Chapter 12

280 Chapter 12  MULTIPLE CHOICE QUIZ

Chapter Twelve

MULTIPLE CHOICE QUIZ Name: Precilou Cutanda

In the box write the letter of the choice that is the definition of the term or best answers the
question. There is only one correct answer for each question.

1. Tubes that bifurcate from the E. Diaphragm

windpipe:............................................ E
A. Alveoli
B. Bronchioles
C. Sinuses
D. Adenoids
E. Bronchi
2. Uppermost portion of the lung:
...........
A. Hilum
B. Apex
C. Base
D. Lobe
E. Diaphragm
3. Space between the lungs in the
chest: .................................................
A. Pleura
B. Peritoneum
C. Mediastinum
D. Trachea
E. Bronchial tubes
4. Nasopharyngeal lymphatic tissue: .......
A. Mucosa
B. Adenoids
C. Visceral pleura
D. Paranasal sinuses
E. Epiglottis
5. Pulmonary parenchyma: .....................
A. Trachea
B. Pharynx
C. Alveoli and bronchioles
D. Red blood cells
E. Cilia
6. Removal of the voice box:
...................
A. Larnygectomy
B. Pharnygectomy
C. Laryngectomy
D. Esophagectomy
E. Pharyngectomy
7. Phren/o means: ..................................
A. Lung
B. Chest
C. Membrane around the lung
D. Air sac
Copyright © 2017, 2014, 2011, 2007 by Saunders, an imprint of Elsevier Inc. All rights
reserved.
 8. Medical term for a
condition of
decreased oxygen in C
the blood: ............
A. Hematemesis
B. Paroxysmal
C. Hypoxemia
D. Hemorrhage
E. Hemoptysis
B A
9. Type of
pneumoconiosis: ....................
A. Asbestosis
B. Pyothorax
C. Atelectasis
D. Pneumonia
E. Epiglottis
10. Breathing is easier in C D
an upright position:
.....................................
........
A. Dysphonia
B. Hemothorax
C. Dyspnea
D. Orthopnea
E. Anosmia
B
11. Collection of pus in the pleural D
cavity: ...........................................
.....
A. Cyanosis
B. Pleuritis
C. Hemoptysis
D. Pyothorax
E. Pneumothorax C
12. Sharp, short blows to the surface B
of the
chest: .......................................
A. Auscultation
B. Percussion
C. Stridor
D. Rales C
E. Expectoration
B
13. The “P” in DPT stands
for: ................
A. Pneumonia
B. Pertussis
C. Pleurisy
D. Pneumothorax E
E. Pulmonary

Copyright © 2017, 2014, 2011, 2007 by Saunders, an imprint of Elsevier Inc. All rights
reserved.
 Chapter 12  MULTIPLE CHOICE QUIZ 281

14. Stridor occurs in which upper

A 20. Spitting up blood from the E
respiratory disorder?...........................
lungs:.................................................
A. Croup
A. Pleurodynia
B. Diphtheria
B. Hematemesis
C. Asthma
C. Hemothorax
D. Epistaxis
D. Hydrothorax
E. Pneumonia
E. Hemoptysis
15. Difficult breathing: ............................. B
21. Tube is placed through the mouth A
A. Anosmia
to the trachea to establish an airway:...
B. Dyspnea
A. Endotracheal intubation
C. Dysphonia
B. Tracheostomy
D. Tachypnea
C. Tracheotomy
E. Hypoxia
D. Thoracentesis
16. Bronchial airway obstruction marked E. Laryngoscopy
by paroxysmal dyspnea, wheezing, D
E 22. PPD: ..................................................
and cough:
A. Pulmonary function test
.........................................
B. Type of lung x-ray
A. Pleurisy
C. Drug used to treat pneumonia
B. Epistaxis
D. Tuberculin test
C. Cor pulmonale
E. None of the above
D. Diphtheria
E. Asthma D 23. Airway obstruction associated with B
emphysema and chronic bronchitis .....
17. Collapsed lung: ...................................
A. RDS
A. Pneumonitis
B. COPD
B. Endotracheal
C. CPR
C. Thoracotomy
D. SOB
D. Atelectasis
E. IPPB
E. Tracheoesophageal fistula E
24. Which of the following is an D
18. Material is expelled from the lungs:
endoscopic examination? ....................
....
A. Tracheostomy
A. Rhinorrhea
B. Lung scan
B. Bronchiolitis
C. Thoracentesis
C. Sinusitis
D. Bronchoscopy
D. Expiration
E. Auscultation
E. Expectoration D C
25. Hypercapnia: ......................................
19. Localized area of pus formation
A. Increased oxygen to the tissues
in the lungs:
....................................... B. High blood pressure
A. Pulmonary edema C. High carbon dioxide levels in the blood
B. Pulmonary embolism D. Decreased carbon dioxide in the blood
C. Pleural effusion E. Decreased oxygen in the blood
D. Pulmonary abscess
E. Pleurisy
282 Chapter 12  VOCABULARY QUIZ

Chapter Twelve

VOCABULARY QUIZ
(textbook pages 484–485)
Name: Precilou Cutanda

A. Match the following terms with their meanings below:

adenoids bronchi
alveolus cilia
apex of the lung diaphragm
base of the lung epiglottis
bronchioles expiration

