Pulmonary Histology Flashcards

1
Q

The respiratory system consists of a ______ portion and a _____ portion

A

Conducting, gas exchange

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2
Q

Respiratory mucosa lines the respiratory passageway and consists of

A
  • Pseudostratified ciliated columnar epithelium:
    • Respiratory epithelium
    • Lines most of conducting structures
  • Lamina propria
    • Thin layer of loose CT
  • Submucosa
    • Dense irregular CT
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3
Q

Respiratory epithelium structure

A

Pseudostratified ciliated columnar epithelium

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4
Q

The lamina propria of respiratory mucosa is

A

thin layer of loose CT

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5
Q

The submucosa of respiratory system

A

dense irregular CT

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6
Q

Respiratory epithelium lines

A

most of the conducting structures

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7
Q

Epithelium of the nares/Nostrils composition

A
  • Stratified squamous epithelium continuous with epidermis

- Contains sebaceous glands, sudoriferous glands, and hair follicles

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8
Q

Respiratory/nasal mucosa begins where in the nose

A

at the level of nasal septum

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9
Q

Nasal mucosa includes:

A
  • Respiratory epithelium
  • basement membrane
  • Lamina propria (blends with underlying bone or cartilage)
  • Depending on location, mucosa may be called mucoperiosteum, mucoperichondrium, or the Schneiderian membrane)
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10
Q

Where is olfactory epithelium located

A

in the nasal cavity roof

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11
Q

composition of olfactory epithelium

A
  • pseudostratified columnar epithelium without goblet cells

- no distinct basement membrane

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12
Q

Cell of olfactory epithelium

A
  • Sustentacular cells (supporting cells) with pigment granules
  • basal cells with pigment granules:
    • Stem cells-give rise to immature olfactory cells
  • Olfactory cells:
    • Bipolar neurons
    • Apical end projects into nasal cavity as a knoblike ending with nonmotile cilia
    • Cilia possess G-protein-linked odor-specific receptors
    • Basal end of the cell extends as an unmyelinated axon, bundled with other similar axons, through the ethmoid plate to mitral cells located in the olfactory bulb
    • Olfactory cells senesce and are replaced from basal cells
    • olfactory glands of bowman:
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13
Q

Where are olfactory glands of bowman located

A

in the lamina propria of olfactory mucosa

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14
Q

What do olfactory glands of bowman secrete

A

odorant-binding protein, which binds to odorant molecule in nasal cavity

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15
Q

Generation of AP in Olfactory system

A

odorant-binding protein+ odorant molecules—> binds to odorant receptor protein (G protein) on olfactory cell cilium—> G-protein activated adenyl cyclase—> G-protein activated adenyl with ATP —-> cAMP—> Opening of Na+ channels —-> AP

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16
Q

What are the only neurons that can repopulate

A

Olfactory cells

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17
Q

mucosa of the nasopharynx

A
  • Respiratory epithelium

- Lamina propria with FECT, mucous glands, serous and mixed glands, and diffuse lymphatic tissue

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18
Q

Submucosa of Nasopharynx

A
  • Loose CT

- MALT (mucosa-associated lymphoid tissue)

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19
Q

What is Waldeyer’s ring

A
  • Located in the Nasopharynx
  • Ring of lymphoid tissue around nasopharynx
  • Includes Tonsils and Adenoids
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20
Q

What is FECT

A

Fibrous-elastic Connective Tissue

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21
Q

Histology of the Larynx components

A

Epiglottis
False vocal cords (vestibular folds)
True vocal cords
- Remainder of the larynx is covered with pseudostratified ciliated epithelium

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22
Q

Epiglottis

A
  • sits above the opening to the trachea
  • Lingual surface: covered with stratified squamous epithelium
    • Lamina propria with loose CT and elastic fibers
  • Pharyngeal surface:
    • Covered with pseudostratied ciliated epithelium
    • Lamina propria with tubuloacinar seromucous glands
  • Core of the epiglottis consists of elastic cartilage
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23
Q

