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____________ ____________ is the movement of air into (inspiration) and out of (expiration) the lungs so that the gases in the lung are constantly refreshed with infusions of new air and effusion of old air
Pulmonary ventilation
During _____________ ____________, carbon dioxide diffuses to the lungs from the blood, the oxygen difuses to the blood from the lungs
external respiration
___________ _____________ occurs as oxygen diffuses from blood to the cells of the body, and carbon dioxide diffuses from the cells of the body to the blood
Internal respiration
The ___________ warms and moistens entering air, provides a resonating chamber for vocalizations, cleans and filters entering air, and houses the olfactory receptors
nose
A small portion of the superior nasal cavity is lined with ___________ _____________ ________________ containing the receptors for smell. The rest of the nasal cavity is lined with respiratory mucosa composed of _____________ _________________ ____________ ___________ with goblet cells and seromucous nasal glands
olfactory mucosa epithelium, pseudostratified ciliated columnar epithelium
A __________ reflex is triggered when irritants (dust, pollen, etc) contact the rich supply of sensory nerve endings in the nasal cavity
sneeze
The ____________ _____________ increase surface area and help create turbulence which deflects non-gaseous particles onto the mucus coatings
nasal conchae
Paranasal sinuses are located in the ________, __________, _________, and __________ bones. These sinuses ____________ the skull but are prone to inflammation, especially due to infection or allergies
frontal, sphenoid, maxillary, ethmoid, lighten
When swallowing food, the muscular __________ ___________ and ____________ move superiorly to block off the nasopharynx, and the epiglottis flaps over the ___________, to keep food out of the nasal cavity and lungs, respectively
soft palate, uvula, larynx
The ___________ _____________ of the nasopharynx contains lymphatic tissue that traps and destroys pathogens.
pharyngeal tonsil
The ______________ __________ connect the middle ear to the nasopharynx so that air in the middle ear can match pressure with atmospheric air which is important for sound conduction and proper hearing
pharyngotympanic tubes
The _______________ and _______________ receive both food and air and thus have a more protective stratified squamous epithelium
oropharynx, laryngopharynx
The ___________ _____________ is the site of external respiration (where gas is exchanged) and is made up of the miscroscopic _____________ (the main site of exchange), ________ __________, and ___________ __________
respiratory zone, alveoli, alveolar ducts, respiratory bronchioles
The ____________ ______________ consists of all the tubes transporting air from the nose to the respiratory bronchioles
conducting zone
The ____________ houses the vocal folds (commonlay called vocal cords) for voice production
larynx
The _____________ _____________ anchors the vocal folds
arytenoid cartilages
The vocal folds and the opening between them (air passes through and produces sound when the vocal folds are positioned strategically) are collectively termed the __________
glottis
_____________ is an inflammation of the vocal folds causing them to swell and vibrate incorrectly
Laryngitis
Wat is the Valsalva maneuver
When the abdominal muscles contract and the glottis closes to increase the intra-abdominal pressure to help empty the rectum
-Used by weight lifters too
What is Boyle's law?
As volume decreases, pressure increases
What muscles are involved in inspiration?
-Diaphram
-External intercostals
-Sternocleidomastoid
-Scalenes
What muscles are involved in expiration?
-Internal intercostals
-Abdominal muscles
What are the layers of the trachea?
-Mucosa: contains pseudostratified columnar ciliated epithelium with goblet cells
-Submucosa: contains seromucous glands
-Adventitia: outermost connective tissue sheath
The trachealis muscle lies between the _____________ and _____________ and contraction of the trachealis aids in the rapid movement and and mucus out of the lungs and trachea during ____________
esophagus, trachea, coughing
An ________ ________ is a cluster of alveoli comin off an alveolar duct
alveolar sac
The alveoli are made of a single thin layer of __________ ________ ____________ and densely covered with ____________ __________
simple squamous epithelium, pulmonary capillaries
__________________ is the amount of gas reaching the alveoli and ________________ is the blood flow in the pumonary capillaries.
Ventilation, perfusion
Gas exchange is most efficient when ventilation and perfusion are _____________
equal
_____________ ___________ decreases surface tension in the alveoli
Pulmonary surfactant
The lungs take up the thoracic cavity except for the ______________, which contains the heart, great vessels, esophagus, bronchi, and other organs
mediastinum
Between the two pleural membranes is a space filled with __________ __________
pleural fluid
Inflammation of the pleura is clinically termed ____________ and is often a result of ______________ (inflammation primarily of the alveoli in the lung)
pleurisy, pneumonia
The heart lies slightly to the left and the left lung only has _______ lobes, and the left lung is molded to accommodate the heart in a feature termed the __________ ________
2, cardiac notch
The stretchiness of the lungs is clinically termed as the amount of __________ __________.