1. Thin hairs attached to the mucous membrane epithelium lining the

respiratory tract cilia

2. Lower portion of the lung base of the lung

3. Branches of the trachea leading into the lungs bronchi

4. Lymphatic tissue in the nasopharynx adenoids

5. Tip or uppermost portion of the lung apex of the lung

6. Breathing out (exhalation) expiration

7. Small branches of the tubes leading into the lungs bronchioles

8. Muscle separating the chest and abdomen diaphragm

9. Air sac in the lung alveolus

10. Lid-like piece of cartilage covering the larynx epiglottis

B. Match the following terms with their meanings below:

glottis mediastinum
hilum of the lung nares
inspiration palatine tonsil
larynx paranasal sinus
lobe of the lung pharynx

1. Voice box larynx

2. One of a pair of masses of lymphatic tissue in the oropharynx palatine tonsil

3. Openings through the nose carrying air into the air passageways nares

4. Breathing in inspiration

5. Slit-like opening to the voice box glottis

6. Region between the lungs in the thoracic cavity mediastinum

7. Throat pharynx
 Chapter 12  VOCABULARY QUIZ 283

8. One of the air cavities in the bones near the nose paranasal sinus

9. Division of the lung lobe of the lung

10. Midline region where the bronchi, blood vessels, and nerves enter and exit the

lungs hilum of the lung

C. Match the following terms with their meanings below:

carbon dioxide pulmonary parenchyma

oxygen respiration
parietal pleura trachea
pleural cavity visceral pleura

1. Gas that passes into the bloodstream at the lungs and travels

to all body cells oxygen

2. Space between the double-folded membrane surrounding each lung pleural cavity

3. Inner fold of membrane surrounding each lung and closest

to the lung tissue visceral pleura

4. Windpipe trachea

5. Essential parts of the lung responsible for respiration;

bronchioles and alveoli pulmonary parenchyma

6. Gas that is exhaled through the lungs carbon dioxide

7. Process of moving air into and out of the lungs; breathing respiration

8. Outer fold of membrane surround each lung and lying closest to the ribs parietal pleura
284 Chapter 12  TERMINOLOGY QUIZ

Chapter Twelve

TERMINOLOGY QUIZ
(textbook pages 465–470)
Name: Precilou Cutanda

A. Using the following word parts, build or complete medical terms from the definitions below:

adenoid/o capn/o -al -itis

alveol/o coni/o -ar -osis
bronch/o epiglott/o -ectasis -spasm
bronchi/o pleur/o -ectomy -trophy
bronchiol/o pneum/o -ia hyper-

1. Pertaining to an air sac: alveolar

2. Dilation of a bronchial tube: bronchiectasis

3. Increased development of adenoids: adenoid hypertrop hy

4. Inflammation of small bronchi: bronchiolitis

5. Tightening (involuntary contraction of muscles) of a bronchus: bronchospasm

6. Abnormal condition of dust in the lungs: pneumoconiosis

7. Removal of the adenoids: adenoidectomy

8. An abnormal connection between a bronchial tube and the pleural cavity: bronchopleural fistula

9. High levels of carbon dioxide in the blood: hypercapnia

10. Inflammation of the piece of cartilage over the trachea: epiglottitis

B. Using the following word parts, build or complete medical terms from the definitions below:

cyan/o ox/o -itis

laryng/o pector/o -pnea
lob/o -al -scopy
mediastin/o -ectomy -spasm
nas/o -eal ex-
orth/o -ia para-

1. Inflammation of the voice box: laryngitis

2. Visual examination of the central area of the chest: mediastinoscopy

3. Involuntary contraction of muscles in the voice box: laryngospasm

4. Bluish discoloration of the skin: cyanosis

5. Cavities within the skull near the nose: paranasal sinuses

6. Removal of a lobe of the lung: lobectomy

7. Pertaining to the voice box: laryngeal

 Chapter 12  TERMINOLOGY QUIZ 285

8. Breathing is easier in an upright position: orthopnea

9. Process of expelling sputum from the chest: expectoration

10. Condition of decreased oxygen: hypoxia

C. Using the following word parts, build or complete medical terms from the definitions below:

pharyng/o pneum/o -al -ectomy

phon/o pneumon/o -ary -ia
phren/o pulmon/o -dynia -rrhea
pleur/o rhin/o -eal -plasty

1. Pain associated with the chest muscles: pleurodynia

2. Hoarseness (abnormal sound) of the voice: dysphonia

3. Pertaining to the throat: pharyngeal

4. Discharge from the nose: rhinorrhea

5. Nerve that sends messages to the diaphragm: phrenic nerve

6. Removal of a lung: pneumonectomy

7. Accumulation of air in the chest: pneumothorax

8. Collection of fluid in the space surrounding the lungs: pleural effusion

9. Pertaining to the lungs: pulmonary

10. Surgical repair of the nose: rhinoplasty

D. Using the following word parts, build or complete medical terms from the definitions below:

py/o tel/o -ectasis -itis

sinus/o thorac/o -ectomy -meter
spir/o tonsill/o -ema -tomy
sten/o trache/o -ic re-

