Upper Respiratory Tract Flashcards

(38 cards)

1
Q

What are the components of upper and lower respiratory tracts?

A
  • Upper: nasal cavity and sinuses, pharynx

- Lower: larynx, trachea, bronchi, bronchioles and lungs

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What are the functions of the respiratory system?

A
  • Primary: transport of gases, surface for gas exchange

- Secondary: phonation and smell

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What are some common upper respiratory tract infections?

A
  • Common cold
  • Sinusitis
  • Tonsilitis
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Classify the epithelium of the upper respiratory tract

A
  • Pseudostratified, ciliated columnar epithelium with goblet cells
  • Lamina propria- thin layer of CT part of the mucous membrane
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What are the 3 cell types found in the respiratory epithelium?

A
  • Progenitor cells in the basal lamina that produce goblet cells
  • Goblet cells
  • Psuedostratified ciliated columnar cells
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Describe goblet cells

A
  • Apocrine or merocrine

- Secretion of mucus (Gel-like complex of proteins)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Classify the epithelium in the back of the throat

A
  • Stratified squamous epithelium (non-keratinised)

- Food makes contact here

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Classify epithelium of small bronchioles and alveoli

A
  • Small bronchioles= cuboidal epithelium

- Alveoli: simple squamous, type 1 pneumocytes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What is the muco-ciliary escalator?

A
  • Co-ordinated movement of cilia
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What are the external nares?

A
  • Nostrils with hairs
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What are the nasal conchae and what is their purpose?

A
  • Superior, middle (formed by ethmoid bone)
  • Inferior (individual bone
  • Also meatus beneath each one to increase SA
  • Moisten air
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What are choanae?

A
  • Internal nares that joint the throat
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What are paranasal air sinuses?

A
  • Air spaces in skull surround nasal cavities
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Describe the frontal sinus

A
  • Lined with respiratory epithelium, inside frontal bone
  • Infunribrulum drains into frontonasal duct which drains frontal sinus
  • Ethmoidal cells also drain here
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Describe ethmoidal cells

A
  • Openings of middle ethmoid cells drain into bulla ethmoidalis
  • Openings of posterior ethmoid–> lateral wall of superior meatus
    • Above this is the sphenoid-ethmoidal recess
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Where does the sphenoid-ethmoidal recess drain?

A
  • Drains sphenoid sinus§
17
Q

Where does the sphenoid-palatine foramen drain?

A
  • Lateral and posterior end of superior meatus
18
Q

Where is the hiatus semi-lunaris found?

A
  • Under ethmoid bulla

- Maxillary sinus drains into this

19
Q

What is the Eustachian tube?

A
  • For balance

- Drains into middle ear

20
Q

Where is the opening of the nasolacrimal duct found and what does it drain?

A
  • Under inferior concha

- Drains eyes and nose

21
Q

How many openings are there on each side of the nose?

A
  • 11 on each side

- 22 in total

22
Q

Summarise where each sinus and duct opens into

A
  • Sphenoidal air sinus–> spenoethmoidal recess
  • Posterior ethmoidal sinuses–> superior meatus
  • Middle ethmoidal sinuses–> bulla ethmoidalis
  • Maxillary sinus–> hiatus semilunaris
  • Anterior ethmoidal sinuses–> hiatus semilunaris
  • Frontal sinus–> infundibulum
  • Nasolacrimal duct–> inferior meatus
23
Q

Describe nerve supply to the nasal cavity

A
  • Pterygopalatine ganglion (parasympathetic) supplies all nasal cavity
  • Found in pteryomaxillary fissure
24
Q

What two nerves in the pterygopalatine ganglion made up of?

A
  • Greater petrosal nerve- branch of cranial nerve VII (facial)
  • Maxillary nerve- middle branch of cranial nerve V2 (trigeminal nerve)
25
What supplies the roof of nasal cavity?
- Olfactory nerves - Cranial nerve I - Sense of smell
26
Describe the arterial supply to the nasal cavity
- Ophthalmic artery (anterior and posterior ethmoid arteries branches) - Sphenopalatine artery from maxillary (lateral and septal branch) - Both maxillary and ophthalmic come from external carotid artery
27
Describe what happens with a nose bleed
- Kiesselbach's plexus formed from branches of anterior ethmoid - - + superior labial artery (and a bit of greater palatine artery) - Rupture of plexus is bad for those with comprised haemostasis
28
Describe the venous drainage of the nasal cavity
- Sphenopalatine vein--> pterygoid venous plexus--> maxillary vein--> internal jugular vein
29
What are the four paranasal sinuses?
- Frontal - Maxillary (in cheeks) - Sphenoidal - Ethmoidal air spaces (surround orbit of the eye)
30
What are the functions of the paranasal sinuses?
- Warm and moisten air - Lightens weight of cranium - Crumple zone to protect vital structure - Mechanical and thermal insulation of orbit - Regulates intranasal pressure - Acts as a reservoir (aids in olfaction)
31
What is sinusitis?
- Inflammation and swelling of mucosa - Local pain - Swelling of mucosa - Difficulty of drainage blocks openings
32
What would happen in sinusitis of the maxillary sinus?
- Opening difficult to move - Requires incision in root of mouth and draniage - Treat with antibiotics
33
What would happen in sinusitis of the frontal sinus?
- Gravity will drain the mucus
34
What are the three parts of the pharynx?
- Nasopharynx- pos tip of inf + mid conchae to tip of uvula (soft palate) - Oropharynx- tip of uvula to tip of epiglottis, squamous stratified epithelium - Laryngopharynx- tip of epiglottis to false vocal folds, respiratory epithleium
35
What is tonsillitis?
- Inflammation of tonsils
36
What is pharyngitis?
- Swelling of palatine tonsils | - Soar throat
37
What infections could occur in the pharynx?
- Rhinitis - Tonsilitis - Pharyngitis - Persistent cough
38
Describe Waldeyer's Rung
- Top= Adenoid - Tubal tonsils - Visible palatine tonsils - Lingual tonsil in mouth - Tonsils are full of lymphocytes and immune cells