1.

The respiratory system provides the route

by which the supply of …………. Present
in the atmospheric air enters the body.
a) Carbon dioxide
b) Oxygen
c) Ammonia
d) Hydrogen

2. Blood provides the transport system for

oxygen and carbon dioxide between the
.………. and the cells of the body.
a) Respiratory system
b) Thorax
c) Heart
d) Lungs

3. Exchange of gas of gas between the

blood and……….is called external
respiration.
a. Atmosphere
b. Body cells
c. Lungs
d. Heart
4. The following are the organs of respiration
except:
a) Olfactory lobe
b) Pharynx
c) Trachea
d) Diaphragm

5. The nasal cavity consists of a large

irregular cavity divided into two equal
passage by a ………..
a. Cartilage
b. Tendon
c. Septum
d. Bone

6. ………. extends from the lateral wall of

the nose to the conjunctival sac of the eye
a. Naso lacrimal ducts
b. Naso retinal ducts
c. Naso laryngeal ducts
d. Naso conjunctival ducts
7. The throat is a passage way that
measures about …………… long.
a) 6-8cm
b) 10-12cm
c) 2-4cm
d) 12-14cm

8. The pharynx is divided into:

I. Oropharynx, nasopharynx,
laryngopharynx.
II. Oropharynx, laryngopharynx,
retinopharynx.
III. Nasopharynx, Oropharynx, buccal
pharynx.

a).I
b).II
c).III
d).None of the above

9. The larynx is also called the -----------

a. Throat
b. Voice box
 c. Palate
d. Sinuses.

10. The larynx lies in front of the 3rd, 4th, 5th

6th,……………. Vertebrae.
a. Thoracic
b. Sacral
c. Cervical
d. Lumbar

11. ----------------- cartilage is the most

prominent of the laryngeal cartilage
a) Cricoid
b) Thyroid
c) Arytenoid
d) Epiglottis
12. The trachea relates to the lungs and the
lobes of the thyroid gland -----------------
a) Laterally
b) Inferiorly
c) Posteriorly
d) Anteriorly
13. The trachea is also called the ---------
a) Throat
b) Windpipe
c) Pharynx
d) Bronchus

14. The lung is a --------------- shaped organ.

a) Pear
b) Cylindrical
c) Cone
d) Triangular

15. The base of the lungs is ---------- and -------

in shape
a) Concave, semilunar
b) Convex, bilunar
c) Concave, semisquare
d) Convex, lunar

16. ---------------- is adherent to the lung,

covering each lobe and passing into the
fissures that separate them.
a) Peritoneal pleura
 b) Parietal pleura
c) Visceral pleura
d) Mediastinal pleura

17. All except one are functions of the airway

a. Warming and humidifying
b. Support and patency
c. Removal of particulate matter
d. Transport of oxygen

18. There are ------------- pairs of intercoastal

muscles.
a. 11 pairs
b. 10 pairs
c. 13 pairs
d. 9 pairs
19. When the diaphragm is relaxed, the
central tendon is at the level of the
………thoracic vertebrae

a) 12th
b) 10th
c) 6th
d) 8th

20. During inspiration, the external

intercoastal muscles and diaphragm
…………
a. Retract simultaneously
b. Contract simultaneously
c. Relax simultaneously
d. Relapse simultaneously

21. Forced inspiration is assisted by the

sternocleidomastoid and ---------- muscles
a) Buccal
b) Ocular
c) Scalene
d) Olfactory.

22. Forced expiration is helped by the activity

of the intercoastal and sometimes ----------
muscles.
a) Clavical
 b) Diaphragmatic
c) Cardiac
d) Abdominal.

23. The amount of air passing into and out of

the lungs during each cycle of breathing is
called …………….
a) Respiratory volume
b) Tidal volume
c) Inspiratory capacity
d) Residual volume

24. …………… is the maximum volume of air

which can be moved into and out of the
lungs.
a) Expiratory volume
b) Tidal lung volume
c) Vital capacity
d) Inspiratory reserve volume
25. The receptors that respond to the
changes in the partial pressure of oxygen
and carbon dioxide in the blood and CSF
are called …………..
 a) Baro receptors
b) Neuro receptors
c) Protein receptors
d) Chemo receptors

26. The following are respiratory diagnostic

tests except
a) Oximetry
b) Pharyngometry
c) Magnetic resonance imaging
d) Spirometry

