Introduction to Respiratory System - LEC 1&2
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Questions and Answers

What happens to lung compliance in the absence of surfactant?

  • Compliance increases significantly
  • Compliance fluctuates moderately
  • Compliance remains unchanged
  • Compliance decreases significantly (correct)
  • What is a likely consequence of the loss of surfactant?

  • Formation of excessive surfactant
  • Development of atelectasis (correct)
  • Increased lung capacity
  • Decreased resistance in airways
  • When does surfactant typically begin to be secreted in gestation?

  • First trimester
  • Between the sixth and seventh months (correct)
  • Between the second and third months
  • After birth
  • What condition is caused by low surfactant levels in premature infants?

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

    What is one potential fatal outcome of atelectasis in infants?

    <p>Suffocation due to lung collapse</p> Signup and view all the answers

    What is the main function of the lungs?

    <p>To exchange oxygen and carbon dioxide</p> Signup and view all the answers

    What differentiates the right lung from the left lung?

    <p>The left lung has a cardiac notch</p> Signup and view all the answers

    Which part of the lung is primarily responsible for gas exchange?

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

    What is the role of surfactant in the lungs?

    <p>Reduces surface tension in alveoli</p> Signup and view all the answers

    What structure connects each lung to the trachea?

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

    What is the diaphragm's role in respiration?

    <p>Helps in lung expansion and contraction</p> Signup and view all the answers

    What is the approximate surface area of the epithelium in the lungs responsible for gas exchange?

    <p>70 square meters</p> Signup and view all the answers

    What is the primary function of the parasympathetic nervous system in relation to the lungs?

    <p>Causes bronchoconstriction</p> Signup and view all the answers

    What are the structures in the lungs responsible for conducting air called?

    <p>Conducting zone</p> Signup and view all the answers

    How many lobes does the right lung consist of?

    <p>Three lobes</p> Signup and view all the answers

    What separates the lobules in the lungs?

    <p>Interlobular septum</p> Signup and view all the answers

    Which layer of the pleura is in direct contact with the lungs?

    <p>Visceral pleura</p> Signup and view all the answers

    What is a bronchopulmonary segment?

    <p>A subdivision of a lobe</p> Signup and view all the answers

    What role does the sympathetic nervous system play in lung function?

    <p>It stimulates bronchodilation.</p> Signup and view all the answers

    What structure surrounds each lung?

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

    What is primarily contained within a bronchopulmonary segment?

    <p>Tertiary bronchus and blood artery</p> Signup and view all the answers

    What is the total surface area of the respiratory membrane in a normal adult human male?

    <p>70 m2</p> Signup and view all the answers

    Which of the following layers is NOT part of the respiratory membrane?

    <p>Bronchial epithelium</p> Signup and view all the answers

    How does the thickness of the respiratory membrane generally affect gas diffusion?

    <p>Thicker membranes slow down diffusion</p> Signup and view all the answers

    What defines the diffusing capacity of the respiratory membrane?

    <p>Volume of gas diffusing per minute for a pressure difference of 1 mm Hg</p> Signup and view all the answers

    What happens to the diffusing capacity for O2 during strenuous exercise?

    <p>It increases to about 65 ml/min/mm Hg</p> Signup and view all the answers

    Which factor significantly affects the rate of gas diffusion through the respiratory membrane?

    <p>Thickness of the membrane</p> Signup and view all the answers

    The recruitment of pulmonary blood flow during exercise primarily affects which aspect of gas exchange?

    <p>The ventilation/perfusion ratio</p> Signup and view all the answers

    What is the average thickness of the respiratory membrane?

    <p>0.6 micrometer</p> Signup and view all the answers

    Which cartilage forms the superior part of the larynx?

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

    What connects the C-shaped cartilages in the trachea?

    <p>Dense connective tissue</p> Signup and view all the answers

    What is the primary purpose of the conducting zone in the respiratory tract?

    <p>Conduct air to the lungs</p> Signup and view all the answers

    Which structure marks the transition from the conducting zone to the respiratory zone?

    <p>Terminal bronchiole</p> Signup and view all the answers

    How many branching generations of airways exist between the trachea and the alveoli?

    <p>23</p> Signup and view all the answers

    What is the total cross-sectional area of airways in the alveoli?

    <p>11800 cm2</p> Signup and view all the answers

    What type of epithelium lines the trachea?

    <p>Pseudostratified ciliated columnar epithelium</p> Signup and view all the answers

    Which part of the lower respiratory tract is primarily responsible for gas exchange?

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

    What is the partial pressure of carbon dioxide in the blood of the capillary?

    <p>45 mm Hg</p> Signup and view all the answers

    Why does oxygen diffuse out of the blood into the tissues?

    <p>Because there is a lower partial pressure of oxygen in the tissues</p> Signup and view all the answers

    What form is carbon dioxide NOT carried back to the lungs?

    <p>Converted to glucose</p> Signup and view all the answers

    What creates the partial pressure gradient for oxygen diffusion in internal respiration?

    <p>Low oxygen in the tissues and high in the blood</p> Signup and view all the answers

    What is the relationship between the solubility of carbon dioxide and oxygen in blood and alveolar fluids?

    <p>Carbon dioxide is more soluble than oxygen</p> Signup and view all the answers

    What color does blood returning to the heart have when it has little oxygen bound to hemoglobin?

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

    Where does the gas exchange occur during external respiration?

    <p>In the pulmonary capillaries</p> Signup and view all the answers

    What condition facilitates the diffusion of carbon dioxide out of the tissues?

