The respiratory system: anatomy and physiology

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What is the primary function of the conducting zone in the respiratory system?

To transport gas in and out of the lungs

What structures are responsible for gas exchange in the respiratory zone?

Alveoli

Which structure connects the nasal cavity and the mouth to the larynx?

Pharynx

Which airways lack cartilage but have smooth muscles?

Bronchioles

What is the main role of the trachea in the respiratory system?

Connects the larynx to the bronchi in the lungs

Why do physiotherapists encourage clients to breathe through their nose?

Filters the air for particles, warms and humidifies it

What is the purpose of collateral ventilation in the lungs?

To preserve gas exchange beyond obstructions

Which component of the upper respiratory tract contains vocal cords?

Larynx

At what age do the pores of Kohn develop in adult alveoli?

4 years old

What type of channels develop as a result of alveolar wall destruction in pathologic states like emphysema?

Collateral channels

What is the cross-sectional area of the lungs?

1,000,000 cm2

Which part of the respiratory system is responsible for coughing to clear the first 6 generations of airways?

Conducting zone

What causes the movement of ribs during inspiration to be like that of a bucket handle?

Anterior ends of ribs 8–10 moving upwards and outwards

What is the function of the pleural cavity?

Creates surface tension to pull pleura together

Which joints in the rib cage form attachment points allowing for proper movement during breathing?

Costovertebral and costotransverse joints

What are the three air pressures involved in inspiration and expiration?

The alveolar pressure, the atmospheric pressure, and the intrapleural pressure

What is the role of the pleural fluid in the respiratory system?

Increases surface tension between the parietal and visceral pleura

What contributes to the slightly negative pressure in the intra-pleural space?

Balance between outward chest wall pull and lung collapse tendency

What happens to intrapulmonary pressure during inspiration?

Decreases

What drives air movement into and out of the lungs during respiration?

Atmospheric pressure gradient

Which muscles are the principal muscles of inspiration?

External intercostals and diaphragm

In quiet breathing, which muscles contribute to expiration?

Internal intercostals and abdominal muscles

What is the mnemonic for remembering the innervation of the diaphragm?

C3, C4, C5 keeps the diaphragm alive

What happens if a patient presents with a spinal cord injury at the level of C6?

No impact on diaphragm innervation

Which muscles contribute to active expiration when additional respiratory effort is required?

Internal intercostals and abdominal muscles

Which force contributes to the recoil of the alveoli back to their original shape after being stretched?

Surface tension of the alveoli

What is the primary function of pulmonary surfactant in the lungs?

Reduce surface tension

How does poor lung compliance affect the relationship between volume and pressure changes during breathing?

Decreases volume for a large change in pressure

What contributes to the outwards pull of the chest wall in maintaining lung expansion?

Recoil force of the chest wall

What phenomenon is indicated by plotting change in volume over change in pressure, where different curves are observed for inspiration and expiration due to surface tension?

Hysteresis

Which lung volume refers to the volume of air expelled with force expiration?

Expiratory reserve volume

What is the lung capacity that is determined by the outward spring of the rib cage and the inward elastic re-coil of the lungs?

Functional residual capacity

How do taller people generally compare to obese people in terms of lung volumes?

Taller people have larger lung volumes

What effect does aging have on lung volumes?

Decreases lung volumes

What factor leads to an overall reduction in lung volume as a person ages?

Reduced thoracic cage compliance

How does inspiratory muscle training affect lung volumes?

Increases lung volumes

At what altitude do people tend to have larger lung volumes?

High altitude

Which lung capacity provides information about the overall function of the lungs?

Total lung capacity

Inspiratory reserve volume refers to the volume of inspired air from:

Tidal volume to maximal inspiration

What is the volume of air that would remain if the lungs collapsed in men?

1200ml

Which lung capacity represents the total volume of the lungs at the end of a maximal inspiration?

Total Lung Capacity (TLC)

What is the maximum volume of air that can be inspired in addition to a normal tidal inspiration in women?

1900ml

What is the volume of air exhaled in addition to a normal tidal expiration in women?

1100ml

Which volume of air remains in the lungs at the end of a normal tidal expiration in women?

1800ml

What is the total volume of air that can be inspired and expired in a single breath in men?

4600ml

Test your knowledge on the mechanics of the respiratory system, including intrapulmonary pressure, intra-pleural pressure, muscle movements, and airway compliance during breathing cycles.

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