Practice Exam

Exam 3:  Respiratory and Urinary Systems

 

 

            1.  T  F             The pharynx is an enlargement at the top of the trachea that houses the vocal cords.

            2.         Which of the following would increase the rate of glomerular filtration?

                                    A.        decreased blood pressure

                                    B.         increased blood pressure

                                    C.        a constricted afferent arteriole

                                    D.        a dilated efferent arteriole

            3.         As a consequence of widespread edema, blood volume

                                    A.        increases and blood pressure drops.

                                    B.         decreases and blood pressure drops.

                                    C.        increases and blood pressure rises.

                                    D.        decreases and blood pressure rises.

            4.         The epithelial cells of the proximal convoluted tubule are adapted for reabsorption by

                                    A.        having thin walls.

                                    B.         having rugae folds that increase surface area.

                                    C.        secreting enzymes that activate absorption of substances.

                                    D.        having microscopic projections called microvilli.

            5.  T  F             Active transport mechanisms have limited transport capacities because the renal tubule is not

                        very permeable to the absorption of molecules.

            6.         The force that tends to hold the visceral and parietal pleural membranes together is ____________.

            7.  T  F             Ordinary air is about 21% oxygen and 78% nitrogen.

            8.         Which of the following indicates the parts of a renal tubule in the correct sequence from beginning to end?

                                    A.        proximal convoluted tubule, ascending limb, descending limb, distal convoluted tubule

                                    B.         distal convoluted tubule, ascending limb, descending limb, proximal convoluted tubule

                                    C.        proximal convoluted tubule, descending limb, ascending limb, distal convoluted tubule

            9.         Which of the following is not part of the male urethra?

                                    A.        prostatic urethra

                                    B.         membranous urethra

                                    C.        penile urethra

                                    D.        glandular urethra

            10.  T  F           The inflation reflex is activated when stretch receptors are stimulated during inspiration.

            11.  T  F           The greatest amount of carbon dioxide transported in the blood is in the form of dissolved carbon dioxide.

            12.  T  F           When the concentration of water in body fluids increases, the secretion of ADH increases.

            13.       Water reabsorption occurs throughout the length of the renal tubule by the process of _____.

            14.       The portion of the respiratory center that is responsible for establishing the basic pattern of breathing is the

                                    A.        apneustic area.

                                    B.         rhythmicity area.

                                    C.        pneumotaxic area.

                                    D.        inspiratory area.

            15.       The hormone ADH functions to promote water reabsorption through the wall(s) of the

                                    A.        distal convoluted tubule and collecting duct.

                                    B.         proximal convoluted tubule and collecting duct.

                                    C.        ascending limb of the nephron loop.

                                    D.        descending limb of the nephron loop.

            16.       Which of the following air volumes cannot be measured using a simple spirometer?

                                    A.        tidal volume

                                    B.         vital capacity

                                    C.        residual volume

                                    D.        total lung capacity

            17.       The mucous membrane lining the nasal cavity functions to

                                    A.        warm incoming air.

                                    B.         moisten incoming air.

                                    C.        entrap dust and other small particles.

                                    D.        all of the above

            18.  T  F           Oxygen is carried in the blood in the form of bicarbonate ions and is bound to hemoglobin.

            19.       The force that causes air to move into the lungs during inspiration is supplied by

                                    A.        the diaphragm.

                                    B.         external intercostal muscles.

                                    C.        abdominal wall muscles.

                                    D.        atmospheric pressure.

            20.       During urine formation, some substances move from the plasma in the peritubular capillary into the

                        renal tubule by the process called _____ .

            21.       Gout is a condition in which the plasma has an abnormally high concentration of

                                    A.        uric acid.

                                    B.         Urea.

                                    C.        calcium ions.

                                    D.        amino acids.

            22.  T  F           The organs of the upper respiratory tract are located outside the thorax.

            23.  T  F           An increase in sodium reabsorption increases water reabsorption by actively transporting sodium ions into the blood.

