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59 Cards in this Set

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What is ventilation? What muscles are involved? What kind of muscles are they (cardiac, skeletal, smooth)?
Movement of air in and out of airways

Diaphragm, intercostal muscles, abdominal muscles

Skeletal
Describe the pressure necessary for inhalation. How is this accomplished?
Negative intrathoracic pressure

COntraction of diaphragm, intercostal muscles, abdominal muscles
What is conduction? What structures are involved? What happens to air during conduction?
When air is conveyed to alveoli. Air is moistened, warmed, filtered.
What occurs during gas exchange? Where does it occur?
Thinly walled alveoli provide extensive surface area for gas exchange between blood and air
What is the embryological origin of the respiratory system? How does it eventually become the respiratory system?
Endodermal diverticulum (branching) of foregut (pharyngeal area)

Undergoes branching morphogenesis (series of branching)
What structures does the conduction portion of the respiratory system include? What is their function?
Nasal cavity, pharynx, larynx, trachea, bronchi, bronchioles, terminal bronchioles

Transport air to alveoli, filter, clean, moisten, warm/cool
What is the epithelial lining of the conduction portion of the respiratory system? What does this allow for?
Respiratory epithelium = pseudostratified CILIATED epithelium with goblet cells

Muscous produces by goblet cells traps particulate matter, which is moved to posterior pharynx by ciliary action

Can then be expectorated or swallowed
Where is the conduit system located? Describe its muscle, fiber, and connective tissue composition.
Below pharynx: larynx to trachea and bronchi

Smooth muscle allows for constriction

Elastic fibers provide recoil and are located within walls

Contains complete or incomplete rings of hyaline cartilage
What structures make up the respiratory portion of the respiratory system? In which of these structures does gas exchange occur?
Respiratory bronchioles, Alveolar Duct and its associated sacs and alveoli

Alveolar sacs and alveoli are where gas exchange occurs
Where can simple ciliated cuboidal or columnar cells be found in the respiratory tract?
bronchioles, terminal bronchioles
What epithelial cell type is found in the respiratory portion of the respiratory tract?
Simple squamous

No goblet cells!
Describe the compartmentalization of the nasal cavity. Describe how they vary in epithelial linings and the purpose of this variation.
Nose and nasal cavity (coarse hairs to trap dust), nasal septum divides into two chambers, bone plates (turbinate/conchae) divide each chamber into smaller chambers:

Two of surfaces lined with respiratory epithelium (pseudostratified columnar ciliated with goblet cells)

Superior chamber lined with olfactory epithelium
How is air humidified in the nasal cavity?
Addition of moisture from mucous membranes
What kind of cells line the olfactory epithelium? What types of neurons are used? How are these olfactory cells specialized to serve their function?
Olfactory cells; bipolar neurons

Have modified dendrites with long non-motile cilia for olfaction
What are the three cell types of olfactory epithelium?
Olfactory cells
Support (sustantacular) cells to provide mechianical/metabolic support
Basal cells (give rise to new olfactory cells)
Describe the path of air from the nasal cavity to the alveolar sac.
Nasal Cavity
Pharynx
Larynx
Trachea
Bronchi
Bronchioles
Terminal Bronchioles
Respiratory Bronchioles
Alveolar Duct
Alveolar Sac & Alveoli
Why is it that some portions of nasal cavity through to the larynx can have stratified squamous epithelium? Which structures are these?
Areas of abrasion or direct air flow (oropharynx, epiglottis, vocal folds)

Provides more protection than typical respiratory epithelium
What is the first region of the pharynx? Epithelial cell type?
Nasopharynx, pseudostratified ciliated
Where are the paranasal sinuses located? What are they? Epithelial cell type?
They're air-filled pockets within facial bones and around nasal cavities

Respiratory epithelium (pseudostratified ciliated)
What two structures does the larynx connect? What are the cartilagenous structures of the larynx?
Connects pharynx to trachea

Consists of epiglottis
Thyroid cartilage
Cricoid cartilage (ring)
Bilateral arytenoid cartilage (half rings, mirror image posterior cricoid)
What are the functions of the larynx?
phonation, control of air pathway so that only air and not food reaches lower airway
What is the uppermost part of the larynx? Epithelial cell type? Function?
Epiglottis
Stratified squamous on lingual surface
Respiratory epithelium on tracheal laryngeal
What cartilagenous structure supports the epiglottis? What types of glands are found in the epiglottis? What's their purpose?
Elastic cartilage core supports epiglottis (surrounded by perichondrium)

