Medical Terminology Get Connected 1St Edition Frucht Test Bank Full Chapter PDF

Medical Terminology Get Connected
1st Edition Frucht Test Bank

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Test Bank Questions
Chapter 10
Fill-in-the-Blank Questions
Directions: All answers to questions asking for a combining form must be written in the
combining form style, meaning word root/combining vowel. For example, the combining form
meaning “heart” is cardi/o. All answers to questions asking for a suffix must be written in suffix
form, meaning a hyphen before your answer. For example, the suffix meaning “cell” is -cyte. All
answers to questions asking for a prefix must be written in prefix form, meaning a hyphen after
your answer. For example, the prefix meaning “two” is bi-.
Do NOT capitalize any of your answers or include a period at the end of your answer. The
computer will NOT recognize your answer as correct if it is written in any other style.
1. The combining form that means air sac is ____________________.
Answer: alveol/o; alveolo
2. The combining form that means blue is ____________________.
Answer: cyan/o; cyano
3. The combining form that means incomplete is ____________________.
Answer: atel/o; atelo
4. The combining form other than bronch/o that means bronchus is ____________________.
Answer: bronchi/o; bronchio
© 2012 by Pearson Education, Inc.

Frucht, Test Gen for Medical Terminology: Get Connected! 1
5. The combining form that means bronchiole is ____________________.
Answer: bronchiol/o; bronchiolo
6. The combining form that means dust is ____________________.
Answer: coni/o; conio
7. The combining form that means mediastinum is ____________________.
Answer: mediastin/o; mediastino
8. The combining form that means chest is ____________________.
Answer: thorac/o; thoraco
9. A combining form that means lobe is ____________________.
Answer: lob/o; lobo
10. The combining form that means fibrous is ____________________.
Answer: fibr/o; fibro
11. The combining form that means straight is ____________________.
Answer: orth/o; ortho
12. The combining form that means oxygen is ____________________.
Answer: ox/i; oxi
13. A combining form that means pus is ____________________.
Answer: py/o; pyo
14. The combining form that means pleura is ____________________.
Answer: pleur/o; pleuro
15. The combining form that means lung or air is ____________________.
Answer: pneum/o; pneumo

16. The combining form other than pneumon/o that only means lung is
____________________.
Answer: pulmon/o; pulmono
17. The combining form that means cancer is ____________________.
Answer: carcin/o; carcino
18. The combining form that means breathing is ____________________.
Answer: spir/o; spiro
19. The combining form that means trachea is ____________________.
Answer: trache/o; tracheo
20. The suffix that means puncture to withdraw fluid is ____________________.
Answer: -centesis; centesis
21. The suffix that means dilated or expansion is ____________________.
Answer: -ectasis; ectasis
22. The suffix that means instrument to measure is ____________________.
Answer: -meter; meter
23. The suffix that means create a new opening is ____________________.
Answer: -ostomy; ostomy
24. The suffix that means breathing is ____________________.
Answer: -pnea; pnea
25. The suffix that means spitting is ____________________.
Answer: -ptysis; ptysis
26. The suffix that means chest is ____________________.
Answer: -thorax; thorax

27. The prefix that means abnormal, labored is ____________________.
Answer: dys-; dys
28. The prefix that means within is ____________________.
Answer: endo-; endo
29. The prefix that means normal is ____________________.
Answer: eu-; eu
30. A medical term that means instrument to view inside the bronchus is _________________.
Answer: bronchoscope
31. A medical term that means instrument to measure oxygen is ____________________.
Answer: oximeter
32. A medical term that means without oxygen is ____________________.
Answer: anoxia
33. A medical term that means puncture pleura to withdraw fluid is ____________________.
Answer: pleurocentesis
34. A medical term other than pneumonic that means pertaining to the lung is
____________________.
Answer: pulmonary
35. A medical term that means pertaining to the bronchus is ____________________.
Answer: bronchial
36. A medical term that means process to measure breathing is ____________________.
Answer: spirometry
37. A medical term that means spitting (up) blood is ____________________.
Answer: hemoptysis

38. A medical term that means cutting into the mediastinum is ____________________.
Answer: mediastinotomy
39. A medical term that means to surgically create an opening in the trachea is
____________________.
Answer: tracheostomy
40. A medical term that means surgical removal of a lobe is ____________________.
Answer: lobectomy
41. A medical term that means involuntary muscle contraction of the bronchus is
____________________.
Answer: bronchospasm
42. A medical term that means pertaining to the chest is ____________________.
Answer: thoracic
43. A medical term that means pertaining to inside the trachea is ____________________.
Answer: endotracheal
44. A medical term that means slow breathing is ____________________.
Answer: bradypnea
45. A medical term that means difficult breathing is ____________________.
Answer: dyspnea
46. A medical term that means pus in the chest is ____________________.
Answer: pyothorax
47. A medical term other than thoracodynia that means chest pain is ____________________.
Answer: thoracalgia
48. A medical term that means normal breathing is ____________________.

Answer: eupnea
49. A medical term that means bronchus inflammation is ____________________.
Answer: bronchitis
50. A medical term that means not breathing is ____________________.
Answer: apnea
True/False Questions
51. All cells of the body must have a constant supply of oxygen.
Answer: True
52. Carbon dioxide is the waste product of energy production.
Answer: True
53. Carbon dioxide is returned to the lungs from the body where it is then inhaled.
Answer: False
Correct Answer: Carbon dioxide is returned to the lungs from the body where it is then
exhaled.
54. Oxygen is loaded into the bloodstream in the lungs.
Answer: True
55. The combining form pneumon/o may mean “air” or “lungs.”
Answer: False
Correct Answer: The combining form pneum/o may mean “air” or “lungs.”
56. The trachea is part of the lower respiratory system.
Answer: True

57. The bronchioles are commonly called the air sacs.
Answer: False
Correct Answer: The alveoli are commonly called the air sacs.
58. Exchange of oxygen takes place between the alveoli and the capillary blood supply
surrounding them.
Answer: True
59. Hypoventilation combines bradypnea and hyperpnea.
Answer: False
Correct Answer: Hypoventilation combines bradypnea and hypopnea.
60. The bronchi carry air from the trachea into the lungs.
Answer: True
61. The bronchi divide repeatedly until they form the narrowest airways called bronchioles.
Answer: True
62. Bronchioles carry air from the trachea to the alveoli.
Answer: False
Correct Answer: Bronchi carry air from the trachea to the bronchioles.
63. The term pneumoconiosis refers to the inhaling of particles into the lungs.
Answer: True
64. The pleura is a double-layered membrane that forms a protective sac around the lungs.
Answer: True
65. The right lung has two lobes and the left lung has three.
Answer: False
Correct Answer: The right lung has three lobes and the right lung has two.

66. Emphysema results from the destruction of alveolar walls.
Answer: True
67. The mediastinum is the area of the chest that contains the lungs.
Answer: False
Correct Answer: The mediastinum is the area of the chest between the lungs.
68. An ABG is a blood test.
Answer: True
69. COPD is a cancerous condition.
Answer: False
Correct Answer: COPD is not a cancerous condition; it is difficulty breathing from
emphysema or bronchitis.
70. Sudden infant death syndrome is also known as hyaline membrane disease.
Answer: False
Correct Answer: Infant respiratory distress syndrome is also known as hyaline membrane
disease.
71. An asthma attack may be brought on by allergies.
Answer: True
72. Influenza is a highly contagious viral infection.
Answer: True
73. Purulent means “containing blood.”
Answer: False
Correct Answer: Purulent means “containing pus.”
74. IPPB is a machine that assists the lungs with filling with air.

