Respiratory Pt 2 Flashcards

(96 cards)

1
Q

Bronchioles: They differ in the absence of ___ and ___ within their
walls

A

cartilages and glands

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2
Q

lamellar bodies contain

A

phospholipids

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3
Q

______ diameter of
trachea increases the
velocity of expired air,
this helps to clear the
air passage

A

Smaller (decreased)

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4
Q

Bronchi: in smaller branches, the amount of cartilage
____, whereas the amount of smooth
muscle _____. Also, the number of
glands and goblet cells _____

A

decreases. increases. decreases

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5
Q

Penumocytes possess intracytoplasmic granules,
called ___, containing
phospholipid

A

lamellar bodies

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6
Q

respiratory bronchioles characteristically exhibit a progressive ____ in height of the epithelium

A

reduction

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7
Q

Alveolar Septa contain_____;
communicating spaces
between alveoli

A

alveolar pores
(= pores of Kohn)

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8
Q

Lower respiratory tract begins at
____

A

larynx

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9
Q

irritation to lower airways (trachea & bronchi) triggers ___

A

cough
reflex

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10
Q

Bronchioles: Begin as branches of the smallest bronchi (1mm or less in
diameter) and are lined with ____ which changes
to _____ epithelium.

A

ciliated columnar changes to cuboidal

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11
Q

Characteristics of Club Cells

A

non-
ciliated, dome-shaped, cuboidal to
columnar cells

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12
Q

Alveoli are thin-walled
structures surrounded by
rich capillary network,
supplied by ___

A

pulmonary A

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13
Q

Bronchi differ from the trachea in
having a layer of smooth muscle
between the_____ and hyaline
cartilage

A

lamina propria

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14
Q

(respiratory) Phagocytize particulate
matter & microorganisms

A

alveolar Macrophages
(= dust cells)

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15
Q

Mediate airway sensation from the level of
the true vocal cords to the carina.

A

Recurrent Laryngeal Nerve

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16
Q

Function of Fibroelastic Ligament in trachea

A

Preventing
overdistension of the
lumen

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17
Q

Also known as “heart failure”
cells become laden with
brownish-black hemosiderin
pigment resulting from the
breakdown of erythrocytes
leaking from the engorged
capillaries

A

alveolar Macrophages
(= dust cells)

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18
Q

lamellar bodies contents secreted as _____, a
phospholipid, which ↓ surface tension
& keeps cells moist for gas exchange

A

surfactant

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19
Q

Bronchioles lack ___ & ___ glands; smooth Mm performs support function instead; several levels

A

cartilage. sero-mucus glands.

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20
Q

Mucociliary ladder—
cilia in respiratory epithelium of trachea & bronchi
synchronously beat in ____ rhythym (coordinated traveling wave)

A

metachronal rhythm

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21
Q

Secondary (lobar) bronchi:
* Wall structure similar to
main bronchi except: : Supporting cartilages form
_____

A

form irregular plates or islands
rather than rings

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22
Q

Trachea is composed of ____ epithelium. ____ glands + _____.
___ cartilage.
______ cells in isogenous groups
____ appearing matrix

A

–respiratory epithelium
–seronmucous glands + blood vessels
–hyaline cartilage
–chondrocytes
–smooth appearing matrix