Exocrine glands in lamina propia to secrete mucoid lubricant
What is lamina propria?
CT subjacent to a wet surface
What is adventitia?
CT covering that lacks an epithelial boundary (found in respiratory tract)
Describe the two layers of the vocal apparatus.
Two pairs of folds:
False vocal cords (upper folds, vestibular folds, ventricular folds) separated from true vocal cords (lower folds) by laryngeal ventricle
What epithelial cell type lines the upper larynx?
stratified squamous
What are the three main regions of the larynx? Describe their locations.
Vestibule: upper larynx (stratified squamous)

Ventricle: between vestibular folds and vocal folds

Infraglottic space (space below ventricle and above trachea)--infra (below) glottis
What epithelial cell type lines the true vocal cords? The false vocal cords?
True = stratified squamous (exposed to direct airflow)
False = respiratory epithelium and lamina propria with exocrine glands
What type of cartilage provides support and protection for the larynx?
Hyaline
What structures does the trachea connect? What is distinct about its lamina propria?
Larynx to bifurcation of primary bronchi

Lamina propria contains 16-20 C-shaped ventral hyaline cartilage rings
Open end of C connected by smooth muscle and fibroelastic ligament
How do the primary bronchi branches differ from one another?
Right branch is vertical, left branch is oblique
What cartilagenous structures are present in the bronchi? Describe structural changes due to branching.
O-shaped rings of hyaline cartilage
As bronchi divide (secondary/lobar bronchi), hyaline cartilage forms irregular plates instead of rings
How are bronchioles different from respiratory structures before them?
Do not contain cartilage, do not have glands
What is a key histologic finding of bronchi?
Plates, not rings, of hyaline cartilage
What is the epithelial cell type of the terminal bronchioles? What other cells are present that are unique to this region?
simple ciliated cuboidal that becomes cuboidal

Clara cells (non-ciliated secretory) located between ciliated cells (unknown fn, secrete GAGs--constituent of ECM)
What do asthma drugs act on?
Act on smooth muscle in lamina propria of terminal bronchioles
Describe the innervation of terminal bronchioles.
Sympathetic = dilation of smooth muscle

Parasympathethic = constriction of smooth muscle
What do respiratory bronchioles serve as? Epithelial cell type?
TRANSITION between conducting and respiratory portions of respiratory tract

non-ciliated simple cuboidal (Clara cells) that transition into squamous at respiratory bronchiole/alveolar duct junction

No cartilage, no goblet cells ,have smooth muscle, closely associated with PA
Describe the alveolar ducts.
Short tubes into which open numerous alveoli. Knobs of smooth muscle separate adjacent alveoli.
What is the atria of an alveolar duct?
Terminal portion of alveolar duct opens into atrium (alveolar sac). Many alveoli open into the atria.
Whare are alveoli? What structures surround them?
sac-like and final part of the bronchial tree; each sac surrounded by capillary network.
Describe the walls of alveoli. What cells do they contain?
Very thin:
Endothelial cells of blood capillaries (continuous, non-fenestrated)
squamous cells (Type 1 Pneumocytes)
secretory cells (Type 2 Pneumocytes; cuboidal)
Where are Type 2 pneumocytes usually found? What is their role?
Junctions (septae) between walls of alveoli. Secrete surfactant to line alveoli and thus reduce surface tension to zero, preventing alveolar collapse.
What do alveolar machrophages do?
AKA Dust Cells; remove debris from lumen and from interstitium
Starting with the respiratory bronchioles, describe the pathway air must take.
Alveolar ducts (hallways)

Atria: last portion of duct opens into atrium (foyer - opening at end of hallway)

Alveoli - final compartment of respiratory tree
A: Stratified Squamous
B: Exocrine glands
C: Elastic cartilage
A: Pseudostratified with goblet cells
B: Exocrine glands
C: Perichondrium
D: Hyaline Cartilage

A: Goblet Cell
B: Pseudostratified Cell Type
C: Basal Lamina
A: Alveolus with clara cells; simple cuboidal, some ciliated
B: Smooth Muscle
A: Alveolar Duct
B: Clara Cells
C: Respiratory Bronchiole
A: Alveoli (thinly walled)
B: Respiratory bronchiole (thick wall)
Respiratory Bronchiole
A: RBC in capillary
B: Type 1 Pneumocyte
C: Type 2 Pneumocyte (can dedifferentiate into stem cell and redifferentiate into type 1 cell)
A: Macrophage
B: Type 2 Pneumocyte
C: Interalveolar septa
Type 2 pneumocyte: can tell because hallmark feature = osmeophilic lamellar bodies (striped things = lamellae)
Cartilage type? Where in respiratory system would this be find?
Elastic Cartilage--look at fibrous (elastin) content
Epiglottis ONLY
Cartilage type? Where in respiratory system would this be find?
Elastic--notice elastic fiber content; epiglottis only
Cartilage type? Where in respiratory system would this be find?
Hyaline (not very fibrous; pretty bubbly); could find in rings of trachea, bronchi, plates of cartilage in bronchioles