Respiratory System L1 Flashcards

1
Q

What is the function of the respiratory system?

A
  • Gas exchange - the respiratory system is required for the exchange of carbon dioxide for oxygen.
  • Speech - When you exhale the larynx will change size and shape to allow you to resonate your voice
  • Smell - There is special mucosa at the top of the nasal cavity which trap particles in the air. The cranial nerve then takes this information to be processed by the brain.
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2
Q

How can the respiratory system be divided by function?

A

The repertory system can be divided into the conducting portion and the respiratory portion.

The conducting portion is the section of the respiratory system that takes the air down to the alveolus. It is made up of the nasal cavity, the pharynx and the larynx. Air is conditioned in the conducting portion before taken down the the lungs.

The respiratory portion is the section of the respiratory system in which gas exchange takes place.

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3
Q

What is the function of the paranasal cavities? What are they?

A

The skull is not a solid bone. There are air bone (pneumatic bone) in the skull which condition the air - they warm, filter and moisten the air.

There are 4 paranasal cavities:

  • Frontal sinus
  • Maxillary sinus
  • Sphenoid sinus
  • Ethmoid air cells
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4
Q

What is the clinical importance of the paranasal sinuses?

A

These sinuses can become infected due to their exposure to air, When this occurs, the sinuses fill with mucus.

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5
Q

Which sinus is most prone to infection? Why is this? What type of pain can this lead to?

A

Maxillary sinus
This is as due to the structure of the sinus, the sinus must fill first before it empties. Due to its option on the maxilla bone, an infection can lead to a toothache.

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6
Q

What is the function of the conchae? How many conchae are there?

A

To create turbulent air flow and therefore condition the air.

There are 3 conchae:

  • Superior conchae
  • Middle Conchae
  • Inferior Conchae
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7
Q

What is the pharynx? What is the structure?

A

The pharynx is a a muscular tube that carries the inspired air from the nasal cavity to the larynx. The pharynx is split into 3 sections:

  • The nasopharynx
  • The oropharynx
  • The laryngopharynx

The soft palette signifies the change between the nasopharynx and the oropharynx. The epiglottis signifies the change between the oropharynx and the laryngopharynx.

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8
Q

Why does your nose run when you cry?

A

The nasolacrimal duct is a duct that connects the lacrimal duct in the eye and the nasal cavity. It drains into the inferior meatus. This therefore means excess tears are drained through the nose.

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9
Q

What happens if the nasolacrimal duct is blocked?

A

This leads to watery, irritated eyes.

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10
Q

What are the meatus’?

A

Under the conchae are meatus’ that are continuous with the paranasal sinuses. There are 3 meatus’:

  • Superior meatus
  • Middle meatus
  • inferior meatus

The main openings into the nasal meatuses are the posterior ethmoidal cells into the superior meatus, the anterior ethmoidal cells and frontal and maxillary sinuses into the middle meatus. The nasolacrimal duct drains into the inferior meatus.

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11
Q

What is the mediasternum?

A

The space between the lungs for organs such as the heart, oesophagus and the great vessels.

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12
Q

What is the costal margin?

A

The lower edge of the thorax formed by the bottom edge of the ribs.

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13
Q

How is the sternum divided?

A

The bone is divided into the manubrium, sternum and the xiphodial process (the cartilaginous section at the lower end of the sternum, which is not attached to any ribs, and gradually ossifies during adult life).

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14
Q

What is the jugular notch?

A

The jugular notch, is a large, visible dip in between the neck and the two collarbones of the human anatomy. The jugular notch is found at the superior border of the manubrium of the sternum, between the clavicular notches.

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15
Q

What is the sternal angle? What is the significance?

A

It is the change in angle formed by the connection between the manubrium and the sternum. The clinical significance is that this angle can be used to locate the 2nd rib as it lateral to this landmark. As a result, this can be used to count the ribs.

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16
Q

What signifies the change between the upper and lower respiratory system?

A

The Larynx

17
Q

What is the role of the larynx?

A

It is involved in breathing, producing sound and protecting the trachea against food aspiration. The larynx house sth vocal cords, and manipulates pitch and volume essential for phonation.

18
Q

What is a true rib? Which ribs are our ribs?

A

Ribs that directly attach to the sternum through their own costal cartilage. Ribs 1-7 are true ribs.

19
Q

What is a false rib?

A

Ribs that do not have their own costal cartilage to attach to the sternum. Ribs 8-10 are false ribs?

20
Q

Which ribs are floating ribs?

A

11 and 12

21
Q

What is thoracic inlet?

A

Runs from vertebra on the back to the inner surface of rib 1 to the manubrium. This is a bony space in which structures can enter and leave the thorax from the head or neck. There can be instances when this is reduced, thereby compressing some structures.

22
Q

What is the thoracic outlet?

A

This is usually closed off by the diaphragm. Structures can enter and leave the abdomen through the thoracic outlet.

23
Q

What is the clinical significance of the second intercostal space?

A

This can be used to find the pulmonary valve and the aortic valve.

24
Q

What is the clinical significance of the fifth intercostal space?

A

Can be used to find the apex of the heart.

25
Q

What is the structure of the diaphragm?

A

It is comprised of radial muscle fibres inserted into a central tendon. It domes upwards. There are apertures which allow the passage of structures such as vessels, nerves and the oesophagus to and from the abdomen.

26
Q

How does inspiration occur?

A

The sternum moves anteriorly and superiorly and the rib cage moves transversely. This increases volume and decreases pressure enabling air to enter. The diaphragm is a muscular sheet that closes of the thoracic outlet. The diaphragm is flattening. When the diaphragm contracts it flattens and returns to dome when it relaxes.

27
Q

How is the diaphragm innervated?

A

Using the phrenic nerve which originates from C4, C5.

28
Q

What is the external intercostal used for?

A

Inspiration

29
Q

Which intercostal muscles are used for expiration?

A

The internal and innermost intercostal muscles

30
Q

Where is the neuromuscular bundle found?

A

Between the internal and innermost intercostal muscle.

31
Q

What is the pleura?

A

This is a layer of tissue that surrounds the pleural cavity. The visceral pleura surrounds the lungs and the parietal pleura surrounds the thoracic cage?

32
Q

How are the lungs able to expand?

A

Between the layers of pleura, there is a layer of fluid. This fluid creates surface tension and so when the thoracic cavity increases in volume, this is transmitted to the lungs enabling them to move.

33
Q

What are the different parts of the parietal pleura?

A

Cervical pleura - the pleura that is at the superior aspect of the thoracic cage, by the neck region
1. Costal pleura - pleura next to the ribs
2. Diaphragmatic pleura - lines the convex surface of the diaphragm
Mediastinal pleura - attaches to the other organs in the mediastinum and forms the separating lateral wall.

34
Q

What is are the differences between the left and right lung?

A

Right lung:

  • Short, broad and larger
  • Has 3 lobes (Superior, middle and inferior)
  • Has an oblique fissure and a horizontal fissure

Left lung

  • Tall and narrow
  • Has 2 lobes (Superior and inferior lobe)
  • Has an oblique fissure
35
Q

How does the trachea branch?

A

Trachea -> Primary bronchi -> Lobular (Secondary) Bronchi -> Segmental (Tertiary) Bronchi) -> Terminal Bronchi

36
Q

What is the Hilum of the lung?

A

The passage through which the structures comprising of the root of the lung pass through into the lung. These include the great vessels and nerves.

37
Q

What are the functions of the thoracic cage?

A
  • Protection of vital organs

- Respiratory movements