Important in bronchoconstriction & bronchodialatation?
ক
ক) Bronchi
খ
খ) Bronchiole
গ
গ) Alveolar ducts
ঘ
ঘ) Alveoli
২.
Inferior meatus of the nose receives the opening of-
ক
Sphenoidal air sinus
খ
Maxillary sinus
গ
Posterior ethmoidal air sinus
ঘ
Nasolacrimal duct
৩.
What ensures that the lungs expand as the chest wall expands?
ক
ক) Secreted surfactant
খ
খ) Negative pressure between the pleura
গ
গ) Serous liquid secreted by the pleura
ঘ
ঘ) The elastic recoil of the alveolar tissue
ব্যাখ্যা
Negative pressure (suction) causes the visceral pleura to remain in contact with the parietal pleura, so that when the chest wall & parietal pleura move, the parietal pleura takes the visceral pleura and lungs with it.
৪.
Which is the embryologic counterpart to the right middle lobe of lung?
ক
ক) Cardiac notch
খ
খ) Lingula
গ
গ) Pulmonary ligament
ঘ
ঘ) Hilum
ব্যাখ্যা
The left upper lobe contains the cardiac notch, where the left ventricle and pericardial sac lodges. The Lingula (which is the embryologic counterpart to the right middle lobe) lies just beneath the cardiac notch.
৫.
The vena caval opening of the diaphragm transmits-
ক
Right vagus nerve
খ
Azygos vein
গ
Thoracic duct
ঘ
Right phrenic nerve
৬.
Which bronchopulmonary segment is most commonly affected by aspiration pneumonia?
ক
Posterior segment of upper lobe
খ
Superior segment of lower lobe
গ
Posterior basal segment of lower lobe
ঘ
Lateral segment of middle lobe
৭.
What is the function of the cilia on the cells that line the bronchial tree?
ক
ক) They help mix the inhaled fresh air with the residual air contained in the bronchial tree.
খ
খ) They slow the movement of air to allow for efficient exchange of gases.
গ
গ) They move the mucus on the cell surface up out of the bronchial tree.
ঘ
ঘ) They filter particles from inhaled air.
ব্যাখ্যা
The beating of the cilia moves mucus lying on the surface of the epithelium of the conducting zone, and any contained dust, up out of the bronchial tree.
৮.
Which is the 'safety muscle' of the larynx?
ক
Cricothyroid
খ
Posterior cricoarytenoid
গ
Lateral cricoarytenoid
ঘ
Oblique arytenoid
ব্যাখ্যা
৯.
Not a part of pharynx
ক
ক) Cricopharynx
খ
খ) Oropharynx
গ
গ) Nasopharynx
ঘ
ঘ) Laryngopharynx
১০.
Incorrect about left lung
ক
ক) 2 lobes
খ
খ) 2 fissures
গ
গ) Lingula
ঘ
ঘ) Cardiac notch
১১.
Right lung
ক
ক) 2 lobes
খ
খ) 2 fissures
গ
গ) Lingula
ঘ
ঘ) Cardiac notch
১২.
A bronchopulmonary segment does not have its own-
ক
Segmental bronchus
খ
Segmental pulmonary vein
গ
Segmental pulmonary artery
ঘ
Lymph vessels
১৩.
Which is the most dependent part of the lung in supine position?
ক
Superior segment of the upper lobe
খ
Posterior basal segment of the lower lobe
গ
Lateral segment of the middle lobe
ঘ
Superior segment of the lower lobe
১৪.
Which is not a part of the lower respiratory tract?
ক
Pharynx
খ
Trachea
গ
Larynx
ঘ
Bronchi
ব্যাখ্যা
[Ref. Junquira}
১৫.
Which one is site of phonation?
ক
ক) Trachea
খ
খ) Larynx
গ
গ) Nasopharynx
ঘ
ঘ) Oropharynx
১৬.
Which is not a part of the respiratory zone of the respiratory tract?
ক
Alveolar duct
খ
Atrium
গ
Alveolar sac
ঘ
Terminal bronchiole
১৭.
The vertebral level where trachea begins
ক
ক) C5
খ
খ) C6
গ
গ) T4
ঘ
ঘ) T5
ব্যাখ্যা
The trachea is a tube composed of 16 to 20 U-shaped hyaline cartilages and the trachealis muscle. The trachea begins just inferior to the cricoid cartilage (C6 vertebral level) and ends at the sternal angle (T4 vertebral level), where it bifurcates into the right main bronchus and the left main bronchus. At the bifurcation of the trachea, the last tracheal cartilage forms the carina, which can be observed by bronchoscopy as a raised ridge of tissue in the sagittal plane.
১৮.
Which of these is composed of hyaline cartilage?
ক
Epiglottis
খ
Arytenoid cartilage
গ
Cuneiform cartilage
ঘ
Corniculate cartilage
১৯.
Which is not true regarding trachea?
ক
Bifurcates at the level of lower border T4
খ
Has wider lumen in cadavers
গ
Contains 16-20 rings of elastic cartilage
ঘ
Begins at the lower border of C6
ব্যাখ্যা
*** The trachea has a fibroelastic wall supported by a cartilaginous skeleton formed by C shaped rings made of hyaline cartilage
২০.
Which paranasal sinus is the first to develop?
ক
Frontal sinus
খ
Ethmoidal sinus
গ
Maxillary sinus
ঘ
Sphenoidal sinus
২১.
Which structural feature distinguishes between terminal and respiratory bronchioles?
