Introduction to Respiration and Anatomy

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Questions and Answers

What is the primary function of the respiratory system?

  • Digest food
  • Regulate body temperature
  • Produce hormones
  • Exchanges gases (correct)

Which of the following best describes external respiration?

  • Gas exchange between blood and tissues
  • Gas exchange between lung tissues and blood (correct)
  • Gas exchange within the alveoli only
  • Gas exchange between the atmosphere and the lungs

What is the role of the conducting zone in the respiratory system?

  • Site of gas exchange
  • Regulates blood pressure
  • Filters and warms air (correct)
  • Produces vocal sounds

What structures are included in the upper respiratory system?

<p>Nose and nasal cavity (B)</p> Signup and view all the answers

Why do cells require oxygen?

<p>For aerobic cellular respiration (C)</p> Signup and view all the answers

What is the primary function of the nasal conchae?

<p>To swirl inhaled air (A)</p> Signup and view all the answers

Which part of the pharynx is lined with non-keratinized stratified squamous epithelium?

<p>Oropharynx (B)</p> Signup and view all the answers

What structure covers the entrance of the larynx during swallowing?

<p>Epiglottis (A)</p> Signup and view all the answers

Which component of the larynx is responsible for voice production?

<p>Vocal folds (C)</p> Signup and view all the answers

What is the function of the carina in the bronchial tree?

<p>Triggers a cough reflex (A)</p> Signup and view all the answers

What type of epithelial lining is found in the trachea?

<p>Ciliated pseudostratified epithelium (C)</p> Signup and view all the answers

Which cartilage is known as the 'Adam’s apple'?

<p>Thyroid cartilage (D)</p> Signup and view all the answers

What is the role of tonsils in the oropharynx?

<p>Trap pathogens (A)</p> Signup and view all the answers

What ensures the trachea remains open?

<p>Hyaline cartilage rings (B)</p> Signup and view all the answers

What is the primary role of the olfactory epithelium?

<p>Sensing smells (D)</p> Signup and view all the answers

What physiological response occurs due to low blood pH?

<p>Hyperventilation (A)</p> Signup and view all the answers

What is the result of hyperventilation on PCO2 levels in the blood?

<p>PCO2 decreases (C)</p> Signup and view all the answers

Which receptors sense lung overinflation during vigorous exercise?

<p>Baroreceptors (D)</p> Signup and view all the answers

What effect does increased blood pressure have on respiration rate?

<p>Decreases respiration rate (A)</p> Signup and view all the answers

What leads to the impairment of ciliary function due to tobacco smoking?

<p>Increased goblet cell number (D)</p> Signup and view all the answers

What condition can result from insufficient oxygen due to hyperventilation?

<p>Hypoxia (A)</p> Signup and view all the answers

What drives the increase in pulmonary perfusion during exercise?

<p>Increased ventilation of alveoli (D)</p> Signup and view all the answers

What may happen to the DRG when PCO2 in blood drops below 40 mm Hg?

<p>It remains inactive and breathing stops (A)</p> Signup and view all the answers

What is the primary function of pleural fluid in the lungs?

<p>Reduces friction and provides surface tension (B)</p> Signup and view all the answers

Which structure separates the lungs from each other?

<p>Mediastinum (D)</p> Signup and view all the answers

What is the name of the inferior portion of the lungs?

<p>Base (B)</p> Signup and view all the answers

What type of fissure separates the superior and inferior lobes of the lungs?

<p>Oblique fissure (C)</p> Signup and view all the answers

Which structure permits passage for bronchi, blood vessels, nerves, and lymphatic vessels into the lungs?

<p>Hilum (C)</p> Signup and view all the answers

What are the microscopic bronchial branches that lead to alveolar ducts called?

<p>Terminal bronchioles (B)</p> Signup and view all the answers

Which type of cells in the alveoli is primarily involved in gas diffusion?

<p>Type I alveolar cells (A)</p> Signup and view all the answers

What condition can compromise airway patency?

<p>Deviated nasal septum (D)</p> Signup and view all the answers

What relationship does Boyle’s Law describe in the context of respiration?

<p>Pressure and volume (B)</p> Signup and view all the answers

What is the purpose of the pulmonary arteries?

<p>Deliver deoxygenated blood for oxygenation (C)</p> Signup and view all the answers

What is the alveolar ducts' primary structural feature?

<p>Lined with simple squamous epithelium (D)</p> Signup and view all the answers

What prevents the walls of the alveoli from sticking together?

