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Chapter 23 - The Respiratory System

Choose the single best answer to each question.



1) Which of the following is NOT considered part of the respiratory system?
A) nose
B) mouth
C) throat
D) laryn
!) trachea

Answer" B
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&) Which of the following classi'cations of respiratory structures is correctly descri(ed?
A) structural) upper respiratory system" nose) pharyn and associated structures
B) structural) lower respiratory system" laryn) trachea) (ronchi) lungs
C) functional) conducting portion" interconnecting ca$ities and tu(es outside and within the lungs
D) functional) *espiratory portion" tissues within the lungs where gas echange occurs
!) All of these are correct+

Answer" !
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,) Nolan -caught. a sharply hit (ase(all with his face and now his nose is (ro/en+ Which of the following
are eternal structures that ha$e pro(a(ly (een damaged?
A) mailla) nasal) frontal (ones
B) septal) lateral and alar cartilages
C) ethmoid (one and inferior nasal conchae
D) A and B are correct+
!) A) B and C are correct+

Answer" D
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1) Which of the following is a function of the eternal nose?
A) modifying speech $i(rations
B) detecting gustatory sensations
C) cooling and drying air entering the respiratory system
D) A and B are correct+
!) A) B and C are correct+

Answer" A
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2) The internal nose
A) communicates posteriorly with the eternal nose+
B) communicates anteriorly with the pharyn+
C) recei$es drainage from the paranasal sinuses+
D) is di$ided hori3ontally (y the nasal septum+
!) is di$ided into lateral) medial) and frontal meatuses+

Answer" C
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4) Which of the following is NOT correct?
A) The olfactory epithelium lies in a mucous mem(rane co$ering the inferior nasal conchae+
B) 5airs in the nasal $esti(ule help remo$e large particles from the air+
C) Conchae and their meatuses increase surface area and help moisten entering air+
D) 0ucus in the nasal ca$ity helps moisten air and remo$es smaller dust particles+
!) 0ost of the air inhaled does not directly enter the paranasal sinuses+

Answer" A
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6) The pharyn
A) (egins at the eternal nares+
B) is a tu(e lined with a mucous mem(rane+
C) is usually called the $oice (o or Adam7s apple+
D) (egins at the fauces and ends at the epiglottis+
!) is a tu(e composed of smooth muscle+

Answer" B
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8) Which portion of the pharyn communicates with the internal nares and !ustachian tu(es?
A) laryngopharyn
B) oropharyn
C) nasopharyn
D) A and B are correct+
!) A) B and C are correct+

Answer" C
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9) Which of the following is correctly descri(ed?
A) nasopharyn" usually recei$es only air) helps e:uali3e pressure in inner ear
B) oropharyn" recei$es food and air) contains palatine and lingual tonsils
C) laryngopharyn" recei$es only food) lined with ciliated pseudostrati'ed columnar epithelium
D) A and B are correct+
!) A) B and C are correct+

Answer" D
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1;) The laryn
A) connects the pharyn to the trachea+
B) is the primary site of $oice production+
C) normally recei$es only air+
D) lies anterior to the esophagus+
!) All of these are correct+

Answer" !
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11) Which laryngeal cartilage is correctly descri(ed?
A) epiglottis" single cartilage) (loc/s food and li:uid from entering the laryn
B) thyroid cartilage" single rectangular cartilage on posterior of laryn
C) cricoid cartilage" single cartilage) superior to epiglottis
D) corniculate cartilage" part of pair) important in $oice production
!) cuneiform cartilage" single cartilage) forms prominence commonly called Adam7s apple

Answer" A
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1&) Which of the following is correct?
A) The true $ocal cords are the superior folds of the mucous mem(rane of the laryn+
B) When intrinsic muscles of the laryn contract) the rima glottidis widens+
C) <f air is directed against the $ocal folds) silence results+
D) #oudness of sound is controlled (y the si3e of the laryn+
!) Ad=usting tension on $ocal folds and changing rima glottidis shape alters pitch+

Answer" !
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1,) The trachea
A) conducts air from the laryn into the (ronchi+
B) is lined with pseudostrati'ed ciliated columnar epithelium+
C) is usually located posterior to the esophagus+
D) A and B are correct+
!) A) B and C are correct+

