Respiratory System Quiz
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Questions and Answers

What is the primary function of the mucus-producing cells in the upper respiratory tract?

  • To produce pulmonary surfactant
  • To trap bacteria and particles (correct)
  • To facilitate gas exchange
  • To produce sound for speech
  • Which structure provides support in the middle respiratory tract?

  • Larynx
  • Alveoli
  • Trachea (correct)
  • Bronchioli
  • What mixture is produced by the alveoli to prevent them from collapsing?

  • Alveolar fluid
  • Mucus
  • Air sac fluid
  • Pulmonary surfactant (correct)
  • How many lobes does the right lung have?

    <p>Three (A)</p> Signup and view all the answers

    What is the role of the pleura covering the lungs?

    <p>To enable smooth movement during respiration (D)</p> Signup and view all the answers

    What might be necessary for treating chronic bronchitis if a bacterial infection is present?

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

    Which of the following is NOT a common symptom of emphysema?

    <p>Chest pain (A)</p> Signup and view all the answers

    What is a significant consequence of the destruction of alveoli in emphysema?

    <p>Impaired gas exchange (D)</p> Signup and view all the answers

    What is the primary function of the lungs?

    <p>To facilitate respiration (B)</p> Signup and view all the answers

    Which of the following conditions is characterized by inflammation of the tracheobronchial tree?

    <p>Bronchitis (A)</p> Signup and view all the answers

    Which of the following diagnostic tests is used to identify hyperinflation in emphysema?

    <p>CXR (A)</p> Signup and view all the answers

    What triggers asthma symptoms in hypersensitive airways?

    <p>Exercise or psychological stress (D)</p> Signup and view all the answers

    What triggers a common cold?

    <p>Viral infection of the nasopharynx (D)</p> Signup and view all the answers

    What is dyspnea?

    <p>Shortness of breath (A)</p> Signup and view all the answers

    Which bacterial infection is commonly associated with pneumonia?

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

    What condition can result from a viral upper respiratory infection spreading to the middle ear?

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

    What are bronchial arteries responsible for supplying?

    <p>Nutrients for the lungs (D)</p> Signup and view all the answers

    What is the medical term for coughing out blood?

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

    What percentage of deaths did cardiovascular disease account for in 2010?

    <p>25% (A)</p> Signup and view all the answers

    Which of the following conditions was reported as the second most common non-fatal condition in the UAE?

    <p>Respiratory infections (A)</p> Signup and view all the answers

    Which gas makes up the largest percentage of air?

    <p>Nitrogen (A)</p> Signup and view all the answers

    What percentage of air is oxygen?

    <p>20.9% (C)</p> Signup and view all the answers

    What prevalent factor increases the risk of respiratory disorders in the UAE population?

    <p>Urbanization and traffic congestion (C)</p> Signup and view all the answers

    By 2020, what was projected regarding the incidence of all cancers?

    <p>It would double (B)</p> Signup and view all the answers

    What role do the lungs primarily serve in the human body?

    <p>To provide gas exchange between inspired air and blood (A)</p> Signup and view all the answers

    During which year was the significant health issue analysis performed on the United Arab Emirates?

    <p>2010 (B)</p> Signup and view all the answers

    What is a common cause of lung cancer in most cases?

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

    Which hormone is associated with the syndrome of inappropriate ADH secretion in lung cancer?

    <p>Antidiuretic hormone (ADH) (D)</p> Signup and view all the answers

    What pulmonary function symptom is most commonly associated with asthma?

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

    Which of the following is NOT a sign or symptom of lung cancer?

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

    What is considered a severe complication of asthma?

    <p>Status asthmaticus (A)</p> Signup and view all the answers

    At what age is lung cancer most commonly rare?

    <p>Before age 40 (D)</p> Signup and view all the answers

    What percentage of lung cancers is classified as adenocarcinoma?

    <p>40% (C)</p> Signup and view all the answers

    Which diagnostic test is NOT typically used for lung cancer detection?

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

    Which of the following management techniques is commonly used for lung cancer?

