Respiratory Histology Flashcards

1
Q

What are the two divisions of the respiratory system and their associated parts?

A
1. CONDUCTING PORTION :
Nasal cavity 
Nasopharynx
Larynx
Trachea
Bronchi 
Bronchioles 
Terminal bronchioles 
2. RESPIRATORY PORTION :
Respiratory bronchioles
Alveolar ducts 
Alveolar sacs and 
Alveoli .
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2
Q

What are the four major functions of the conducting portion?

A

FUNCTIONS OF CONDUCTING PORTION :

  1. Conduit for delivering air to the lungs .
  2. Conditions incoming air by cleansing , moistening and warming it as it moves towards the lungs .
  3. Olfaction ~ a small area of conducting portion possesses the sensory receptors and other specializations necessary for olfaction .
  4. Sound production , the vocal folds in the larynx are specialized for this function .
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3
Q

The main cell type of the conducting portion of the respiratory epithelium is?

A

Pseudostratified columnar ciliated with goblet cells

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4
Q

Toward the end of the conducting portion the cells transition into ______ and then finally change to _______?

A

simple columnar and finally simple cuboidal epithelium

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5
Q

Nonkeratinized stratified squamous epithelium is present at which areas of the respiratory system?

A

Nonkeratinized stratified squamous epithelium is present in areas either exposed to rapid airflow (e.g vocal folds) or prone to other abrasions (e.g epiglottis)

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6
Q

What are the 5 cell types associated with the respiratory epithelium in order?

A
  1. Ciliated columnar cells
  2. Goblet cells
  3. Brush cells
  4. Basal (stem) cells
  5. Small granule cells
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7
Q

What are the roles of the 5 cell types of the respiratory epithelium?

A
  1. Ciliated columnar cells : most numerous cells .Each cell has hundreds of cilia on its apical surface that move mucus along the epithelial surface.
    2.Goblet (mucous) cells : produce & secrete mucous. The apical region of the cell is filled with polysaccharide- rich mucous droplets.
    This is the second most numerous cell type .The number of goblet cells decreases in deeper portions of the conducting portion of respiratory system .
    3.Brush cells : so named because their apical surface is covered with microvilli. These cells are thought to be sensory receptors .
  2. Basal (stem) cells : small somewhat rounded cells that sit on the basal lamina. These cells are regenerative cells , capable of dividing and differentiating into other cell types of the epithelium .
  3. Small granule cells : are the cells of diffuse endocrine system that are located on the basal lamina and have numerous granules. Granules are hormone like substance secreted by the cell that may regulate the mucous and serous secretions of other cells .
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8
Q

What is the definition of Squamous Metaplasia?

A

The change from pseudostratified ciliated columnar to stratified squamous epithelium. This can lead to precancerous cell dysplasia in the tissue.

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9
Q

Describe the histological characteristics of the nasal cavity.

A

Vestibule: portion where air enters first
Nares: the anterior dilated portion lined by skin with vibrissae, sweat glands, and sebaceous glands.

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10
Q

Describe the histological characteristics of the nasal septum

A

Hyaline cartilage that divides the vestibule into right and left halves.

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11
Q

Describe the histological characteristics of the nasal conchae and its functions.

A

there are 3 shelf like folds in the bony lateral walls of the nasal cavity. This increases the surface area exposed to the air disrupting the air flow.

Respiratory epithelium covers the middle and inferior portion and olfactory epithelium covers the superior.

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12
Q

What are the three types of olfactory cells?

A
  1. Olfactory cells and nerves that pass through the cribriform plate of the ethmoid bone and join other nerve fiber bundles.
  2. Sustentacular cells are there to support and electrically insulate the olfactory cells (these are the most numerous of olfactory cells) Each cells has microvilli and oval nucleus in the apical third of the cytoplasm
  3. Basal cells which is one of the few instances where adults can have nerve cells replaced. They can replace both olfactory and sustentacular cells.
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13
Q

What is the function of the olfactory glands or bowman’s gland?

A

They are to produce a serous secretion that traps and dessolves odiferous substances. the secretory portion can be found in the lamina propria deep to the olfactory epithelium.

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14
Q

Where are the four paranasal sinuses located and how do their cilia work? What happens if the cilia stops functioning?

A

The four sinuses are located at the frontal, ethmoid, sphenoid and maxilla bones and are relatively large, blind cavities. The cilia beats in such a way that it moves the mucus layer above it. When they stop working the mucus can no longer move and you can get sinusitis.

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15
Q

The larynx forms a passageway for between the _________ and ______. it is also the organ involved in what?

A

Oropharynx and Trachea.

It is used in producing sounds for speech.

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16
Q

What is special about the larynx and its cartilage and muscle?

A

Larynx possesses several irregularly shaped cartilaginous plates some of which are hyaline while others are elastic cartilage. These plates are joined by ligaments and are moved with respect to one another by intrinsic skeletal muscle of the larynx.

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17
Q

The spoon shaped plate with an elastic cartilage core is known as what? How is it used?

A

the Epiglottis. During respiration it uncovers the laryngeal opening. During swallowing it lays horizontal and covers the larynx so that food goes to the esophagus. It is made up of Stratified squamous epithelium.

18
Q

What makes the false vocal cords and ventricle special?

