Thoracic Cage & Respiratory System Quiz

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Questions and Answers

What is the primary function of the intercostal muscles?

  • Controlling contraction and relaxation of the chest (correct)
  • Strengthening the rib cage
  • Supporting lung expansion
  • Protecting the heart

What separates the superior and middle lobes of the right lung?

  • Lobular fissure
  • Transverse fissure
  • Oblique fissure
  • Horizontal fissure (correct)

What happens to the diaphragm during a deep breath?

  • It ascends and compresses the lungs
  • It descends and increases lung volume (correct)
  • It contracts and reduces airflow
  • It remains static while the lungs expand

Which of the following accurately describes Dalton's law?

<p>The total pressure in a gas mixture is equal to the sum of the partial pressures of each gas (D)</p> Signup and view all the answers

What is a primary consequence of a decrease in lubricating fluid within the pleural sac?

<p>Painful inflammation during breathing (A)</p> Signup and view all the answers

Which structures convene to facilitate the clearance of mucus during illness?

<p>Intercostal muscles and diaphragm (A)</p> Signup and view all the answers

How many sections does the left lung have?

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

What does the pleural sac facilitate?

<p>Movement of the lungs without friction (A)</p> Signup and view all the answers

What is the primary characteristic of a closed pneumothorax?

<p>The pleural cavity pressure is less than atmospheric pressure. (C)</p> Signup and view all the answers

Which type of pneumothorax is often referred to as a 'sucking chest wound'?

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

What causes obstructive atelectasis in the lungs?

<p>Blockages such as mucus or tumors obstructing the bronchus. (B)</p> Signup and view all the answers

What results from a tension pneumothorax?

<p>The heart may be displaced towards the unaffected lung. (B)</p> Signup and view all the answers

Which of the following is NOT a typical symptom of a pneumothorax?

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

Which structure primarily carries deoxygenated blood from the heart to the lungs?

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

What happens to air pressure inside the lungs during normal inhalation?

<p>It drops below atmospheric pressure. (B)</p> Signup and view all the answers

Which of the following describes the process by which oxygen moves from the alveoli into the bloodstream?

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

What initiates the process of pulmonary ventilation?

<p>Changes in lung volume and air pressure (C)</p> Signup and view all the answers

Which muscle group primarily assists in normal exhalation?

<p>Internal intercostal muscles and abdominal muscles (D)</p> Signup and view all the answers

What is the primary consequence of a pneumothorax?

<p>Escape of air into pleural space (C)</p> Signup and view all the answers

During forced breathing, what is the role of additional muscles?

<p>To expand the thoracic cavity more rapidly (B)</p> Signup and view all the answers

What is the significance of Boyle's Law in respiration?

<p>It describes the relationship between lung volume and pressure. (B)</p> Signup and view all the answers

What type of virus is SARS-CoV-2?

<p>Single-stranded RNA virus (A)</p> Signup and view all the answers

What was the significant social change prompted by the SARS-CoV-2 pandemic?

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

Which of the following symptoms is associated with severe cases of COVID-19?

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

What organism causes the disease tuberculosis?

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

What is the primary transmission method for SARS-CoV-2?

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

What role do granulomas serve in tuberculosis infection?

<p>They indicate cell-mediated immunity (A)</p> Signup and view all the answers

How is tuberculosis commonly diagnosed?

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

What is the primary public health response to the SARS-CoV-2 outbreak?

<p>Development of vaccines (B)</p> Signup and view all the answers

What is a common characteristic of pneumocystic pneumonia?

<p>It mostly affects immunocompromised individuals. (B)</p> Signup and view all the answers

Which treatment is considered a last resort in severe pneumonia cases?

<p>Pulmonary lavage to wash out the lungs. (A)</p> Signup and view all the answers

What was a major contributing factor to the containment of the SARS outbreak?

<p>Effective public health measures. (C)</p> Signup and view all the answers

What is the primary method of transmission for SARS-CoV-1?

