Lecture 14: The Respiratory System
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Questions and Answers

Which structures are included in the Upper Respiratory System?

  • Pharynx (correct)
  • Lungs
  • Trachea
  • Nose (correct)
  • The nostrils are also known as the nares.

    True

    What is the structural component responsible for covering the glottis during swallowing?

    Epiglottis

    The primary function of the ________________ is to warm and moisten incoming air.

    <p>Nasal Cavity</p> Signup and view all the answers

    Match the following components of the Respiratory System with their functions:

    <p>Larynx = Passageway for air composed of cartilage pieces Trachea = Connects the larynx to the main bronchi Alveoli = Responsible for gas exchange between blood and lungs Bronchial Tree = Leads from the main bronchi to the alveolar ducts</p> Signup and view all the answers

    What are Peyer's patches and where are they located?

    <p>Lymph nodes found in the ileum (small intestine)</p> Signup and view all the answers

    What are the primary functions of villi in the small intestine?

    <p>Contain blood vessels</p> Signup and view all the answers

    The pancreas contains both exocrine and endocrine glands.

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

    The liver produces bile for the digestion of ________.

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

    Match the accessory organ of the small intestine to its function:

    <p>Gall bladder = Stores and concentrates bile between meals Pancreas = Contains exocrine and endocrine glands Liver = Produces bile for fat digestion</p> Signup and view all the answers

    What is the main portion of the uterus known as?

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

    Which layer of the uterus serves as the birth canal and passageway for sperm and menstrual flow?

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

    Primary oocytes begin meiosis I before birth but are arrested in ________.

    <p>prophase I</p> Signup and view all the answers

    The adrenal medulla secretes hormones that are mainly lipid soluble.

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

    Match the following gland with its location:

    <p>Thyroid Gland = Located on the anterior surface of the upper trachea Adrenal Glands = Located on the superior surface of each kidney Pancreas = Produces both digestive enzymes and hormones</p> Signup and view all the answers

    Which layer of the meninges is avascular and contains web-like strands of connective tissue connecting it to the pia mater?

    <p>Arachnoid mater</p> Signup and view all the answers

    CSF enters arachnoid granulations to return to the _____.

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

    The lateral ventricles are located in the diencephalon.

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

    What is the role of the cerebral white matter made up of tracts of myelinated neurons?

    <p>Control skeletal muscle movement</p> Signup and view all the answers

    Match the following brain regions with their functions:

    <p>Thalamus = Relay station for impulses coming from the spinal cord Hypothalamus = Regulator of internal environment (e.g. blood pressure) Cerebellum = Coordinates skeletal muscle contractions and maintains balance and posture Reticular activating system = Regulates alertness and attention, filters stimuli</p> Signup and view all the answers

    Which division of the Peripheral Nervous System controls smooth muscle, cardiac muscles, and glands?

    <p>Autonomic Nervous System</p> Signup and view all the answers

    The preganglionic neuron in the Autonomic Nervous System is myelinated.

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

    What is the purpose of the ascending sensory pathways?

    <p>To transmit sensory information from the receptor to the cortex.</p> Signup and view all the answers

    The _____ is the white outer layer of the eye.

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

    Match the component of the eye with its description:

    <p>Cornea = Transparent avascular connective tissue Iris = Colored part of the eye Retina = Also known as the nervous/sensory tunic Lens = Avascular and transparent structure in the eye</p> Signup and view all the answers

    Which part of the ear conducts sound and is also known as the eardrum?

