Respiratory Flashcards

1
Q

Temperature of Nose

A

Same as inspired air

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2
Q

Functions of the Nose

A

Filter and Defense function

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3
Q

What are Turbinates

A

Small structures in the nose that cleanse and humidify air that passes through

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4
Q

What are the meatus’

A

Three spaces located underneath the three turbinates

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5
Q

Pneumatised areas of the paranasal sinuses

A

Frontal, Maxillary, Ethmoid and Sphenoid bones

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6
Q

What are the paranasal sinuses arranged into

A

Pairs

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7
Q

Where is the frontal sinus

A

Within frontal bone, over orbit and across superciliary arch

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8
Q

Nerve supply of Frontal sinuses

A

Opthalmic division of 5 nerve

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9
Q

Where are the Maxillary sinuses and what shape are they

A

Body of the Maxilla and pyramidal shape

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10
Q

Where do the Maxillary sinuses open into

A

Middle meatus and then the Hiatus Semilunaris

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11
Q

What is the Hiatus Semilunaris

A

Crescent shaped groove in the lateral wall of the nasal cavity

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12
Q

Where are the Ethmoid Sinuses

A

Between the eyes

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13
Q

What are the Ethmoid sinuses

A

A labyrinth of air cells

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14
Q

Nerve supply of Ethmoid sinuses

A

Opthalmic and Maxillary v Nerve

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15
Q

Where are the sphenoid sinuses situated

A

Medial to Cavernous sinus and interior to optic canal, dura and pituitary gland

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16
Q

Where do the Sphenoid sinuses empty into

A

Sphenoethmoidal recess

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17
Q

Nerve supply of Sphenoid sinuses

A

Opthalmic V

18
Q

Equation for PaCO2

A

PaCO2=kV(co2)/VA

19
Q

V̇(A) meaning

A

Alveolar Ventilation

20
Q

V̇co2 meaning

A

CO2 production

21
Q

Alveolar Gas equation

A

PAO2 = PiO-PaCO2/R

22
Q

Henderson-Hasselbalch equation

A

pH=6.1 + log10[[HCO3-]/[0.03*PCO2]]

23
Q

Carbonic acid equilibrium equation

A

CO2 + H2O  H2CO3  H+ + HCO3-

24
Q

Is Asthma caused by a single mutation in one gene?

A

No, it is caused by multiple

25
Q

What is the most common autosomal recessive genetic disorder in Caucasians

A

Cystic Fibrosis

26
Q

A mutation in which gene on which chromosome results in CF?

A

Chromosome 7 (Long arm)
CFTR

27
Q

Most common CFTR mutation

A

F508del mutation

28
Q

What does abnormal CTFR lead to

A

Dysregulated epithelial fluid transport

29
Q

How is Cystic Fibrosis diagnosed

A

Genetic profile and neonatal screening

30
Q

How many classes of CF genotype are there?

A

6

31
Q

CF Class 1-3 explanation

A

1- no functional CFTR protein made
2-CFTR protein made but mis-folded (F508del)
3-CFTR protein formed into a channel but doesn’t open

32
Q

CF genotype classifications class 4-6:

A

4-CFTR protein formed into a channel but chloride ions do not pass through
5-CFTR not made in sufficient quantities
6-CFTR protein with decreased cell surface stability

33
Q

What do to the pancreas?

A

Blocks exocrine ducts

34
Q

Some CF prevention management examples (5)

A

Suppression of chronic infections
Bronchodilation
Anti inflammatory
Diabetes
Vaccinations

35
Q

What is an Ivacaftor in treatment of CF, what does it do and what mutation is it effective for?

A

CFTR potentiator
Increases chloride secretion
Class 3 mutation

36
Q

What Genotype directed therapy is used for mutation F508del (Class 2)

A

Orkambi

37
Q

How does Orkambi work

A

CFTR corrector, which corrects cellular misprocessing of CFTR

38
Q

What is AATD

A

Alpha-1 antitrypsin deficiency

39
Q

Consequences of AATD

A

Early onset emphysema and bronciectasis

40
Q

How does AATD cause emphysema

A

Unopposed action of neutrophil elastase in the lung

41
Q

What common variant is implicated in COPD

A

HHIP