A

They lack the associated musculature and are immovable and the ventricle is a pocket of the larynx lumen located between the false and true vocal cords but they are still capable of creating resonance of sound.

19
Q

What is the name of the lower pair of folds in the larynx covered by stratified squamous nonkeratinized epithelium?

A

Vocal folds or true vocal cords. They are attached to the vocal ligament and vocalis muscle which can modify both the tension and the amount of space between the folds.

20
Q

What are the 4 layers of the wall of the trachea?

A

Mucosa, submucosa, Cartilaginous which contains the trachealis muscle, and the adventitia.

21
Q

describe the divisions of the bronchial tree.

A

the trachea divides into 2 primary bronchi. Those then seperate into lobar bronchi ( the right splints into 3 and the left into 2). These then divide further into 10 segmental bronchi per lobe.

22
Q

In contrast to bronchi, bronchioles DO NOT possess ______ in their wall?

A

Cartilage. They are only a few millimeters in diameter and contain epithelium that is simple columnar ciliated and simple cuboidal ciliated.

23
Q

The Terminal bronchioles are the end of the ____ portion. They also contain _____ epithelium.

A

Conducting

Simple cuboidal Epithelium

24
Q

The terminal bronchiles also contain a specialized cell called the ___ cells. What is the name of the cell and what is its main function?

A

Clara cells: specialized cells of the terminal bronchioles found interspersed among the cuboidal cells .
Clara cells are also called club cells .
Histology :
Clara cells have a rounded apical surface without cilia , although they do have microvilli (not resolved in light microscope)

25
Q

Name the 4 main functions of Clara cells.

A
  1. Secretion of glycosaminoglycans that coat and protect the lining of the bronchioles.
  2. Synthesis of enzymes believed to degrade certain inhaled toxins.
  3. Synthesis of a surfactant that reduces surface tension in bronchioles.
  4. Regeneration of bronchiole epithelium via mitotic division.
26
Q

what is the causing factor of asthma?

A

it is a common condition produced by chronic inflammation within the bronchial tree of the lungs. It is characterized by sudden constrictions of the smooth muscle in the bronchioles, commonly referred to as bronchospasms. the constriction is caused by mast cell degranulation triggered by the presence of specific antigens.

the main treatment for it is Epinephrine and other sympathomimetic drugs to relax the smooth muscles.

27
Q

What is the significant part about the respiratory portion?

A

it is the part of the respiratory tract in which gas exchange occurs.

28
Q

what are the structures that make up a pulmonary lobule and pulmonary acinus?

A
A pulmonary lobule includes:
Terminal bronchiole 
Respiratory  bronchioles
Alveolar ducts 
Alveolar sacs 
Alveoli 
Pulmonary acinus : physiologists designate as the portion supplied by respiratory bronchiole.  
Thus each acinus includes :
Respiratory bronchiole 
Alveolar duct 
Alveolar sac 
Alveoli
29
Q

Emphysema is referred to as the loss of ____ and the breakdown of ____.

A

Elasticity and elastic fibers.

30
Q

These are structurally similar to terminal bronchiole except that they have the presence of a few alveoli projecting their walls. what is it?

A

Respiratory bronchioles

31
Q

Describe the histology of the Respiratory bronchioles

A

Ciliated cuboidal cells with some clara cells

32
Q

What is so special about the alveolus?

A

It is the site where gas exchange between air and blood take place. It is the functional unit of the pulmonary acinus.

33
Q

Which type of alveolar cells is responsible for only 10% of the alveolar surface area?

A

Type II

Type I lines 90% of the alveolar surface

There is also macrophages, fibroblasts and mast cells included.

34
Q

What does ACE stand for and what is its purpose?

A

Angiotensin- converting enzyme that is in the alveolar endothelial cells and converts angiotensin I to angiotensin II.

35
Q

Differentiate between the histology and function of the twp alveolar cells.

A

Type I pneumocytes
Simple squamous epithelial cells which assist in the removal of small contaminants and turn over of surfactant.

Type II: cuboidal cells with a domed apical surface. The type II cells are secretory cells hence abundance of RER & Golgi apparatus They also contain Lamellar bodies which are distincte to the membrane and help with the release of surfactant. They also help in epithelial regeneration.

36
Q

What is Neonatal Respiratory Distress Syndrome?

A

When the surfactant coat is not present of low then it causes the surface tension to increase. This can lead to pulmonary hypoperfusion and endothelial cell damage. This in turn leads to fibrin and other proteins to for a hyaline membrane around the alveolar cells.

37
Q

What are the three components referred to as the blood-air barrier?

A

Alveolar epithelial cells, Basement membrane formed by fusion of epithelial cell basal lamina + capillary endothelial cell basal lamina, and Capillary endothelial cells

38
Q

______ in the alveolar air must diffuse across the blood air layers to reach _____ & _____ from the RBCs must diffuse across these layers to the alveolar space.

A

Oxygen to reach the blood

CO2 to reach the alveolar space

39
Q

______ ______ are alveolar macrophages that are found in both connective tissue of alveolar septum and the alveoli.

A

Dust Cells

40
Q

The pleura is _______ cell type and make up two seperate pleura. What are the name of the two pleura?

A

Simple squamous epithelium

Visceral pleura on the lung and the parietal pleura outside

41
Q

What type of cancer forms in the lining of the pleura and is easily spread through the thoracic cavity?

A

Mesothelioma