    <p>Tympanic Membrane</p> Signup and view all the answers

    Study Notes

    Lecture 14: The Respiratory System

    Structure of Respiratory System

    • Two subdivisions: upper and lower respiratory system
    • Upper respiratory system: nose, nasal cavity, pharynx
    • Lower respiratory system: larynx, trachea, bronchial tree, lungs

    The Nose

    • Composed of nasal bones, cartilage, and connective and adipose tissue
    • Nostrils also known as nares

    The Nasal Cavity

    • Roles: warm and moisten incoming air, olfaction (sense of smell), and speech (resonance chamber)
    • Divided in two by nasal septum
    • Anterior region: hyaline cartilage
    • Posterior region: different bones
    • Vestibule: anterior region lined with skin with coarse hair (stratified squamous epithelia)
    • Respiratory region: posterior region lined with mucosa (ciliated pseudostratified epithelial cells)

    The Nasal Cavity

    • Contains nasal conchae and mucus membrane-lined meatuses (grooves)
    • Increase surface area and cause incoming air to swirl
    • Warms and moistens incoming air
    • Lacrimal duct drains into the cavity below the inferior nasal conchae

    The Olfactory Area

    • Located in the roof of the nasal cavity
    • Involved in the sense of smell
    • Contains neurons that act as olfactory receptors

    The Paranasal Sinuses

    • Two each in the following bones: frontal, sphenoid, ethmoid, and maxillae
    • Sinusitis: inflammation of mucous membranes of the sinuses

    The Pharynx

    • Nasopharynx: located posterior to the nasal cavity/internal nares
      • Contains the openings to the nasal apertures and the auditory/eustachian tubes
      • Contains the pharyngeal tonsil (adenoid)
    • Oropharynx: located posterior to the oral cavity (between soft palate and top of epiglottis)
      • Lined with stratified squamous epithelial cells
      • Passageway for air and food
      • Contains the palatine and lingual tonsils
    • Laryngopharynx: located between the epiglottis and the opening of the larynx
      • Lined with stratified squamous epithelial cells
      • Passageway for air and food

    The Larynx

    • Passageway for air composed of 9 pieces of cartilage (all are composed of hyaline cartilage except the epiglottis)
      • Thyroid cartilage: anterior wall, forms Adam's apple
      • Cricoid cartilage: forms complete ring
      • Epiglottis: covers glottis during swallowing, composed of elastic cartilage
      • Arytenoid cartilages (2): attached to the vocal cords
      • Two cuneiform and two corniculate cartilages

    The Vocal Cords

    • Two pairs of folds in the mucosa
      • Vestibular folds (false vocal cords)
      • True vocal cords (produce sound)
      • The true vocal cords are located in an opening known as the glottis (covered by epiglottis during swallowing)

    The Trachea

    • Connects larynx to the main bronchi
    • Located anterior to the esophagus
    • Consists of 20 C-shaped pieces of hyaline cartilage (opening faces the esophagus)

    The Bronchial Tree

    • Leads from the main bronchi to the alveolar ducts
    • In the lower bronchi, cartilage is replaced by smooth muscle and elastic fibers
    • Epithelial cells in the upper bronchi are ciliated and pseudostratified
    • Epithelial cells in the lower bronchi are non-ciliated and squamous

    The Lungs

    • Right and left lungs are separated by the mediastinum (containing the heart)
      • Right lung: three lobes (superior, middle, and inferior lobes)
      • Left lung: two lobes (superior and inferior lobes), cardiac notch where heart is

    The Pleural Membrane

    • Each lung is enclosed by its own double-layered pleural membrane
      • Visceral pleural membrane: covers surface of the lung
      • Parietal pleural membrane: attached to inner thoracic wall, diaphragm, and mediastinum
    • Pleural cavity: contains pleural fluid which reduces friction and holds lungs to the walls of the thoracic cavity

    The Conduction Zone

    • The region from the nasal cavity to the terminal bronchioles is known as the conduction zone
    • Conducts air from the environment to the respiratory zone

    The Respiratory Zone

    • The region from the respiratory bronchioles to the alveoli is known as the respiratory zone
    • Responsible for the exchange of gases (O2/CO2) between the blood and the lungs

    The Respiratory Membrane

    • Consists of the walls of the alveoli and the blood vessels
    • Walls of blood vessels are composed of simple squamous epithelial cells and a basement membrane
    • Walls of alveoli are composed of type I and type II alveolar cells and a basement membrane

