Exam Review Unit 1 Cardiopulmonary A&p Of Resp System
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Which of the following are primary components of the upper airway?
A.
Nose, oral cavity, pharynx
B.
Larynx, trachea, and bronchi
C.
Nose, oral cavity, larynx and trachea
D.
Nose, oral cavity, pharynx, larynx, and trachea
Correct Answer
A. Nose, oral cavity, pHarynx
Explanation The nose, oral cavity, and pharynx are the primary structures that compose the upper airway
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2.
Which of the following is NOT a primary function of the nose?
A.
Humidfy inspired gas
B.
Conduct gas and food to lower airway
C.
Filter the inspired gas
D.
Warm the inspired gas
Correct Answer
B. Conduct gas and food to lower airway
Explanation The nose humdifies, warms, and filters the inspired gas, not food to the lower airway
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3.
Which of the following are functions of the upper airway?
I. Conduction of gas to lower airway
II. Prevent foreign materials from entering lower airway
III. Warm, filter, and humidify inspired gas
IV Aid in speech and smell
A.
I, II, III, and IV
B.
I, III, and IV only
C.
I, II, and III only
D.
I, II, and IV only
Correct Answer
A. I, II, III, and IV
Explanation The upper airway performs all of the listed functions
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4.
Which structures form the upper third of the nose?
I. Nasal bones
II. Frontal process of maxilla
III. Lateral nasal cartilage
IV. Greater alar cartilage
A.
I, II, III and IV
B.
I, and II only
C.
II, III, IV
D.
II and IV only
E.
I, III, IV
Correct Answer
B. I, and II only
Explanation The upper third of the nose is composed of the nasal bones and frontal process of the maxilla.
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5.
Which structure form the lower two-thirds of the nose?
I. Lateral nasal cartilage
II. Lesser and greater alar cartilages
III. Septal cartilage
IV. Fibrous fatty tissue
A.
I, II, and III only
B.
I, III, and IV only
C.
I, II, III, and IV
D.
I, II, and IV only
Correct Answer
C. I, II, III, and IV
Explanation All of the listed structures compose the lower two-thirds of the nose
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6.
What is the term for widening of the nostrils that can occur during respiratory distress?
A.
Grunting
B.
Retractions
C.
Alar collapse
D.
Nasal flaring
Correct Answer
D. Nasal flaring
Explanation Nasal flaring is the term for the widening of the nostrils, especially seen in respiratory distress in newborns
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7.
Which of the following structures form the anterior nasal septum?
A.
Septal cartilage
B.
Vomer
C.
Perpendicular plate of ethmoid bone
D.
Frontal process of maxilla
Correct Answer
A. Septal cartilage
Explanation The anterior portion of the nasal septum if formed by the septal cartilage
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8.
The lymphatic channels are larger and more numerous in what location?
A.
Upper lobes
B.
Right lower lobe
C.
Left lower lobe
D.
Middle lobes
Correct Answer
B. Right lower lobe
Explanation The lymphatic channels on the left lower lobe are more numerous and larger in diameter than the lymphatic vessels on the surface of the right lower lobe.
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9.
What is the term for the openings created by the alae nasi and septal cartilage?
A.
Nares
B.
Glottis
C.
Vestibule
D.
Choana
Correct Answer
A. Nares
Explanation The nares or nostrils are the openings formed by the alae nasi and septal cartilage.
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10.
What type of epithelium lines the anterior third of the nasal cavity?
A.
Cuboidal
B.
Pseudostratified ciliated columnar
C.
Stratified squamous
D.
Pseudostratified ciliated squamous
Correct Answer
C. Stratified squamous
Explanation The anterior third of the nasal cavity is lined with stratified squamous epithelium.
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11.
In which structure would vibrissae normally be found?
A.
Oropharynx
B.
Laryngopharynx
C.
Nasal cavity
D.
Trachea
Correct Answer
C. Nasal cavity
Explanation Vibrissae are normally found in the vestibule of the nasal cavity.
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12.
What is the submucosal layer of the tracheobronchial tree?
A.
Lamina propria
B.
Cartilaginous layer
C.
Epithelial lining
D.