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23
Q

____ intersects with
respiratory system where upper
& lower respiratory tracts meet
at larynx

A

Digestive tract

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24
Q

~5% of surface area of lung lined by
____—larger, rounded,
dome-shaped cells

A

Type II pneumocytes

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25
Mucociliary ladder moves surface mucus towards ___ at rate of ~1 cm/min
larynx
26
Trachea: Posterior ends of C-shaped rings bridged by:
Fibroelastic ligament and trachealis muscle
27
most of epiglottis & true vocal cords covered by ____ epithelium
stratified, squamous, nonkeratinized
28
Irritation to upper airways (nasal passages) triggers ___
sneeze reflex
29
In terminal & respiratory bronchioles, goblet cells are replaced by _____—non- ciliated, dome-shaped, cuboidal to columnar cells
club cells
30
95% of alveolar surface area covered by simple squamous epithelium consisting of ______
Type I pneumocytes
31
Recurrent Laryngeal Nerve: can be affected by aneurysm of the ___
aortic arch.
32
Tertiary (segmental) bronchi: how does diameter compare to lobar/mainstream bronchi/?
smaller diameter than lobar + mainstream bronchi
33
Alveolar ducts: The walls of alveolar ducts are lined by ____
alveoli and alveolar sacs (clusters of alveoli) + simple, squamous epithelium
34
club cells differentiate into ciliated cells to ________ (the action)
regenerate the bronchiolar epithelium.
35
multiply and differentiate into ciliated cells to regenerate the bronchiolar epithelium.
club cells
36
Bronchioles: Club cells also function as ____ capable of differentiating into other respiratory cells following damage
reserve stem cells
37
Diagnostic feature of trachea
16-20 C shaped rings of hyaline cartilage
38
Throughout lung are small to moderate #’s of ___ cells
alveolar Macrophages (= dust cells)
39
In the smallest bronchioles, the epithelium will be _____ (mostly club cells, also known as Clara cells) and lack cilia altogether
simple cuboidal
40
Club cells Use ____ enzymes
cytochrome P450
41
BALT or MALT found in _____ layer of subepithelial CT
Lamina Propria
42
Lack of surfactant 1’ respiratory problem for premature infants => _____
respiratory distress syndrome
43
Digestive Tract intersects with respiratory system where upper & lower respiratory tracts meet at ___
larynx
44
These lymphoid aggregates are seen throughout respiratory tract—found in lamina propria—layer of subepithelial connective tissue
BALT (Bronchus associated lymphoid tissue) or MALT (mucosa associated lymphoid tissue)
45
bronchus associated lymphoid tissue
BALT
46
_____vocal cords located superior & lateral to ___ vocal cords
False. True.
47
T/F terminal bronchi possess an extensive amount of goblet cells
False; no goblet cells
48
___ vocal cords contain vocalis M & ligament
True Vocal Cords
49
In bronchioles smooth muscle performs ___ function
support
50
air-blood barrier consists of ____, epithelia cells lining capillaries & shared, fused basement membrane
Type I pneumocytes of alveoli
51
Alveolar ducts contain numerous alveoli lined with ___ epithelium
simple, squamous epithelium
52
Produce solution similar in composition to pulmonary surfactant
club cells of bronchioles
53
These bronchioles with individual alveoli in their walls are called -____bronchioles
respiratory
54
left recurrent laryngeal nerve originates from the left ____
vagus nerve (left comes off much lower)
55
Smallest part of conducting portion
terminal bronchiole
56
Both true & false vocal folds (cords) are house here
larynx
57
If food enters _____, triggers coughing reflex; may => choking
larynx or trachea
58
____ vocal cords covered by typical respiratory epithelium with associated sero-mucus glands
False Vocal Cords
59
Recurrent Laryngeal Nerve: Damage or tumoral involvement is nearly always unilateral and manifests as ___
hoarseness
60
The _____ is often involved when metastatic lung cancer involves the left side of the mediastinum, either by direct invasion or lymph node spread
left recurrent laryngeal nerve
61
The main functions of the larynx are to produce ___ and to ____ the trachea during swallowing to prevent food & saliva from entering the airway
sound. close.
62
Trachea: 10 cm long tube that extends from the ____ to the ____
larynx; primary bronchi
63
1’ function of BALT is secretion of ___ onto_____—provides protection from micro-organisms
IgA onto mucosal surface (of bronch)
64
______ is an anti- inflammatory protein secreted by the club cells of the distal respiratory epithelium that has been proposed as a biomarker of lung epithelial injury.
club cell secretory protein (CCSP)
65
Trachea: 10 cm long tube that extends from the larynx to the primary bronchi. Lined by ___
respiratory epithelium
66
Normally, epiglottis protects ____ during swallowing; covers opening of larynx
trachea
67
(Trachea) Smooth muscle that results in narrowing during cough reflex * Smaller diameter of trachea increases the velocity of expired air, this helps to clear the air passage
Trachealis muscle
68
Terminal bronchioles possess _____ epithelium
tall, ciliated pseudostratified columnar
69
Alveolar macrophages are eliminated from lung at rate of 50 million/day via
mucocilliary ladder
70
Larynx: Located below dorsal opening of larynx, & covered by ___
epiglottis
71
Air within alveolus separated from blood within capillaries by 2 cell layers—so-called ____
air- blood barrier
72
Gas exchange begins at level of _____
respiratory bronchioles
73
Terminal bronchiole posses ______ epithelium
Ciliated columnar to cuboidal epithelium
74
The left _____ originates from the left vagus nerve at the level of the aortic arch and loops under it immediately posterior to the ligamentum arteriosum to ascend along the posterolateral tracheal
recurrent laryngeal nerve
75
Part of the respiratory tract between the lower part of the pharynx and the trachea.
larynx
76
Respiratory bronchioles possess ____, ciliated & non-ciliated epithelium with occasional alveoli
simple, cuboidal to columnar
77
____ bifurcates into 2 Main or Primary bronchi
trachea
78
The recurrent laryngeal nerves provide ___ to the intrinsic laryngeal muscles for vocalization
motor innervation
79
Tertiary (segmental) bronchi: T/F cartilage is absent beyond 2' bronchi
FALSE; Cartilage absent beyond 3’ bronchi (no cartilage in respiratory bronchi)
80
in addition to phonation (speech), ____ protect lower respiratory tract from entry of foreign bodies
vocal folds
81
Tertiary (segmental) bronchi: Multiple branchings leading to smaller bronchi and eventually _____
bronchioles
82
(Respiratory Bronchioles) Club Cells protect the bronchiolar epithelium by secreting ______
club cell secretory protein (CCSP)
83
Terminal bronchiole branch to form 2+ ____ bronchioles
respiratory
84
Alveolar ducts & alveoli lined by ______
simple squamous epithelium
85
T/F Bronchioles have extensive cartilage and glands in walls
False: no cartilage or glands in walls of bronchioles; but have prominent smooth msucle
86
Cilia use this to clear mucous/others from Respiratory Tract
Mucociliary ladder
87
Opening of _____ directly behind opening of __
esophagus; trachea
88
Bronchi differ from the trachea in having ____ rather than _____ of cartilage, and in having a layer of smooth muscle between the lamina propria and hyaline cartilage
plates. rings.
89
alveolar Macrophages (= dust cells): Also known as "heart failure" cells become laden with brownish-black ______ pigment resulting from the breakdown of erythrocytes leaking from the engorged capillaries
hemosiderin
90
What is fibroelastic ligament composed of?
collagen & elastic fibers.
91
Bronchioles produce solution that prevents ____ of bronchiole walls
sticking together
92
flattened epithelial cells modified for gas exchange
Type I pneumocytes
93
___ are also responsible for detoxifying harmful substances inhaled into the lungs.
club cells
94
As bronchioles get smaller, general trend towards thinning of epithelium with ___ of goblet cells
loss
95
The walls of respiratory bronchioles might have small knobs of ____, collagen and elastic fibers between the openings of adjacent alveoli.
smooth muscle
96
(Respiratory Bronchioles) Non-ciliated, dome-shaped protein-secreting cells found in the terminal bronchioles
Club cells