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T & P Systems T3
Systems: Respiratory Pathology ( Lecture 1)
39
Other
Not Applicable
12/07/2011

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Cards

Term
Where does gas exchange take place, in the respiratory system?
Definition

Gas exchange takes place in the alveoli

 

*alveoli: other word for "grapes"*

Term

Which does not belong in the upper respiratory system?

 

a) lungs

b) pharynx

c) associated structures

 

Definition

a) lungs

 

*Upper respiratory = nose + pharynx +  associated structures*

Term

Which does not belong in the lower respiratory system?

 

a) lungs

b) pharynx

c) larynx

 

Definition

b) pharynx


*lower respiratory = larynx + trachea + bronchi + lungs*

Term
Which structures control pulmonary ventilation?
Definition

Pulmonary ventilation/breathing is controlled by:

> respiratory mm

> intrapleural pressure

> elastic properties of lung tissue

*ventilation: gas exhange b/w internal environment of the body and external environment*

Term

Complete the sentence

 

... respiration is defined as exchange of gases between systemic capillaries and tissue cells

Definition
Tissue/Internal/cellular respiration is defined as exchange of gases between systemic capillaries and tissue cells.
Term

Complete the sentence

 

 

 

...... zone: Zone where bronchioles and alveoli work for gas exchange

Definition
Respiratory zone: Zone where bronchioles and alveoli work for gas exchange
Term

Complete the sentence

 

The conducting zone has airways filled with pseudo 1)... columnar epithelium, serous glands, mucus secreting goblet cells and cilia.

Definition
The conducting zone has airways filled with pseudo 1)stratified columnar epithelium, serous glands, mucus secreting goblet cells and cilia.
Term
Which structures make up the conducting zone?
Definition
Conducting zone: nose, pharynx, larynx, trachea, bronchii, bronchioles
Term
If the nose is impaired, which other structure will provide alternate entry for air?
Definition

the mouth

 

*risks: less protection from foreign particles, less humidification/warming of the air*

Term
Which structure, if obstructed, will stop all ventilation? This is also the only area where food and air mix.
Definition

Pharynx


> obstruction from pharynx (from tongue or foreign body) stops all ventilation

> pharynx is where food and air mix

Term
Which structure houses vocal cords?
Definition

larynx

 

> connects pharynx and trachea

> also houses thyroid cartilage, cricroid cartilage (lower part of pharynx), epiglottic cartilage

Term
Which structures may you palpate to find the carina?
Definition
carina: palpable at T4-T5
Term
What do you call the area where the trachea bifurcate to the left and right main bronchi? This structure plays a role in airway protection and cough stimulation.
Definition

carina

 

*highly sensitive region*

 

Term

Complete the sentence

 

The .... blanket protects the respiratory system and entraps dust and foreign particles.

Definition

The mucociliary blanket protects the respiratory system and entraps dust and foreign particles.

 

*mucociliary blanket move mucus with entrapment particles superiorly toward the pharynx where it is expectorated or swallowed*

Term

Complete the sentence

The mucociliary blanket is stimulated by ... and suppressed by ...

 

 

 

Definition

The mucociliary blanket is stimulated by cough and suppressed by dry air.

 

*noxious agents, thick mucus, cigarette smoke may damage/paralyze/kill cilia*

Term
Left and right ... enter the lungs through slits called ... Inside the lung they split into ... bronchii which go to each of the lobes in the lungs
Definition
Left and right primary bronchii enter the lungs through slits called hilum/hilus (sing). Inside the lung they split into secondary/lobar bronchii which go to each of the lobes in the lungs
Term
Which lung has 3 lobes?
Definition

Right lung has 3 lobes

 

> superior

> middle

> inferior (horizontal + oblique fissures)

Term
How many lobes does the left lung contain?
Definition

Left lung

 

> 2 lobes: superior and inferior (1 oblique fissure)

Term

True or false?

