Exam 4 Flashcards

1
Q

function of the respiratory system

A

supply the body with oxygen/dispose of carbon dioxide
sound/voice production
regulation of plasma ph
removal/destruction of airborne pathogens and toxins

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2
Q

name and describe the processes that define respiration

A

1 pulmonary ventilation - breathing
2 external respiration - O2 loading/CO2 unloading (occurs in lungs)
3 transport - via blood circulation
4 internal respiration - O2 unloading/CO2 loading (occurs in tissues)

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3
Q

describe the pharyngotympanic tubes

A

aka eustachian tubes

location: above the nasopharynx

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4
Q

pharyngeal tonsil

A

aka adenoid

above the pharyngotympanic tube

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5
Q

describe the nasal cavity

A

bottom - palate - separates from oral cavity
hard palate - maxilla and palatine bones
soft palate - muscle

middle (above nostrils) - nasal vestibule
lined with vibrissae - hairs that filter coarse debris

top (rest of cavity) - nasal conchae - lined with mucous membranes
superior, middle, and inferior
*olfactory mucosa: superior; smell receptors
* respiratory mucosa - pseudostratified ciliated columnar epithelium with goblet cells (mucus)

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6
Q

describe paranasal sinuses

A

open areas in bones that surround the nasal cavity
lighten the skull
help to warm and moisten the air

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7
Q

sinusitis

A

inflamed sinuses - can lead to blocked passageways that lead from the sinus to the nasa

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8
Q

which bronchus is more vertical?

A

right primary bronchus

*therefore, inhaled objects tend to get lodged here

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9
Q

describe type 1 cells

A

simple squamos

form a part of the respiratory membrane that gases diffuse across

gas exchange occurs via simple diffusion/movement from high concentration to low concentration

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10
Q

describe type 2 cells

A

secrete a lipoprotein (surfactant!) that coats the gas exposed alveolar surfaces

it interferes with the cohesiveness of water molecules which reduces the surface tension of alveolar fluid

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11
Q

describe the visceral and parietal pleuras

A

visceral: touching the lungs
parietal: lining the outside of the lungs

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12
Q

describe intrapleural and intrapulmonary pressures

A

intrapleural (outside of lung): 756 mmHg ( -4 mmHg)

intrapulmonary/intra-alveolar (inside of lung): 760 mmHg (0 mmHg)

if the pressures are equal, it leads to atelectasis (lung collapse)

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13
Q

pneumothorax

A

air in the pleural cavity

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14
Q

describe diaphragm contraction and relaxation

A

contraction: inspiration
relaxation: expiration

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15
Q

describe expiration

A

passive process (except for forced expiration)
relaxation of inspiratory muscles
depends on elasticity of lungs (recoil)
alveoli size decreases to smallest diameter , but does not stick together or collapse because of surfactant

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16
Q

describe the respiratory volumes

A

inspiratory reserve volume (forcefully inhaled) - 3100
tidal volume (normal breathing) - 500ml
expiratory reserve volume (forcefully exhaled) -1200 ml
residual volume (air remaining in lungs after forced expiration) - 1200 ml

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17
Q

boyle’s law

A

the relationship between the pressure and volume of gases
when the lung volume changes, the pressure in the lungs change
when temperature is constant, pressure is inversely related to volume

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18
Q

dalton’s law of partial pressure

A

the total pressure (760 mmHg) exerted by a mixture of gases is the sum of the pressures exerted independently by each gas in the mixture

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19
Q

partial pressure

A

the pressure exerted by each gas

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20
Q

henry’s law

A

when a gas is in contact with a liquid, the gas will dissolve in the liquid in proportion to its partial pressure
*gases move into/out of liquids until equilibrium is attained

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21
Q

describe carbon dioxide transport

A

70% transported as HCO3- (bicarbonate) in plasma
20% bound to globin of Hb (carbaminohemoglobin)
10% dissolved in blood

*crabon dioxide diffuses into RBCs and combines with water to form carbonic acid which quickly dissociates into hydrogen ions and bicarbonate ions

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22
Q

haldane effect

A

decreased oxygen saturation allows more carbon dioxide to enter and be carried within a red blood cell

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23
Q

carbonic anhydrase

A

enzyme that converts CO2 and H2O to carbonic acid

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24
Q

chloride shift

A

outrush of negative bicarbonate ions from the RBCs is balanced as chloride ions move in from the plasma

