Respiratory Flashcards

1
Q

What does the conducting portion of the respiratory tract consist of?

A

Extrapulmonary and Intrapulmonary

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2
Q

What is the function of the respiratory portion of the respiratory tract? and what do these structures contain?

A

Where gas exchange between alveoli and capillaries occurs

All structures have alveoli

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3
Q

What structures are extrapulmonary?

A

Trachea and primary bronchi

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4
Q

What structures are intrapulmonary

A

secondary/tertiary/small bronchi
Bronchioles
terminal bronchioles

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5
Q

What strucutres are respiratory?

A

Respiratory bronchioles
alveolar duct
alveolar sac
alveolus

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6
Q

What is the respiratory epithelium mandated to be made of?

A

Pseudostratified columnar epithelium with cilia and goblet cells
-contains basal cells (stem cells)

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7
Q

What cells are contained in the respiratory epithelium only in bronchioles?

A

Club cells (clara cells)- stem cells that replace ciliated and non ciliated bronchial or epithelial cells

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8
Q

What are the 2 parts of club cells?

A

Surface-active agent-> to prevent luminal adhesion if bronchiolar walls collapse
C16 (club cell secretory portion)-> antioxidant & anti-inflamitory

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9
Q

What is the function of Brush cells

A

sensory receptors, brush border microvilli

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10
Q

What is the function of Kulchitsky cells, and when are they in high numbers

A

neuroendocrine cells

high numbers= fetal lungs, or adult with pulmonary disease

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11
Q

The mucosa layer consists of what 3 things?

A

Epithelium- includes BM
Lamina propria- loose CT with glands
Muscularis mucosae- smooth muscle, maintains airway diameters

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12
Q

The olfactory region has 3 layers that lie on the cribriform bone (ethmoid bone)

A

1) mucosa only layer
2) olfactory epithelium
3) Lamina propria

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13
Q

The olfactory epithelium consists of what?

A

pseudostratified columnar (ciliated)
Olfactory receptor cells
NO GOBLET CELLS

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14
Q

Supporting cells secrete what

A

odorant binding proteins to support nurousish, insulate

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15
Q

Olfactory receptor cells are what types of cells?

A

bipolar neurons with unmyelinated axons

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16
Q

The oropharynx and larynogopharynx share regions with the digestive tract therefore their mucosa has

A

nonkeratinized stratified squamous instead of respiratory

- food more abrasive than air

17
Q

The larynx has two layers

A
epithelium
-resp. epithelium 
-non keritanized stratified squamous where abrassion
lamina propria
-vocal ligament
-seromucous glands
18
Q

Where is Reinke’z space between the BM and the vocal ligament located??

A

The laminia propria of the larynx

19
Q

Where does the cartilage form C rings? and what happens to hyaline cartilage with age?

A

Adventita of Trachea and primary bronchi

Cartilage ossifies with age

20
Q

Where in the respiratory tract is the adventitia vascularized?

A

secondary and tertiary bronchi

21
Q

Where in the respiratory tract do the hyaline cartilage plates begin to shrink?

A

secondary and tertiary bronchi

22
Q

where is the muscularis beginning to appear discontinuous? and the mucosa cell height first seen decreasing?

A

secondary and tertiary bronchi

23
Q

Where is infolding of mucosa seen?

A

smaller bronchi and sometimes terminal bronchioles

24
Q

Where are discontinuous spirals of muscularis seen?

A

smaller bronchi

25
Where is the first place no cartilage is seen?
Bronchioles
26
Where does pseudostratified columnar epithelium become simple cuboidal?
respiratory bronchioles
27
Where does mucosa form a solid wall?
Terminal bronchioles
28
Where is the muscularis seen as small circumferential strips?
Terminal bronchioles
29
Where is the last purely conducting portion?
Terminal bronchioles
30
What type of alveoli cell facilitates gaseous diffusion?
Type 1 alveolar cells (pneumocyte)
31
What type of alveoli cell cannot divide?
Type 1 alveolar cells (pneumocyte)
32
What type of alveoli cell has simple squamous epithelium?
Type 1 alveolar cells (pneumocyte)
33
what type of alveoli cell has lamellar bodies?
Type 2 alveolar cells (pneumocyte)
34
What type of alveoli cell is a stem cell that can divide into either type 1 or 2 alveoli cell?
Type 2 alveolar cells (pneumocyte)
35
What is the function of lamellar bodies?
secrete surfacant
36
What is neonatal respiratory distress syndrome a result of?
Type 2 alveolar cells don't differentiate until weeks 22-34 not enough sufracant till week 35 high risk of lung collapse
37
What is the function of brush cells?
sensory receptors
38
What is the function of macrophages (dust cells)?
patrol alveolar lumen | patrol CT of alveolar septum