1. Condition of collapsed lung: atelectasis

2. Incision of the chest: thoracotomy

3. Inflammation of cavities in the skull: sinusitis

4. Rhythmic changes in breathing: Cheyne-Stokes respiration

5. Removal of the tonsils: tonsillectomy

6. Instrument to measure breathing: spirometer

7. Incision of the windpipe: tracheotomy

8. Pertaining to the chest: thoracic

9. Narrowing of the windpipe: tracheal stenosis

10. Collection of pus in the pleural cavity: empyema

286 Chapter 12  TERMINOLOGY QUIZ

E. Using the following word parts, build or complete medical terms from the definitions below:

hem/o hyper- tachy-

py/o -ptysis a-
-osmia -sphyxia an-
-pnea -thorax dys-

1. Increase in depth of breathing: hyperpnea

2. Excessive or rapid breathing: tachypnea

3. Blood in the chest (pleural space): hemothorax

4. Not breathing: apnea

5. Pus in the chest (pleural space): pyothorax

6. Spitting up blood: hemoptysis

7. Abnormal breathing (shortness of breath): dyspnea

8. No sense of smell: anosmia

9. Lack of pulse: asphyxia

 Chapter 12  PATHOLOGY QUIZ 287

Chapter Twelve

PATHOLOGY QUIZ
(textbook pages 471–477)
Name: Precilou Cutanda

A. Match the following diagnostic terms with their meanings below:

auscultation rhonchi
percussion sputum
pleural rub stridor
rales wheezes

1. Material expelled from the lungs or upper respiratory tract by spitting sputum

2. Continuous high-pitched whistling sounds produced during breathing wheezes

3. Tapping on a surface to determine the difference in density of the

underlying structure percussion

4. Loud, rumbling sound heard on auscultation over bronchi obstructed

by sputum rhonchi

5. Fine crackling sound heard on auscultation during inhalation rales

6. Scratchy sound produced by pleural surfaces roughened by inflammation rubbing

against each other pleural rub

7. Listening to sounds within the body auscultation

8. Strained, high-pitched sound made on inspiration; caused by obstruction in the pharynx or

larynx stridor

B. Match the following respiratory disorders with their explanations below.

asthma cystic fibrosis

atelectasis diphtheria
bronchiectasis emphysema
chronic bronchitis epistaxis
croup pertussis

1. Nosebleed epistaxis

2. Acute viral infection of infants and children with laryngeal obstruction

and stridor croup

3. Chronic dilation of a bronchus secondary to infection in the bronchial tree bronchiectasis

4. Inherited disorder of exocrine glands resulting in thick, mucous secretions in the respiratory

tract that do not drain normally cystic fibrosis

5. Chronic inflammatory disorder of bronchi with airway obstruction, bronchial edema,

constriction, and increased mucus production asthma

288 Chapter 12  PATHOLOGY QUIZ

6. Collapsed lung atelectasis

7. Inflammation of bronchi persisting over a long period of time; type

of COPD chronic bronchitis

8. Acute infection (membrane forms) of the throat and upper respiratory tract caused by

Corynebacterium diphtheria

9. Whooping cough: highly infectious bacterial infection of the pharynx, larynx, and trachea

marked by spasms of coughing pertussis

10. Hyperinflation of air sacs with destruction of alveolar walls emphysema

C. Match the following respiratory pathologic terminology with the descriptions below:

lung cancer sarcoidosis

mesothelioma pneumonia
pleural effusion pulmonary abscess
pleurisy pulmonary edema
pneumoconiosis pulmonary embolism
pulmonary fibrosis tuberculosis

1. Inflammation of pleura pleurisy

2. Chronic inflammatory disease in which small nodules (granulomas) develop in lungs,

lymph nodes and other organs sarcoidosis

3. Clot or other material lodges in vessels of the lung pulmonary embolism

4. Infectious disease of the lungs caused by bacilli (mycobacteria) tuberculosis

5. Acute inflammation and infection of alveoli, which fill with pus or inflammatory

products pneumonia

6. Malignant tumor arising from the lungs and bronchi; non–small cell and small cell are

types lung cancer

7. Collection of fluid in air sacs and bronchioles pulmonary edema

8. Dust in the lungs; chronic inflammation, infection, and bronchitis pneumoconiosis

9. Large collection of pus (bacterial infection) in the lungs pulmonary abscess

10. Formation of scar tissue in the connective tissue of the lungs pulmonary fibrosis

11. Abnormal accumulation of fluid the pleural space pleural effusion

12. Rare malignant tumor arising in the pleura mesothelioma

 Chapter 12  PATHOLOGY QUIZ 289

D. Match the following pathologic terms with their meanings below:

anthracosis cor pulmonale

asbestosis exudate
bacilli hydrothorax
chronic obstructive pulmonary disease infiltrate
palliative pulmonary infarction
paroxysmal purulent
pneumothorax silicosis

