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TMCC, Dr. Doe
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Which of the following is part of the upper respiratory system?
Posterior/Internal naris
The epithelium of the pharynx change from _____ epithelium. In the nasopharynx to _____ epithelium in the oropharynx
Pseudostratified ciliated columnar; Stratified squamous
Why are the cartilage of the trachea C-shaped?
To allow for the esophagus to expand
If surfactant is not produced, alveoli ___ due to ____
Collapse; increased surface tension
What path does air take when flowing from the glottis to the alveoli?
Larynx → Bronchi → Terminal Bronci → Respiratory Bronchioles
True/False: The largest laryngeal cartilage is the cricoid cartilage?
False, Thyroid cartilage
The ____ prevents food from entering the trachea
Epiglottic cartilage
True/False: The tracheal cartilages are made of elastic cartilage
False, hyaline cartilage
True/False: Sympathetic stimulation will cause bronchoconstriction
Fasle
The serous membrane that is tightly attached to the surface of the lungs in the ______
Visceral pleura
True/false: The right lung has three lobes
True
The pulmonary arteries carry _____
Deoxygenated blood
The amount of air that normally enters the lung during quiet breathing is the _____
Tidal volume
When intrapulmonary pressure rises above atmospheric pressure ____ occurs
Exhalation
Contraction of which of the following provides most of the volume change for inhalation
Diaphragm
You exhale normally and then as much air as possible. What is remaining in your lungs is the ____
Residual volume
True/False: You are practicing yoga and concentrating on relaxed, quiet breathing. This is known as eupnea
True
True/False: The primary factor influencing resistance to airflow is airway diameter
True
Without surfactant, the alveoli would ____
Collapse
The nucleus in the pons that controls rate of breathing is the _____
Pneumotaxic center
True/False: Boyle’s law states that there is an inverse relationship between the volume of a gas and the pressure of a gas
True
Intrapleural pressure is alway ____
Negative
Internal respiration occurs ____
At the tissues
The partial pressure of oxygen is _____
Higher in the alveolus than in the alveolar capillaries
True/False: The partial pressure of CO2 is higher in the systemic capillaries than in the tissues
False
True/False: Henry’s Law describes the action of a gas at an air/liquid interface
True
In ______ respiration, oxygen is unloaded and carbon dioxide is loaded
Internal
True/False: The majority of atmospheric air is nitrogen
True
Which of the following will cause hemoglobin to release more oxygen
High tissue CO2
Which of the following statements concerning transport of CO2 is/are true?
Some CO2 is transported dissolved in plasma. Some CO2 is transported as carbaminohemoglobin, the majority of carbon dioxide is transported as bicarbonate.
The Bohr effect states that increasing blood pH will cause
Hemoglobin to bind oxygen more tightly True/
True/False: Most oxygen is carried as oxyhemoglobin
True
True/False: The mineral for hemoglobin formation is zinc
False, Iron
Which of the following conditions would likely be seen in diabetes insipidus
Polyuria
True/False: The pigment that makes urine yellow is due to RBC breakdown
True
The normal range of urine output per day be for an average adult is
1 - 2L
A condition in which a person produces 500mL of urine per day is ____
Oliguria
True/False: A person would have anuria if they are producing 50mL of urine/day
True
The detrusor muscle and internal urethral sphincter are controlled by the _____ nervous system
Parasympathetic
The external urethral sphincter is controlled by the _____ nervous system
Somatic
True/False: Women have a higher incidence of UTI because their urethra is shorter and wider than men’s
True
True/False: Urination is also called micturition
True
A blockage of the afferent arteriole would prevent blood flow into the
Glomerulus
True/False: All renal corpuscles are located within the renal cortex
True
The open space where renal blood vessels, nerves, and fat is the ____
Renal sinus
True/False: The renal blood vessels are innervated by the parasympathetic division
False
Functions of the respiratory system
Gas exchange between air and circulating blood. Acid-base balance. Protect respiratory surfaces from dehydration, temperature changes, and pathogens. Produce sound. Detects odors with olfactory receptors in nasal cavity
Describe respiratory mucosa
Lines conducting portion of respiratory system. Consists of an epithelium and lamina propria (areolar tissue). Functions in respiratory defense
Mucociliary escalator
Defense mechanism in the respiratory system. Utilizes a layer of mucus and cilia to trap and removed debris/pathogens
Changes in epithelium in respiratory system
Pseudostratified ciliated columnar (nasal cavity) → Stratified squamous (oropharynx/laryngopharynx) → Pseudostratifed columnar (main bronchi) → Cililated simple cuboidal (bronchioles)
3 regions of the pharynx
Nasopharynx, oropharynx, and laryngopharynx
Describe the functions of the larynx
Responsible for phonation. Diverts food and liquid away from the trachea and into. the esophagus.
Describe the structures of the larynx
Composed of thyroid cartilage, cricoid cartilage, epiglottic cartilage, corniculate cartilage, cuneiform cartilage, and arytenoid cartilage
Describe the function of the trachea
“Windpipe.” Muscociliary escalator. Protection during inhalation, mucus gets stuck in cilia, debris get propelled out.