    Ventilation/Breathing

    • Requires two separate events: inspiration/inhalation and expiration/exhalation
    • Inspiration/inhalation: intake of air into the lungs
    • Expiration/exhalation: movement of air out of the lungs

    Lecture 15: The Digestive System

    The Mucosa

    • Composed of three distinct layers: epithelium, lamina propria, and muscularis mucosae
    • Epithelium: functions include protection, secretion, and absorption
    • Lamina propria: connective tissue with blood and lymph vessels and MALT
    • Muscularis mucosae: thin layer of muscle (makes folds in the lumen)

    The Submucosa

    • A layer of areolar connective tissue that serves to bind mucosa to muscularis
    • Contains blood, lymphatic vessels, and nerves plexus

    The Muscularis

    • Two layers of smooth muscle: inner circular and outer longitudinal
    • Myenteric nerve complex between layers
    • Contractions cause motility (mixing and movement)

    The Serosa

    • Also known as the visceral peritoneum or adventitia
    • Serves as the outermost covering of the organs (the esophagus lacks a serosa)

    Oral Cavity

    • Includes: lips, cheeks, palate, and tongue
    • Palate: hard palate (2 maxillae and 2 palatine bones) and soft palate (posterior to hard palate)
    • Tongue: attached to hyoid bone, skeletal muscle, projections of the mucosa (papillae = taste buds)

    Salivary Glands

    • Three pairs: parotid, submandibular, and sublingual
    • Saliva: 99.5% water, 0.5% solutes (e.g., enzymes)

    Dentition/Teeth

    • Located in maxillae and mandible
    • Child dentition: primary dentition/deciduous (baby) teeth
    • Adult dentition: secondary dentition/permanent teeth

    Tooth Structures

    • Crown: above the gum
    • Root: dentin and cementum overlay
    • Neck: enamel and cementum boundary (gums)

    Oropharynx and Laryngopharynx

    • Contains only muscularis externa (skeletal muscles) and stratified squamous cells

    Esophagus

    • Located posterior to the trachea
    • Passes through the diaphragm to the abdominal cavity
    • All four histological layers in GI tract from this point on
    • Muscularis externa: upper 1/3 = skeletal muscles, middle layer = smooth and skeletal, lower layer = smooth muscle

    Stomach

    • Four main regions: cardia, fundus, body, and pyloric region
    • Converts food into chyme (food + gastric juice)
    • Invaginations form gastric glands
    • Rugae: folds in the mucosa and submucosa (allows expansion without tearing)

    Small Intestine

    • Pyloric sphincter to ileocaecal valve
    • Made up of three layers
    • Plicae circulares (circular folds): ridges in the mucosa and submucosa (cause chyme to spiral as it passes through)
    • Villi: finger-like projections of mucosa (contain blood and lymph vessels), lymph vessels absorb dietary fats
    • Microvilli: projections of the plasma membrane of absorptive cells (form what is known as the brush border)

    Accessory Organs

    • Pancreas: composed of head, body, and tail
    • Liver: four lobes (right, left, quadrate, caudate)
    • Gall bladder: muscular sac on the surface of the liver

    Lecture 16: The Urinary System

    The Kidneys

    • Located retroperitoneally
    • Right kidney lower than left kidney
    • Supported and protected by three layers of connective tissue
    • Renal cortex is the outermost surface
    • Renal medulla divided into renal pyramids, renal columns, and the renal corpuscle

    The Renal Corpuscle

    • Located in the cortex
    • Site of blood filtration
    • ComposedHere are the study notes organized by topic:
    • Male Reproductive System*

    Bulbourethral Gland (Cowper glands)

    • Located below prostate in urogenital diaphragm
    • Secrete thick alkaline mucus to neutralize acidic urine and lubricate
    • Secrete 5% of semen

    Spermatogenesis

    • Differentiation of spermatids = spermiogenesis
    • Involves developing flagella, acrosome, and losing most of cytoplasm

