Overview of the Pulmonary System/Lung Development Flashcards

1
Q

When does surfactant begin to be made in the lungs?

A

gestational month 6-7

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1
Q

Name the contributors to pulmonary work of breathing.

A
  1. increased elastic properties of the lungs
  2. resistance to flow in the airways
  3. impaired gas exchange
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2
Q

Obstructive disease means _____; restrictive disease means ______.

A

you can’t get air out; you can’t get air in

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3
Q

What is the substance that lowers alveolar surface tension?

A

surfactant

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4
Q

Deadspace refers to parts of the lung that ______.

A

do not exchange gas

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4
Q

The ______ develops from the surrounding mesenchyme.

A

pulmonary circulation

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4
Q

What are the key features of the canalicular phase?

A
  • 17-26 weeks gestation
  • 1a development of pulm capillary bed
  • expansion of airspace into mesenchyme
  • fetal breathing detected
  • epi cell differentiation begins
  • possible to survive but respiratory distress
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5
Q

The overlapping stages in embryogenesis of the lung include the initial branching, called the embryonic phase (26 days to 6 weeks gestation), the pseudoglandular phase lasting through 16 weeks where ____ more rounds of branching to the terminal bronchioles occurs, and the cannicular phase where the terminal bronchioles branch into _______ (to age 28 weeks).

A

14; respiratory bronchioles

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6
Q

The first ____ airways are conducting airways; the rest are transitional and respiratory.

A

16

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6
Q

What is a normal, healthy FEV1?

A

70-80%

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7
Q

What are the key features of the saccular phase?

A
  • 26-36 weeks gestation
  • distal growth and branching of term sacs
  • thinning of interstitial space
  • decrease in cell prolif
  • epi cells are differentiated into Type I and II
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8
Q

Name the phase.

  • 17-26 weeks gestation
  • 1a development of pulm capillary bed
  • expansion of airspace into mesenchyme
  • fetal breathing detected
  • epi cell differentiation begins
  • possible to survive but respiratory distress
A

canalicular phase

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9
Q

Where do the pulmonary arteries originate?

A

the 6th aortic arch

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10
Q

Gas-exchange occurs at ______.

A

the capillary-alveolar interface

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11
Q

Lymphatics run near ______ to help cope with extravascular lung water.

A

the pulmonary arteries and veins

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12
Q

The overlapping stages in embryogenesis of the lung include the initial branching, called the _______ (26 days to 6 weeks gestation), the _______ lasting through 16 weeks where 14 more rounds of branching to the terminal bronchioles occurs, and the _______ where the terminal bronchioles branch into respiratory bronchioles (to age 28 weeks).

A

embryonic phase pseudoglandular phase cannicular phase

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12
Q

The lung bud develops ventrally into the mesoderm at _______.

A

week 4

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12
Q

What does FEV1 stand for? What does it mean?

A

it’s the percentage of your vital capacity that you can exhale in 1 sec

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13
Q

_____ have two primary functions: 1) to repair or replace injured Type I pneumocytes, and 2) to secrete surfactant, a substance which lowers alveolar surface tension.

A

Type II cells

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14
Q

Name the phase.

  • 26-36 weeks gestation
  • distal growth and branching of term sacs
  • thinning of interstitial space
  • decrease in cell prolif
  • epi cells are differentiated into Type I and II
A

saccular phase

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16
Q

Since the conducting airways by definition do not exchange gas, they are known as “______.”

A

anatomic deadspace

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17
Q

What is ventilation?

A

movement of air into/out of the lungs

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19
Q

Movement of the lungs within the thoracic cavity during inspiration and expiration is facilitated by a space between the two structures called _______.

