PATH 3000 Lecture Notes - Lecture 15: Respiratory Tract, Paranasal Sinuses, Respiratory Epithelium

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9 Mar 2020

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Path 3000 lecture 15 february 12, 2020 respiratory disease i. Infections: upper respiratory tract infections, lower infections (pneumonia) The respiratory system starts at the nose and the paranasal sinuses at the back of the nose. The oropharynx is at the back of the nose and goes down to the larynx (voice box), making the upper respiratory tract. The middle respiratory tract is the trachea, mainstem bronchi (left and right bronchi). Everything below that is the lower respiratory tract. It is important to divide the respiratory system because different epithelium lines these structures and different disease affects different parts of the respiratory tract. The upper respiratory tract consists of the nose, paranasal sinuses, pharynx and larynx. The nose and paranasal sinuses are lined by respiratory epithelium. The pharynx and larynx (at the back of the throat) are lined by squamous epithelium. The alveoli is not lined by respiratory epithelium but are consist of the pneumocytes.

Related Questions

The epiglottis acts as a

voice box.

filter for microorganisms and debris.

cover over the larynx.

producer of mucus.

ANSWER:

(Level 1, Objective 1)

Collectively, the nose, oral cavity, pharynx, epiglottis, and larynx make up the

nasopharynx.

oropharynx.

laryngopharynx.

upper respiratory system.

ANSWER:

(Level 1, Objective 1)

The cilia present on cells of the lower respiratory system function by:

trapping microorganisms and foreign debris.

propelling microorganisms and particles out.

preventing colonization by potential pathogens.

all of the above.

ANSWER:

(Level 1, Objective 2)

The most common causative agent of a swollen and painful oropharynx is

Streptococcus pyogenes.

Arcanobacterium haemolyticum.

Corynebacterium diphtheriae.

Rhinovirus.

ANSWER:

(Level 1, Objective 3)

Infections associated with cystic fibrosis are due to inflammation of the:

bronchi.

bronchioles.

lungs.

alveoli.

ANSWER:

(Level 1, Objective 3)

A physician sends a nasal washing for viral culture. This specimen is

unacceptable because it is contaminated with upper respiratory flora.

acceptable as long as it contains epithelial cells.

unacceptable if it is for the detection of influenza or respiratory syncytial viruses.

acceptable if it has a thick consistency and is yellow or green in color.

ANSWER:

(Level 2, Objective 4)

A patient is unable to produce adequate sputum for routine, acid-fast, and fungal cultures. The physician may attempt to obtain a/an

induced sputum.

transtracheal aspirate.

bronchoalveolar lavage.

pleural fluid.

ANSWER:

(Level 1, Objective 4)

9. Two throat swabs are received from a 6-year-old female with orders for a rapid screen for group A Streptococcus. One swab is tested using the group A Streptococcus rapid screen, and it is negative. The second swab is used to inoculate

a. sheep blood agar.

b. chocolate agar.

c. no culture is necessary.

d. a and b.

ANSWER:

(Level 1, Objective 6)

Which of the following disease states requires the addition of selective and/or differential medium to ensure recovery of potential pathogens from the respiratory system?

Pertussis

Cystic fibrosis

Laryngitis

a and b

all of the above

ANSWER:

(Level 2, Objective 6)

11. A throat culture provides the following results:

Moderate growth of alpha-hemolytic, catalase-negative, optochin-susceptible, gram-positive diplococci

Heavy growth of alpha-hemolytic, catalase-negative, optochin-resistant, gram-positive cocci

Heavy growth of gamma-hemolytic, oxidase-positive, glucose- and maltoseÂ-positive, gramÂ diplococci

You would report

moderate growth of Streptococcus pneumoniae and heavy growth of normal upper respiratory flora.

heavy growth of Streptococcus pneumoniae and heavy growth of normal upper respiratory flora.

heavy growth of Neisseria meningitidis and heavy growth of normal upper respiratory flora.

heavy growth of normal upper respiratory flora.

ANSWER:

(Level 3, Objective 7)

Yeast colonies in a sputum culture are considered significant when they

are present.

comprise 25% of the organisms present.

comprise 50% of the organisms present.

comprise 75% of the organisms present.

