Respiratory System Flashcards

1
Q

What is respiration?

A

Exchange of oxygen and
carbon dioxide between an
organism and the external
environment (external
respiration

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2
Q

How is oxygen utilised?

A

By cells in metabolism - internal respiration; cellular respiration

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3
Q

Describe the structure/anatomy of the upper respiratory tract.

A
  • The nose and nasal sinuses
  • The nasopharynx
  • The pharynx
  • The larynx
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4
Q

Describe the structure/anaotmy of the lower respiratory tract.

A
  • The trachea
  • The bronchi
  • The bronchioles
  • The lungs
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5
Q

State the functions of the respiratory system.

A
  • Gaseous exchange: absorption of oxygen and
    excretion of carbon dioxide
  • Olfaction: by specialist nerve endings in the nasal
    cavity and transmitted to the brain via the first cranial
    nerve (olfactory)
  • Speech: via the vocal cords in the larynx
  • Homeostasis: via the oxygen and carbon dioxide
    exchange
  • Protection: via the immune system and mucus
    production
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6
Q

Describe the structure of the nose.

A
  • Lined by epithelial cells with tiny hairs which filter incoming air
  • The epithelial cells secrete a sticky fluid to trap dust and bacteria to prevent them entering the lungs
  • In the nose air is warmed and filtered
  • It is the organ of smell
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7
Q

Describe the structure of the nasopharynx.

A
  • Lies behind the nose. Continue to warm air
  • At the back of the nasopharynx are the adenoids which are made up
    of dense lymphoid tissue and fight infections
  • The Eustachian tubes connect the nasopharynx to the middle ear and have a key role in equalising pressure in the ear to atmospheric pressure
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8
Q

Describe the structure of the pharynx.

A
  • This is a large and muscular tube which lies behind the mouth and between
    the nasopharynx and larynx
  • It serves as both an air and food passage
  • At the back are the tonsils which are made up of dense lymphoid tissue
  • Continue the process of warming inspired air
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9
Q

Describe the structure of the larynx.

A
  • This is the short passage which connects the pharynx to the trachea
  • It has rigid walls and contains the vocal cords
  • When air passes over them it creates sound
  • The opening from the pharynx to the larynx is called the glottis
  • During the act of swallowing food this is covered and
    closed by the epiglottis to prevent choking
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10
Q

Describe the structure of the trachea.

A
  • This is a tube-like structure which extends from the larynx to the upper chest
  • It is made of 20 ‘C’ shaped rings of cartilage and smooth muscle
  • The ‘C’ shape of the cartilages allows expansion of the oesophagus when a
    bolus of food is swallowed
  • They also ensure the patency of the airway
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11
Q

Describe the structure of the bronchi.

A
  • The trachea divides to form two bronchi which are similar in structure to the trachea
  • They are lined with ciliated epithelial cells which secrete mucus and saline
  • The mucus traps solid particles and the cilia move them outwards so that
    they can be expelled by coughing
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12
Q

Describe the model of saline secretion by airway epithelial cells.

A
  1. NKCC brings Cl- into epithelial cells from ECF
  2. Apical anion channels, including CFTR, allow Cl- to enter the lumen
  3. Na+ goes from ECF to lumen by the paracellular pathway, drawn by the electrochemical gradient
  4. NaCl movement from ECF to lumen creates a conc. gradient so water follows into the lumen
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12
Q

State how the bronchioles subdivide.

A
  • The bronchi subdivide into bronchioles which again subdivide finally leading to
    the air filled sacks called the alveoli
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13
Q

Describe the walls of the bronchioles.

A

Cartilage is absent
from the more terminal bronchioles whose walls contain more smooth muscle

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14
Q

Describe how the bronchi and bronchioles are innervated by the autonomic nervous system.

A
  • muscarinic cholinergic receptors M3 cause bronchoconstriction,
  • β2 adreno-receptors medicate bronchodilation
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15
Q

State the function of type I cells of the alveoli.

A

Occupy 96-98% of the surface area. They are the primary site for gas exchange.
Very thin cells to allow gas rapid diffusion

16
Q

State the function of type II cells of the alveoli.

A

Occupy the remaining 2-4%. They synthetize a chemical known as surfactant, which reduces surface tension in the alveolus and therefore reduce resistance during inhalation and exhalation

17
Q

Describe how there is rapid gas exchange.

A

Gas exchange occurs in
alveoli through a dense
network of capillaries
* Blood vessels fill 80-90% of
the space between alveoli
forming a continuous
“sheet” of blood in close
contact with the air-filled
alveoli

18
Q

Describe the pulmonary gas exchange and transport.

A
  1. Oxygen enters the blood at alveolar capillary interface
  2. Oxygen is transported in blood dissolved in plasma or bound to haemoglobin inside RBCs
  3. Oxygen diffuses into cells
  4. CO2 diffuses out of cells
  5. CO2 is transported dissolved, bound to haemoglobin or as HCO3-
  6. CO2 enters alveoli at alveolar capillary interface
19
Q

Why is haemoglobin such an efficient oxygen carrier?

A

One haemoglobin molecule can bind up to 4 oxygen molecules.

20
Q

Describe the interaction of Hb with O2

A
  • Hb can binds O2 only when the iron is in the Fe2+ (ferrous) state
  • The interaction of Fe2+ with O2 causes the complex to have a red color when fully
    saturated with O2 (arterial blood) and a purple colour when devoid of O2 (venous blood)
21
Q

What are the principle respiratory muscles?

A
  1. The diaphragm
  2. The internal intercostal
    muscles
  3. The external intercostal
    muscles
22
Q

Describe the diaphragm during inspiration.

A

At rest it is a dome like shape, when it contracts during inspiration, the crown of the diaphragm descends, thereby increasing the volume of the chest

23
Q

Describe the diaphragm during expiration.

A

the diaphragm relaxes and the elastic recoil of the chest wall and lungs results in passive expiration.

24
Q

Describe the mechanism of the external intercostal muscles.

A

The external intercostal muscles are arranged in such a way that they lift the lungs upwards and outwards as they contract
(inspiration)

25
Q

Describe the mechanism of the internal intercostal muscles.

A

The internal intercostal muscles pull the ribs downwards, in opposition to the external intercostal muscles- downwards and inwards (expiration)

26
Q

What do accessory muscles do during exercise?

A

Actively pull up the rib cage as the demand for oxygen increases

27
Q

What is the tidal volume?

A

The volume of air that moves during a single inspiration or expiration

28
Q

What is the inspiratory reserve volume?

A

The additional volume you
inspire above the tidal volume

29
Q

What is the expiratory reserve volume?

A

The amount of air forcefully
exhaled after the end of a normal expiration

30
Q

What is the residual volume?

A

At the end of the maximal
expiration, the lungs still contain a volume of air that cannot be expelled.

31
Q

What is the vital capacity?

A

The sum of the inspiratory reserve volume, expiratory reserve volume and tidal volume.

32
Q

What is the total lung capacity?

A

The sum of the vital capacity and the residual volume

33
Q

What is forced vital capacity?

A

The volume of air that can be forcibly expelled from the lung from maximum inspiration to maximum expiration

34
Q

What is forced expiratory volume in 1 second? (FEV1)

A

The volume of air that can be forcibly expelled from maximum inspiration in the first second

35
Q

What does peak flow measure?

A

how fast a patient can blow air out of lungs