Answer: True
75. Pneumothorax may result in a collapsed lung.
Answer: True
76. Pleurisy is the inflammation of the pleura.
Answer: True
77. The lungs are located in the peritoneal cavity.
Answer: False
Correct Answer: The lungs are located in the pleural cavity.
78. Pulmonary function tests are conducted by respiratory therapists.
Answer: True
79. Aspiration is commonly called suffocation.
Answer: False
Correct Answer: Asphyxiation is commonly called suffocation.
80. Hemoptysis is commonly called a nosebleed.
Answer: False
Correct Answer: Hemoptysis means coughing up and spitting out blood.
81. Breathing too fast and too deep is hyperventilation.
Answer: True
82. Phlegm is mucus coughed up from the lungs.
Answer: False
Correct Answer: Sputum is mucus coughed up from the lungs.
83. Orthopnea is breathing made worse by sitting up straight.
Answer: False

Correct Answer: Orthopnea is breathing made better by sitting up straight.
84. Rhonchi are abnormal crackling sounds made during inhalation.
Answer: False
Correct Answer: Rhonchi are abnormal whistling sounds made during breathing.
85. Pleural effusion is the accumulation of fluid inside the lungs.
Answer: False
Correct Answer: Pleural effusion is the accumulation of fluid or gas inside the pleural cavity.
86. Croup is an acute condition found in children that is characterized by a barking type of
cough.
Answer: True
87. Bronchiectasis is the abnormal enlargement of bronchi.
Answer: True
88. Cystic fibrosis occurs when fibrous scar tissue forms in the lungs.
Answer: False
Correct Answer: Cystic fibrosis causes very thick mucus to clog the lungs.
89. Atelectasis is a condition in which lung tissue collapses.
Answer: True
90. Pneumoconiosis is commonly called walking pneumonia.
Answer: False
Correct Answer: Pneumoconiosis is the accumulation of particles in the lungs, like coal dust.
91. In pneumoconiosis, the air sacs fill up with fluid.
Answer: False
Correct Answer: In pneumonia, the air sacs fill up with fluid.

92. A pulmonary embolism may be caused by an air bubble in the pulmonary artery.
Answer: True
93. C&S is a blood test that determines oxygen content in the blood.
Answer: False
Correct Answer: ABGs is a blood test that determines oxygen content in the blood.
94. Bronchoscopy is a procedure in which the inside of the windpipe is examined with a scope.
Answer: False
Correct Answer: Bronchoscopy is a procedure in which the inside of the bronchi is examined
with a scope.
95. Pulmonary angiography injects dye into a blood vessel to view it on an x-ray.
Answer: True
96. The sweat test determines if the patient has tuberculosis.
Answer: False
Correct Answer: The sweat test determines if the patient has cystic fibrosis.
97. The abbreviation RUL stands for “right upper lung.”
Answer: False
Correct Answer: The abbreviation RUL stands for “right upper lobe.”
98. CXR is the abbreviation for chest x-ray.
Answer: True
99. An endotracheal tube passes through the mouth and into the trachea.
Answer: True
100. Sputum cytology is a diagnostic test for pneumonia.
Answer: False

Correct Answer: Sputum cytology is a diagnostic test for lung cancer.
Multiple-Choice Questions
101. The respiratory system, along with the bloodstream, is responsible for the delivery of
_____________ to the cells of the body.
a. oxygen
b. nutrients
c. carbon dioxide
d. sodium
Answer: a
Explanation:
a. oxygen: correct
b. nutrients: nutrients are not delivered via the bloodstream and the respiratory system to
the cells of the body
c. carbon dioxide: carbon dioxide is not delivered via the bloodstream and the
respiratory system to the cells of the body
d. sodium: sodium is not delivered via the bloodstream and the respiratory system to the
cells of the body
102. Which of the following statements regarding the respiratory system is NOT true?
a. Oxygen is needed for the body to produce energy.
b. Carbon dioxide moves from the blood into the cells.

c. Oxygen moves from the alveoli into the bloodstream.
d. Carbon dioxide is the waste product of energy production.
Answer: b
Explanation:
a. Oxygen is needed for the body to produce energy: a true statement
b. Carbon dioxide moves from the blood into the cells: correct
c. Oxygen moves from the alveoli into the bloodstream: a true statement
d. Carbon dioxide is the waste product of energy production: is a true statement
103. Which of the following pairs of terms is mismatched?
a. trachea–windpipe
b. lobes–subdivisions of lungs
c. pleura–protective sac
d. bronchioles–air sacs
Answer: d
Explanation:
a. trachea–windpipe: matched correctly
b. lobes–subdivisions of lungs: correct
c. pleura–protective sac: matched correctly
d. bronchioles–air sacs: marched correctly
104. Which of the following statements regarding bronchial tubes is NOT true?
a. Each bronchus is surrounded by pulmonary capillaries.

b. Bronchi divide to form narrow bronchioles.
c. The trachea splits into a left and right main bronchus.
d. Alveoli are located at the tips of bronchioles.
Answer: a
Explanation:
a. Each bronchus is surrounded by pulmonary capillaries: correct
b. Bronchi divided to form narrow bronchioles: a true statement
c. The trachea splits into a left and right main bronchus: a true statement
d. Alveoli are located at the tips of bronchioles: a true statement
105. Which of the following is NOT part of the lower respiratory system?
a. trachea
b. bronchioles
c. pharynx
d. bronchi
Answer: c
Explanation:
a. trachea: is part of the lower respiratory system
b. bronchioles: are part of the lower respiratory system
c. pharynx: correct
d. bronchi: is part of the lower respiratory system
106. Inhalation brings in fresh _______________ and exhalation removes _______________.

a. carbon dioxide; oxygen
b. oxygen; nitrogen
c. oxygen; carbon dioxide
d. nitrogen; carbon dioxide
Answer: c
Explanation:
a. carbon dioxide; oxygen: should be the other way around
b. oxygen; nitrogen: nitrogen is not removed during exhalation
c. oxygen; carbon dioxide: correct
d. nitrogen; carbon dioxide: nitrogen is not brought in during inhalation
107. Which of the following choices presents the airways in anatomical order?
a. bronchi, trachea, bronchioles, alveoli
b. bronchi, trachea, alveoli, bronchioles
c. trachea, bronchi, bronchioles, alveoli
d. trachea, bronchioles, bronchi, alveoli
Answer: c
Explanation:
a. bronchi, trachea, bronchioles, alveoli: should be trachea, bronchi, bronchioles, alveoli
b. bronchi, trachea, alveoli, bronchioles: should be trachea, bronchi, bronchioles, alveoli
c. trachea, bronchi, bronchioles, alveoli: correct
d. trachea, bronchioles, bronchi, alveoli: should be trachea, bronchi, bronchioles, alveoli

108. The pulmonary capillaries surround the:
a. bronchioles
b. bronchi
c. trachea
d. alveoli
Answer: d
Explanation:
a. bronchioles: are not surrounded by pulmonary capillaries
b. bronchi: are not surrounded by pulmonary capillaries
c. trachea: are not surrounded by pulmonary capillaries
d. alveoli: correct
109. Which of the following statements regarding the lungs is NOT true?
a. The lungs are divided into lobes.
b. The parietal pleura is the outer pleural layer.
c. Lungs are located within the pleural cavity.
d. The mediastinum of the thoracic cavity is located between the lungs and diaphragm.
Answer: d
Explanation:
a. The lungs are divided into lobes: a true statement
b. The parietal pleura is the outer pleural layer: a true statement
c. Lungs are located within the pleural cavity: a true statement

d. The mediastinum of the thoracic cavity is located between the lungs and diaphragm:
correct
110. Another health care provider involved in respiratory care is the _______________
therapist.
a. lung
b. respiratory
c. pulmonary
d. breathing
Answer: b
Explanation:
a. lung: such a health provider is not referred to as a lung therapist
b. respiratory: correct
c. pulmonary: such a health provider is not referred to as a pulmonary therapist
d. breathing: such a health provider is not referred to as a breathing therapist
111. Which of the following statements regarding alveoli is NOT true?
a. They are located at the end of bronchi.
b. They are thin-walled.
c. They are also called the air sacs.
d. They are surrounded by capillaries.
Answer: a
Explanation:

a. They are located at the end of bronchi: correct
b. They are thin-walled: a true statement
c. They are also called the air sacs: a true statement
d. They are surrounded by capillaries: a true statement
112. Coni/o is a combining form meaning “dust,” but it is used to refer to the inhalation of
_____________ into the lungs.
a. water
b. bacteria
c. particles
d. food
Answer: c
Explanation:
a. water: this combining form is not used for water
b. bacteria: this combining form is not used for bacteria
c. particles: correct
d. food: this combining form is not used for food
113. Which organ(s) is NOT found in the mediastinum?
a. trachea
b. heart
c. aorta
d. lungs

Answer: d
Explanation:
a. trachea: is found in the mediastinum
b. heart: is found in the mediastinum
c. aorta: is found in the mediastinum
d. lungs: correct
114. Persons with difficult breathing often feel that they can breathe easier when:
a. they are lying down
b. they are sitting up
c. they are asleep
d. the room is kept warm
Answer: b
Explanation:
a. they are lying down: lying down does not make it easier to breathe
b. they are sitting up: correct
c. they are asleep: sleeping does not make it easier to breathe
d. the room is kept warm: a warm room does not make it easier to breathe
115. Which of the following statements regarding the pleura is NOT true?
a. It is a double-layered membrane.
b. It forms a protective sac for the lungs.
c. It folds to form the pleural cavity.

