Medical Physiology Respiratory Physiology

Respiratory System Structure and Mechanisms

Topic overview

Start with the big picture

The respiratory tract has a conducting zone, which carries air without gas exchange, and a respiratory zone, where exchange occurs in structures including the alveoli. As airways branch, their combined cross-sectional area increases toward the smaller passages. Ventilation depends on pressure and volume changes in the thorax: the diaphragm is the primary inspiratory muscle, inspiration is active, and expiration is passive at rest but can become active during exertion. Intrapleural pressure remains negative, helping prevent lung collapse. Compliance describes how readily the lungs distend; surfactant from Type II pneumocytes lowers alveolar surface tension and helps prevent collapse. These relationships provide a foundation for understanding respiratory mechanics.

Learning objectives

What you'll learn

  • Distinguish the conducting zone from the respiratory zone.
  • Trace the airway pathway from the trachea to the alveoli.
  • Explain how inspiration and expiration differ at rest and during exertion.
  • Describe the roles of intrapleural pressure, compliance, and surfactant.
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