smaller and has two lobes due to the heart's position.
28
Define pulmonary ventilation.
Pulmonary ventilation is the movement of air into and out of the lungs.
29
What occurs during inspiration and expiration?
Inspiration involves diaphragm and external intercostals contracting. Expiration can be passive (relaxation) or forced (internal intercostals, abdominal muscles contracting).
30
What muscles are used during quiet inspiration?
Quiet Inspiration: Diaphragm, external intercostal muscles.
31
What muscles are used during deep inspiration?
Deep Inspiration: Diaphragm, external intercostal muscles, sternocleidomastoid, scalene muscles.
32
What muscles are used during forced expiration?
Forced Expiration: Internal intercostal muscles, abdominal muscles (rectus abdominis, external oblique, internal oblique, transversus abdominis).
33
Define atmospheric pressure and intrapulmonary pressure.
Atmospheric pressure: Pressure of air outside body. Intrapulmonary pressure: Pressure within alveoli.
34
What is intrapleural pressure? - Explain the relationship of intrapleural pressure relative to atmospheric pressure during ventilation.
Intrapleural pressure is always negative to prevent lung collapse. - During ventilation, intrapleural pressure (the pressure within the pleural cavity) is normally lower than atmospheric pressure, creating a negative pressure that helps keep the lungs inflated and facilitates air movement
35
Explain Boyle's Law.
Boyle's Law states that pressure and volume are inversely related. As volume increases, pressure decreases, and vice versa.
36
Define pulmonary volumes.
Tidal Volume (TV): Air in/out during normal breath (~500 mL). Inspiratory Reserve Volume (IRV): Additional air inhaled beyond TV. Expiratory Reserve Volume (ERV): Additional air exhaled beyond TV. Residual Volume (RV): Air remaining in lungs after forced exhalation.
37
Define pulmonary capacities.
Inspiratory Capacity (IC) = TV + IRV. Functional Residual Capacity (FRC) = ERV + RV. Vital Capacity (VC) = TV + IRV + ERV. Total Lung Capacity (TLC) = TV + IRV + ERV + RV.
38
what is the smaller bronchi
Segmental bronchi continue branching into smaller bronchi, reducing in diameter but retaining cartilage plates for support. These further divide into bronchioles when cartilage is no longer present.
39
what are terminal bronchioles
Last part of the conducting zone (before gas exchange begins). Still lined with ciliated epithelium to help move mucus. Transition into respiratory bronchioles, marking the beginning of the respiratory zone.
40
Pair each bronchus (e.g., main, and lobar) with the general portion of lung it supplies (e.g., lung, lobe)
Main Bronchi: The primary bronchi (right and left) enter the lungs, one for each lung. Lobar (Secondary) Bronchi: These branch from the main bronchi and supply the lobes of each lung (3 on the right, 2 on the left).  Right lung: upper, middle, and lower lobes  Left lung: upper and lower lobes Segmental (Tertiary) Bronchi: These branch from the lobar bronchi and supply specific bronchopulmonary segments within each lobe
41
nasopahrynx
- primary function is for passage of air - closed by the uvula and soft plate during swallowing - pharyngeal tonsil (adenoid) helps defend the passage
42
oropharynx
- passage for air and food - the epithelium becomes stratified squamous - lingual and palatine tonsils will defend this
43
laryngopharynx
- passage for air and food - stratified squamous epithelium - food to esophagus, air to larynx
44
parts of actions that can change the sounds we make
Airflow: Air from the lungs travels up the trachea and into the larynx. Vocal Fold Vibration: The vocal folds are brought together by muscles attached to the arytenoid cartilages. When air is forced through the vocal folds, they vibrate, producing sound. Sound Modification: The sound produced by the vibrating vocal folds is then shaped and modified by the vocal tract (pharynx, mouth, and nasal cavity) to form speech sounds loudness - the amount of force tension - the pitch