<p>Human-to-human via respiratory droplets. (D)</p> Signup and view all the answers

Which of the following symptoms is NOT commonly associated with SARS?

<p>Skin rash. (C)</p> Signup and view all the answers

What is one of the effects of exudate accumulation in the lungs?

<p>Relatively solid lung portions. (A)</p> Signup and view all the answers

The genome of SARS-CoV-1 is classified as what type?

<p>Single-stranded RNA. (C)</p> Signup and view all the answers

What is a potential complication after surgery related to lung operations?

<p>Post-operative pneumonia. (A)</p> Signup and view all the answers

What is the role of the phrenic nerve in the respiratory process?

<p>It controls the diaphragm's involuntary and voluntary movements. (D)</p> Signup and view all the answers

Which structure is responsible for the actual exchange of gases in the lungs?

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

Why is the right lung larger than the left lung?

<p>The heart occupies a portion of the left side. (A)</p> Signup and view all the answers

What is the significance of the pleural sac in lung physiology?

<p>It allows the lungs to expand and contract with minimal friction. (C)</p> Signup and view all the answers

What is the correct sequence of air passage from the trachea to the alveoli?

<p>Trachea → primary bronchus → intermediate bronchus → alveoli (A)</p> Signup and view all the answers

What is the primary function of macrophages within the alveoli?

<p>Providing immune defense against pathogens. (B)</p> Signup and view all the answers

What is the primary composition of the tracheal support structure?

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

What happens when the thoracic cage expands during inhalation?

<p>The pressure inside the lungs decreases, allowing air to flow in. (C)</p> Signup and view all the answers

Which type of tissue forms the alveolar walls, key for gas exchange?

<p>Type 1 alveolar cells (D)</p> Signup and view all the answers

What role does surfactant play in the lungs?

<p>Keeps the alveoli inflated. (A)</p> Signup and view all the answers

Which structure provides the entry point for major bronchial and vascular structures into the lungs?

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

What happens to the volume of the lungs when the diaphragm contracts?

<p>It increases, allowing more oxygen intake. (C)</p> Signup and view all the answers

Which area is primarily involved in coughing mechanisms?

<p>Throat and upper airways (A)</p> Signup and view all the answers

In which blood vessel does deoxygenated blood circulate from the lungs back to the heart?

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

What is the relationship between lung structure and their functional capability?

<p>Lung structures can be damaged but still support normal function. (B)</p> Signup and view all the answers

What primarily causes the reactivation of tuberculosis in adults?

<p>Immune system weakening (A)</p> Signup and view all the answers

What characterizes multidrug-resistant tuberculosis (MDR TB)?

<p>Resistance to at least two anti-TB drugs (D)</p> Signup and view all the answers

Which of the following describes the main issue in chronic bronchitis?

<p>Chronic irritation and inflammation (D)</p> Signup and view all the answers

What is the primary function of alpha-1 antitrypsin in the lungs?

<p>Protecting lungs from proteolytic enzymes (C)</p> Signup and view all the answers

What occurs during an asthma attack?

<p>Spasmodic contraction of bronchi and bronchioles (B)</p> Signup and view all the answers

What diagnostic method is used to assess bronchiectasis?

<p>Bronchogram via chest x-ray (B)</p> Signup and view all the answers

Which condition is characterized by the destruction of alveolar structures leading to large cystic spaces?

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

What type of lung cancer is most commonly diagnosed in smokers?

<p>Squamous cell carcinoma (D)</p> Signup and view all the answers

What leads to pulmonary fibrosis?

<p>Fibrous thickening of alveolar septa (D)</p> Signup and view all the answers

What is typically observed during acute respiratory distress syndrome (ARDS)?

<p>Leaking fluid and protein from damaged alveolar capillaries (A)</p> Signup and view all the answers

What is a common cause of chronic obstructive pulmonary disease (COPD)?

<p>Exposure to irritants like tobacco smoke (B)</p> Signup and view all the answers

What clinical manifestation is associated with Bronchiectasis?

