Deck 22: The Respiratory System
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Deck 22: The Respiratory System
1

Figure 22.3
Use the diagram above to answer the following questions.
Identify the letter that indicates the cartilage that has a laryngeal prominence that is also known as the "Adam's apple."
A) A
B) B
C) C
D) D
E) E
D
2

Figure 22.1
Use the diagram above to answer the following questions.
Identify the letter that indicates the opening of the pharyngotympanic tube.
A) A
B) B
C) C
D) D
E) E
B
3
Anatomical region of the nasal cavity containing nose hairs.
A) nasal septum
B) olfactory mucosa
C) nasal conchae
D) vestibule
E) uvula
A) nasal septum
B) olfactory mucosa
C) nasal conchae
D) vestibule
E) uvula
D
4

Figure 22.3
Use the diagram above to answer the following questions.
Identify the letter that indicates the vocal fold, or true vocal cord.
A) A
B) B
C) C
D) D
E) E
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5
The serous membrane lining of the wall of the thoracic cavity.
A) visceral pleura
B) parietal pleura
C) mucous membrane
D) parietal pericardium
E) visceral pericardium
A) visceral pleura
B) parietal pleura
C) mucous membrane
D) parietal pericardium
E) visceral pericardium
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6

Figure 22.3
Use the diagram above to answer the following questions.
Identify the letter that indicates the vestibular fold, or False vocal cord.
A) A
B) B
C) C
D) D
E) E
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7
The smallest airway of the bronchial tree that is primarily responsible for creating bronchoconstriction.
A) primary bronchi
B) bronchiopulmonary segment
C) lobe of lung
D) bronchiole
E) alveoli sac
A) primary bronchi
B) bronchiopulmonary segment
C) lobe of lung
D) bronchiole
E) alveoli sac
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8
Alveolar cells that allow rapid diffusion of respiratory gases.
A) Type I
B) Type II
C) alveolar macrophages
D) endothelial cells
E) pseudostratiied columnar epithelial cells
A) Type I
B) Type II
C) alveolar macrophages
D) endothelial cells
E) pseudostratiied columnar epithelial cells
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9
The region of the lung served by secondary, or lobar, bronchi.
A) bronchopulmonary segment
B) lobe
C) lobule
D) lingular
E) cardiac notch
A) bronchopulmonary segment
B) lobe
C) lobule
D) lingular
E) cardiac notch
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10

Figure 22.2
Use the diagram above to answer the following questions.
Identify the letter that indicates the soft wall of the trachea allows the esophagus to expand anteriorly.
A) A
B) B
C) C
D) D
E) E
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11

Figure 22.1
Use the diagram above to answer the following questions.
Identify the letter that indicates the uvula.
A) A
B) B
C) C
D) D
E) E
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12

Figure 22.2
Use the diagram above to answer the following questions.
Identify the letter that indicates a muscular tube that propels swallowed food to the stomach.
A) A
B) B
C) C
D) D
E) E
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13

Figure 22.1
Use the diagram above to answer the following questions.
Identify the letter that indicates a flexible tube that has C-shaped cartilaginous rings that keep it from collapsing.
A) A
B) B
C) C
D) D
E) E
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14

Figure 22.1
Use the diagram above to answer the following questions.
Identify the letter that indicates a muscular tube that serves as a common passageway for food and air.
A) A
B) B
C) C
D) D
E) E
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15

Figure 22.2
Use the diagram above to answer the following questions.
Identify the letter that indicates Ciliated cells in this layer transport mucus laden with dust, bacteria, pollen, and viruses towards the pharynx.
A) A
B) B
C) C
D) D
E) E
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16

Figure 22.3
Use the diagram above to answer the following questions.
Identify the letter that indicates the cartilage that anchors the vocal cords posteriorly.
A) A
B) B
C) C
D) D
E) E
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17