1. Failure of the right side of the heart to pump sufficient amount of blood to the

lungs cor pulmonale

2. Containing pus purulent

3. Collection of air in the pleural space pneumothorax

4. Pertaining to a sudden occurrence paroxysmal

5. Rod-shaped bacteria bacilli

6. Glass dust in the lungs silicosis

7. Collection of fluid or other material within the lung, as seen on x-ray or other radiologic

evaluation infiltrate

8. Chronic bronchitis and emphysema are examples chronic obstructive pulmonary disease

9. Coal dust accumulation in the lungs anthracosis

10. Collection of fluid in the pleural space hydrothorax

11. Asbestos particles accumulate in the lungs asbestosis

12. Relieving, but not curing symptoms palliative

13. Necrotic dead tissue in the lung pulmonary infarction

14. Fluid and other substances that filter from cells or capillaries oozes into lesions or areas

of inflammation exudate
290 Chapter 12  CLINICAL PROCEDURES QUIZ

Chapter Twelve

CLINICAL PROCEDURES QUIZ

(textbook pages 478–483)
Name: Precilou Cutanda

A. Match the following tests and procedures with their descriptions below:

bronchoscopy laryngoscopy
chest x-ray lung biopsy
CT angiography MRI of the chest
CT scan PET scan of the lung
endotracheal intubation V/Q scan

1. Visual examination of the voice box laryngoscopy

2. Detection device records radioactivity in the lung after injection of a radioisotope or

inhalation of radioactive gas V/Q scan

3. Magnetic waves create detailed images of the chest in different planes

of the body MRI of the chest

4. Computer-generated series of x-ray images show thoracic structures in cross-section and

other planes CT scan

5. Fiberoptic endoscopic examination of the bronchial tubes bronchoscopy

6. Radioactive glucose is injected and images show metabolic activity

in the lungs PET scan of the lung

7. Removal of lung tissue followed by microscopic examination lung biopsy

8. Placement of a tube through the mouth, pharynx, larynx, and trachea to establish an

airway endotracheal intubation

9. PA and lateral films show radiographic images of the thoracic cavity chest x-ray

10. Combination of computed tomography and images of blood vessels

(with injected contrast) CT angiography

B. Match the following tests and procedures with their descriptions below:

mediastinoscopy tube thoracostomy

pulmonary function tests thoracoscopy
thoracentesis tracheostomy
thoracotomy tuberculin tests

1. Endoscopic visual examination of the area between the lungs mediastinoscopy

2. Heaf, tine and Mantoux tests (based on positive skin reactions)

are examples tuberculin test

3. Large surgical incision of the chest thoracotomy

 Chapter 12  CLINICAL PROCEDURES QUIZ 291

4. Chest tube is passed through an opening in the chest to continuously drain a pleural

effusion tube thoracostomy

5. Surgical puncture to remove fluid from the pleural space thoracentesis

6. Tests that measure the ventilation mechanics of the lungs pulmonary function tests

7. Visual examination of the chest via small incisions and use of

an endoscope thoracoscopy

8. Surgical creation of an opening into the trachea through the neck tracheostomy
292 Chapter 12  ABBREVIATIONS QUIZ

Chapter Twelve

ABBREVIATIONS QUIZ
(textbook pages 483–484)
Name: Precilou Cutanda

A. On the line provided, give meanings for the following abbreviations, then write each
abbre- viation next to its explanation below:

1. ABGs Arterial blood gases

2. ARDS Acute respiratory distress syndrome

3. BAL Bronchoalveolar lavage

4. Bronch Bronchoscopy

5. CF Cystic fibrosis

6. CO2 Carbon dioxide

7. COPD Chronic obstructive pulmonary disease

8. CPAP Continuous positive airway pressure

9. CPR Cardiopulmonary Resuscitation

10. C&S Culture & Sensitivity

a. BAL Fluid is injected and f. COPD Chronic bronchitis

withdrawn from the bronchial and emphysema are examples
tubes
g. Bronch Visual examination of
b. C&S Growing and testing the bronchi
contents of sputum for bacterial
analysis h. ARDS Group of signs and
symptoms of respiratory failure
c. CF Hereditary disease that
causes accumulation of mucus in the i. CO2 Gas that is expelled
respiratory tract in expiration

d. ABG’s Gases are measured in the j. CPAP Mask and machine help
blood to avoid obstructive sleep apnea

e. CPR Airway is opened; breathing

is restored; circulation restored by
external cardiac compression

B. On the line provided, give meanings for the following abbreviations, then write each
abbre- viation next to its explanation below:
1. CXR Chest x-ray

2. CTPA Computed tomography pulmonary angiogram

3. DOE Dyspnea on exertion

4. DPT Diphtheria, pertussis, tetanus

5. FVC Forced vital capacity
6. ICU Intensive care unit
 Chapter 12  ABBREVIATIONS QUIZ 293

7. MDI Metered-dose inhaler

8. NSCLC non-small cell lung cancer

9. O2 Oxygen
10. OSA Obstructive sleep apnea

a. MDI Device used to

f. FVC Amount of gas that can
deliver aerosolized medication to
be rapidly exhaled after a full
patients
inspiration
b. DPT Toxoids for vaccination
g. NSCLC Major type of
of infants
malignancy originating in the lung
c. OSA Inability to breathe
h. ICU Seriously ill patients
during sleep because of blockage in
are treated in this area of the
the airway
hospital
d. O2 Gas that is inhaled and
i. CTPA Multiple computerized x-ray
absorbed through alveoli into the
views of pulmonary blood vessels are
bloodstream
taken
e. CXR PA and lateral views are
j. DO Difficult breathing with
taken in this procedure
strong physical activity