Mucous blanket
Correct Answer
A. Lamina propria
Explanation The lamina propria is the submucosal layer of the tracheobronchial tree.
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13.
What is another term for conchae?
A.
Alae
B.
Choana
C.
Vestibule
D.
Turbinates
Correct Answer
D. Turbinates
Explanation The conchae in the nasal cavity are also called nasal turninates.
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14.
Where is the olfactory region located in the nasal cavity?
A.
Choana
B.
Vestibule
C.
Superior and middle turbinates
D.
Middle and inferior turbinates
Correct Answer
C. Superior and middle turbinates
Explanation The olfactory region is located near the superior and middle turbinates.
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15.
Which of the following sinuses are considered to be paranasal sinuses?
I. Maxillary
II. Frontal
III. Ethmoid
IV. Sphenoid
A.
I, II, III, and IV
B.
I, III, and IV only
C.
I, II, and III only
D.
I, II, and IV only
Correct Answer
A. I, II, III, and IV
Explanation The paranasal sinuses include the maxillary, frontal, ethmoid, and sphenoid sinuses.
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16.
What effect, if any, would be expected from the topical application of phenylephrine on the nasal mucosa?
A.
Vasoconstriction
B.
Vasodilation
C.
No known effect
D.
Bronchospasm
Correct Answer
A. Vasoconstriction
Explanation When phenylephrine is applied to the nasal mucosa, vasoconstriction should occur.
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17.
Among pediatric patients, in which age range is epistaxis most prevalent?
A.
10-14 years
B.
2-10 years
C.
8-16 years
D.
Newborn-2 years
Correct Answer
B. 2-10 years
Explanation In pediatric patients, nosebleeds are most prevalent among the 2-10 year olds.
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18.
Approximately what portion of the sense of taste is reliant upon the sense of smell?
A.
60%
B.
80%
C.
40%
D.
20%
Correct Answer
B. 80%
Explanation approximately 80% of the sense of taste is reliant upon the sense of smell.
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19.
Which of the following can cause sinusitis?
I. Upper respiratory infection
II. Dental infection
III. Air travel
IV. Scuba diving
A.
I, II, III, and IV
B.
I, III, and IV only
C.
I, II, and III only
D.
I, II, and IV only
Correct Answer
A.
I, II, III, and IV
Explanation All of the listed factors can cause sinusitis
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20.
In the oral cavity, what is the term for the space between the teeth and lips?
A.
Vibrissae
B.
Ventricle
C.
Vallecula
D.
Vestibule
Correct Answer
D. Vestibule
Explanation The space between the teeth and lips is called the vestibule.
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21.
What is the name of the structure that secures the tongue to the floor of the mouth?
A.
Uvula
B.
Extrinsic lingual muscles
C.
Instrinsic lingual muscles
D.
Lingual frenulum
Correct Answer
D. Lingual frenulum
Explanation The lingual frenulum secures the tongue to the floor of the mouth.
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22.
How many ribs are identified as true ribs, attached directly to the sternum?
A.
Seven
B.
Eight
C.
Four
D.
Six
Correct Answer
A. Seven
Explanation The first seven ribs are referred to as true ribs.
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23.
To what structure is the uvula attached?
A.
Hard palate
B.
Palatopharyngeal arch
C.
Palatoglossal arch
D.
Soft palate
Correct Answer
D. Soft palate
Explanation The uvula is attached to the soft palate.
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24.
What is another name for the palatine tonsils?
A.
Adenoids
B.
Faucial
C.
Lingual
D.
Pharyngeal
Correct Answer
B. Faucial
Explanation The palatine tonsils are also called faucial tonsils.
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25.
Which structure extends from the posterior nares to the superior portion of the soft palate?
A.
Oropharynx
B.
Palatine tonsils
C.
Nasopharynx
D.
Tongue
Correct Answer
C. NasopHarynx
Explanation The nasopharynx extends from the posterior portion of the nasal cavity to the superior portion of the soft palate.
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26.
Which epithelium is present in the nasopharynx?
A.
Pseudostratified squamous
B.
Stratified squamous
C.
Cuboidal
D.