<p>Chronic cough with mucus retention (A)</p> Signup and view all the answers

Which factor predominantly contributes to the progression of emphysema?

<p>Decrease in lung elasticity (A)</p> Signup and view all the answers

Flashcards

Thoracic cage function

The rib cage and sternum work together to protect the lungs and chest organs, and provide support for breathing.

Intercostal Muscles Function

Intercostal muscles contract and relax to change the size and shape of the chest cavity affecting our breathing and aiding in coughs.

Pleural Sac structure

Fluid filled sac around the lungs, allowing smooth expansion and contraction of the lungs during breathing, preventing friction.

Diaphragm's role in breathing

The diaphragm, primarily controlled by the phrenic nerve, contracts and descends during inhalation to increase lung capacity, and reverses during exhalation.

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Right Lung Lobes

The right lung has three lobes (superior, middle, inferior), separated by fissures (horizontal and oblique).

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Left Lung Lobes

The left lung possesses two lobes (superior and inferior) separated by an oblique fissure.

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Gas exchange in alveoli

Oxygen diffuses from the alveoli into the bloodstream, while carbon dioxide diffuses from the bloodstream into the alveoli due to pressure differences.

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Dalton's Law

In a gas mixture, the pressure exerted by each gas is independent of the presence of other gases.

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Pneumothorax

A condition where air leaks into the space between your lung and chest wall (pleural space), causing your lung to collapse.

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Closed Pneumothorax

A type of pneumothorax where the air leak originates from inside the chest, without any external wounds.

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Open Pneumothorax

A type of pneumothorax where the air leak originates from outside the chest, through an open wound.

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Tension Pneumothorax

A severe type of pneumothorax where the air pressure in the pleural space builds up, pushing the heart and other organs towards the unaffected side.

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Atelectasis

A collapsed lung, either due to a blockage in the airways or pressure from outside.

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Thoracic Cage

A bony structure composed of ribs and sternum that protects the lungs and heart, and plays a crucial role in breathing.

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Intercostal Muscles

Muscles located between the ribs that contract and relax to change the size of the chest cavity, facilitating breathing and coughing.

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Pleural Sac

A fluid-filled sac that surrounds each lung, allowing for smooth expansion and contraction during breathing and preventing friction.

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Diaphragm

A dome-shaped muscle that separates the chest cavity from the abdomen, contracting during inhalation to increase lung volume and relaxing during exhalation.

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Right Lung: Lobes and Fissures

The right lung has three lobes: superior, middle, and inferior. The superior and middle lobes are separated by the horizontal fissure, while the middle and inferior lobes are separated by the oblique fissure.

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Left Lung: Lobes and Fissure

The left lung has two lobes: superior and inferior, separated by the oblique fissure.

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Trachea

The windpipe, a long tube that carries air from the pharynx to the bronchi, supported by cartilaginous rings for structural integrity.

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Bronchus

Branches of the trachea that lead into the lungs, further dividing into smaller bronchioles.

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Alveoli

Tiny air sacs at the end of bronchioles where gas exchange occurs, allowing oxygen to enter the blood and carbon dioxide to exit.

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Type 1 Alveolar Cells

Thin-walled cells in the alveoli that facilitate diffusion of gases between the air and the blood.

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Alveolar Macrophages

Immune cells found in the alveoli that engulf and destroy foreign particles, protecting the lungs from infection.

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Hylum

A soft tissue region on the lung's medial surface through which the bronchus, blood vessels, and nerves enter and exit the lung.

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Breathing Regulation

Breathing is regulated by the brain, controlling the rate and depth of breathing based on blood oxygen levels.

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Lung Lobes and Removal

The lungs are divided into lobes, allowing for the surgical removal of a lobe without affecting the entire lung.

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Why is the distance between the heart and the left lung shorter than the distance between the heart and the right lung?

The heart is located slightly to the left of the midline of the chest, resulting in a shorter distance to the left lung.

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What is pulmonary ventilation?

Pulmonary ventilation, or breathing, is the movement of air into and out of the lungs. This process is driven by changes in the volume of the lungs and air pressure.