d. The inner layer is called the parietal pleura.
Answer: d
Explanation:
a. It is a double-layered membrane: a true statement
b. It forms a protective sac for the lungs: a true statement
c. It folds to form the pleural cavity: a true statement
d. The inner layer is called the parietal pleura: correct
116. Which of the following statements regarding the trachea is NOT true?
a. Alveoli are located at the end of the trachea.
b. It carries air into the chest cavity.
c. It is commonly called the windpipe.
d. It splits into two main bronchi.
Answer: a
Explanation:
a. Alveoli are located at the end of the trachea: correct
b. It carries air into the chest cavity: a true statement
c. It is commonly called the windpipe: a true statement
d. It splits into two main bronchi: a true statement
117. Which of the following is NOT associated with adult respiratory distress syndrome
(ARDS)?
a. tachypnea

b. overinflated air sacs
c. dyspnea
d. hypoxia
Answer: b
Explanation:
a. tachypnea: is associated with ARDS
b. overinflated air sacs: correct
c. dyspnea: is associated with ARDS
d. hypoxia: is associated with ARDS
118. Which of the following leads to unconsciousness and death if it is not corrected
immediately?
a. croup
b. influenza
c. asphyxia
d. atelectasis
Answer: c
Explanation:
a. croup: does not lead to death if not immediately corrected
b. influenza: does not lead to death if not immediately corrected
c. asphyxia: correct
d. atelectasis: does not lead to death if not immediately corrected

119. Which of the following pairs of terms is mismatched?
a. tachypnea–deep breathing
b. hypopnea–shallow breathing
c. apnea–not breathing
d. bradypnea–slow breathing
Answer: a
Explanation:
a. tachypnea–deep breathing: correct
b. hypopnea–shallow breathing: matched correctly
c. apnea–not breathing: matched correctly
d. bradypnea–slow breathing: matched correctly
120. Which of the following conditions is usually progressive and irreversible?
a. adult respiratory distress syndrome
b. hyaline membrane disease
c. chronic obstructive pulmonary disease
d. severe acute respiratory syndrome
Answer: c
Explanation:
a. adult respiratory distress syndrome: is not progressive and irreversible
b. hyaline membrane disease: is not progressive and irreversible
c. chronic obstructive pulmonary disease: correct
d. severe acute respiratory syndrome: is not progressive and irreversible

121. Which of the following conditions in children is characterized by a harsh cough?
a. hyaline membrane disease
b. infant respiratory distress syndrome
c. croup
d. cystic fibrosis
Answer: c
Explanation:
a. hyaline membrane disease: is not characterized by a harsh cough
b. infant respiratory distress syndrome: is not characterized by a harsh cough
c. croup: correct
d. cystic fibrosis: is not characterized by a harsh cough
122. Which term means “to inhale fluid or a foreign object into the airways”?
a. purulent
b. aspirate
c. rales
d. asphyxiate
Answer: b
Explanation:
a. purulent: means “containing pus”
b. aspirate: correct
c. rales: are abnormal crackling sounds made during inhalation

d. asphyxiate: to experience lack of oxygen that can lead to unconsciousness and death
if not corrected immediately
123. Which term means “containing pus”?
a. purulent
b. aspirate
c. rales
d. asphyxiation
Answer: a
Explanation:
a. purulent: correct
b. aspirate: to inhale fluid or foreign object into the airways
c. rales: abnormal crackling sounds made during inhalation
d. asphyxiation: lack of oxygen that can lead to unconsciousness and death if not
corrected immediately
124. Which term means “suffocation”?
a. purulent
b. aspirate
c. rales
d. asphyxiation
Answer: d
Explanation:

b. aspirate: to inhale fluid or foreign objects into the airways
c. rales: abnormal crackling sounds made during inhalation
d. asphyxiation: correct
125. Which term refers to crackling lung sounds?
a. purulent
b. rales
c. aspirate
d. asphyxiation
Answer: b
Explanation:
b. rales: correct
c. aspirate: to inhale fluid or foreign objects into the airways
d. asphyxiation: lack of oxygen that can lead to unconsciousness and death if not
corrected immediately
126. Which of the following statements regarding emphysema is NOT true?
a. It results from the destruction of alveolar walls.
b. It is associated with long-term smoking.
c. It may result in a collapsed lung.
d. Alveoli become overinflated.

Answer: c
Explanation:
a. It results from the destruction of alveolar walls: a true statement
b. It is associated with long-term smoking: a true statement
c. It may result in a collapsed lung: correct
d. Alveoli become overinflated: a true statement
127. Which term below is a condition that may result in a collapsed lung?
a. pneumothorax
b. rhonchi
c. ventilator
d. sputum
Answer: a
Explanation:
a. pneumothorax: correct
b. rhonchi: whistling sounds heard during inhalation or exhalation
c. ventilator: mechanical device to assist patients with breathing
d. sputum: mucus or phlegm coughed up and spit out from the respiratory tract
128. Which term below refers to mucus coughed up from the lungs?
a. pneumothorax
b. rhonchi
c. ventilator

d. sputum
Answer: d
Explanation:
a. pneumothorax: collection of air or gas in the pleural cavity that may result in a
collapsed lung
d. sputum: correct
129. Which of the following is a term for a machine that assists patients with breathing?
a. pneumothorax
b. rhonchi
c. ventilator
d. sputum
Answer: c
Explanation:
collapsed lung
c. ventilator: correct
130. Which term below describes whistling sounds during breathing?

a. pneumothorax
b. rhonchi
c. ventilator
d. sputum
Answer: b
Explanation:
collapsed lung
b. rhonchi: correct
131. Which of the following is NOT one of the vital signs?
a. respiratory rate
b. urine output
c. heart rate
d. blood pressure
Answer: b
Explanation:
a. respiratory rate: is a vital sign
b. urine output: correct
c. heart rate: is a vital sign
d. blood pressure: is a vital sign

132. A bronchodilator is a medication that causes the bronchi to:
a. narrow
b. secrete mucus
c. widen
d. tighten
Answer: c
Explanation:
a. narrow: bronchi do not narrow because of a bronchodilator
b. secrete mucus: bronchi do not secrete mucus because of a bronchodilator
c. widen: correct
d. tighten: bronchi do not tighten because of a bronchodilator
133. Cystic fibrosis (CF) also affects the ________________ system.
a. cardiovascular
b. urinary
c. digestive
d. reproductive
Answer: c
Explanation:
a. cardiovascular: the cardiovascular system is not affected by CF
b. urinary: the urinary system is not affected by CF
c. digestive: correct

d. reproductive: the reproductive system is not affected by CF
134. Which of the following terms is also called suffocation?
a. asphyxia
b. atelectasis
c. aspiration
d. hypoventilation
Answer: a
Explanation:
a. asphyxia: correct
b. atelectasis: is not called suffocation
c. aspiration: is not called suffocation
d. hypoventilation: is not called suffocation
135. Which of the following term means a high-pitched breathing sound?
a. rhonchi
b. epistaxis
c. stridor
d. rales
Answer: c
Explanation:
a. rhonchi: whistling sounds
b. epistaxis: nosebleed

c. stridor: correct
d. rales: crackling sounds
136. Mucus coughed up from the respiratory tract is called:
a. phlegm
b. croup
c. hemoptysis
d. sputum
Answer: d
Explanation:
a. phlegm: thick mucus secreted by mucous membranes
b. croup: acute viral infection in infants and children
c. hemoptysis: spitting up blood
d. sputum: correct
137. Which of the following conditions is NOT associated with long-term smoking?
a. emphysema
b. bronchogenic carcinoma
c. neither is associated with smoking
d. both are associated with smoking
Answer: d
Explanation:
a. emphysema: yes, but b is also correct

b. bronchogenic carcinoma: yes, but a is also correct
c. neither is associated with smoking: both are associated with smoking
d. both are associated with smoking: correct
138. Which of the following conditions is also known as hyaline membrane disease (HMD)?
a. infant respiratory distress syndrome
b. severe acute respiratory syndrome
c. cystic fibrosis
d. chronic obstructive pulmonary disease
Answer: a
Explanation:
a. infant respiratory distress syndrome: correct
b. severe acute respiratory syndrome: is not known as HMD
c. cystic fibrosis: is not known as HMD
d. chronic obstructive pulmonary disease: is not known as HMD
139. Which of the following conditions is a viral infection?
a. pleural effusion
b. influenza
c. emphysema
d. atelectasis
Answer: b
Explanation:

a. pleural effusion: is not a viral infection
b. influenza: correct
c. emphysema: is not a viral infection
d. atelectasis: is not a viral infection
140. Which of the following statements regarding ventilation-perfusion scans is NOT true?
a. It is a nuclear medicine image.
b. Radioactive dye is injected into the bloodstream.
c. It is particularly useful in diagnosing pneumonia.
d. Radioactive tagged air is inhaled.
Answer: c
Explanation:
a. It is a nuclear medicine image: a true statement
b. Radioactive dye is injected into the bloodstream: a true statement
c. It is particularly useful in diagnosing pneumonia: correct
d. Radioactive tagged air is inhaled: a true statement
141. Which of the following is an example of a TB test?
a. tine test
b. branch test
c. pulmonary function test
d. scratch test
Answer: a