C. On the line provided, give meanings for the following abbreviations, then write
each abbreviation next ot its explanation below:

1. PE Pulmonary embolism

2. PEEP Positive end-expiratory pressure

3. PFTs Pulmonary function tests

4. PND Paroxysmal nocturnal dyspnea

5. PPD Purified protein derivative

6. SCLC Small cell lung cancer

7. SOB Shortness of breath

8. TB Tuberculosis

9. URI Upper respiratory infection

10. VATS Video-assisted thoracic surgery

a. PEEP Mechanical ventilator setting trachea

b. TB Infectious lung disease e. PND Sudden attack of

caused by bacilli difficult breathing at night

c PE Clot or other material lodges

in vessels of the lung

d. URI Respiratory disease that

originates in the throat, larynx, or
f. VATS Visual examination of the
chest using special video assistance

g. PFTs Spirometer is used for these tests

h. SCLC Type of lung cancer; “oat

cell” cancer

i. SOB Difficulty in breathing

j. PPD Substance used in test for

tuberculosis
294 Chapter 12  EXERCISE QUIZ

Chapter Twelve

EXERCISE QUIZ Name: Precilou Cutanda

A. Select from the following anatomical structures to complete the sentences below:

alveoli larynx
bronchi mediastinum
cilia palatine tonsils
epiglottis paranasal sinuses
hilum parietal pleura

1. Branches of the windpipe that lead into the lungs are the bronchi

2. The region between the lungs in the chest cavity is the mediastinum

3. Collections of lymph tissue in the oropharynx are the palatine tonsils

4. Air sacs of the lung are called alveoli

5. The outer fold of pleura lying closest to the ribs is called parietal sinuses

6. Thin hairs attached to the mucous membrane lining the respiratory

tract are cilia

7. The voice box is called the larynx

8. Middle region where bronchi, blood vessels, and nerves enter and

exit lungs is the hilum

9. Air-containing cavities in the bones around the nose are the paranasal sinuses

10. The lid-like piece of cartilage that covers the voice box is the epiglottis

B. Complete the following sentences:

11. The gas produced by cells and exhaled through the lungs is called carbon dioxide

12. Divisions of the lungs are called lobes

13. The essential cells of the lung that perform its main function

are the pulmonary parenchyma

14. Breathing in air is called inspiration

C. Give meanings for the following medical terms:

15. bronchiectasis dilation of bronchi

16. anosmia lack of sense of smell

17. phrenic pertaining to the diaphragm

18. pneumothorax collection of air in the pleural space (chest)

 Chapter 12  EXERCISE QUIZ 295

D. Complete the medical terms for the following respiratory symptoms:

19. excessive carbon dioxide in the blood: hypercapnia

20. spitting up blood: hemoptysis

21. hoarseness; voice impairment: dysphonia

22. breathing is possible only in an upright position: orthopnea

23. nosebleed: epistaxis

E. Give meanings for the following medical terms:

24. purulent containing pus

25. rales fine crackling sounds during inspiration

26. auscultation listening to sounds within the body using a stethoscope

27. pulmonary infarction area of necrosis (death of lung tissue)

F. Match the following terms with their descriptions:

asbestosis chronic bronchitis

asthma cystic fibrosis
atelectasis emphysema
bronchogenic carcinoma pertussis

28. Hyperinflation of air sacs with destruction of alveolar walls emphysema

29. Inflammation of tubes leading from the trachea (over a long period of time) chronic
bronchitis

30. Spasm and narrowing of bronchi leading to airway obstruction asthma

31. Lung or portion of a lung is collapsed atelectasis

32. Malignant neoplasm originating in a bronchus bronchogenic carcinoma

33. Whooping cough; bacterial infection of the pharynx pertussis

34. Inherited disease of exocrine glands leading to airway obstruction cystic fibrosis

35. Type of pneumoconiosis; dust particles are inhaled asbestosis

G. Give meanings for the following medical terms:

36. adenoid hypertrophy Increased development of adenoids.

37. tachypnea rapid breathing

38. pleurodynia pain associated with the pleura (chest wall)

39. pulmonary embolism clot or other material lodges in vessels of the lung

40. pulmonary edema fluid in the air sacs and bronchioles

41. pulmonary abscess large collection of pus (bacterial infection) in the lungs.
296 Chapter 12  EXERCISE QUIZ

H. Match the clinical procedure or abbreviation with its description:

bronchioalveolar lavage lung scan (V/Q)