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How does inhalation work?

During normal inhalation, the diaphragm contracts and flattens, while the external intercostal muscles contract, lifting the rib cage. This increases the volume of the lungs, causing the air pressure inside to drop below atmospheric pressure, forcing air to rush in.

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What happens during exhalation?

Normal exhalation is a passive process. The muscles involved in inhalation relax, allowing the diaphragm to rise and the rib cage to move down. This decreases the volume of the lungs, increasing the pressure inside, and pushing air out.

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What is Boyle's Law?

Boyle's Law explains the relationship between the volume of a gas and its pressure. It states that as the volume of a gas increases, its pressure decreases, and vice versa.

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How does the heart pump blood through the lungs?

Deoxygenated blood from the body enters the right atrium, is pumped through the right ventricle, and ejected through the pulmonary valve into the pulmonary trunk. The pulmonary trunk splits into pulmonary arteries which carry the deoxygenated blood to the lungs.

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How does oxygenated blood get back to the heart?

After the blood is oxygenated in the lungs, it returns to the heart through the pulmonary veins and enters the left atrium. From there, it is pumped into the left ventricle, then ejected through the aortic valve into the aorta, which distributes the oxygenated blood throughout the body.

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How does gas exchange occur in the lungs?

Gas exchange occurs in the alveoli, tiny air sacs in the lungs. Oxygen from the inhaled air diffuses from the alveoli into the bloodstream, while carbon dioxide from the blood diffuses into the alveoli to be exhaled. This happens due to the difference in partial pressure of the two gases.

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What is Dalton's Law?

Dalton's Law states that in a mixture of gases, the pressure exerted by each gas is independent of the presence of other gases. This means that the total pressure of the gas mixture is equal to the sum of the individual partial pressures.

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Pneumonia: Exudate Spread

Fluid (exudate) from infection spreads through the lungs, filling air sacs (alveoli) and making the affected lung area dense. This can make breathing difficult, as the lungs can't expand properly.

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Pneumonia: Treatment Challenges

Treating pneumonia where exudate fills the lungs can be challenging because traditional methods like clearing the lungs don't work effectively. However, the mucus itself helps fight off infection.

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Pneumonia: Etiology (Cause) Importance

Knowing the cause of pneumonia is vital for effective treatment. Different causes (etiologies) require different approaches, such as corticosteroids to reduce inflammation or even lung washing procedures.

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Pneumonia Predisposing Factors

Certain situations make people more susceptible to pneumonia. These can include weakened immune systems after surgery (post-op pneumonia), inhaling foreign matter (aspiration), or blockage from tumors (obstructive pneumonia).

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Pneumocystis Pneumonia

A type of pneumonia caused by a parasite called Pneumocystis jiroveci, which mainly affects those with weakened immune systems. The parasite forms cysts in the lungs, leading to breathing difficulties.

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SARS-CoV-1: Transmission

The virus that causes Severe Acute Respiratory Syndrome (SARS) spreads primarily through respiratory droplets released when someone coughs or sneezes.

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SARS-CoV-1: Impact

The SARS outbreak in 2002-2003 spread globally, causing thousands of infections and deaths. Effective public health measures were crucial in its containment.

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SARS-CoV-1: Symptoms

Common symptoms of SARS include fever, cough, difficulty breathing, and pneumonia. The virus can severely affect the lungs.

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SARS-CoV-2

A virus responsible for COVID-19, first identified in Wuhan, China in 2019. It belongs to the Coronaviridae family and has a single-stranded RNA genome. It spreads primarily through respiratory droplets.

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COVID-19

The disease caused by SARS-CoV-2. Symptoms vary widely, from mild (fever, cough) to severe (pneumonia, organ failure).

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Tuberculosis (TB)

A serious infectious disease caused by the bacterium Mycobacterium tuberculosis. It primarily affects the lungs but can spread to other organs. It's spread through airborne droplets.