Answer" D
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11) The C>shaped rings of the trachea
A) are made of cartilage+
B) allow the esophagus to epand slightly into the tracheal space+
C) /eep the trachea open for passage of air+
D) A and B are correct+
!) A) B and C are correct+

Answer" !
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12) The primary (ronchi
A) are (ranches arising from the trachea near the le$el of $erte(ra C2+
B) carry air toward each lung+
C) are more muscular than cartilaginous+
D) are lined with strati'ed s:uamous epithelium+
!) All of these are correct+

Answer" B
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14) ?eri was practicing her gymnastics @oor eercise while chewing gum+ During a disastrous attempt at a
new @ip) she accidentally inhaled the gum+ Where did the gum pro(a(ly lodge?
A) right primary (ronchus
B) trachea
C) left primary (ronchus
D) nasopharyn
!) epiglottis

Answer" A
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16) The airways that directly carry air to each lo(e of a lung are the
A) terminal (ronchioles
B) (ronchioles
C) tertiary (ronchi
D) secondary (ronchi
!) primary (ronchi

Answer" D
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18) As the diameters of the respiratory passages decrease) which of the following is o(ser$ed?
A) The amount of cartilage in the walls of the passages increases+
B) Aimple cu(oidal epithelial linings are replaced (y pseudostrati'ed s:uamous epithelia+
C) The walls of the passages (ecome more muscular+
D) 0ore go(let cells are o(ser$ed in the epithelial lining+
!) All of these are correct+

Answer" C
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19) A patient is ha$ing an asthma attac/ and can hardly (reathe+ Which of the following should pro(a(ly
(e administered to the patient? Why?
A) norepinephrine) to rela smooth muscle in the (ronchioles and increase air@ow
B) antihistamine) to counteract the (ronchoconstriction caused (y histamine
C) ACh) to increase (ronchoconstriction
D) A and B are correct+
!) A) B and C are correct+

Answer" D
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&;) Which of the following is NOT correct?
A) A segment of lung supplied (y a gi$en tertiary (ronchus is a (ronchopulmonary segment+
B) The left lung has & lo(es) (ut the right lung has , lo(es+
C) The ape of the lung can (e palpated posterior and superior to the cla$icle+
D) The lungs do not completely 'll the pleurae at their (ases+
!) The $isceral pleura adheres directly to the chest wall+

Answer" !
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&1) !ach of the following is part of the respiratory mem(rane !BC!CT the"
A) al$eolar wall
B) lymphatic $essel (asement mem(rane
C) epithelial (asement mem(rane of the al$eolar wall
D) capillary (asement mem(rane
!) capillary endothelial cells

Answer" B
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&&) Dentilation>perfusion coupling
A) in$ol$es $asoconstriction in poorly $entilated areas of the lungs to redirect well>$entilated areas of the
lungs+
B) is a response to locali3ed hypoia+
C) is most associated with pulmonary) not (ronchial) (lood $essels+
D) A and B are correct+
!) A) B and C are correct+

Answer" !
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&,) The (asic steps of gas echange) or respiration) in the (ody include
A) pulmonary $entilation
B) eternal respiration
C) internal respiration
D) A and B are correct+
!) A) B and C are correct+

Answer" !
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&1) When the diaphragm and eternal intercostal muscles contract) which of the following actions does
NOT occur?
A) the diaphragm mo$es inferiorly+
B) the $olume of the thoracic ca$ity increases+
C) the intrapleural pressure increases+
D) the intrapulmonic pressure decreases+
!) air mo$es into the lungs+

Answer" C
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&2) Which muscles assist in inhalation when running up the stairs?
A) sternocleidomastoid) pectoralis ma=or) scalenes
B) sternocleidomastoid) pectoralis minor) scalenes
C) rectus a(dominis) pectoralis ma=or) scalenes
D) rectus a(dominis) pectoralis ma=or) internal intercostals
!) sternocleidomastoid) pectoralis ma=or) internal intercostals

