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Anatomy: Respiratory system

31 Anatomy MCQs on Respiratory system with answers and explanations.

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Q1EasyRespiratory system

How many external nares (nostrils) open onto the face?

Answer: B. Two, one on each side of the septum

The nasal septum divides the nose into two cavities, each opening by one anterior naris, giving two nostrils (one pair).

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Q2EasyRespiratory system

Gas exchange in alveoli is favoured by a thin lining of which epithelium?

Answer: B. Simple squamous (type I pneumocytes)

Type I pneumocytes are flat simple squamous cells giving a very short diffusion distance; type II cells secrete surfactant.

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Q3EasyRespiratory system

During exercise, sympathetic stimulation affects the airways by causing:

Answer: D. Bronchodilation via beta-2 receptors

Sympathetic activity relaxes bronchial smooth muscle through beta-2 receptors, widening airways. Parasympathetic (vagal) activity causes bronchoconstriction.

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Q4EasyRespiratory system

Which organ containing the vocal folds is commonly called the 'voice box'?

Answer: B. Larynx

The larynx houses the vocal folds that vibrate to produce sound. The pharynx is a shared air–food passage above it; the trachea is the windpipe.

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Q5EasyRespiratory system

Which statement about the lungs is correct?

Answer: A. The left lung has two lobes

The left lung has two lobes (upper and lower) because the heart takes space; the right has three. The lungs lie above the diaphragm on either side of the mediastinum.

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Q6EasyRespiratory system

The common name 'windpipe' refers to which airway?

Answer: B. Trachea

The trachea runs from the larynx (C6) to its bifurcation (T4/5). The larynx is the voice box; the pharynx is the throat.

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Q7EasyRespiratory system

Which structure lies immediately above (superior to) the trachea?

Answer: A. Larynx

The trachea begins at the lower border of the cricoid cartilage of the larynx. The bronchi are below; the oesophagus is behind.

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Q8EasyRespiratory system

How many lobes does the right lung have?

Answer: D. Three

The right lung has upper, middle and lower lobes separated by horizontal and oblique fissures; the left lung has two.

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Q9EasyRespiratory system

Bronchoscopy shows the ridge where the trachea splits into the two main bronchi. This landmark is the:

Answer: B. Carina

The carina is a keel-shaped ridge at the lowest end of the trachea, at the bifurcation. The hilum is where structures enter the lung.

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Q10EasyRespiratory system

Which feature is characteristic of the right lung?

Answer: D. Three lobes separated by oblique and horizontal fissures

The right lung has three lobes and is shorter and wider, as the liver raises the right dome of the diaphragm. The cardiac notch and lingula belong to the left lung.

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Q11MediumRespiratory system

What is the main function of the curled nasal conchae (turbinates)?

Answer: B. To enlarge the mucosal surface for warming and humidifying air

Conchae increase the surface area of the nasal mucosa, promoting warming, humidifying and filtering of air. Lightening the skull is a role of paranasal sinuses.

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Q12MediumRespiratory system

Approximately how many C-shaped hyaline cartilage rings support the trachea?

Answer: B. 16–20

About 16–20 incomplete hyaline cartilage rings keep the trachea open; the posterior gap is bridged by trachealis muscle next to the oesophagus.

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Q13MediumRespiratory system

The outer layer of the tracheal wall that encloses the cartilage rings is made of:

Answer: B. Fibrous and elastic connective tissue

The adventitia of the trachea is fibroelastic connective tissue enclosing the cartilages, allowing flexibility while maintaining shape.

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Q14MediumRespiratory system

The trachea divides into the main bronchi at about which vertebral level?

Answer: B. T4–T5

The tracheal bifurcation (carina) lies at about T4–T5, level with the sternal angle; the trachea begins at C6.

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Q15MediumRespiratory system

Which laryngeal cartilage forms a complete ring, shaped like a signet ring with a broad posterior plate?

Answer: D. Cricoid cartilage

The cricoid is the only complete cartilage ring of the airway, broader behind than in front. The thyroid cartilage is open posteriorly.

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Q16MediumRespiratory system

The apex of each lung rises into the neck about 2.5 cm above which part of the clavicle?

Answer: C. Medial third

The lung apex projects about 2.5 cm above the medial third of the clavicle, so it can be injured by needles or wounds at the root of the neck.

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Q17MediumRespiratory system

Most of the respiratory tract mucosa below the vocal folds, including the larynx, is lined by:

Answer: C. Pseudostratified ciliated columnar epithelium

Respiratory epithelium (pseudostratified ciliated columnar with goblet cells) lines most of the larynx and trachea; the vocal folds themselves have stratified squamous epithelium.

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Q18MediumRespiratory system

Why does the lung stay expanded against the chest wall?

Answer: D. Pressure in the pleural cavity is below atmospheric

Negative intrapleural pressure holds the lungs against the chest wall; only a few millilitres of pleural fluid are normally present. Air entry (pneumothorax) collapses the lung.

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Q19MediumRespiratory system

During quiet breathing at rest, which muscles produce inspiration?

Answer: C. Diaphragm and external intercostals

Quiet inspiration uses the diaphragm and external intercostals; expiration is passive recoil. Scalenes and sternocleidomastoid assist only in forced inspiration.

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Q20MediumRespiratory system

The epiglottis stays flexible because it is made of which type of cartilage?

Answer: C. Elastic cartilage

Elastic cartilage, rich in elastic fibres, is found in the epiglottis and external ear. Hyaline forms growth plates; fibrocartilage forms discs and menisci.

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