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Questions and Answers
What is the primary function of the coarse hair in the vestibule of the nasal cavity?
What is the primary function of the coarse hair in the vestibule of the nasal cavity?
What bones form the bony portion of the nasal septum?
What bones form the bony portion of the nasal septum?
What is the function of the turbulence created by the conchae in the nasal cavity?
What is the function of the turbulence created by the conchae in the nasal cavity?
What is the boundary between the superior nasopharynx and the rest of the pharynx?
What is the boundary between the superior nasopharynx and the rest of the pharynx?
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What type of bones form the floor of the nasal cavity?
What type of bones form the floor of the nasal cavity?
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What is the function of the nasal cavity in terms of air processing?
What is the function of the nasal cavity in terms of air processing?
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What is the name of the narrow grooves through which air flows between adjacent conchae?
What is the name of the narrow grooves through which air flows between adjacent conchae?
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Where does the nasal cavity open into?
Where does the nasal cavity open into?
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What is the primary function of the nasal cavity in the respiratory system?
What is the primary function of the nasal cavity in the respiratory system?
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Which of the following structures is NOT part of the upper respiratory system?
Which of the following structures is NOT part of the upper respiratory system?
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What type of epithelium lines the respiratory tract?
What type of epithelium lines the respiratory tract?
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What is the function of the goblet cells in the respiratory epithelium?
What is the function of the goblet cells in the respiratory epithelium?
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Where do the cilia in the nasal cavity sweep debris and microorganisms towards?
Where do the cilia in the nasal cavity sweep debris and microorganisms towards?
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What happens to the air by the time it reaches the lung alveoli?
What happens to the air by the time it reaches the lung alveoli?
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What is the function of the pharynx in the respiratory system?
What is the function of the pharynx in the respiratory system?
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What is the purpose of the respiratory epithelium's filtering, warming, and humidification of the air?
What is the purpose of the respiratory epithelium's filtering, warming, and humidification of the air?
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What is the function of the ventricular folds?
What is the function of the ventricular folds?
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What is the diameter of the trachea?
What is the diameter of the trachea?
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What is the purpose of the tracheal cartilages?
What is the purpose of the tracheal cartilages?
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What is the shape of each tracheal cartilage?
What is the shape of each tracheal cartilage?
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What is the function of the trachealis?
What is the function of the trachealis?
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What is the significance of the carina?
What is the significance of the carina?
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What is the purpose of the hilum of the lung?
What is the purpose of the hilum of the lung?
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What is the largest subdivision of a lobe?
What is the largest subdivision of a lobe?
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What is the function of type II cells in the alveoli?
What is the function of type II cells in the alveoli?
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Which artery supplies the lung with nutrients?
Which artery supplies the lung with nutrients?
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What is the name of the passageways that connect respiratory bronchioles to alveoli?
What is the name of the passageways that connect respiratory bronchioles to alveoli?
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How many alveoli are present in each lung?
How many alveoli are present in each lung?
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What is the name of the veins that drain lung tissues?
What is the name of the veins that drain lung tissues?
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Where does the right bronchial artery arise from?
Where does the right bronchial artery arise from?
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What is the name of the lymphatic plexus that drains lung tissue and visceral pleura?
What is the name of the lymphatic plexus that drains lung tissue and visceral pleura?
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What is the function of the pulmonary ligament?
What is the function of the pulmonary ligament?
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What is the name of the median partition that separates the right and left pleural cavities?
What is the name of the median partition that separates the right and left pleural cavities?
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Which muscle contracts to increase the volume of the thoracic cavity during inspiration?
Which muscle contracts to increase the volume of the thoracic cavity during inspiration?
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What is the term for the physical movement of air into and out of the bronchial tree?
What is the term for the physical movement of air into and out of the bronchial tree?
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What is the outer layer of the pleural sac that invaginates from the medial side?
What is the outer layer of the pleural sac that invaginates from the medial side?
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What is the shape of each lung?
What is the shape of each lung?
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What is the term for the space between the two layers of the pleural sac?
What is the term for the space between the two layers of the pleural sac?
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Which of the following muscles is not involved in inspiration?
Which of the following muscles is not involved in inspiration?
