Week 6- Respiratory System Flashcards

1
Q

What is an upper respiratory tract

A

Sinuses in nasal and oral cavity
Throat
Larynx
Pharynx

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2
Q

What is in the lower respiratory tract

A

Trachea
Bronchi
Bronchioles
Lungs

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3
Q

Functions of respiratiory system

A

Exchange air between body and outside - external respiration

Brings o2 to cells removing co2- internal respiration

Supplies body with o2 reoves co2

Filters inspired air

Produces sound

Contain receptors for smell

Rids body of excess water and heat

Helps regulate blood pH

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4
Q

Nose function

A

Only externally visible respiratory organ

Olfactory receptors located in mucosa moisten air to trap incoming foreign particles

Conchae are lateral projections which increase SA and air TURBULENCE within nasal cavity

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5
Q

Location and Function of paranasal sinus

A

Located in fcabities in frontal, sphenoid, ethmoid and maxillary bone

Lighten skull
Produce mucus
Produce quality sound for speech

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6
Q

Name 3 regions in pharynx from superior to inferior

A

Nasopharynx

Oropharynx

Laryngopharynx

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7
Q

Larynx (voice box) function

A

Routes air and food into proper channels
Plays a role in speech
Made from 8 rigid hyaline cartilages and elastic cartilage

Pharynx is superior to larynx

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8
Q

What is the epiglottis

A

A small, movable “lid” just above the larynx that prevents food and drink from entering the windpipe

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9
Q

Trachea function and location

A

Connect slarynx to bronchi

Lined with mucosa

Expels mucus loaded with dust and other debris away from the lungs to trap and prevent infection

C- shaped hyaline cartilage

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10
Q

What is the cilia and mucocilary clearance

A

Primary innate defence mechanism of the lung

Protective mucous layer, cilia on cells

Organelles beat in metachondral waves to propel pathogens and inhaled particles trapped in mucous layer out of the airways

Cystic fibrosis is associated with mucocillary transport failure.

• Localized mucociliary transport failure observed in respiratory diseases,
especially chronic sinusitis, chronic bronchitis, bronchiectasis and bronchial
asth

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11
Q

What are congenital abnormalities and name some

A

Birth defects which are rare

Stenosis of the trachea
Foregut cyst
Trachea-oesop[hageal fistula (joining)
Pulmonary hypoplasai (defect in development of both lungs)

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12
Q

What is pulmonary odema

A

Excessive interstitial fluid in alveoli

Haemodynamic caused by ^ H pressure, L sided heart failure

Increased capillary permeability due to mucrovadular injury

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13
Q

What is COPD

A

Treatable disease characterised by persistent respiratory symptoms and airflow limitation due to airway limitation,

airway and alveolar abnormalities caused by exposure to noxious particles or gases

4th leading cause of death worldwide
Associated COPD and smoking
Caused by genetic inheritance

Risk factors are smoking, air pollution, occupational exposure,
Women>
African Americans >

Not reversible
Typically progressive

2 types:
1. Emphysema
2.chronic bronchitis

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14
Q

What is emphysema

A

Irreversible enlargement of airspaces distal to the terminal bronchiole, accompanied by destruction of their walls

4 Types
1) Centriacinar emphysema
2) Panacinar emphysema
3) Distal acinar emphysema
4) Irregular emphysema

Pathophysiology
• Diminished elastic recoil, which results in premature airways closure
• Reduced exp. flow rates
• Air trapping leads to increased functional residual capacity (FRC)
• Local hypoxia and loss of capillary beds
• Blebs and bullae deform and compress respiratory

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15
Q

What is chronic bronchitis

A

Bronchitis

A persistent cough with sputum production for at least 3 months in at least 2 consecutive years in the absence of any other identifiable cause

Cause
Exposure to noxious irritating inhaled substances such as tobacco smoke (90% of
those affected are smokers)
Pathogenesis
Mucous glands size increased
Mucous hypersecretion
Goblet cells numbers increased
Mucus plug in peripheral airways
Long standing inflammation leads to fibrosis of small airways - Emphysematous changes
Narrowing airways and interferes w

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16
Q

What is COPD: Asthma

A

Inflammatory airway disease, reversible airway construction
Affects all ages
Bronchoconstriction reversible

Types:
Atopic: hypersensitivity reaction
Allergic or eczema
Begins in childhood usuals
Often family hx

Non-atopic asthma: respiratory infection due to viruses and common triggers

Drug induced asthma
Occupational asthma

17
Q

What is pneuomoconioses

A

Restrictive occupational lung disease caused by inhalation of mineral dusts, chemical fumes and vapours

Regulations of worker exposure resulted in decrease of condition

Takes years to develop

Asbestos, silicosis, coal worker

18
Q

What are the most common causes of COPD

A

Smoking

Air pollution

Genetics- alpha anti trypsin deficiency

19
Q

What does emphysema affect, what is it

A

Irreversible enlargement of airpsoaces distal to terminal bronchiole, accompanied by destruction of their walls

Alveoli

20
Q

What is pulmonary embolism

A

Occlusion (blockage) of a pulmonary artery by a blood clot

21
Q

Cigarette smoke is an irritant which can lead to inflammation in the lungs, resulting in excessive sputum production. Name the cellular adaptation that occurs in the cells of the airway. In your answer, identify the specific tissue type that normally lines the airways and the tissue type that occurs because of cellular adaptation to chronic exposure to cigarette smoke.

A

The tissue which normally lines the airways is cilia which performs a cilia escalator to remove pathogens and bacteria using mucus.

Smoke can damage the cilia, altering the tissue structure, undergoing metaplasia.

Metaplasia is reversible reaction forming more resilient cells which can withstand mechanical stress and chemical irritation. These cells are less functional and affect the ciliary escalator

These cells are called tratified squamous epithelium.

Leading to build up of mucus and inflammation.

Goblet cells often become hyperplastic (increase in number) as well, further increasing mucus production in response to irritation.