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

    What role does the bat play in relation to SARS-CoV-2?

    <p>Natural reservoir for the virus (D)</p> Signup and view all the answers

    What is the most common way COVID-19 spreads?

    <p>Inhaling airborne particles from an infected person's mouth or nose (C)</p> Signup and view all the answers

    Which of the following is NOT a less common symptom of COVID-19?

    <p>Loss of taste or smell (D)</p> Signup and view all the answers

    Which diagnostic method is preferred for the direct diagnosis of COVID-19?

    <p>Molecular methods to detect viral RNA (A)</p> Signup and view all the answers

    Which prevention measure is recommended for reducing COVID-19 transmission?

    <p>Social distancing of at least 1 meter (B)</p> Signup and view all the answers

    What is a serious symptom of COVID-19?

    <p>Loss of speech or mobility (D)</p> Signup and view all the answers

    How long does it typically take for symptoms of COVID-19 to show after infection?

    <p>5-6 days (D)</p> Signup and view all the answers

    What does serologic testing for SARS-CoV-2 assess?

    <p>Immune response to the virus (A)</p> Signup and view all the answers

    Which of the following is NOT a recommendation for preventing COVID-19?

    <p>Gather in large crowds indoors (A)</p> Signup and view all the answers

    Flashcards

    Respiratory Disorders

    Illnesses affecting the lungs and airways, a major factor in UAE health, second only to cardiovascular disease.

    Gas Exchange

    The process where the lungs transfer oxygen into the blood and remove carbon dioxide.

    Dalton's Law

    Describes how the total pressure of a mixture of gases equals the sum of the individual pressures of each gas.

    Air Composition

    Air is primarily nitrogen (78.6%), oxygen (20.9%), carbon dioxide (0.04%), and water vapor (0.5%).

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    Partial Pressure of Oxygen (O2)

    The pressure exerted by oxygen molecules in the air or other gas mixture.

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    Pneumonia

    An infection of the lungs.

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    Pulmonary Tuberculosis

    An infectious lung disease caused by bacteria.

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    COPD

    Chronic Obstructive Pulmonary Disease, a group of lung diseases.

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    Upper Respiratory Tract Parts

    The nose, paranasal sinuses, pharynx, and larynx, which provide entry for inhaled air, trap particles, and warm/moisten it; the larynx is also a speech organ.

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    Middle Respiratory Tract

    The trachea (windpipe) which is supported by cartilaginous rings and allows air flow.

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    Lower Respiratory Tract Parts

    The right and left main bronchi, bronchioles, alveolar ducts, and alveoli, which are all mucous lined (except alveoli) and essential for gas exchange.

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    Alveoli Function

    Tiny air sacs in the lungs that produce surfactant, a mixture of lipids, proteins and carbohydrates. This keeps them open and prevents collapse.

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    Lung Lobe Structure

    The lungs have three lobes on the right and two on the left, and are covered in pleura (visceral and parietal) facilitating smooth breathing.

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    Lung Circulation

    The lungs have a dual circulation system. The pulmonary artery carries deoxygenated blood from the right ventricle (RV), and the pulmonary veins carry oxygenated blood to the left atrium (LA) and then to the left ventricle(LV) for distribution to the body. Oxygen and nutrients for lung tissue itself come from the bronchial arteries.

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    Lung Function

    The primary function of the lungs is respiration, which involves transferring oxygen into the blood and releasing carbon dioxide into the air.

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    Upper Respiration Infections

    Infections such as the common cold, pharyngitis, and otitis media affect the upper respiratory tract.

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    Otitis Media

    A middle ear infection, often caused by a viral URI spreading to the middle ear, leading to fluid buildup and Eustachian tube blockage.

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    Bronchitis

    Inflammation of the airways leading to the lungs. Can be acute (usually viral) or chronic.

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    Tuberculosis (TB)

    A chronic bacterial infection caused by M. tuberculosis. Leads to granulomas, scarring, and cavities in the lungs.

