Lung Embryology Flashcards

0
Q

The epithelium and glands of the larynx, trachea and bronchi, as well as the epithelium from the lungs arise from which embryological tissue?

A

endoderm

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1
Q

What embryological structure gives rise to the laryngotracheal groove?

A

Ventral wall of primitive pharynx (caudal to 4th pharyngeal pouch)

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2
Q

What are the surrounding tissues to the lung (smooth muscle, cartilage, connective tissue) derived from?

A

splanchnic mesenchyme

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3
Q

What is the laryngeal cartilage developed from?

A

Neural crest mesenchyme

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4
Q

Describe the trajectory of the developing structure that separates the esophagus from the trachea.

A

Tracheoesophageal fold -> Tracheoesophageal septum -> Esophagus and laryngotracheal tube

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5
Q

Which levels of pharyngeal arches give rise to the laryngeal cartilage?

A

4th and 6th

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6
Q

What did the fourth and sixth pharyngeal arches develop from?

A

Neural crest mesenchyme

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7
Q

What are the laryngeal muscles developed from?

A

Myoblasts from 4th and 6th pharyngeal arches

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8
Q

What innervates laryngeal muscles?

A

Vagus nerve: Superior laryngeal and recurrent laryngeal nerves

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9
Q

What is the most common congenital abnormality of the lower respiratory tract?

A

Tracheoesophageal fistula

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10
Q

What is the most common tracheoesophageal fistula structure?

A

Esophageal atresia with caudal fistula

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11
Q

What complications arise from an esophageal atresia with caudal fistula?

A

Inability to swallow into stomach
Lipid pneumonia in lungs
Digestive enzymes in lungs

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12
Q

What developmental abnormality results in a tracheoesophageal fistula?

A

Abnormal partitioning of tracheoesophageal septum

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13
Q

Why is polyhydramnios seen in TE fistulas?

A

Accumulation of amniotic fluid because fetus cannot swallow and digest amniotic fluid, resulting in less transfer to mother’s blood through the placenta

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14
Q

Outline the structural development of the bronchopulmonary segments from the laryngotracheal groove

A

Laryngotracheal groove -> laryngotracheal diverticulum -> respiratory bud -> primary bronchial buds -> secondary bronchial buds -> segmental branches (bronchopulmonary segments)

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15
Q

What embryological structure do the bronchial buds grow into?

A

Pericardioperitoneal canal

16
Q

What is bronchial connective tissue, smooth muscle, cartilagenous plates, pulmonary connective tissue and vasculature derived from?

A

Splanchnic mesoderm

17
Q

What is the visceral pleura derived from?

A

Splanchnic mesoderm

18
Q

What is the parietal pleura derived from?

A

Somatic mesoderm

19
Q

What is an azygous lobe?

A

When part of the lung bud grows medial to the azygous vein instead of lateral, leading to an indentation of the lung and giving another pseudolobe

20
Q

What abnormal muscular development oftentimes results in lung hypoplasia?

A

congenital diaphragmatic hernia

21
Q

What is the developmental abnormality with congenital diaphragmatic hernias?

A

Pleural peritoneal membrane fails to fuse with developing diaphragm

22
Q

How does oligohydramnios cause lung hypoplasia?

A

Uterus presses down on thorax, compresses lung development

23
Q

The part of lung development where ductal airways start to form but alveoli are not present is called…

A

Pseudoglandular stage

24
What direction do respiratory passageways start to form?
Cranial to caudal
25
What stage of lung development is characterized by vascularization of developing alveoli?
Canalicular stage
26
During which stage of development do pneumocytes start to form?
Saccular stage
27
What do type 1 pneumocytes arise from?
Endoderm
28
What is the type I pneumocyte? Type II pneumocyte?
Type I pneumocyte: simple squamous epithelium of endodermal origin Type II: Glandular cell that makes surfactant
29
What two specific things are the most significant determinants of neonatal survival?
Adequate vasculature and surfactant
30
What two cells basement membranes fuse during development?
Type I Pneumocytes and capillary epithelial cells
31
What do respiratory movements do for the fetus?
Develop musculature
32
What results in the removal of alveolar fluid from the thorax?
1. Pressure on thorax during vaginal delivery, out of nose and mouth 2. Into capillaries 3. Into lymph
33
What results in hyaline membrane disease/Respiratory distress syndrome?
Inadequate surfactant production
34
Administration of what during development results in more rapid lung development?
Corticosteroids (betamethasone)
35
What weeks of development is the fetus in the pseudoglandular stage?
6-16 weeks
36
What stage of development is the fetus in the canalicular stage?
16-26 weeks
37
At what stage of development is the fetus in the saccular stage?
26 weeks-birth