    Spermatozoa

    • Head: contains nucleus with 23 chromosomes, acrosome with digestive enzymes
    • Body (midpiece): contains large numbers of mitochondria to produce ATP for movement
    • Tail (flagellum): propels sperm, made of microtubules

    Semen

    • Contains sperm, testicular fluid, and accessory gland secretions
    • 2-5 ml released at ejaculation, pH 7.2-7.6
    • Provides nutrients, protection, and transportation medium
    • Female Reproductive System*

    Ovaries (gonads)

    • Located in pelvic cavity on lateral sides of uterus
    • Histology: four layers, including superficial/germinal epithelia, tunica albuginea, ovarian cortex, and ovarian medulla

    Uterine/Fallopian Tubes

    • Three sections: infundibulum, ampulla, and isthmus
    • Histology: three layers, including mucosa, muscularis externa, and serosa

    Uterus

    • Hollow organ composed of fundus, body, and cervix
    • Histology: three layers, including perimetrium, myometrium, and endometrium
    • Endometrium: two layers, including stratum functionalis and stratum basalis
    • Oogenesis*
    • 1º oocytes begin meiosis I before birth, arrested in prophase I
    • LH stimulates completion of meiosis I, and 2º oocyte is formed
    • Ovarian Follicles and Follicular Development*
    • Primordial follicles: 1º oocyte surrounded by single layer of flat follicular cells
    • Primary follicles: single layer becomes cuboidal, granulosa cells proliferate and secrete zona pellucida
    • Secondary follicles: follicular cells secrete fluid, estrogen secretion begins
    • Vesicular follicles: fluid-filled spaces unite to form antrum, granulosa cells surround oocyte
    • Corpus luteum: follicle that remains after ovulation, produces estrogen and progesterone
    • Mammary Glands*
    • One per breast, modified sweat glands that produce milk
    • Hormones*
    • Steroids: synthesized from cholesterol, include testosterone, estrogen, and vitamin D
    • Hormones derived from amino acids: include thyroxine, epinephrine, and norepinephrine
    • Peptide or protein hormones: include oxytocin, antidiuretic hormone, and insulin
    • Pituitary Gland*
    • Suspended from hypothalamus, divided into anterior and posterior lobes
    • Anterior pituitary gland: composed of epithelial tissue, regulates growth and metabolism
    • Posterior pituitary gland: composed of nervous tissue, stores and secretes hormones produced by hypothalamus
    • Other Endocrine Glands*
    • Thyroid gland: produces thyroxine, regulates cellular metabolism
    • Adrenal glands: produce cortisol, aldosterone, and epinephrine
    • Pancreas: produces glucagon, insulin, and somatostatin
    • Hypothalamus: produces hormones that regulate anterior pituitary gland
    • Nervous System*
    • Central Nervous System (CNS): brain and spinal cord
    • Peripheral Nervous System (PNS): nerves that connect CNS to rest of body
    • Neurons: cell body, dendrites, axon, and axon terminal
    • Myelinated neurons: wrapped in layers of cell membranes from Schwann cells or oligodendrocytes
    • Brain*
    • Cerebrum: divided into two hemispheres, with gyri and sulci
    • Cerebral cortex: 2-4 mm thick, divided into functional areas
    • Cerebral white matter: tracts of myelinated neurons, including association, commissural, and projection tracts
    • Brain Regions*
    • Forebrain: includes cerebrum, diencephalon, and telencephalon
    • Diencephalon: includes thalamus, hypothalamus, and epithalamus
    • Cerebral basal nuclei: paired masses of gray matter, control skeletal muscle movement### Brain Stem
    • The brain stem consists of the midbrain, pons, and medulla oblongata.
    • The midbrain connects the pons and diencephalon, and contains the cerebral aqueduct.
    • The anterior part of the midbrain contains the cerebral peduncle, which is a projection tract.
    • The posterior part of the midbrain contains four nuclei/colliculi, known as the corpora quadrigemina.