Explanation:
a. tine test: correct
b. branch test: is not a TB test
c. pulmonary function test: is not a TB test
d. scratch test: is not a TB test
142. Which of the following has NOT been studied as a possible cause of SIDS?
a. sleep apnea
b. airway spasms
c. pulmonary emboli
d. all have been considered
Answer: c
Explanation:
a. sleep apnea: has been studied as a possible cause of SIDS
b. airway spasms: has been studied as a possible cause of SIDS
c. pulmonary emboli: correct
d. all have been considered: pulmonary emboli has not been studied as a possible cause
of SIDS
143. Which of the following conditions threatened a worldwide epidemic in 2003?
a. SARS
b. ARDS
c. SIDS

d. TPR
Answer: a
Explanation:
a. SARS: correct
b. ARDS: did not threaten a worldwide epidemic in 2003
c. SIDS: did not threaten a worldwide epidemic in 2003
d. TPR: did not threaten a worldwide epidemic in 2003
144. Which of the following conditions causes constriction of the bronchial airways by
bronchospasms?
a. emphysema
b. asthma
c. pneumoconiosis
d. adult respiratory distress syndrome
Answer: b
Explanation:
a. emphysema: results from destruction of alveolar walls leading to overinflated alveoli
b. asthma: correct
c. pneumoconiosis: abnormal condition of dust in the lungs
d. adult respiratory distress syndrome: respiratory failure in adults
145. Which of the following is an inherited condition?
a. emphysema

b. atelectasis
c. pleurisy
d. cystic fibrosis
Answer: d
Explanation:
a. emphysema: is not inherited
b. atelectasis: is not inherited
c. pleurisy: is not inherited
d. cystic fibrosis: correct
146. Which of the following conditions may cause an infarct in the lungs?
a. pulmonary fibrosis
b. pulmonary emboli
c. pulmonary edema
d. pneumonia
Answer: b
Explanation:
a. pulmonary fibrosis: does not cause an infarct in the lungs
b. pulmonary emboli: correct
c. pulmonary edema: does not cause an infarct in the lungs
d. pneumonia: does not cause an infarct in the lungs
147. Which serious lung infection causes the alveoli to fill up with fluid?

a. tuberculosis
b. pneumoconiosis
c. pneumonia
d. pulmonary embolism
Answer: c
Explanation:
a. tuberculosis: causes inflammation and calcification in the lungs
b. pneumoconiosis: abnormal condition of dust in the lungs
c. pneumonia: correct
d. pulmonary embolism: blood clot or air bubble that results in infarct of lung tissue
148. Which of the following conditions may result in a collapsed lung?
a. pulmonary embolism
b. tuberculosis
c. pleural effusion
d. pneumothorax
Answer: d
Explanation:
a. pulmonary embolism: blood clot or air bubble that results in infarct of lung tissue
b. tuberculosis: causes inflammation and calcification in the lungs
c. pleural effusion: presence of fluid or gas in the pleural cavity
d. pneumothorax: correct

149. Which condition is characterized by the destruction of the walls of the alveoli, which
results in overinflated air sacs?
a. emphysema
b. histoplasmosis
c. pneumoconiosis
d. empyema
Answer: a
Explanation:
a. emphysema: correct
b. histoplasmosis: not characterized by destruction of the walls of the alveoli
c. pneumoconiosis: not characterized by destruction of the walls of the alveoli
d. empyema: not characterized by destruction of the walls of the alveoli
150. Which of the following diagnostic tests is used to diagnose cystic fibrosis (CF)?
a. sweat test
b. spirometry
c. pulmonary angiography
d. sputum cytology
Answer: a
Explanation:
a. sweat test: correct
b. spirometry: not used to diagnose CF
c. pulmonary angiography: not used to diagnose CF

d. sputum cytology: not used to diagnose CF
151. Which of the following diagnostic tests is a nuclear medicine procedure especially useful
in identifying pulmonary emboli (PE)?
a. spirometry
b. polysomnography
d. ventilation-perfusion scan
Answer: d
Explanation:
a. spirometry: not used to identify PE
b. polysomnography: not used to identify PE
c. pulmonary function test: not used to identify PE
d. ventilation-perfusion scan: correct
152. Which of the following diagnostic procedures is a test for malignant cells?
a. sputum cytology
b. sputum culture and sensitivity
d. arterial blood gas
Answer: a
Explanation:

a. sputum cytology: correct
b. sputum culture and sensitivity: test for bacteria
c. pulmonary function test: used to determine pulmonary function
d. arterial blood gas: used to test levels of oxygen and carbon dioxide in the blood
153. Which of the following is a machine that breathes for a patient who is unable to breathe
on his or her own?
a. postural drainage
b. endotracheal intubation
c. resuscitation
d. ventilator
Answer: d
Explanation:
a. postural drainage: drainage of secretions from bronchi
b. endotracheal intubation: used to maintain open airways and facilitate artificial
ventilation
c. resuscitation: used to maintain blood flow and air movement
d. ventilator: correct
154. Which of the following is an emergency treatment given to patients when their breathing
and heart stops?
a. Heimlich maneuver
b. thoracentesis

c. cardiopulmonary resuscitation
d. intermittent positive pressure breathing
Answer: c
Explanation:
a. Heimlich maneuver: is used for choking
b. thoracentesis: is used to remove fluid from the thoracic cavity
c. cardiopulmonary resuscitation: correct
d. intermittent positive pressure breathing: used for ventilation to assist the lungs in
filling with air
155. Which therapeutic procedure uses gravity to encourage the removal of secretions from
the bronchi?
a. postural drainage
b. intermittent positive pressure breathing
c. thoracentesis
d. Heimlich maneuver
Answer: a
Explanation:
a. postural drainage: correct
b. intermittent positive pressure breathing: does not use gravity
c. thoracentesis: does not use gravity
d. Heimlich maneuver: does not use gravity

156. Which term means “surgical repair of the trachea”?
a. tracheotomy
b. tracheoplasty
c. trachectomy
d. tracheostomy
Answer: b
Explanation:
a. tracheotomy: incision into the trachea
b. tracheoplasty: correct
c. trachectomy: excision of the trachea
d. tracheostomy: artificial opening of the trachea
157. Which term means “small bronchi”?
a. bronchiolar
b. bronchiule
c. bronchial
d. bronchiole
Answer: d
Explanation:
a. bronchiolar: means “pertaining to the bronchiole”
b. bronchiule: is not correct usage
c. bronchial: means “pertaining to bronchi”
d. bronchiole: correct