<p>Surfactant (B)</p> Signup and view all the answers

Which segment of the respiratory system directly contacts blood for gas exchange?

<p>Alveoli (D)</p> Signup and view all the answers

Which factors are involved in ventilation-perfusion coupling?

<p>Blood oxygenation and carbon dioxide levels (D)</p> Signup and view all the answers

What happens when the diaphragm contracts?

<p>The volume of the thoracic cavity increases. (D)</p> Signup and view all the answers

What is the primary role of pleural pressure during inhalation?

<p>To prevent the collapse of lungs. (D)</p> Signup and view all the answers

Which muscles contract to assist the diaphragm during inhalation?

<p>External intercostal muscles (B)</p> Signup and view all the answers

How much does the diaphragm depress during normal inhalation?

<p>1 cm (A)</p> Signup and view all the answers

What factor is NOT associated with low lung compliance?

<p>Normal aging (C)</p> Signup and view all the answers

What is the primary mechanism for carbon dioxide transport in the blood?

<p>Bicarbonate ion formation (C)</p> Signup and view all the answers

What primarily causes the movement of gases during internal respiration?

<p>Diffusion due to partial pressure gradients (A)</p> Signup and view all the answers

What defines lung volume?

<p>A specific measure of air inhaled, exhaled, or stored. (D)</p> Signup and view all the answers

Which condition is associated with insufficient surfactant?

<p>Respiratory distress syndrome (D)</p> Signup and view all the answers

What happens during passive exhalation?

<p>Lung volume decreases due to muscle relaxation. (B)</p> Signup and view all the answers

What is the effect of airway diameter on airflow resistance?

<p>Larger diameter airways decrease resistance. (A)</p> Signup and view all the answers

How does altitude sickness affect respiration?

<p>Reduces the partial pressure gradient of oxygen. (A)</p> Signup and view all the answers

What role does hemoglobin play in oxygen transport?

<p>It is a predominant carrier of oxygen in the blood. (C)</p> Signup and view all the answers

In what way does the solubility of carbon dioxide compare to oxygen?

<p>CO2 is 24 times more soluble than O2. (C)</p> Signup and view all the answers

What is the percent saturation of hemoglobin when each Hb on average has two O2 atoms bound?

<p>50% (D)</p> Signup and view all the answers

Which factor does NOT affect the affinity of hemoglobin for oxygen?

<p>Color of blood (D)</p> Signup and view all the answers

What happens to hemoglobin affinity for oxygen as blood pH decreases?

<p>It decreases (A)</p> Signup and view all the answers

How is most carbon dioxide transported in the blood?

<p>As bicarbonate (A)</p> Signup and view all the answers

What does the chloride shift help maintain in erythrocytes?

<p>Electrical balance (D)</p> Signup and view all the answers

What is a primary role of the dorsal respiratory group (DRG) in the medullary respiratory centre?

<p>Controlling normal breathing (A)</p> Signup and view all the answers

Which component predominantly influences the respiratory rate after holding one's breath?

<p>Increased PCO2 levels (B)</p> Signup and view all the answers

The affinity of fetal hemoglobin (Hb-F) for oxygen compared to adult hemoglobin (Hb-A) is:

<p>Higher (D)</p> Signup and view all the answers

What is the role of 2,3-bisphosphoglycerate (BPG) in hemoglobin function?

<p>Decreases affinity for O2 (D)</p> Signup and view all the answers

At a PO2 of 20 mm Hg, the saturation of hemoglobin in working skeletal muscle is approximately:

<p>35% (B)</p> Signup and view all the answers

What occurs during the reverse chloride shift at pulmonary capillaries?

<p>Bicarbonate recombines into carbonic acid and CO2 is produced (B)</p> Signup and view all the answers

Which term describes the binding of hemoglobin with carbon dioxide to form a compound?

<p>Carbaminohemoglobin (C)</p> Signup and view all the answers

What is the brain's central structure responsible for regulating the respiratory muscles?

<p>Medulla oblongata (A)</p> Signup and view all the answers

During which physiological condition does the affinity of hemoglobin for oxygen increase?

<p>High partial pressure of oxygen (C)</p> Signup and view all the answers

Flashcards

Pulmonary Ventilation

The exchange of gases between the atmosphere and the lungs.

External Respiration

The exchange of gases between the lungs and the blood.

Internal Respiration

The exchange of gases between the blood and the body's tissues.

