Term
What is the major function of the respiratory system? |
|
Definition
To supply the body with oxygen and dispose of carbon dioxide. |
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Term
Four processes of respiration |
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Definition
Pulmonary ventilation, external respiration, transport, internal respiration |
|
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Term
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Definition
moving air into and out of the lungs |
|
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Term
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Definition
gas exchange between the lungs and the blood |
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Term
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Definition
transport of oxygen and carbon dioxide between the lungs and tissues |
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Term
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Definition
gas exchange between systemic blood vessels and tissues |
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Term
What are the two zones of the respiratory system? |
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Definition
Conducting and respiratory zones |
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Term
|
Definition
Conduits for air to reach the sites of gas exchange. Includes nose, nasal cavity, pharynx, trachea |
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Term
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Definition
Site of gas exchange, consists of bronchioles, alveolar ducts, and alveoli |
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Term
|
Definition
diaphrgam and other muscles that promote ventilation. Controlled by Phrenic nerve |
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Term
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Definition
Providing an air way for respiration. Moistening and warming the air. Filtering inspired air and cleaning it of foregin matter |
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Term
The external nose is composed of what? |
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Definition
Root, bridge, dorsum nasi, apex, nares, alea cartilages (See slide 7) |
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Term
|
Definition
a shallow vertical groove inferior to the apex (See slide 7) |
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Term
What are the external nares? |
|
Definition
External nostrils (see slide 7) |
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Term
What are teh external nostrils bound by? |
|
Definition
The alae cartilage (See slide 7) |
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|
Term
Where does the nasal cavity lie? |
|
Definition
In and posterior to the external nose |
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Term
WHat is the nasal cavity divided by? |
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Definition
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|
Term
What does the nasal cavity open posteriorly into? |
|
Definition
The nasal pharynx via internal nares |
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Term
What forms the roof of the of the nasal cavity? |
|
Definition
Ethmoid and sphenoid bones |
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Term
What is the floor of the nasal cavity formed by? |
|
Definition
The roof of hard and soft palate |
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Term
|
Definition
Place of air entry into the body.. |
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Term
What is the nasal cavity lined with? |
|
Definition
Sweat glands and sabaceous glands and vibrissae |
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Term
What is the role of sweat glands and sabaceous glands in the nasal cavity? |
|
Definition
Beginning moistening the air |
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Term
What is the role of the vibrissae in the nasal cavity? |
|
Definition
Hairs that filter coarse particles from inspired air |
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Term
What is the role of the respiratory mucosa? |
|
Definition
Lines the balance of the nasal cavity. Mucous glands secrete mucus, serous glands secrete lysozyme and defensins |
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Term
What is the role of mucus? |
|
Definition
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|
Term
What is the role of lysozyme and defensins? |
|
Definition
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|
Term
How is inspired air warmed and moistened within the nasal cavity? |
|
Definition
By high water content in the nasal cavity, warmed by capillaries |
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Term
What is the role of ciliated mucosal cells remove contaminated mucus? |
|
Definition
remove contaminated mucus |
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Term
What is the role of the conchae and nasal mucosa during inhalation? |
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Definition
Filter, heat, and moisten air |
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Term
WHat is the role of the conchae and nasal mucosa during exhalation? |
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Definition
Reclaim heat and moisture. Minimize heat and moisture loss |
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Term
|
Definition
a funnel shaped tube of skeletal muscle |
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Term
What does the pharynx connect to superiorly? |
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Definition
nasal cavity and mouth superiorly |
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Term
What does the pharynx connect to inferiorly? |
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Definition
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Term
From where to where does the pharynx extend? |
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Definition
Base of the skull to the level of the sixth cervical vertebra |
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Term
Where does teh oropharyx extend from? |
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Definition
inferiorly from the level of the soft palate to the epiglottis |
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Term
What is the role of the oropharynx? |
|
Definition
A common passageway for food and air |
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Term
Where do the palatine tonsils lie? |
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Definition
In the lateral wall of the fauces |
