Pulmonary Anatomy/Phys Flashcards

1
Q

What levels make up the false ribs?

A

7-10

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2
Q

What levels make up the true ribs?

A

1-6

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3
Q

What is the pharynx?

A

membrane-lined cavity behind nose and mouth, connecting them to esophagus
- part of both respiratory and digestive systems

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4
Q

What area connects the pharynx to the trachea, and includes the epiglottis and vocal cords?

A

larynx

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5
Q

What pieces of the respiratory system make up the conducting airways?

A

trachea to terminal bronchioles

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6
Q

Are the respiratory bronchioles part of the conducting airways or are they part of the respiratory unit?

A

respiratory unit = respiratory bronchioles, alveolar ducts, alveolar sacs, and alveoli

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7
Q

What are the two layers of pleura called in the respiratory system?

A

parietal pleura = layer covering the inner surface of the thoracic cage, diaphragm, and mediastinal border of the lung

visceral pleura = wraps the outer surface of the lung including the fissue lines

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8
Q

What is the primary muscle of inspiration?

A

the diaphragm

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9
Q

When the diaphragm contracts, which way does it move? (up or down)

A

central tendon pulls the muscle down, flattening the dome and protruding the abdominal wall

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10
Q

List accessory muscles of inspiration.

A

scalenes, serratus posterior, levatores costarum, SCM

  • upper tral, pecs, and serratus can also become inspiratory muscles as they fix the shoulder girdle
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11
Q

Normal abdominal tone holds the abdominal contents where?

A

directly beneath diaphragm (helping it maintain the arched dome)

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12
Q

Resting exhalation results from what two mechanisms?

A

1) passive relaxation of inspiratory muscles

2) elastic recoil tendency of the lungs

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13
Q

Your patient with a C7 SCI is beginning to sit up for exercise - you notice their breathing is becoming more labored with seated scooting exercises. After you determine vitals are all appropriate, what could you conclude is the result of this RR increase?

A

pts with SCI have a lower resting position of the diaphragm, thus resulting in decreased inspiratory capacity

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14
Q

What tool is often indicated for patients with poor abdominal tone to help assist with ventilation? (ex. SCI pts)

A

abdominal binder

- provides support to abdominal viscera, assisting ventilation

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15
Q

T/F: The more supine positioning, the more advantageous to the diaphragm.

A

true (more room to contract)

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16
Q

When a more forceful/rapid exhalation is desired when completing a high-intensity workout, what muscles might be acting?

A

quadratus lumborum, portions of the intercostals, and abdominal muscles

17
Q

Describe the following:

1) TV
2) ERV
3) IRV

A

TV = tidal volume
- volume of gas inhaled (or exhaled) during a normal resting breath

ERV = expiratory reserve volume
- volume of gas that can be exhaled beyond a tidal exhalation

IRV = inspiratory reserve volume
- volume of gas that can be inhaled beyond a normal resting tidal inhalation

18
Q

What are lung capacaties? (general sense)

A

two or more lung volumes added together

19
Q

What is inspiratory capacity?

A

TV + IRV

20
Q

What is functional residual capacity?

A

ERV + RV

- amount of air that resides in lungs after tidal exhalation

21
Q

What is vital capacity?

A

TV + IRV + ERV

- the amount of air that is under volitional control

22
Q

What does total lung capacity consist of?

A

TV + IRV + ERV + RV

23
Q

What’s the difference between vital capacity and total lung capacity?

A

vital capacity doesn’t include RV

24
Q

What is FEV1? What’s a typical value for this?

A

forced expiratory volume in 1 sec

  • typical = at least 70% of FVC is exhaled in 1s
  • aka FEV1/FVC = >.7

Aka how much air can you push out in 1s out of the total amount of air you have under volitional control

25
Q

What is FVC?

A

forced expiratory vital capacity (same as VC)

- IRV + TV + ERV (aka amount of air that’s under volitional control)

26
Q

What is the forced expiratory flow rate?

A

FEF is the slope of a line drawn between the points 25% and 75% of exhaled volume on a FVC exhalation curve
- flow rate more specific to smaller airways