4. Pulmo Anatomy & Physiology Flashcards

1
Q

What are the functions of the respiratory system?

A

Ventilation & perfusion
Respiration
Transport of O2 & CO2
Diffusion of O2

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2
Q

This is the act of moving air in and out of the lungs

A

Ventilation

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3
Q

Law of physics that explains ventilation

A

Boyle’s Law

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4
Q

What does the boyle’s law state?

A

As we inhale, the air goes inside the lungs. As we exhale, the air goes outside the lungs

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5
Q

This refers to the pulmonary blood flow

A

Perfusion

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6
Q

Which part of the upright lung has the greatest perfusion?
A. base
B. middle lobe
c. uniform throughout
d. apex

A

B. base

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7
Q

What is the normal V/Q (ventilation-perfusion) ratio?

A

0.8 or 80%

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8
Q

What is the normal FEV1/FVC (ventilation-perfusion) ratio?

A

0.8 or 80%

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9
Q

What is normal alveolar ventilation?

A

4L/min

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10
Q

What is the normal pulmonary blood flow

A

5L/min

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11
Q

What will happen to the alveolar ventilation in COPD?

A

Decrease <0.8

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12
Q

What will happen to the alveolar ventilation in CRPD?

A

increase <0.8

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13
Q

This refers to gas exchange

A

respiration

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14
Q

This refers to gas exchange

A

respiration

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15
Q

2 types of respiration

A
  1. external respiration
  2. Internal respiration
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16
Q

type of respiration that happens between the alveoli & capillaries

A

external respiration

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17
Q

type of respiration that happens between the capillaries & tissues

A

internal respiration

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18
Q

Mechanism of diffusion

A

higher to lower concentration

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19
Q

is diffusion an active process or a passive process?

A

Passive

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20
Q

Components of Upper respiratory tract

A

nose
pharynx
larynx

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21
Q

this is considered as the large mucosal surface area

A

nose

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22
Q

function of nose

A

filters & warms air

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23
Q

what is the hair in the nose called?

A

vibrissae

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24
Q

this is also known as the throat

A

pharynx

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25
Q

3 divisions of pharynx

A

nasopharynx
oropharynx
laryngopharynx

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26
Q

functions of each division of the pharynx

A

nasopharynx- similar to the function of nose
oropharynx- conduits of air
laryngopharynx- conduits of air

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27
Q

Other name of larynx

A

voice box

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28
Q

function of larynx

A

voice or sound production

ensures that air will pass through the trachea

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29
Q

cartilages found in the larynx

A

thyroid (1)
cricoid (1)
arytenoid (2)
carniculate(2)
cuneiform(2)
epiglottis (1)

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30
Q

this is responsible for the sphincter function

A

epiglottis

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31
Q

known as the guardians of the airways

A

epiglottis

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32
Q

What is the lower respiratory tract known as?

A

tracheobronchial tree

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33
Q

how many generations are present in the LRT

A

23 generations

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34
Q

structures comprising the LRT

A
  1. trachea/ windpipe
  2. main bronchi
  3. lobar bronchi
  4. segmental bronchi
  5. terminal bronchioles
  6. respiratory bronchioles
  7. alveolar ducts
  8. alveolar sacs
  9. alveoli
  10. capillaries
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35
Q

What are the structures of the conducting zone?

A
  1. trachea/ windpipe
  2. main bronchi
  3. lobar bronchi
  4. segmental bronchi
  5. terminal bronchioles
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36
Q

What are the structures of the respiratory zone?

A
  1. respiratory bronchioles
  2. alveolar ducts
  3. alveolar sacs
  4. alveoli
  5. capillaries
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37
Q

Other term for respiratory zone

A

Acinus/acini

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38
Q

this is the functional unit of the lungs

A

acinus

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39
Q

this is the structural unit of the lungs

A

alveoli

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40
Q

how many alveoli are present in the lungs?

A

300 million

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41
Q

this structure is the most common site of intubation

A

trachea

42
Q

Common resting place for large aspirated objects

A

R main bronchi

43
Q

The right main bronchus is ____ than the left bronchus

A

shorter, wider, & more vertical

44
Q

Common lung for aspiration

A

right lung

45
Q

common resting place for small aspirated objects

A

lobar bronchi

46
Q

main bronchi bifurcates on the level of____

A

Carina

47
Q

how many fissures are present in each lung?

A

right=2
lefy=1

48
Q

What are the fissures are present in each lung?

A

right= horizontal & oblique
left= oblique fissure

49
Q

What are the lobes are present in each lung?

A

right= superior, middle, inferior lobe
left= superior & inferior lobe

50
Q

This is a tongue-shaped structure found in the left lung

A

lingula

51
Q

what is the membrane that covers the lungs including the fissures?

A

visceral pleura

52
Q

this structure is sensitive to stretch

A

visceral pleura

53
Q

what is the membrane that covers the thoracic wall?