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|
Term
What are the three regions of the pharynx? |
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Definition
Nasopharynx, Oropharynx, Laryngopharynx |
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Term
Where are the lingual tonsils located? |
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Definition
Covers the base of the tongue |
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Term
What is the role of the laryngopharynx? |
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Definition
Serves as a common passage way for food and air. |
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Term
Where is the nasopharynx located? |
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Definition
Lies posterior to the nasal cavity, superior to the level of the soft palate |
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Term
What passes through the nasopharynx? |
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Definition
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|
Term
What happens to the nasopharynx during swallowing? |
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Definition
Closes to prevent food from entering |
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Term
What is the role of the pharyngeal tonsils or adenoids? |
|
Definition
traps and destroys pathogens |
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Term
Where does the laryngopharynx lie? |
|
Definition
posterior to the upright epiglottis |
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Term
Where does the laryngopharynx extend to? |
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Definition
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|
Term
At what part of the pharynx do the respiratory and digestive pathways diverge? |
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Definition
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|
Term
What is another name for the larynx? |
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Definition
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|
Term
What does the larynx attach to? |
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Definition
The hyoid bone and opens into the laryngopharynx superiorly |
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Term
What is the larynx continuous with? |
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Definition
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Term
|
Definition
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|
Term
What does the structures of the larynx do? |
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Definition
Keep trachea constantly open |
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Term
What are the three functions of the larynx? |
|
Definition
To provide a patent (open) airway. To act as a switching mechanism to route air and food into the proper channels. To function in voice production |
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|
Term
What are the singlets of the larynx? |
|
Definition
Epiglottis, Thyroid Cartilage, Cricoid Cartilage |
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|
Term
Anatomy of the thyroid cartilage |
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Definition
Shield-shaped anterosuperior cartilage with a midline laryngeal prominence (adam's apple) |
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|
Term
What is the shape of the cricoid cartilage? |
|
Definition
Signet ring-shaped anterioinferior cartilage |
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|
Term
What are the three cartilage pairs of the larynx? |
|
Definition
Arytenoid, cuneiform, and corniculate |
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|
Term
What do the vocal ligaments attach? |
|
Definition
The arytenoid cartilages to the thyroid cartilages |
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|
Term
What are the vocal ligaments composed of? |
|
Definition
elastic fibers that form mucosal folds called true vocal cords |
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Term
What is the medial opening between the vocal ligaments? |
|
Definition
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|
Term
What happens when the vocal ligaments vibrate? |
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Definition
Produce sound as air rushes up from the lungs |
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Term
Where are the false vocal cords? |
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Definition
Mucosal folds superior to the true vocal cords. |
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Term
What role do the false vocal cords have in sound production? |
|
Definition
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|
Term
When is the larynx closed? |
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Definition
During coughing, sneezing, and Valsalva's maneuver |
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Term
What is the Valsalva's Maneuver? |
|
Definition
Air is temporarily held in the lower respiratory tract by closing the glottis. Causes intra-abdominal pressure to rise when abdominal muscles contract. Acts as a plint to stabilize the trunk when lifting heavy loads |
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Term
|
Definition
Elastic cartilage that covers the laryngeal inlet during the swallowing. 9th set of cartilage in the larynx |
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Term
|
Definition
Flexible and mobile tube extending from the larynx into the mediastinum to the conducting zone and the bronchi |
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Term
What are the three layers of the trachea? |
|
Definition
Mucosa, Submucosa, Adventitia |
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|
Term
|
Definition
made up of goblet cells and ciliated helium |
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|
Term
|
Definition
connective tissue deep to the mucosa |
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|
Term
|
Definition
outermost layer made of C-shaped rings of hyaline cartilage |
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|
Term
What marks the end of the trachea and the beginning of the bronchi? |
|
Definition
Carina of the last tracheal cartilage |
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|
Term
How many primary bronchi are there? |
|
Definition
|
|
Term
How many secondary bronchi are there? |
|
Definition
|
|
Term
What are the two types of lung tissue? |
|
Definition
Supportive and tissue for respiration |
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Term