            24.       Microorganisms removed from incoming air by sticky mucus are most likely to be destroyed by

                                    A.        toxins in the mucus.

                                    B.         the action of cilia.

                                    C.        the digestive action of gastric juice.

                                    D.        a lack of oxygen.

            25.       Of the respiratory air volumes listed, which one has the largest volume?

                                    A.        expiratory reserve volume

                                    B.         inspiratory reserve volume

                                    C.        vital capacity

                                    D.        tidal volume

            26.  T  F           The efferent arteriole supplies blood to the capillary of the glomerulus.

            27.       As a result of excessively low arterial blood pressure, glomerular hydrostatic pressure

                                    A.        rises and filtration increases.

                                    B.         rises and filtration decreases.

                                    C.        drops and filtration increases.

                                    D.        drops and filtration decreases.

            28.       The percentage of carbon dioxide in ordinary air is about

                                    A.        4%.

                                    B.         0.4%.

                                    C.        0.04%.

                                    D.        0.004%.

            29.       The condition in which air enters the pleural cavity is called

                                    A.        pneumonia.

                                    B.         pneumothorax.

                                    C.        pulmonary ventilation.

                                    D.        internal respiration.

            30.       The first event in inspiration is

                                    A.        the diaphragm moves downward and the external intercostal muscles contract.

                                    B.         atmospheric pressure forces air into the respiratory tract.

                                    C.        intra-alveolar pressure is decreased.

                                    D.        the lungs become inflated.

            31.       The chemoreceptors in the carotid and aortic bodies are most sensitive to changes in blood

                                    A.        carbon dioxide concentration.

                                    B.         hydrogen ion concentration.

                                    C.        oxygen concentration.

                                    D.        bicarbonate ion concentration.

            32.       The force responsible for normal expiration is supplied by the

                                    A.        diaphragm.

                                    B.         external intercostal muscles.

                                    C.        elastic recoil of tissues and surface tension.

                                    D.        contraction of smooth muscles in air passages.

            33.       Which of the following is correct concerning the location of the kidneys?

                                    A.        The right kidney is usually higher than the left one.

                                    B.         They are located behind the peritoneum.

                                    C.        Their upper borders are about at the level of the third lumbar vertebra.

                                    D.        They are located against the anterior wall of the abdominal cavity.

            34.       Which of the following is not considered a function of the kidneys?

                                    A.        regulation of body fluid concentration

                                    B.         regulation of body fluid volume

                                    C.        removal of waste products from the body

                                    D.        formation of plasma proteins

            35.       Emphysema is characterized by an increase in

                                    A.        total surface area of the respiratory membrane.

                                    B.         alveolar wall elasticity.

                                    C.        respiratory capillary networks.

                                    D.        none of the above

            36.       The trachea can be described as

                                    A.        lined with a ciliated mucous membrane.

                                    B.         including about 20 C-shaped cartilage rings.

                                    C.        a passageway for air.

                                    D.        all of the above

            37.  T  F           The urethra transports urine from the kidney to the urinary bladder.

            38.       Which of the following correctly lists the order of structures through which urine flows after its formation in the nephron?

                                    A.        calyx, renal pelvis, ureter, urinary bladder, urethra

                                    B.         renal pelvis, calyx, ureter, urinary bladder, urethra

                                    C.        renal pelvis, calyx, urethra, ureter, urinary bladder

                                    D.        renal pelvis, calyx, urinary bladder, ureter, urethra

            39.       The layer of serous membrane that is firmly attached to the surface of a lung is called ____________.

40.              The _____________ regulates the filtration rate by regulating blood pressure through renin product.

A.         juxtaglomerular apparatus

                                    B.         peritubular capillary

C.                 renal artery

D.                 Bowman’s Capsule

            41.       Which of the following proteins is the most important physiologically in the transport of carbon

                        dioxide by blood?

                                    A.        hemoglobin

                                    B.         carbonic anhydrase

                                    C.        heme

                                    D.        albumin

            42.       The ureter extends downward

                                    A.        behind the parietal peritoneun and joins the urinary bladder from below.

                                    B.         behind the parietal peritoneum and joins the urinary bladder from below.

                                    C.        in front of the parietal peritoneum and joins the urinary bladder from above.

                                    D.        in front of the parietal peritoneum and joins the urinary bladder from below.

            43.       Which of the following is true as a result of the dead air space of the respiratory tract?

                                    A.        Air exchange is more complete.

                                    B.         The carbon dioxide content of the air inside the lungs is always higher than the outside air.

                                    C.        The carbon dioxide content of the air inside the lungs is always lower than the outside air.

                                    D.        The lungs receive a complete change of fresh air with each respiratory cycle.

            44.       The first event in expiration is

                                    A.        inter-alveolar pressure increases.

                                    B.         elastic tissues of the lungs, thoracic cage, and abdominal organs recoil.

                                    C.        air is squeezed out of the lungs.

                                    D.        the diaphragm and external respiratory muscles relax.

            45.  T  F           Urine is forced along the length of the ureter by peristaltic waves.

            46.       The micturition reflex center is located in the

                                    A.        sacral segments of the spinal cord.

                                    B.         medulla oblongata.

                                    C.        pons.

                                    D.        Hypothalamus.

            47.       The respiratory center is located in the medulla oblongata and the ______ of the brain stem.

            48.       Within a mixture of gases, the pressure created by each gas is called its ______ ______.

            49.       A decrease in the glomerular hydrostatic pressure of a glomerular capsule will result in _____ the

                        rate of glomerular filtration.

