Resp 1 - Overview and anatomy Flashcards

(44 cards)

1
Q

What is the overall name for the airways where gas exchange DOESN’T take place?

A

Conducting airways

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2
Q

What is the overall name for the airways where gas exchange takes place?

A

Respiratory airways

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3
Q

Name the smallest airway which is a ‘conducting’ airway:

A

Terminal bronchiole

conducting = no gas exchange

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4
Q

Name the largest airway which is a ‘respiratory’ airway:

A

Respiratory bronchiole

respiratory = gas exchange takes place

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5
Q

What is the cumulative surface area of all the alveoli in the lungs?

A

~ 70 m^2

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6
Q

What brain center controls inspiration and expiration, and where is it located?

A

Respiratory center

Medulla

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7
Q

Where is the respiratory system of the brain?

A

Medulla

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8
Q

Describe inspiration:

A
  • Resp. center sends impulses to inspiratory muscles (ext. intercostals + diaphragm)
  • Inspiratory muscles contract = chest expands
  • Volume of lungs increases = pressure decreases
  • When alveolar pressure is lower than atmospheric, air rushes into lungs
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9
Q

Describe expiration:

A
  • Resp. center stops sending impulses to inspiratory muscles (external intercostals + diaphragm)
  • Inspiratory muscles relax = chest volume decreases = pressure increases
  • When alveolar pressure is higher than atmospheric, air flows out of lungs
    FORCED = Contraction of Internal Intercostals + Abdominal muscles decrease chest volume further
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10
Q

What is Boyles law?

A

Pressure is inversely proportional to volume

- for a fixed quantity of gas, at a constant temperature

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11
Q

Define the ‘partial pressure’ of a gas:

A

Individual pressure exerted by a gas in a gas mixture

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12
Q

Define the ‘partial pressure’ of a gas in liquid:

A

The pressure exerted by a gas within a liquid (due to collision between the dissolved gas molecules)

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13
Q

How do you calculate the ‘content’ of gas in a liquid?

A

Solubility coefficient of the gas x partial pressure it is exposed to

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14
Q

What are the units of a solubility coefficient?

A

mmol/L/kPa

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15
Q

Define saturated water vapour:

A

The pressure exerted by a gas mixture saturated with water vapour

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16
Q

How do you calculate the partial pressure of a gas?

A

Atmospheric pressure x % gas in the atmosphere

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17
Q

Calculate the pO2 of dry air:

where 20.9% of dry air is O2

A

101 kPa x 0.209 = 21.1 kPa

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18
Q

As altitude increases, what happens to atmospheric pressure?

A

Atmospheric pressure decreases

19
Q

What is the SVP of H2O @ 37’?

20
Q

Calculate the pO2 of humidified air:

where 20.9% of dry air is O2

A

(Atmospheric pressure - SVP) x % gas in atmosphere

(101 - 6.28) x 0.209 = 19.8 kPa

21
Q

How do you calculate the content of a gas in plasma?

A

Solubility coefficient x Pgas

22
Q

How do the solubility coefficients of O2 and CO2 differ?

A

CO2 is 23x O2, as CO2 dissolves 23x faster than O2.

23
Q

What structures make up the URT?

A
  • Nose
  • Paranasal sinuses
  • Pharynx
  • Larynx
24
Q

What is the boundary between the URT and LRT?

A

Lower border of Cricoid cartilage (where larynx becomes trachea)

25
What prevents the nasal cavity from overdrying?
Venous plexuses swell every 20-30 mins, alternating airflow from side-to-side
26
Name the borders of the nasal cavity
Roof = Cribriform plate Floor = Hard + Soft palates Lateral walls = Contain conchae and meatuses Medial wall = Nasal septum
27
List the functions of the conchae in the nasal cavity:
- Slow air flow | - Increase surface area (for filtration, warming and humidifying air)
28
What part of the nasal cavity transmits olfactory nerve fibres?
Cribriform plate | Upper posterior nasal cavity roof
29
Where do the paranasal sinuses and lacrimal ducts drain?
Superior/Middle/Inferior meatuses in nasal cavity
30
Name the paranasal sinuses:
- Frontal - Ethmoid - Maxillary - Sphenoid
31
How many paranasal sinuses do we have?
8 | 4 paired sinuses (frontal, ethmoid, maxillary, sphenoid)
32
List the functions of the nasal cavity:
- Filter, humidify, and warm air - Smell - Drain paranasal sinuses and lacrimal ducts
33
What type of epithelial cells is found within the nasal cavity?
Pseudostratified columnar ciliated epithelium
34
Name the 3 parts of the pharynx:
1) Naso-pharynx 2) Oro-pharynx 3) Laryngo-pharynx
35
Name the tube which connects the nasopharynx to the middle ear:
Eustachian tube
36
Name the region of the URT which connects the pharynx to the trachea:
Larynx
37
Name the 5 cartilages which support the larynx:
1) Thyroid cartilage 2) Cricoid cartilage 3) Epiglottis 4) Paired Arytenoid cartilages
38
What are the main functions of the epiglottis?
- Phonation - Guards air passage - Allows cough reflex
39
Why must the glottis be able to close to allow the cough reflex?
The glottis must close to allow increase in intrathoracic pressure, for early part of cough reflex
40
What are the symptoms of injury to a recurrent laryngeal nerve?
- Hoarse voice - Aspiration - Dysphagia
41
How does recurrent laryngeal nerve injury cause a hoarse voice?
Cause paralysis of ipsilateral vocal cord
42
What are the causes of Recurrent Laryngeal Nerve injury?
- Tumour - Compression - Trauma - Burn
43
If one of the recurrent laryngeal nerves is injured, will the ipsilateral or contralateral vocal cord be affected?
Ipsilateral (same side)
44
Which recurrent laryngeal nerve can be injured in the thorax (ie by lung tumour)? Why?
Left RLN During heart 'descent', LRLN becomes hooked around the ductus arteriosus, while the RRLN becomes hooked around the Right Subclavian artery. = RRLN not present in thorax