Respiratory Anatomy Flashcards

1
Q

Histologically, what makes up the bronchi?

A

Cartilage, goblet cells and glands extend to the end of the bronchi

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2
Q

Histologically, how far do the Pseudostratified Ciliated Columnar Cells extend?

A

Pseudostratified ciliated columnar cells (clear mucus from lungs) extend from the bronchi to BEGINNING of terminal bronchioles, then they transition to cuboidal cells

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3
Q

Histologically, how far do the airway smooth muscle cells extend?

A

They extend from the bronchi to the END of terminal bronchioles (sparse beyond this point)

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4
Q

What is the function of the conducting zone?

A

Warms, humidifies and filters air but does not participate in gas exchange, considered “anatomic dead space”

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5
Q

What structures make up the conducting zone (large airways + small airways)?

A

Large airways: nose, pharynx, larynx, trachea and bronchi

Small airways: bronchioles that further divide to terminal bronchioles

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6
Q

What is the function of the respiratory zone?

A

Participates in gas exchange

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7
Q

What structures make up the respiratory zone?

A

Respiratory bronchioles, alveolar ducts and alveoli

everything distal to the terminal bronchioles

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8
Q

Histologically, which cells make up the respiratory bronchioles?

A

Cuboidal cells

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9
Q

Histologically, which cells make up the alveoli?

A

Simple Squamous Cells

alveolar macrophages clear debris and participate in immune response

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10
Q

When do cilia terminate?

A

In respiratory bronchioles

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11
Q

Which type of pneumocyte is more abundant in the alveoli?

A

Type I (make up 97% of alveolar surfaces)

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12
Q

Which type of pneumocyte secretes surfactant?

A

Type II

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13
Q

Which type of pneumocyte proliferates during lung damage?

A

Type II

Type II cells serve as precursors to Type I cells and other Type II cells

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14
Q

Which type of pneumocyte is squamous?

A

Type I, which are more abundant and line the alveoli, are squamous; thin for optimal gas diffusion

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15
Q

Which type of pneumocyte is cuboidal and clustered?

A

Type II

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16
Q

What is the function of surfactant?

A

Decreases alveolar surface tension and prevents alveolar collapse (atelectasis)

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17
Q

What type of cells are Club (Clara) Cells and where are they found?

A

Nonciliated; low-columnar/cuboidal with secretory granules

Found in the bronchioles, NOT in the alveoli

18
Q

What is the function of Club (Clara) Cells?

A

Secrete a component of surfactant

Degrade toxins via the cytochrome P450 pathway

Act as reserve cells

19
Q

What is the equation for collapsing pressure?

A

Collapsing Pressure (P) = 2 (surface tension) / Radius

20
Q

At what stage of breathing do alveoli have the greatest tendency to collapse?

A

Expiration b/c the radius decreases as air is expired from the lungs (law of Laplace)

21
Q

What is the major component of pulmonary surfactant?

A

It’s a complex mix of lecithins, the most important of which is: dipalmitoylphosphatidylcholine

22
Q

What does surfactant synthesis begin during gestation and when are mature levels achieved?

A

Begins around week 26

Mature levels are achieved at week 35

23
Q

What lecithin-to-sphingomyelin ratio in the amniotic fluid indicates fetal lung maturity?

24
Q

How many lobes are in the right lung?

A

3 lobes (superior, middle and inferior)

25
How many lobes are in the left lung?
2 lobes (superior and inferior) Left Has Less Lobes and Lingula
26
At what rib level can the horizontal fissure be found and which lobes does it separate?
At the level of the 4th rib It separates the superior lobe and the middle lobe
27
At what rib level can the oblique fissure be found and which lobes does it separate?
At the level of the 6th rib It separates the middle lobe and the inferior lobe
28
Which lung is a more common site for inhaled foreign bodies?
Right lung b/c the right main stem bronchus is wider and more vertical than the left
29
If you aspirate a peanut upright, where in the lung is it most likely to end up?
lower portion of the right inferior lobe
30
If you aspirate a peanut while supine, where in the lung is it most likely to end up?
superior portion of the right infior lobe
31
Where are the artery and bronchus located in the bronchial segment?
Center
32
Where are the veins and lymphatics located in the bronchial segment?
Edges
33
What is the relation of the pulmonary artery to the bronchus at each lung hilum?
RALS: Right Anterior; Left Superior
34
What structure passes through the diaphragm at T8?
IVC I (IVC) ate (8) ten (10) eggs (esophagus) at (aorta) twelve (12)
35
What structure passes through the diaphragm at T10?
esophagus, vagus (CN 10; 2 trunks) I (IVC) ate (8) ten (10) eggs (esophagus) at (aorta) twelve (12)
36
What structure passes through the diaphragm at T12?
aorta, thoracic duct and azygos vein I (IVC) ate (8) ten (10) eggs (esophagus) at (aorta) twelve (12)
37
What innervates the diaphragm?
Phrenic Nerve (C3, C4, C5) C3, 4, 5 keeps the diaphragm alive
38
Where is pain from the diaphragm (e.g. air or blood in peritoneal cavity) referred?
Shoulder (C5) and Trapezius ridge (C3, C4)
39
Where does the common carotid bifurcate?
C4
40
Where does the trachea bifurcate?
T4
41
Where does the abdominal aorta bifurcate?
L4