resp extra Flashcards

1
Q

epithelium of airways

A

Pseudostratified ciliated columnar epithelium with goblet cells

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2
Q

Which centre is responsible for deepening and prolonging breathing?

A

apneusitc

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2
Q

effect of obstruction on FEV/FVC

A

<0.7

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3
Q

visceral pleura innervation

A

vagus

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4
Q

what does the parietal and visceral pleura sense

A

parietal = pain and temp
visceral = stretch

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5
Q

what innervates parietal nerves

A

intercostal nerves

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6
Q

diff between chronic and acute type 2 resp failure

A

high bicarb in chronic

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7
Q

effect of ageing on the respiratory system?

A

Decreased FEV/FVC
Delayed response to hypercapnia/hypoxia
Decreased immune function
Loss of elastic recoil

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8
Q

PURPOSE OF COUGHING

A

o move material from the vocal cords to the pharynx

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9
Q

main mechanism of exhalation

A

elastic recoil

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10
Q

function of normal colon

A

water absorption

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11
Q

volume of dead space in lungs

A

125ml

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12
Q

cartilage of epiglottis

A

elastic

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13
Q

cartilage of artenoid, cricoid, thyroid, trachea

A

hyaline

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14
Q

what cartilage can only be seen from posterior larynx

A

Artyenoid

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15
Q

in hilum of lung what is relation of right pulmonary artery to right main bronchus

A

anterior

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16
Q

inferior extent of lung in mid clavicular line, mid axillary and posteriorly

A

6,8,10

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17
Q

inferior extent of parietal pleura in mid clavicular line, mid axillary and posteriorly

A

8,10,12

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18
Q

innervation of infrahyoid muscles except thyrohyoid

A

C1-C3 spinal nerves

19
Q

causes of type 2 resp failure

A

kyphoscoliosis /
ankylosing spondylitis, obesity, muscular dystrophy, motor
neurone disease / Guillain Barre, COPD or loss of respiratory
drive (opioids)

20
Q

in a pt with COPD what does ventillatory drive depend on

21
Q

which infrahyoid muscles lie deep to sternohyoid in anterior triangle of neck

A

sternothyroid, thyrohyoid

22
Q

what do peripheral chemoreceptors detect

A

paO2 from Cn9

23
Q

apneustic centre function

A

control intensity of inspiration

24
what is daltons law
Sum of the partial pressure of gasses = the total partial pressure , composition of inspired air, fractions don’t change, pressures do.
25
what nerve innervates pericardium
phrenic C3-C5
26
function residual capacity
Volume of air remaining in the lungs after a normal, passive exhalation.
27
airway restriction from fvc
fvc<805
28
dead space
Volume of air that reaches the alveoli though does not partake in gas exchange.
29
What connects adjacent alveoli that allows movement of macrophages
pores of kohn
30
whose law is The amount of dissolved gas in a liquid is proportional to its partial pressure above the liquid
henry's law
31
If you examine a child who has aspirated a peanut with a bronchoscope, you would probably find it lodged in the secondary bronchus of which of the following?
right lower lobe
32
Give 2 examples of non-immune host defence mechanisms
Mucocillary clearance, coughing, sneezing, commensal bacterial population
33
causes of type 1 resp failure
Pulmonary embolism, pulmonary hypertension, COPD (can be type 1 and 2), pulmonary fibrosis, shunting
34
Which type of lung cancer is associated with asbestos exposure?
Mesothelioma
35
what wbc release histamine
basophils
36
Ohm’s law?
Pressure = cardiac output x resistance
37
At what vertebral level does the trachea bifurcate into left and right main bronchi?
T4
38
laplace law eq
P=2T/r
39
type 2 hypersensitivity
Antigen - Antibody complex formation
40
Name the only intrinsic laryngeal muscle not innervated by recurrent laryngeal
cricothyroid
41
pathway of pulmonary arteries
Right Pulmonary Artery: Passes horizontally across the mediastinum and enters the right lung. Left Pulmonary Artery: Passes laterally and slightly upward, entering the left lung.
42
blood supply of lung tissues
Right Lung: Usually supplied by a single bronchial artery, which can arise from the right intercostal artery or directly from the aorta. Left Lung: Typically supplied by two bronchial arteries, arising directly from the thoracic aorta.
43
What is the innervation of all infrahyoid muscles except thyrohyoid?
C1-C3 spinal nerves through the ansa cervicalis
44
Which of the following complications does usually arise from thyroidectomy
Iatrogenic hypothyroidism B) Hypoparathyroidism C) Hypocalcemia D) Recurrent laryngeal nerve palsy causing hoarse voice
45