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Granuloma in TB

A collection of immune cells, including macrophages and lymphocytes, that form around the Mycobacterium tuberculosis bacteria. They indicate the body's attempt to fight the infection but also cause damage to lung tissue.

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Mantoux Test

A skin test that checks for tuberculosis infection. A small amount of tuberculin, a purified protein derivative of M. tuberculosis, is injected under the skin. A raised, firm area at the injection site within 24 hours to 72 hours indicates a positive reaction.

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Reactivation TB

This occurs when a person who has been infected with tuberculosis but has not developed the disease later becomes sick with tuberculosis. It's often triggered by a weakened immune system.

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Secondary Focus of TB

This happens when tuberculosis infection spreads from the lungs to other body parts like kidneys, bones, and uterus.

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Tuberculosis Transmission

TB spreads through airborne droplets expelled when an infected person coughs, sneezes, speaks, or sings. These droplets can remain suspended in the air for a long time.

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Reactive Tuberculosis

When a previous TB infection flares up due to weakened immunity, causing active TB in adults.

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Miliary Tuberculosis

Disseminated TB with multiple small, white nodules in the lungs, resembling millet seeds. Often affects people with weak immune systems.

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Drug-Resistant TB

TB strains that have developed resistance to antibiotics, making treatment difficult.

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Multidrug-Resistant TB (MDR TB)

TB resistant to at least two of the available anti-TB drugs, resulting in prolonged treatment with uncertain success.

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Extensively Drug-Resistant TB (XDR TB)

TB resistant to many anti-TB drugs, posing a severe challenge for treatment.

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Acute Bronchitis

Common infection of the bronchi, usually caused by a virus (like cold or flu). Typically resolves within a week or two.

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Chronic Bronchitis

Long-term irritation of the bronchi, often in people with lung problems like exposure to pollution or smoking.

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Bronchiectasis

Weakened bronchi walls due to inflammation, leading to sac-like structures and difficulty clearing mucus.

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COPD

Combination of emphysema and chronic bronchitis, affecting gas exchange in the lungs.

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Pulmonary Emphysema

Destruction of the delicate alveolar structure, creating large air spaces and inefficient gas exchange.

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Alpha-1 Antitrypsin Deficiency

A genetic condition where low levels of antitrypsin, a protective enzyme, allow damaging enzymes to destroy lung tissue, leading to emphysema.

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Asthma

Spasms in the bronchi and bronchioles, making it difficult to breathe out, leading to wheezing and difficulty breathing, triggered by allergens.

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ARDS

Severe lung inflammation caused by injury or infection, leading to fluid leakage, reduced surfactant production, and impaired gas exchange.

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Pulmonary Fibrosis

Scarring and thickening of the alveolar walls, making it harder for gas exchange to occur.

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Lung Cancer

A malignant tumor arising from the lining of the bronchi and bronchioles, usually caused by smoking.

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Study Notes

Thoracic Cage & Respiratory System

  • The thoracic cage (ribs and sternum) protects and works with other respiratory parts.
  • Intercostal muscles help with breathing, coughing (clearing upper airways), and responding to infections.

Pleural Sac

  • The pleural sac, a fluid-filled sac surrounding the lungs, minimizes friction during lung expansion and contraction.
  • Infections or decreased lubricating fluid can cause painful inflammation.

Diaphragm

  • The diaphragm, positioned mainly above the fifth rib, is controlled by the phrenic nerve.
  • It governs both involuntary and voluntary breathing.
  • During inhalation, the diaphragm moves downward, increasing lung space for oxygen exchange.
  • Exhalation reverses this process.

Lungs (Right and Left)

  • Right lung: has superior, middle, and inferior lobes separated by horizontal and oblique fissures.
  • The right lung is larger than the left due to the heart's position.
  • Left lung: has superior and inferior lobes separated by an oblique fissure.

Gas Exchange

  • Oxygen diffuses from alveoli into the bloodstream, and carbon dioxide diffuses out.
  • Dalton's Law states that gas pressures in a mixture are independent.
  • The partial pressure differences drive oxygen and carbon dioxide movement.

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