 

Each lobule has its own blood and lymphatic supply

Definition

True

 

*lung tissue organized into lobules each wrapped in elastic tissue*

Term

Name these structures in order (what they split into):

 

bronchioles, terminal bronchioles, tertiary/segmental bronchii, lobar bronchii

Definition

1) Lobar bronchii

2) tertiary/segmental bronchii

3) bronchioles

4) terminal bronchioles

 

*terminal bronchioles are the last structure of the conducting zone*

Term
Name the structures of the respiratory zone, from largest structures to split of small structures.
Definition

1) respiratory bronchioles

2) alveolar ducts

3) alveolar sacs

4) alveoli (continuous with terminal bronchioles)

Term

Complete the sentence

 

Alveoli are made of simple ... epithelium for diffusion and are supported by an elastic basement membrane.

Definition
Alveoli are made of simple squamous epithelium for diffusion and are supported by an elastic basement membrane.
Term
What do you call the superior aspect of a lung?
Definition

superior aspect = apex

 

*lungs: 2 cone-shaped organs in thoracic cavity*

Term
What do you call the inferior aspect of a lung?
Definition

inferior aspect =base

 

*lungs: 2 cone-shaped organs in thoracic cavity*

Term

True or false?

 

Lungs are the 1st largest organ in the body

Definition

False

 

Lungs are the 2nd largest organ in the body

Term
Which requires energy? Inspiration or expiration?
Definition

Inspiration = Σ req'd

Expiration = passive

Term
Which layer of the pleura is pain sensitive?
Definition

Parietal layer = pain sensitive

 

> lines the wall of thoracic cavity

*pleura: double thin layered serous membrane encapsulating the lungs*

*can refer to back and shoulders*

Term
Which layer of the pleura adheres to the surface of the lungs?
Definition
visceral layer = adheres to the surface of the lungs
Term

(a or b) brings venous blood from right ventricle of heart to lungs to pick up oxygen.

 

a) Pulmonary artery

b) Pulmonary veins

Definition

Pulmonary artery brings venous blood from right ventricle of heart to lungs to pick up oxygen.

 

Term

(a or b) takes oxygenated blood from lungs to left atrium of heart which then is sent via aorta to body via left ventricle.

 

a) Pulmonary artery

b) Pulmonary veins

Definition

Pulmonary veins takes oxygenated blood from lungs to left atrium of heart which then is sent via aorta to body via left ventricle.

 

Term
Which arteries provide lungs with nutrients and oxygen?
Definition
Bronchial arteries provide lungs with nutrients and oxygen?
Term

Complete the sentence

 

In inspiration, thoracic volume ... and pulmonary pressure ...

Definition
In inspiration, thoracic volume increases and pulmonary pressure decreases
Term

Complete the sentence

 

In expiration, thoracic volume ... and pulmonary pressure ...

Definition
In expiration, thoracic volume decreases and pulmonary pressure increases
Term

Intercostals are mm of...

 

a) inspiration

b) expiration

Definition
Intercostals are mm of expiration
Term
Which stage of coughing requires the epiglottis to be closed?
Definition
stage 2 of coughing: epiglottis must close, activation of accessory mm of forced exhalation contract = increase intrathoracic pressure (bronchii and trachea narrow)
Term
A cough producing expectorant is defined as...
Definition
productive cough
Term
a cough with adequate strength and co-ordination but may/may not be productive is defined as...
Definition

productive cough

 

*i.e.: strong but dry cough - still effective in loosening secretions to eventually be expelled*

Term
Right sided heart failure is termed...
Definition

Cor pulmonale

 

*blockage on R lung can affect the heart*

Term

Impaired perfusion/gas exchange is an example of dyspnea from the

 

a) pulmonary system

b) cardiovascular system

c) musculoskeletal system

Definition

Impaired perfusion/gas exchange is an example of dyspnea from the cardiovascular system.

 

*eg: atherosclerosis, pulmonary embolism*

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