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50 Cards in this Set
- Front
- Back
Where does internal respiration occur
what reactions occur there |
cells
oxidative phosphorylation from coupling of glycolysis and citric-acid cycle |
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Where does external respiration occur
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between atmosphere and body tissues (AKA Lungs)
*also between blood and body tissues |
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what anatomical areas are included in the upper airways
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nasal cavity, oral cavity, pharynx
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What anatomical areas make up the respiratory tract
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larynx, conducting zone, respiratory zone
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What shape is the structure of cartilage in the trachea
the bronchi |
C in Trachea
O in bronchi |
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What controls the diameter of the bronchioles?
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Smooth muscle, not cartilage
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How many orders of branching are there between tertiary bronchi
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20-23
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what role does the alveoli serve?
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site of gas exchange
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What is the surface area of our alveoli
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tennis court
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how would you describe the blood supply of the alveoli
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rich supply forming sheet over alveoli
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What type of cell makes up the wall of the alveoli
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Type I
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What cells secrete surfactant
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Type II
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These cells are part of the reticular endothelial system and perform immune functions in the lungs
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alveolar macrophages
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What anatomical structures make up the chest wall
what is it's function |
rib cage, sternum, thoracic vertebrae,
Muscles= intercostals and diaphragm function is to protect lungs |
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A saclike structure surrounding each lung
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pleura
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the area between the visceral and parietal layers of the that is a possible location for disease.
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potential space
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How much fluid is typically in the potential space?
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~15 mL
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What type of muscles are the respiratory muscles?
Are they voluntarily controlled? |
skeletal muscle typically under voluntary control
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what nerve controls the diaphragm
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phrenic nerve
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which nerve specifically controls inspriation
expiration in which muscles |
inspiration=external intercostal nerve external ICs
expiration=internal interc nerve - internal ICs |
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Where are chemo receptors located
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carotids, aortic arch, atria, and the brain
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what do the peripheral chemoreceptors detect
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O2 and pH
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What do the central chemoreceptors detect
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pH only
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Where do the afferent neurons of the peripheral chemoreceptors lead take info back to
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medullary respiratory control center
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specialized cell in direct contact with ARTERIAL blood
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peripheral chemoreceptors
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what are the functions of the conducting zone
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air passageway
increase air temp increase humidity |
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list the structures of the respiratory zone
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respiratory bronchioles
alveolar ducts aveoli alveolar sacs |
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periodic breathing clusters during hypoxia often a result of a mismatch between chemoreceptor stimuli and neural response
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cheyne stokes
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list the muscles of inspiration
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diaphragm and external intercostals
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list the muscles of expiration
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abs, internal intercostals
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is expiration active or passive
inspiration |
ex- generally passive (recoil of lungs)
in-active |
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a spinal injury where may impact breathing
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C3-C5, where the phrenic nerve leaves the spine
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the accessory muscles of breathing
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sternocleidomastoid and scalenes
external intercostals add power to exhale |
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where are your central chemo receptors
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medulla oblongata
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what do the central chemoreceptors monitor, what do they not
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respond to H+, not O2
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what is the difference between chemoreceptors and lung receptors
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chemo monitor chemical levels
lung receptors monitor |
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inflammation of the parenchymal structures of the lung including the aveoli and bronchioles
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pneumonia
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list the three types of classification for pneumonia
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type of agent (typical or atypical)
distribution (lobar or broncho) setting (community vs hospital) |
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what is the difference between typical and atypical infections
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typical is bacterial
atypical is viral and mycoplasma |
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a pneumonia causing inflammation and exudate into the air filled spaces of the alveoli, perulet sputum, and leukocytosis
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bacterial pneumonia
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most common cause of pneumonia
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S. pneumoniae
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types of virus that cause pneumonia
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influenza, respiratory syncytial virus, adenovirus, and parainfluenza virus
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which is more common in hospital aquired pneumonias, bacteria or viruses
what are the common pathogens |
bacteria
P. aeruginosa, S. aureus, Enterobacter, Klebsiella, E.Coli, and Serratia |
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which of these groups would not be considered immunocompromised?
bone marrow/organ transplant recipient, solid organ cancer, pt on corticosteroids, pt with CHF |
CHF, the rest are
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defects in humoral immunity lend themselves to ______ infection
defects in cellular immunity predispose people to ______ infection |
bacterial
viruses and fungi |
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a pneumonia that arises suddenly (fluminant) can be assumed to be _____ in nature as opposed to one with a more insideous onset
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bacterial
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pt complains of sudden onset of malaise, severe shaking and chills, fever. Early on cough elicited watery sputum, breath sounds are limited with fine crackles. Now sputum is rusty colored and there is sharp pain with movement. What do you suspect
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S. pneumonia
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pneumonia contracted from the environment through droplets in aerosolized form. Abrupt onset of symptoms including malaise, weakness, fever, and dry cough. Confusion and diarrhea are also present.
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legionnaire disease
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most common form of atypical pneumonia
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Mycoplasma pneumonia
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What sets atypical pneumonia infections apart from bacterial or viral infections
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patchy involvement of the lung mostly confined to alveolar septum, lack of lung consolidation, and only moderate sputum and elveated WBC
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