ANAPHY: RESPIRATORY AND ENDOCRINE

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CO2 
a by-product of ATP production and must be removed from the blood.
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**External nose**
encloses the chamber for air inspiration.
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**Nasal cavity**
a cleaning, warming, and humidifying chamber for inspired air.
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**Pharynx**
commonly called the throat, it serves as a shared passageway for food and air.
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**Larynx**
the voice box
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**Trachea**
commonly known as the windpipe. An air-cleaning tube to funnel inspired air to each lung.
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**Bronchi**
tubes that direct air into the lungs.
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**Lungs**
labyrinths of air tubes and a complex network of air sacs, called alveoli, and capillaries. Each air sac is the site of gas exchange between the air and the blood.
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**Upper respiratory tract**
structures from the nose to the larynx
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**Lower respiratory tract**
structures from the trachea through the alveoli in the lungs
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**Conducting zone**
structures from the nose to the air tubes within the lungs used strictly for ventilation
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**Respiratory zone**
small air tubes in the lungs and the alveoli where gas exchange occurs
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**Ventilation**
breathing, the movement of air into and out of the lungs
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**External Respiration**
the exchange of O2 and CO2 between the air in the lungs and the blood
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**Gas Transport**
O2 and CO2 travel in the blood to and from cells
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**Internal Respiration**
the exchange of O2 and CO2 between the blood and the tissues
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**Regulation of blood pH**
The respiratory system can alter blood pH by changing blood CO2 levels.
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**Production of chemical mediators**
The lungs produce an enzyme called angiotensin-converting enzyme (ACE)
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angiotensin-converting enzyme (ACE),
it regulates blood pressure.
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**Voice production**
* Air moving past the vocal folds makes sound and speech possible.
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**Olfaction**
The sensation of smell occurs when airborne molecules are drawn into the nasal cavity.
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**Protection**
The respiratory system provides protection against some microorganisms by preventing them from entering the body and removing them from respiratory surfaces.
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**External nose:**
* composed of mainly of hyaline cartilage
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**Nasal cavity:**
* extends from **nares** (nostrils) to the **choana** which are the openings to pharynx
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**hard palate**
its the roof of the nasal cavity
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**nasal septum**
Divides the nasal cavity in half
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Nares
it means nostrils
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choana
Opening of the pharynx
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**Paranasal sinuses:**
* air filled spaces within bone
* open into nasal cavity
* lined with mucous
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**Conchae:**
* bony projections on each side of nasal cavity
* increase surface area of nasal cavity
* help in cleaning, humidifying, warming of air
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**Nasolacrimal ducts:**
* carry tears from eyes
* open into nasal cavity
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* **Serves as a passageway for air -** remains open even when the mouth is full of food.
* **Cleans the air -** The nasal cavity is lined with hairs, which trap some of the large particles of dust in the air.
* **Humidifies and warms the air -** Moisture is added to the air as it passes through the nasal cavity.
* **Contains the olfactory epithelium -** the sensory organ for smell, is located in the most superior part of the nasal cavity.
* **Helps determine voice sound** *-* The nasal cavity and paranasal sinuses are resonating chambers for speech.
**Functions of the Nasal Cavity**
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Olfactory epithelium
the sensory organ for smell
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**Pharynx**
a common passageway for the respiratory and digestive systems
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\`**Nasopharynx:**
* takes in air
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**Oropharynx:**
* extends from uvula to epiglottis
* takes in food, drink, and air
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**Laryngopharynx:**
* extends from epiglottis to esophagus
* food and drink pass through
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**Uvula:**
* “little grape”
* extension of soft palate
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**Pharyngeal tonsil:**
* aids in defending against infections
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**Larynx**
Located in the anterior throat and extends from the base of the tongue to the trachea
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**Thyroid cartilage:**
* largest piece of cartilage
* called Adam’s apple
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**Epiglottis:**
* piece of cartilage
* flap that prevents swallowed materials from entering larynx
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**Vestibular folds:**
* false vocal cords
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**Vocal Folds:**
* source of voice production
* air moves past them, they vibrate, and sound is produced
* force of air determine loudness
* tension determines pitch
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* Trachea
* Bronchi
* Tracheobronchial Tree in Lungs
* Alveoli
**Lower Respiratory Tract**
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**Trachea**
* Windpipe
* Consists of 16 to 20 C-shaped pieces of cartilage called **tracheal rings**
* Lined with ciliated pseudostratified columnar epithelium
* Smoking kills cilia
* Coughing dislodges materials from trachea
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**Bronchi**
* Divides into right and left main (primary) bronchi  in the lungs at the carina
* Lined with cilia
* Contain C-shaped pieces of cartilage
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1. Primary bronchi
2. Lobar (secondary) bronchi
3. Segmental (tertiary) bronchi
4. Bronchioles
5. Terminal bronchioles
6. Respiratory bronchioles
7. Alveolar ducts
8. Alveoli
**Tracheobronchial Tree**
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**Bronchodilation**
the smooth muscle relaxes, making the bronchiole diameter larger.
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**Bronchoconstriction**
the smooth muscle contracts, making the bronchiole diameter smaller.
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**Asthma attack**
contraction of terminal bronchioles leads to reduced air flow
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**Alveoli**
* The sites of external respiration
* small air-filled sacs where air and blood come into close contact  
* where gas exchange occurs
* surrounded by capillaries
* 300 million in lungs
* From the terminal bronchioles to the alveoli, there are multiple levels of branching.
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**Respiratory bronchioles**
have a few attached alveoli.
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**Alveolar ducts**
arise from the respiratory bronchioles and open into alveoli.
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**Alveolar sacs**
* are chambers connected to two or more alveoli at the end.
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**Respiratory Membrane**
* In lungs where gas exchange between air and blood occurs
* Formed by walls of alveoli and capillaries
* Alveolar ducts and respiratory bronchioles also contribute
* Very thin for diffusion of gases
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* Thin layer of fluid from alveolus
* Alveolar epithelium (simple squamous)
* Basement membrane of alveolar epithelium
* Thin interstitial space
* Basement membrane of capillary endothelium
* Capillary endothelium (simple squamous)
**Layers of Respiratory Membrane**
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* thoracic vertebrae
* ribs
* costal cartilages
* sternum
* associated muscles
The **thoracic wall** consists of:
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**Thoracic cavity**
the space enclosed by the thoracic wall and the **diaphragm**
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Diaphragm
* a sheet of skeletal muscle separating the thoracic cavity from the abdominal cavity
* The diaphragm and skeletal muscles of the thoracic wall change thoracic volume during ventilation
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**Lungs**
* Primary organ of respiration
* Cone shaped
* Contains many air passageways (divisions)
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**base**
part of the lung which rests on the diaphragm
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Apex
part of the lung extends above the clavicle
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Right Lung
part of the lung which has 3 lobes
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Left Lung
part of the lung which has 2 lobes
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**Oxygenated blood**
has passed through the lungs and picked up O2 
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**Deoxygenated blood**
has passed through the tissues and released some of its O2.
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**Pulmonary arteries**
carry deoxygenated blood to **pulmonary capillaries**.
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**pulmonary veins**
Blood becomes oxygenated and returns to the heart through this
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**Superficial lymphatic vessels:**
* deep to the connective tissue that surrounds each lung
* drain lymph from the superficial lung tissue and the visceral pleura.
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**Deep lymphatic vessels:**
* follow the bronchi
* drain lymph from the bronchi and associated connective tissues
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**Pleural cavity:**  
space around each lung
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**Pleura:**  
double-layered membrane around lungs
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**Parietal pleura:**  
membrane that lines thoracic cavity
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**Visceral pleura:**  
membrane that covers lung’s surface
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Ventilation (breathing)
the process of moving air in and out of the lungs
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* actions of the muscles of respiration  
* air pressure gradients
Two aspects to ventilation:
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1. **Muscles of Inspiration**


