Respiratory System Flashcards

1
Q

Organs of the Respiratory System
(6)

A
  1. Nose
    1. Pharynx
    2. Larynx
    3. Trachea
    4. Bronchi
    5. Lungs—alveoli (terminal sacs)
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2
Q

Gas exchanges between the blood and external environment occur only in ?

A

the alveoli of the lungs

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3
Q

Upper respiratory tract includes passageways from and to?

A

the nose to larynx

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4
Q

Lower respiratory tract includes passageways from and to?

A

trachea to alveoli

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5
Q

purify, humidify, and warm the incoming air

A

Passageways to the lungs

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6
Q

common infection, upper or lower respiratory tract?

A

upper

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7
Q

complicated case of infection or other diseases, upper or lower respiratory tract?

A

lower

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8
Q

The only externally visible part of the respiratory system

A

nose

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9
Q

are the route through which air enters the nose

A

Nostrils (nares)

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10
Q

is the interior of the nose

A

Nasal cavity

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11
Q

divides the nasal cavity

A

Nasal septum

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12
Q

are located in the mucosa on the superior surface

A

Olfactory receptors

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13
Q

The rest of the nasal cavity is lined with ?

A

respiratory mucosa

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14
Q

respiratory mucosa functions (3)

A

○ Moistens air
○ Traps incoming foreign particles
○ Enzymes in the mucus destroy bacteria chemically

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15
Q

are projections from the lateral walls

A

Conchae

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16
Q

Conchae functions

A

○ Increase surface area
○ Increase air turbulence within the nasal cavity
○ Increased trapping of inhaled particles

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17
Q

separates the nasal cavity from the oral cavity

A

palate

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18
Q

palate that is anterior and supported by bone

A

hard palate

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19
Q

palate that is posterior and unsupported

A

soft palate

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20
Q

Cavities within the frontal, sphenoid, ethmoid, and maxillary bones surrounding the nasal cavity

A

paranasal sinuses

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21
Q

sinuses functions (3)

A

lighten skull,
act as resonance chambers for speech,
produce mucus

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22
Q

Commonly called the throat

A

pharynx

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23
Q

Muscular passageway from nasal cavity to larynx

A

pharynx

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24
Q

Continuous with the posterior nasal aperture

A

pharynx

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25
Q

Three regions of the pharynx

A
  • nasopharynx
  • oropharynx
  • laryngopharynx
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26
Q

pharynx: superior region behind nasal cavity

A

nasopharynx

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27
Q

pharynx: middle region behind mouth

A

oropharynx

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28
Q

pharynx: inferior region attached to larynx

A

laryngopharynx

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29
Q

which region/s of the pharynx serve as common passageway for air and food?

A

oropharynx & laryngopharynx

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30
Q

routes food into the posterior tube, the esophagus

A

Epiglottis

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31
Q

Separates esophagus and trachea

A

epiglottis

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32
Q

tubes that open into the nasopharynx
○ Drain the middle ear

A

Pharyngotympanic tubes

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33
Q

are clusters of lymphatic tissue that play a role in protecting the body from infection

A

Tonsils

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34
Q

tonsils (3)

A

pharyngeal, palatine, lingual

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35
Q

a single tonsil, is located in the nasopharynx

A

Pharyngeal tonsil (adenoid)

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36
Q

tonsils located in the oropharynx at the end of the soft palate

A

Palatine tonsils

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37
Q

tonsils found at the base of the tongue

A

Lingual tonsils

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38
Q

Commonly called the voice box

A

larynx

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39
Q

larynx location

A

inferior to pharynx

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40
Q

larynx is made of how many rigid hyaline cartilages? which one is the largest?

A

eight;
Thyroid cartilage (Adam’s apple) is the largest

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41
Q

larynx functions

A

○ Routes air and food into proper channels
○ Plays a role in speech

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42
Q

Spoon-shaped flap of elastic cartilage

A

epiglottis

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43
Q

Protects the superior opening of the larynx

A

epiglottis

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44
Q

Routes food to the posteriorly situated esophagus and routes air toward the trachea

A

epiglottis

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45
Q

During swallowing, the ??? rises and forms a lid over the opening of the ???

