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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 |
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During the involuntary phase of deglitition the larynx moves _______ and ______ to seal off _______ against __________ |
Forward and upward, trachea, epiglottis |
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The trachea is located posteriorly (vertebrae) |
C6 to border of T5 |
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The trachea is located anteriorly from the _______ to the ______ rib. (_____ __ _____ or _______ _____) |
Cricoid, second rib (angle of Louis, sternal angle) |
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The trachea is approximately how many cm in length? |
11-13cm |
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The trachea is about _._-_._ cm in diameter |
1.5-2.5cm |
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The trachea is composed of about __-__ C-shaped rings for support |
15-20 |
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The trachea is supported posteriorly by the __________ muscle, which also allows for ________ changes. |
Trachealis, diameter |
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The trachea is lined with _____ (epithelium) |
PSCCE |
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The carina is located at __-__ posteriorly |
T4-T5 |
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Clinical, the tip of the endotracheal tube should sit about _cm above the carina |
2 |
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What is the only way to know where the endotracheal tube is placed? |
Chest xray |
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The mainstream bronchi is also known as the _____ __________ of airways |
First generation |
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In mainstream bronchi, airway division occurs by ___________ branching. |
dichotomous |
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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) |
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Mainstream bronchi are lined with what type of epithelium |
PSCCE |
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Right mainstem bronchus branches at about a __° angle, and is _____ and _______ than the left |
25°, wider and shorter |
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Because the right mainstem is more vertical it is at increased risk for these two things |
Aspiration and mainstem intubation |
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Left mainstem bronchus branches at __-__° angle |
40-60° angle |
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Infant mainstem bronchi angle is _______ for the right and the left |
Similar |
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_____ bronchi are the second generation airways |
Lobar |
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Right lobar bronchi divided into |
Upper, middle and lower bronchi |
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Left lobar bronchi divided into |
Upper and lower bronchi, as well as lingula |
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In lobar bronchi cartilage is ______ and _________ |
C-shaped and irregular |
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Lobar bronchi are lined with |
PSCCE |
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The _________ ______ are more numerous in medium sized bronchi |
Submucosal glands |
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_________ bronchi are the 3rd to 4th generations of airways |
Segmental |
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The right lung has __ segmental bronchi |
10 |
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The left lung has _ segmental bronchi |
8 |
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The segmental bronchi has ________ and _______ cartilages |
Irregular and helical (moon shaped) |
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The segmental bronchi are lined with |
PSCCE |
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The ____________ bronchi are the 4th-9th generation of airways |
Subsegmental |
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The ____________ bronchi are the last of the cartilaginous airways |
Subsegmental |
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The Subsegmental cartilage is |
Irregularly shaped and helical plates |
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The airways are about _-_mm in diameter in the Subsegmental bronchi |
1-4mm |
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The ____________ bronchi are the last generation of airways lined with PSCCE |
Subsegmental |
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__________ are the 10th -15ths airway generations |
bronchioles |
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Bronchioles are < _ mm in diameter |
1mm |
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Bronchioles lack __________ ______ _______ |
connective tissue sheaths |
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Bronchioles are surrounded by ______ ______ fibers (lack rigidity) |
spiral muscle fibers |
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Bronchioles are lined with ________ epithelium. |
cuboidal epithelium |
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______ _______ affected intraalveolar and intrapleural pressure changes |
airway patency |
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____ __ _______ also plays a role in respiratory disease. (bronchioles) |
Lack of support |
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________ ___________ are the 16th-19th generation of airways |
terminal bronchioles |
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Terminal bronchioles are about _._mm in diameter |
0.5mm |
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________ ___________ are the end of the conducting zone. |
Terminal bronchioles |
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Terminal bronchioles contain _____ cells which are secreting cells with unknown purpose. |
Clara |
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As the walls thin, small channels called ______ __ _______ appear between terminal bronchioles and adjacent alveoli |
Canals of Lambert |
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_____________ ______ ________ occurs due to elastic properties of lung parenchyma (gas exchange region) |
parabronchial radial traction |
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Airway patency is maintained in noncartilaginous airways by the __________ ______ (of elastic tissue fibers) |
retractile forces |
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___________ ___________ are characterized by alveoli "budding" from their walls |
respiratory bronchioles |
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________ _____ are composed of alveoli seperated by septal walls containing smooth muscle |
alveolar ducts |
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________ _____ are grape-like clusters consisting of 15-20 _______ |
alveolar sacs, alveoli |
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Respiratory bronchioles + alveolar ducts + alveolar sacs = |
primary lobule, acinus, lung parenchyma |
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In an adult male there are approximently ___ _______ alveoli |
300 million |
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Alveolar surface area is approximently __ m2 or roughly the size of a ______ _____ |
70 m2, tennis court |
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Type I pneumocytes compose about __% of the alveolar surface |
95% |
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Type I pneumocytes are _____, ____ cells that are the _____ site of alvolar gas exchange. |
broad, thin, major |
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Type II pneumocytes form the remaining _% of the total alveolar surface |
5% |
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Type II pneumocytes are the primary source of _________ __________ |
pulmonary surfactant |
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Type III cells are also known as |
alveolar macrophages |
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Alveolar macrophages are |
large, migrating phagocytes |
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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 |
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Pores of Kohn are |
small holes in the walls of the intra-alveolar septa |
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Pores of Kohn permit |
gas movement between adjacent alveoli |
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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 |