Figure 22.2
Use the diagram above to answer the following questions.
Identify the letter that indicates the fibromusculocartilaginous layer with hyaline cartilaginous rings that allow the trachea to bend and elongate but not collapse.
A) A
B) B
C) C
D) D
E) E
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18

Figure 22.3
Use the diagram above to answer the following questions.
Identify the letter that indicates the cartilage that folds over the opening of the larynx - the glottis. The function of this cartilage is to prevent aspiration of foods and liquids into the lower respiratory tubes.
A) A
B) B
C) C
D) D
E) E
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19

Figure 22.2
Use the diagram above to answer the following questions.
Identify the letter that indicates the trachealis muscle.
A) A
B) B
C) C
D) D
E) E
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20

Figure 22.1
Use the diagram above to answer the following questions.
Identify the letter that indicates structures that assist in filtering, heating, and humidifying inspired air.
A) A
B) B
C) C
D) D
E) E
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21
The rubbing together of inflamed pleural membranes that produces a stabbing pain in the chest is called
A) influenza.
B) tuberculosis.
C) rhinitis.
D) pleurisy.
A) influenza.
B) tuberculosis.
C) rhinitis.
D) pleurisy.
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22
The detergent-like molecule that keeps the alveoli from collapsing between breaths is called
A) bile.
B) hemoglobin.
C) surfactant.
D) oxygen.
A) bile.
B) hemoglobin.
C) surfactant.
D) oxygen.
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23
Which part of the nose is composed of dense fibrous connective tissue?
A) the apex
B) the border where the nostril attaches to the maxilla
C) the nasal septum
D) the surface connecting to the nasal bones
A) the apex
B) the border where the nostril attaches to the maxilla
C) the nasal septum
D) the surface connecting to the nasal bones
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24
In lung cancer, the cancer cells usually arise from
A) the smooth muscle fibers around the bronchioles.
B) the epithelium lining a large bronchus.
C) the alveoli.
D) lymph nodes in the lung.
A) the smooth muscle fibers around the bronchioles.
B) the epithelium lining a large bronchus.
C) the alveoli.
D) lymph nodes in the lung.
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25
When the diaphragm contracts, the size of the thoracic cavity ________, the pressure inside the thoracic cavity ________, and air flows ________ the lungs.
A) decreases; rises; into
B) increases; drops; into
C) decreases; drops; out of
D) increases; drops; out of
A) decreases; rises; into
B) increases; drops; into
C) decreases; drops; out of
D) increases; drops; out of
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26
Which muscle contracts during forced expiration?
A) internal oblique
B) serratus anterior
C) sternocleidomastoid
D) pectoralis major
A) internal oblique
B) serratus anterior
C) sternocleidomastoid
D) pectoralis major
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27
The part of the brain that generates the basic respiratory rhythm is the
A) medulla oblongata.
B) limbic system.
C) hypothalamus.
D) cerebrum.
A) medulla oblongata.
B) limbic system.
C) hypothalamus.
D) cerebrum.
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28
The superior and middle nasal conchae are bony projections from the
A) vomer.
B) ethmoid bone.
C) sphenoid bone.
D) maxillary bone.
A) vomer.
B) ethmoid bone.
C) sphenoid bone.
D) maxillary bone.
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29
The medial opening between the vocal folds through which air passes.
A) glottis
B) vestibule
C) rima glottidis
D) thyrohyoid membrane
E) cricothyroid ligament
A) glottis
B) vestibule
C) rima glottidis
D) thyrohyoid membrane
E) cricothyroid ligament
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30
These are peripheral chemoreceptors that monitor changes in respiratory gasses and blood acidity levels.
A) ventral respiratory center
B) vagus nerve
C) reticular activating system
D) carotid bodies
E) medulla oblongata
A) ventral respiratory center
B) vagus nerve
C) reticular activating system
D) carotid bodies
E) medulla oblongata
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31