27. Sinusitis is the inflammation of

the…………..
a) Sinuses and nasal passage
b) Sinuses and buccal cavity
c) Nasal passage and eye socket
d) Nasal passage and medulla
28. All of the following are types of sinuses
except
a) Acute sinusitis
b) Chronic sinusitis
c) Subacute sinusitis
 d) Synchronic sinusitis
29. The following are risk factors for sinus
infection …………
a) A deviated nasal septum
b) A nasal bone spur
c) Weak immunity
d) Hypercalcemia

30. The symptoms of a sinus infection include

all except one………,..,
a) A decreased sense of smell
b) Stuffy or runny nose
c) Lacrimation
d) Cough

31. The first means of diagnosing sinus

infection is by…………..
a) Physical examination
b) Xray
c) History taking
d) CT scan
32. The tonsils are collections of lymphoid
tissue that form part of
the…………..system
a) Cardiovascular
b) Immune
c) Respiratory
d) Digestive

33. Most symptoms of tonsils resolve

within…………
a) 3—5 days
b) 7—10 days
c) 12—14 days
d) 15—18 days

34. The most common antibiotics used in the

treatment of tonsillitis is …………

a) Fluoroquinolones
b) Cephaloapori
c) Penicillin
d) Aminoglycerine
35. The doctor will recommend tonsillectomy
only if the tonsils are causing seco,ndary
issues such as
a) Cardiac failure, arrhythmia
b) Sleep apnoea, difficulty swallowing
c) Rheumatoid fever, rheumatoid
arthritis
d) Dental caries, halitosis
36. The following viruses can cause tonsillitis
except
a) Human Papilloma virus
b) Adenovirus
c) Rhino virus
d) Corona virus

37. ………… are the different types of

tonsillitis.
a) Acute, recurrent, subacute
b) Acute, recurrent, chronic
c) Acute recurrent, chronic
d) Acute, chronic, sub chronic
38. Laryngitis is the inflammation of
the……….
 a) Palate
b) Pharynx
c) Vocal cord
d) Nostrils

39. Changes in airflow as seen in laryngitis

leads to distortion of ………… produced
a) Sounds
b) Secretions
c) Saliva
d) Sweat

40. Laryngitis can be caused by a wide range

of symptoms such as the following except

a) Hoarseness, difficulty with speech

b) Fever, persistent cough, throat pain
c) Headache, runny nose, malaise
d) Anorexia, diarrhoea, ddiaphoresi

41. Medical attention is urgently needed in

children with laryngitis who experience all
of the following except ………..
 a) Cough, catarrh
b) Fever of 39.4 degrees Celsius
c) Drooping
d) Loud , night pitched breathing
sounds

42. The common cause of acute laryngitis is

a……………….
a) Protozoa infection
b) Virus infection
c) Fungal infection
d) Communicable infection

43. Symptoms of acute laryngitis are similar to

those of …………..
a. Common cold
b. Sinusitis
c. Pharyngitis
d. Epiglottitis

44. Chronic laryngitis is caused by all of the

following except…………..
a. Acid reflux
 b. Chronic sinusitis
c. Use of inhaled steroid medication
d. Gluttony
45. The following are tests done to diagnose
laryngitis except

a) Physical examination
b) History taking
c) Laryngoscopy
d) Salpingoscopy

46. The use of antibiotics is often not effective

in the treatment of respiratory infections
caused by …………..,.
a) Fungi
b) Bacteria
c) Viruses
d) Salmonella

47. The inflammation and irritation of the

mucous membrane of the nose is
called…………….
a) Rhinitis
 b) Pharyngitis
c) Laryngitis
d) Sinusitis
48. The following are possible nursing
diagnosis for common cold except:

a. Ineffective airway clearance related

to excessive mucus production by nasal
congestion.
b. Altered nasal perfusion related to
decreased blood flow.
c. Risk for fluid volume deficit related
to increased fluid loss through
secretions.
d. Risk for imbalance nutrition: less
than body requirements evidenced by
increased nasal secretion

49. Pharyngitis is the inflammation of

the…………..
a. Throat
b. Tongue
 c. Sinus
d. Larynx

50. Clinical manifestation of pharyngitis

include all except………
a. Epistaxis
b. Sore throat
c. Difficulty swallowing
d. Fever

