Lungs and Airways Flashcards

1
Q

Almost all of the respiratory tract is covered by what kind of epithelium?

A

Pseudostratified ciliated columnar epithelium

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2
Q

What are the five types of cells that are included in the respiratory epithelium?

A

Ciliated cells
Goblet cells
Small granule cells
Brush cells
Basal cells

“Come BB GirlS”

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3
Q

What do ciliated cells do?

A

Move mucous

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4
Q

What do goblet cells do?

A

Create mucous

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5
Q

What do small granule cells do?

A

Endocrine

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6
Q

What do brush cells do?

A

Sensory

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7
Q

What do basal cells do?

A

Stem cell population

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8
Q

False fold has ____________________ covering loose connective tissue.

True fold has _____________________
covering a core of dense connective tissue and muscle

A

respiratory epithelium

non-keratinized stratified squamous epithelium

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9
Q

Trachea has ___-shaped cartilage to hold the airway open while also allowing flexibility for the esophagus to expand

A

C-shaped

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10
Q

What is the point of mucous being released by goblet cells?

A

To trap particulate matter

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11
Q

How many secondary bronchi do Right and Left sides have?

A

3- Right
2- Left

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12
Q

How many primary bronchi do Right and Left sides have

A

1 on each side

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13
Q

How many lobes on R and L lungs

A

Right has 3
Left has 2

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14
Q

Bronchial arteries branch off of the _____________ and supply blood to respiratory system

A

Aorta

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15
Q

Bronchial veins drain into the _____________ which lead to the _________________.

A

azygos vein system

Right Atrium

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16
Q

bronchiolar exocrine cells help prevent what?

A

Prevent collapse of smaller airways + release ions into lumen

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17
Q

Alveolar ducts are lined with what type of cell?

A

simple squamous epithelium
(type I & type II pneumocytes)

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18
Q

What is the last portion of the respiratory system that has smooth muscle?

A

Alveolar ducts

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19
Q

What occurs in Alveoli?

A

Gas exchange between air and blood

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20
Q

Describe Type 1 pneumocytes

A

FLAT!

Although they only make up 40% of the pneumocytes, they cover 95% of the alveolar surface

21
Q

How does gas exchange occur in Type 1 pneumocytes?

A

Gas diffusion through cytoplasm

22
Q

Describe Type 2 pneumocytes

A

Is 60% of the total population, however only 5% of the alveolar surface area

23
Q

Function of Type 2 pneumocytes

A

Divides & regenerates BOTH types of pneumocytes

Releases pulmonary surfactant, reducing surface tension to create expansion & prevent collapse of air spaces

24
Q

What is the main function of the Interalveolar septae?

A

Contain continuous capillaries that exchange O2 from the alveoli for CO2 from the blood

25
Q

Describe the three layers of the Interalveolar septae?

A

aka the Blood-Gas Barrier:

  1. Type I pneumocyte and thin coating of surfactant

2.Basal lamina of pneumocytes & capillary cells fuse

3.Capillary cells (endothelium)

26
Q

What is the function of alveolar macrophages?

A

Get rid of debris in airway

27
Q

What happens when an alveolar macrophage is “full”?

A

It migrates into lumen, transports up “mucociliary escalator” to the pharynx

28
Q

What could cause an increase in alveolar macrophages?

A

Inflammatory conditions

or

Heart Failure

29
Q

What is happening in the lungs with asthma?

A

Excessive constriction of alveolar smooth muscle

30
Q

What is Cystic Fibrosis?

A

A disease in which mucous in the airways (and other organs) is abnormally thick

31
Q

What is happening in the body to cause Cystic Fibrosis?

A

Caused by a Cl- pump mutation. The lack of chloride ions in the airway creates a lack of H20 to thin the mucous. The thick mucous increases the rate of infections and may asphyxiate the patient

32
Q

What is happening in the body to cause Emphysema?

A

Destruction of elastic fibers in interalveolar septae causing a loss of elasticity and decrease of surface area

33
Q

What symptoms will someone with Emphysema have?

A

Gas exchange and breathing become more difficult as the condition progresses since lungs do not recoil during expiration

34
Q

What are the two forms of Emphysema

A

1) Genetic deficiency in enzyme a1 antitrypsin (which protects elastic tissue from macrophages)

2) Formed from smoking- which inhibits a1 antitripsin

35
Q

What does the enzyme a1 antitrypsin do?

A

Protests elastic tissue from macrophages

36
Q

What is Silicosis?

A

Inhalation of fine sand particles which can cause nodules to form in the lungs.

Then, these fine particles cause an inflammatory reaction.

This pneumoconiosis is progressive and gradual, this can cause terrible, irreversible damage

37
Q

What is the leading cause of emphysema?

A

Smoking

38
Q

ARDS aka

A

Acute Respiratory Distress Syndrome

39
Q

DAD aka

A

Diffuse Alveolar Damage

40
Q

What happens with DAD?

A

(Diffuse Alveolar Damage)
Pneumocytes, alveolar septae and underlying vessels are damaged

This causes Hyaline membranes to form and fibroblasts create connective tissue, thickening the septae and impeding gas exchange

41
Q

Can COVID cause ARDS?

A

Yes!

ARDS= Acute Respiratory Distress Syndrome

42
Q

Pleurae lines the __________ & ____________

A

Thoracic cavity & surface of lungs

43
Q

T/F: There is a separation between parietal and visceral layers

A

FALSE

Almost always NO separation between the two

44
Q

What causes pneumothorax?

A

Air in pleural space

45
Q

What causes hemothorax?

A

Blood in pleural space

46
Q

What causes chylothorax?

A

Lymph in pleural space

47
Q

Where is the apex of the lung?

A

Rises above the 1st rib

It is vulnerable to neck trauma

48
Q

Where does a thoracentesis occur?

A

Between inferior border of lungs & line of pleural reflection