Lecture 21: Respiratory System Flashcards

1
Q

Identify the organs forming the respiratory passegway in descending order until the alveoli are reached

A

Major organs:

  • Nose, nasal cavity, and paransal sinuses
  • pharynx
  • larynx
  • trachea
  • bronchi and their branches
  • lungs and alveoli

Respiratory muscles:
-diaphragm and other muscles that promote ventilation

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2
Q

What does respiration involve?

A

In the respiratory system:
1. Pulmonary ventilation (breathing): movement of air into and out lungs
In circulatory system:
2. External respiration: O2 and CO2 exchange between the lungs and the blood
3. Transport: O2 and CO2 in the blood
4. Internal respiration: O2 and CO2 exchange between systemic blood vessels and tissues

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3
Q

Be able to label the respiratory system

Slide 5

A

Do it!!

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4
Q

Describe the anatomy and functions of the nose

A

Functions: moistens and warms the entering air

  • filters and cleans inspired air
  • serves as resonating chamber for speech
  • houses olfactory receptors

Two regions: external nose and nasal cavity
1. External nose:
-nostrils: bounded laterally by the alae
2. Nasal cavity: in and posterior to the external nose
-divided by middle nasal septum
-posterior nasal apertures (choanae) open into the nasal pharynx
-Roof: ethmoid and sphenoid bones
-floor: hard and soft palates
Be able to label it slide 7

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5
Q

What is the structure and function if the nasal cavity?

Be able to label the diagram on pg 9

A

Vestibule: nasal cavity superior to the nostrils
-filter coarse particles from inspired air
Olfactory mucosa:
-lines the superior nasal cavity
-contains small receptors (chemoreceptors)
Superior, middle and inferior nasal conchae
-protrude from the lateral walls
-increase mucosal area

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6
Q

What is the function of the nasal mucosa and conchae and paranasal sinuses?

A

Functions if the nasal mucosa and conchae:

  • during inhalation, the conchae and nasal mucosa
    • filter, heat, and moisten air
  • during exhalation these structures
  • reclaim heat and moisture

Paranasal sinuses:

  • in frontal, sphenoid, ethmoid and maxillary bones
  • lighten the skull and help to warm and moisten the air
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7
Q

What is the structure and function of the pharynx?

A

Muscular tube that connects to the

  • nasal cavity and mouth superiorly
  • larynx and esophagus inferiorly
  • from the base of the skull to the level of 6th cervical vertebrae
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8
Q

Nasopharynx structure and function:

View side 11 for picture

A
  • air passageway posterior to the nasal cavity
  • soft palate and uvula close nasopharynx during swallowing
Pharyngeal tonsil (adenoids) on posterior wall
Pharyngotympanic (auditory) tubes open into lateral walls
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9
Q

Oropharynx structure and function?

A
  • passageway for food and air from the level if the soft palate to the epiglottis
  • palatine tonsils in the lateral walks of fauces (arches)
  • lingual tonsil on the posterior surface of the tongue
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10
Q

Laryngopharynx structure and function

A
  • Passageway for food and air
  • Posterior to the upright epiglottis
  • extends to the larynx, where it is also continuous with the esophagus
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11
Q

Larynx structure and function:

What are the cartilages of the larynx

A

Continuous with the trachea
Functions:
1-provides a patent airway
2-routes air and food into proper channels
3-voice production
Cartilages of the larynx:
-thyroid cartilage with laryngeal prominence (Adams apple)
-ring shaped cricoid cartilage
-epiglottis: elastic cartilage; covers the laryngeal inlet during swallowing

Vocal ligaments contain elastic fibres, form core of vocal cords
-opening between them is the glottis
-folds vibrate to produce sound as air rushes up from lungs
Voice production:
-speech: intermittent release of expired air while opening and closing the glottis
-pitch is determined by the length and tension of the vocal cords
-loudness depends on force of air
-chambers of pharynx, oral, nasal, and sinus cavities amplify and enhance sound quality
Vocal folds may act as a sphincter to prevent air passage
Eg: valsalvas maneuver
-glottis closes to prevent exhalation
-abdominal muscles contracts
-intra-abdominal pressure rises
-helps to empty the rectum or stabilise the trunk during heavy lifting

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12
Q

How is our voice created?