ANSWER:

(Level 1, Objective 7)

13. An 8-year-old male presents with a red and sore throat. The rapid group A Streptococcus screen is negative, and a sheep blood agar is inoculated. At 24 hours, there are no beta-hemolytic colonies present and moderate growth of normal upper respiratory flora. At 48 hours, the same culture results are present. Which of the following statements does not explain these results?

a. His sore throat is due to Haemophilus influenzae, and it will not grow on blood agar.

b. The culture was taken very early in the infection.

c. The patient received treatment prior to specimen collection.

d. The causative agent is not bacterial.

ANSWER:

(Level 2, Objective 8)

17. A quantitative bronchial alveolar lavage culture requires:

1. sheep blood agar.

2. chocolate agar.

3. 0.01 mL pipette.

4. 0.001 mL pipette.

a. 1 and 3

b. 1, 3, and 4

c. 2, 3, and 4

d. 2 and 4

ANSWER:

(Level 1, Objective 9)

18. A bronchial washing is plated to a BCYE. This agar should be examined under a laminar flow hood due to the potential for recovery of Legionella pneumophila and

a. Bordetella pertussis.

Francisella tularensis.

mould.

Pneumocystis jiroveci.

ANSWER:

(Level 2, Objective 9)

20. A physician submits a sputum with a culture request for Legionella. Select the growth medium that should be used to cultivate this organism.

a. 7H10

b. TCBS

c. BCSA

d. BCYE

ANSWER:

(Level 1, Objective 6)

coppertoad665

1. Match the word 1-39 above, with the descriptions labled a-t. Word 1-39 can be uses only one please!!

1. alveolar macrophages 2. alveoli 3. Bohr effect 4. bronchi 5. bronchiole 6. cerebral cortex 7. chloride shift 8. compliance 9. costal breathing 10. Daltonâs law 11. diaphragmatic breathing 12. epiglottis 13. eupnea 14. expiratory reserve volume 15. fauces 16. functional residual capacity 17. Haldane effect 18. Henryâs law 19. hilum 20. hypothalamus 21. inferior, middle, and superior nasal meatuses 22. inspiratory capacity 23. larynx 24. limbic system 25. medulla oblongata 26. nose 27. paranasal sinuses 28. pharynx 29. pleural membranes 30. pons 31. primary bronchus 32. secondary bronchus 33. surface tension 34. surfactant 35. terminal bronchiole 36. tertiary bronchus 37. total lung capacity 38. trachea 39. vital capacity

a) -------------------- serves as a sound resonating chamber; contains tonsils; directs air inferiorly

b) ------------------- passes air from pharynx into windpipe; site of sound production

c) ------------------ resonate(s) sound; not part of pharynx

D) ------------------ opening from oral cavity into pharynx

E) ----------------- carries air to a segment of a lung

F) -------------------- carries air directly into a respiratory bronchiole

G) ----------------- surround the lungs

H) ------------------ reduces surface tension at sites of gas exchange

i) -------------------- actual sites of gas exchange

j) --------------------- normal, quiet breathing

k) ----------------------- shallow breathing using just the external intercostal muscles

l) ------------------ amount of effort required to expand the lungs and chest wall

m) ------------------- tidal volume + inspiratory reserve volume, usually about 3600 mL in males

n) ----------------- tidal volume + inspiratory reserve volume + expiratory reserve volume; usually about 4800 mL in males

o) ------------------- residual volume + expiratory reserve volume; usually about 2400 mL in males

p) -------------------- states that the amount of gas that will dissolve in a liquid is proportional to the partial pressure of that gas and its solubility

q) ---------------- when pH decreases, O₂ saturation of hemoglobin decreases

r) ------------------ each gas in a mixture of gases exerts its own partial pressure

s) ------------------- sets basic rhythm of breathing

t) ------------------------ includes the pontine respiratory group

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PATH 3000 Lecture Notes - Lecture 15: Respiratory Tract, Paranasal Sinuses, Respiratory Epithelium

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