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Respiratory system diseases for Paramedics

Total questions: 55

Worksheet time: 32mins

Name
Class
Date
1.

COPD stands for Chronic Obstructive P_________ Disorder

a)

pulmonary

b)

palliative

c)

peripheral

d)

pupil

2.
What is pharyngitis?
a)
infection of the tonsils
b)
inflammation of the nose
c)
inflammation of the throat
d)
infection of the lungs
3.

Viruses and Streptococcus pyogenes are common causes of inflammation of the tonsils and pharynx. Severe infections can lead to suppuration and abscess this is called .....

a)

quinsy

b)

coryza (common cold)

c)

influenza

d)

croup

4.

A rare but serious complication of Upper respiratory infections can be laryngotracheobronchitis. The airway is obstructed by swelling around the larynx and epiglottis, wheeze and breathlessness (dyspnoea). This is commonly called

a)

quinsy

b)

coryza (common cold)

c)

influenza

d)

croup

5.

Hayfever (allergic rhinitis) is an atopic (immediate) hypersensitivity to foreign proteins (antigens). Examples could be....

a)

animal dander

b)

pollen

c)

mites in bedding

d)

chocolate

6.

Influenza is caused by a virus and causes far more serious symptoms than the common cold. Patients will have a very high temperature, muscle pain and recovery can take weeks. When is this disease most dangerous?

a)

If it spreads to the lungs

b)

in the elderly

c)

in the immunocompromised

d)

in the winter

7.

A secondary bacterial infection of the bronchi, preceded by a common cold, influenza or as a complication of measles or whooping cough in children

a)

acute bronchitis

b)

chronic bronchitis

c)

pharyngitis

d)

sinusitis

8.

Defined when a patient has had a cough with sputum for 3 months in 2 successive years. A progressive inflammatory disease resulting from prolonged irritation of the bronchi often caused by smoking or following exposure to airborne irritants like urban fog, exhaust fumes or atmospheric pollutants

a)

acute bronchitis

b)

chronic bronchitis

c)

diphtheria

d)

sinusitis

9.

Reduction in pO2 levels in arterial blood

a)

hypoxaemia

b)

hypercapnia

c)

hypertension

d)

hyperoxaemia

10.

Breathlessness.

a)

hypoxaemia

b)

hypercapnia

c)

dyspnoea

d)

coryza

11.

A disease which can develop as a result of long term inflammatory conditions or irritation of the airways, common in smokers and coal miners. Can be due to a genetic deficiency in the lungs of an enzyme α-antitrypsin. Leads to progressive destruction of elastic lung tissue and distension of the bronchioles, alveolar ducts and alveoli.

(a)  

12.

Two main kinds of emphysema

a)

panacinar

b)

centrilobular

c)

pneumothorax

d)

asthma

13.

Presence of air in the thoracic interstitial tissue caused either by injury to the outside (stab wound, fractured rib) or from the inside (asthma attack, coughing in whooping cough etc).

a)

pneumothorax

b)

interstitial emphysema

c)

pulmonary emphysema

d)

bronchiectasis

14.

An asthmatic airway is shown here....

a)

on the left

b)

on the right

15.

Type of asthma occurring in children or young adults caused by hypersensitivity to foreign proteins. Often close family members with a history of allergy, infantile eczema or food allergies.

a)

Atopic (extrinsic) asthma

b)

Non-atopic (intrinsic) asthma

16.

Type of asthma occurring later in life, no history of childhood allergies. Can be linked to chronic URTI, exercise or occupational exposure (eg inhaled paint fumes) or even aspirin. Attacks tend to increase in severity.

a)

Atopic (extrinsic) asthma

b)

Non-atopic (intrinsic) asthma

17.

A permanent abnormal dilation of the bronchi and bronchioles associated with bacterial infection, cystic fibrosis (CF) or bronchial tumour. Persistent severe coughing and fibrosis of the lungs can lead to hypoxia, pulmonary hypertension and right-sided heart failure.

a)

bronchiectasis

b)

emphysema

c)

asthma

d)

pneumoconiosis

18.