158. Which term means “abnormal condition of “dust” in the lungs”?
a. pneumonia
b. pneumoconiosis
c. pneumothorax
d. pneumoectasis
Answer: b
Explanation:
a. pneumonia: inflammatory condition of the lung caused by bacterial or viral infection
b. pneumoconiosis: correct
c. pneumothorax: condition of air in the pleural cavity that may result in a collapsed
lung
d. pneumoectasis: dilated lung
159. Which term means “one who studies the lungs”?
a. pneumologist
b. pulmonology
c. pneumonologist
d. none of the above
Answer: d
Explanation:
a. pneumologist: not correct; the correct term is pulmonologist
b. pulmonology: not correct; the correct term is pulmonologist

c. pneumonologist: not correct; the correct term is pulmonologist
d. none of the above: correct
160. Which term means “process to measure breathing”?
a. oximetry
b. pneumometry
c. spirometry
d. bronchometry
Answer: c
Explanation:
a. oximetry: does not measure breathing
b. pneumometry: does not measure breathing
c. spirometry: correct
d. bronchometry: does not measure breathing
161. Which term means “abnormal condition of being blue”?
a. cyanosis
b. cyanitis
c. cyaniosis
d. cyanotic
Answer: a
Explanation:
a. cyanosis: correct

b. cyanitis: -itis means “inflammation”
c. cyaniosis: -osis means “abnormal condition”
d. cyanotic: -ic means “pertaining to”
162. Which term means “pleural pain”?
a. pleurodynia
b. thoracalgia
c. pleuritis
d. pleurectomy
Answer: a
Explanation:
a. pleurodynia: correct
b. thoracalgia: pain in the thorax
c. pleuritis: inflammation of the pleura
d. pleurectomy: excision of the pleura
163. Which of the following terms means “excessive (deep) breathing”?
a. hypopnea
b. tachypnea
c. hyperpnea
d. orthopnea
Answer: c
Explanation:

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8. A bisexual free form gives origin to a bisexual parasitic form living
in an animal: example, Leptodera appendiculata in Snails.
9. The eggs develop in the earth, and give rise to embryos which are
transferred whilst still in the egg-cell to the body of an animal. The
embryos hatch out and form bisexual parasites: examples, Oxyuris,
Trichocephalus.
10. The larvae live in insects, the sexual worms in water or in the
earth: example, Mermis.
11. The larva lives encapsuled and is passively transferred to a

second animal: examples, Ollulanus, from Mouse to Cat; Cucullanus
elegans, from Cyclops to Perch; Spiroptera obtusa, from Meal-worm
to Mouse.
12. The sexual form lives for a short time in the intestine of a
Vertebrate, and produces larvae which bore through the intestinal
wall and become encapsuled in the tissues: example, Trichina
spiralis.
13. The sexual animal lives in the trachea of birds; the ova
containing embryos are coughed up and are taken into other birds
with food. They quit the egg-shell and wander into the air-sacs, and
finally into the trachea: example, Syngamus.
14. There are two larval forms; the first lives in water, the second in
the lungs of Amphibia, whence they wander into the intestine and
become sexually mature: example, Nematoxys longicauda in Triton
alpestris.
Parasitism.
1. Effect of Parasitism on the Parasite.—The usual effect of
parasitism on the parasitic organism is that the various organs
necessary for a free life tend to degenerate, whilst there is a
multiplication and development of organs of adhesion, by means of
which the parasite maintains its hold on its host. There is further an
immense increase in the powers of reproduction, which may take the
form of an increase in the number of fertilised eggs produced, or the
parasite may at some time of its life reproduce asexually, by
budding, or fission, or parthenogetically.
Of the various classes of animals which are more or less parasitic,

the Nematodes show less difference between the free-living and
parasitic members of the group than obtains in any other class. With
few exceptions, such as Sphaerularia, Allantonema, and one or two
others, the parasitic forms have undergone but little degeneration. It
is true that they have no eyes such as the free forms often possess,
but in other respects, such as in the nervous, muscular, and
digestive systems, they do not show any marked retrogression;
further, the mouth-armature is developed in many free forms, and is
not confined to the parasites.
The group has developed no methods of asexual reproduction by

budding or fission, such as are found in Platyhelminthes; and the
cases of an alternation of generations in which a sexual form
alternates with a parthenogenetic form, are rare, e.g. Rhabdonema
nigrovenosum; and it seems possible that even when
parthenogenesis has been described, further observation may show
that the parthenogenetic stage is really a protandrous
hermaphrodite, in which case the alternation of generations in
Nematodes, i.e. the hermaphrodite alternating with the dioecious
form, is a case of heterogamy or the alternation of two sexual
generations.
On the other hand, parasitic Nematodes produce enormous numbers

of eggs. Van Beneden states that 60,000,000 have been computed
in a single Nematode, and this multiplication of ova is absolutely
necessary, for the chance of the embryo reaching the right host, in
which alone it can develop, is always a small one.
It is a common thing to find that parasites are either hermaphrodite

or that the male is degenerate, as is the case with many of the
parasitic Crustacea, but with one or two exceptions the Nematoda
are bisexual, and although, as a rule, the males are smaller than the
females, they show no other trace of degeneracy.
In spite of the fact that the class as a whole shows but few special
modifications consequent on a parasitic mode of life, it is clear that
the Nematoda are peculiarly adapted for such a mode of life. Their
elongated thread-like bodies afford little resistance to the passage of
the food, which, as it passes through the intestine of the host, might
tend to carry the parasites out of the body. At the same time their
shape enables them to pierce and wriggle through the various
tissues without making any very serious lesions such as might prove
fatal to their host. Their extraordinary power of resisting desiccation
both in the egg and in the adult state vastly increases their chances
of ultimately hitting on the right host. They are capable of living in a
state of suspended animation for months, and even years when
dried (vide p. 136), and of resuming their activity on being
moistened.
The great faculty this group shows for living parasitically is evinced
by the extraordinary variety of life-history presented by the different
species. There is scarcely a stage which may not be parasitic; the
eggs, the larvae, the adults are all in some cases free, in others
parasitic, and in many cases first the one and then the other.
2. Occurrence and Effect of the Parasite on the Host.—Von

Linstow states that the only law that can be derived inductively from
the study of the life-history of Nematodes is that those that live in
animals never pass through all their stages of development in the
same organ; consequently, in considering the distribution of the
parasites within the body of their host we have a double habitat to
consider. Many forms, such as Trichina spiralis, wander from the
intestine to the muscles; others, such as Filaria medinensis, from the
alimentary canal to the lymphatics or blood vessels or subcutaneous
tissues. Others pass from the body-cavity to the intestine, as the
Mermithidae, which infest Insects, or from the stem and leaves of a
plant to its flower, as in the case of Tylenchus tritici.
With regard to their occurrence in the different classes of the animal

kingdom, they have been most frequently observed in Vertebrates
and in Insects. They are comparatively rare in the other large
divisions. Many genera are confined to certain hosts: thus Ascaris,
Filaria, Trichosoma occur only in Vertebrates; Spiroptera (with one
exception) in Mammals and Birds; Cucullanus in Fishes and
Amphibia; Strongylus and Physaloptera in Mammals, Birds, and
Reptiles; Dochmius, Pseudalius, Trichocephalus in Mammals;
Dispharagus, Hystrichis, Syngamus in Birds; Nematoxys, Hedruris in
Amphibia and Reptiles; Ichthyonema in Fishes; and Isacis and
Mermis in Insects.
Twenty-two species have been described as parasitic in man, of

which perhaps the most dangerous are Filaria medinensis, the three
varieties of F. sanguinis hominis; Dochmius (Ancylostomum)
duodenalis, and Trichina spiralis. The Ascaridae, as Ascaris
lumbricoides and Oxyuris vermicularis, though painful, seldom cause
death.
The enormous number of parasites harboured by one host is shown

by the fact mentioned in Leuckart's Parasites of Man, that
Nathusius[203] took from a single black stork 24 specimens of Filaria
labiata from the lungs, 16 Syngamus trachealis from the trachea,
more than 100 Spiroptera alata from the coats of the stomach,
besides several hundred Trematodes belonging to several different
species (see p. 63). Even this has been surpassed in the case of a
young horse, in whose body Krause found 500 Ascaris
megalocephala, 190 Oxyuris curvula, several millions of Strongylus
tetracanthus, 214 Sclerostomum armatum, 287 Filaria papillosa, 69
Taenia perfoliata, and 6 Cysticercus forms.
It is impossible here to enter into a full description of the destruction

caused to domesticated animals and crops by the presence of these
parasites; full details will be found in books dealing especially with
this question, such as Neumann's Parasites and Parasitic Diseases
of Domesticated Animals. A couple of cases will show how important
this matter is to the farmer. Crisp estimates that Syngamus trachealis
causes the death of half a million pullets in England every year, and
Mégnin states that in a single pheasantry 1200 victims died daily;
again, the loss of one-third the crop of beetroot is by no means
uncommon when it is infested with Heterodera schachtii. These
show the practical importance of what at first sight seem quite
insignificant animals, and the necessity for the minutest observation,
for only when we are fully acquainted with all the details of the life-
history of a parasite are we in a position to successfully combat it.
Sub-Order II. Nematomorpha.
Until the last few years it has been customary to regard the
Gordiidae as a family of Nematodes. Although in external
appearance and life-history they closely resemble the members of
this group, yet recent research has shown so many important
morphological differences between them and the Nematoda, that
most zoologists are now agreed in placing them in a different sub-
Order, the Nematomorpha, a name first suggested by Vejdovsky.[204]
Fig. 82.—A water plant around which a female Gordius is twining and
laying eggs. a, a, Clump and string of eggs. (From von Linstow.
[205])
The Gordiidae comprise but two genera, Gordius and Nectonema.