Which portion of the nasal cavity is lined with sebaceous and sweat glands and numerous hair follicles?
A) hard and soft palate
B) nasal conchae
C) roof (ceiling)
D) vestibule
A) hard and soft palate
B) nasal conchae
C) roof (ceiling)
D) vestibule
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32
Specific location within the lungs where gas exchange occurs.
A) terminal bronchioles
B) carina
C) bronchopulmonary segments
D) alveoli
E) respiratory membrane
A) terminal bronchioles
B) carina
C) bronchopulmonary segments
D) alveoli
E) respiratory membrane
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33
Sympathetic stimulation of terminal bronchioles causes
A) bronchoconstriction.
B) a decrease in blood supply to the bronchioles.
C) bronchodilation.
D) secretion of less surfactant.
A) bronchoconstriction.
B) a decrease in blood supply to the bronchioles.
C) bronchodilation.
D) secretion of less surfactant.
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34
Vibrissae are
A) specialized cells in the larynx that react to vibrations of air.
B) large hairlike projections on epithelial cells that line the trachea.
C) nose hairs.
D) the sensory organs of the inner ear.
A) specialized cells in the larynx that react to vibrations of air.
B) large hairlike projections on epithelial cells that line the trachea.
C) nose hairs.
D) the sensory organs of the inner ear.
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35
Which structure is not located within the nasopharynx?
A) opening of the pharyngotympanic tube
B) palatine tonsil
C) pharyngeal tonsil
D) tubal tonsil
A) opening of the pharyngotympanic tube
B) palatine tonsil
C) pharyngeal tonsil
D) tubal tonsil
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36
The left lung
A) has three lobes.
B) is supplied entirely by a secondary bronchus.
C) receives oxygenated blood from the heart via the left pulmonary artery.
D) has a cardiac notch.
A) has three lobes.
B) is supplied entirely by a secondary bronchus.
C) receives oxygenated blood from the heart via the left pulmonary artery.
D) has a cardiac notch.
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37
Which cells produce surfactant?
A) type I cells
B) type II cells
C) alveolar macrophages
D) chondrocytes
A) type I cells
B) type II cells
C) alveolar macrophages
D) chondrocytes
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38
Fissure separating the upper and middle lobes of the right lung.
A) horizontal
B) oblique
C) carina
D) superior
E) inferior
A) horizontal
B) oblique
C) carina
D) superior
E) inferior
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39
Fluid that reduces surface tension of the alveolar walls.
A) serous fluid
B) pleural fluid
C) surfactant
D) lysozyme
E) mucin
A) serous fluid
B) pleural fluid
C) surfactant
D) lysozyme
E) mucin
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40
Which of the following is not a function of the nasal conchae?
A) They deflect particulates to the mucosa.
B) They help warm the air.
C) They decrease the turbulence in the flow of air through the nasal cavity.
D) They moisten the air.
A) They deflect particulates to the mucosa.
B) They help warm the air.
C) They decrease the turbulence in the flow of air through the nasal cavity.
D) They moisten the air.
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41
The ________ flaps over the glottis when we swallow food.
A) uvula
B) epiglottis
C) palate
D) vocal fold
A) uvula
B) epiglottis
C) palate
D) vocal fold
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42
Some bronchi have names such as the "right upper-lobe bronchus," "left lower-lobe bronchus," and "right middle-lobe bronchus." These are ________ bronchi.
A) primary
B) secondary
C) tertiary
D) very small (about fifteenth-order)
A) primary
B) secondary
C) tertiary
D) very small (about fifteenth-order)
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43
Of the three different layers of tissue in the wall of the trachea, the outermost layer is the
A) adventitia.
B) lamina propria.
C) submucosa.
D) muscularis.
A) adventitia.
B) lamina propria.
C) submucosa.
D) muscularis.
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44
Lung cancer occurs slightly more frequently in the right lung than in the left lung (about 53% versus 47% of the time). The most logical explanation for this is that
A) the tissue of the right lung is more susceptible to carcinogens.