A

Voice production:

  • speech: intermittent release of expired air while opening and closing the glottis
  • pitch is determined by the length and tension of the vocal cords
  • loudness depends on force of air
  • chambers of pharynx, oral, nasal, and sinus cavities amplify and enhance sound quality
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13
Q

Trachea structure and function

A

Windpipe: from the larynx into the mediastinum
Carina:
-last tracheal
-the point were trachea branches into 2 bronchi
Wall composed of 3 layers
1. Mucosa: ciliated epithelium with goblet cells
2. Submucosa: connective tissue with seromucous glands
3. Adventitia: outermost layer made of connective tissue

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14
Q
Brachial tree (branching) describe how the two branches of bronchi form and what they form into.
Also what are the changes that occur in structure as you move down
A

Trachea-> right and left main (primary) bronchi
-each main bronchus enters the hilum of one lung
-right main bronchus is wider, shorter, and more vertical than the left
-each main bronchus branches unto lobar (secondary) bronchi (three right, 2 left)
-each lobar bronchus supplies one lobe
-each lobar bronchus branches into segmental (tertiary) bronchi
-bronchioles are less than 1mm in diameter
Change that occur:
From bronchi-> bronchioles, structural changes occur
-cartilage in bronchi and cartilage is absent from bronchioles
-cilia and goblet cells become sparse
-relative amount of smooth muscle increases

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15
Q

Respiratory zone:

A

Respiratory bronchioles, alveolar ductsm alveolar sacs (clusters of alveoli)
Alveoli:
-walls are single layer squamous epithelium
-surrounded by fine elastic fibres
-house alveolar macrophages that keep alveolar surfaces sterile

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16
Q

Lungs

A

Occupy all of the thoracic cavity except the mediastinum
Root: site of vascular and bronchial attachments
Costal surface: anterior, lateral, and posterior surfaces
Apex: superior tip
Base: inferior surface that rest in the diaphragm
Hilum: on mediastinal surface; site for attachment if blood vessels, bronchi, lymphatic vessels, and nerves
Left lung is smaller, separated into 2 lobes by an oblique fissure
Right lung has 3 lobes separated by oblique and horizontal fissures
-lobules are the smallest subdivisions; serves by bronchioles and their branches

17
Q

Blood supply to the lungs

A

Pulmonary circulation (low pressure, high volume)
-pulmonary arteries- deliver systemic venous blood
(Feed Into the pulmonary capillary networks)
Pulmonary veins- carry oxygenated blood from respiratory zones to the heart

Systemic circulation: (high pressure, low volume)

  • bronchial arteries provide oxygenated blood to lung tissue
    • arise from aorta and net the lungs at the hilum
    • supply all lung tissue except alveoli
  • bronchial veins- anastomoses with pulmonary veins
18
Q

What is the pleurae, what is it for?

A
  • thin, double layered serosa
  • parietal pleura on thoracic wall and superior face of diaphragm
  • visceral pleura on external lung surface
  • pleural fluid fills the slitlike pleural cavity
    • provides lubrication and surface tension
19
Q

Mechanics of breathing. Pulmonary ventilation consists of 2 phases, what are they?

A
  1. Inspiration: gas flows into the lungs
    An active process:
    -inspiratory muscles contract
    -thoracic volume increases
    -lungs are stretched and intrapulmonary volume increases
  2. Expiration: gas exits the lungs
    -inspiratory muscles relax
    -thoracic cavity volume decreases
    -elastic lungs recoil and intrapulmonary volume decreases
20
Q

Influence if higher brain centres on breathing

A

Rising CO2 levels are the most powerful respiratory stimulant
-hypothalamic controls act through the limit system to modify rate and depth of respiration
Eg: breath holding that occurs in anger or gasping with pain
-a rise in body temperature act to increase respiratory rate
-cortical controls are direct signals from the cerebral motor cortex that bypass medullary controls
Eg voluntary breath holding