A

epiglottis;
larynx

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46
Q

Vibrate with expelled air which allow us to speak

A

Vocal folds (true vocal cords)

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47
Q

includes the vocal cords and the opening between the vocal cords

A

The glottis

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48
Q

Commonly called the windpipe

A

trachea

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49
Q

trachea length

A

4-inch

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50
Q

4-inch-long tube that connects to the larynx

A

trachea

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51
Q

trachea walls are reinforced with ???, which keep the trachea patent (open)

A

C-shaped rings of hyaline cartilage

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52
Q

trachea: lined with ?

A

ciliated mucosa

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53
Q

trachea: beat continuously in the opposite direction of incoming air

A

Cilia

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54
Q

trachea: Expel mucus loaded with dust and other debris away from lungs

A

ciliated mucosa

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55
Q

Formed by division of the trachea

A

main bronchi

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56
Q

Each bronchus enters the lung at the ?

A

hilum (medial depression)

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57
Q

bronchi: left or right
wider, shorter, straighter

A

right

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58
Q

Bronchi subdivide into smaller and smaller branches

A

bronchioles

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59
Q

the lungs occupy the entire thoracic cavity except for?

A

central mediastinum

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60
Q

??? of each lung is near the clavicle (superior portion)

A

Apex

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61
Q

Base of the lungs rests on the

A

diaphragm

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62
Q

how many lobes? left lung

A

2

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63
Q

how many lobes? right lung

A

3

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64
Q

Each lung is divided into lobes by ?

A

fissures

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65
Q

covers the outer surface of the lungs

A

Serosa

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66
Q

covers the lung surface

A

Pulmonary (visceral) pleura

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67
Q

lines the walls of the thoracic cavity

A

Parietal pleura

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68
Q
  • ??? fills the area between layers
    ○ Allows the lungs to glide over the thorax
    ○ Decreases friction during breathing
A

Pleural fluid

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69
Q

(between the layers) is more of a potential space

A

Pleural space

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70
Q

is the network of branching passageways

A

Bronchial (respiratory) tree

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71
Q

All but the smallest passageways have reinforcing ??? in the walls

A

cartilage

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72
Q

smallest conducting passageways

A

Bronchioles

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73
Q

Terminal bronchioles lead into ??? and terminate in ???

A

respiratory zone structures;
alveoli

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74
Q

Respiratory zone includes the: (4)

A

Respiratory bronchioles
Alveolar ducts
Alveolar sacs
Alveoli (air sacs)

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75
Q

the only site of gas exchange

A

Alveoli (air sacs)

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76
Q

Simple squamous epithelial cells largely compose the walls

A

alveoli

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77
Q

connect neighboring air sacs

A

Alveolar pores

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78
Q

cover external surfaces of alveoli

A

Pulmonary capillaries

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79
Q

air-blood barrier

A

Respiratory membrane

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80
Q

Respiratory membrane:
On one side of the membrane is ???, and on the other side is ???

A

air;
blood flowing

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81
Q

respiratory membrane is formed by

A

alveolar and capillary walls

82
Q

Gas crosses the respiratory membrane by ???

A

diffusion

83
Q

Gas crosses the respiratory membrane by diffusion
○ Oxygen enters the ???
○ Carbon dioxide enters the ???