51. Laryngeal cancer is a malignant tumour of

the…………….
a) Lanular
b) Palate
c) Sinuses
d) Voice box

52. The risk factors for laryngeal cancer

include all y……..
a. Riboflavin deficiency
b. Genetics
c. History of alcohol abuse
d. Oratory.
53. In laryngeal cancer staging, when the
tumour is more than 4cm in diameter but
without regional OE distant metastasis, it
is called

a. Stage 0
b. Stage 1
c. Stage 2
d. Stage 3

54. Preoperative nursing care of a patient with

laryngeal cancer who will undergo surgery
include all except…………

a. Maintain a patent airway

b. Give adequate psychological
preparation
c. Obtain informed consent
d. Explain the treatment regimen to the
patient

55. One of the following is a surgical

intervention for laryngeal cancer
 a. Supraglutal laryngectomy
b. Suprapubic laryngectomy
c. Supraglottic laryngectomy
d. Suprasinus laryngectomy

56. All are first line antibiotics of choice for

acute sinusitis except…………
a. Amoxicillin
b. Erythromycin
c. Rifampicin
d. Zithromax

57. Augmentin is a second line antibiotics of

choice for…………….

a. Mycobacterium tuberculosis
b. Chronic sinusitis
c. Whooping cough
d. Laryngeal cancer

58. Which one of these is an upper respiratory

tract infection
 a. Sinusitis
b. Glossitis
c. Rhinitis
d. Epiglottitis

59. Epiglottitis is caused by an infection

with…………..
a) Salmonella typhii
b)Haemophilus staphylococci
c). Haemophilus influenza type b
d). Salmonella.
60. Symptoms of epiglottitis include all
except…………..
a) Seizure
b) Fever
c) Stridor
d) Difficulty breathing
61. Bronchial asthma is a ………….
Inflammatory disease of the bronchial airway
a) Chronic
b) Acute
 c) Recurrent
d) Subacute
62. Asthma is characterized by periods of all of
the following except……….,….
a) Chest tightness
b) Bronchospasm
c) Wheezing
d) Apnoea

63. The different between asthma and airway

obstructive disease is that the airway
obstruction in asthma is……….
a) Recurrent and irreversible
b) Largely irreversible with treatment
c) Largely reversible with treatment
d) Largely reversible and acute

64. The two main types of asthma are…………

I. Intrinsic/ non allergic
II. Extrinsic/allergic
III. Acute/ chronic

a) I and II only
b) I only
c) II only
d) III only

65. Asthma that usually begins in childhood are

…………….
a) Allergic and extrinsic
b) Non allergic and intrinsic
c) Acute and chronic
d) Infectious and transmissible

66. Adult asthma is ..,……..

a) Acute and chronic
b) Non allergic and intrinsic
c) Allergic and extrinsic
d) Infectious and transmissible

67. The causes of asthma are complex and

include all the following factors except …..,.
 a) Immunologic
b) Biochemical
c) Endocrine
d) Hematological

68. In allergic asthma, when the patient comes

in contact with the allergen, the B- lymphocytes
become stimulated and produce…………….
a) Immunoglobulin A
b) Immunoglobulin D
c) Immunoglobulin E
d) Immunoglobulin C

69. All except one are nursing management for

asthma:
a) Monitor for symptoms of airway distress
b) Administer oxygen intra nasally
c) Give enema simplex as and at when
due.
d) Loosen tight clothing around the neck,
chest,and waist.
70. The following group of drugs of are used in
the treatment of asthma except……….
a) Anticholinergic.
b) Antihelmintics
c) Mast Cell stabiliser
d) Corticosteroid
71. Bronchitis may frequently involved the
trachea causing…………

a) Tracheobronchitis
b) Bronchotrachitis
c) Tracheotomy
d) Tracheobronchitostomy

72. Acute bronchitis is caused by all

except…….
a) Upper respiratory infections which
progresses to the chest.
b) Bronchial irritations from excessive
smoking and excessive tracheobronchial
suctioning.
c) Inhaling noxious gas, organic dusts and
chemical irritants.
d) Excoriation of the mucous membrane of
the airway.
73. Inflammation of the bronchi causes
irritation of airway resulting in……….
a) Exacerbation of asthmatic symptoms
b) Hyper secretion of mucus.
c) Initial dry cough which later becomes
productive.
d) Hypertrophy and hyperplasia of
bronchial mucus gland.