Answer" B
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&4) !halation Eepiration)
A) is usually a passi$e process+
B) depends upon the elastic recoil of the chest wall and lungs+
C) starts when the epiratory muscles rela+
D) A and B are correct+
!) A) B and C are correct+

Answer" D
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&6) A 6; year>old patient suFering from emphysema comes down with pneumonia) and his al$eoli (egin
to 'll with @uid+ 5ow will his illnesses aFect his pulmonary $entilation?
A) The pneumonia will decrease surface tension in the al$eolar @uid+
B) The emphysema will decrease airway resistance+
C) The emphysema will decrease lung compliance+
D) The pneumonia will increase lung compliance+
!) All of these will occur+

Answer" C
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&8) Odella has a tidal $olume of 2&; m# with an anatomical dead space of 1&; m#+ <f she is to maintain an
al$eolar $entilation rate of 1;;; m#Gmin) what must her respiration rate (e?
A) 1; (reaths per minute
B) 6> 8 (reaths per minute
C) ,, (reaths per minute
D) 2>4 (reaths per minute
!) The respiration rate cannot (e determined from this information+

Answer" A
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&9) Which of the following is NOT correctly descri(ed?
A) inspiratory reser$e $olume" amount of additional air) (eyond tidal $olume) that can (e inhaled
B) epiratory reser$e $olume" amount of additional air) (eyond tidal $olume) that can (e ehaled
C) residual $olume" amount of air mo$ed in and out of the lungs during normal :uiet (reathing
D) minimal $olume" amount of air trapped in lungs e$en when intrapleural pressure H 64; mm5g
!) fI!D1+;" amount of air forcefully ehaled in 1 sec following a maimal inhalation

Answer" C
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,;) Dalton7s law
A) helps eplain how gases mo$e down their pressure gradients+
B) states that each gas in a miture eerts its own pressure as though no other gas was present+
C) helps eplain how the solu(ility of a gas relates to its diFusion+
D) A and B are correct+
!) B and C are correct+

Answer" D
" Cage 86;) !change of Oygen and Car(on Dioide
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,1) Which of the following may (e eplained) at least in part) (y 5enry7s law?
A) decompression sic/ness
B) nitrogen narcosis
C) hyper(aric oygenation
D) high altitude sic/ness
!) All of these are correct+

Answer" !
" Cage 86;) !change of Oygen and Car(on Dioide
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,&) !ternal respiration
A) is also called systemic gas echange+
B) is the echange of gases (etween the lungs and the (lood+
C) mo$es CO& into the (lood and O& out of the (lood+
D) A and B are correct+
!) A) B and C are correct+

Answer" B
" Cage 86;) !change of Oygen and Car(on Dioide
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,,) During internal respiration)
A) gases are echanged (etween the (lood and the tissues+
B) 62J of the O& is remo$ed from the (lood+
C) the CCO& in the tissues rises from 1; to 12 mm5g+
D) A and B are correct+
!) A) B and C are correct+

Answer" A
" Cage 86;) !change of Oygen and Car(on Dioide
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,1) Which of the following does NOT directly factor in the rate of gas echange?
A) diFerence in the partial pressures of a gas
B) $olume of a gas a$aila(le
C) solu(ility of a gas
D) si3e Emolecular weight) of a gas
!) diFusion distance

Answer" B
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,2) What is the most important factor in determining whether O& dissociates from or (inds to hemoglo(in?
A) p5
B) CCO&
C) CO&
D) BCK concentration
!) (ody temperature

Answer" C
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,4) Which of the following will increase O& dissociation from hemoglo(in?
A) e:ui$alent le$els of CO& on (oth sides of echange surface
B) decreased BCK concentration
C) decreased 5
L
concentration
D) increased BCK concentration
!) decreased temperature

Answer" D
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,6) 5ow is CO& transported in (lood?
A) as dissol$ed CO&
B) as car(amino compounds
C) as (icar(onate ions
D) A and B are correct+
!) A) B and C are correct+

Answer" !
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,8) Which of the following is correct?
A) The amount of CO& that can (e transported in (lood is aFected (y the amount of 5(>O&+
B) The Cl> shift occurs when CO& (inds to 5(+
C) When hemoglo(in consists of a miture of 5B and 5(> O&) it is fully saturated+
D) 5(>O& (uFers more 5
L
than 5( does+
!) All of these are correct+