A

blood ;
alveoli

84
Q

Add protection by picking up bacteria, carbon particles, and other debris

A

Alveolar macrophages (“dust cells”)

85
Q

○ Coats gas-exposed alveolar surfaces
○ Secreted by cuboidal surfactant-secreting cells
§ Helps mature lungs of babies

A

Surfactant (a lipid molecule)

86
Q

Functions of the respiratory system (2)

A

○ Supply the body with oxygen
○ Dispose of carbon dioxide

87
Q

Respiration includes four distinct events (4)

A

○ Pulmonary ventilation
○ External respiration
○ Respiratory gas transport
○ Internal respiration

88
Q

moving air into and out of the lungs (commonly called breathing)

A

Pulmonary ventilation

89
Q

gas exchange between pulmonary blood and alveoli

A

External respiration

90
Q

respiration event:
- Oxygen is loaded into the blood
- Carbon dioxide is unloaded from the blood

A

external respiration

91
Q

transport of oxygen and carbon dioxide via the bloodstream

A

Respiratory gas transport

92
Q

gas exchange between blood and tissue cells in systemic capillaries

A

Internal respiration

93
Q

Mechanical process that depends on volume changes in the thoracic cavity

A

pulmonary ventilation

94
Q

Volume changes lead to ???, which lead to the flow of gases to ???

A

pressure changes;
equalize pressure

95
Q

Two phases of pulmonary ventilation

A

inspiration & expiration

96
Q

inhalation
Flow of air into lungs

A

inspiraiton

97
Q

exhalation
Air leaving lungs

A

expiration

98
Q

inspiration: (2) contract

A

Diaphragm and external intercostal muscles

99
Q

inspiration: what increases

A

Intrapulmonary volume

100
Q

inspiration: what decreases

A

gas pressure

101
Q

Air flows into the lungs until intrapulmonary pressure equals atmospheric pressure

A

inspiration

102
Q

Largely a passive process that depends on natural lung elasticity

A

expiration

103
Q

expiration: what increases

A

gas pressure

104
Q

Gases passively flow out to equalize the pressure

A

expiration

105
Q

can occur mostly by contraction of internal intercostal muscles to depress the rib cage

A

Forced expiration

106
Q

The pressure within the pleural space is always negative

A

intrapleural pressure

107
Q

Major factor preventing lung collapse

A

intrapleural pressure

108
Q

If this equals atmospheric pressure, the lungs recoil and collapse

A

intrapleural pressure

109
Q

Factors affecting respiratory capacity (4)

A

○ Size
○ Sex
○ Age
○ Physical condition

110
Q

Normal quiet breathing

A

tidal volume (TV)

111
Q

tidal volume: ??? ml of air is moved in/out of lungs with each breath

A

500

112
Q

Amount of air that can be taken in forcibly over the tidal volume

A

Inspiratory reserve volume (IRV)

113
Q

Inspiratory reserve volume (IRV) is usually around ??? ml

A

3,100

114
Q

Amount of air that can be forcibly exhaled after a tidal expiration

A

Expiratory reserve volume (ERV)

115
Q

Expiratory reserve volume (ERV) is approximately ??? ml

A

1,200

116
Q

Air remaining in lung after expiration

A

residual volume

117
Q

Cannot be voluntarily exhaled

A

residual volume

118
Q

Allows gas exchange to go on continuously, even between breaths, and helps keep alveoli open (inflated)

A

residual volume

119
Q

residual volume is about ??? ml

A

1,200

120
Q

The total amount of exchangeable air

A

vital capacity

121
Q

vital capacity in men

A

4,800 ml

122
Q

vital capacity in women

A

3,100 ml

123
Q

Air that remains in conducting zone and never reaches alveoli

A

dead space volume

124
Q

dead space volume about ??? ml

A

150

125
Q

Air that actually reaches the respiratory zone

A

functional volume

126
Q

functional volume is about ??? ml

A

350

127
Q

Respiratory capacities are measured with a

A

spirometer

128
Q

non-respiratory air movements Can be caused by ??? or ???

