Respiratory System MCQs
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Questions and Answers

What pathology is indicated by yellowish-green sputum with 10-15 leukocytes and a strong presence of streptococcus?

  • Pulmonary emphysema
  • Chronic bronchitis
  • Pneumonia (correct)
  • Pulmonary tuberculosis
  • In a patient with pulmonary hypertension and a dry crackle on auscultation, what is the most likely underlying cause?

  • Aortic stenosis
  • Deficiency of the mitral valve
  • Mitral stenosis (correct)
  • Failure of the aortic valve
  • Which of the following changes in lung ventilation indicators is characteristic of pulmonary emphysema?

  • Increase in tidal volume
  • Reduced reserve inspiratory and expiratory volume (correct)
  • Increased total lung capacity
  • Unchanged respiratory rate
  • What type of breathing is characterized by slow, deep breaths and is often associated with metabolic acidosis?

    <p>Kussmaul's breathing (D)</p> Signup and view all the answers

    Which condition is characterized by a blockage in the small blood circulation due to left atrium filling?

    <p>Mitral stenosis (C)</p> Signup and view all the answers

    What is the primary pathogenetic factor associated with Kussmaul's respiration during diabetic coma?

    <p>Poisoning with ketone bodies (C)</p> Signup and view all the answers

    In chronic bronchitis, what specific volume changes are observed?

    <p>Reduced reserve capacity and expiratory volume (C)</p> Signup and view all the answers

    What physiological alteration occurs in the lungs during pneumonia that affects breathing?

    <p>Reduced ventilation effectiveness (D)</p> Signup and view all the answers

    What is the mechanism of mucolytic action of ambroxol?

    <p>Depolarization of mucu protein (B)</p> Signup and view all the answers

    Why was the treatment with benzylpenicillin sodium ineffective for Patient Z with pneumonia?

    <p>Both medications have the same effect since they are in the same group (C)</p> Signup and view all the answers

    Which characteristic feature is related to zafirlukast?

    <p>Inhibition of leukotriene receptors (D)</p> Signup and view all the answers

    What mechanism leads to the formation of crepitation?

    <p>Adhesion and unstick of alveolar walls during breathing (D)</p> Signup and view all the answers

    What is the mechanism for the formation of pleural friction noise?

    <p>Contact and sliding of rough pleural surfaces (C)</p> Signup and view all the answers

    What is the mechanism of action of tetracycline antibiotics?

    <p>Inhibition of protein synthesis (A)</p> Signup and view all the answers

    What causes the formation of moist rales?

    <p>Air passing through a bronchus filled with liquid (C)</p> Signup and view all the answers

    What properties are inherent in biseptol?

    <p>High antimicrobial activity and bactericidal effect (D)</p> Signup and view all the answers

    How do dry rales form during respiration?

    <p>Air passing through a narrowed bronchial lumen (B)</p> Signup and view all the answers

    Identify an antiallergic drug used for respiratory asthma.

    <p>Ketotifin (B)</p> Signup and view all the answers

    What is the purpose of forced expiration during lung auscultation?

    <p>To identify hidden bronchial obstruction (D)</p> Signup and view all the answers

    Which antibiotic has a narrow spectrum of action and is effective against gram-negative microorganisms?

    <p>Polymyxins (C)</p> Signup and view all the answers

    What is the mechanism of expectorant action of ipecacuanha drugs?

    <p>Stimulation of gastric receptors and increased secretion in bronchial glands (B)</p> Signup and view all the answers

    Why is pressure from the stethoscope applied on the chest during lung auscultation?

    <p>For better listening to problematic bronchial breathing (D)</p> Signup and view all the answers

    What mechanism causes air to sound differently when passing through a narrowed bronchial lumen?

    <p>Resistance created by bronchospasm (B)</p> Signup and view all the answers

    What phenomena lead to the crepitus sound during respiration?

    <p>Adhesion and separation of alveolar walls (C)</p> Signup and view all the answers

    Which type of dyspnea is most commonly associated with exudative pleurisy?

    <p>mixed dyspnea (D)</p> Signup and view all the answers

    How does vocal fremitus change in the presence of unilateral exudative pleurisy?

    <p>weakening on one side (A)</p> Signup and view all the answers

    What change in vocal fremitus occurs with pneumothorax?

    <p>weakened on both sides (A)</p> Signup and view all the answers

    What is the effect of obesity on vocal fremitus?

    <p>weakened on both sides (A)</p> Signup and view all the answers

    How does pulmonary emphysema affect chest elasticity?

    <p>decreased elasticity on both sides (B)</p> Signup and view all the answers

    What happens to the chest elasticity in unilateral hydrothorax?

    <p>decreased elasticity on one side (A)</p> Signup and view all the answers

    How is vocal fremitus affected in broncho-obstructive syndrome?

    <p>weakening on one side (D)</p> Signup and view all the answers

    What change occurs in vocal fremitus when a lung cavity communicates with the bronchus?