Answer" A
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,9) 5ow is the (asic rhythm of :uiet respiration set?
A) (y pacema/er cells in the diaphragm
B) (y the pneumotaic area of the pons
C) (y the apneustic area of the pons
D) (y the inspiratory area of the medulla o(longata
!) (y the epiratory area of the medulla o(longata

Answer" D
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1;) When running 1;; m) which part of the (rain stem stimulates the internal intercostal and a(dominal
muscles to contract causing forceful ehalation?
A) inspiratory area of the medulla o(longata
B) epiratory area of the medulla o(longata
C) pneumotaic area of the pons
D) apneustic area of the pons
!) B and D are correct+

Answer" B
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11) Which of the following is correct?

A) The inspiratory center controls the pneumotaic center) causing rapid shallow (reathing+
B) The epiratory center controls the pneumotaic center) causing prolonged ehalation+
C) The apneustic center stimulates the inspiratory center) causing prolonged inhalation+
D) The pneumotaic center stimulates the epiratory center) causing sudden ehalation+
!) All of these are correct+

Answer" C
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1&) Other than those in the (rain stem) which parts of the (rain can in@uence respiratory rate and depth?

A) cere(ral corte
B) lim(ic system
C) hypothalamus
D) A and B are correct+
!) A) B and C are correct+

Answer" !
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1,) Chemoreceptors

A) in the medulla o(longata detect changes in 5
L
and CO& concentrations in cere(rospinal @uid+
B) in the aortic and carotid (odies detect only changes in O& concentrations in (lood+
C) of the peripheral ner$ous system send sensory impulses to the (rain stem $ia cranial ner$e B<+
D) responding to high concentrations of 5
L
and CO
&
inhi(it the inspiratory area+
!) responding to low concentrations of O& inhi(it the pneumotaic area+

Answer" A
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11) <t has (een one of those mornings for #atisha+ Iirst the hot water went oF suddenly in the middle of
her shower+ When she tried to get out of the ice>cold water :uic/ly) she stu((ed her toe on the edge of the
shower stall) fell and hit her -funny (one. on the toilet+ When she chec/ed her (lood pressure) it was
12;G1;; instead of her usual 9;G4;+ What common response did her respiratory system pro(a(ly ha$e to
each of these situations?
A) decreased respiration rate
B) (rief apnea
C) increased inspiration rate+
D) A or B is correct+
!) B or C is correct+

Answer" D
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12) Which of the following is true of changes in $entilation associated with eercise?
A) Neither duration nor intensity of eercise causes changes in $entilation+
B) Culmonary perfusion increases during eercise+
C) 0oderate eercise tends to increase the rate rather than the depth of (reathing+
D) Chysical changes cause the a(rupt increase in $entilation at the (eginning of eercise+
!) Neural and chemical changes cause a gradual increase in $entilation with moderate eercise+

Answer" B
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14) The respiratory system

A) de$elops largely from ectoderm+
B) smooth muscles and cartilages de$elop from endoderm+
C) (egins de$elopment a(out four wee/s after conception+
D) A and B are correct+
!) A) B and C are correct+

Answer" C
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16) Which of the following is NOT associated with aging of the respiratory system?
A) decreased lung compliance
B) increased airway resistance
C) decreased $ital capacity
D) increased al$eolar macrophage acti$ity
!) increased suscepti(ility to respiratory infection

Answer" D
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18) Which of the following are classi'ed as chronic o(structi$e pulmonary disorders?
A) chronic (ronchitis
B) emphysema
C) pneumonia
D) A and B are correct+
!) A) B and C are correct+

Answer" D
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19) Which of the following is an inherited disease of the respiratory system?
A) cory3a
B) cystic '(rosis
C) pneumonia
D) AA*A
!) tu(erculosis

Answer" B
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2;) Culmonary edema may(e characteri3ed (y each of the following !BC!CT"
A) whee3ing
B) rapid respirations
C) painful respirations
D) decreased @uid in the al$eoli and interstitial spaces of the lungs
!) pallor

Answer" D
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