BMS1058 - Pulmonary System Flashcards

1
Q

What is the difference between Pulmonary, External and Internal respiration?

A

Pulmonary: Exchange of air between the atmosphere and the pulmonary
alveoli of the lungs

External: Exchange of gases between
pulmonary alveoli and blood in
pulmonary capillaries

Internal: Exchange of gases between blood in systemic capillaries and cells of tissue

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What are the components for the upper and lower respiratory system?

A

These structures are known collectively as the conducting zone.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Other than gas exchange, what are the functions of the respiratory system?

A

Regulation of blood pH

Receptors for smell, filters inspired air, vocal sounds, excreting water and heat

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Describe the external and internal nose.

A

EXTERNAL NOSE:
- protects inner nose
- warm, moisten and filter incoming air
- olfactory receptors
- modify speech vibrations

INTERNAL NOSE:
- nasal cavity
- large inferior respiratory region
- smaller superior olfactory region

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Describe the respiratory epithelium

A

Ciliated columnal epithelium
+
Goblet cells

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Describe the Pharynx

A
  • Skeletal muscle lined with
    mucous membrane
  • Passageway for air and
    food
  • Resonating chamber for
    speech
  • Tonsils
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What are the 4 layers of the Trachea?

A
  • Respiratory mucosa – ciliated epithelial cells
  • Submucosa – areolar connective tissue (seromucous glands and ducts)
  • Hyaline cartilage: 16-20 C-shaped horizontal rings
  • Aventitia – areolar connective tissue

Trachea divides into right and left bronchus.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Describe the Clara cells. Where are they found?

A

Found in the Bronchioles.

  • Non-ciliated secretory cells.
  • Protect against harmful effects of
    inhaled toxins and carcinogens.
  • Develop into epithelial cells.
  • Produce surfactant.
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Each lunch is divided into _____, wheach each has many ______.

What do they contain?

A

lobes
lobules

Contains lymphatic vessels, arteriole, venule and branch from terminal bronchiole.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Alveoli contain 2 types of epithelial cells. Describe them.

A

TYPE 1:
- simple squamous epithelial cells
- most abundance
- main site of gas exchange

TYPE 2:
- also called Septal cells
- rounded epithelial cells
- found in between Type 1 cells
- microvili
- secrete pulmonary alveolar fluid

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What other cells are found in the alveoli?

A

Macrophages - phagocytes that remove fine dust and debris

Fibroblasts - cells that produce connective tissues (e.g. elastic fibres)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What are the 4 layers of the respiratory membrane?

A
  • Alveolar wall (Type I and II
    pneumocytes and macrophages)
  • Epithelial basement membrane
  • Capillary basement membrane
  • Capillary endothelium
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What occurs in inhalation? When excerising/forced breathing, what else is involved?

A

Active process (muscle contraction involved)

Pulmonary alveoli pressure < atmospheric pressure. Increase the eize of lungs.

Diaphragm contracts.

External intercostals contract and elevate ribs.
Increase verticle diameter of thoratic cavity.

[When excercising/forced breathing, accessory muscles involved.]

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What are the accessory muscles used in inhalation?

A

Sternocleidomastoid muscles - elevate sternum

Scalene muscles - elecate first two ribs

Pectoralis minor muscles - elevate ribs 3-5

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What occurs in passive exhalation?

A

Lung air pressure > atmosphere air pressure

Elastic recoil of chest wall and lungs

Diaphragm adn external intercostals relax.

Diameter of thoracic cavity reduces.

Alveolar pressure increases - air flows out of lungs.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What occurs in forceful exhalation?

A

Abdominal and internal intercostal muscles contract.
- Contraction of abdominal moves ribs downwards and forces diaphragm up.
- Contraction of internal intercostals pulls ribs inferiorly

Increases pressure in abdominal region and thorax.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

What are the factors affecting pulmonary ventilation?

A

Surface tension of alveolar fluid

Lung compliance (effort required to stretch the lungs and chest wall, high=expands easily)

Airway resistance

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

What are the 2 main mechanisms that control respiration?

A

Central Pattern (autonomic)
- Inspiratory and expiratory muscles.
- controlled by medulla neurons
- fine tuned by pons

Voluntary
- origin in Cerebral cortex
- additional influences

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

The respiratory centre is located across the Medulla and Pons. How does the Medulla and Pons control respiration?

A

Medulla
- co-ordinates quiet and forced breathing
- controls frequency of ventilation

Pons
- controls volume and depth of ventilation

Respiratory centre:
- Pontine respiratory group in the pons
- Medulla respiratory centres in medulla oblongata

20
Q

What does the Medullary respiratory centre consist of?

A

Dorsal Respiratory Group (DRG):
- controls diaphragm and external intercostal muscles
- inspiration and experiation in quiet breathing

Ventral Respiratory Group (VRG):
- Controls accessory inspiratory and
expiratory muscles
- Inspiration and expiration during
forced breathing

21
Q

How does the Dorsal Respiratory Group (DRG) control quiet breathing?