CT pulmonary angiography thoracentesis
endotracheal intubation tracheostomy

42. Tube is placed through the mouth into the trachea to

establish an airway endotracheal intubation

43. Radioactive material is injected or inhaled and images are recorded lung scan (V/Q)

44. After contrast is injected into blood vessels of the lungs, computerized tomographic

x-rays are taken CT pulmonary angiography

45. Opening into the trachea through the neck to establish an airway tracheostomy

46. Chest wall is punctured with a needle to obtain fluid from

the pleural space thoracentesis

47. Fluid is injected into the bronchi and then removed for examination bronchioalveolar lavage

I. Give meanings for the following abbreviations:

48. COPD Chronic obstructive pulmonary disease

49. PFT Pulmonary function test

50. URI Upper respiratory infection

 Chapter 12  DICTATION AND COMPREHENSION QUIZ: VOCABULARY 297

Chapter Twelve

DICTATION AND COMPREHENSION QUIZ:

VOCABULARY AND TERMINOLOGY Name: Precilou Cutanda

A. Dictation of Terms

1. anosmia 11. mediastinum

2. bronchiectasis 12. pharyngeal

3. bronchiolitis 13. pleuritis

4. bronchodilator 14. pneumonectomy

5. diaphragm 15. pulmonary parenchyma

6. dyspnea 16. pyothorax

7. epiglottitis 17. rhinoplasty

8. hemoptysis 18. spirometer

9. hypercapnia 19. thoracotomy

10. laryngeal 20. tracheotomy

B. Comprehension of Terms: Match number of the above term with its meaning below.

9 Condition of increased carbon dioxide in the blood

11 Space in the chest between the lungs
15 Essential tissue of the lung
17 Surgical repair of the nose
4 Drug that opens up (widens) the bronchial tubes
8 Spitting up blood
18 Instrument to measure breathing
19 Incision of the chest
7 Inflammation of the flap of cartilage over the windpipe
12 Pertaining to the throat
14 Resection of a lung
3 Inflammation of the small bronchial tubes
10 Pertaining to the voice box
13 Inflammation of the membrane lining the lungs
2 Widening of bronchial tubes
6 Difficult, painful breathing
1 Absence of a sense of smell
16 Pus in the chest (between the membranes around the lung)
20 Incision of the windpipe
5 Muscle that aids in breathing and is located between the chest and the abdomen
298 Chapter 12  DICTATION AND COMPREHENSION QUIZ: PATHOLOGY

Chapter Twelve

DICTATION AND COMPREHENSION

QUIZ: PATHOLOGY Name: Precilou Cutanda

A. Dictation of Terms

1. anthracosis 11. paroxysmal

2. asthma 12. pertussis

3. atelectasis 13. pleural effusion

4. auscultation 14. pulmonary edema

5. bronchioalveolar lavage 15. purulent

6. bronchogenic carcinoma 16. stridor

7. emphysema 17. thoracentesis

8. epistaxis 18. tracheostomy

9. laryngoscopy 19. tuberculosis

10. mesothelioma 20. wheezes

B. Comprehension of Terms: Match the number of the above term with its meaning below.

15 Pertaining to containing pus

13 Escape of fluid into the pleural cavity
9 Visual examination of the voice box
6 Adenocarcinoma and small cell carcinoma are examples
20 Musical sounds heard during expiration
12 Whooping cough
14 Swelling and fluid in alveoli and bronchioles
2 Spasm and narrowing of bronchi leading to airway obstruction
18 Creation of an opening into the windpipe
1 Coal dust accumulation in the lungs
10 Malignant tumor arising in the pleura
3 Collapsed lung
19 Infectious disease of the lungs; caused by bacilli
8 Nosebleed
16 Strained, high-pitched noisy breathing
4 Listening to sounds within the body
17 Surgical puncture to remove fluid from the chest (pleural cavity)
7 Hyperinflation of alveoli with damage to alveolar walls; type of COPD
11 Pertaining to a sudden occurrence
5 Injecting and retrieving fluid from the bronchial tubes
 Chapter 12  SPELLING QUIZ 299

Chapter Twelve

SPELLING QUIZ Name: Precilou Cutanda

A. Circle the term that is spelled correctly and write its meaning in the space provided.

1. epiglottis epiglottus flap of cartilage to the root of the tongue

2. diaphrame diaphragm muscle between the chest and abdomen

3. ascultation auscultation listening to sounds within the body

4. astmah asthma airway obstruction due to bronchial and bronchiolar edema

and constriction

5. emphysema emphyzema hyperinflation of air sacs with destruction of alveolar walls

