Resp Flashcards

(52 cards)

1
Q

What is the structure of nasopharynx?

A

3 nasal concha
3 meatus
4 sinuses

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2
Q

what are the 4 sinuses

A

frontal
ethmoid
sphenoid
maxillary

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3
Q

what are the 3 paired cartilages of the throat

A

arytenoid
corniculate
cuneiform

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4
Q

what are the 3 unpaired cartilages of the larynx

A

epiglottis
thyroid
cricoid

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5
Q

what type of cartilage is the epiglottis

A

elastic cartilage

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6
Q

name the structures that make up the conducting airway

A

trachea
main bronchus
lobar bronchi
terminal bronchioles

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7
Q

name the structures that make up the respiratory airway?

A

respiratory bronchioles
alveolar ducts
alveolar sacs
alveoli

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8
Q

what type of cells line the nostrils

A

keratinizing stratified squamous - becomes non stratified deeper

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9
Q

what is respiratory epithelium

A

pseudostratified ciliated columnar epithelium with goblet cells

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10
Q

what are glands of bowman

A

in the nasal roof secrete watery lubricant

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11
Q

what structure makes the change in stratified squamous to respiratory epithelia

A

epiglottis

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12
Q

what type of epithelia are on the true vocal chords

A

stratified squamous

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13
Q

what type of epithelia are on the false vocal chords

A

ciliated columnar

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14
Q

how is air pressure equalized across the lungs

A

small pores of Kohn allow pressure to equalize across alveolar sacs

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15
Q

where in the respiratory tract does cartilage stop

A

terminal bronchioles

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16
Q

what type of epithelium is in respiratory bronchioles

A

cuboidal

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17
Q

what type of epithelium is in terminal bronchioles

A

ciliated columnar but not goblet cells

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18
Q

what innervates peripheral chemoreceptors

A

glossopharyngeal

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19
Q

what are peripheral chemoreceptors sensitive to

A

pO2 changes

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20
Q

where are central chemoreceptors found

A

in the medulla oblongata

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21
Q

how do central chemoreceptors detect changes in pCO2?

A

diffuses across the BBB and becomes carboxylic acid. Receptors are sensitive to H+ concentration

22
Q

what is the role of stretch receptors in the lung and what are they called

A

J receptors or C-fiber receptors respond to hyperinflation events and increase breathing rate - likely to also decrease volume

23
Q

what are the medullary centers of breathing

A

dorsal and ventral

24
Q

what are the pontine respiratory groups

A

apneustic and pneumotaxic

25
what stimulates unconscious breathing
dorsal respiratory group
26
what respiratory center causes forced expiration
ventral respiratory group of the medulla
27
how do the pontine groups effect breathing
apneustic center stimulates breathing through the dorsal respiratory group of the medulla while pneumotaxic inhibits the apneustic to inhibit dorsal group stimulation
28
where is ventilation perfusion ratio lowest
base of lung as blood pools making perfusion large and ventilation low
29
where does ventilation exceed perfusion in the lung
apex
30
what proportion of CO2 becomes carboxylic acid
60%
31
how much greater is the flow in a tube when the radius is doubled
16X
32
what is Laplace's law
2 * alveolar wall tension ------------------------ = transpulmonary pressure radius
33
what is transpulmonary pressure
the pressure difference between alveoli and intrapleural pressure
34
what is the alveolar gas equation
PAO2 = (FiO2*(Atmospheric pressure - PH2O)) - (PaCO2/RespQuotent) or PAO2 = (0.21*(760-47))-(PaCO2/0.8)
35
what would happen to alveoli is surfactant were not present
collapse during expiration as surface tension increases
36
what is tidal volume
regular breathing volume
37
what is vital capacity
inspiratory reserve + tidal + expiratory reserve | deep breath then blow all the way out
38
what is functional residual capacity
expiratory reserve volume + residual volume
39
what is the anatomical dead space
air stuck in the conducting zone
40
what is the physiological dead space
dead space in the conducting zones + alveolar dead space where there is poor perfusion
41
what is normal FEV1/FVC
0.8
42
what is the henderson-hasselbalch equation
determines pH based on pCO2 and concentration of bicarb
43
what is hypercapnia
excess CO2
44
what is Hypocapnia and its dangers
Low blood CO2 - shallow water death | hyperventilation blows off too much CO2 breathing reflex is nullified - causing syncope
45
what are the receptors in airway smooth muscle and what do they do
M3 muscarinic - parasympathetic - constrict | B2 adreno - sympathetic - dilate
46
what is type 1 hypersensitivity
IgE mediated (anaphylaxis, hayfever)
47
What is type 2 hypersensitivity
Autoimmune, IgG binding to cell surface antigens
48
Type 3 hypersensitivity
failure to clear antibodies from sites causing extra immune response
49
type 4 hypersensitivity
T-Cell mediated formation of granulomas
50
explain the anaphylaxis cascade
IgE activate mast cells to release histamine
51
describe lung development
week 4-5 - respiratory diverticulum branches off foregut forms lungs and airways week 5-17 - development of conducting airway week 16-25 - capillaries, vasculature, and alveoli
52
Describe Cystic Fibrosis
Autosomal Recessive Causes mutation to CFTR protein 1:25 carriers 1:2500 births