Respiratory System Function (1)

Exchanges gases (oxygen and carbon dioxide).

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Respiratory Zone

Part of the respiratory system where gas exchange occurs.

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Nasal Cavity

The interior and anterior space of the nose, bounded by the nasal bones and oral cavity. It's divided by the nasal septum.

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Paranasal Sinuses

Air-filled spaces in the skull bones surrounding the nasal cavity, lined with mucous membranes and vibrates for speech/singing

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Nasal Conchae

Bony projections in the nasal cavity that swirl inhaled air.

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Olfactory Epithelium

The tissue in the nose containing sensory receptors for smell and lacks goblet cells.

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Pharynx

A muscular tube connecting the internal nares (back of the nose) to the cricoid cartilage, a part of the throat.

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Larynx

A tube with nine rings of cartilage, containing vocal cords, allowing for voice production.

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Thyroid Cartilage

Hyaline Cartilage that forms the front of the Larnyx, commonly called the Adam's Apple.

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Epiglottis

A flap of elastic cartilage that covers the larynx during swallowing.

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Vocal Folds

Folds in the larynx that vibrate to produce sound when air passes through them.

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Trachea

A tube with cartilage rings that keeps the airway open, also known as the windpipe, lined with cilia.

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Low blood pH

When blood pH is low, the body tries to compensate by increasing the rate and depth of breathing to remove more carbon dioxide (CO2) and increase pH back to normal.

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Hyperventilation effect

Hyperventilation leads to lower CO2 levels in the blood, causing a condition called hypocapnia.

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Hypocapnia

A state where CO2 levels in the blood are lower than normal.

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Hypoxia

A state where tissues in the body are not getting enough oxygen.

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Inflation Reflex

This reflex prevents overinflation of the lungs during rigorous exercise. It's triggered by stretching receptors in the bronchi and bronchioles.

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Baroreceptors in breathing

These are pressure sensors located in the bronchi and bronchioles that detect stretching of the lungs. They send signals to the DRG to stop breathing.

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Limbic system's role

Emotions like stress or anxiety can influence the respiratory center in the brain through the limbic system.

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Exercise and perfusion

Exercise increases blood flow to the lungs, known as pulmonary perfusion, due to increased ventilation of the alveoli.

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Diaphragm's Role in Inhalation

The diaphragm contracts, moving downwards, increasing the volume of the thoracic cavity, leading to inhalation.

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Intercostal Muscles in Inhalation

Contraction of the intercostal muscles (muscles between the ribs) helps expand the chest cavity, further aiding inhalation.

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Pressure Changes during Inhalation

As the thoracic cavity expands, the pressure inside the lungs decreases, creating a pressure gradient that draws air into the lungs.

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Diaphragm's Contribution to Inhalation

The diaphragm's contraction accounts for approximately 75% of the air inhaled during normal breathing.

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External Intercostal Muscles' Role

The external intercostal muscles contract, elevating the ribs and further increasing the chest cavity volume, contributing to the remaining 25% of inhaled air.

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Intrapleural Pressure's Function

The negative pressure within the pleural cavity keeps the pleural membrane adhering to the thoracic cavity wall, ensuring that the lungs expand along with the chest wall.

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Exhalation: Passive or Active?

Exhalation is normally a passive process, occurring due to the relaxation of respiratory muscles and the elastic recoil of the lungs.

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Lung Elasticity in Exhalation

As the chest cavity decreases, the elastic tissues of the lungs naturally recoil, creating pressure that pushes air out of the lungs.

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Active Exhalation

Active exhalation, used during intense activities like exercise or playing wind instruments, involves contraction of abdominal and internal intercostal muscles, forcefully expelling air from the lungs.

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Surfactant's Importance

Surfactant, a substance in the alveoli, reduces surface tension, preventing the collapse of alveoli and ensuring efficient breathing.

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Pleural Effusion's Effect

Pleural effusion, an accumulation of fluid in the pleural cavity, decreases lung volume, leading to difficulty breathing.

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Compliance: Lung Elasticity

Compliance refers to the ability of the lungs and chest wall to stretch and expand, impacting the effort required for breathing.

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Resistance in Respiration

Resistance encountered by air as it flows through the respiratory system, impacted by airway diameter, smooth muscle contraction, and airway obstruction.

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Airway Resistance Factors

Factors influencing airway resistance include airway diameter, smooth muscle activity, and obstruction or collapse of airways.

