Respiratory System: Nose, Pharynx, and More

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Questions and Answers

If a patient has difficulty preventing food from entering their lower respiratory tract, which structure is most likely compromised?

  • The thyroid cartilage
  • The hyoid bone
  • The epiglottis (correct)
  • The cricoid cartilage

A surgeon is performing a procedure on a patient's lung and needs to isolate a single segment for removal. Which type of bronchi would they need to access to isolate a specific bronchopulmonary segment?

  • Segmental (tertiary) Bronchi (correct)
  • Lobar (secondary) Bronchi
  • Main (primary) Bronchi
  • Bronchioles

During a physical examination, a doctor notes that a patient has decreased breath sounds in the lower right lung. Which of the following structures is most likely affected?

  • Left inferior lobe
  • Right superior lobe
  • Right middle lobe (correct)
  • Left superior lobe

A patient presents with inflammation of the membrane lining the pleural cavity. Which specific layer is directly affected by this inflammation?

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

A patient is experiencing difficulty with both air and food passage. Considering the structure and function of the pharynx, which specific region is most likely affected?

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

In a scenario where an individual is unable to properly moisten and filter inhaled air, which organ is most likely malfunctioning?

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

During expiration, which of the following muscular actions leads to a decrease in thoracic volume?

<p>Relaxation of the diaphragm (B)</p> Signup and view all the answers

A person is experiencing a hoarse voice and has difficulty speaking. Which of the following structures is most likely affected, leading to this voice change?

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

Which structural component is responsible for the lungs' ability to expand and contract effectively within the thoracic cavity during respiration?

<p>The negative pressure within the pleural cavity. (B)</p> Signup and view all the answers

If a foreign object is inhaled and becomes lodged in a main bronchus, which lung is it statistically more likely to obstruct, and why?

<p>Right lung, because the right main bronchus is wider and more vertically oriented than the left. (A)</p> Signup and view all the answers

Flashcards

Nose functions

Airway for respiration, filters, moistens and warms air, resonating chamber for speech, and contains olfactory receptors.

Pharynx

Connects the nasal cavity to the larynx and oral cavity to the esophagus; divided into nasopharynx, oropharynx, and laryngopharynx.

Larynx functions

Voice production, maintains open airway, and directs air/food into trachea/esophagus; contains the epiglottis.

Trachea

Tube descending from the larynx, dividing into the two main bronchi.

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Bronchial Tree Structure

Trachea to main bronchi to lobar bronchi to segmental bronchi to bronchioles.

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Pleura

The double-layered sac surrounding each lung; includes parietal pleura, visceral pleura, and pleural cavity.

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Inspiration

The period when air flows into the lungs.

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Expiration

The period when gases exit the lungs.

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Inspiration Mechanics

Diaphragm contracts, external intercostals elevate ribs, increasing thoracic volume.

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Expiration Mechanics

External intercostals relax, diaphragm relaxes and moves superiorly, decreasing thoracic volume.

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Study Notes

  • Functions of the respiratory system include air conduction and pulmonary ventilation (gas exchange).

Respiratory Organs

  • Organs include the nose, nasal cavities, paranasal sinuses, pharynx, larynx, trachea, bronchi and their smaller branches, lungs, and alveoli.

Nose

  • The nose provides an airway for respiration.
  • It filters inhaled air.
  • It moistens and warms the air.
  • It acts as a resonating chamber for speech.
  • It contains olfactory receptors.

Pharynx

  • The pharynx connects the nasal cavity to the larynx, and the oral cavity to the esophagus
  • It's divided into three parts: nasopharynx, oropharynx, and laryngopharynx.

Nasopharynx

  • The nasopharynx is posterior to the nasal cavity and superior to the oral cavity.
  • It serves only as an air passageway and closes off during swallowing.

Oropharynx

  • The oropharynx is located posterior to the oral cavity.
  • It's a common passage for both food and air.

Laryngopharynx

  • The laryngopharynx is a joint passageway for food and air.
  • It's continuous with the esophagus and larynx.

Larynx

  • The larynx is a framework of 9 cartilages connected by ligaments and membranes.
  • Functions: Voice production and keeping the airway open.
  • Directs air and food into the trachea and esophagus.
  • The epiglottis prevents food or liquids from entering lower respiratory channels.

Trachea

  • The trachea descends from the larynx through the neck and into the mediastinum.
  • It divides into two main (primary) bronchi.

Bronchial Tree Structure

  • The trachea divides into two main (primary) bronchi, which enter the lungs.
  • Lobar (secondary) bronchi: 3 on the right and 2 on the left, each supplies a lung lobe.
  • Segmental (tertiary) bronchi branch into each lung segment (bronchopulmonary segment).
  • Bronchioles are small bronchi, less than 1 mm in diameter.

Respiratory Zone

  • The respiratory zone is the terminal part of the respiratory tree in the lungs. Gas exchange occurs in the alveoli, which are microscopic air sacs at the end of the respiratory tree.

Pleural Membranes and Cavities

  • The pleura is a double-layered sac that surrounds each lung.
  • Parietal pleura lines the pleural cavities.
  • Visceral pleura covers the lungs.
  • Pleural cavity: the potential space between the parietal and visceral layers of pleura.

Lung Features

  • The right lung has 3 lobes (superior, middle, inferior), separated by an oblique and a horizontal fissure.
  • The left lung has 2 lobes (superior and inferior), separated by an oblique fissure, and includes the cardiac notch.

Pulmonary Ventilation Phases

  • There are two phases: inspiration and expiration.
  • Inspiration is when air flows into the lungs.
  • Expiration is when gases exit the lungs.

Thoracic Wall Movements During Respiration

  • Inspiration increases thoracic volume.
  • Expiration decreases thoracic volume.

Inspiration

  • The diaphragm contracts, increasing the volume of the thorax.
  • The external intercostal muscles elevate the ribs, causing the thorax to expand laterally.
  • As the ribs are raised, the antero-posterior dimension of the thorax also enlarges.

Expiration

  • The ribs are depressed as the external intercostal muscles relax.
  • The diaphragm moves superiorly as it relaxes.

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