The latter has but one species, N. agile Verr., and is marine; the
former, on the other hand, is exclusively fresh-water, and contains a
very large number of species. Gordian worms are frequently to be
found in ditches, ponds, or large puddles, moving with an undulating
motion through the water, or twining and writhing round water-plants;
they are scarcer in running water. In shape they are like a piece of
thin whip-cord, slightly tapering at each end; the male, however, is
easily distinguished from the female by its forked tail (Fig. 89). Not
unfrequently a considerable number are found inextricably tangled
together into a knot, and the name of the genus refers to this fact.
Where numbers have suddenly appeared in water hitherto free from
them, legends have sprung up which attribute their presence to a
rain of worms; in reality they have come out of the bodies of Insects
in which they are parasitic for the greater part of their life.
The genus Gordius passes through three distinct stages, of which

the first two are larval and parasitic; the third is sexually mature and
lives in water. The second larval stage closely resembles the adult,
but the reproductive organs are not developed. The following
account of the structure of this larval form and of the adult is in the
main taken from von Linstow.[206]
The whole body is covered with a well-developed two-layered

cuticle, which in the adult is marked out into areas, and bears
numerous minute sensory bristles, which are especially developed in
the neighbourhood of the cloaca of the male. Beneath this is a
hypodermis which differs markedly from the sub-cuticle of
Nematodes, inasmuch as it consists of a single layer of polygonal
nucleated cells. Within this lies a single layer of longitudinal muscle-
cells, which differ from the corresponding layer of Nematodes in
having that part of their medulla which is not surrounded by the
contractile portion directed outwards towards the hypodermis, and
not inwards towards the body-cavity.
Fig. 83.—Transverse section through a young male Gordius tolosanus
Duj. (From von Linstow.) Highly magnified. a, Cuticle; b,
hypodermis; c, muscular layer; d, parenchyma; e, alimentary
canal; f, nervous system; g, cells of the testis.
The body is in the younger stages practically solid, the interior being
filled with clearly defined polygonal cells which are arranged in
definite rows; in later life certain splits arise in this tissue which
subserve various functions; between these splits strands of tissue
are left which form mesenteries, and some of the cells remain lining
the muscular layer (Fig. 86). These cells have been described by
Vejdovsky as a definite somatic, peritoneal epithelium, but this was
not found by von Linstow. Besides forming the mesenteries, and
acting as packing between the various organs of the body, these
cells also form the ova and the spermatozoa.
The splits which have appeared when the animal has reached the
second larval stage, are two dorsal and a ventral; the latter contains
the alimentary canal, and may be termed the body-cavity, the former
will develop the generative organs. The mouth is occluded in the
older larvae, and in the adults there is a distinct but solid
oesophagus which passes into a tubular intestine. The intestine
consists of a single layer of cells surrounding a lumen; it runs straight
to the hinder end of the body, where it opens in both sexes with the
ducts of the reproductive organs.
The nervous system consists of a well-defined circumoesophageal

ring with two dorsal swellings, and, arising from this, a median
ventral cord which runs the whole length of the body. The cord
consists of three longitudinal strands with ganglionic cells below
them; the latter, though they lie within the muscle layer, maintain a
connexion with the hypodermis. Behind, the nerve-cord splits in the
male, one half passing into each caudal fork. In the adult a pair of
black eyes can be detected on the head; the only other sense
organs are the tactile bristles mentioned above. Excretory organs
are unknown.
Fig. 84.—Section through a young female Gordius tolosanus. (From

von Linstow.) a, Cuticle; b, hypodermis; c, muscular layer; d,
parenchyma; e, alimentary canal; f, nervous system; g, egg-sac;
h, ovary.
The generative organs only attain maturity in the adult, which is, in
fact, exclusively devoted to reproduction. No trace of testes is found
in the larva, though the two dorsal splits from the walls of which the
spermatozoa will arise are present. They are lined by a definite
epithelium (Fig. 83), and this serves at once to distinguish them from
the body-cavity. Posteriorly the splits narrow and become the two
vasa deferentia which open one on each side into the cloaca. The
cells lining the lumen give rise to secondary cells, and these become
spermatozoa, the process extending from behind forwards. The
external organs—bursa, etc.—described by Vejdovsky were not
found by von Linstow.
Fig. 85.—Section through a mature female Gordius tolosanus. (From

von Linstow.) Lettering as in Fig. 84; g, egg-sac; h, ovary.
Fig. 86.—Section through a female Gordius tolosanus when the
deposition of ova is almost complete. a, b, c, d, e, and f, as in Fig.
84; g, egg-sac; h, ovary almost empty; i, dorsal canal containing
eggs; j, receptaculum seminis.
In the female larva two similar splits are present; these form the egg-
sacs. Posteriorly they end in two short oviducts which open into a
uterus, in which fertilisation takes place, and in which the secretion
arises which cements the eggs together. In the adult the ovaries and
a receptaculum seminis are found, in addition to the organs present
in the larva. The ovaries are formed from modifications of the
packing tissue; they begin close behind the head, and soon attain
such dimensions as to compress the egg-sacs and body-cavity to
small slits. After a time the wall between the ovary and the egg-sacs
becomes absorbed, and the eggs grow into the latter. In the old
females, where the egg sacs are empty, there is a considerable
space round the exhausted ovary, into which eggs continue to fall
off; there is also a median dorsal canal which contains a few eggs.
By this time the wall between the ovary and the egg-sac has again
appeared.
One of the most interesting points about the female is that, according
to Vejdovsky, the ovary is segmented, the cells which form the ova
being heaped up in segmentally-arranged masses. This observation,
if correct, is almost the only instance of segmentation recorded in the
group Nemathelminthes.
Fig. 87.—Nectonema agile Verrill. A, The adult. Magnified. (After
Fewkes.) B, Longitudinal section through the head. × about 20.
(From Bürger.) a, Mouth; b, circumoesophageal commissure
(dorsal); c, cell of salivary gland; d, septum cutting off head from
rest of body; e, testis; f, ventral cord; g, oesophageal cells; h,
lumen of oesophagus; i, cerebral ganglion (ventral).
The only other genus which is associated with Gordius in the group
Nematomorpha is Nectonema, of which there is as yet but one
species known, Nectonema agile Verr.[207] Our knowledge of the
anatomy of this worm is due mainly to Bürger[208] and Ward.[209]
Nectonema is a marine worm found swimming near the surface of
the sea with rapid undulatory motion. The males are from 50 to 200
mm. long, the females from 30 to 60 mm. The body is faintly ringed,
and bears two rows of fine bristles on each side. Owing to a curious
torsion of the body through a right angle, the lateral bristles of the
anterior third seem to be placed in the ventral and dorsal middle line.
They are very easily broken off. The body is divided into a small
anterior and a large posterior chamber by a transverse septum
placed a little way behind the head. The anterior chamber contains
the brain and is lined by a definite epithelium, the posterior is not.
The layers of the skin correspond with those of Nematodes or of
Gordius, but the hypodermal cells show no cell outlines; still they are
not so modified as in the former group. The hypodermis is thickened
in the median dorsal and ventral line, and the single nerve-cord lies
in the latter.
The alimentary canal is degenerate, as in Gordius. A mouth exists,

but it is minute, and opens into a very fine tube lined with chitin,
which pierces through the substance of a single elongated cell. This
minute oesophagus, with its coextensive cell, reaches back to the
transverse partition, but behind this a few other cells become
associated with it, and ultimately the lumen of the alimentary canal is
surrounded by four cells; but the number diminishes behind, and
soon only two cells surround the tube at any one level, and the
intestine dwindles away some little distance in front of the tail. There
is no sign of an anus. A circumoesophageal nerve-ring exists, of
which the ventral part is by far the larger (Fig. 87); it gives off a
ventral nerve-cord, which swells posteriorly in the male into a large
anal ganglion, far bigger than the brain, and larger in the male than
in the female.
The testes consist of a dorsally placed sac, continuous behind with a

vas deferens; this opens at the posterior end, which is pointed and
slightly curved ventrally. The ovary is unknown; but females have
been found with their body-cavity crammed with ova; these escape,
like the spermatozoa, from a genital pore at the posterior end of the
body.
Classification.—The separation of the Nematomorpha from the

