WorksheetsRespiratory system diseases for Paramedics
Total questions: 55
Worksheet time: 32mins
COPD stands for Chronic Obstructive P_________ Disorder
pulmonary
palliative
peripheral
pupil
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 .....
quinsy
coryza (common cold)
influenza
croup
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
quinsy
coryza (common cold)
influenza
croup
Hayfever (allergic rhinitis) is an atopic (immediate) hypersensitivity to foreign proteins (antigens). Examples could be....
animal dander
pollen
mites in bedding
chocolate
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?
If it spreads to the lungs
in the elderly
in the immunocompromised
in the winter
A secondary bacterial infection of the bronchi, preceded by a common cold, influenza or as a complication of measles or whooping cough in children
acute bronchitis
chronic bronchitis
pharyngitis
sinusitis
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
acute bronchitis
chronic bronchitis
diphtheria
sinusitis
Reduction in pO2 levels in arterial blood
hypoxaemia
hypercapnia
hypertension
hyperoxaemia
Breathlessness.
hypoxaemia
hypercapnia
dyspnoea
coryza
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)
Two main kinds of emphysema
panacinar
centrilobular
pneumothorax
asthma
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).
pneumothorax
interstitial emphysema
pulmonary emphysema
bronchiectasis
An asthmatic airway is shown here....
on the left
on the right
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.
Atopic (extrinsic) asthma
Non-atopic (intrinsic) asthma
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.
Atopic (extrinsic) asthma
Non-atopic (intrinsic) asthma
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.
bronchiectasis
emphysema
asthma
pneumoconiosis
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.
cystic fibrosis
pneumoconioses
asbestosis
atopic asthma
Common consequences of cystic fibrosis in older children often include:
impaired digestion of food
obstruction of bile ducts in liver causing cirrhosis
bronchitis, bronchiectasis, pneumonia
chronic lung and heart disease
all of these
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?
Coal worker's pneumoconiosis
silicosis
asbestosis
cystic fibrosis
Pulmonary lung disease can be triggered by a range of toxins and drugs. Examples:
paraquat - a kind of weedkiller
some drugs - ACE inhibitors, cancer drugs for example
high concentration oxygen therapy
Pneumonia is infection of the alveoli, occurring when pulmonary defence mechanisms fail to prevent microbes colonizing the lungs. Predisposing factors include:
Impaired coughing
damage to the epithelial lining caused by smoking, noxious gases or infections
impaired alveolar phagocytosis - caused by smoking, alcohol or anoxia
hospitalisation
Lobar pneumonia or bronchopneumonia evident in the right hand lung in the picture?
lobar pneumonia
bronchopneumonia
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:
Few if any symptoms are seen at this stage
fever and cough
malaise, weight loss and night sweats
haemoptysis (coughing up blood)
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:
Few if any symptoms are seen at this stage
fever and cough
malaise, weight loss and night sweats
haemoptysis (coughing up blood)
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:
Miliary TB (tiny nodules which look like "millet" seeds in the lungs
Lymph node TB (Usually painless, in neck, axilla & groin)
Joint & Bone TB (hips, knees and between the vertebrae)
In the pericardium, CNS, skin and GI tract
Bronchial carcinoma is a very common malignancy, upto 90% of cases are caused by
inhalation of cigarette smoke (directly or passively)
inhalation of airborne dusts
presence of lung fibrosis
Cystic fibrosis
Where is the most common site for the development of primary bronchial carcinoma?
in a main bronchus
in a lung
in lymph nodes
in the pleura
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.
Main causes of lung collapse (atelectasis) include:
airway obstruction
impaired surfactant function
pressure collapse
alveolar hypoventilation
all of these
Premature babies (pre 34 week gestation) may need to be mechanically ventilated. Why?
Lungs are too immature to produce surfactant
Lungs are too small
Their diaphragm will not have developed sufficiently
There may be mucus plugs in their airways
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....
the apex (top) of the lung
both lungs
inferior lobe of the lung
fissure of the lung
Types of pneumothorax (air in the pleural cavity) do NOT include:
Primary spontaneous (unknown cause)
Secondary spontaneous (may be due to lung disease)
Traumatic (due to injury eg stab, gunshot or rib fracture)
Tension (air enters pleural space on inhalation but cannot escape on expiration)
Haemothorax
Haemothorax is when blood enters the pleural cavity. This may be as a result of:
a penetrating chest injury (stab, gunshot etc)
a ruptured aortic aneurysm
erosion (damage) to a blood vessel by a tumour
impaired surfactant function
Pleural effusion is :
air in the pleural cavity
fluid in the pleural cavity
blood in the pleural cavity
Pleural effusion can be caused by all of these EXCEPT:
Increased hydrostatic pressure (heart failure, increased blood volume)
Local inflammation and increased capillary permeability (TB, pneumonia, cancers)
Decreased plasma osmotic pressure (liver or kidney diseases)
Impaired lymphatic drainage (eg tumour involving the pleura)
Penetrating chest injury
The epiglottis is composed of:
muscle
cartilage
bone
elastic connective tissue
Mesothelioma is associated with exposure to :
asbestos
cigarette smoke
industrial chemicals
silica dust
Rhinorrhoea is:
sneezing
breathlessness
a runny nose
a dry cough
The trachea is lined with
stratified squamous epithelium
cuboidal epithelium
transitional epithelium
columnar ciliated epithelium
The structure or substance directly applied to the outer lung surface is:
visceral pleura
respiratory membrane
pleural fluid
surfactant
During quiet inspiration, the muscles that contract at the same time as the diaphragm are:
Both the internal and external intercostals
External intercostals
Internal intercostals
External intercostals and scalene
Tidal volume at rest is usually about :
1000ml (1 L)
750 ml
500 ml
250 ml
Average respiratory rate at rest
12
7
21
78
Number of pairs of ribs
12
9
21
18
Average number of cartilage rings in the trachea
18
12
7
78
Number of cartilages forming the larynx
9
12
3
24
What is the function of columnar ciliated epithelium
production of surfactant
contraction of diaphragm
cleaning of air in the upper airway
defence in the air scas
What is the function of squamous epithelium
production of surfactant
contraction of diaphragm
exchange of gases in the alveoli
defence in the air sacs
What is the function of septal cells
production of surfactant
contraction of diaphragm
exchange of gases in the alveoli
defence in the air sacs
What is the function of alveolar macrophages
production of surfactant
contraction of diaphragm
exchange of gases in the alveoli
defence in the air sacs
What is the function of cartilage
tracheal support
contraction of diaphragm
exchange of gases in the alveoli
control of airway diameter
What is the function of smooth muscle
tracheal support
contraction of diaphragm
exchange of gases in the alveoli
control of airway diameter
What is the function of skeletal muscle
tracheal support
contraction of diaphragm
exchange of gases in the alveoli
control of airway diameter
The area between the lungs is called the
(a)