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    Pneumonia Symptoms

    Symptoms of pneumonia may include shortness of breath (dyspnea), rapid breathing (tachypnea), coughing up phlegm (expectoration), weakness (prostration), coughing up blood (hemoptysis), and general weakness (debilitation).

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    Chronic Bronchitis

    A condition characterized by inflammation and irritation of the bronchi, causing excessive mucus production and a persistent cough, often triggered by smoking, air pollution, or infections.

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    Emphysema

    A lung disease where the tiny air sacs in your lungs (alveoli) lose their elasticity, leading to shortness of breath, wheezing, and a persistent cough.

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    Asthma

    A condition with episodes of wheezing, coughing, and shortness of breath caused by inflammation and tightening of the airways, often triggered by allergens, exercise, or stress.

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    What does a CXR show for emphysema?

    A chest X-ray (CXR) for emphysema will show hyperinflation, meaning the lungs are abnormally expanded because they struggle to exhale fully.

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    How is emphysema managed?

    Managing emphysema primarily involves treating the symptoms, such as shortness of breath, and stopping smoking, although symptoms may continue even after quitting.

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    Status Asthmaticus

    A severe and potentially life-threatening asthma attack that doesn't respond to usual treatments. It involves repeated bronchospasms over a short period.

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    Lung Cancer

    Malignant growth in the lung tissue, often caused by smoking, with various subtypes characterized by different growth patterns.

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    Paraneoplastic Syndromes

    Symptoms resulting from certain cancers that are not directly caused by the tumor itself. These symptoms are caused by hormones secreted by the tumor.

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    SIADH (Syndrome of Inappropriate ADH)

    A condition where the body produces too much antidiuretic hormone (ADH), leading to excessive water retention.

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    ACTH (Adrenocorticotrophic Hormone)

    A hormone produced by the pituitary gland that stimulates the adrenal glands to produce cortisol and other hormones.

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    Lung Cancer Diagnostic Tests

    Imaging and tissue tests like chest X-ray (CXR), CT scan, MRI, and tumor biopsy are used to diagnose lung cancer.

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    Squamous Cell Carcinoma

    A type of lung cancer that originates in the squamous cells lining the airways, accounting for about 30% of lung cancers.

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    Lung Cancer Management

    Treatment options for lung cancer include surgery, radiation, and chemotherapy, but complete cure is often difficult.

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    Metastases

    The spread of cancer cells from their primary site to other parts of the body.

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    What causes COVID-19?

    COVID-19 is an infectious disease caused by the SARS-CoV-2 virus.

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    COVID-19 Transmission

    The virus spreads through small liquid particles released when an infected person coughs, sneezes, speaks, sings, or breathes.

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    Common COVID-19 Symptoms

    The most common symptoms are fever, cough, tiredness, and loss of taste or smell.

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    COVID-19 Diagnostic Tests

    Molecular methods, like RT-PCR, detect viral RNA for direct diagnosis. Antigen tests detect viral protein, while serologic tests measure the body's antibody response.

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    COVID-19 Prevention: Vaccination

    Getting vaccinated significantly reduces the risk of severe illness, hospitalization, and death.

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    COVID-19 Prevention: Social Distancing

    Stay at least 1 meter apart from others, even if they don't appear sick.

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    COVID-19 Prevention: Mask Wearing

    Wear a properly fitted mask to prevent spreading or inhaling respiratory droplets.

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    COVID-19 Prevention: Ventilation

    Choose open, well-ventilated spaces, and open windows indoors.

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    Study Notes

    Respiratory Disorders

    • Respiratory disorders are a significant health concern in the UAE, often the second most common non-life-threatening condition.
    • In 2010, respiratory infections accounted for nearly 15% of all healthcare encounters.
    • The high risk for respiratory issues in the UAE is due to increased urbanization, reliance on motorized transport, traffic congestion, dust storms and rapid expansion of construction.
    • Some common respiratory disorders are presented in the following subsections.