2. **Muscles of Expiration**
**Muscles of Respiration**
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**Muscles of Inspiration**
increase the volume of the thoracic cavity.

* diaphragm
* external intercostals
* pectoralis minor
* scalene muscles
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**Muscles of expiration**
decrease thoracic volume by depressing the ribs and sternum.

* internal intercostals
* transverse thoracis
* abdominal muscles
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**Quiet breathing**
expiration is a passive process due to elastic tissue in the thorax wall and the lungs.
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**Labored inspiration**
more air moves into the lungs because all of the inspiratory muscles are active.
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**Labored expiration**
more air moves out of the lungs due to the forceful contraction of the internal intercostals and the abdominal muscles.
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**Inspiration**
* Diaphragm descends and rib cage expands
* Thoracic cavity volume increases, pressure decreases
* **Atmospheric pressure** is greater than **alveolar pressure**
* Air moves into alveoli (lungs)
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**Expiration**
* **Diaphragm relaxes and rib cage recoils**
* **Thoracic cavity volume decreases, pressure increases**
* **Alveolar pressure** is greater than **atmospheric pressure**
* **Air moves out of lungs**
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Spirometer
device that measures pulmonary volumes
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Tidal volume (TV):
volume of air inspired and expired during quiet breathing
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Expiratory reserve volume (ERV):
volume of air that can be expired forcefully after a normal expiration
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Residual volume (RV):
volume of air remaining in lungs after a maximal expiration (can’t be measured with spirometer)
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Inspiratory capacity (IC)

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IC = TV + IRV
the amount of air a person can inspire maximally after a normal expiration
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Vital capacity (VC)

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VC = IRV + ERV + TV
maximum amount of air a person can expire after a maximal inspiration
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Alveolar Ventilation
the measure of the volume of air available for gas exchange per minute.
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dead space
no gas exchange occurs
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Anatomical dead space
areas include all the structures of the upper respiratory tract, and structures of the lower respiratory tract to the terminal bronchioles.
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Physiological dead space
the combination of the anatomical dead space and the volume of any alveoli with lower than normal gas exchange.
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* Gender
* Age
* Body Size
* Physical Fitness
Factors Affecting Ventilation
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Partial Pressure
the pressure exerted by a specific gas in a mixture of gases
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760 mm Hg
the total atmospheric pressure of all gases at sea level
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21% O2
What is the percentage of the Atmosphere
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160 mm Hg
the partial pressure for O2 is?