Respiratory- Dennis Flashcards

1
Q

Conducting Portion

A
Collects & warms air
• Transmits air to respiratory portion
• Nasal cavity, paranasal sinuses,
nasopharynx, trachea,
• Primary, secondary, & tertiary
bronchi
• Bronchioles, terminal bronchioles
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2
Q

Respiratory portion:

A

• Passes air to alveoli with the
purpose of gaseous exchange
• Respiratory bronchioles, alveolar
ducts, alveolar sacs

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3
Q

Respiratory Epithelium

A

Pseudostratified columnar ciliated
epithelium

• Lamina propria has a rich, vascular
network with a complex set of
capillary loops

• Confined to airways of the
respiratory system

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4
Q

Nasal cavities divided by

A

nasal septum and has three regions:

Nasal vestibule

Respiratory region

Olfactory region

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5
Q

Nasal vestibule

A

just inside the

nostrils, lined by skin

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6
Q

Respiratory region

A

inferior 2/3 of
nasal cavities, lined with respiratory
mucosa

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7
Q

Olfactory region

A

located at the
apex (upper 1/3), lined by
specialized olfactory mucosa

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8
Q

function of nasal cavities

A

adjusts temperature &
humidity of inspired air
• Enhanced by large surface area
provided by the turbinate bones

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9
Q

Olfactory Mucosa

A
  • Contains receptors for sense of smell
  • Pseudostratified ciliated columnar epithelium (10 cm2 area)
  • Olfactory glands → serous secretions that dissolve odorant molecules
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10
Q

Olfactory receptor cells

A
• Have single dendritic process
• Specialized, nonmotile cilia w/
odorant receptors
• Ligand binding causes signals to
be sent to olfactory bulb
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11
Q

Basal cells

A

stem cells for olfactory receptor & supporting cells

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12
Q

Brush cells

A

Ciliated, columnar epithelial cells

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13
Q

Supporting/sustentacular cells

A

provide mechanical & metabolic support to

olfactory receptor cells

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14
Q

Trachea

A

• Short, flexible, air tube that serves as
a conduit for air
• Extends from the larynx & divides into
the main/primary bronchi
• Lumen of the trachea remains open
because of stacked cartilaginous rings

Four layers

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15
Q

Mucosa

A

composed of a ciliated,
pseudostratified epithelium and an
elastic, fiber
-rich lamina propria

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16
Q

Submucosa

A

composed of a slightly
denser connective tissue than the
lamina propria

17
Q

Cartilaginous layer,

A

composed of C-shaped hyaline cartilages

18
Q

Adventitia

A

composed of connective
tissue that binds the trachea to adjacent
structures

19
Q

Terminal bronchioles

A

bring air to deepest portion

20
Q

Respiratory bronchiole branching

A

alveolar ducts to alveolar rings to alveolar sacs to alveoli

21
Q

Alveolar septum

A

wall of alveolar capillaries surrounded

by elastin & collagen fibers

22
Q

Alveolar pores

A

small openings that permit movement

of air b/w alveoli

23
Q

Alveoli

A

Blind-ended sacs lined with
pneumocytes (Type I &
Type II)

Contains simple squamous
epithelium, supporting
tissue, & blood vessels

24
Q

Type I Pneumocytes (P1)

A

Line almost the
entire alveolar
surface

Create surface for
gas exchange

Closely associated
with capillaries

25
Type II Pneumocytes (P2)
• Rounded cells that comprise about 60% of the epithelium, but cover 5% of surface area • Secrete surfactant, reduces surface tension within alveoli, preventing collapse during respiration • Lamellar bodies rich in a mixture of phospholipids, neutral lipids, & proteins • Secreted by exocytosis as surfactant
26
Goblet Cells
Modified columnar epithelial cells that synthesize & secrete mucus Apical cytoplasm contains a dense aggregation of mucigen granules ``` Released by exocytosis & combine with water to form viscid secretion called mucus ``` ``` The ‘stem’ of the goblet is occupied by a basal nucleus & crammed with organelles ```
27
Clara cells
secrete a lipoprotein that prevents luminal adhesion w/ airway collapse (during expiration)
28
Alveolar rings:
aggregates of smooth muscle, collagen & elastic fibers, that form rings around alveolar ducts
29
Asthma
• Chronic inflammatory disease involving the airways • Recurrent obstruction of airflow due to bronchiole inflammation & smooth muscle constriction (bronchospasm) • Difficult for air to move in/out of alveoli • Wheezing, coughing, shortness of breath, & chest tightness • Infiltration of the bronchiolar wall by eosinophils, lymphocytes, & mast cells • Thick bronchiolar epithelium w/ ↑↑ goblet cells, thick basement membrane, & hyperplastic smooth muscle cells
30
Emphysema
• Permanent enlargement of air spaces distal to terminal bronchiole • Chronic obstruction of airflow due to narrowing of bronchioles • Accompanied by destruction of the alveolar wall • A significant area for gas exchange is lost in this disease • Smoking cigarettes, chronic inhalations of particulate material (coal dust, construction dust)
31
Pneumonia
``` • Inflammation of the lung tissue • Air spaces are filled with exudate containing WBCs (mainly neutrophils), RBCs, & fibrin • Enlarged capillaries, congested with RBCs • ‘Red hepatization stage’ • On gross examination lung appears red, firm (due to lack of air spaces), & heavy (presence of exudate) ```
32
Visceral Pleura
``` • Covered in a flattened, mesothelium** • Underlying fibrous tissues of collagen & elastin fibers • Extend into the lung as fibrous septa, continuous with lung parenchyma • Contains extensive lymphatic vessels ```