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66 Cards in this Set

  • Front
  • Back

During the involuntary phase of deglitition the soft palate and uvula move up against the __________ to close off the _____ ______.

Oropharynx, nasal cavity

During the involuntary phase of deglitition the larynx moves _______ and ______ to seal off _______ against __________

Forward and upward, trachea, epiglottis

The trachea is located posteriorly (vertebrae)

C6 to border of T5

The trachea is located anteriorly from the _______ to the ______ rib. (_____ __ _____ or _______ _____)

Cricoid, second rib (angle of Louis, sternal angle)

The trachea is approximately how many cm in length?

11-13cm

The trachea is about _._-_._ cm in diameter

1.5-2.5cm

The trachea is composed of about __-__ C-shaped rings for support

15-20

The trachea is supported posteriorly by the __________ muscle, which also allows for ________ changes.

Trachealis, diameter

The trachea is lined with _____ (epithelium)

PSCCE

The carina is located at __-__ posteriorly

T4-T5

Clinical, the tip of the endotracheal tube should sit about _cm above the carina

2

What is the only way to know where the endotracheal tube is placed?

Chest xray

The mainstream bronchi is also known as the _____ __________ of airways

First generation

In mainstream bronchi, airway division occurs by ___________ branching.

dichotomous

Dichotomous branching is defined as

the branches form as a result of an equal division of a terminal bud (i.e., a bud formed at the apex of a stem)

Mainstream bronchi are lined with what type of epithelium

PSCCE

Right mainstem bronchus branches at about a __° angle, and is _____ and _______ than the left

25°, wider and shorter

Because the right mainstem is more vertical it is at increased risk for these two things

Aspiration and mainstem intubation

Left mainstem bronchus branches at __-__° angle

40-60° angle

Infant mainstem bronchi angle is _______ for the right and the left

Similar

_____ bronchi are the second generation airways

Lobar

Right lobar bronchi divided into

Upper, middle and lower bronchi

Left lobar bronchi divided into

Upper and lower bronchi, as well as lingula

In lobar bronchi cartilage is ______ and _________

C-shaped and irregular

Lobar bronchi are lined with

PSCCE

The _________ ______ are more numerous in medium sized bronchi

Submucosal glands

_________ bronchi are the 3rd to 4th generations of airways

Segmental

The right lung has __ segmental bronchi

10

The left lung has _ segmental bronchi

8

The segmental bronchi has ________ and _______ cartilages

Irregular and helical (moon shaped)

The segmental bronchi are lined with

PSCCE

The ____________ bronchi are the 4th-9th generation of airways

Subsegmental

The ____________ bronchi are the last of the cartilaginous airways

Subsegmental

The Subsegmental cartilage is

Irregularly shaped and helical plates

The airways are about _-_mm in diameter in the Subsegmental bronchi

1-4mm

The ____________ bronchi are the last generation of airways lined with PSCCE

Subsegmental

__________ are the 10th -15ths airway generations

bronchioles

Bronchioles are < _ mm in diameter

1mm

Bronchioles lack __________ ______ _______

connective tissue sheaths

Bronchioles are surrounded by ______ ______ fibers (lack rigidity)

spiral muscle fibers

Bronchioles are lined with ________ epithelium.

cuboidal epithelium

______ _______ affected intraalveolar and intrapleural pressure changes

airway patency

____ __ _______ also plays a role in respiratory disease. (bronchioles)

Lack of support

________ ___________ are the 16th-19th generation of airways

terminal bronchioles

Terminal bronchioles are about _._mm in diameter

0.5mm

________ ___________ are the end of the conducting zone.

Terminal bronchioles

Terminal bronchioles contain _____ cells which are secreting cells with unknown purpose.

Clara

As the walls thin, small channels called ______ __ _______ appear between terminal bronchioles and adjacent alveoli

Canals of Lambert

_____________ ______ ________ occurs due to elastic properties of lung parenchyma (gas exchange region)

parabronchial radial traction

Airway patency is maintained in noncartilaginous airways by the __________ ______ (of elastic tissue fibers)

retractile forces

___________ ___________ are characterized by alveoli "budding" from their walls

respiratory bronchioles

________ _____ are composed of alveoli seperated by septal walls containing smooth muscle

alveolar ducts

________ _____ are grape-like clusters consisting of 15-20 _______

alveolar sacs, alveoli

Respiratory bronchioles + alveolar ducts + alveolar sacs =

primary lobule, acinus, lung parenchyma

In an adult male there are approximently ___ _______ alveoli

300 million

Alveolar surface area is approximently __ m2 or roughly the size of a ______ _____

70 m2, tennis court

Type I pneumocytes compose about __% of the alveolar surface

95%

Type I pneumocytes are _____, ____ cells that are the _____ site of alvolar gas exchange.

broad, thin, major

Type II pneumocytes form the remaining _% of the total alveolar surface

5%

Type II pneumocytes are the primary source of _________ __________

pulmonary surfactant

Type III cells are also known as

alveolar macrophages

Alveolar macrophages are

large, migrating phagocytes

Alveolar macrophages can do three different things after removing bacteria or other foreign particles deposited within the acini

migrate to terminal bronchioles (moved by cilia)


migrate to interstitial space and remain there or enter lymph system


remain in alveolus and die

Pores of Kohn are

small holes in the walls of the intra-alveolar septa

Pores of Kohn permit

gas movement between adjacent alveoli

Pores of Kohn are formed by these three things

desquamation of epithelial cells due to disease


normal degeneration of tissue cells due to aging


movement of macrophages