What happens with the air reaches the bronchi? |
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Definition
warm and cleansed of impurities and saturated with water vapor |
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|
Term
How much branching do the air passages go under? |
|
Definition
23 orders. Makes up the Bronchial tree |
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|
Term
If bronchi are less than 1 mm are referred to as? |
|
Definition
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|
Term
|
Definition
Lack cartilage support and mucus-producing cells |
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|
Term
How large are the terminal bronchioles? |
|
Definition
Less than .5 mm in diameter |
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|
Term
What is the respiratory zone defined by? |
|
Definition
|
|
Term
Where does the respiratory zone begin? |
|
Definition
begin at terminal bronchioles and feed into respiratory bronchioles |
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|
Term
What do the respiratory bronchioles lead to? |
|
Definition
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|
Term
What do the alveolar ducts lead to? |
|
Definition
Terminal clusters of alveolar sacs composed of alveoli |
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|
Term
What does the respiratory zone consist of? |
|
Definition
Approx 300 million alveoli. Account for most of the lung's volume. Provide tremendous surface area for gas exchange |
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|
Term
What is the respiratory membrane composed of? |
|
Definition
Alveolar and capillary walls and their fused basal laminas. |
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|
Term
What is the role of the alveolar walls? |
|
Definition
Permit gas exchange by simple diffusion. |
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|
Term
What are the alveoli surrounded by? |
|
Definition
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|
Term
What are the roles of the open pores of the alveoli? |
|
Definition
Connect adjacent alveoli and allow air pressure throughout the lung to be equalized |
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|
Term
What do the alveoli do to prevent rupturing? |
|
Definition
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|
Term
What type of cells are scattered around the alveoli? |
|
Definition
|
|
Term
What are the shape of the type II cells? |
|
Definition
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|
Term
What do the Type II cells secrete? |
|
Definition
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|
Term
What is the role of surfactant in alveoli? |
|
Definition
Coats the gas exposed surfaces which keeps them expansive and from drying out |
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|
Term
What is the role of the root of the lungs? |
|
Definition
Site of vascular and bronchial attachments |
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|
Term
What are the costal surfaces which come in contact with the ribs? |
|
Definition
Anterior, lateral, and posterior surfaces |
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|
Term
What is the apex of the lung? |
|
Definition
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|
Term
What is the base of the lung? |
|
Definition
Inferior surface that rests on the diaphragm |
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Term
|
Definition
Indentation that contains pulmonary and systemic blood vessels |
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|
Term
Where is the root located? |
|
Definition
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|
Term
What are the lobes of the right lung? |
|
Definition
Superior, Median, Inferior |
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|
Term
What are the lobes of the left lung? |
|
Definition
|
|
Term
What is the cardiac notch? |
|
Definition
cavity that accommodates the heart |
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|
Term
What seperates the lobes of the left lung? |
|
Definition
Oblique fissure (groove, furrow) |
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|
Term
What are the lobes of the right lung separated by? |
|
Definition
The oblique and horizontal fissures |
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Term
|
Definition
Medial portion of the thoracic cavity |
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|
Term
What two circulations are the lungs perfused by? |
|
Definition
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|
Term
What is the role of the pulmonary arteries? |
|
Definition
carry blood from the heart to be oxygenated. Branch profusely, along with bronchi. Ultimately feed into the pulmonary capillary network surrounding the alveoli |
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|
Term
What is the role of the pulmonary veins? |
|
Definition
carry oxygenated blood from respiratory zones to the heart |
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|
Term
What is the role of the bronchial arteries? |
|
Definition
provided systemic blood to the lung tissue. Arise from aorta and enters the lungs at the hilus. Suplly all lung tissue except the alveoli |
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|
Term
What happens with the bronchial and pulmonary veins? |
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Definition
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|
Term
Which carry more venous blood back to the heart, pulmonary or bronchial veins? |
|
Definition
|
|
Term
|
Definition
Thin, double-layered serosa |
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|
Term
What does the parietal pleura cover? |
|
Definition
The thoracic wall and superior face of the diaphragm. Continues around the heart adn between the lungs |
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|
Term
What are the two pleura of the respiratory system? |
|
Definition
Parietal and Visceral/Pulmonary |
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|
Term
What does the visceral pleura cover? |
|
Definition
The external lung surface, divides the thoracic cavity into three chambers |
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|
Term
What are the three cavities the visceral pleura divided the thoracic cavity into? |
|
Definition
The central mediastinum and the two lateral compartments, each containing a lung |
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|
Term
What do the pleura produce? |
|
Definition
Fluid which fills teh cavity between the lungs and the thoracic walls |
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|
Term
What is the function of the pleural fluid? |
|
Definition