Describe the structure of the trachea
Extends from cricoid cartilage to mediastinum. Branches into right/left main bronchi at the carina. Submucosa contains connective tissue and tracheal glands that produces mucus secretions. C-shaped rings of hyaline cartilage that helps stiffen tracheal walls, protect airways, and allows esophagus to expand when swallowing
Branching pattern/structure of the bronchial tree
Trachea separates into right/left main bronchus. Main bronchus divide to form lobar bronchi that supply lobes of lungs. Lobar bronchi divide to form segmental bronchi
Structure of bronchiole
Walls of main, lobar, and segmental bronchi. Contains progressively less cartilage and more smooth muscle.
The biggest effect on airflow into the lungs
Type I alveolar cell function
Site of gas exchange
Type II alveolar cell function
Product surfactant
Alveolar macrophages
Defend against respiratory infections
Surfactant
Coats alveolar surface and reduce surface tension
Respiratory membrane
Blood-air barrier. Consist of alveolar cell layers (type I alveolar cells), capillary endothelial layer, and fused basement membrane between them
Blood pressure in pulmonary circuit
Lower than that in system circuit. Moves blood slowly for good gas exchange.
Structure of the pleura
Consist of parietal pleura (lines inner surfaces of the thoracic wall) and visceral pleura (covers the outer surface of the lungs).
Functions of the pleura
Uses pleural fluid to lubricate spaces between the two layers. Provides cohesion between the two layers
Boyle’s Law
Volume of gas is inversely proportional by its pressure.
Describe the volume and pressure changes that occur in pulmonary ventilation
Volume of the thoracic cavity changes with contraction of respiratory muscles. The volume change is transferred to the lungs by pleural function
Primary muscles associated with respiration
Diaphragm and external intercostals
Accessory muscles associated with respiration
Sternocleidomastoid, scalenes, pectoralis minor, and serratus anterior
Atmospheric pressure
Pressure around you
Intrapulmonary pressure
Intrapleural pressure
Resistance definition
Bronchodilation and bronchoconstriction
Compliance definition
A measure of expandability. Connective tissue of lungs, level of surfactant production, and mobility of thoracic cage
Ventilation-perfusion coupling
Location/function of dorsal respiratory group
Location/function of ventral respiration group
Location of pontine respiratory centers
Apneustic center
Pneumotaxic center
Respiratory response to Hypercapnia
Increase in arterial PCO2 stimulates chemoreceptors that accelerate breathing cycles at the inspiratory center. This change increases the respiratory rate, encourages CO2 loss at the lungs, and decrease arterial PCO2
Respiratory response to Hypocapnia
Decrease in arterial PCO2 inhibits chemoreceptors. Without stimulation, the rate of respiration decreases, slowing the rate of CO2 loss at the lungs and increasing PCO2
Dalton’s Law
In a mixed gas, the total pressure of the gas is equal to the sum of the partial pressures of each individual gases. (Nitrogen, oxygen, water vapor, and carbon dioxide)
Henry’s Law
Predicts how gases will behave at a gas liquid interface
Explain why gas exchange is highly efficient
Differences in partial pressure across blood air barrier are substantial. Distances involved in gad exchange are short. O2 and CO2 are lipid soluble. Total surface area is large. Blood flow and airflow are coordinated
External respiration
Blood arriving in pulmonary arteries has low PO2 and high PCO2. Concentration gradient causes O2 to load and enter the blood and CO2 to unload and leave the blood. Rapid exchange allows blood and alveolar air to reach equilibrium
Internal respiration
Oxygenated blood mixes with deoxygenated blood from conducting passageways. Blood arriving at tissues has high PO2 and low PCO2. Tissue have low PO2 and High PCO2. Concentration gradient causes O2 to unload and enter the tissues and CO2 to load and ente the blood
Function of urinary system
Excretion, elimination, and homeostatic regulation
Normal urine volume
1-2L/Day
Polyuria
>2.5L/Day
Oliguria
300-500mL/Day
Anuria
<50mL/Day
Renal blood supply
Kidneys receive 20-25% of total cardiac output. About 1200mL of blood flow through the kidneys each minute. Each kidney receives blood through a renal artery
Structure of a Nephron
Microscopic functional units of kidneys. Each consists of renal corpuscle and renal tubule. Each renal tubule empties into collecting system
Structure of renal corpuscle
Contains a glomerular capsule which is the inner visceral layer composed of podocytes. Space where initial filtrate collects, and the outer layer continuous with PCT. Contains a glomerus that has fenestrated capillaries, afferent and efferent arterioles
Structure of renal filtration membrane
Composed of fenestrated endothelium, basement membrane, and foot processes of podocytes.
Function of renal filtration membrane
Diffusion of water and small solutes into the nephron while preventing larger molecules to enter
Juxtamedullary complex
Helps regulate BP and filtrate functions
Juxtamedullary complex: Mascula densa
Epithelial cells in the initial portion of the DCT