    Common Respiratory Infections

    • Common Cold: Viral infection of the nasopharynx.
    • Pharyngitis: Caused by viruses or Streptococcus (strep throat).
    • Otitis Media: Viral upper respiratory infections (URIs) spreading to the middle ear, causing edema and Eustachian tube obstruction resulting in fluid accumulation. Can become superinfected with bacteria.

    Lower Respiratory Infections

    • Pneumonia: Acute infection of the lungs by bacteria (like Streptococcus, Haemophilus influenzae, and Staphylococcus), or less commonly viruses, fungi, protozoa or parasites.
    • Bronchitis: Inflammation of the tracheobronchial tree. Acute bronchitis is typically viral; bacterial infection may also occur.
    • Tuberculosis: Acute or chronic bacterial infection caused by Mycobacterium tuberculosis, leading to granulomas, fibrosis and cavitation.

    Pneumonia - Terminology

    • Dyspnea: Shortness of breath.
    • Tachypnea: Rapid breathing.
    • Expectoration: Coughing out phlegm ("wet cough").
    • Prostration: Weakness, fatigue, apathy.
    • Hemoptysis: Blood in the sputum.
    • Debilitated: Weak, chronically ill.
    • Virulent: A strong pathogen.

    Pneumonia - Pathogenesis

    • Pathogens can reach the lungs via inhalation (breathing in germs).
    • Aspiration (breathing in germs with fluid), including infected secretions, or infected gastric juices, foods or drinks.
    • Hematogenous spread - transfer through blood.

    Pneumonia - Pathology

    • Exudate results from pathogenic invasion.
    • Exudate accumulates in the airways and alveoli;
    • Air spaces become consolidated (denser than air) which is visible on an X-ray.

    Pneumonia - Signs and Symptoms

    • Systemic signs of infection (e.g., high fever, chills, prostration).
    • Local infection signs (e.g., secretion of mucus, cough, chest pain).
    • Airways obstruction (e.g., dyspnea, tachypnea).
    • Tissue inflammation and destruction (e.g., exudate causing tissue destruction and bleeding, purulent mucus, rusty sputum, hemoptysis).

    Diagnostic Tests (Pneumonia)

    • Chest X-ray: Identify high exudate levels.
    • Sputum gram stain & culture: Identifies bacteria or virus.
    • Blood tests: High white blood cell count (WBC) in bacterial pneumonia.

    Pneumonia - Complications

    • Pleuritis: Inflammation of the pleural surfaces with pus buildup.
    • Abscess: Destruction and dilation of bronchial walls due to pus.
    • Chronic Lung Disease: Lung tissue destruction causing fibrosis (honeycomb lungs).

    Pneumonia - Treatment

    • The primary goal is antibiotic treatment to destroy the bacterial cause along with supportive care for lung function.
    • Antibiotics: Targeted for specific bacteria
    • Respiratory Support: Humidified oxygen, Mechanical ventilation (for severe cases), High calorie diet for recovery, High fluid intake
    • Rest: Bed rest
    • Environment: Quiet, calm environment. Promoting deep breathing and coughing with the use of analgesics for pain relief.

    Pulmonary Tuberculosis (TB)

    • A chronic infectious disease caused by Mycobacterium tuberculosis
    • Types of TB -Pulmonary TB – Tuberculous pneumonia -Extrapulmonary TB
    • Different methods of spread include lymphatic, blood, and airways; swallowed into the GI tract.

    Pulmonary Tuberculosis (TB) - Signs & Symptoms

    • Low-grade fever.
    • Dry cough (initially).
    • Anorexia (loss of appetite).
    • Night sweats.
    • Weight loss.
    • Dyspnea & hemoptysis (later stages)

    Pulmonary Tuberculosis (TB) - Tests and Investigations

    • CXR: Chest X-ray
    • Chest CT Scan: Detailed imaging.
    • Sputum Exam: Test for Mycobacterium tuberculosis.
    • Tuberculin Test (skin test): Not fully conclusive.
    • Immunization – BCG vaccine: Prevention method.