Nematoda depends mainly on the character of the nervous system,
the absence of the lateral lines and of the dorsal line, the character
of the contents of the body-cavity, and the character of the
reproductive organs. In Gordiidae the latter are always placed dorsal
to the intestine, and ovaries and testes open alike at the hinder end
of the body. The importance of the differences in the organs just
enumerated has been considered sufficient to justify the removal of
the Gordiidae from the Nematoda, and the establishment of the
special sub-Order Nematomorpha for their reception; and although
Nectonema has a dorsal line, and is in some other respects
intermediate between the two groups, there can be little doubt that it
is more closely allied to Gordius than to any member of the
Nematoda, and it must therefore be placed with it in the
Nematomorpha.
On the other hand, it ought to be mentioned that Camerano[210]
found that the chief details of the fertilisation and development of the
egg in Gordius closely conform with what is known of the same
processes in Nematodes, and he is of opinion that these
resemblances are sufficiently important to justify the retention of the
group among the Nematoda.
Life-History.—The life-history of Gordius comprises four stages—

the early development of the egg, the first larval form, the second
larval form, and the sexually mature form. Both larval forms are
parasitic, and during their life they are actively engaged in feeding;
the free form, on the other hand, takes in no nourishment, and is
exclusively engaged in reproduction.
Fig. 88.—Abdomen of Pterostichus niger with the terga removed to

expose the Gordius larva within. Slightly magnified. (From von
Linstow.)
Von Linstow[211] gives the following account of the life-history of G.

tolosanus, a form which has been more fully worked out than any
other. In the month of April numerous specimens of the beetle
Pterostichus niger were found floating on the surface of the ditches
and small ponds in the fields surrounding Göttingen. Some were
found dead or dying; others appeared quite healthy, and these were
swimming actively, endeavouring to reach land. Within the abdomen
of these beetles, in about 20 per cent of those collected, the second
larval form of the G. tolosanus was found. The longest larvae were
122 mm. in length, and very soft, partly snow-white and partly brown
in colour; traces of the boring apparatus of the first larval form were
still to be seen, but in other respects the larva only differed from the
free form in the immaturity of its sexual organs. Besides the parasite
hardly anything was to be found in the abdomen of the beetle, the
larva having eaten up all trace of the fat body and the generative
organs of its host. The larvae bored their way out of the body of the
beetle and became adult animals.
It is rather difficult to say what brings these essentially terrestrial

beetles to the water, but von Linstow suggests that, as they live
partly on snails, and at this time of year there are not many land-
snails about, they may be in search of water-snails such as Limnaea.
They may also be sometimes blown into the water by wind storms,
but, whatever the cause is, their presence in water is essential for
the continuance of the life of their parasites.
Once free in the water the Gordius is soon sexually mature; the
fertilisation takes place in April, and then the female may be seen
twisting and writhing round the stems of water-plants and laying the
long bead-like strands of eggs (Fig. 82). The first deposition
observed by von Linstow took place on 14th April, the last on 2nd
August, and the period of egg-laying for each female extended over
four weeks. At first the eggs are snow-white, but within twenty-four
hours they turn brown in colour.
The development of the first larva within the egg takes about a
month. When it emerges from the egg-shell it is minute, .065 mm.
long, ringed anteriorly, and provided with a protrusible and retractile
boring apparatus consisting of three chitinous rods; round the base
of this piercing proboscis is a double crown of papillae, each bearing
a spine (Fig. 90).
Fig. 89.—The tail ends of a female Gordius (a) and a male (b) in
copula. × 1.5. (From G. Meissner.[212])
This first larval form breaks through the egg-shell and sinks to the
bottom of the water, where it moves about sluggishly and awaits the
arrival of the right host in which to take up its abode. This host is the
larva of the Alder-fly, Sialis lutaria Lin. (vide vol. v. p. 444), and into
this it bores and comes to rest in the muscles or the fat body. It does
not form distinct capsules. It remains in this larva during the following
winter, and in the spring passes over into the imago Sialis. The
complete insect frequents the small plants growing along the water's
edge, and falls an easy prey to the predaceous beetle Pt. niger. The
larva is eaten, and undergoing a change becomes the second larval
form mentioned above. It remains in the body of the beetle during
the second winter, and finally returns to the water as the adult some
eighteen or twenty months after it has been hatched from the egg.
Fig. 90.—Embryo or first larval form of Gordius tolosanus taken from

the egg. Highly magnified. a and b, The bristle-bearing papillae on
the head; c, the boring apparatus. (From von Linstow.)
From the above account of the life-history of Gordius it will be seen

that the chances of an egg reaching maturity are comparatively
small, and to compensate for this a very large number of eggs are
laid. In addition to the risk of the larvae not finding the right host at
the right time, and of the first host not being eaten by the second,
and the second not being drowned, there is the danger that the
ditches and ponds in which the adults live may dry up, and, in fact,
great numbers of worms perish by this taking place.
The sex of the adults may be told from their colour, the males being
of a blackish brown, the females of a light clay brown; the former
average 120 mm. in length, the latter 170 mm. The males are also
more numerous, the proportion being seven to three. Camerano[213]
has drawn attention to the fact that there is a certain polymorphism
in size, form, and colour which is especially common amongst the
males; dwarf forms with mature reproductive organs exist, and he is
of opinion that these differences depend both on the size of the
second host and on the duration of the parasitic life.
In addition to the larva of Sialis lutaria, the first larval stage has also
been found in the larva of Ephemera, Tanypus, Corethra, and
Chironomus; the second in Carabus hortensis Fabr., Procerus
(Carabus) coriaceus Linn., Calathus fuscipes Goeze, Molops elatus
Fabr., several species of Pterostichus, and a number of other
beetles. It is probable that its normal hosts are S. lutaria and Pt.
niger, but it is clear that it often comes to rest in other insects. The
view that the Gordiidae have no special hosts, but may either pass
the whole of their life-history within one and the same animal, or, on
the other hand, may inhabit animals belonging to very different
groups, is held by Villot, who has paid great attention to the subject.
He finds the first larval form encysted in the walls of the alimentary
canal in fishes, such as Leuciscus phoxinus, the minnow, Cobitis
barbatula, the loach, and Petromyzon planeri, the lamprey; in the
larvae of Diptera, Ephemera, and beetles, in Planorbis (a water
snail), in Enchytraeus (an Oligochaet); the second larval form in all
kinds of insects, spiders, Crustacea, fish, frogs, birds (Otis), and in
man, and these various habitats lead him to the conclusion that "Les
Gordiens n'ont pas d'hôtes spéciaux." On the other hand, as von
Linstow points out, it is contrary to our knowledge of parasites that a
single species should develop equally well in the body of warm and
cold-blooded Vertebrates and of Insects, and the explanation of the
presence of the larvae in these various forms may either be that they
belong to different species of Gordius or, more probably, that they
are accidentally present, having passed into their hosts with drinking
water.
Fig. 91.—Tarsal joint of an Ephemerid larva into which two Gordius
larvae (a, a) have penetrated. Magnified. (From G. Meissner.)
The number of species of Gordius is large; over 100 are enumerated

in the Compendium der Helminthologie,[214] the great majority of
which inhabit insects.
The life-history of Nectonema is practically unknown; the adults have

been found swimming near the surface of the sea at two places only:
Newport, R.I., and Wood's Holl, Mass., on the south coast of New
England. It has been fished close to the shore, from the end of June
to the beginning of October, when the tide is going out at evening
and there is no moon. This seems to indicate that it avoids the light.
When first caught the worms move actively about, coiling themselves
into figures of eight and then uncoiling; at the same time there is a
rhythmical movement caused by waves of muscular contraction
passing down each side of the body alternately; by this kind of
motion they make rapid and definite progress through the water.
It seems probable that the adult Nectonema is preceded by one or

more larval stages, and what appears to be a young form has been
obtained from the thoracic cavity of a prawn, Palaemonetes,[215]
which has thus some claim to be regarded as the host of this
species, but nothing is known about its early life-history.
Sub-Order III. Acanthocephala.
The Acanthocephala, which form the third class of the

