Emphysema Overview and Lung Dynamics
40 Questions
1 Views

Choose a study mode

Play Quiz
Study Flashcards
Spaced Repetition
Chat to lesson

Podcast

Play an AI-generated podcast conversation about this lesson

Questions and Answers

What is a primary cause of haemodynamic pulmonary edema?

  • Increased oncotic pressure
  • Systemic hypertension (correct)
  • Microvascular injury
  • Lymphatic obstruction
  • Which condition is associated with decreased oncotic pressure that may lead to pulmonary edema?

  • Pulmonary embolism
  • Congestive heart failure
  • Nephrotic syndrome (correct)
  • Acute respiratory distress syndrome
  • What is a characteristic feature of massive pulmonary edema upon gross examination?

  • Significant fibrosis
  • Decreased lung weight
  • Normal cut surface appearance
  • Frothy fluid exudate (correct)
  • Which of the following is a possible cause of pulmonary edema due to microvascular injury?

    <p>Mycoplasma infection</p> Signup and view all the answers

    What kind of pulmonary edema is associated with lymphatic obstruction?

    <p>Lymphatic obstruction-induced oedema</p> Signup and view all the answers

    Which of the following substances can contribute to oxidative pulmonary injury leading to edema?

    <p>Sulphur dioxide</p> Signup and view all the answers

    Which factor is most likely to result in pulmonary hypertension?

    <p>Idiopathic causes</p> Signup and view all the answers

    What is a common result of massive pulmonary edema on respiratory function?

    <p>Respiratory failure</p> Signup and view all the answers

    What is a potential consequence of unrelieved hypoxia in blood vessels?

    <p>Permanent changes</p> Signup and view all the answers

    What causes retention of carbon dioxide in addition to hypoxaemia?

    <p>Inadequate perfusion</p> Signup and view all the answers

    Which area of the lung is typically better ventilated than perfused?

    <p>Upper area of the lung</p> Signup and view all the answers

    What type of atelectasis occurs due to complete obstruction of an airway?

    <p>Obstructive atelectasis</p> Signup and view all the answers

    Which type of atelectasis is characterized by a loss of pulmonary surfactants?

    <p>Patchy atelectasis</p> Signup and view all the answers

    What is a primary cause of compressive atelectasis?

    <p>Partial or full pleural cavity obstruction</p> Signup and view all the answers

    What condition might result from aspirating gastric contents?

    <p>Obstructive atelectasis</p> Signup and view all the answers

    What fatal complication can occur due to a road traffic accident affecting the thoracic area?

    <p>Hemothorax</p> Signup and view all the answers

    What is primarily destroyed in emphysema, leading to hyperinflation of the lungs?

    <p>Alveolar septa</p> Signup and view all the answers

    Why is emphysema classified as a COPD despite not being an obstructive disease?

    <p>There is limitation of airflow similar to other obstructive diseases.</p> Signup and view all the answers

    What is a major clinical feature of emphysema?

    <p>Dyspnoea</p> Signup and view all the answers

    Which mechanism leads to difficulty in expelling air during expiration in emphysema?

    <p>Destruction of elastic tissue in alveolar walls</p> Signup and view all the answers

    In comparison to normal lung function, how does emphysema alter the dynamics of respiration?

    <p>Alters the end of expiration to a higher level</p> Signup and view all the answers

    What is a common etiological factor associated with emphysema?

    <p>Air pollutants</p> Signup and view all the answers

    In which area of the lungs does emphysema predominantly manifest?

    <p>Upper fields</p> Signup and view all the answers

    What kind of pathological change occurs in the bronchi related to chronic bronchitis?

    <p>Glandular hyperplasia and excess mucus production</p> Signup and view all the answers

    What is the primary characteristic that differentiates lobar pneumonia from bronchopneumonia?

    <p>Lobar pneumonia involves the entire lobe and may affect multiple lobes.</p> Signup and view all the answers

    Which bacteria is most commonly associated with pneumonia?

    <p>Streptococcus pneumoniae</p> Signup and view all the answers

    What is the most likely cause for the development of bronchopneumonia in patients?

    <p>Terminal illness and old age</p> Signup and view all the answers

    Which of the following symptoms is NOT typically associated with pneumonia?

    <p>Severe abdominal pain</p> Signup and view all the answers

    What is one of the classical phases of pneumonia?

    <p>Congestion and oedema</p> Signup and view all the answers

    What is the appearance of the lung surface in bronchopneumonia?

    <p>Tan-yellow consolidation</p> Signup and view all the answers

    What histological pattern is characteristic of squamous cell carcinoma?

    <p>Irregular invading columns and islands of atypical squamous cells</p> Signup and view all the answers

    Which of the following is NOT considered a predisposing factor to pneumonia?

    <p>Healthy diet</p> Signup and view all the answers

    What does the term 'consolidation' refer to in lung pathology?