B) the right nostril is closed more often than the left one, so it blocks the exhalation of cigarette smoke and causes smoke to back up into the right lung.
C) most people are right-handed, so everything affects the right side of the body more intensely.
D) the right primary bronchus is wider than the left one (and the right lung is larger than the left lung), so the right lung receives slightly more carcinogenic cigarette smoke with each puff.
A) the tissue of the right lung is more susceptible to carcinogens.
B) the right nostril is closed more often than the left one, so it blocks the exhalation of cigarette smoke and causes smoke to back up into the right lung.
C) most people are right-handed, so everything affects the right side of the body more intensely.
D) the right primary bronchus is wider than the left one (and the right lung is larger than the left lung), so the right lung receives slightly more carcinogenic cigarette smoke with each puff.
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45
The passageway between the nasopharynx and the middle ear is the
A) oval window.
B) internal acoustic meatus.
C) mastoid sinus.
D) pharyngotympanic tube.
A) oval window.
B) internal acoustic meatus.
C) mastoid sinus.
D) pharyngotympanic tube.
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46
The respiratory mucosa is present throughout each of the following areas except the
A) bronchi.
B) nasal cavity.
C) nasopharynx.
D) superior laryngopharynx.
A) bronchi.
B) nasal cavity.
C) nasopharynx.
D) superior laryngopharynx.
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47
An infectious illness that results in the accumulation of fluid in the alveoli is
A) tuberculosis.
B) emphysema.
C) bronchitis.
D) pneumonia.
A) tuberculosis.
B) emphysema.
C) bronchitis.
D) pneumonia.
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48
The ability to vary the pitch of the voice results from varying
A) the force of air passing over the vocal folds.
B) the tension in the vocal folds.
C) the size of the laryngeal cartilages.
D) the shape of the cricoid cartilage.
A) the force of air passing over the vocal folds.
B) the tension in the vocal folds.
C) the size of the laryngeal cartilages.
D) the shape of the cricoid cartilage.
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49
Most foreign substances in inspired air fail to reach the lungs because of the
A) ciliated epithelium and mucus that line the respiratory passages.
B) abundant blood supply to the nasal mucosa.
C) porous structure of the nasal conchae.
D) action of the epiglottis.
A) ciliated epithelium and mucus that line the respiratory passages.
B) abundant blood supply to the nasal mucosa.
C) porous structure of the nasal conchae.
D) action of the epiglottis.
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50
In the wall of the trachea and bronchi, the cartilage rings lie within which tissue layer?
A) inner epithelium
B) mucosa
C) submucosa
D) fibromusculocartilaginous layer
A) inner epithelium
B) mucosa
C) submucosa
D) fibromusculocartilaginous layer
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51
An aortic aneurysm that presses on the left recurrent laryngeal nerve could lead to
A) paralysis of the diaphragm.
B) hoarse speech.
C) complete loss of speech.
D) inability of the carotid sinus to monitor blood gases.
A) paralysis of the diaphragm.
B) hoarse speech.
C) complete loss of speech.
D) inability of the carotid sinus to monitor blood gases.
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52
The aortic bodies
A) sense the concentration of oxygen and carbon dioxide in the blood.
B) give rise to the pulmonary arteries.
C) are innervated by the glossopharyngeal nerve.
D) are in the hilum of the lung.
A) sense the concentration of oxygen and carbon dioxide in the blood.
B) give rise to the pulmonary arteries.
C) are innervated by the glossopharyngeal nerve.
D) are in the hilum of the lung.
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53
Which pulmonary disease is characterized by a permanent enlargement of the alveoli?
A) emphysema
B) tuberculosis
C) pneumonia
D) lung cancer
A) emphysema
B) tuberculosis
C) pneumonia
D) lung cancer
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54
The pharyngeal tonsil is
A) scattered throughout the pharynx.
B) in the fauces.
C) the largest tonsil.
D) synonymous with the adenoids in the roof of the nasopharynx.