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Lung Volumes vs. Capacities

Lung volumes are specific measurements of air inhaled, exhaled, or stored, while lung capacities are the sums of specific lung volumes.

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Hemoglobin Structure

Hemoglobin (Hb) contains 4 protein subunits, each with one heme molecule. Oxygen binds to the iron atom in the heme.

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Hemoglobin Saturation

The percentage of hemoglobin molecules bound to oxygen.

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Factors Affecting Hb Saturation

Several factors affect Hb's affinity for oxygen, including partial pressure of oxygen (PO2), blood acidity, partial pressure of CO2 (PCO2), temperature, intermediate products of glycolysis, and the type of hemoglobin.

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High PO2 and Hb Saturation

At high partial pressures of oxygen (e.g., in the lungs), Hb becomes almost fully saturated with oxygen.

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Low PO2 and Hb Saturation

At low partial pressures of oxygen (e.g., in tissues), Hb releases oxygen to the cells.

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Acidity and Hb Affinity

Increased acidity (low pH) decreases Hb's affinity for oxygen. This promotes oxygen release to tissues.

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CO2 and Hb Affinity

High CO2 levels lead to lower blood pH, decreasing Hb's affinity for oxygen.

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Temperature and Hb Affinity

Higher temperatures decrease Hb's affinity for oxygen. This promotes oxygen release to active tissues.

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BPG and Hb Affinity

2,3-bisphosphoglycerate (BPG) produced during glycolysis binds to Hb and decreases its affinity for oxygen.

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Fetal Hemoglobin (Hb-F)

Fetal hemoglobin has a higher affinity for oxygen than adult hemoglobin (Hb-A) due to its different structure and lack of BPG binding.

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Carbon Dioxide Transport: Dissolved

A small percentage of CO2 dissolves directly in blood plasma.

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Carbon Dioxide Transport: Carbaminohemoglobin

Some CO2 binds to hemoglobin, forming carbaminohemoglobin.

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Carbon Dioxide Transport: Bicarbonate

Most CO2 is transported as bicarbonate (HCO3-) in the blood.

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Chloride Shift

Chloride ions (Cl-) move into red blood cells to balance the charge when bicarbonate (HCO3-) diffuses out, ensuring electrical neutrality.

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Respiratory Control Centers

The respiratory center in the brainstem (medulla oblongata and pons) controls breathing rate and depth.

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Chemoreceptors and Breathing

Central and peripheral chemoreceptors detect changes in blood CO2, H+, and oxygen levels, influencing breathing rate.

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Pleural Membrane

A serous membrane that wraps around the lungs, creating a space called the pleural cavity. This membrane helps reduce friction and provides surface tension.

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Pleural Cavity

The space between the two pleural membranes surrounding the lungs. It contains pleural fluid which reduces friction and provides surface tension.

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Base of the Lung

The inferior portion of the lung that sits on the diaphragm, a dome-shaped muscle involved in breathing.

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Apex of the Lung

The superior portion of the lung, extending just above the collarbone.

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Hilum

A region on the medial (inner) surface of the lung that serves as a gateway for structures like bronchi, blood vessels, nerves, and lymphatics.

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Cardiac Notch

A concave indentation on the medial surface of the left lung that accommodates the heart.

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Fissures

Deep grooves that divide the lung into lobes. These lobes have their own bronchi.

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Oblique Fissure

A fissure that divides the superior and inferior lobes of the lung.

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Lobar Bronchi

Larger branches of the bronchi that supply each lobe of the lung.

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Bronchopulmonary Segment

A section of lung tissue supplied by a segmental bronchus, artery, and vein. It's an independent unit that can be surgically removed if needed.

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Lobules

Smaller compartments within the bronchopulmonary segment, each containing a terminal bronchiole, arteriole, venule, and lymph vessel.

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Respiratory Bronchioles

Microscopic branches of the bronchi that lead to alveolar ducts and ultimately to the alveoli, the air sacs where gas exchange occurs.

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Alveoli

Tiny air sacs in the lungs where gas exchange takes place. They have a large surface area to facilitate efficient exchange of oxygen and carbon dioxide.

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Alveolar Sac

A cluster of alveoli that resembles a bunch of grapes. Each alveolus is a tiny balloon-like structure.

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Type I Alveolar Cells

Thin, flattened cells that make up the majority of the alveolar wall. Their thinness allows for efficient gas diffusion.

