Respiratory System Flashcards

1
Q

list the primary functions of the respiratory system

A

deliver oxygen to cardiovascular system and remove carbon dioxide from body (gas exchange between blood and air)

-produce sound-speech/vocalistaion
-provide olfactory senses-sense of smell
-regulate blood pH

protect respiratory surface from
-dehydration
-temperature changes
-invasion of pathogens

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2
Q

describe the structural divison of upper respiratory tract

A

upper respiratory system=nose –> pharynx

lower respiratory system=larynx–>lungs

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3
Q

describe the functional divisions of respiratory system

A

conducting zone=nose, pharynx, larynx, trachea, bronchi, bronchioles, terminal bronchioles
- series of interconnected cavities and tubes

Respiratory zone = respiratory bronchioles, alveolar ducts, alveolar sacs, alveoli
- main sites of gas exchange between air and bloo

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4
Q

discuss the types of respiratory epithelium

A

mucus glands (mucin) and serous glands (lysosomes) present

GOBLET CELLS-produce mucus to trap dust and inhaled particles

CILIATES CELLS-move mucu towards the pharynx (expectorated/swallowed)

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5
Q

list the differences in the epitheliums

A

stratified epithelium-protects against abrasion (oropharynx and laryngopharynx)

simple squamous-single cell layer to facilitate diffusion for gas exchange (aveoli)

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6
Q

describe the nasal cavity

A

includes the nose=external nose + nasal cavity

nasal cavity=nares choanae (opening to pharynx)

-the shape of the nose is defined by bone
-lined by respiratory epithelium
-mucous membrane on floor of nasal cavity

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7
Q

what divides the nasal cavity

A

divided L-R by nsasal septum
-cartilage anterior
-bone posterior

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8
Q

list the functions of nasal cavity

A

-warms, humidifies and filters air
-smell (olfaction)
-contributes to voice and sound

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9
Q

what is the mucous membrane rich in

A

rich in blood vessels
-epistaxis

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10
Q

define Rhinitis

A

infection of nasal mucousa-virus or bacteria, allery or chemical irritants

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11
Q

describe the paranasal sinuses

A

sinuses=cavities inside bone

-open into nasal cavity
-lined with mucous membrane
-named by bone located in
-reduce skull weight
-enlarge volume of nasal cavity
-modify resonance of voice

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12
Q

discuss sinusitis and the 2 types

A

=inflammation of the paranasal sinuses

-often accompinies rhinitis
-mucous blocks passageway for sinuses to drain into nasal cavity

acute: severe headache localized to forehead/cheek lean forward

chronic: longer than 8 weesk less pronounced symptoms

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13
Q

describe the pharynx

A

=”throat” common opening digestive and respiratory system
-posterior to nasal/oral cavities; inferiorly connects to larynx and oesophagus

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14
Q

name the 3 types of pharynx and describe them

A

Nasopharynx – post. to choanae, sup. to soft palate; air passes through it
-adenoids/pharyngeal tonsils at -posterior, fight infection

Oropharynx – soft palate → epiglottis; air & food & liquids pass through it

Laryngopharynx – epiglottis → oesophagus; passes post. to larynx; air passes through it

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15
Q

discuss the structure of pharynx

A

wall=skeletal muscke
-circular and longtidal muscle layers-relaxed muscle help keep patent…contarction assist swallowing

-lined by mucous membrane

epithelium
-respiratory epithelium in nasopharynx=pseudostratified ciliated columnar epithelium
-stratified squamous epithelium in oro and laryngophartn

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16
Q

list the functions of the pharynx

A

-Part of upper airways (airflow)

-Part of the digestive tract (swallowing)

-Immune system: pharyngeal tonsil

-Contributes to sound/speech

-Auditory tube open into nasopharynx - equalise pressure in middle ear

-Pharyngitis ‘sore throat’: typically viral or bacterial infection.

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17
Q

describe the larynx

A

anterior part of throat=voice box

-passage for air from pharynx to trachea-RESPIRATORY ONLY

18
Q

discuss the structure of larynx

A

Connected to hyoid bone by membranes & muscles

Outer casing of 9 cartilages connected by muscle/ligaments

Lined by mucous membrane

Above vocal folds lined by stratified squamous epithelium

Below lined by respiratory epithelium (pseudostratified ciliated columnar epithelium)

19
Q

describe the larynx cartilages

A

-6 paired cartilages, 3 unpaired
-hyaline cartilage –>except epiglottis=elastic cartilage
-unpaired=thyroid (largest), circoid (most inf.) and epiglottis (most sup)
-paired=arytenoid, corniculate and cuneiform
-arytenoids anchor vocal cords

20
Q

what does the larynx prevent

A

will controll flow of air ensuring to prevent entry of solids and liquids

21
Q

describe acute laryngitis and acute epiglottis in the larynx

A

AL-inflammation and swelling of larynx, mild respiratory distress only

AE-bacterial infection, typically in children, serious breathing and swallowing difficulties; suffocation risk

