30 Questions
Which of the following is NOT a function of the respiratory system?
Digestion of food
Which part of the respiratory tract is responsible for gas exchange?
Alveoli
What is the main function of the paranasal sinuses?
Production of mucus
Which artery supplies the Sphenopalatine foramen?
Nasopalatine artery
Which sinus is particularly prone to sinusitis?
Maxillary sinus
Which nerve provides innervation to the Nasociliary nerve?
Ophthalmic division of trigeminal nerve (V1)
Which of the following is true about the nasal cavity?
The nasal cavity is located posterior to the nose.
What is the function of nasal hair (vibrissae)?
To filter foreign particles from the air.
Which cranial nerve is responsible for the sense of smell?
CN I
Which nerve supplies special sensory innervation to the olfactory epithelium in the superior portion of the nasal cavity?
CN V1
Which nerve supplies somatic sensory innervation to the anterior superior portion of the nasal cavity?
CN V1
Which nerve supplies somatic sensory innervation to the postero-inferior portion of the nasal cavity?
CN V2
What is the most superior portion of Waldeyer’s ring composed of?
Palatine tonsil
Which tonsil is commonly referred to as the adenoid?
Pharyngeal tonsil
What is the common name for the nasopharyngeal carcinoma?
Fossa of Rosenmuller
Which of the following is a symptom of upper airway obstruction?
Stridor
Which condition is characterized by a 'ruddy' complexion and may indicate serious pathology?
Polycythemia
Which of the following is a clinical feature of Horner's syndrome?
Unilateral miosis
Which of the following is NOT a learning outcome of respiratory examination?
To perform a physical examination of the respiratory system
What is the first step in the respiratory examination process?
Gathering information
Which of the following is NOT part of the general inspection in respiratory examination?
Palpating the patient's chest
Which technique is used to assess the position of the trachea during palpation of the neck and chest?
Gently press down and back on the suprasternal notch
Which condition is considered a life-threatening emergency and presents with severe symptoms/signs of respiratory distress?
Tension pneumothorax
What percussion note is associated with pleural effusion or haemothorax?
Dull
Which technique can be used to assess vocal resonance during a respiratory examination?
Tactile vocal fremitus
What can increased vocal resonance indicate during a respiratory examination?
Consolidation
What can decreased vocal resonance indicate during a respiratory examination?
Pleural effusion
When performing a respiratory examination, what can be used to detect signs of respiratory pathology?
Clinical signs
What is the purpose of comparing vocal resonance on both sides of the chest during a respiratory examination?
Assess quality and amplitude
What is the recommended technique for assessing vocal resonance during a respiratory examination?
Using a stethoscope and asking the patient to say 'one, one, one'
Study Notes
Respiratory System Functions
- The respiratory system is responsible for gas exchange, but it is not responsible for absorbing nutrients.
Respiratory Tract
- The part of the respiratory tract responsible for gas exchange is the alveoli.
Paranasal Sinuses
- The main function of the paranasal sinuses is to warm, humidify, and filter the air we breathe.
Blood Supply
- The Sphenopalatine foramen is supplied by the Sphenopalatine artery.
Sinusitis
- The maxillary sinus is particularly prone to sinusitis.
Innervation
- The Nasociliary nerve is innervated by the Ophthalmic branch of the Trigeminal nerve.
Nasal Cavity
- The nasal cavity is divided into two parts: the nasal vestibule and the nasal cavity proper.
- The nasal cavity warms, humidifies, and filters the air we breathe.
Nasal Hair (Vibrissae)
- The function of nasal hair (vibrissae) is to filter the air we breathe.
Olfaction
- The cranial nerve responsible for the sense of smell is the Olfactory nerve (Cranial Nerve I).
- The Olfactory nerve supplies special sensory innervation to the olfactory epithelium in the superior portion of the nasal cavity.
Innervation of the Nasal Cavity
- The Anterior Ethmoidal nerve supplies somatic sensory innervation to the anterior superior portion of the nasal cavity.
- The Posterior Ethmoidal nerve supplies somatic sensory innervation to the postero-inferior portion of the nasal cavity.
Waldeyer's Ring
- The most superior portion of Waldeyer's ring is composed of the Nasopharyngeal tonsil.
Tonsils
- The Nasopharyngeal tonsil is commonly referred to as the adenoid.
Nasopharyngeal Carcinoma
- The common name for the nasopharyngeal carcinoma is "cancer of the nose".
Upper Airway Obstruction
- Stridor is a symptom of upper airway obstruction.
Clinical Features
- A 'ruddy' complexion may indicate serious pathology, such as Polycythemia.
- Horner's syndrome is characterized by a constricted pupil, drooping eyelid, and anhidrosis.
Respiratory Examination
- The first step in the respiratory examination process is to inspect the patient's overall appearance.
- The general inspection in respiratory examination includes observing the patient's posture, breathing pattern, and use of accessory muscles.
- The technique used to assess the position of the trachea during palpation of the neck and chest is tracheal palpation.
- A tension pneumothorax is a life-threatening emergency that presents with severe symptoms/signs of respiratory distress.
Percussion
- A dull percussion note is associated with pleural effusion or haemothorax.
Vocal Resonance
- The technique used to assess vocal resonance during a respiratory examination is vocal fremitus.
- Increased vocal resonance can indicate consolidation or pleural effusion.
- Decreased vocal resonance can indicate pneumothorax or pleural effusion.
- Vocal resonance can be used to detect signs of respiratory pathology, such as consolidation or pleural effusion.
- The purpose of comparing vocal resonance on both sides of the chest during a respiratory examination is to detect any asymmetry.
- The recommended technique for assessing vocal resonance during a respiratory examination is to ask the patient to say "99" repeatedly.
Test your knowledge of the foramina and nerves involved in the anterior ethmoidal nerve and vessels, sphenopalatine foramen, incisive canal, and lateral wall foramina. Challenge yourself with this quiz on MD3001 20...
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