False vocal cords (vestibular folds)

A
  • Covered with pseudostratified ciliated epithelium

- Lamina with seromucous glands

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24
Q

True vocal cords

A
  • Covered with stratified squamous epithelium

- Lack seromucous glands in lamina propria

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25
Q

Tissues found in the layrnx

A
  • Epithelium
    • Respiratory epithelium (pseudostratified ciliated columnar)
    • Stratified squamous epithelium (in 2 places)
  • Cartilage
    • Hyaline cartilages:
      • Thyroid, cricoid, arytenoids
    • Elastic cartilages:
      - Corniculates, cuneiforms, tips of arytenoids, epiglottis
  • Muscle
    - Skeletal muscle
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26
Q

Composition of the Trachea

A
  • Mucosa:
    • Respiratory epithelium with thick basement membrane
    • Lamina propria with delicate FECT and lymphatic tissue
  • Submucosa
    • many sero-mucous glands
  • Adventitia
    • 16-20 horseshoe-shaped cartilages interconnected by FECT
    • opening between arms of horseshoe-shaped cartilages closed by: FECT, Mucous membrane, and smooth muscles (Trachealis muscles)
      • mixed glands and capillaries
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27
Q

The right lung has how many lobes

A

3

28
Q

Lungs refers to

A

all respiratory system components distal to the trachea

29
Q

each lobe of the lung is divided into a number of lobules called

A

bronchopulmonary segments

30
Q

The trachea divides into ____ primary bronchi

A

two, one to each lung

31
Q

Each primary bronchus divides into _____ (to the right lung) or____ (to the left lung) secondary bronchi, also referred to as segmental bronchi

A

3, 2

32
Q

each bronchus divide into

A

secondary bronchi, also referred to as segmental bronchi

33
Q

The primary bronchi lie

A

outside the lung and are referred to as extrapulmonary

34
Q

The bronchi resemble the trachea except

A

for a smaller diameter, and the cartilage ring that reinforces them are circular rather than horseshoe-shaped

35
Q

Segmental bronchi are mostly

A

intrapulmonary

36
Q

Secondary/segmental bronchi are reinforced by

A

circular rings of hyaline cartilage that transition to irregular plates

37
Q

As the bronchi become smaller there is a ________ in height of the epithelium, a _______ in cartilage and glands, and an ______ in the proportion of elastic fibers and smooth muscles

A

decrease, decrease, increase

38
Q

General histology of the intrapulmonary bronchi

A
  • Mucosa
    • Similar to trachea and extrapulmonary bronchi
    • mucosal folds may be present due to smooth muscles
    • Elastic fibers are prominent
  • Submucosa
    • Characterized by loose CT and lymphatic tissue
    • Contains mixed glands and mucous glands
  • Adventitia
    • Contains hyaline cartilage plates surrounded by dense FECT
39
Q

General characteristic of bronchioles

A
  • Absence of cartilage
  • Absence of glands
  • Sparse goblet cells, especially in terminal bronchioles
  • Large amount of smooth muscle tissue
  • Diameter ranges from 1 mm to about 0.3 mm
  • Epithelium transitions form ciliated columnar with a few goblet cells to ciliated cuboidal with no goblet cells (terminal bronchioles)
  • Smallest brochioles are the terminal bronchioles
  • Each terminal bronchiole branches to form two or more respiratory bronchioles
40
Q

general characteristic of respiratory bronchioles

A

-Diameter

41
Q

Alveolar ducts

A
  • continuations of respiratory bronchioles
  • cone-shaped
  • squamous epithelium
  • Wall consists of smooth muscle with FECT
42
Q

