Quiz 10 Flashcards

1
Q

Respiratory System Zones

A
  1. Conducting zone

2. Respiratory zone

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2
Q

Conducting zone

A
  • conduits to gas exchange sites; gets air inside

- includes all structures outside of respiratory zone

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3
Q

Respiratory zone

A
  • site of gas exchange

- Microscopic structures: respiratory bronchioles, alveolar ducts, alveoli

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4
Q

Major organs of respiratory system

A
  1. Nose
  2. Nasal cavity
  3. Paranasal sinuses
  4. Pharynx (nasopharynx, oropharynx, laryngopharynx)
  5. Larynx
  6. Trachea
  7. Bronchi and their branches
  8. Lungs and alveoli
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5
Q

Functions of the nose

A
  1. provides an airway for respiration
  2. moistens and warms the entering air
  3. filters and cleans inspired air
  4. serves as a resonating chamber for speech
  5. houses olfactory receptors
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6
Q

Nasal cavity

A
  • in and posterior to external nose
  • divided by a midline nasal septum (ethmoid and voimer)
  • posterior nasal apertures (choanae) open into nasal pharynx
  • pseuodstratified ciliated columnar epi. (similar to trachea)
  • nasal conchae (turbinators: swirls air)
  • capillary plexuses (warms the blood)
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7
Q

Pharynx

A
  • the throat

- muscular tube that connects to the: nasal cavity and mouth superiorly, and larynx and esophagus inferiorly

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8
Q

Pharynx components

A
  1. nasopharynx
  2. oropharynx
  3. laryngopharynx
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9
Q

Nasopharynx

A
  • air passageway posterior to nasal cavity
  • lining: pseudostratified ciliated columnar epi.
  • soft palate and uvula close nasopharynx during swallowing
  • pharyngotympanic (auditory) tubes open into lateral walls (drains middle ear and equalizes pressure in middle ear)
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10
Q

Oropharynx

A
  • passageway for food and air from the level of the soft palate to the epiglottis
  • lining: stratified squamous epi. (for protection now)
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11
Q

Laryngopharynx

A
  • passageway for food and air
  • posterior to the upright epiglottis
  • lining: stratified squamous epi.
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12
Q

Larynx functions

A
  1. provides a patent airway
  2. epiglottis routes air and food into proper channels
  3. voice production
    - continuous with the trachea
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13
Q

Cartilages of the layrnx

A
  • hyaline cartilage
    1. thyroid cartilage (with laryngeal prominence: Adam’s apple)
    2. Cricoid cartilage (ring-shaped)
    3. Paired arytenoid, cuneiform, and corniculate cartilages
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14
Q

Babies airways

A
  • a baby can breath and suckle their mothers breast at the same time because milk can flow around the epiglottis
  • adults cannot do this
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15
Q

Shape of epiglottis

A
  • newborns: omega
  • children: sort of like an upside-down u
  • adults: flatter, like a crescent moon
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16
Q

Trachea

A
  • windpipe

- from the larynx into the mediastinum

17
Q

Trachea wall composition

A
  1. Mucosa: ciliated pseudostratified epi. with goblet cells
  2. Submucosa: connective tissue with seromucous glands
  3. Adventitia: outermost layer made of CT that encases the C-shaped rings of hyaline cartilage
18
Q

Trachealis muscle

A
  • connects posterior parts of cartilage rings

- contracts during coughing to expel mucus

19
Q

Carina

A
  • last tracheal cartilage
  • point where trachea branches into two bronchi
  • very sensitive to foreign matter
  • looks like underwear
20
Q

Bronchi and subdivions

A
  • air passages undergo 23 orders of branching

- Tracheobronchial tree: branching pattern of bronchi, arteries and veins branch as well

21
Q

Conducting Zone structures

A
  • Trachea branches into:
  • Right and left main (primary) bronchi (at hilum) branches into:
  • lobar (Secondary) bronchi (three right, two left) branch into:
  • segmental (tertiary bronchi) branch into:
  • Segmental bronchi divide repeatedly (supply broncopulmonary segments)
  • Bronchioles are less than 1mm in diameter and branch into:
  • Terminal bronchioles: smallest, less than 0.5mm in diameter
22
Q

Hilum

A

-arteries, veins, nerves enter the lungs hear

23
Q

What is the significance to why the right primary bronchi shorter and more vertical than the left?

A

-objects are more likely to be aspirated into right side of lung because this is the path of least resistance

24
Q

Broncopulmonary segments

A
  • pyramid shaped segments of a lobe of lung
  • separated by CT
  • separate segmental bronchus
  • separate blood supply–> branch of pulmonary artery
25
Q

Structural changes from bronchi to bronchioles

A
  • cartilage rings give way to plates; cartilage is absent from bronchioles
  • epi. changes from pseudostratified columnar to cuboidal; cilia and goblet cells become sparse
  • relative amount of smooth muscle increase
26
Q

Respiratory Zone Structes

A

-from terminal bronchioles arise: Respiratory zone bronchioles

27
Q

Respiratory zone bronchioles

A
  • alveolar ducts: elongated airways with alveoli
  • alveolar sacs (clusters of alveoli): account for most of the lungs’ volume and are main site of gas exchange; develop until 8 years old
28
Q

Main features of the lungs

A
  1. Apex (top of lung)
  2. Base (bottom of lung; diaphragmatic surface)
  3. Surfaces (costal surface, mediastinal surface (hilum) and diaphragmatic surface)
  4. Root
  5. Borders (anterior, inferior, and posterior)
  6. Left lung: superior lobe (cardiac notch and lingula), oblique fissure, and inferior lobe
  7. Right lung (larger, shorter/wider than left): superior lobe, horizontal fissure, middle lobe, oblique fissure, and inferior lobe
29
Q

Respiratory System development

A
  • Upper and lower respiratory tract have different developmental tracts
  • larynx divides upper and lower tracts
  • upper respiratory system develops in the head
  • lower respiratory tract develops in the body
30
Q

Upper respiratory tract development

A
  • nasal placodes (surface ectoderm) on face invaginate to form nasal cavity (week 5)
  • pharynx endothelium formed by endoderm tube with pharyngeal arch mesoderm
31
Q

Larynx development

A
  • week 4

- cartilages and muscles originate from lateral plate meso. of pharyngeal arch 4 and 6 (CN X)

32
Q

Trachea/respiratory tree development

A
  • week 5–>postnatally
  • endoderm forms epi.
  • splanchnic lateral plate meso. forms CT and smooth muscle
  • 17 branches form prior to birth
  • 6 branches form after birth
  • Month 6- respiratory bronchioles bud primitive alveolar sacs
  • capillaries developing alongside
  • Month 7- gas exchange can occur (Type II cells produce surfactant–> develop in 6th month, high levels the last two weeks of gestation)
  • 90% alveoli develop after birth
33
Q

Pulmonary vessels

A
  • Arteries: from 6th aortic arch vessels

- Veins: grow out of the left atrium wall

34
Q

Lower respiratory tract

A
  • week 4
  • respiratory diverticulum from foregut endoderm just caudal to the pharyngeal arches
  • diverticulum surrounded by splanchnic lateral plate meso.: forms all CT- smooth muscle, CT, and cartilage, directs branching of the lung buds, some pharyngeal arch meso. included in upper region of diverticula
  • Pleura formed by lateral plate meso. surrounding lungs and pleural cavity
35
Q

Esophageal Atresia

A

-blind pocket in esophagus

36
Q

Tracheoesophageal fistulas

A

-esophagus connects to trachea

37
Q

Surfactant

A

-creates surface tension so alveoli don’t collapse