    Midbrain

    • The midbrain contains two superior colliculi, which are responsible for visual reflexes.
    • The midbrain also contains two inferior colliculi, which are responsible for hearing.

    Pons

    • The pons is located inferior to the midbrain.
    • The pons contains tracts that connect the spinal cord to the brain, and tracts that connect to and from the cerebellum.
    • The pons also contains the pontine respiratory center.

    Medulla (Oblongata)

    • The medulla is located inferior to the pons.
    • The medulla ends at the foramen magnum, which is a hole in the skull.
    • The medulla contains two bulges/pyramids, which are motor tracts.
    • The medulla also contains vital centers, including the cardiac, vasomotor, and respiratory centers.

    Brain Stem

    • The midbrain, pons, and medulla are collectively known as the brain stem.

    Cerebellum

    • The cerebellum is located posterior to the pons and medulla.
    • The cerebellum contains folds known as folia.
    • The cerebellum has a cortex, which is grey matter, and arbor vitae, which is white matter.
    • The cerebellum serves to coordinate skeletal muscle contractions, and is involved in maintaining balance and posture.

    Limbic System

    • The limbic system is a number of nuclei located in the cerebrum and diencephalon.
    • The limbic system regulates emotions, such as laughing and crying.
    • The limbic system also contains areas involved in memory, which can evoke emotions.

    Reticular System

    • The reticular system is a number of nuclei located in the brain stem, cortex, thalamus, and hypothalamus.
    • The reticular system regulates alertness and attention, and filters stimuli, only sending new or unusual signals to the brain.

    Spinal Cord Structure: Overview

    • The spinal cord begins at the foramen magnum, which is a hole in the skull.
    • The spinal cord ends at the conus medullaris, which is at the level of L1 or L2.
    • Nerves continue down the vertebral foramina as the cauda equina, which is a bundle of nerves.
    • Nerves exit at the intervertebral foramina.

    Spinal Cord Structure: Overview

    • The spinal cord has a filum terminale, which is a connective tissue extension of the pia mater.
    • The filum terminale anchors the conus medullaris to the coccyx.
    • The spinal cord is the location where CSF samples are taken.

    Cross-Sectional Structure

    • The spinal cord has an anterior median fissure and a posterior median sulcus, which separates the cord into right and left halves.
    • The central canal of the spinal cord contains cerebrospinal fluid (CSF).

    Cross-Sectional Structure

    • The gray matter of the spinal cord contains cell bodies and dendrites of motor neurons and interneurons.
    • The gray matter is shaped like a butterfly or an H.
    • The cross bar of the gray matter is the gray commissure.

    Cross-Sectional Structure

    • Each side of the spinal cord is divided into horns.
    • The dorsal horn is sensory, the lateral horn is motor, and the ventral horn is motor.

    Cross-Sectional Structure

    • The white matter of the spinal cord contains the myelinated axons of ascending (sensory) and descending (motor) tracts.
    • The white matter forms specific columns, including the dorsal column, lateral column, and ventral column.

    Spinal Cord Functions

    • The spinal cord carries sensory and motor impulses to and from the brain.
    • The spinal cord produces reflexes, which are fast, predictable, and autonomic responses to changes in the environment.

    Peripheral Nervous System: Cranial Nerves

    • There are 12 pairs of cranial nerves.
    • The brain regions associated with the cranial nerves are the cerebrum, cerebellum, and brain stem.

    Peripheral Nervous System: Cranial Nerves

    • Two pairs of cranial nerves are only sensory, and one pair is mainly sensory.

    Peripheral Nervous System: Spinal Nerves

    • There are 31 pairs of spinal nerves, which are all mixed nerves.
    • The spinal nerves exit via the intervertebral foramina.
    • Each spinal nerve has two points of attachment to the spinal cord.

    Peripheral Nervous System: Spinal Nerves

    • The dorsal root of a spinal nerve is sensory, and contains cell bodies in the dorsal root ganglia.
    • The ventral root of a spinal nerve is autonomic and somatic motor, and contains cell bodies in the ventral or lateral horns.