Allows lungs to glide over thoracic walls during breathing |
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|
Term
What are the two phases of breathing/pulmonary ventilation? |
|
Definition
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|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
Which of the two breathing phases requires ATP? |
|
Definition
|
|
Term
What is atmospheric pressure? |
|
Definition
|
|
Term
What happens when the negative respiratory pressure is less than atmospheric pressure? |
|
Definition
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|
Term
What happens when positive respiratory pressure is greater than atmospheric pressure? |
|
Definition
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|
Term
What is intrapulmonary pressure? |
|
Definition
Pressure within the alveoli. Generally 760mmHg. Increases and decreases with change in thoracic architecture |
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|
Term
What is intrapleural pressure? |
|
Definition
Pressure within the pleural cavity. Generally 756mmHg. Always less than pulmonary pressure |
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|
Term
What happens between intrapulmonary pressure and intrapleural pressure through out the phases of breathing? |
|
Definition
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|
Term
Intrapulmonary pressure always eventually ___?____ itself with atmospheric pressure |
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Definition
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|
Term
Intrapleural pressure is always ____?_____ than intrapulmonary pressure and atmospheric pressure |
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Definition
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|
Term
What causes lung collapse? |
|
Definition
equalization of intrapleural pressure with the intrapulmonary pressure |
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|
Term
What is the role of transpulmonary pressure? |
|
Definition
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|
Term
What is transpulmonary pressure? |
|
Definition
difference between the intrapulmonary and intrapleural pressure |
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|
Term
Pulmonary ventilation as a mechanical process |
|
Definition
Depends on volume changes in the thoracic cavity |
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|
Term
Change in _____ leads to ______ changes lead to ______ which lead to the flow of gases to ________ pressure |
|
Definition
architecture, volume, pressure, equalize |
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|
Term
Active process of pulmonary ventilation |
|
Definition
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|
Term
Passive process of pulmonary ventilation |
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
Inspiratory muscles contract (diaphragm descends, rib cages rises) |
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|
Term
|
Definition
Thoracic cavity volume increases |
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|
Term
|
Definition
Lungs stretched; intrapulmonary volume increases |
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|
Term
|
Definition
Intrapulmonary pressure drops by -1 mmHg |
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|
Term
|
Definition
Air (gases) flow into the lungs down its pressure gradient until intrapulmonary pressure is 0 (Equal to atmospheric pressure) |
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|
Term
|
Definition
|
|
Term
|
Definition
INspiratory muscles relax (diaphragm rises; rib cage decsends due to recoil of costal cartilages) |
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|
Term
|
Definition
Elastic lungs recoil passively; intrapulmonary volume decrease |
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|
Term
|
Definition
Intrapulmonary pressures rises by +1mmHg |
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|
Term
|
Definition
AIr (gases) flows out of lungs down its pressure gradient until intrapulmonary pressure is 0 |
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|
Term
Approximately how much air do we take in? How long does it take? |
|
Definition
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|
Term
Approximately how much air do we expire? How long does it take? |
|
Definition
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|
Term
|
Definition
The ease with which lungs can be expanded. Specifically, the measure of the change in lung volume that occurs with a given change in transpulmonary pressure |
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|
Term
What are the two factors that determine lung compliance? |
|
Definition
Distensibility of the lung tissue and surrounding thoracic cage. Surface tension of the alveoli |
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|
Term
What are the factors that diminish lung compliance? |
|
Definition
Scar tissue or fibrosis that reduces the natural resilience of the lungs. Blockage of the smaller respiratory passages with mucus or fluid. Reduced production of surfactant. Decreased flexibility of the thoracic cage or its decreased ability to expand. |
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|
Term
|
Definition
air that moves into and out of the lungs with each breath (approx 500 mL) |
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|
Term
|
Definition
air left (about 1200 mL) in the lungs after strenuous expiration |
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|
Term
What is inspiratory capacity? |
|
Definition
total amount of air that can be inspired after a tidal expiration (standard exhalation, maximum forced inspiration) |
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|
Term
Functional residual capacity |
|
Definition
amount of air remaining in the lungs after a tidal expiration (standard exhalation) |
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|
Term
|
Definition
How much air can be inspired/expired normally or forcibly |
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|
Term
|
Definition
sum of all long volumes (approx 6000 ml in males) |
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|
Term
What is the anatomical dead space? |
|
Definition
volume of the conducting respiratory passages (150 mL) |
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|
Term
|
Definition
alveoli that cease to act in gas exchange due to collapse or obstruction |
|
|
Term
|
Definition
sum of alveolar and anatomical dad spaces |
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|
Term
|
Definition
an instrument consisting of a hollow bell inverted over water, used to evaluate respiratory function |
