NCLEX-PN › Lung and Alveoli
What structure of the lung is primarily responsible for controlling volume of air flow during respiration?
The bronchioles
The trachea
The bronchi
The alveoli
The main mediator of air flow during respiration is the bronchiole. These tiny airways are wrapped in smooth muscle, which allows them to contract or relax in order to restrict or increase air flow in the lung. The trachea and bronchioles are cartilaginous rather than muscular, and are unable to constrict, while the wall of the alveolar sac is also devoid of smooth muscle, made up only of epithelial cells, capillaries, and connective tissue.
Which of the following lists of airway structures is in order from largest to smallest?
Trachea - bronchi - bronchiole - alveoli
Bronchi - trachea - bronchiole - alveoli
Trachea - bronchiole - bronchi - alveoli
Trachea - alveoli - bronchiole - bronchi
The largest airway structure is the trachea. This branches into two smaller bronchi, which enter the left and right lung and bifurcate further into smaller bronchioles. The bronchioles give way into the smallest structures of the lung, the tiny grape-like clusters of alveoli.
How many lobes total are there in the human lungs?
There are five lobes total in the human lungs: the right lung has three lobes (the upper lobe, the middle lobe, and the lower lobe) while the left lung has two lobes (the upper lobe and the lower lobe).
What is the name for the topmost part of the lung?
The apex
The lingula
The hilum
The trachea
The topmost part of the lungs is the apex. This area extends into the neck above the 1st rib and is the location auscultated for a diagnosis of a pancost tumor. The lingula of the lung is a small flap of the lowest part of the upper lobe of the left lung. The hilum is the entry point of the lung for the bronchi, pulmonary artery and vein, and nerves. The trachea is not a part of the lung at all; it is the cartilaginous tube that connects the pharynx and larynx to the lung.
What are the two types of alveolar cells?
Type I and type II
A cells and B cells
Primary and secondary cells
Interstitial cells and active cells
There are two types of alveolar cells: type I cells and type II cells. Each cell type has a unique function within the alveolus, and the dysfunction of either cell type results in serious respiratory pathology. Type I cells are simple squamous epithelial cells that account for about 95% of all alveolar cells. They are the primary cells responsible for diffusion of gasses across the respiratory membranes. Type I alveolar cells are responsible for secreting surfactant, which facilitates the diffusion of substances across the epithelium.
How do bronchioles respond to an increase in the partial pressure of carbon dioxide in the alveoli?
They dilate
They constrict
They secret mucus
The bronchioles do not respond to changes in the partial pressure of carbon dioxide
Carbon dioxide has paracrine effects in the airway, causing the smooth muscle of bronchioles to relax. When the partial pressure of carbon dioxide in the alveoli increases, the bronchioles dilate. This allows for increased ventilation.
The major alveolar cell type, making up 95% of alveolar cells, is type I. Only 5% of alveolar cells are type II, yet they serve a vital function in respiratory physiology. What is the function of type II alveolar cells?
They secrete surfactant
They are the site of gas exchange
They nourish the type I cells
They are important for the integrity of the alveolar connective tissue
Type II alveolar cells secrete pulmonary surfactant, a lipoprotein complex that is essential for lung function. This surfactant acts to break up the surface tension of fluid coating the lung airspaces, allowing for alveolar compliance and reducing the buildup of fluid in the lung. Lack of surfactant can lead to atelectasis, or collapse of part of the lung.
In the average adult, how much air remains in the dead space of the lung after normal expiration?
Dead space is the volume of air that remains in the trachea, bronchi, and bronchioles during respiration. It does not enter the alveoli and so does not participate in gas exchange. In the average adult, the amount of air left in the dead space after expiration is .
What nerve innervates the diaphragm (necessary for normal inhalation)?
The phrenic nerve
The vagus nerve
The intercostal nerve
The subcostal artery
The diaphragm is innervated by the phrenic nerve. This nerve exits the spine at C3-C5. In the case of spinal cord trauma, if injury occurs above C3, the diaphragm is no longer able to function on its own and breathing assistance is generally required.
What is the average volume of air breathed into and out of the respiratory system during tidal breathing?
Tidal breathing is the term for relaxed inhalation and exhalation (as opposed to maximum inspiration and forced exhalation). The average volume of air breathed into and out of the respiratory system during tidal breathing is .