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Systems Exam III (L)
Respiratory System
40
Medical
Graduate
03/16/2009

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Cards

Term
What are the 2 portions of the respiratory system?
Definition

Air-Conducting Portion

Respiratory Portion

Term
What is the "Air-Conducting" portion of the Respiratory System?
Definition

1. Consists of the nasal cavities, associated paranasal sinuses, nasopharynx, oropharynx, larynx, trachea, bronchi and bronchioles

2. Passageway for inhaled and exhaled air

Term
What is the "Respiratory" portion of the Respiratory system?
Definition

1. Composed of the respiratory bronchioles, alveolar ducts, alveolar sacs, and alveoli.

2. Primary function is gas exchange between blood and air.

3. Pulmonary lobule consists of the terminal bronchioles and that portion of he lung which they supply

Term
The mechanism of ventilation consists of what four essential elements?
Definition

1. Thoracic skeleton

2. Intercostal Muscles

3. Diaphragm

4. Elastic Connective Tissue within the Lung

Term
What is the function of the Nasal Cavity?
Definition

Provide extensive surface area for warming air and filtrate of particulate matter.

 

Term
What is the structure of the Nasal Cavity?
Definition

1. Mucosa present in the roof of nasal cavities and on portion of superior concha.

2. Septum separates the two nasal cavities consisting of vestibule, respiratory and olfactory regions.

Term
What type of epithelium does the vestibule comprise of?
Definition

External - General Body Skin (Keratinized Statified Squamous Epithelium)

Internal - Non-Keratinized Stratified Squamous Epithelium

Term
What type of epithelium does the respiratory region comprise of?
Definition
Pseudostratified Ciliated Columnar Epithelium with Goblet Cells
Term
The lamina propria of the respiratory region contains what?
Definition
Superficial Venous Plexus
Term
Paranasal sinuses are lined by what type of epithelium?
Definition
Pseudostratified ciliated columnar epithelium with FEWER goblet cells
Term
The nasopharynx is located (posterior/anterior) to the nasal cavities?
Definition
Posterior
Term
Where does the nasopharynx become the oropharynx?
Definition
At the level of the soft palate
Term
What is Waldeyer's Ring?
Definition
Abundant mucosa-associated lymphoid tissue (MALT) located deep to the nasopharynx epithelium
Term
What are present in the posterior aspect of the nasopharynx?
Definition
Adenoids
Term
The olfactory epithelium contains what four types of cells?
Definition

1. Basal Cells

2. Differentiating (Immature) Olfactory Neurons

3. Mature Olfactory Neurons

4. Sustentacular (Supporting) Cells

Term
What are characterstics of basal cells?
Definition
Mitotically active and produce immature olfactory neurons
Term
What are characterstics of immature olfactory neurons?
Definition
Arise from basal cells, proliferate during adult life, differentiate into mature olfactory neurons, life span of 30-60 days
Term
What are characterstics of mature olfactory neurons?
Definition
Highly polarized, apical region directed towards the mucosal lining and possess 10-20 modified cilia, axons forms at the basal region and pass through the cribiform plate to synapse on the cells of the olfactory bulbs
Term
Where are the olfactory glands located and what do they do?
Definition

Deep to the epithelium

Secrete serous fluid containing odorant-binding protein, lysozyme, and IGA

Term
What does Odorant Binding Protein (OBP) do?
Definition
Carries odorants to receptors on the modified cilia
Term
What is the function of the Larynx?
Definition
Functions to protect the airway and aids in vocalization
Term
What type of epithelium covers the epiglottis and vocal cords?
Definition
Stratified Squamous
Term
What type of epithelium covers the proper portion of the larynx?
Definition
Pseudostratified Ciliated Columnar Epithelium with Goblet Cells
Term
What is contained in the lamina propia of the larynx (except for the true vocal cords)?
Definition
Seromucous glands and Mast cells - participate in hypersensitivity reactions
Term
What type of epithelium lines the trachea and bronchi?
Definition
Pseudostratified ciliated columnar
Term
What does the submucosa of trachea and bronchi contain?
Definition
Mucus and Serous Glands
Term
What are the 5 cell types of the Respiratory Tree?
Definition

1. Ciliated Columnar Cells

2. Basal Cells - stem cell population giving rise to other cell types

3. Intermediate Cells - stem cells in the process of differentiation

4. Goblet Cells - most numerous in mainstem and lobar bronchi

5. Neuroendocrine Cells - located on basement membrane, clear cytoplasm and dark nuclei,

Term
What are the elements of the submucosa of the bronchial tree?
Definition

Smooth Muscle

Seromucous Glands

Collagen

Elastic Fibers

MALT

Term
What is the order of the Intrapulmonary Segmentation?
Definition
Bronchi -> Terminal Bronchioles -> Respiratory Bronchioles -> Alveolar Ducts -> Alveolar Sacs -> Alveoli
Term
What is the smallest portion of the conducting airways?
Definition
Bronchioles
Term
Bronchioles lack __________ but have an increased amount of ________ fibers and ________ muscle cells.
Definition
Cartilage plates, elastic, smooth
Term
What is a pulmonary lobule?
Definition
A terminal bronchiole and the region of the lung that it supplies
Term
What type of epithelia do bronchioles comprise of?
Definition
Ciliated columnar epithelium which may become cuboidal without pseudostratification; occasional goblet cells and some neuroendocrine cells; absense of seromucous glands
Term
What are Clara Cells and where are they located?
Definition

Non-ciliated cells that do not produce mucus.

Located mostly in the terminal bronchioles.

Term
T/F: Respiratory bronchioles participate in gas exchange.
Definition
True
Term

1. What are the primary sites for gas exchange?

2. How many of these site are there in the lungs?

Definition

1. Alveoli

2. 150-400 million per lung, 300-800 total

Term
What provides direct communication between alveoli?
Definition
Pores of Kohn
Term
What are Type I Pneumocytes?
Definition

1. Represent approximately 40% of alveolar cell population

2. Form 90% of the alveolar surface lining

Term
What are Type II Pneumocytes?
Definition

1. Represent 60% of cell population

2. Account for 5-10% of alveolar surface area

Term
Where are alveolar macrophages located and what is their role?
Definition

Located in the alveolar wall or in the free alveolar space.

Patrol alveolar air spaces to phagocytose debris and act as an important defense mechanism against inhaled bacteria.

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