One of the most common hereditary diseases affecting 1 in 2500 babies, with almost 5% of the population carrying the recessive gene. The secretions of the exocrine glands are abnormally thick and the lungs, pancreas, intestine, biliary tract and male reproductive system can be affected.

a)

cystic fibrosis

b)

pneumoconioses

c)

asbestosis

d)

atopic asthma

19.

Common consequences of cystic fibrosis in older children often include:

a)

impaired digestion of food

b)

obstruction of bile ducts in liver causing cirrhosis

c)

bronchitis, bronchiectasis, pneumonia

d)

chronic lung and heart disease

e)

all of these

20.

Restrictive lung disorders make it harder to inflate the lungs and increase the work needed to breathe. They are characterized by increased stiffness of lower lung tissue and often caused by prolonged exposure to dust particles of different kinds. Which of these are examples?

a)

Coal worker's pneumoconiosis

b)

silicosis

c)

asbestosis

d)

cystic fibrosis

21.

Pulmonary lung disease can be triggered by a range of toxins and drugs. Examples:

a)

paraquat - a kind of weedkiller

b)

some drugs - ACE inhibitors, cancer drugs for example

c)

high concentration oxygen therapy

22.

Pneumonia is infection of the alveoli, occurring when pulmonary defence mechanisms fail to prevent microbes colonizing the lungs. Predisposing factors include:

a)

Impaired coughing

b)

damage to the epithelial lining caused by smoking, noxious gases or infections

c)

impaired alveolar phagocytosis - caused by smoking, alcohol or anoxia

d)

hospitalisation

23.

Lobar pneumonia or bronchopneumonia evident in the right hand lung in the picture?

a)

lobar pneumonia

b)

bronchopneumonia

24.

Tuberculosis (TB) is a major health problem worldwide. The bacteria are spread by inhalation of aerosol droplets or in dust contamination by infectious sputum. Symptoms of primary (initial infection) TB include:

a)

Few if any symptoms are seen at this stage

b)

fever and cough

c)

malaise, weight loss and night sweats

d)

haemoptysis (coughing up blood)

25.

Tuberculosis (TB) is a major health problem worldwide. Symptoms of secondary TB (reactivation of the disease from latent bacteria surviving initial infection, sometimes decades later) include:

a)

Few if any symptoms are seen at this stage

b)

fever and cough

c)

malaise, weight loss and night sweats

d)

haemoptysis (coughing up blood)

26.

Primary Tuberculosis (TB) rarely affects tissues other than the lungs, but in secondary TB, non-pulmonary involvement is common (and often fatal if not treated) Examples include:

a)

Miliary TB (tiny nodules which look like "millet" seeds in the lungs

b)

Lymph node TB (Usually painless, in neck, axilla & groin)

c)

Joint & Bone TB (hips, knees and between the vertebrae)

d)

In the pericardium, CNS, skin and GI tract

27.

Bronchial carcinoma is a very common malignancy, upto 90% of cases are caused by

a)

inhalation of cigarette smoke (directly or passively)

b)

inhalation of airborne dusts

c)

presence of lung fibrosis

d)

Cystic fibrosis

28.

Where is the most common site for the development of primary bronchial carcinoma?

a)

in a main bronchus

b)

in a lung

c)

in lymph nodes

d)

in the pleura

29.

Pleural mesothelioma (tumour of the pleura) which can develop years after exposure, is usually associated with (a)   . Prognosis is very poor as metastases are very common.

30.

Main causes of lung collapse (atelectasis) include:

a)

airway obstruction

b)

impaired surfactant function

c)

pressure collapse

d)

alveolar hypoventilation

e)

all of these

31.

Premature babies (pre 34 week gestation) may need to be mechanically ventilated. Why?

a)

Lungs are too immature to produce surfactant

b)

Lungs are too small

c)

Their diaphragm will not have developed sufficiently

d)

There may be mucus plugs in their airways

32.