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Type II Alveolar Cells

Cuboidal cells found in the septa between alveoli. They secrete surfactant, a substance that reduces surface tension and prevents the walls of alveoli from collapsing.

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Respiratory Membrane

The thin barrier between the air in the alveoli and the blood in the capillaries. It consists of the alveolar wall, epithelial basement membrane, capillary basement membrane, and capillary endothelium.

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Pulmonary Arteries

Blood vessels that carry deoxygenated blood from the right ventricle of the heart to the lungs for oxygenation.

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Bronchial Arteries

Blood vessels that branch from the aorta and deliver oxygenated blood to the muscular tissues of the lungs.

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Patency

The ability of a passageway, like an airway, to remain open and unobstructed.

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How is pressure lowered in the lungs for inhalation?

The diaphragm contracts and flattens, and the external intercostal muscles pull the ribs up and outward, increasing the volume of the thoracic cavity, which in turn lowers the pressure in the lungs.

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Study Notes

Introduction to Respiration

  • Respiration is the process of acquiring oxygen and eliminating carbon dioxide.
  • The human respiratory system involves three key steps:
    • Pulmonary ventilation: Gas exchange between the atmosphere and lungs.
    • External respiration: Gas exchange between lung tissues and blood.
    • Internal respiration: Gas exchange between blood and body tissues.
  • Functions of the respiratory system include:
    • Gas exchange.
    • Regulating blood pH.
    • Enabling vocal sounds and the sense of smell, filtering inhaled air, and excreting wastes during exhalation.
  • Oto(rhino)laryngology is the study of the respiratory system.
  • Cells require oxygen for aerobic cellular respiration.

Anatomy of the Respiratory System

  • The respiratory system is structurally divided into:
    • Upper respiratory system: Nose, nasal cavity, pharynx, and associated structures.
    • Lower respiratory system: Larynx, trachea, bronchi, and lungs.
  • Functionally, the system is divided into:
    • Conducting zone: Directs air toward the respiratory zone, filtering, warming, and humidifying air.
    • Respiratory zone: Site of gas exchange, including respiratory bronchioles, alveolar ducts, alveolar sacs, and alveoli.

Upper Respiratory System

  • Nose: Made of bone, cartilage, and connective tissues. Air enters through external nares (nostrils).
  • Nasal Cavity: Interior space of the nose. Bounded by the oral cavity and nasal bones. Maintained unobstructed by bone and cartilage. Divided by the nasal septum. Contains:
    • Paranasal sinuses: Lined with mucous membranes, important for voice resonance.
    • Nasal conchae: Swirl inhaled air.
    • Olfactory epithelium: Contains sensory receptors for smell; ciliated, but no goblet cells.
  • Pharynx: Tube of skeletal muscle. Starts at the internal nares and continues to the cricoid cartilage. Three sections:
    • Nasopharynx: Lined with ciliated pseudostratified columnar epithelium, sweeping mucus into the pharynx.
    • Oropharynx: Common passage for air and food; lined with non-keratinized stratified squamous epithelium, contains tonsils (trap pathogens).
    • Laryngopharynx: Similar to oropharynx but inferior.

Larynx

  • Tube of nine cartilages.
  • Thyroid cartilage: Hyaline cartilage; prominent in males (Adam's apple).
  • Epiglottis: Flap of elastic cartilage covering the larynx during swallowing.
  • Cricoid cartilage: Hyaline cartilage ring; landmark for tracheotomies.
  • Vocal folds (true vocal cords): Non-keratinized stratified squamous epithelium; form elastic ligaments. Vibrate for sound production. Muscle tension controls pitch.
  • Vestibular folds (false vocal cords): Come together when holding breath.

Trachea

  • 2.5 cm wide x 12 cm long tube.
  • 16-20 hyaline cartilage rings connected by dense connective tissue. This maintains patency.
  • Anterior to the esophagus. Lined with ciliated pseudostratified epithelium.

Bronchi

  • Trachea splits into right and left bronchi.
  • Carina: Ridge at branch point, sensitive to trigger cough reflex.
  • Bronchial tree: Narrowing vessels branching into lungs, ending in terminal bronchioles.
  • Mucous membrane structure changes throughout the bronchial tree. Supporting cartilage and smooth muscle proportions also change.