    Cross-Section of Nerve

    • A nerve contains many neurons with a number of connective tissue wrappings.
    • The epineurium is a wrapping around the entire nerve, the perineurium is a wrapping around fascicles, and the endoneurium is a wrapping around the axon and myelin sheath.

    Peripheral Nervous System: Sensory/Afferent Division

    • Receptors detect changes in the environment.
    • Receptors are classified by location, including exteroceptors, interoceptors, and proprioceptors.
    • Receptors are also classified by type of stimulus, including mechanoreceptors, thermoreceptors, chemoreceptors, photoreceptors, and nociceptors.

    Peripheral Nervous System: Sensory/Afferent Division

    • The structure of receptors (general senses only) includes free nerve endings and encapsulated nerve endings.
    • Free nerve endings are terminal dendrites of unipolar sensory neurons, and are associated with pain and root hair plexus.
    • Encapsulated nerve endings are terminal dendrites enclosed in connective tissue, and are associated with Meissner's and Pacinian corpuscles.

    Peripheral Nervous System: Sensory/Afferent Division

    • A first order neuron is a unipolar neuron attached to or associated with a receptor, and may or may not be encapsulated.
    • The axon of a first order neuron travels in cranial or spinal nerves to the CNS.
    • The cell bodies of first order neurons are located in sensory ganglia of cranial nerves or dorsal root ganglia of the spinal cord.

    Peripheral Nervous System: Motor/Efferent Division

    • The CNS sends impulses to effectors through the motor/efferent division.
    • The motor/efferent division is divided into somatic and autonomic subdivisions.
    • The somatic subdivision is concerned with skeletal muscles, and consists of lower motor neurons.
    • The autonomic subdivision is concerned with smooth muscle, cardiac muscle, and glands, and consists of two successive multipolar neurons.

    Peripheral Nervous System: Motor/Efferent Division

    • The autonomic subdivision is divided into sympathetic and parasympathetic nervous systems.
    • The sympathetic nervous system is involved in the "fight or flight" response, and the parasympathetic nervous system is involved in promoting relaxation and reducing stress.

    Nervous System Pathways/Ascending Pathway

    • The ascending pathway is a sensory pathway that involves three successive neurons from the receptor to the cortex.
    • The first order neuron is a receptor neuron, the second order neuron is an interneuron in the dorsal horn, and the third order neuron is an interneuron in the thalamus.

    Nervous System Pathways/Ascending Pathway

    • The axons of the first and second order neurons form ascending spinal tracts, including the dorsal column tract and the spinothalamic tract.
    • The dorsal column tract is involved in sensations that are precisely located, and the spinothalamic tract is involved in sensations that are more diffuse.

    Nervous System Pathways/Descending Pathway

    • The descending pathway is a motor pathway that involves two neurons from the brain to the effector.
    • The upper motor neuron is a neuron in the CNS, and the lower motor neuron is a neuron in the PNS.

    The Eyes

    • The eyes have a fibrous tunic, a vascular tunic, and a nervous/sensory tunic.
    • The fibrous tunic includes the sclera and cornea.
    • The vascular tunic includes the choroid, ciliary body, and iris.
    • The nervous/sensory tunic includes the retina.

    The Eyes

    • The retina has an outer pigmented layer and an inner neural layer.
    • The inner neural layer has three layers: photoreceptors, bipolar cells, and ganglion cells.
    • The photoreceptors are rods and cones.
    • The rods are sensitive to black and white, and the cones are sensitive to color.

    The Ears

    • The ears have an external ear, a middle ear, and an inner ear.
    • The external ear includes the auricle, external auditory canal, and tympanic membrane.
    • The middle ear includes the Eustachian tube, ear ossicles, and oval window.
    • The inner ear includes the bony labyrinth, membranous labyrinth, and cochlea.

    The Ears

    • The coch

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