With a Pressure collapse of a lung (where air or fluid enters the pleural cavity), the normally negative pressure becomes positive, preventing lung expansion. Collections of air are normally found in....

a)

the apex (top) of the lung

b)

both lungs

c)

inferior lobe of the lung

d)

fissure of the lung

33.

Types of pneumothorax (air in the pleural cavity) do NOT include:

a)

Primary spontaneous (unknown cause)

b)

Secondary spontaneous (may be due to lung disease)

c)

Traumatic (due to injury eg stab, gunshot or rib fracture)

d)

Tension (air enters pleural space on inhalation but cannot escape on expiration)

e)

Haemothorax

34.

Haemothorax is when blood enters the pleural cavity. This may be as a result of:

a)

a penetrating chest injury (stab, gunshot etc)

b)

a ruptured aortic aneurysm

c)

erosion (damage) to a blood vessel by a tumour

d)

impaired surfactant function

35.

Pleural effusion is :

a)

air in the pleural cavity

b)

fluid in the pleural cavity

c)

blood in the pleural cavity

36.

Pleural effusion can be caused by all of these EXCEPT:

a)

Increased hydrostatic pressure (heart failure, increased blood volume)

b)

Local inflammation and increased capillary permeability (TB, pneumonia, cancers)

c)

Decreased plasma osmotic pressure (liver or kidney diseases)

d)

Impaired lymphatic drainage (eg tumour involving the pleura)

e)

Penetrating chest injury

37.

The epiglottis is composed of:

a)

muscle

b)

cartilage

c)

bone

d)

elastic connective tissue

38.

Mesothelioma is associated with exposure to :

a)

asbestos

b)

cigarette smoke

c)

industrial chemicals

d)

silica dust

39.

Rhinorrhoea is:

a)

sneezing

b)

breathlessness

c)

a runny nose

d)

a dry cough

40.

The trachea is lined with

a)

stratified squamous epithelium

b)

cuboidal epithelium

c)

transitional epithelium

d)

columnar ciliated epithelium

41.

The structure or substance directly applied to the outer lung surface is:

a)

visceral pleura

b)

respiratory membrane

c)

pleural fluid

d)

surfactant

42.

During quiet inspiration, the muscles that contract at the same time as the diaphragm are:

a)

Both the internal and external intercostals

b)

External intercostals

c)

Internal intercostals

d)

External intercostals and scalene

43.

Tidal volume at rest is usually about :

a)

1000ml (1 L)

b)

750 ml

c)

500 ml

d)

250 ml

44.

Average respiratory rate at rest

a)

12

b)

7

c)

21

d)

78

45.

Number of pairs of ribs

a)

12

b)

9

c)

21

d)

18

46.

Average number of cartilage rings in the trachea

a)

18

b)

12

c)

7

d)

78

47.

Number of cartilages forming the larynx

a)

9

b)

12

c)

3

d)

24

48.

What is the function of columnar ciliated epithelium

a)

production of surfactant

b)

contraction of diaphragm

c)

cleaning of air in the upper airway

d)

defence in the air scas

49.

What is the function of squamous epithelium

a)

production of surfactant

b)

contraction of diaphragm

c)

exchange of gases in the alveoli

d)

defence in the air sacs

50.

What is the function of septal cells

a)

production of surfactant

b)

contraction of diaphragm

c)

exchange of gases in the alveoli

d)

defence in the air sacs

51.

What is the function of alveolar macrophages

a)

production of surfactant

b)

contraction of diaphragm

c)

exchange of gases in the alveoli

d)

defence in the air sacs

52.

What is the function of cartilage

a)

tracheal support

b)

contraction of diaphragm

c)

exchange of gases in the alveoli

d)

control of airway diameter

53.

What is the function of smooth muscle

a)

tracheal support

b)

contraction of diaphragm

c)

exchange of gases in the alveoli

d)

control of airway diameter

54.

What is the function of skeletal muscle

a)

tracheal support

b)

contraction of diaphragm

c)

exchange of gases in the alveoli

d)

control of airway diameter

55.

The area between the lungs is called the

(a)