A

reflexes or voluntary actions

129
Q

clears lungs of debris

A

Cough and sneeze

130
Q

emotionally induced mechanism

A

Crying

131
Q

similar to crying

A

Laughing

132
Q

sudden inspirations

A

Hiccup

133
Q

very deep inspiration

A

Yawn

134
Q

Taking a deep breath, closing glottis, and forcing air superiorly from lungs against glottis. Then, glottis opens suddenly, and a blast of air rushes upward. Coughs act to clear the lower respiratory passageways

A

cough

135
Q

Similar to a cough, except that expelled air is directed through nasal cavities instead of through oral cavity The uvula (u’vu-lah), a dangling tag of tissue hanging from the soft palate, becomes depressed and closes oral cavity off from pharynx, routing air through nasal cavities. It clear upper respiratory passages.

A

sneeze

136
Q

Inspiration followed by release of air in a number of short expirations. Primarily an emotionally induced mechanism.

A

crying

137
Q

Essentially same as crying in terms of the air movements produced. Also an emotionally induced response.

A

laughing

138
Q

Sudden inspirations resulting from spasms of diaphragm, initiated by irritation of diaphragm or phrenic nerves, which serve diaphragm. The sound occurs when inspired air hits vocal folds of closed glottis.

A

hiccups

139
Q

Very deep inspiration, taken with jaws wide open; ventilates all alveoli (some alveoli may remain collapsed during normal quiet breathing)

A

yawn

140
Q

Two/three recognizable sounds can be heard with a stethoscope

A

bronchial sounds
vesicular breathing sounds
bronchovesicular sound

141
Q

sounds produced by air rushing through large passageways such as the trachea and bronchi

A

bronchial

142
Q

soft sounds of air filling alveoli

A

Vesicular breathing sounds

143
Q

sound produced by both bronchial and vesicular

A

Bronchovesicular sound

144
Q

fatal asthma

A

Status Asthmaticus

145
Q

Gas exchanges occur as a result of ?

A

diffusion

146
Q

External respiration is an exchange of gases occurring between the alveoli and pulmonary blood

A

pulmonary gas exchange

147
Q

Internal respiration is an exchange of gases occurring between the blood and tissue cells

A

systemic capillary gas exchange

148
Q

Movement of the gas is toward the area of highr/lower concentration?

A

lower

149
Q

external respiration: Oxygen diffuses from the oxygen-??? air of the ??? to the oxygen-??? blood of the ???

A

rich;
alveoli;
poor;
pulmonary capillaries

150
Q

external respiration: Carbon dioxide diffuses from the blood of the ??? to the ???

A

pulmonary capillaries;
alveoli

151
Q

Most oxygen travels attached to hemoglobin and forms

A

oxyhemoglobin (HbO2 )

152
Q

Most carbon dioxide is transported in the plasma as

A

bicarbonate ion (HCO3 – )

153
Q

For carbon dioxide to diffuse out of blood into the alveoli, it must be released from its ??? form

A

bicarbonate form

154
Q

Exchange of gases between blood and tissue cells

A

internal respiration

155
Q

An opposite reaction from what occurs in the lungs

A

internal respiration

156
Q

internal respiration: Carbon dioxide diffuses out of tissue cells to blood

A

loading

157
Q

internal respiration: Oxygen diffuses from blood into tissue

A

unloading

158
Q

setting the basic rhythm

A

neural regulation

159
Q

Activity of respiratory muscles is transmitted to and from the brain by ??? and ??? nerves

A

phrenic and intercostal

160
Q

Neural centers that control rate and depth are located in the ??? and ???

A

medulla and pons

161
Q

sets basic rhythm of breathing and contains a pacemaker (self-exciting inspiratory center) called the ventral respiratory group (VRG)

A

medulla

162
Q

smooth out respiratory rate

A

pons

163
Q

eupnea

A

normal respiratory rate

164
Q

normal respiratory rate:

A

12 to 15 respirations per minute
Hospitals in Philippines = 12 to 20

165
Q

Increased respiratory rate, often due to extra oxygen needs

A

hyperpnea

166
Q

Non-neural factors influencing respiratory rate and depth (6)

A

physical factors;
volition;
emotional factors;
co2 levels;
hyperventilation;
hypoventilations

