Respiratory system Flashcards

(57 cards)

1
Q

What does the upper respiratory tract consist of

A

Larynx, Nasal Passages, Pharynx

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2
Q

What does the Nasal passages consist of

A

Nasal vestibule, Nasal cavities

Nasal mucosa
- nasal vestibule (skin/hair) (vibrissae)
- Respiratory epithelium (lateral walls)
- olfactory epithelium (roof)

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3
Q

What does the pharynx consist of

A

Nasopharynx, Oropharynx, Laryngopharynx

Subglottis, glottis, epiglottis

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4
Q

What does the respiratory epithelium have

A

Respiratory epithelium has Pseudostratified Ciliated Columnar with Goblet cells

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5
Q

What is the purpose of turbinates/conchae

A

Reduces airflow to enable air conditioning and filtering

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6
Q

What part helps to warm the air

A

Sub-mucous vessels

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7
Q

What are the cells in the mucous membrane

A

Goblet cells - secrete mucus

Ciliated cells - move mucus

Sensory cells - sneeze, cough

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8
Q

What is the main function of the larynx

A

Prevent asphyxiation (choking)

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9
Q

Which part separates airflow and food channels

A

Epiglottis

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10
Q

What does the larynx consist of

A

Thyroid and cricoid cartilages bound the cavity

Cartilaginous assembly by ligament and membranes

Muscles to abduct and adduct for voice production

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11
Q

What does the lower respiratory tract consist of

A

Cricoid cartilage (C6) to Sternal angle (T4)

Smooth muscle (trachealis), tracheal cartilage, respiratory epithelium, mucous glands, lamina propria

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12
Q

Key landmarks of lower respiratory tract

A

Esophagus

Left recurrent laryngeal nerve

Left vagus nerve

Arch of aorta

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13
Q

What is the carina

A

Tracheal bifurcation between separating right and left bronchi

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14
Q

What is the difference between right and left lung

A

Right lung compared to left lung is
- more vertical
- wider in diameter
- shorter in length

Foreign bodies more likely to be aspirated into right side

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15
Q

What innervates the bronchial tree

A

Mainly autonomous nerves
- sympathetic involved in increasing airway diameter (bronchodilation)
- parasympathetic involved in decreasing airway diameter (bronchoconstriction)

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16
Q

What supplies blood to the bronchial tree

A

Bronchial arteries branching from thoracic aorta

Bronchial veins draining from azygos system of veins

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17
Q

What are the 2 zones in the functional division

A

Conducting zone and respiratory zone

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18
Q

Where does the respiratory zone begin

A

Respiratory bronchioles to alveoli

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19
Q

Where does the conducting zone begin

A

Nose to terminal bronchioles

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20
Q

What happens in the conducting zone

A

No gas exchange occurs = anatomical dead zone (150mL)

Primary source of airway resistance which is greater for people with asthma

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21
Q

What is the respiratory zone known as

A

Acinus

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22
Q

What happens at the respiratory zone

A

Gas exchange

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23
Q

Where is the pulmonary arteries in the lungs

A

RALS: Right anterior, Left Superior with reference to bronchus

24
Q

How many lobes does the right and left lung have

A

3 lobes in the right lung

2 lobes in the left lung

25
How many fissures are in the right and left lung
Horizontal and oblique fissure - right lung oblique fissure - left lung
26
Where is the cardiac notch and lingula
Anterior of Left lung
27
What innervates the diaphragm
Phrenic nerves Origin: Cervical spinal segment (C3, 4, 5)
28
What are the muscles involved in forced expiration
Internal intercostal Innermost intercostal External oblique Internal oblique Transversus abdominis Rectus abdominis
29
What are the accessory inspiratory muscles
Levator costanum Erector spinae Scalene muscles Sternocleidomastoid Serratus anterior Pectoralis major
30
What muscles are involved in inspiration
Diaphragm and external intercostal
31
What are the 2 movements of the chest wall for respiration
Pump handle and bucket handle motion
32
What happens during the 'pump handle' motion of the chest wall
increase in anterior to posterior diameter forward movement of sternal body at manubriosternal joint involves 2nd - 5th ribs mainly; 1st rib is fixed increased anteroposterior diameter of thoracic cavity
33
what happens at the bucket handle motion of the chest wall
increase in transverse diameter of cavity elevates 6 - 10 ribs at costovertebral and sternocostal joints
34
What are the 2 intercostal muscles
External and internal intercostal
35
what is the function of internal intercostal
stiffen chest wall depress ribs in forced expiration
36
what is the function of external intercoastal
elevates ribs during inspiration stiffen chest wall
37
Why is the diaphragm the principal muscle of inspiration
Causes descent of domes sufficient for quiet inspiration
38
What are the key relations of the right lung
Superior vena cava inferior vena cava heart subclavian vein subclavian artery esophagus azygos vein
39
what are the key relations of the left lung
thoracic aorta left subclavian artery left brachiocephalic vein aortic arch heart
40
How many brachopulmonary segments are there in each lung
10
41
What makes the bronchopulmonary segment an independent structural and functional unit
Has its own bronchus (air supply) and artery (blood supply)
42
What are the 5 types of cells in the alveoli
Type I pneumocyte (40%) Type II pneumocyte (60%) Interstitial cells - fibroblast and mast cells Capillary endothelial cells Alveolar macrophages
43
What is the difference between Type I and II pneumocytes
Type I - 40% of cells in alveolus - simple squamous epithelium - involved in gas exchange Type II - 60% of cells in alveolus - produces surfactant which helps lower surface tension in alveoli to prevent collapse
44
What does a lack of surfactant cause
Respiratory distress syndrome which is seen in premature babies
45
What is the downstream flow of each BP segment
Segmental bronchus > bronchioles > several generations > terminal bronchioles > respiratory bronchioles > alveoli ducts, sacs and alveoli Size decreases whereas Surface area increases as we go downstream
46
Changes along wall of trachobranchial tree
Pseudostratification disappears Decrease in cell height Disappearance of goblet cells
47
What is pleura effusion
Excess of pleural fluid > 15mL Causes positive intrapleural pressure which decreases lung expansion and thus blunted costophrenic angle
48
What is pleura cavity
In between visceral and parietal pleura which contains thin film of pleural fluid of 5 - 15mL Plasma filtered from capillaries
49
What is the intrapleural pressure
756 mmHg
50
What is the intra-alveolar pressure
760mmHg
51
How does breathing occur with reference to pressure present
Diaphragm contracts and chest wall expands which results in negative intrapleural pressure which results in intra-alveolar pressure and thus inspiration occurs
52
Pneumothorax and chest wall injury
Causes present of air in pleural cavity and hence positive intrapleural pressure Shifts trachea and mediastinal structures to opposite sides. Along with collapsed lung, it causes decreased alveolar ventilation
53
Thoracic wall skeletal parts
Associated ligaments Costal cartilages Sternum Vertebrae Ribs
54
Thoracic wall musculoaponeurotic parts
Diaphragm, Fasciae, Suprapleural membrane, intercostal muscles
55
Key landmark lines of thoracic wall
Midclavicular line Axillary lines (anterior, middle, posterior) Scapular lines
56
What are the 3 main holes in the diaphragm
Aortic hiatus Esophageal hiatus Caval opening (vein opening)
57
What are the atypical ribs
1, 11, 12