6. cilia cili tiny hairs in the respiratory tract

7. traychea trachea windpipe

8. plural pleural pertaining to the membrane around the lungs

9. pnuemonia pneumonia acute inflammation and infection of air sacs

10. alveoli alveroli air sacs

B. Circle the term that is spelled correctly. The meaning of each term is given.

11. Incision of the chest .................................. thorocotomy thorecotomy thoracotomy

12. Collapsed lung ........................................... atelactasis atelectasis atelelectisis

13. Rod-shaped bacteria .................................. bacilli basilli basceilli

14. Collection of pus........................................ absess absecess abscess

15. Surgical repair of the nose ........................ rhinoplasty rrhinoplasty rinoplasty

16. Removal of the tonsils ............................... tonsilectomy tonselectomy tonsillectomy

17. Whooping cough ....................................... pertusis pertussis partussus

18. Visual examination of the voice box.......... larnygoscopy larnygoscipe laryngoscopy

19. Pain of the pleura (chest wall) .................. phrenodynia frenodynia phrenodinia
pleurodynia

20. Incision of the windpipe ............................ trachiotomy tracheotomy traycheotomy

300 Chapter 12  PRONUNCIATION QUIZ

Chapter Twelve

PRONUNCIATION QUIZ Name: Precilou Cutanda

A. Underline the accented syllable in the following terms:

1. dyspnea 4. rhinoplasty 7. bronchoscopy 10. tonsillectomy

2. bacilli 5. pleural effusion 8. expectoration
3. larynx 6. adenoids 9. hypoxia

B. Match the term in Column I with its meaning in Column II:

Column I Column II

1. mediastinum D
A. Throat
2. empyema H
B. Collection of fluid in tissues
3. auscultation I
C. Membranes surrounding the lungs
4. edema B
D. Central cavity between the lungs in the chest
5. atelectasis F
E. The windpipe
6. pleura C
F. Condition of imperfect lung expansion; collapsed lung
7. pharynx A
G. Thin hairs attached to the lining of the respiratory tract
8. trachea E
H. Pus in the pleural cavity
9. cilia G
I. Listening to the sounds in the chest
10. diphtheria J
J. Infectious disease of the throat and upper
respiratory tract; caused by bacteria

C. Complete the following terms using the definitions given:

1. dyspnea
Difficult breathing
2. hemoptysis
Spitting up blood

3. bronchiolitis Inflammation of a small bronchial tube

4. pneumoconiosis Abnormal condition of dust in the lung

5. tracheotomy Incision of the windpipe

6. parenchyma
Essential cells of an organ
7. pleurodynia
Pain of the pleura (chest

wall)

8. nasopharyngitis Inflammation of the nose and throat

9. emphysema
Lung disease marked by distention or swelling of the alveoli

10. orthopnea Breathing is easier in an upright position

 Chapter 12  DIAGRAM QUIZ 301

Chapter Twelve

DIAGRAM QUIZ Name: Precilou Cutanda

Label the diagram below using the following terms:

Adenoids
Erythrocytes Nasal cavity Parietal pleura
Alveoli
Esophagus Nasopharynx Terminal bronchiole
Bronchi
Laryngopharynx Nose Trachea
Capillary
Larynx Oropharynx Visceral pleura
Diaphragm
Lung Palatine tonsils
Epiglottis
Mediastinum Paranasal
sinuses

3 Paranasal sinuses

4 Nasopharynx
Nasal Cavity 2 5 adenoids
Nose 1 6 Oropharynx

7 Palatine tonsil
Laryngopharynx 8

11 Epiglottis
Thyroid cartilage
Glottis and vocal cords 10 Esophagus
Larynx 9 12 Trachea
Apex of the lung
mediastinum 13

Parietal pleura 20 Hilum of the lung

Visceral pleura 21
14 Bronchi
Lung 15

Heart

Base of the lung

Diaphragm Right Left

22 16 Terminal bronchiole

Pulmonary Pulmonary
venule
arteriole

Alveolus Alveolar
O2 duct
Erythrocytes 19
CO2

Capillary 18

Exchange of gases between an alveolus and a

lung capillary

17 Alveoli
302 Chapter 12  FLOw CHART QUIZ

Chapter Twelve

FLOw CHART QUIZ Name: Precilou Cutanda

Alveoli Nasal cavities and paranasal sinuses
Bronchi Nose
Bronchioles Pharynx
Larynx Trachea
Lung capillaries (bloodstream)

1NOSE

2 NASAL CAVITIES AND

PARANASAL SINUSES

Adenoids
3 PHARYNX
Tonsils

4LARYNX
Epiglottis

5TRACHEA

6BRONCHI

7 BRONCHIOLES

8ALVEOLI

9 LUNG CAPILLARIES
(BLOODSTREAM)
 Chapter 12  REVIEw SHEET QUIZ 303

Chapter Twelve

REVIEw SHEET QUIZ Name: Precilou Cutanda

A. Give meanings for the following combining forms:

1. adenoid/o adenoids 6. nas/o nose

2. alveol/o alveolus (air sac) 7. or/o mouth

3. bronch/o bronchial tube, bronchus 8. ox/o oxygen

4. bronchiol/o bronchiole, small bronchus 9. pector/o chest

5. pulmon/o lung 10. orth/o straight, upright

B. Give combining forms for the following meanings:

1. voice box laryng/o 6. dust coni/o

2. throat pharyng/o 7. pus py/o

3. blue cyan/o 8. complete tel/o

4. voice phon/o 9. windpipe trache/o

5. diaphragm phren/o 10. tonsils tonsill/o

304 Chapter 12  REVIEw SHEET QUIZ

C. Give meanings for the following suffixes and prefixes:

1. -centesis surgical puncture to remove fluid6. -ptysis spitting

2. -osmia smell 7. brady- slow

3. -pnea breathing 8. per- through

4. -stenosis narrowing, tightening 9. hypo- under, below, deficient; less than normal

5. -ectasis widening, dilation, expansion 10. para- near

 Chapter 12  MEDICAL SCRAMBLE 305

Chapter Twelve

MEDICAL SCRAMBLE Name: Precilou Cutanda

Unscramble the letters to form respiratory system–related terms from the clues. Use the letters
in the squares to complete the bonus term.