    <p>Lung tissue that has become firm due to infection</p> Signup and view all the answers

    Which of the following pleural conditions is characterized by the accumulation of air in the pleural space?

    <p>Pneumothorax</p> Signup and view all the answers

    What is the typical protein concentration in normal pleural fluid?

    <p>0.4 g/dL</p> Signup and view all the answers

    What is the most common tumor associated with asbestos exposure?

    <p>Malignant mesothelioma</p> Signup and view all the answers

    Which of the following is NOT a feature of empyema?

    <p>Involves malignant transformation</p> Signup and view all the answers

    What is a notable pathological feature of lung adenocarcinoma?

    <p>Irregular invasive glands and cords</p> Signup and view all the answers

    What type of presentation is typical for malignant mesothelioma?

    <p>Unilateral with a small nodule extending</p> Signup and view all the answers

    Which of the following conditions results from obstruction of the thoracic duct?

    <p>Chylothorax</p> Signup and view all the answers

    Study Notes

    Emphysema

    • Characterized by dilated airspaces in the lungs, particularly in the upper fields.
    • Loss of alveolar walls leads to enlarged airspaces, contrasting with normal lung structure.
    • Classified as a Chronic Obstructive Pulmonary Disease (COPD) due to airflow limitation, despite not being obstructive in the peripheral airways.

    Mechanisms of Respiratory Movements

    • Emphysema leads to hyperinflation due to destroyed alveolar septa, inhibiting the ability to expel air during expiration.

    Types of Chronic Lung Diseases

    • Chronic Bronchitis: Glandular hyperplasia and excess mucus from tobacco smoke; common symptoms include cough and sputum production.
    • Bronchiectasis: Airway dilatation and scarring due to persistent infections; presents with purulent sputum and fever.
    • Asthma: Smooth muscle hypertrophy and excess mucus lead to episodic wheezing and dyspnea.
    • Emphysema: Characterized by acinar airspace enlargement.

    Pneumonia

    • Also known as pneumonitis; inflammation can lead to permanent changes in lung vessels if hypoxia persists.
    • Pneumonia classified as lobar (affects entire lobes) or bronchopneumonia (scattered foci around bronchi).
    • Predominantly caused by bacterial infections, especially Streptococcus pneumoniae; risk factors include smoking, chronic conditions, and poor immune response.

    Pulmonary Oedema

    • Fluid presence in alveolar spaces, resulting from hemodynamic changes or increased vascular permeability.
    • Symptoms include heavy, water-logged lungs that may lead to respiratory failure.
    • Causes of hemodynamic oedema include left-sided heart failure and volume overload; increased permeability may result from infections or chemicals.

    Atelectasis

    • Defined as the collapse of expanded lung tissue, which can be categorized into:
      • Obstructive: Complete airway blockage leads to absorption of trapped oxygen.
      • Compressive: Fluid, tumors, or air fills the pleural cavity.
      • Patchy: Loss of surfactant or lung trauma.
      • Contraction: Lung retraction due to fibrosis.

    Pulmonary Hypertension

    • Increased arterial blood pressure within the pulmonary vasculature, potentially idiopathic or secondary.

    Pleural Disorders

    • Pleural effusion: Excess fluid in the pleural space, detected clinically at around 500 mL; can be categorized into transudate (lower protein) or exudate (higher protein).
    • Empyema: Collection of pus in pleural cavity, often secondary to pneumonia.
    • Haemothorax: Blood collection due to trauma or other injuries.
    • Chylothorax: Opalescent lymph contributes to pleural accumulation, typically from thoracic duct obstruction.
    • Pneumothorax: Air accumulation in pleural space, often from lung bulla rupture or chest injury.

    Malignant Mesothelioma

    • Cancer linked to asbestos exposure, primarily affecting pleura and is more common in males over 40.
    • Symptoms include dyspnea, pleural effusion, chest pain, weight loss, cough, and fever; prognosis is poor with most patients succumbing within a year.

    Morphology of Pleural Tumors

    • Generally unilateral, originating as small nodules, progressing to cover the entire lung.
    • Microscopically classified into epithelioid, sarcomatoid, and mixed types.

    Studying That Suits You

    Use AI to generate personalized quizzes and flashcards to suit your learning preferences.

    Quiz Team

    Related Documents

    Respiratory Pathology PDF

    Description

    This quiz explores the characteristics of emphysema, focusing on the dilated airspaces observed in lung sections and comparing the dynamics of respiration in individuals with emphysema to normal lungs. Understand the differences in alveolar structures and their implications on respiratory function.

    More Like This

    Emphysema
    10 questions

    Emphysema

    WellManneredIntelligence avatar
    WellManneredIntelligence
    Understanding Emphysema
    5 questions
    Obstructive Lung Disease Overview
    148 questions
    Use Quizgecko on...
    Browser
    Browser