    <p>increased on one side (A)</p> Signup and view all the answers

    What condition is indicated by a ventilation-perfusion ratio greater than 1.0?

    <p>Spasm of pulmonary arterioles (D)</p> Signup and view all the answers

    Which of the following outcomes is a negative consequence of pulmonary hypertension?

    <p>Right heart failure and heart strain (B)</p> Signup and view all the answers

    What is the prime factor in the pathogenesis of respiratory distress syndrome in newborns?

    <p>Lack of surfactant (D)</p> Signup and view all the answers

    What best describes intermittent breathing?

    <p>Periods of breathing with apnea (A)</p> Signup and view all the answers

    How do indicators of acid-alkaline balance change when a rat is placed in a barochamber at 180 mm.s.b for three minutes?

    <p>Hypoxemia, hypocapnia, gas alkalosis (A)</p> Signup and view all the answers

    What factor significantly contributes to a patient's chronic cough in COPD?

    <p>Increased mucus production (B)</p> Signup and view all the answers

    Postcapillary pulmonary hypertension is primarily associated with which condition?

    <p>Mitral valve defect (C)</p> Signup and view all the answers

    Bronchial obstruction can develop due to which mechanism?

    <p>Pulmonary emphysema (B)</p> Signup and view all the answers

    What is a primary reason children are less prone to sinusitis compared to adults?

    <p>Paranasal sinuses are underdeveloped in young children. (D)</p> Signup and view all the answers

    Which condition is characterized by a barrel-shaped chest?

    <p>Chronic obstructive pulmonary disease (COPD) (B)</p> Signup and view all the answers

    What structural feature differentiates the bronchi of young children from those of adults?

    <p>Bronchi in children are narrower and more susceptible to obstruction. (D)</p> Signup and view all the answers

    What causes weakened bronchophony in a patient?

    <p>Fluid in the pleural space (A)</p> Signup and view all the answers

    What produces a tympanic sound on percussion of the lungs?

    <p>Pulmonary cavities or pneumothorax (B)</p> Signup and view all the answers

    Flashcards

    Exudative Pleurisy Respiratory Failure Type

    Mixed dyspnea is a typical type of respiratory failure associated with exudative pleurisy.

    Unilateral Exudative Pleurisy Vocal Fremitus

    Vocal fremitus weakens on the affected side in unilateral exudative pleurisy.

    Pneumothorax Vocal Fremitus

    Vocal fremitus weakens on the affected side in pneumothorax.

    Incomplete Obstructive Atelectasis Vocal Fremitus

    Vocal fremitus weakens on the affected side in incomplete obstructive atelectasis.

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    Lung Cavity Communication Vocal Fremitus

    Vocal fremitus increases on the affected side when a lung cavity communicates with the bronchus.

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    Obesity Vocal Fremitus

    Vocal fremitus weakens on both sides in obesity.

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    Broncho-obstructive Syndrome Vocal Fremitus

    Vocal fremitus weakens on both sides in broncho-obstructive syndrome.

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    Pulmonary Emphysema Chest Elasticity

    Chest elasticity decreases in pulmonary emphysema.

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    Mechanism of Crepitation formation

    Crepitation is caused by the alveolar walls sticking together during exhalation and separating during inhalation.

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    Mechanism of Pleural Friction Noise

    Pleural friction noise is produced by the rough surfaces of the pleura rubbing against each other during breathing.

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    Mechanism of Moist Rales

    Moist rales are caused by air passing through a bronchus or cavity filled with fluid.

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    Mechanism of Dry Rales

    Dry rales are caused by air moving through narrowed airways (e.g., bronchospasm or mucus).

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    Forced Expiration in Lung Auscultation

    Forced expiration helps identify hidden bronchial obstruction by revealing noises not heard normally while breathing.

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    Stethoscope Pressure on Chest in Lung Auscultation

    Pressing a stethoscope on the chest helps distinguish localized sounds (e.g., pleural friction noise) from those of the whole lung.

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    Distinguishing Dry from Moist Rales

    Dry and moist rales have different mechanisms and therefore distinct characteristics, helping differentiate breathing sounds.

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    Wheezing vs Crepitus in auscultation

    Using auscultation techniques, specifically forced expiration and localized pressing, can distinguish wheezing and crepitus from other respiratory sounds.

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    Leukocytosis

    An increase in the number of white blood cells in the blood, often indicating an infection or inflammation.

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    Sputum Analysis

    A test that examines the mucus coughed up from the lungs to identify the cause of a respiratory infection.

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    Streptococcus

    A type of bacteria that can cause various infections, including pneumonia.

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    Pneumonia

    An inflammation of the lungs, usually caused by bacteria, viruses, or fungi.

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    Kussmaul Breathing

    A deep, rapid breathing pattern often associated with diabetic ketoacidosis.