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Study Notes
Functions of Respiratory System
- Provides an extensive area for gas exchange between air and circulating blood
- Moves air to and from the exchange surfaces of the lungs
- Protects respiratory surfaces from dehydration, temperature changes, and other environmental variations
- Defends the respiratory system and other tissues from invasion by pathogenic microorganisms
- Produces sounds involved in speaking, singing, or non-verbal communication
- Assists in the regulation of blood volume, blood pressure, and the control of body fluid pH
Organization of Respiratory System
- Upper respiratory system: nose, nasal cavity, paranasal sinuses, pharynx
- Lower respiratory system: larynx, trachea, bronchi, lungs
- Filters, warms, and humidifies air
Respiratory Tract
- Consists of airways that carry air to and from exchange surfaces of lungs
- Conducting portion: extends from the entrance to the nasal cavity to the smallest bronchioles of the lungs
- Respiratory portion: includes respiratory bronchioles and air sacs (alveoli)
- By the time air reaches lung alveoli, most foreign particles and pathogens have been removed due to filtering, warming, and humidification of air
Respiratory Epithelium
- Consists of pseudostratified, ciliated, columnar epithelium with goblet cells
- Lines the entire respiratory tract except for the finest conducting portions and alveoli
- Goblet cells and mucus glands beneath the epithelium produce a sticky mucus that bathes exposed surfaces
Upper Respiratory System
- Nose and nasal cavity: primary passageway for air entering the respiratory system
- Air enters paired external nares that open into the nasal cavity
- Vestibule: portion of the nasal cavity contained within the flexible tissues of the external nose
- Vestibule contains coarse hair that traps foreign particles
Nasal Cavity
- Nasal septum: divides the cavity into right and left halves
- Bony portion of the nasal septum is formed by the perpendicular plate of the ethmoid and vomer
- Anterior portion of the septum is formed by hyaline cartilage
- Bones of the nasal cavity: maxillary, nasal, frontal, ethmoid, and sphenoid bones
- Lateral and superior walls of the nasal cavity are formed by these bones
- Nasal cavity: lateral wall projecting from the lateral wall are superior, middle, and inferior conchae
- Air flows between adjacent conchae through superior, middle, or inferior meatuses (narrow grooves)
- Incoming air bounces off conchal surfaces, creating turbulence, which causes small airborne particles to come into contact with mucus that lines the cavity
- Turbulence allows extra time for humidifying and warming incoming air
Tertiary Bronchi
- Each lobe of the lungs can be divided into smaller units – bronchopulmonary segment
- Separated from adjacent segments by septa
- Supplied by segmental bronchus and tertiary branch of the pulmonary artery
- Drained by intersegmental parts of the pulmonary veins
- Surgically resectable
Bronchioles
- Respiratory bronchioles connected to alveoli along regions called alveolar ducts
- Passageways end at alveolar sacs
- Each lung has 150 million alveoli – giving the lung a spongy appearance
Alveolus and Respiratory Membrane
- Type 1 cells: squamous epithelial cells
- Type II cells: septal or surfactant cells
- Type II cells secrete surfactant, which coats the inner surface of each alveolus, reducing surface tension in the fluid coating the alveolar surface
- Without surfactant, alveoli would collapse
Arterial Supply of Lungs
- Bronchial arteries arise from the systemic circulation and supply the lung and its associated tissues with nutrients
- Left bronchial artery arises from the descending thoracic aorta; right bronchial artery arises from the 3rd posterior intercostal artery
Venous Drainage of Lungs
- Bronchial veins drain lung tissues
- Right bronchial vein drains into the azygos vein; left bronchial vein drains into the accessory hemiazygos vein or left superior intercostal vein
Lymphatic System of Lungs
- Superficial lymphatics of the lung
- Bronchopulmonary (hilar) lymph nodes
Larynx
- Ventricular and vocal ligaments covered by folds of laryngeal epithelium that project into the glottis
- Ventricular ligaments lie within the superior pair of folds – ventricular folds (inelastic and help prevent foreign objects from entering the glottis and provide protection for more delicate vocal folds)
The Trachea
- Trachea is a tough, flexible tube with a diameter of 2.5cm and a length of 11cm
- Begins anterior to the C6 vertebra in a ligamentous attachment to the cricoid cartilage
- Ends in the mediastinum at the level of the T5 vertebra
- Branches to form the right and left primary bronchi
- Lining of the trachea consists of respiratory epithelium overlying a layer of looser connective tissue (lamina propria)
- Trachea contains tracheal cartilages
- Each tracheal cartilage is bound to neighboring cartilages by elastic annular ligaments
- Tracheal cartilages stiffen the tracheal walls and protect the airway
- Also prevents its collapse or overexpansion as pressures change in the respiratory system
Primary Bronchi
- Right and left primary bronchi
- Carina marks the line of separation between the two bronchi
- Has cartilaginous C-shaped supporting rings
- Right primary bronchus – larger diameter than the left and descends towards the lung in a steeper angle
- Hilum of the lung: access for the entry of pulmonary vessels, nerves, and bronchi
The Pleura
- Pleura is a serous membrane lined by mesothelium
- Two pleural sacs – one on either side of the mediastinum
- Pleural sac invaginated from the medial side by the lung, so it has an outer layer (parietal pleura) and an inner layer (visceral pleura)
- Two layers are continuous with each other around the hilum of the lung and enclose between them a potential space (pleural cavity)
Pulmonary Pleura
- Covers the surfaces and fissures of the lung, except at the hilum and along the attachment of the pulmonary ligament, where it is continuous with the parietal pleura
- Firmly adherent to the lung and cannot be removed from it
Parietal Pleura
- Lines the pulmonary cavities and thus adheres to the thoracic wall, mediastinum, and diaphragm
- Has four parts
Thoracic Cavity
- Cavity of the thorax contains the right and left pleural cavities, completely invaginated and occupied by the lungs
- Right and left pleural cavities are separated by a thick median partition called the mediastinum
- Heart lies in the mediastinum
Pulmonary Ligament
- Definition: Parietal pleura surrounding the root of the lung, extending downward beyond the root as a fold
- Function: provides space into which pulmonary veins can expand during increased venous return; lung root also descends into it with the descent of the diaphragm
Pulmonary Ventilation
- Refers to the physical movement of air into and out of the bronchial tree
- Respiratory muscles: contraction of the diaphragm increases the volume of the thoracic cavity, drawing air into the lungs
- Inspiration: elevate ribs, external and internal intercostal, SCM, pectoralis minor, scalenes, and serratus anterior
- Expiration: depress ribs, transversus thoracis, abdominal obliques, and rectus abdominis
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