Structures piercing the diaphragm: 1. Greater, lesser, and least splanchnic nerves pass by piercing the crus of diaphragm on the corresponding side 2. Hemiazygos vein pierces the left crus of the diaphragm 3. Left phrenic nerve pierces left cupola
২৪.
What does sympathetic nervous system stimulation to the smooth muscle layers in the bronchioles cause?
ক
ক) Bronchoconstriction
খ
খ) Bronchodilation
গ
গ) An increase in tidal volume
ঘ
ঘ) Increase in activity of the cilia
ব্যাখ্যা
Bronchodilation is stimulated by sympathetic nerve impulses, adrenalin & noradrenalin. Bronchoconstriction triggered by parasympathetic nerve impulses.
২৫.
Which is the narrowest part of the larynx?
ক
Rima glottidis
খ
Sinus of larynx
গ
Rima vestibuli
ঘ
Infraglottic part
ব্যাখ্যা
♣ Rima glottidis: The space between two vocal folds is called 'rima glottidis'. It is the narrowest part of the larynx. ♣ Rima vestibuli:The spce between two vestibular folds (false vocal cords) is called rima vestibuli. ♣ Sinus/vestibule of larynx: It is the space between the vocal fold and vestibular folds.
২৬.
Intrinsic muscles of the larynx are mostly supplied by the-
ক
Recurrent laryngeal nerve
খ
External laryngeal nerve
গ
Internal laryngeal nerve
ঘ
Spinal accessory nerve
২৭.
In the root of the right lung, which structure is present most superiorly?
ক
Pulmonary artery
খ
Superior pulmonary vein
গ
Eparterial bronchus
ঘ
Hyparterial bronchus
ব্যাখ্যা
২৮.
The parietal pleura-
ক
develops from splanchnic mesoderm
খ
innervated by phrenic nerve
গ
lines the fissures of lung
ঘ
is insensitive to pain
২৯.
The root of the left lung has-
ক
one pulmonary vein
খ
two pulmonary artery
গ
two bronchial arteries
ঘ
hyparterial & eparterial bronchi
৩০.
No muscle & skeletal support is present in
ক
ক) Bronchi
খ
খ) Bronchiole
গ
গ) Alveolar ducts
ঘ
ঘ) Alveoli
৩১.
Which is the main cell type in respiratory epithelium?
ক
Ciliated columnar cell
খ
Simple squamous cell
গ
Type-I pneumocyte
ঘ
Clara cells
৩২.
Which of the following components increase(s) as a proportion of the respiratory tract wall from trachea to alveoli?
During inspiration, the anteroposterior diameter of the thorax is increased by-
ক
Contraction of the diaphragm
খ
Bucket-handle movement of the vertebrochondral ribs
গ
Pump handle movement of the sternum
ঘ
Relaxation of the diaphragm
৩৪.
The vocal cords are abducted by the action of-
ক
Lateral cricoarytenoid
খ
Oblique arytenoid
গ
Cricothyroid
ঘ
Posterior cricoarytenoid
৩৫.
The right lung-
ক
Is smaller and lighter
খ
Has straight anterior border
গ
Has 2 lobes
ঘ
Has a lingula
৩৬.
Which is the most dependent part of the lungs in supine position?
ক
Superior segment of lower lobe
খ
Posterior segment of upper lobe
গ
Lateral segment of middle lobe
ঘ
Posterior basal segment of lower lobe
৩৭.
All of these arteries forms anastomosis in the little's area of the nose except-
ক
Sphenopalatine artery
খ
Superior labial artery
গ
Greater palatine artery
ঘ
Posterior ethmoidal artery
৩৮.
The maxillary sinus drains into the-
ক
Sphenoethmoidal recess
খ
Middle meatus
গ
Superior meatus
ঘ
Inferior meatus
৩৯.
Terminal bronchioles-
ক
are part of the respiratory zone
খ
are lined by ciliated and non ciliated cuboidal epithelium
গ
have goblet cells in the epithelium
ঘ
have hyaline cartilage in their wall
৪০.
Respiratory zone excludes
ক
ক) Alveolar ducts
খ
খ) Bronchioles
গ
গ) Alveolar sacs
ঘ
ঘ) Respiratory bronchiole
৪১.
The pulmonary (functional) and bronchial (nutritive) arterial systems enter the lungs separately at the hilus but anastomose into a single system at which level?
Aspiration of any fluid from the pleural cavity is called paracentesis thoracis It is usually done in the eighth intercostal space in the midaxillary line The needle is passed through the lower part of the space to avoid injury to the principal neurovascular bundle, i e vein, artery and nerve
৪৩.
Mediastinal surface of the left lung is related to-
ক
Left atrium
খ
Superior vena cava
গ
Azygos vein
ঘ
Left recurrent laryngeal nerve
৪৪.
Upper respiratory tract excludes
ক
ক) Sphenoidal sinus
খ
খ) Nasal cavity
গ
গ) Pharynx
ঘ
ঘ) Larynx
৪৫.
Which is the major constituent of the surfactant in lungs?
ক
Dipalmitoylphosphatidylcholine
খ
Phosphatidylglycerol
গ
Diplamitoylphosphatidylinositol
ঘ
Surfactant protein-A
ব্যাখ্যা
Pulmonary surfeactant is secreted by type-II alveolar cells (Type-II pneumocytes) Critical components of the surfactant layer include the phospholipid dipalmitoylphosphatidylcholine (DPPC), cholesterol, and four surfactant proteins.