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    Diabetic Ketoacidosis

    A serious complication of diabetes characterized by high blood sugar, ketones in the blood and urine, and acidosis.

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    Mitral Stenosis

    A narrowing of the mitral valve, which separates the left atrium and left ventricle of the heart, leading to reduced blood flow.

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    Aortic Stenosis

    A narrowing of the aortic valve, which separates the left ventricle and the aorta, restricting blood flow from the heart to the body.

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    Mechanism of Ambroxol's Mucolytic Action

    Ambroxol thins mucus by affecting the mucu proteins, making it easier to clear from the airways.

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    Treatment Ineffectiveness (Case of Pneumonia)

    Penicillin treatment may fail due to factors like antibiotic resistance or an allergic reaction.

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    Allergic Reaction to Benzylpenicillin

    An allergic reaction to Benzylpenicillin can cause symptoms such as anxiety, itching, and difficulty breathing.

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    Tetracycline's Mechanism of Action

    Tetracycline inhibits protein synthesis within cells, preventing bacterial growth.

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    Antiallergic Drug for Asthma

    Ketotifin is an antiallergic drug used to treat respiratory asthma.

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    Zafirlukast's Mechanism

    Zafirlukast inhibits leukotriene receptors, reducing inflammation.

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    Characteristic of Biseptol

    Biseptol has high antimicrobial activity and a bactericidal effect.

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    Mechanism of Ipecac's Expectorant Action

    Ipecac stimulates gastric receptors, triggering a reflex that increases bronchial gland secretion.

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    Sinusitis in children

    Young children are less prone to sinusitis because their paranasal sinuses are underdeveloped.

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    Weakened breath sounds

    Pleural effusion or atelectasis can weaken breath sounds due to fluid accumulation or collapsed lung tissue.

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    Barrel-shaped chest

    COPD or severe asthma causes air trapping, leading to hyperinflation and a barrel-shaped chest.

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    Bronchi in young children

    Children's bronchi are narrower and more susceptible to obstruction compared to adults.

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    Weakened bronchophony

    Pleural effusion weakens bronchophony because fluid dampens sound transmission.

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    Asphyxia Causes

    Asphyxia (suffocation) can occur due to various reasons like airway obstructions, choking, drowning, or breathing in harmful gases.

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    Ventilation-Perfusion Ratio > 1.0

    A ventilation-perfusion ratio greater than 1.0 suggests that more air is reaching the lungs than blood, indicating an inefficient gas exchange.

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    Pulmonary Hypertension Consequences

    Pulmonary hypertension (high blood pressure in the lungs) can lead to right heart failure due to increased workload on the right ventricle.

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    Bronchial Obstruction Valve Mechanism

    Bronchial obstruction can create a one-way valve effect, trapping air in the lungs, leading to hyperinflation and reduced ability to exhale.

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    Respiratory Distress Syndrome in Newborns

    Respiratory distress syndrome in newborns is primarily caused by a lack of surfactant, a substance that reduces surface tension in the lungs, allowing for proper breathing.

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    Postcapillary Pulmonary Hypertension

    Postcapillary pulmonary hypertension can occur due to a backflow of blood from the left ventricle into the pulmonary capillaries, increasing pressure.

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    Intermittent Breathing

    Intermittent breathing is characterized by alternating periods of breathing and apnea (temporary cessation of breathing).

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    Obstructive Respiratory Failure

    Obstructive respiratory failure occurs when airflow is blocked in the upper airway, leading to difficulty breathing in or out.

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    Study Notes

    Respiratory System MCQs

    • Lung Borders:
      • Scapular line (lower border): Rib IX
      • Parasternal line (right lower border): Rib VIII

    Respiratory Sounds

    • Main noise: Vesicular
    • Secondary noise: Wheezing
    • Vesicular breathing mechanism: Alveolar wall vibrations
    • Bronchial breathing mechanism: Air through the glottis or secretion-filled bronchus

    Pathological Breathing

    • Harsh breathing: Inflammatory edema of small bronchi
    • Weakened vesicular breathing: Decreased alveolar wall vibration
    • Crepitation: Alveolar adhesion/unsticking
    • Pleural friction noise: Rough pleural surfaces

    Auscultation Techniques

    • Forced expiration: Detects hidden bronchial obstruction
    • Stethoscope pressure: Differentiates pleural noise from wheezing

    Specific Sounds & Syndromes

    • Amorphic breathing: Cavity less than 5 cm connected to bronchus
    • Lobar pneumonia: Bronchial breathing
    • Hard breathing syndrome: Obstruction
    • Moist rales: Bronchitis
    • Dry wheezing: Asthma
    • Weakened vesicular breathing: Pneumonia

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    Description

    Test your knowledge of the respiratory system with this MCQ quiz. Questions cover lung anatomy, respiratory sounds, pathological breathing, and auscultation techniques. Enhance your understanding of respiratory assessments and conditions.

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