Exam Review Notes
Dyspnea
- Dyspnea is defined as difficulty breathing.
- Difficulty breathing leads to not getting enough oxygen.
- The question was about what dyspnea is associated with, not what it could lead to.
Breathing Terms
- Apnea: No breathing at all. The prefix "a" means without.
- Eupnea: Normal breathing.
- Normal breaths per minute: 12 to 20.
- Hyperventilation: Breathing more than normal (above 20 breaths per minute), resulting in getting more oxygen.
- Hypoventilation: Breathing less than normal (below 12 breaths per minute), resulting in getting less oxygen.
- Dyspnea is associated with hypoventilation because difficulty breathing means not getting enough oxygen.
Question Interpretation
- Avoid thinking about the next possible steps or scenarios when answering questions.
- Focus on what the question is directly asking.
- Do not assume the question is trying to trick you; read it carefully and answer what it's asking directly.
Air Distribution vs. Air Exchange
Air Distribution
- Air distribution is the process of air moving from one point to another within the body.
- It's like FedEx, distributing air throughout the body.
- Air distribution structures: Nose, pharynx, larynx, trachea, primary, secondary, tertiary bronchioles
- All structures except the alveoli are air distribution organs; they are essentially tubes.
- Air or oxygen distribution refers to the same process.
Air (Gas) Exchange
- Air exchange, oxygen exchange, and gas exchange all refer to the same process.
- This involves the exchange of O<em>2 and CO</em>2 through diffusion.
- Air exchange organ: Only the alveoli.
Alveoli
- The alveoli are air sacs in the lungs where oxygen and carbon dioxide are exchanged.
- Millions of alveoli in the lungs expand and contract.
- Oxygen inhaled through the nose, pharynx, larynx, trachea, and bronchioles reaches the alveoli, filling them like balloons.
- Capillaries surround the alveoli but do not touch them; they carry deoxygenated blood.
- Through diffusion, carbon dioxide moves from capillaries to alveoli, and oxygen moves from alveoli to capillaries.
- After oxygen is absorbed, carbon dioxide is exhaled.
- Oxygen-filled capillaries then distribute oxygen to the rest of the cells via the circulatory system.
Respiration Types
External Respiration
- Exchange of oxygen and carbon dioxide between the alveoli and blood in the lungs.
- Called "external" because the air is coming from the outside.
Internal Respiration
- Exchange of oxygen and carbon dioxide between blood and cells throughout the body.
- Capillaries distribute oxygen to the rest of the cells in the body.
Diaphragm
- The most important muscle for inspiration (breathing in) is the diaphragm.
- When you breathe in, your lungs expand, and the diaphragm pushes down, creating more space for the chest to expand.
- During inspiration, the chest expands, and the abdomen appears smaller as the diaphragm pushes down.
- For expiration, abdominal muscles and intercostals would be involved.
Epiglottis
- The sole purpose of the epiglottis is to prevent food from entering the trachea.
- It's a flap that covers the trachea when swallowing food, directing it down the esophagus.
- When breathing, the epiglottis covers the esophagus, allowing air to enter the trachea.
Lateral View
- Trachea is in the front (anterior).
- Esophagus is in the back (posterior).
- The epiglottis covers the trachea when swallowing.
- Sometimes, if the epiglottis malfunctions (e.g., when laughing while eating), food or liquid can enter the nose.
Hiccups
- Hiccups can occur when there is a bit of air in the esophagus.
Epiglottitis
- Epiglottitis is a condition where the epiglottis becomes infected and enlarged, causing discomfort.
Smallest Air Distribution Tube
- Alveolar ducts, which are smaller than bronchioles, are the smallest air distribution tubes, connecting to the alveoli.