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Respiratory Diseases and Treatment

COPD, asthma and lung cancer

  • 3 things to know
  • Components 01, 02 and 03

Overview

Recall questions on chronic bronchitis and emphysema, elastase and elastin, COPD, what happens in an asthma attack, histamine, triggers and symptoms, the symptoms and effects of lung cancer, and acute and chronic disease.

What you need to know

Answer each one before you reveal it.

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Key term

Explain why a person with emphysema becomes severely breathless.

Key term

Explain the role of histamine in an asthma attack.

Key term

Describe the changes to the airways that occur in chronic bronchitis.

Questions from this subtopic

Each one with the model answer underneath.

  1. 1

    Describe the changes to the airways that occur in chronic bronchitis.

    Model answer

    The bronchi and bronchioles become chronically inflamed and swollen, the goblet cells and mucous glands enlarge and secrete excess mucus, and the cilia are destroyed so the mucus cannot be cleared.

  2. 2

    State two symptoms of chronic bronchitis.

    Model answer

    A persistent cough producing large amounts of sputum, and breathlessness caused by the narrowed, mucus-filled airways.

  3. 3

    Why do people with chronic bronchitis suffer repeated chest infections?

    Model answer

    Mucus that cannot be swept away by cilia pools in the airways and provides a warm, nutrient-rich place for bacteria to multiply.

  4. 4

    Describe the change to the alveoli that occurs in emphysema.

    Model answer

    The elastin in the alveolar walls is broken down, so the walls between neighbouring alveoli break down and they merge into a few large air spaces.

  5. 5

    Explain how tobacco smoke leads to the destruction of elastin in the alveoli.

    Model answer

    Smoke attracts phagocytes into the lungs, and these release the enzyme elastase, which digests the elastin of the alveolar walls.

  6. 6

    Explain why a person with emphysema becomes severely breathless.

    Model answer

    The merging of alveoli greatly reduces the surface area for gas exchange, and the loss of elastin means the lungs cannot recoil to force air out, so stale air is trapped and less fresh air is drawn in.

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