22
Q

The Postine Respiratory Group transmits nerve impulses to the medulla ___. This modifies the basic rhythm of breathing generated by ___. Exercising, speaking or sleeping.

23
Q

Cortical influences ________ alter our breathing pattern. They are a ________ mechanism.

Increased CO2 and H+ stimulates the ___ neurons and breathing _______.

A

Voluntarily
Protective
DRG
resumes

24
Q

What do chemoreceptros monitor in the lungs? What about the difference between central and Peripheral chemoreceptors?

A

CO2, O2 and H+

Central chemoreceptors - measure cerebral spinal fluid - CO2 and H+

Peripheral chemoreceptors - measure blood CO2, O2 and H+

25
Describe the inflation reflex
Baroreceptors in bronchi and bronchiole walls. Stretched during overinflation of lungs. Nerve impulses - vagus nerves to DRG. DRG inhibited - diaphragm and intercostals relax Exhalation begins
26
How does the limbic system affect breathing?
Exciteatory input to the DRG increases rate and depth of breathing e.g. emotional anxiety
27
What else can affect breathing?
Temperature Airway irritation Blood pressure Pain - Severe pain – apnea - Prolonged somatic pain – increases breathing rate - Visceral pain – slow rate
28
How does blood pressure affect breathing?
Increased blood pressure, detected by baroreceptors, decreases ventilation
29
What does the rate of gas diffusion in the alveoli depend on?
* Diffusion distance * Surface area * Partial pressure * Gas solubility
30
How does aging affect the respiratory system?
Airways and tissues become less elastic and more rigid. Decrease in lung capacity Reduction in blood O2, macrophage activity, ciliary axction etc Increased susceptibility to lung diseases
31
Which diseases primarily affect Alveoli? What about primarily airways?
Affect Alevoli: - COVID-19 - Pneumonia Affect Airways: - Chronic Obstructive Pulmonary Disease (COPD) - Asthma
32
What are the affects of COVID-19?
Alveoli damage Symptoms can include pneumonia and bronchitis
33
What is Pneumonia? What is it caused by?
Lower respiratory tract infection -inflammation of alveoli and bronchial mucous membranes, stimulated by release of damaging toxins. Can lead to fluid on the lungs. Interferes with gas exchange Caused by microorganisms: - Bacteria -e.g. streptococcus pneumoniae - Viruses -e.g. haemophilus influenzae
34
Who is susceptible to lung diseases?
Susceptible individuals – elderly, infants, immunocompromised, smokers, obstructive lung disease
35
What is COPD? Principle types? Causes?
Chronic Obstructive Pulmonary Disease Chronic and recurrent obstruction of airflow - increases airway resistance Principal types *Emphysema * Chronic bronchitis Causes: * Cigarette smoke * Air pollution * Exposure to dust/gases * Pulmonary infectio
36
What is Emphysema? Treatment?
Destruction of the pulmonary alveoli walls. Abnormally large air spaces remain filled with air during exhalation - Reduced surface area for gas exchange. - Blood O2 is reduced - Lung elasticity is decreased Treatment: bronchodilators & oxygen therapy
37
Wht is chronic bronchitis? Leading cause?
Excessive secretion of bronchial mucus. Productive cough, shortness of breath, wheezing, pulmonary hypertension Cigarette smoking is the leading cause. Irritants * Chronic inflammation * Increase in size & number of mucous glands & goblet cells in airway epithelium
38
What is Asthma? What is it triggered by? Acute vs chronic phase?
Chronic airway inflammation, hypersensitivity and obstruction. Can be due to: - Smooth muscle spasms in bronchia and bronchiole walls. - increase in mucus secretion - epithelium damage in airway Triggered by - allergens - excercise - cold air - cigarette smoke ACUTE PHASE - Smooth muscle spasm - Excessive mucus secretion CHRONIC PHASE - Inflammation - Fibrosis - Oedema (fluid build-up) - Necrosis of bronchial epithelial cell
39
What are some treatments for Asthma?
Beta2-adrenergic agonist - relax bronchiole smooth muscle and open airway. Supress chronic inflammation with corticosteroids
40
How is spirometry used to determine lung function?
Measures lung volume and capacities
41
How is spirometry used clinically?
Measure Forced Vital Capacity and Forced Expiratory volume. FEV is most important measurement of lung function. FEV/FVC proportion - obstructive disease <70%
42
What is Tidal Volume?
Volume of one breath at rest.
43
What is Inspiratory reserve volume?
Additional inhaled air from a very deep breath.
44
What is Expiratory reserve volume?
Additional exhaled air when exhale as forcefully as possible.
45
What is Residual volume?
Air remaining in the lungs. Cannot be measured by spirometry.
46
How do you calculate Inspiratory Capacity?
Tidal Volume + Inspiratory reserve volume
47
How do you calculate Total Lung Capacity?
Tidal Volume + Inspiratory reserve volume + Expiratory reserve volume + Residual volume