A

the pleural space

19
Q

_____ represents the transition from bronchi to bronchioles.

A

Loss of cartilage in the outer tissue layer

19
The lung bud develops _____ into the ______ at week 4.
ventrally; mesoderm
21
Surfactant is an _____ molecule.
amphipathic
23
The lungs develop from \_\_\_\_\_\_.
the lung bud of the gut tube endoderm
24
Type 1 pneumocytes are comprised of _____ cells.
simple squamous
25
\_\_\_\_\_\_\_ develop from the lung bud of the gut tube endoderm.
The lungs
26
Type II cells have two primary functions: 1) \_\_\_\_\_\_\_, and 2) to secrete surfactant, a substance which lowers alveolar surface tension.
to repair or replace injured Type I pneumocytes
27
Name the phase. * 36 weeks-3 years * presence of true alveoli (90% after birth) * Type II cells proliferate into type I cells
alveolar phase
28
What is the outer lining of the lung?
the visceral pleura
30
What is respiration?
gas exchange
30
What are the key features of the alveolar phase?
* 36 weeks-3 years * presence of true alveoli (90% after birth) * Type II cells proliferate into type I cells * lengthening and sprouting of capillary network * fusion of double capillary network
30
What does FVC stand for? What does it mean?
force vital capacity; the maximal amount of air you can move out of your lungs from a maximal inspiration to a maximal expiration
31
If the FEV1/FVC ratio is lower than expected, that would suggest \_\_\_\_\_\_.
obstructive physiology
33
The respiratory system develops from the embryonic \_\_\_\_\_\_.
endoderm
34
The simple epithelium of the bronchioles gives way to two different types of alveolar epithelial cells, squamous lining cells (\_\_\_\_\_\_) and secretory cells (\_\_\_\_\_\_).
type I cells or pneumocytes; Type II cells
36
Type I cells account for _____ of the alveolar surface area and fuse with the capillary endothelium to create a sufficiently thin membrane for adequate gas transfer.
95%
37
The overlapping stages in embryogenesis of the lung include the initial branching, called the embryonic phase (days _____ thru \_\_\_\_\_), the pseudoglandular phase lasting through _____ weeks, where 14 more rounds of branching to the terminal bronchioles occurs, and the cannicular phase where the terminal bronchioles branch into respiratory bronchioles (to age \_\_\_\_\_).
26 days to 6 weeks gestation; 16 weeks; 28 weeks
38
What is DLCO?
a measure of gas exchange
39
On average there are _____ generations of airways in humans (from trachea to the last respiratory bronchiole).
23
40
\_\_\_\_\_\_ refers to parts of the lung that do not exchange gas.
Deadspace
41
The pulmonary veins \_\_\_\_\_\_\_- they're more peripheral.
do not run with the airways
42
What are the conducting airway walls comprised of?
1. the inner mucosal surface (epithelial cells, cilia, and goblet cells) 2. the smooth muscle layer 3. the outer connective tissue layer
44
What is the job of surfactant?
to decrease the surface tension of water in the lungs and allow gas exchange from the air to the liquid in the lungs
45
\_\_\_\_\_\_ account for 95% of the alveolar surface area and fuse with the capillary endothelium to create a sufficiently thin membrane for adequate gas transfer.
Type I cells
47
The pulmonary circulation develops from the surrounding \_\_\_\_\_\_.
mesenchyme
49
Disease such as bronchitis and bronchiectasis refer to ______ whereas bronchiolitis affects \_\_\_\_\_\_.
airways with cartilage; the bronchioles or non-cartilagenous airways
50
What is the visceral pleura?
the outer lining of the lung
51
What is surfactant?
a substance that lowers alveolar surface tension
52
A 55yo pt presents with a 2yr hx of dyspnea on exertion (DOE). What test will you do first?
measure lung function
53
The overlapping stages in embryogenesis of the lung include the initial branching, called the embryonic phase (26 days to 6 weeks gestation), the pseudoglandular phase lasting through 16 weeks where ____ more rounds of branching to the terminal bronchioles occurs, and the cannicular phase where the terminal bronchioles branch into _______ (to age 28 weeks).
14; respiratory bronchioles
54
What are the key features of the alveolar phase?
* 36 weeks-3 years * presence of true alveoli (90% after birth) * Type II cells proliferate into type I cells
55
The pulmonary veins are outgrowths of \_\_\_\_\_\_.
the LA
56
The _____ develops ventrally into the mesoderm at week 4.
lung bud