A) scattered throughout the pharynx.
B) in the fauces.
C) the largest tonsil.
D) synonymous with the adenoids in the roof of the nasopharynx.
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55
The vocal ligaments attach between the thyroid cartilage and the
A) arytenoid cartilage.
B) corniculate cartilage.
C) cricoid cartilage.
D) cuneiform cartilage.
A) arytenoid cartilage.
B) corniculate cartilage.
C) cricoid cartilage.
D) cuneiform cartilage.
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56
The main function of the elaborate venous plexus in the nasal mucosa is
A) diapedesis of leukocytes.
B) to replace vessels broken in nose bleeds.
C) to supply extra blood to the brain and supplement the dural sinuses.
D) to warm blood and moisten inhaled air.
A) diapedesis of leukocytes.
B) to replace vessels broken in nose bleeds.
C) to supply extra blood to the brain and supplement the dural sinuses.
D) to warm blood and moisten inhaled air.
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57
The correct definition of bronchopulmonary segments is
A) arbitrary subdivisions of a lung, about as large as a fist (0.3 liter).
B) parts of the lung that are easy to remove during surgery.
C) parts of the lungs that are separated by the oblique and horizontal fissures.
D) parts of the lung that are supplied by a single tertiary bronchus (and its branches).
A) arbitrary subdivisions of a lung, about as large as a fist (0.3 liter).
B) parts of the lung that are easy to remove during surgery.
C) parts of the lungs that are separated by the oblique and horizontal fissures.
D) parts of the lung that are supplied by a single tertiary bronchus (and its branches).
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58
What type of epithelium occurs in the respiratory mucosa?
A) pseudostratified ciliated columnar epithelium
B) simple squamous epithelium
C) simple columnar epithelium
D) stratified squamous epithelium
A) pseudostratified ciliated columnar epithelium
B) simple squamous epithelium
C) simple columnar epithelium
D) stratified squamous epithelium
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59
Of the following, which is the only organ that is not an upper respiratory structure?
A) larynx
B) oropharynx
C) vestibule of the nose
D) nasal cavity
A) larynx
B) oropharynx
C) vestibule of the nose
D) nasal cavity
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60
The trachealis muscle
A) constricts the trachea.
B) controls the length and tension of the vocal cords.
C) initiates the cough reflex.
D) raises the larynx when swallowing.
A) constricts the trachea.
B) controls the length and tension of the vocal cords.
C) initiates the cough reflex.
D) raises the larynx when swallowing.
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61
Which structure is both a lower respiratory structure and in the conducting zone?
A) the laryngopharynx
B) a respiratory bronchiole
C) any bronchus
D) an alveolus
A) the laryngopharynx
B) a respiratory bronchiole
C) any bronchus
D) an alveolus
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62
It is easy to see on the outer surface of a smoker's lung hexagons approximately the size of the tip of a little finger and clearly outlined by black lines of carbon. These structures are
A) lobes.
B) bronchopulmonary segments.
C) lobules.
D) bronchioles.
A) lobes.
B) bronchopulmonary segments.
C) lobules.
D) bronchioles.
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63
Embryologically, the nasal cavity develops from
A) invagination of the ectoderm of the olfactory placode.
B) the nasopharynx.
C) a cranial extension of the mouth.
D) the early precursor of the paranasal sinuses.
A) invagination of the ectoderm of the olfactory placode.
B) the nasopharynx.
C) a cranial extension of the mouth.
D) the early precursor of the paranasal sinuses.
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64
The lungs are located in the
A) mediastinum.
B) abdominopelvic cavity.
C) thoracic cavity.
D) pleura.
A) mediastinum.
B) abdominopelvic cavity.
C) thoracic cavity.
D) pleura.
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65
In a runner who is breathing heavily during a race, the rima glottidis is
A) half closed.
B) half open.
C) open as far as possible.
D) all the way closed.
A) half closed.
B) half open.
C) open as far as possible.
D) all the way closed.