25
bohr effect
declining blood ph and increasing CO2 weaken the hemoglobin/oxygen bond
26
define acidosis and alkalosis
acidosis: high CO2, high H, low ph alkalosis: low CO2, low H, high ph
27
what controls respiration?
under neural control of the medulla pons sets eupnea (normal breathing) *12-20 bpm (adult at rest)
28
hering-breur
inflation reflex prevents excessive stretching of the lungs (protective) when the lungs inflate, inhibitory signals are sent to the medullary inspiration center to stop inhalation and start expiration
29
list the respiratory stimuli chemicals from greatest to least
1 carbon dioxide 2 H (BLOOD PH!!!)/hydrogen ions 3 oxygen
30
define hyper and hypoventilation
hyperventilation: increase in the rate and depth of breathing hypoventilation: insufficient ventilation
31
dyspnea
difficult or labored breathing
32
apnea/sleep apnea
apnea: cessation of breathing | sleep apnea: cessation of breathing during sleep
33
when is the respiratory system of a fetus developed enough for survival?
28 weeks | *surfactant must be given to prevent another collapse
34
valsalavas maneuver
a forceful attempt at expiration when the airway is closed * results in low blood pressure and a high heart rate examples: lifting heavy weight
35
what are the functions of the kidney?
exocrine functions: removal of toxins, metabolic wastes, and excess ions from the blood regulation of blood volume, chemical composition, and pH glucogenesis (creation of new sugar) during prolonged fasting endocrine functions: renin is released to decrease/regulate bp & regulate kidney function erythropoietin released due to hypoxia - regulation of rbc production activation of vitamin D
36
nephron
functional and structural unit of the kidney
37
what forms the renal corpuscle?
glomerulus - tuft of capillaries | renal tubule - begins and glomerular (bowman's) capsule surrounding glomerulus
38
what is the path of blood flow through renal blood vessels?
aorta> !!!Renal Artery!!! > segmental artery > interlobar artery > arcuate artery > cortical radiate artery > !!!Afferent Arteriole!!! > !!!Glomerulus (Capillaries)!!! > !!!Efferent Arteriole!!! > !!!Peritubular Capillaries & Vasa Recta!!! > cortical radiate vein > arcuate vein > interlobar vein > !!!Renal Vein!!! > inferior vena cava
39
peritubular capillaries
a continuation of the efferent arteriole
40
vasa recta
the peritubiular capillaries around the loop of henle
41
describe the function of the afferent and efferent arteriole?
afferent arteriole: feeds blood to the glomerulus | efferent arteriole: drains blood from the glomerulus
42
what is the flow of urine?
minor calyx > major calyx > renal pelvis > ureter *peristalsis* > urinary bladder > urethra
43
describe the renal tubules
series of tubules from bowmans capsule proximal convoluted tube loop of henle (descending and ascending limb) distal convoluted tube collecting duct (drains^)
44
describe the proximal convoluted tube
filtrate enters here first after glomerular capsule site of the most tubular reabsorption (75-80%) H20 Na K *will not absorb creatine
45
describe the loop of henle
located in the medulla establishes medullar osmotic gradient - allows osmosis to occur in medulla descending limb: thin segment/simple squamos/freely permeable to water ascending limb: thick segment/ cubodial to columnar
46
describe the distal convoluted tube
tubular secretion occurs here ``` location for drug secretion drugs creatine excess H, K, Na (some reabsorption of Na and secretion of K under the influence of aldosterone) biocarbonate wastes ```
47
describe the collecting ducts
receive filtrate from draining the distal convoluted tube travel through renal pyramids where the fuse into papillae that empty urine into the minor calyces
48
describe bowman's capsule in relation to filtrate and urine
site of filtrate formation (180 L/day) | *99% will be reabsorbed - only 1%/1-1.8L will leave as urine
49
what are the mechanisms of urine formation?
1 glomerular filtration 2 rubular reabsorption 3 tubular secretion
50
describe the juxtaglomerular apparatus
next to the glomerulus *regulates rate of filtration formation & systemic bp* acts as a stretch receptor and senses changes in bp can secrete renin (vasoconstriction/increased bp)
51
describe what causes the secretion of renin and its path
cause: low blood pressure rening - angio - angio l - angio ll - stimulates hypothalmus to release adh
52
describe adh
inhibits pee/keeps urine in the body or | increases permeability of the cells of the collecting duct to water reabsorption
53
describe the effects of increased and decreased levels of adh
increased adh - decreased urination | decreased adh - increased urination
54
describe alcohol and adh
alcohol is a diuretic inhibits/prevents the release of adh *therefore, you pee a lot
55
kidney stones
aka renal caliculi high ca and gout/uric acid can be causes *lithotripsy - ultrasonic shock waves are used to shatter the caliculi
56
describe the 2 parts of the urethra
internal sphincter: involuntary | exteternal sphincter: voluntary
57
micturition
aka urination | controlled by the PNS
58
describe incontinence and urinary retention
incontinence: inability to control voiding (urination) | urinary retention: the inability to void