Respiratory Flashcards

(69 cards)

1
Q

Which muscles tense the vocal cords

A

Cricothyroid

(CricoThyroid = cords tense)

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2
Q

Which muscles relax the cords?

A

Thyroarytenoid

ThyroaRytenoid = They Relax

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3
Q

Which muscles ABDUCT the vocal cords?

A

Posterior Cricoarytenoid
“PCA”
“Please Come Apart”

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4
Q

Which muscles ADDUCT the cords

A

Lateral cricoarytenoid
“Let’s close the airway”

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5
Q

Which branch of the trigeminal nerve innervates the nares and anterior ⅓ of the septum?

A

V1 (ophthalmic)

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6
Q

Which branch of the trigeminal nerve innervates the turbinates and septum

A

V2

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7
Q

Which branch of the trigeminal nerve innervates the anterior ⅔ of the tongue

A

V3

(Think anterior ⅔, V2-V3 like climbing grades)

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8
Q

The posterior ⅓ of the tongue is innervated by what nerve?

A

Glossopharyngeal

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9
Q

The soft palate is innervated by what nerve?

A

Glossopharyngeal

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10
Q

The oropharynx is innervated by which nerve?

A

Glossopharyngeal

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11
Q

The vallecula is innervated by which nerve?

A

The glossopharyngeal

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12
Q

The anterior side of the epiglottis is innervated by which nerve?

A

Glossopharyngeal?

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13
Q

The glossopharyngeal innervates these 5 structures

A

Posterior ⅓ of the tongue
Soft palate
Oropharynx
Valeculla
Anterior side of the epiglottis

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14
Q

What are the 2 branches of the Superior Laryngeal Nerve?

A

Internal branch
External branch

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15
Q

Which nerve/branch innervates the posterior side of the epiglottis —> to the level of the vocal cords

A

Internal branch

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16
Q

Which nerve provides motor interaction to the cricothyroid muscle (but no sensory innervation)

A

External branch of SLN

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17
Q

This nerve innervates everything below the cords to the trachea

A

Recurrent Laryngeal Nerve

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18
Q

Acute bilateral RLN injury affects the airway:

A

RESPIRATORY DISTRESS

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19
Q

Does chronic bilateral RLN injury affect the airway?

A

No respiratory distress

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20
Q

Bilateral SLN injury results in

A

Hoarseness

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21
Q

Unilateral SLN injury results in:

A

No respiratory distress

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22
Q

The palatoglossal arch at the anterior tonsilar pillar is the landmark for which airway block?

A

Glossopharyngeal nerve block

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23
Q

What are the 3 airway blocks?

A
  1. Glossopharyngeal nerve block
  2. Superior laryngeal nerve block
  3. Transtracheal nerve block
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24
Q

The greater cornu of the hyoid is the landmark for which airway block?

A

Superior laryngeal nerve block

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25
The cricothyroid membrane is the landmark for which airway block?
Transtracheal nerve block
26
Is the epiglottis an unpaired or paired cartilage?
Unpaired
27
Is the thyroid an unpaired or paired cartilage?
Unpaired
28
Is the cricoid cartilage an unpaired or paired cartilage?
Unpaired
29
Is the corniculate cartilage an unpaired or paired cartilage?
Paired
30
Is the Arytenoid an unpaired or paired cartilage?
Paired
31
Is the cuneiform cartilage paired or unpaired?
Paired
32
The Larynx extends from:
C3-C6
33
Which type of administration will provide the fastest onset of Succinylcholine if IV access is not available?
Submental administration
34
What is the only NMB that can be given IM?
Rocuronium
35
Which gas law applicable to respiration?
Boyle’s law
36
Which muscle increases the anterior-posterior diameter of the chest?
External intercostals
37
Is expiration active or passive?
Passive (usually)
38
What muscles are involved in active expiration? (4)
Abdominis muscles (rectus admoninis and transversus abdominis) Oblique muscles (external and internal) *total of 4
39
How many muscles are used in active expiration?
4
40
Accessory muscles that aid in inspiration
Sternocleidomastoid Scalene muscles
41
2 main muscles for inspiration:
1. Diaphragm 2. External intercostals
42
Contraction of inspiratory muscles (reduces/increases) thoracic pressures and (reduces/increases) thoracic volume
REDUCES thoracic pressure INCREASES thoracic volume
43
What is the amount of air in a single breath X the number of breaths per minute? TV X RR
Minute ventilation
44
What measures the fraction of minute ventilation that is available for gas exchange?
Alveolar ventilation
45
= (TV - anatomic dead space)XRR What is this equation for?
Alveolar ventilation
46
Is Alveolar ventilation (VA) directly or indirectly proportional to CO2 production?
DIRECTLY
47
Is Alveolar Ventilation directly or indirectly proportional to PaCO2?
INDIRECTLY
48
What are the 4 types of dead space?
1. Anatomic 2. Alveolar 3. Physiologic 4. Apparatus
49
This dead space is defined as air confined to the conducting airway
Anatomic
50
This dead space is defined as alveoli that are ventilated but not perfused
Alveolar dead space
51
This dead space is defined as anatomic dead space + alveolar dead space
Physiologic dead space
52
This dead space is defined as dead space added by equipment
Apparatus dead space
53
How many mL/kg Vital Capacity is required for an effective cough?
15 mL/kg
54
What are the 3 zones of the lung (not West’s)
Conducting Transitional Respiratory
55
If TPP is positive, does the airway stay open or closed?
Open
56
Pressure outside of the airway is called
Pleural pressure
57
Pressure inside the airway is called
Alveolar pressure
58
How much is the normal dead space in a 70 kg adult?
2 mL/kg or 150 mL
59
Does atropine increase or decrease anatomic dead space?
Increase *bronchodilator = increases the volume of the conducting zone
60
3 factors that increase Vd/Vt ratio
Face mask Atropine Neck extension
61
Factors that decrease the ratio of Vd to Vt
ETT LMA neck flexion
62
Which equation can be used to calculate physiologic dead space?
Bohr equation Vd/Vt = (PaCO2 - PeCO2)/PaCO2
63
The best ventilated alveoli are the most
Compliant
64
V/Q ratio represents
Ventilation to perfusion
65
Normal minute ventilation
4 L/min
66
Normal cardiac output
5 L/min
67
Normal VQ ratio
0.8
68
V/Q mismatch: When the number is greater that 0.8, this moves toward
dead space
69
V/Q mismatch: When the number is smaller than 0.8, this moves toward
Shunt