lung compliance
The more the lungs expands the ______________ its compliance and the more _________ it is for the lungs to expand
greater, easy
____________ _______________ (the pressure in the alveoli) changes as we breathe to move gases between the lungs and blood and between the lungs and the atmosphere
Intrapulmonary pressure
The _____________ ____________ (pressure in the pleural space or cavity) is always slightly less than the _____________ _____________ (important because the difference helps keep the lungs from ever collapsing and thus keeps the bronchial tree always open)
intrapleural pressure, intrapulmonary pressure
The difference between the intrapulmonary and intrapleural pressures is termed the _____________ ___________
transpulmonary pressure
If the small transpulmonary pressure difference is lost then the lung will collapse called ______________
atelectasis
During the resting pulmonary ventilation respiratory cycle, a specific volume of air is drawn into and then expired from the lungs; this volume is the ______________ ______________
tidal volume (TV)
The product of the breathing frequency (f) and tidal volume (TV) is the __________ ________ _________ (MV or VE) which is the amount of air exhaled in one minute of breathing
expired minute volume
The volume of air remaining in the lungs after a full expiration is called ______________ ________________ (RV) and cannot be measured by spirometry.
residual volume (RV)
Residual volume (RV) prevents lung ____________ and helps keep the alveoli _________
collapse, open
The ___________ ____________ is obtained by inspiring as deeply and rapidly as possible and then expiring as deeply and rapidly as possible is called _____________ ___________ _____________
Vital capacity, forced vital capacity (FVC)
The ____________ ___________ _____________ ______ _____ ___________ ___________ is the volume of air expired during the first second of the expiration when performin the forced vital capacity.
forced expiratory volume in the first second (FEV1)
FEV1 is usually represented in a percentage of _____________ _________ _____________ (___________/_____________)
forced vital capacity, (FEV1/FVC)
What is Dalton's law of partial pressure?
the total pressure of a mixture of gases is equal to the sum of the partial pressures exerted by each gas in the mixture
What is Henry's Law?
-When a mixture of gases is in contact with a liquid each gas will disolve in the liquid in proportion to its partial pressure.
-The larger the concentration of a gas in the mixture of gases, the greater and mroe rapidly that gas will go into solution in the liquid
___________ ____________ chambers contain oxygen at partial pressures higher than what we are normally exposed to in the atmosphere and can thus be used to drive oxygen into the blood of patients deficient in oxygen such as those suffering from ___________ __________ ____________
Hyperbaric oxygen, carbon monoxide
____________ is made up of four iron-containing heme groups each bound to a polypeptide chain subunit
Hemoglobin
What is the Bohr effect?
Increasing partial pressures of CO2, which weaken the hemoglobin-oxygen bond
What is the Haldane effect?
The less oxygen molecules you have on the hemoglobin, the easier it is for CO2 to attach to the Hb.
___________ is defined as inadequate oxygen delivery to the body tissues and is classified based on the cause
Hypoxia
_____________ __________ is poor oxygen delivery due to erythrocytes that contain too little or abnormal hemoglobin or from too few erythrocytes
Anemic hypoxia
_____________ ___________ results from blocked or impaired blood circulation
Ischemic hypoxia
_____________ ______________ results when adequate oxygen is delivered but the body cells are unable to use it such as is the case when metabolic poisons (cyanide) are administered
Histotoxic hypoxia
_____________ ______________ is indicated when the partial pressure of dissolved oxygen in the arteriole blood is low and is commonly caused by disordered ventilation-perfusion coupling, pathological pulmonary ventilation impairment, and breathing air deficient in oxygen
Hypoxemic hypoxia
____________ ________________ ______________ is a type of hypoxemic hypoxia often caused by breathing smoke from fire or inhaling fumes of combustion
Carbon monoxide poisoning
What is the function of the ventral respiratory group?
primary generator of the respiratory rhythm
What is the function of the dorsal respiratory group
integrates peripheral sensory and chemoreceptors input and modifies the rhythms generated by the ventral respiratory group
_________ is the clinical term for normal breathing rate (about 15 breats per minute)
Eupnea
The ________ ____________ ______________ modifies and fine-tunes breatin rhytms, and specifically smooths the alternating transitions between inspiration and expiration
pontine respiratory center
______________ is the clinical term for high carbon dioxide levels in the blood and ______________ is the term for low carbon dioxide
Hypercapnia, hypocapnia
_____________ is an increase in breathing rate and depthh based on metabolic need (a normal increase)
Hyperpnea
_____________ and _____________ causes cerebral blood vessels to constrict thus decreasing perfusion and increasing ischemia to the brain resultin in dizziness or fainting
Hypocapnia, alkalosis
______________ is the clinical term for breathing cessation
Apnea
________________ _______________ _____________ ____________, suc emphysema and chronic bronchitis, all involve an irreversible decrease in the ability to move air out of the lungs (and thus the RV increases)
Chronic obstructive pulmonary diseases (COPD)
_____________ is the clinical term for difficult or labored breathing and is a symptom of COPD
Dyspnea
______________ is the clinical term for inadequate ventilation to meet metabolic needs
Hypoventilation
________________ is characterized by permanent enlargement of the alveoli due to destruction of the alveolar walls
Emphysema
_____________ is characterized by dyspnea, coughing, chest tightness, and/or wheezing accompanied by a sense of panic as the patient will generally feel as though they are about to suffocate
Asthma
Most common presentation and involves an initial active inflammation of the airways even before bronchospasms set in.
Allergic asthma
In allergic asthma, ___ lymphocytes stimulate the production of _______ and recruit inflammatory cells in an immune response that causes inflammation.
T, IgE