A

parietal pleura

54
Q

this covering is sensitive to pain

A

parietal pleura

55
Q

space found between the visceral and the parietal pleura

A

pleural space/ pleural cavity/ intrapleural space

56
Q

what is the pressure of the lungs

A

-4mmHg

57
Q

fluid found in the pleural space

A

pleural fluid

58
Q

functions of pleural fluid

A

lubricates the pleurae
shock absorption

59
Q

functions of

A
60
Q

2 cells found in the lungs (pneumocytes)

A

Type I

type II

61
Q

flat cells lining the alveoli

A

Type I

62
Q

synthesizes/secretes surfactant

A

Type II

63
Q

this reduces the surface tension of the lungs to prevent collapse

A

surfactant

64
Q

newborn condition wherein the surfactant is decreased

A

respiratory distress syndrome or the hyaline membrane disease

65
Q

mostly affected in newborn infants

A

small alveoli

66
Q

How many segments are in the right upper lobe? what are these?

A

3, apical, ant & post

67
Q

How many segments are in the left upper lobe? what are these?

A

3, apical, ant & post

68
Q

How many segments are in the middle lobe? what are these?

A

2, lateral & medial segements

69
Q

How many segments are in the lingula? what are these?

A

2, superior & inferior lingula

70
Q

How many segments are in the left & right lower lobe? what are these?

A

5, superior segment (apical segments of lower lobes), ant basal segment, post basal segment, lateral basal, medial basal

71
Q

What are the borders of the thoracic rib cage?

A

ant= sternum
post=thoracic vertebrae
lat= ribs (12pairs)
superior- thoracic outlet
inferior- diaphragm muscle

72
Q

3 division of ribs

A

true
false
floating

73
Q

what comprises the true ribs? Why are they called the true ribs?

A

1-7 ribs. they are attached to the sternum

74
Q

what comprises the false ribs? why are they called false ribs?

A

8-10 ribs, they have no attachment to the sternum, they attach to the 7th rib

75
Q

what comprises the floating ribs? why are they called floating ribs?

A

11-12 ribs, they have no attachemtn to the sternum or to the other ribs

76
Q

Thoracic cage mechanism

Sternum & ribs 1-6; this increases what diameter of the thorax?

A

pump handle motion; increases AP diameter

77
Q

Thoracic cage mechanism

ribs 7-10; this increases what diameter of the thorax?

A

bucket handle motion; increases the lateral diameter of thorax

78
Q

Thoracic cage mechanism

ribs 8-12 or 11-12

A

caliper motion

79
Q

Thoracic cage mechanism

diaphragm

A

piston action

80
Q

muscles intended for relaxed inspiration

A

diaphragm muscle
external intercostals

81
Q

this is the primary muscle for relaxed inspiration

A

diaphragm muscle

82
Q

muscles intended for forced inspiration or the accessory muscles of inspiration

A

SCM
Upper trapezius
Pecs major & minor
Ant/middle/post scalene
Serratus ant./ post (superior division)

83
Q

muscles intended for relaxed expiration

A

no muscles involved
there is only an elastic/passive recoil of lungs & thorax

84
Q

muscles intended for forced expiration

A

Abdominals
Serratus post (inferior division)
Internal intercostals

85
Q

where are the controls of respiration located?

A

brainstem (pons & medulla oblongata)

86
Q

where are the controls of automatic respiratory center located?

A

brainstem (medulla oblongata)

87
Q

what are the 5 controls of respiration?

A
  1. Dorsal Respiratory group (DRG)
  2. Ventral Respiratory group (VRG)
  3. Pneumotaxic center
  4. apneustic center
  5. chemoreceptors
88
Q

where is Dorsal Respiratory group (DRG) located?

A

dorsal medulla

89
Q

other name for the dorsal medulla

A

nucleus tractus solitarius

90
Q

main function of the Dorsal Respiratory group (DRG)

A

inspiration

91
Q

what signal is found in the Dorsal Respiratory group (DRG)? what is the function?

A

inspiratory ramp signal

inhale= 2 secs on
exhale= 3 secs off

92
Q

where is the Ventral Respiratory group (VRG) located?

A

Vetro-lateral medulla

93
Q

other name for ventro-lateral medulla

A

nucleus ambiguus & retroambiguus

94
Q

functions of Ventral Respiratory group (VRG)

A

main: expiration
also functions for inspiration

95
Q

where is Pneumotaxic center located?

A

Upper pons

96
Q

other term for upper pons

A

nucleus parabrachialis

97
Q

funciton o f Pneumotaxic center

A

limits inspiration by switching off the inspiratory ramp signal

controls the rate & depth of breathing

98
Q

where is the apneustic center located?

A

lower pons

99
Q

function of the apneustic center

A

prevents the switching off of the inspiratory ramp signal

100
Q

2 types of chemoreceptors, their locations, & their stimuli

A
  1. central- ventral medulla; increase hydrogen ions/ decrease pH
  2. peripheral- carotid & aortic bodies; dec PaO2. inc PaCO2, & acidosis (dec pH)