Pseudostratified ciliated columnar
Correct Answer
D. Pseudostratified ciliated columnar
Explanation The nasopharynx is lined with pseudostratified ciliated columnar epithelium.
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27.
What is another name for pharyngeal tonsils?
A.
Palatine tonsils
B.
Lingual tonsils
C.
Faucial tonsils
D.
Adenoids
Correct Answer
D. Adenoids
Explanation The pharyngeal tonsils are also called adenoids
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28.
What is another name for the pharyngotympanic tubes?
A.
Adenoids
B.
Conchae
C.
Auditory
D.
Faucial
Correct Answer
C. Auditory
Explanation The pharyngotympanic tubes are also called auditory tubes.
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29.
What is the most frequent cause of hearing loss in young children?
A.
Tonsillitis
B.
Pharyngitis
C.
Sinusitis
D.
Otitis media
Correct Answer
D. Otitis media
Explanation Otitis media is the most frequent cause of hearing loss in young children.
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30.
Which structure extends from the soft palate to the base of the tongue?
A.
Nasopharynx
B.
Oropharynx
C.
Uvula
D.
Laryngopharynx
Correct Answer
B. OropHarynx
Explanation The oropharynx extends from the soft palate to the base of the tongue.
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31.
What type of epithelium is found in the oropharynx?
A.
Stratified squamous
B.
Pseudostratified squamous
C.
Pseudostratified ciliated columnar
D.
Cuboidal
Correct Answer
A. Stratified squamous
Explanation The oropharynx is lined with stratified squamous epithelium.
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32.
What structure is located between the glossoepiglottic folds in the posterior oropharynx?
A.
Vallecula epiglottica
B.
Lingual tonsils
C.
Rima glottidis
D.
Option 4
E.
Palatine tonsils
Correct Answer
A. Vallecula epiglottica
Explanation The vallecula epiglottica is located between the glossoepiglottic folds in the posterior oropharynx.
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33.
What spoon-shaped fibrocartilaginous structure covers the opening of the larynx during swallowing?
A.
Vocal folds
B.
Base of the tongue
C.
Vallecula
D.
Epiglottis
Correct Answer
D. Epiglottis
Explanation The epiglottis is a broad, spoon-shaped fibrocartilaginous structure that prevents the aspiration of foods and liquids by covering the opening of the larynx during swallowing.
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34.
What is a common site for misplacement of endotracheal tubes during emergency intubation?
A.
Stomach
B.
Left mainstem bronchus
C.
Esophagus
D.
Left upper lobar bronchus
Correct Answer
C. EsopHagus
Explanation During emergency intubation, the endotracheal tube could be misplaced into the esophagus
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35.
Which structure extends from the base of the tongue to the upper end of the trachea?
A.
Laryngopharynx
B.
Thyroid gland
C.
Larynx
D.
Rima glottidis
Correct Answer
C. Larynx
Explanation The larynx extends from the base of the tongue to the trachea.
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36.
Which of the following are functions of the larynx?
I. Passageway for gas
II. Protects against aspiration
III. Generation of sounds for speech
IV. Warming and filtration of inspired gas
A.
I, II, III, and IV
B.
I, III, and IV only
C.
I, II, and III only
D.
I, II, and IV only
Correct Answer
C. I, II, and III only
Explanation The larynx conducts gas between the phaynx and trachea, protects against aspiration, and generates sound for speech.
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37.
Which of the cartilages of the larynx are unpaired?
A.
Thyroid, epiglottis, and arytenoid
B.
Artyenoid, cuneiform, and corniculate
C.
Thyroid, cricoid, and cuneiform
D.
Thyroid, epiglottis, and cricoid
Correct Answer
D. Thyroid, epiglottis, and cricoid
Explanation The unpaired laryngeal cartilages are the epiglottis, thyroid, and cricoid cartilages.
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38.
To what structure does the upper portion of the thyroid cartilage attach by a membrane?
A.
Mandible
B.
Hyoid bone
C.
Epiglottis
D.
Tongue
Correct Answer
B. Hyoid bone
Explanation The upper portion of the thyroid cartilage attaches by a membrane to the hyoid bone.
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39.