1. Clue: Flap of cartilage above the trachea

I O P T L G E T S I (EPIGLOTTIS)

2. Clue: Bacteria causing tuberculosis

LALCBII
(BACILLI)

3. Clue: Small airway leading to air

sacs
ONEBHLRICO
BRONCHIOLE

4. Clue: Chronic allergic condition marked by airway obstruction

S M T A H A (ASTHMA)

BONUS TERM: Clue: Collapsed lung

A T E L E C T A S I S
ATELECTASIS
306 Chapter 12  CROSSwORD PUZZLE

Chapter Twelve

CROSSwORD PUZZLE Name: Precilou Cutanda

Fill in the crossword puzzle below using the clues listed underneath it.

1 2 3

P. N E U M O C O N I O S I S
M N
4 5
B E P I G L O T T I S S
R H P
V O6
I C E Y P 7
I
N S N D R 8

C A T E L E C T A S I S
9 A 10

H M U D A T
11C I L I A A M E P I

O O 12
N H O
13
L N N O R N
T UB E R C U L O S I S I A
R S S A D G
A E S M
C OMP L E T E
14

H
E
A U S C U L T AT I O N
15

Across Clues Down Clues

1. Abnormal condition caused by dust in 2. Air is trapped in lungs, and bronchioles are
plugged the lungs. PNEUMOCONIOSIS with mucus; a type of COPD. EMPHYSEMA
5. Lid-like piece of cartilage that covers the larynx. EPIGLOTTIS 3. Breathing in. INSPIRATION
6. Phon/o means sound or VOICE. 4. Smallest branches of the bronchi. BRONCHIOLES
9. Collapsed lung; or incomplete expansion of lung. ATELECTASIS 7. Acute inflammation and infection of the lung caused
11. Thin hairs attached to the mucous membranes. CILIA by bacteria (pneumococci), viruses, or fungi. PNEUMONIA
13. An infectious disease caused by bacilli and 8. Muscle separating the chest and abdomen. DIAPHRAGM
treated with INH (isoniazid). TUBERCULOSIS 10. Collection of lymph tissue in the nasopharynx. ADENOIDS
14. Tel/o means COMPLETE, as in atelectasis. 12. Rhin/o means NOSE .
15. Listening to sounds within the body. AUSCULTATION 13. Windpipe. TRACHEA
 Chapter 12  PRACTICAL APPLICATIONS 307

Chapter Twelve

PRACTICAL APPLICATIONS Name: Precilou Cutanda

Questions for the Case Report on page 485 of the text

1. What did the initial chest x-ray
show?................................................. D 3. What procedure was used to B
A. Collapsed lung relieve the condition?..........................
B. Shallow respirations A. Chest x-ray
C. Pleurodynia B. Thoracotomy and tube insertion
D. Collection of fluid between the C. Paracentesis
pleura D. Pericardiocentesis
2. What term indicates that the 4. What is the lesson from this case C
condition was caused by fractured report? ...............................................
A
ribs?................................................... A. Get a chest x-ray immediately
A. Secondary upon entering the ER
B. Comatose B. Removal of fluid from the pleural
C. Heroin space showed no blood was present
D. Effusion C. Be sure that a chest x-ray is read correctly
D. Be careful when injecting heroin
308 Chapter 12  PRACTICAL APPLICATIONS

PATHOLOGY REPORT

Date: November 16, 2014 Pathology No. 450231

Patient: Carolyn Jones Room No. 422

Physician: Howard T. Waxman, MD Hospital No. 550330

Specimen: Biopsy of left bronchus

GROSS DESCRIPTION: The specimen consisted of a very tiny, wispy portion of soft
whitish pink tissue measuring 3 × 2 × 1 mm in toto. The
entire specimen is submitted.
MICROSCOPIC DESCRIPTION: The sections of the bronchial biopsy show approximately
half of the mucosa to be composed of pseudostratified,
ciliated, respiratory-type epithelium, and the second half
to be composed of respiratory epithelium that has
undergone squamous metaplasia. There is one small area
of cells that has become detached from the mucosa, which
is composed of rather pleomorphic and hyperchromatic
cells with loss of polarity. This small area of tissue would
be classified as the squamous carcinoma. However, I see
no evidence of (the) infiltration through the basement
membrane in this section. Additional tissue may show more
extensive involvement with the carcinoma.
DIAGNOSIS: Small fragment of squamous carcinoma without evidence
of infiltration into the underlying submucosa, left
bronchus, biopsy (see description).
Pathologist
Mark M. Mosley, MD

New Terms:

hyperchromatic Pertaining to cells that stain intensely (chrom/o = color)

loss of polarity Cells lose normal sense of organization (characteristic of

malignancy)
pleomorphic Pertaining to cells with many (ple/o = more) different
shapes and form characteristic of malignancy
pseudostratified Type of layered epithelium in which nuclei of adjacent cells are
at different levels.

squamous metaplasia Reversible conversion of normal cells into another, less

specialized cell type. Often, these cells can transform into
cancerous cells.