167
Q
  • Non-neural factors influencing respiratory rate and depth
    ○ Physical factors (4)
A
  • Increased body temperature
  • Exercise
  • Talking
  • Coughing
168
Q

volition

A

conscious control

169
Q

is the most important stimulus for breathing

A

The body’s need to rid itself of CO2

170
Q

§ Increased levels of carbon dioxide (and thus, a decreased or acidic pH) in the blood increase the rate and depth of breathing
§ Changes in carbon dioxide act directly on the medulla oblongata

A

chemical factors: co2 levels

171
Q

Changes in oxygen concentration in the blood are detected by ??? in the aorta and common carotid artery

A

chemoreceptors

172
Q

is the stimulus for those whose systems have become accustomed to high levels of carbon dioxide as a result of disease

A

Oxygen

173
Q

Rising levels of CO2 in the blood (???) result in faster, deeper breathing

A

acidosis

174
Q

Exhale more CO2 to elevate blood pH
May result in apnea and dizziness and lead to alkalosis

A

hyperventilation

175
Q

§ Results when blood becomes alkaline (alkalosis)
§ Extremely slow or shallow breathing
§ Allows CO2 to accumulate in the blood

A

hypoventilation

176
Q

Exemplified by chronic bronchitis and emphysema

A

Chronic obstructive pulmonary disease (COPD)

177
Q

Chronic obstructive pulmonary disease (COPD): Patients almost always have a history of ???

A

smoking

178
Q

Chronic obstructive pulmonary disease (COPD): becomes progressively worse

A

labored breathing (dyspnea)

179
Q

dyspnea

A

labored breathing

180
Q

Chronic obstructive pulmonary disease (COPD): Coughing and frequent pulmonary infections are ???

A

common

181
Q

○ Mucosa of the lower respiratory passages becomes severely inflamed
○ Excessive mucus production impairs ventilation and gas exchange

A

chronic bronchitis

182
Q

chronic bronchitis: Patients become cyanotic and are sometimes called ??? as a result of chronic hypoxia and carbon dioxide retention

A

“blue bloaters”

183
Q

Alveoli walls are destroyed; remaining alveoli enlarge

A

emphysema

184
Q

Chronic inflammation promotes lung fibrosis, and lungs lose ???

A

elasticity

185
Q

emphysema: Sufferers are often called ??? because oxygen exchange is efficient

A

“pink puffers”

186
Q

Overinflation of the lungs leads to a permanently expanded

A

barrel chest

187
Q

○ Leading cause of cancer death for men and women

A

lung cancer

188
Q

Nearly ???% of lung cancer cases result from smoking

A

90

189
Q

Aggressive cancer that metastasizes rapidly

A

lung cancer

190
Q

Three common types of lung cancer

A
  1. Adenocarcinoma
  2. Squamous cell carcinoma
  3. Small cell carcinoma
191
Q

Lungs do not fully inflate until ?? weeks after birth

A

2

192
Q

Lungs do not fully inflate until 2 weeks after birth:
This change from nonfunctional to functional respiration depends on ???

A

surfactant

193
Q

○ lowers surface tension so the alveoli do not collapse
○ is formed late in pregnancy, around 28 to 30 weeks

A

Surfactant

194
Q

respiratory rate: newborns

A

40-80/min

195
Q

respiratory rate: infants

A

30/min

196
Q

respiratory rate: age 5

A

25/min

197
Q

respiratory rate: adults

A

12-18/min

198
Q

Rate often increases again in ?

A

old age

199
Q

Chronically inflamed, hypersensitive bronchiole passages

A

asthma

200
Q

Respond to irritants with dyspnea, coughing, and wheezing

A

asthma

201
Q

Aging effects
○ Elasticity of lungs ???
○ Vital capacity ???
○ Blood oxygen levels ???
○ Stimulating effects of carbon dioxide ???
○ Elderly are often ??? and exhibit ???
○ More risks of ???

A

decreases;
decreases;
decrease;
decrease;
hypoxic; sleep apnea
respiratory tract infection