Nemathelminthes, consists of but few genera; there are, however,
numerous species of very different size, varying from 10 to 65 cm.
long in the female Gigantorhynchus (Echinorhynchus) gigas, to quite
minute forms a few millimetres in length. The adult stage occurs in
the alimentary canal of Vertebrates, as a rule in those which live in,
or frequent water; the larvae are found in the bodies of certain
Invertebrates, very frequently small Crustacea.
Fig. 92.—Two specimens of Echinorhynchus proteus Westrumb., with

their anterior ends embedded in the wall of the intestine of a Pike.
Magnified with a lens. (From Hamann.)
Anatomy.—The body of the mature forms can usually be divided

into three sections—the proboscis, the neck, and the trunk, but the
middle region is not always discernible. The proboscis is armed with
rings of hooks (Fig. 93) arranged in longitudinal rows; they are
usually of two kinds, but in E. proteus of three. They have a certain
specific value, but not much stress can be laid on the number of
rings, e.g. in E. angustatus the number varies from eight to twenty-
four. The recurved hooks serve to fasten the parasite very firmly to
the tissues of the host. The proboscis is hollow and retractile; it can
be withdrawn into the body by means of muscles attached internally
to its tip. It does not, however, pass straight into the body-cavity, but
is retracted into a special cavity—the proboscis sheath—with a
double muscular wall. The proboscis sheath may perhaps be looked
upon as a septum, such as is found in some of the Nematomorpha,
dividing the body-cavity into two parts. It is inserted into the body-
wall at the junction of the neck and trunk or of the proboscis and
trunk. In addition to the muscles which withdraw the proboscis into
its sheath, there are two retractors running from the outside of the
sheath to the body-wall; these serve to retract the whole sheath and
its contents into the body-cavity of the trunk.
The structure of the skin is essentially like that of Nematodes, but the
details are much more complicated. The whole body is covered by a
thin cuticle secreted by the epidermis, which, as in the other groups,
breaks down and forms a syncytium called the sub-cuticle. The
minute fibrils which penetrate this layer are much more definitely
arranged than in Nematodes; the largest of them run from without
inwards, others run concentrically round the body. Large oval or
spherical nuclei are scattered in the sub-cuticle, which is further
honeycombed by a number of lacunae or spaces which are
described below.
Fig. 93.—A, Five specimens of Echinorhynchus acus Rud. attached to

a piece of intestinal wall, × 4; B, the proboscis of one still more
highly magnified.
Within the sub-cuticular layer is found a sheath of circularly-arranged

muscle-fibres, and within this again a sheath of longitudinal muscles
which do not extend into the proboscis; this inner layer lines the
body-cavity, there being no epithelium within it. In their minute
structure the muscle-cells resemble those of Nematodes.
The canals in the sub-cuticle form a very curious system of

anastomosing spaces, in which a clear fluid containing fat globules
circulates. The extent to which the system is developed varies in
different species, but in all there is a pair of longitudinal canals which
are situated laterally, and which give off the subsidiary channels in
their course. The above description applies to the lacunar spaces in
the skin of the trunk; those of the proboscis are quite distinct, and
there is no communication between the two sets of spaces; in fact,
the sub-cuticle in which the lacunae are formed is not continuous
across the line of junction of the proboscis and the neck, or, when
the latter is absent, of the proboscis and the trunk, but it is
interrupted by the ingrowth of a thin ring of cuticle which reaches
down to the muscular layers (Fig. 94).
Fig. 94.—A longitudinal section through the anterior end of

Echinorhynchus haeruca Rud. (From Hamann.) a, The proboscis
not fully expanded; b, proboscis-sheath; c, retractor muscles of
the proboscis; d, cerebral ganglion; e, retinaculum enclosing a
nerve; f, one of the retractors of the sheath; g, a lemniscus; h, one
of the spaces in the sub-cuticular tissue; i, longitudinal muscular
layer; j, circular muscular layer; k, line of division between the
sub-cuticular tissue of the trunk and that of the proboscis with the
lemnisci.
All the spaces in the skin of the proboscis open ultimately into a
circular canal situated round its base; on each side the canal opens
into a sac-like structure which extends through the body-cavity
towards the posterior end of the animal. These two lateral diverticula
are termed the lemnisci. They have always attracted considerable
attention from the workers at the group, and numerous functions
have from time to time been attributed to them. They are more or
less hollow, and their walls consist of sub-cuticular tissue surrounded
with a scanty muscular coat; they contain the same fluid as the
lacunae of the skin of the proboscis, with which they are placed in
communication by means of the circular canal; and it seems most
probable that, as Hamann[216] suggests, they act as reservoirs into
which the lacunar fluid retires when the proboscis is retracted, and
which, by means of the contractions of their muscular coat, force the
fluid into the lacunae when the proboscis is everted, and thus aid in
its protrusion.
The parasitic habits of Echinorhynchus have had a deeper influence

on the structure of the body than is the case with the Nematoda. All
traces of an alimentary canal have disappeared, and the animals live
entirely by the imbibition through the skin of the already elaborated
fluids of their hosts. The power of absorbing fluids is shown by the
fact that they swell up and become tense when placed in fresh water.
Until recently no definite excretory organs had been recognised, and

the function of excreting the nitrogenous matter was by some
assigned to the lemnisci. In 1893 Kaiser[217] described in G. gigas
two organs which he called nephridia, placed dorsally to the ducts of
the male and female reproductive organs. Each nephridium, which
somewhat resembles a cauliflower, consists of a stalk or duct,
opening at one end into the reproductive ducts, and at the other
branching and breaking up into a number of secondary and tertiary
twigs. The end of each twig is closed by a membrane pierced with a
number of most minute pores, by means of which it communicates
with the body-cavity; on the inner side the membrane bears a
number of long cilia, which keep up an active flickering. The
presence of these cilia is interesting, as elsewhere they are unknown
throughout the Nemathelminthes.
Fig. 95.—A, A longitudinal section through the terminal twigs of the

nephridium of Gigantorhynchus gigas. (From J. E. Kaiser.) Highly
magnified. a, Nucleus. B, A terminal twig more highly magnified;
b, the porous membrane.

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1st Edition Frucht Test Bank

your answer. For example, the prefix meaning “two” is bi-.

1. The combining form that means air sac is ____________________.

Answer: alveol/o; alveolo

2. The combining form that means blue is ____________________.

Answer: cyan/o; cyano

3. The combining form that means incomplete is ____________________.

Answer: atel/o; atelo

Answer: bronchi/o; bronchio

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Answer: bronchiol/o; bronchiolo

6. The combining form that means dust is ____________________.

Answer: coni/o; conio

7. The combining form that means mediastinum is ____________________.

Answer: mediastin/o; mediastino

8. The combining form that means chest is ____________________.

Answer: thorac/o; thoraco

9. A combining form that means lobe is ____________________.

Answer: lob/o; lobo

10. The combining form that means fibrous is ____________________.

Answer: fibr/o; fibro

11. The combining form that means straight is ____________________.

Answer: orth/o; ortho

12. The combining form that means oxygen is ____________________.

Answer: ox/i; oxi

13. A combining form that means pus is ____________________.

Answer: py/o; pyo

14. The combining form that means pleura is ____________________.

Answer: pleur/o; pleuro

15. The combining form that means lung or air is ____________________.

Answer: pneum/o; pneumo

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Answer: pulmon/o; pulmono

17. The combining form that means cancer is ____________________.

Answer: carcin/o; carcino

18. The combining form that means breathing is ____________________.

Answer: spir/o; spiro

19. The combining form that means trachea is ____________________.

Answer: trache/o; tracheo

20. The suffix that means puncture to withdraw fluid is ____________________.

Answer: -centesis; centesis

21. The suffix that means dilated or expansion is ____________________.

Answer: -ectasis; ectasis

22. The suffix that means instrument to measure is ____________________.

Answer: -meter; meter

23. The suffix that means create a new opening is ____________________.

Answer: -ostomy; ostomy

24. The suffix that means breathing is ____________________.

Answer: -pnea; pnea

25. The suffix that means spitting is ____________________.

Answer: -ptysis; ptysis

26. The suffix that means chest is ____________________.

Answer: -thorax; thorax

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Answer: dys-; dys

28. The prefix that means within is ____________________.