    <p>Lower partial pressure of carbon dioxide in the blood</p> Signup and view all the answers

    Study Notes

    Introduction to Respiratory System

    • Respiratory Physiology (LEC 1&2) covers the structure and function of the respiratory system
    • Course is taught by Dr. Zainab Ali Altufailie in 2024
    • Goal of lecture 1: understanding the anatomy of the lung, comparing upper and lower airways, identifying the importance of conducting and respiratory zones, and explaining respiratory components, differences between bronchi, bronchioles and alveoli and the blood supply of the lung.
    • Goal of lecture 2: enumerating the main lung functions, defining external and internal respiration, explaining the respiratory unit and respiratory membrane, and defining surfactant.

    The Organs of Respiration

    • Primary function: Provide oxygen to body tissues, remove carbon dioxide, and maintain acid-base balance.
    • Non-vital functions include sensing odors, speech production, and straining (e.g., coughing).

    Major Respiratory Structures

    • Nasal cavity
    • Nostrils
    • Oral cavity
    • Larynx
    • Pharynx
    • Trachea
    • Right/Left main bronchus
    • Right/Left lung
    • Diaphragm

    The Lungs

    • Pyramid-shaped organs connected to the trachea by the right and left bronchi.
    • Inferior surface bordered by diaphragm.
    • Enclosed by pleurae attached to the mediastinum.
    • Right lung is shorter and wider than the left.
    • Left lung has a cardiac notch for the heart.
    • Apex is the superior region, and base is near the diaphragm.
    • Lung surfaces include costal (rib borders) and mediastinal (midline).
    • Constructed of lobes: Right lung (superior, middle, inferior); Left lung(superior, inferior).
    • Lobes divided by fissures.
    • Bronchopulmonary segments, each receiving air from its own tertiary bronchus and blood supply.
    • Associated with pulmonary lobules, a smaller subdivision of a lobe served by a large bronchiole.

    Lung Innervation

    • Sympathetic and parasympathetic nervous systems control airway dilation and constriction.
    • Coughing and regulating oxygen/carbon dioxide levels are part of autonomic nervous system control.
    • Sensory nerves from vagus nerve and thoracic ganglia form the pulmonary plexus, innervating muscles, glands, and vessels.

    Pleura of the Lungs

    • Serous membranes surrounding the lungs, separated by the mediastinum.
    • Visceral pleura: superficial layer extending into lung fissures.
    • Parietal pleura: outer layer connecting to thoracic wall, mediastinum, and diaphragm.
    • Pleural cavity: space between visceral and parietal pleurae, filled with pleural fluid.
    • Functions include reducing friction during breathing, establishing negative pressure to keep lungs expanded, and separating major organs.

    Regions of the Respiratory Tract

    • Upper respiratory tract consists of nasal cavity, paranasal sinuses, pharynx (nasopharynx, oropharynx, laryngopharynx), and larynx.
    • Lower respiratory tract consists of trachea, bronchi (primary, secondary, and tertiary), bronchioles(including terminal and respiratory bronchioles), and alveoli

    Bronchioles and Terminal Bronchioles

    • Conducting zone comprises bronchi and bronchioles, which do not have gas exchange.
    • Terminal bronchioles are the end of the conducting zone, lined with simple cuboidal epithelium and containing club cells (proteinaceous compound secretion)
    • Bronchioles are no longer supported by cartilage
    • Smooth muscle in the walls plays a more prominent regulatory role in airway diameter.

    Alveoli

    • Respiratory zone consists of respiratory bronchioles, alveolar ducts, and alveoli, these areas support gas exchange
    • Surrounded by capillaries.
    • Surface tension reduction by surfactant within alveoli promotes stability and helps minimize the tendency of alveoli to collapse.
    • Lungs contain approximately 300 million alveoli to facilitate efficient gas exchange.

    Type I and Type II Alveolar Cells

    • Type I cells: primary structural components of alveoli with extensive cytoplasmic extensions and covering about 95% of the alveolar surface.
    • Type II cells: secrete surfactant (reducing surface tension), critical for alveolar stability and preventing collapse.

    Pulmonary Circulation

    • Pulmonary arteries carry deoxygenated blood to the lungs; pulmonary veins return oxygenated blood to the heart.
    • Bronchial circulation provides nutrients to the lungs; bronchial arteries are branches from systemic arteries; bronchial veins drain into the azygos vein.
    • Lymphatic vessels are essential for unidirectional lymph flow.

    Respiratory Membrane

    • Six layers: surfactant layer, alveolar epithelium, basal lamina of epithelium, interstitial space, basal lamina of endothelium, and capillary endothelium.

    Factors Affecting Gas Diffusion

    • Factors affecting diffusion rate: thickness of membrane, surface area, diffusion coefficient of the gas, and partial pressure difference.

    Pulmonary Surfactant

    • Produced by type II alveolar cells, reduces surface tension which prevents the alveoli from collapsing.

    Lack of Surfactant

    • Premature babies often lack sufficient surfactant, leading to respiratory distress syndrome (RDS) and respiratory problems.

    Main Functions of Lungs

    • External respiration: Breathing involving the exchange of gases between the atmosphere and lungs to deliver O2 and remove CO2
    • Internal respiration: Respiration within cells involving gas utilization for metabolic processes.

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    Description

    This quiz covers the foundational concepts of the respiratory system as discussed in lectures 1 and 2. Key topics include lung anatomy, the roles of upper and lower airways, and the important functions of respiratory structures. It aims to enhance understanding of respiratory physiology and its significance in maintaining body functions.

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