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|
Term
What can spiromtery distinguish between? |
|
Definition
Obstructive pulmonary disease, restrictive disorders |
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|
Term
Obstructive pulmonary disease |
|
Definition
increased airway resistance |
|
|
Term
|
Definition
reduction in total lung capacity from structural or functional lung changes |
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|
Term
What is Total ventilation a measure of? |
|
Definition
total amount of gas flow into or out of the respiratory tract in one minute |
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|
Term
What does forced vital capacity measure? |
|
Definition
gas forcibly expelled after taking a deep breath |
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|
Term
What does forced expiratory volume measure? |
|
Definition
the amount of gas expelled during specific time intervals of teh forced vital capacity |
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|
Term
What can the increases in total lung capacity, functional residual capacity, and residual volume indicate? |
|
Definition
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|
Term
Reduction in vital capacity, total lung capacity, functional residual capacity, and residual volume can indicate what? |
|
Definition
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|
Term
What are the two main elements of atmospheric gas? |
|
Definition
oxygen - 21%, nitrogen 78% |
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|
Term
What is the composition of alveolar gas? |
|
Definition
approx 88% nitrogen and oxygen, 12% carbon dioxide and water vapor |
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|
Term
What do the difference between the composition of alveolar gas and atmospheric gas result from? |
|
Definition
Gas exchanges in the lungs - oxygen diffuses from the alveoli and CO2 diffuses into the alveoli. Humidification of air by conducting passages. The mixing of alveolar gas that occurs with each breath |
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|
Term
What are the factors that influence the movement of oxygen and CO2 across the respiratory membrane? |
|
Definition
Partial pressure gradients and gas solubilities. Matching of alveolar ventilation and pulmonary blood perfusion. Structural charactreristics of the respiratory membrane |
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|
Term
|
Definition
equal to the sums of all the partial pressures of all the gases |
|
|
Term
|
Definition
the percentage of the gas multiplied by the total air pressure |
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|
Term
What is the relationship between the partial pressure of O2 in the air, lungs, blood, and tissue? |
|
Definition
pO2 air > pO2 lungs > pO2 blood > pO2 tissue |
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|
Term
What is the relationship between the partial pressure of CO2 in the air, lungs, blood, and tissue? |
|
Definition
pCO2 Air < pCO2 Lungs < pCO2 blood < pCO2 tissue |
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|
Term
What does the pressure gradient allow for in regards to blood speed? |
|
Definition
Blood can move 3x as quickly and still be adequately oxygenated |
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|
Term
How long does it take for blood to be adequately oxygenated? |
|
Definition
|
|
Term
Which is more soluble in plasma? O2 or CO2? |
|
Definition
|
|
Term
|
Definition
the amount of gas reaching the alveoli |
|
|
Term
|
Definition
the blood flow reaching the alveoli |
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|
Term
For efficient gas exchange ventilation and perfusion must be ________ _________ |
|
Definition
|
|
Term
Why do you breathe faster when active? |
|
Definition
To move more CO2 out of the body |
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|
Term
What are the three ways CO2 is transported in the blood? |
|
Definition
Dissolved in plasma, chemically bound to hemoglobin, bicarbonate ion in plasma |
|
|
Term
What percentage of CO2 is dissolved in plasma? |
|
Definition
|
|
Term
What percentage of CO2 is chemically bound to hemoglobin? |
|
Definition
20% in RBC's as carbaminohemoglobin |
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|
Term
How is carbaminohemoglobin transported? |
|
Definition
Binds to the outside of hemoglobin |
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|
Term
What percentage of CO2 is carried as bicarbonate ion in plasma? |
|
Definition
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|
Term
CO2 (from tissue) diffuses into RBCs and combines with water to form what? |
|
Definition
|
|
Term
What catalyzes the reaction between CO2 and H2O? |
|
Definition
|
|
Term
How is the bicarbonate ion formed from carbonic acid? |
|
Definition
A hydrogen ion disassociates from H2CO3 |
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|
Term
How does bicarbonate ion revert back to CO2 when the RBC nears the lung? |
|
Definition
A hydrogen ion is added to the bicarbonate ion forming H2CO3. Carbonic anhydrase catalyzes the reaction to form CO2 and H2O |
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|
Term
After bicarbonate ion is formed what does it associate with? |
|
Definition
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|
Term
What happens to the hydrogen ion after disassociating from carbonic acid? |
|
Definition
Binds to hemoglobin when O2 is not present |
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|
Term
What happens as a result of the bicarbonate ion leaving the RBC and joining the plasma? |
|
Definition
A Chloride ion moves into the RBC |
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|
Term
As the bicarbonate ion leaves the plasma and enters the red blood cell what leaves the RBC as a result? |
|
Definition
|
|
Term
What is the Haldane effect? |
|
Definition
Presence of O2 drives the removal of CO2 from tissue and the body |
|
|
Term
Where is the inspiratory center located? |
|
Definition
near the root of nerve IX (glossopharyngeal) |
|
|
Term
What is the role of the inspiratory center? |
|
Definition
integrates information from stretch and chemo receptors and transfers to ventral respiratory group |
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|
Term
What is the role of the ventral respiratory group? |
|
Definition
Rhythm generating center. |
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|
Term
What is the role of the pons center? |
|
Definition
fine tunes inspirations and expirations transitions. continuously inihibits the inspiration center |
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|