    Pulmonary Tuberculosis (TB) - Treatment

    • Multiple drugs including Isoniazid (INH), Rifampin, Ethambutol and Pyrazinamide
    • Long-term treatment (typically 6 months to 2 years).
    • Resistant TB forms are challenging to treat.

    Chronic Obstructive Lung Disease (COPD)

    • Largely a consequence of smoking , with exacerbations and remissions.
    • Includes: -Chronic Bronchitis: Productive cough for 3 months of the year for 2 or more consecutive years
      • Emphysema: Abnormal permanent enlargement of alveoli and destruction of alveolar walls; without obvious fibrosis.

    Chronic Bronchitis - Signs and Symptoms

    • Productive cough for at least 3 months of the year for 2 or more consecutive years
    • Hyperactivity of mucus glands that causes inflammation and narrowing of airways
    • Factors such as smoking, air pollution, cold climates are possible causes
    • May develop into pneumonia

    Chronic Bronchitis - Treatment

    • Diagnostic Tests: Physical exam, X-ray (CXR), and sputum culture
    • Treatment: Antibiotics (if bacterial infections are involved) and physiotherapy for better expectoration.

    Emphysema - Signs and Symptoms

    • Chronic cough
    • Dyspnea
    • Orthopnea
    • Tachypnea
    • COPD exacerbations (acute) may lead to a quickening of symptoms and include respiratory distress, sputum production and worsening cough

    Emphysema - Pathophysiology

    • Bronchoconstriction: Airways obstruction; sputum production; cough
    • Destruction of alveoli: Impaired gas exchange; difficult exhalation.
    • Hyperinflation of lungs

    Emphysema - Treatment

    • Diagnostic tests: CXR to show hyperinflation, Pulmonary function tests
    • Management: Treat symptoms. Stop smoking (symptoms are likely to continue.)

    Asthma

    • Airways obstruction (bronchoconstriction) in response to allergens or stimuli (e.g. plant pollens, chemicals, exercise, psychological stress, bronchial infection, aspirin sensitivity).

    Asthma - Signs & Symptoms

    • Symptoms often begin before age 10.
    • Wheezing (due to bronchospasm), dyspnea, cough

    Asthma - Management

    • Treat symptoms with bronchodilators (inhaler).
    • Status Asthmaticus is serious; repeated severe bronchospasm needing urgent medical intervention.

    Lung Cancer

    • Malignant tumor growth in bronchial tissue or lung.
    • Common cause is cigarette smoking.
    • Lung cancer is rare before age 40.
    • Some lung cancers produce hormones (paraneoplastic syndromes), which can have varied clinical effects.

    Lung Cancer - Signs & Symptoms

    • Cough
    • Wheezing
    • Shortness of breath
    • Hemoptysis
    • Chest pain
    • Hoarseness
    • Weight loss
    • Dysphagia (difficulty swallowing, due to tumor compressing the esophagus).

    Lung Cancer - Diagnosis

    • Diagnostic tests: Chest X-ray (CXR), CT scan, MRI, Tumor biopsy (possibly including bronchoscopy)
    • Classification by microscopic appearance: Adenocarcinoma, Squamous cell carcinoma, Large-cell carcinoma, Small-cell carcinoma, and carcinoids.

    Lung Cancer - Management

    • Lung cancer management is often challenging, with limited effective treatment options in many cases.
    • Treatment methods : Surgery, Radiation, Chemotherapy.
    • Metastasis (spread to other sites) is a major complication.

    COVID-19

    • Coronavirus disease.
    • Primarily spread by airborne particles from an infected person, such as when they cough, sneeze, speak, or breathe.
    • Impacts vary significantly, with some individuals experiencing mild symptoms (frequently managing at home) and others needing hospitalization.
    • Treatment and prevention strategies include vaccination, social distancing, mask wearing, and managing mild cases at home; for serious symptoms, seeking prompt medical support.

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    Description

    Test your knowledge on the key functions and structures of the respiratory system. This quiz covers topics from lung functions, diseases, to symptoms associated with respiratory conditions. Perfect for students studying human anatomy or health sciences.

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