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66
The trachea, bronchi, and bronchioles are all located within the lungs.
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67
Which structure does not enter or exit from the hilum of a lung?
A) bronchial vein
B) phrenic nerve
C) pulmonary artery
D) pulmonary plexus
A) bronchial vein
B) phrenic nerve
C) pulmonary artery
D) pulmonary plexus
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68
The lobes of a lung are easy to recognize and distinguish from one another because
A) they all have slightly different colors.
B) they are separated by fissures.
C) each is supplied by a primary bronchus, and the primary bronchi are easy to find.
D) carbon from the air accumulates between and outlines the lobes in most people (even if they breathe almost-unpolluted air).
A) they all have slightly different colors.
B) they are separated by fissures.
C) each is supplied by a primary bronchus, and the primary bronchi are easy to find.
D) carbon from the air accumulates between and outlines the lobes in most people (even if they breathe almost-unpolluted air).
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69
Alveolar pores
A) allow gases to transfer from the alveoli to the blood.
B) allow pleural fluid to enter the alveoli and keep their walls from sticking together.
C) are the openings between the alveolar duct and the alveolus.
D) equalize air pressure throughout the lung.
A) allow gases to transfer from the alveoli to the blood.
B) allow pleural fluid to enter the alveoli and keep their walls from sticking together.
C) are the openings between the alveolar duct and the alveolus.
D) equalize air pressure throughout the lung.
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70
A chronic respiratory disease that leads to an expanded "barrel chest" is
A) emphysema.
B) lung cancer.
C) tuberculosis.
D) pneumonia.
A) emphysema.
B) lung cancer.
C) tuberculosis.
D) pneumonia.
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71
Type II alveolar cells produce pleural fluid to keep the walls of the alveoli from collapsing or adhering together.
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72
In a preserved cadaver, the first rib is likely to form a groove on which surface of the lung?
A) basal
B) mediastinal
C) inferior costal
D) apical (apex)
A) basal
B) mediastinal
C) inferior costal
D) apical (apex)
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73
The ventral respiratory group (VRG) is a group of neurons located within the
A) forebrain.
B) medulla oblongata.
C) midbrain.
D) pons.
A) forebrain.
B) medulla oblongata.
C) midbrain.
D) pons.
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74
The left lung has both a horizontal fissure and oblique fissure.
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75
Gas exchange occurs across the bronchi and bronchioles.
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76
Changes in the size of the thoracic cavity bring about inspiration and expiration.
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77
Which muscle is used for both quiet inspiration and forced expiration?
A) external intercostals
B) internal intercostals
C) latissimus dorsi
D) scalenes
A) external intercostals
B) internal intercostals
C) latissimus dorsi
D) scalenes
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78
Which of the following changes does not occur as the conducting tubes of the respiratory tree become smaller?
A) Cartilage rings are replaced by irregular plates of cartilage.
B) The lining epithelium thins.
C) Elastin in the walls disappears.
D) Cartilage disappears in the bronchioles.
A) Cartilage rings are replaced by irregular plates of cartilage.
B) The lining epithelium thins.
C) Elastin in the walls disappears.
D) Cartilage disappears in the bronchioles.
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79
The space between the right and left vocal folds is called the
A) laryngeal inlet.
B) cricoid.
C) vestibule.
D) rima glottidis.
A) laryngeal inlet.
B) cricoid.
C) vestibule.
D) rima glottidis.
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80
Supportive cartilage disappears from the bronchial tree at the level of the
A) alveolar duct.
B) bronchioles.
C) lobar bronchi.
D) respiratory bronchiole.
A) alveolar duct.
B) bronchioles.
C) lobar bronchi.
D) respiratory bronchiole.
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