Alveolar sacs

A

each sac is composed of several alveoli

43
Q

Alveoli within alveolar sacs are separated by

A

alveolar septa

44
Q

Walls of the alveoli and septa are thin and composed of

A
  • Type I alveolar cells (type I pneumocytes)
    • less numerous than type II alveolar cells
    • Cover larges surface area
  • Type II alveolar cells (type II pneumocytes)
    • Cuboidal or rounded
    • Serve as stem cells for type I and type II pneumocytes
  • Macrophages (dust cells)
45
Q

What are the pores of Kohn

A

openings between adjacent alveoli

46
Q

Cell types in the respiratory epithelium and alveoli

A
  • Ciliated columnar cells
  • Nonciliated columnar cells
    • have microvilli but no cilia
  • Stem cells
    • Basal cells of pseudostratified epithelium
    • Replace themselves
  • Goblet cells
    • Mucous secreting cells
    • Also stem cells; can replace other cells of epithelium
  • Neuroendocrine cells (small granule cells)
    • May be associated with sensory reception and are more prevalent in infant
    • Release catecholamines
47
Q

neuroendocrine cells (small granule cells)

A
  • may be associated with sensory reception and are more prevalent in infants
  • release catecholamines
48
Q

Surfactant is secreted by

A

Clara cells and type II alveolar cells

49
Q

Type II alveolar cells contain numerous

A

lamellar bodies

50
Q

what is the function of surfactant

A

reduces surface tension on alveolar surface

51
Q

Type II alveolar phagocytize

A

old surfactant

52
Q

Type II alveolar cells contain numerous lamellar bodies, which

A
  • are distinctive under EM
  • Contain dipalmitoyl phosphatidylcholine (lecithin)
    • secreted from apical domain of cells
    • combine with proteins from clara cells
53
Q

Type I pneumocytes (alveolar cells)

A
  • very thin cytoplasm
  • cover about 95% of the alveolar surface
  • tight junctions connect with other type I cells
  • Basal lamina may be fused with basal lamina of nearby capillaries
54
Q

Type II pneumocytes (alveolar cells)

A
  • Rounded cells that bulge into the alveolar lumen
  • Cover about 5% of the alveolar surface
  • Can divide and replace type I pneumocytes
  • Produce phospholipid-protein surfactant that coats alveolar walls
55
Q

Type II pneumocytes (alveolar cells ) produce

A

phospholipid-protein surfactant that coats alveolar walls

56
Q

explain how odors lead to action potential

A

(odorant-binding protein + odorant molecule) —–> binds to odorant receptor protein (G protein) on olfactory cell cilium ——> G-Protein activated adenyl cyclase——- turns ATP to cAMP——–> opens Na+ channels ——-> Action potential

57
Q

Clara cells are only found in the

A

bronchioles

58
Q

The number of Clara Cells in the bronchioles increases as

A

ciliated columnar cells decrease

59
Q

What is the Histological identification characteristic of Clara Cells

A

can be identified by an apical surface that bulges into the lumen of the airway

60
Q

Clara cells function

A

secrete surface-active lipoprotein that prevents collapse of terminal bronchioles during exhalation (surfactant)

61
Q

Do Clara cells contain abundant SER

A

Yes

62
Q

Dust cells are _____ and are derived from ____-

A

Macrophages, derived from monocytes

63
Q

Function of dust cells

A

phagocytize particles such as pollutants, bacteria, and surfactant that are not trapped in the mucous and expectorated

64
Q

What is the relation of dust cells to CHF (congestive heart failure)

A
  • in CHF, fluid containing the breakdown products of hemoglobin (iron-containing hemosiderin) leak into alveolar spaces and are phagocytize by dust cells
  • the iron-containing dust cells are referred to as heart failure cells
65
Q

Iron-containing dust cells are referred to as

A

heart failure cells

66
Q

List the components of the air-blood respiratory barrier

A
  • Thin capillary endothelium (continuous endothelium)
  • Thin epithelium of pneumocyte (type I)
  • intervening basal lamina produced by both cell types
67
Q

function(s) of blood-air barrier

A

permits gas exchange but does not allow fluids or cells to enter alveoli (normally)