Pulmonary Anatomy and Physiology review Flashcards

(42 cards)

1
Q

The pulmonary airway structures that we need to know well include the following:

A

○ Trachea
○ Carina
○ Primary Bronchi
○ Secondary Bronchi
○ Tertiary Bronchi
○ Bronchioles
○ Alveoli

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2
Q

Trachea and Carina

A

○ Trachea- Flexible, semi-rigid tubular structure (“windpipe”).
○ Roughly 2.5 cm in diameter and 12-14 cm in length
● Extends through the mediastinum and
lies anterior to the esophagus.
● Carina- Internal ridge between bronchi

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3
Q

The Bronchi

A

The bronchial tree is a branched
system of air-conducting passages.
○ Originates at level of Carina

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4
Q

Aspirations often go this direction

A

Right Primary bronchus is more
vertically oriented

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5
Q

All types of bronchi exhibit some common characteristics:

A

○ Incomplete rings of cartilage continue
to keep the bronchi patent, although these rings become smaller and less numerous further into the tree.
○ All bronchi are lined with ciliated epithelium to help manage mucus.
○ A complete ring of smooth muscle develops between the epithelium and the cartilage rings

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6
Q

Eventually the bronchi branch
into tubules less than ___ mm in
diameter (no more cartilage).

A

1-2

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7
Q

Ciliated cells are replaced by
____ lining the bronchioles.

A

simple cuboidal or columnar
epithelium

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8
Q

Instead of cartilage keeping them patent, bronchioles have a _____

A

thicker layer of smooth muscle

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9
Q

The ____ is a thick layer of smooth muscle that helps regulate airway constriction or dilation.

A

muscularis

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10
Q

____ regulates the amount of air traveling
through the bronchial tree

A

Constriction or dilation of the bronchioles

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11
Q

What are the supporting
cells of the lungs that lay within the pulmonary interstitium?

A

Includes alveolar and capillary epithelium,
basement membrane, and perivascular/perilymphatic tissue

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12
Q

___ Pulmonary Arteries take oxygen-depleted blood from the right ventricle into the lungs

A

Two

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13
Q

Normal arterial pressure
within the pulmonary arteries is:

A

○ Systolic- 15-30 mmHg
○ Diastolic- 8-15 mmHg

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14
Q

Terminal bronchioles
branch into ____ , which
eventually terminate at
the ____

A

Respiratory bronchioles; Alveolar Pore

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15
Q

Each alveolus is encased in _____

A

pulmonary capillaries and supportive tissue

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16
Q

There are two types of cells in alveolar wall:

A

○ Alveolar Type 1- The predominant cell
type that promotes gas diffusion
○ Alveolar Type 2- Less common than
type 1, secretes Pulmonary Surfactant

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17
Q

Surfactant

A

fluid composed of lipids and proteins
that coats the inner surface of the alveoli.
● The purpose is to reduce surface tension and
prevent collapse of the alveoli during exhalation

18
Q

In the womb, a fetus starts producing
surfactant in ___

A

the third trimester

19
Q

____ is where CO2 is exchanged for O2 by the process of simple diffusion

A

The Alveolar-Capillary complex

20
Q

Most O2 in the blood is bound to
hemoglobin in the form of
_____

A

Oxyhemoglobin

21
Q

The large majority of CO2 in the
blood is transported in the form of
____

A

Bicarbonate (HCO3-)

22
Q

____ has a higher PCO2 than
air in the Alveolus, so CO2 moves into
the Alveolus.

23
Q

Partial pressure of ____ mmHg
correlates with O2 saturation of
approximately ____

24
Q

A serous membrane called ____ lines the outer surfaces of the lungs and the adjacent internal thoracic wall.

25
Pleura is formed from simple squamous epithelium called ____
Mesothelium
26
____ tightly covers the entire outside of each lung
Visceral Pleura
27
_____ lines the internal thoracic walls, superior surface of the diaphragm, and lateral parts of the mediastinum
Parietal Pleura
28
The ____ is a potential space between the layers of pleura lubricated with serous fluid.
Pleural Cavity
29
Muscles involved in respiration:
○ Scalenes ○ Intercostals (Internal and External) ○ Diaphragm
30
The Scalenes
● Group of three muscles that extend from transverse process of cervical vertebrae to 1st and 2nd ribs ● The scalenes help increase vertical dimensions of the thoracic cavity by elevating the 1st and 2nd ribs
31
T/F the scalenes are used during baseline respiration
F They are generally utilized during forced or aggressive inhalation.
32
External Intercostal fibers are oriented ____ and contraction elevates the ribs.
“up and out,”
33
Internal Intercostal fibers are oriented ____ and contraction depresses the ribs
“down and in,”
34
The ______ innervate ipsilateral domes of the Diaphragm, the main workhorse of respiration
Phrenic nerves (C3-4-5)
35
About ____ of air is inhaled and exhaled with each breath
500 mL
36
Respiratory rate and depth are controlled by _____ in the brainstem.
CNS Respiratory Centers ○ Specifically the Medulla
37
The strongest influencing factor of baseline respiratory rate is
arterial partial pressure of both O2 and CO2.
38
Two main CNS Respiratory Centers:
○ Dorsal Respiratory Group (DRG) ○ Ventral Respiratory Group (VRG)
39
Function of the DRG
● The DRG receives sensory input and can influence respiratory muscles. ● The DRG is likely responsible for baseline spontaneous respiration
40
Function of the VRG:
● The VRG can also influence the DRG through interneurons (flows over if drive increases for respirations).
41
_____ sensed by chemoreceptors in the aortic and carotid bodies is the strongest modifier of CNS respiratory centers
Low arterial O2 or high arterial CO2
42
____ (located in the medulla) influence the DRG and VRG, which results in increased respiratory rate.
Central Chemoreceptors