Which laryngeal cartilage is primarily responsible for preventing food, liquids, and foreign bodies from entering the lower airways?
A.
Cricoid
B.
Epiglottis
C.
Thyroid
D.
Corniculate
Correct Answer
B. Epiglottis
Explanation The epiglottis normally protects the lower airway from aspiration.
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40.
Which laryngeal cartilage is shaped like a signet ring and forms a large portion of the posterior laryngeal wall?
A.
Epiglottis
B.
Cricoid
C.
Cuneiform
D.
Corniculate
Correct Answer
B. Cricoid
Explanation The cricoid cartilage is shaped like a signet ring and forms most of the posterior laryngeal wall.
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41.
Which of the laryngeal cartilages are single?
I. Cuneiform
II. Thyroid
III. Epiglottis
IV. Cricoid
A.
I, II, III, and IV
B.
II, III, and IV only
C.
I, II, and III only
D.
I, II, and IV only
E.
Option 5
Correct Answer
B. II, III, and IV only
Explanation The thyroid cartilage, cricoid cartilage, and epiglottis are single cartilages of the larynx.
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42.
What is the space between the true vocal cords called?
A.
Vallecula
B.
Vestibule
C.
Rima glottidis
D.
Choana
Correct Answer
C. Rima glottidis
Explanation The space between the vocal cords is called the rima glottidis or glottis.
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43.
What is not a common cause of posterior nosebleeds?
A.
Nasal tumors
B.
Serious nose trauma
C.
High altitude
D.
Drug abuse
Correct Answer
C. High altitude
Explanation Common causes of posterior nosebleeds include serious nose trauma, nasal mucosal infections, high blood pressure, nasal tumors, atherosclerosis, drug abuse, and leukemia.
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44.
Which of the following is a subglottic airway obstruction usually caused by the parainfluenza virus?
A.
Pharyngitis
B.
Laryngotracheobronchitis (LTB)
C.
Epiglottitis
D.
Tonsillitis
Correct Answer
B. Laryngotracheobronchitis (LTB)
Explanation LTB is a subglottic airway obstruction usually caused by a parainfluenza virus.
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45.
What is causative agent in the majority of cases of acute epiglottitis?
A.
Streptococcus
B.
MRSA
C.
Parainfluenza virus
D.
Haemophilus influenzae type B
Correct Answer
D. HaemopHilus influenzae type B
Explanation The majority of acute epiglotittis cases is caused by Haemophilus inflenzae type B.
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46.
Which type of epithelium is present in the larynx above the vocal cords?
A.
Pseudostratified squamous
B.
Stratified squamous
C.
Cuboidal
D.
Pseudostratified ciliated columnar
Correct Answer
B. Stratified squamous
Explanation Above the cords, the larynx is lined with stratified squamous epithelium.
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47.
Which laryngeal muscles are primarily responsible for adduction of the vocal cords?
A.
Transverse arytenoid
B.
Lateral cricoarytenoid
C.
Posterior cricoarytenoid
D.
Thyroarytenoid
Correct Answer
B. Lateral cricoarytenoid
Explanation The lateral cricoarytenoid muscles cause the vocal cords to move together.
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48.
Which of the following muscles pull the larynx and hyoid downward?
A.
Suprahyoid group
B.
Cricothyroid muscles
C.
Posterior cricoarytenoid muscles
D.
Infrahyoid group
Correct Answer
D. Infrahyoid group
Explanation The infrahyoid muscle group pull the larynx and hyoid downward.
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49.
What is the secondary vital function of the larynx?
A.
Gag reflex
B.
Babinski reflex
C.
Valsalva’s maneuver
D.
Moro maneuver
Correct Answer
C. Valsalva’s maneuver
Explanation Effort closure during exhalation (Valsalva’s maneuver) is an important secondary function of the larynx.
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50.
What type of epithelium extends from the trachea to the respiratory bronchioles?
A.
Stratified squamous
B.
Pseudostratified squamous
C.
Cuboidal
D.
Pseudostratified ciliates columnar
Correct Answer
D. Pseudostratified ciliates columnar
Explanation Pseudostratified ciliated columnar epithelium extends from the trachea to the respiratory bronchioles.
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