22
Q

describe the trachea

A

trachea=windpipe

-10/12cm long pipe attatched to larynx
-dense CT and smooth muscle
-reinforced with 15-20 C shaped cartilages
-protects trachea
-maintain open airway
-begins below circoid cartilage
-end by bifurcating at carnia (T4/5)

23
Q

what lines the trachea

A

lines by mucous membrane=pseudostratified ciliated columnar epith and goblet cells

24
Q

describe what occurs in the trachea during a “cough”

A

air moves rapidly through trachea by contracting smooth muscle and expelling mucus

25
Q

discuss the primary bronchi

A

Trachea divides into
-2 main/primary bronchi

Primary bronchi are asymmetric:

right bronchus steeper, wider & shorter than left main bronchus

Foreign body more likely to go into and obstruct the right primary bronchus

Foreign bodies in air passageway inf. to trachea don’t stimulate cough

Cartilage around tracheobronchial tree to keep it open, smooth muscle changes diameter

26
Q

describe the tracheobronchial tree

A

Primary (Main) Bronchi - divide on entering lungs, cartilage rings

Secondary Bronchi (lobar) – 2 left and 3 right, cartilage plates

Tertiary bronchi (segmental) – one to each bronchopulmonary segment of the lung, cartilage plates

Bronchioles – no cartilage, smooth muscle in walls

Terminal Bronchioles (end of conducting zone) – simple cuboidal epithelium

Respiratory Bronchioles (start of respiratory zone)

27
Q

discuss the folowing conditions that originate from tracheobronchial tree

i)bronchial asthma
ii)COPD

A

i) allergy associated with spasm of small bronchiols due to muscles contracting

ii)chronic bronchitis and/or emphysema (smokers, miners)

28
Q

discuss
-cystic fibrosis
-smoking
in the repiratory system

A

Cystic fibrosis: mucus very thick - breathing problems, infections

Smokers: cilia movement reduced, epithelial cells lose cilia over time

29
Q

describe alveoli and the 2 types of cells they are composed of

A

Air-filled chambers for gas exchange air → blood ~ 250um diameter

Thin walls composed of 2 cell types

type I : ~ 90%, squamous epithelial cells - gas exchange

type II : cuboidal secretory epithelial cells – produce surfactant to keep the alveoli open

300million in 2 lungs

30
Q

define neonatology:

A

surfactant is not secreted untill about 35 weeks of gestation

31
Q

discuss gas exchange

A

Gas exchange occurs between alveolar walls & pulmonary capillaries

Less so in alveolar ducts

Efficient gas (O2 / CO2) exchange facilitated by
-Thin alveolar epithelium
-Thin basement membrane
-Thin capillary endothelium
-Thin layer surfactant lining alveolus

32
Q

what is gas exchange permitted by

A

-Dense network of pulmonary capillaries cover 90% of alveoli surface

-Large surface area of alveoli
(~75 m2; ~ tennis pitch!)

O2 from air to blood

33
Q

describe the lungs

A

Paired - Right > Left lungs

Among largest organs by volume

Conical shaped

Located in thorax, in upper ribcage

Separated by mediastinum

heart, great blood vessels, esophagus

Base of lungs rest on diaphragm

Apex extends 2.5cm above clavicle

34
Q

discuss the following
-visceral pleura
-parietal pleura

A

visceral pleura-lines surface of lung

parietal pleura-covers inner surfaces

35
Q

overall what does pleura do

A

-fills fluid cavities

lubricant-reduced friction

-holds parietal and visceral membranes together-holds lungs to thoracic wall

36
Q

describe pneumothorax

A

-air in pleural cavity result sin collapse of lung and serious breathing dificulties

-chest drains

37
Q

discuss the roots of lung s

A

structures passing through hilum=root of lung

-main bronchi, pulmonary arteries, veins, lymph nodes and vessles

-gateway to lungs for air and blood
-anchors lungs to mediastinum

38
Q

discuss the lobes of the lungs

A

large fissures divide the lungs into-lobes

-natural groove
-right lung (3 lobes)
-left lung (2 lobes)
-cardiac notch

lobes supplied by lobar (2ary) bronchi

39
Q

define segments

A

=anatomical and funcional unit of lung, seperated by CT
-major BVS dont cross CT
-important for surgery

40
Q

discuss the process of inspiration

A

2 phases -

  1. Movement of ribs (costal breathing)

external intercostal muscles contract & lift ribs

total volume of ribcage increases

  1. Movement of diaphragm
    (diaphragmatic breathing)

central part downward movement

chest volume increases

Lungs extend to fill available space

41
Q

list the muscles involved in respiration

A

Muscles of inspiration

elevate ribs so ↑ thoracic volume

Diaphragm (flattens & descends)

Pressure in lungs falls so air drawn in

Muscles of expiration

depress ribs