Respiratory Anatomy Flashcards

(43 cards)

1
Q

Conducting zone goes down to…

A

terminal bronchioles

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2
Q

“Anatomic Dead Space”

A

Conducting zone - warms, humidifies, and filters air but does not participate in gas exchange

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3
Q

Cartilage and goblet cells extend to….

A

end of bronchi

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4
Q

Pseudostratified ciliated columnar cells extend to

A

beginning of terminal bronchioles

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5
Q

Cuboidal cells begin at

A

terminal bronchioles

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6
Q

Airway smooth muscle extend to

A

end of terminal bronchioles

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7
Q

Respiratory zone consists of:

A

respiratory bronchioles, alveolar ducts, and alveoli

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8
Q

Participates in gas exchange

A

Respiratory zone

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9
Q

Cell type in respiratory bronchioles

A

cuboidal cells

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10
Q

Cell type in alveoli

A

simple squamous

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11
Q

Clear debris and participate in immune response

A

Alveolar macrophages

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12
Q

Type I Pneumocytes:

A

97% of alveolar surface. Squamous, line alveoli, optimal for gas diffusion

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13
Q

Type II Pneumocytes:

A

Secrete pulmonary surfactant (lecithin)
Cuboidal, clustered.
Serve as precursors to type I cells and other type II cells. Proliferate during lung damage.

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14
Q

Club (Clara) cells

A

Nonciliated; low-columnar/cuboidal with secretory granules.

Secrete component of surfactant; degrade toxins; act as reserve cells.

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15
Q

Collapsing pressure (P) =

A

P = 2 (surface tension) / radius

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16
Q

Surfactant (purpose)

A

Decreases alveolar surface tension and prevents alveolar collapse (atelectasis).

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17
Q

Surfactant (properties)

A

Complex mix of lecithins, most important of which is dipalmitoylphosphatidylcholine.

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18
Q

Dipalmitoylphosphatidylcholine

A

Most important lecithin in surfactant

19
Q

La Place’s Law

A

Alveoli have increased tendency to collapse on expiration as radius decreases

20
Q

Fetal surfactant synthesis begins at

A

26 weeks gestation

21
Q

Fetal surfactant levels are mature at

A

35 weeks gestation

22
Q

Fetal lung maturity is indicated by:

A

Lecithin-to-sphingomyelin ratio >2.0 in amniotic fluid

23
Q

Right lung has how many lobes?

24
Q

Left lung has how many lobes?

A

2
Left has Less Lobes and Lingula (homologue of right middle lobe)
Instead of middle lobe, left lung has space occupied by heart.

25
Which lung is more common site for inhaled foreign body?
Right | Right main bronchus is wider and more vertical than the left
26
Aspirate a peanut: | While upright - where does it go?
Lower portion of right inferior lobe
27
Aspirate a peanut: | While supine - where does it go?
Superior portion of right inferior lobe
28
Relationship of pulmonary artery to bronchus at each lung hilus:
``` RALS Right Anterior (pulmonary artery is anterior to bronchus) Left Superior (pulmonary artery is superior to bronchus) ```
29
Fissures of Right lung:
``` Horizontal fissure (separates superior and middle lobes) Oblique fissure (separates middle lobe and inferior lobe anteriorly, inferior and superior lobes posteriorly) ```
30
Fissures of Left lung:
Obliqure fissure (separates Superior and Inferior lobes)
31
Inferior Vena Cava perforates diaphragm at what level?
T8
32
Esophagus perforates diaphragm at what level?
T10
33
Vagus nerve perforates diaphragm at what level?
T10 (with esophagus) | CN10; 2 trunks
34
Aorta perforates diaphragm at what level?
T12
35
Thoracic duct perforates diaphragm at what level?
T12
36
Azygos vein perforates diaphragm at what level?
T12
37
What structures perforate the diaphragm at T12?
aorta (red), throcic duct (white), and azygos vein (blue) "At T-1-2 it's the red, white, and blue"
38
What structures perforate the diaphragm at T10?
Esophagus and Vagus nerve (CN 10)
39
Diaphragm is innervated by
C 3, 4, and 5 (phrenic nerve)
40
Pain from diaphragm irritation can be referred to:
``` shoulder (C5) trapezius ridge (C3, 4) ```
41
Common carotid bifurcates at
C4
42
Trachea bifurcates at
T4
43
Abdominal aorta bifurcates at
L4