Lungs

  • Wrapped in pleural membrane (two serous membranes separated by a pleural cavity). Fluid reduces friction and creates surface tension.
  • Extend from clavicles to diaphragm, bordering the costal surfaces of ribs. Separated by the mediastinum.
  • Base (inferior portion) and apex (superior portion). Medial surfaces (mediastinal surfaces) include:
    • Hilum: Passage for bronchi, blood vessels, nerves, and lymphatics.
    • Cardiac notch: Space for the heart, reducing left lung size.
  • Fissures: Divide lungs into lobes.
    • Oblique fissure: Separates superior and inferior lobes in both lungs.
    • Horizontal fissure: Separates middle from superior lobe in right lung only.
  • Lobar bronchi: Named after the lobes; branch into segmental bronchi.
  • Bronchopulmonary segments: Each supplied by a segmental bronchus, 13 on the right and 8 on the left. Can be removed surgically.
  • Lobules: Smaller compartments of a bronchopulmonary segment, each containing a branch of a terminal bronchiole, arteriole/venule, and lymphatic vessel, all wrapped in elastic connective tissue.
  • Respiratory bronchioles: Microscopic branches of bronchi, lined with simple cuboidal epithelium. Branch into alveolar ducts (lined with simple squamous epithelium).
  • Alveoli: Air sacs for gas exchange.
    • Type I alveolar cells: Simple squamous epithelium facilitating gas diffusion.
    • Type II alveolar cells: Nonciliated cuboidal epithelium; secrete surfactant (to prevent alveolar collapse)
    • Alveolar macrophages: Patrol alveoli.
  • Respiratory membrane: Alveoli and associated capillaries; very thin (~0.5 µm), facilitating rapid gas diffusion. Contains alveolar walls, epithelial basement membrane, capillary basement membrane and capillary endothelium.

Blood Supply to the Lungs

  • Pulmonary arteries: Bring deoxygenated blood to lungs for oxygenation. constrict if oxygen levels are low
  • Bronchial arteries: Branch from the aorta; deliver oxygenated blood to lung tissue.

Gas Exchange and Ventilation

  • Pulmonary ventilation: Inhalation and exhalation, leads to gas exchange in alveoli. Controlled by pressure changes in the thorax.
  • Inhalation (inspiration): Lungs expand to lower pressure (below atmospheric pressure) and air flows in. Achieved by diaphragm contraction and external intercostal muscle contraction.
  • Exhalation (expiration): Passive process. Respiratory muscles relax resulting in elastic recoil and increase in pressure in the lungs.
  • Factors affecting pulmonary ventilation include surfactant, compliance (distensibility of lung tissue) and resistance (airway diameter and obstruction).
  • Lung volumes and capacities are measured to assess respiratory function (spirometry).

Principles of Gas Exchange

  • Passive diffusion of gases from high to low partial pressures.
  • Solubility of CO2 is significantly higher than oxygen in water; this greatly affects the movement of gasses between lungs, blood and body tissues.
  • External respiration occurs between alveoli and blood.
  • Internal respiration occurs between blood and body tissues.

Factors Affecting Respiration

  • Partial pressure gradients; surface area for gas exchange; diffusion distance; molecular weight and solubility.
  • Other factors affecting respiration include blood pH, PCO2, temperature, BPG levels, hemoglobin type.

Oxygen Transport

  • Hemoglobin (Hb) carries most oxygen in the blood (98.5%).
  • Oxygen binds to the iron (Fe) in the heme groups of Hb, reversibly.
  • Factors affecting Hb saturation include PO2, blood acidity, PCO2, temperature, BPG levels, hemoglobin type (fetus vs adult).

Carbon Dioxide Transport

  • Carbon dioxide is transported in blood in three forms: dissolved CO2, carbamino compounds, and bicarbonate.
  • Chloride shift maintains electrical balance during CO2 transport.

Regulation of Breathing

  • Respiratory center in the medulla oblongata and pons controls respiratory muscles.
  • Medullary respiratory group (DRG and VRG): controls normal and forceful breathing.
  • Pontine respiratory group influences normal breathing through the DRG.
  • Cortical influences allow voluntary control of breathing.
  • Chemoreceptors (central and peripheral) detect changes in PCO2 and/or H+ levels to regulate breathing rate and depth.
  • Hypoxia and hyperventilation are responses to changes in blood chemistry and are controlled via the inflation reflex.

Other Influences on Breathing

  • Emotions; temperature; pain; airways irritation; blood pressure affect breathing. Exercise increases ventilation and pulmonary perfusion.

Homeostatic Imbalances

  • Smoking can lead to COPD (including impaired ciliary function and emphysema).

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