                                    A.        an increase in

                                    B.         a decrease in

                                    C.        no change in

                                    D.        a variable effect on

            50.       The pharynx functions as a ______, whereas the larynx functions as a ______.

                                    A.        common passage for air and food; passageway for food only

                                    B.         passageway for air only; passageway for air and food

                                    C.        common passageway for air and food; passageway for air only

                                    D.        site to prevent objects from entering the trachea; site to prevent objects from entering the

                                                larynx

            51.       Whenever the plasma glucose concentration exceeds the renal plasma threshold,

                                    A.        the glomerular filtration rate increases.

                                    B.         the volume of urine decreases.

                                    C.        glucose will be secreted into the peritubular capillary.

                                    D.        glucose will appear in the urine.

            52.       The visceral and parietal pleural membranes are normally held together by

                                    A.        loose connective tissue.

                                    B.         dense connective tissue.

                                    C.        surface tension.

                                    D.        surfactant.

            53.       The vocal cords are located within the

                                    A.        pharynx.

                                    B.         larynx.

                                    C.        trachea.

                                    D.        oral cavity.

            54.       Which of the following is (are) a function of the mucus-covered nasal passages?

                                    A.        warming inspired air

                                    B.         moistening inspired air

                                    C.        entrapping small particles

                                    D.        all of the above

            55.  T  F           The urinary bladder is located above the parietal peritoneum.

            56.  T  F           Carbon monoxide bonds to hemoglobin more effectively than does oxygen.

            57.       The amount of oxygen released from oxyhemoglobin ______ as the concentration of carbon

                        dioxide increases.

            58.  T  F           If the osmotic pressure of the blood plasma is decreased, the glomerular filtration rate is increased.

            59.       The condition of newborns called respiratory distress syndrome is caused by a

                                    A.        lack of surfactant.

                                    B.         lack of a hyaline membrane.

                                    C.        low oxygen concentration.

                                    D.        high oxygen concentration.

            60.       Which of the following is an abnormal constituent of urine?

                                    A.        urea

                                    B.         uric acid

                                    C.        creatinine

                                    D.        none of the above

            61.       If the arteriole that supplies blood to the glomerulus becomes constricted,

                                    A.        blood flow into the efferent arteriole increases.

                                    B.         the glomerular filtration rate decreases.

                                    C.        hydrostatic pressure in the glomerulus increases.

                                    D.        the protein concentration of the filtrate increases.

            62.       The micturition reflex can be voluntarily controlled by the

                                    A.        persons controlling contraction and relaxation of the pyloric sphincter valve.

                                    B.         sympathetic impulses stimulating the internal urethral sphincter valve.

                                    C.        cerebral cortex stimulating or inhibiting the external urethral sphincter valve.

                                    D.        voluntary contractions or inhibition of the prostate gland.

            63.       The walls of the alveoli are composed of

                                    A.        ciliated columnar epithelium.

                                    B.         simple squamous epithelium.

                                    C.        stratified squamous epithelium.

                                    D.        loose connective tissue.

            64.       Filtration rate in the glomerulus is increased by

                                    A.        vasodilation of the afferent arteriole only.

                                    B.         vasodilation of the efferent arteriole only.

                                    C.        vasoconstriction of the efferent arteriole only.

                                    D.        both vasodilation and vasoconstriction of the efferent arteriole.

                                    E.         both vasodilation of the afferent arteriole and vasoconstriction of the efferent arteriole.

            65.       The reabsorption of glucose occurs primarily through the walls of the

                                    A.        glomerular capsule.

                                    B.         nephron loop.

                                    C.        proximal convoluted tubule.

                                    D.        distal convoluted tubule.

            66.  T  F           ADH functions to increase absorption of water from urine into blood by increasing the permeability of the distal convoluted                    tubules and collecting ducts.

            67.       The ease with which the lungs can be expanded during breathing is called ______.

            68.       An increase in glomerular osmotic pressure will result in _____ the rate of glomerular filtration.

                                    A.        an increase in

                                    B.         a decrease in

                                    C.        no change in

                                    D.        a variable effect on

            69.       Uric acid results from the metabolism of _____ _____ .

            70.       The amount of air that enters or leaves the lungs during a normal respiratory cycle is the

                                    A.        tidal volume.

                                    B.         residual volume.

                                    C.        vital capacity.

                                    D.        total lung capacity.

 

 

Essays:

1.  A person is in severe shock after an automobile accident and their blood pressure drops dramatically.  How might you expect the volume of           their urine to change?  Explain.

 

2.  Explain why carbon monoxde is toxic.

 

3.  Trace the pathway of blood through the kidney.

 

4.  Discuss the process of urine formation as blood passes through the nephron/

 

5.  Discuss the process of micturition.

 

6.  Expalin how inspsiration and expiration are accomplished.

Answer Key

No. in   No. on

            Test      Correct Answer

            1          F

            2          B

            3          B

            4          D

            5          F

            6          surface tension

            7          T

            8          C

            9          D

            10        T

            11        F

            12        F

            13        osmosis

            14        B

            15        A

            16        C

            17        D

            18        F

            19        D

            20        secretion

            21        A

            22        T

            23        F

            24        C

            25        C

            26        F

            27        D

            28        C

            29        B

            30        A

            31        C

            32        C

            33        B

            34        D

            35        D

            36        D

            37        F

            38        A

            39        visceral pleura

            40        C

            41        B

            42        B

            43        B

            44        D

            45        T

            46        A

            47        pons

            48        partial pressure

            49        B

            50        C

            51        D

            52        C

            53        B

            54        D

            55        F

            56        T

            57        increases

            58        T

            59        A

            60        D

            61        B

            62        C

            63        B

            64        E

            65        C

            66        T

            67        compliance

            68        A

            69        nucleic acids

            70        A