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Building a Medical Vocabulary 9th

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Chapter 06: Respiratory System
Test Bank

MULTIPLE CHOICE

1. Which of the following adjectives describes the patient?


a. Dyspneic
b. Apneic
c. Hyperpneic
d. Hypopneic
ANS: C REF: 214
OBJ: Match terms for respiratory system pathologies with their meanings, or write the names of the
pathologies when given their descriptions. TOP: Respiratory System

2. Which word means increased aeration of the lungs?


a. Hyperpnea
b. Hyperventilation
c. Inspiration
d. Alkalosis
ANS: B REF: 214
OBJ: State the function of the respiratory system, and analyze associated terminology.
TOP: Respiratory System

3. Which of the following is caused by hyperpnea?


a. Retention of carbon dioxide
b. Excretion of carbon dioxide
c. Acidity of the body
d. Acidity of the blood
ANS: B REF: 214
OBJ: Use word parts from this chapter to define terms in a health care report.
TOP: Respiratory System

4. Which of the following is true regarding alkalosis?


a. It is excessively basic properties of body fluids.
b. It may result from accumulation of acids in the body.
c. It decreases the pH of body fluids.
d. It may be caused by dyspnea.
ANS: A REF: 214
OBJ: Use word parts from this chapter to define terms in a health care report.
TOP: Respiratory System

5. What is a direct result of hyperventilation?


a. It adjusts the acid–base balance of the inspired air.
b. It decreases the pH of the body.
c. It increases the amount of carbon dioxide in the inspired air.
d. It reduces the amount of carbon dioxide in the blood.
ANS: D REF: 214
OBJ: Match terms for surgical and other therapeutic interventions for respiratory system pathologies
with descriptions of the interventions, or write the names of the interventions when given their
descriptions. TOP: Respiratory System

6. What is the serous membrane that lines the walls of the thoracic cavity?
a. Visceral pleura
b. Parietal pleura
c. Visceral peritoneum
d. Parietal peritoneum
ANS: B REF: 208
OBJ: Write the names of the structures of the respiratory system when given their descriptions,
define the terms associated with these structures, and label the structures.
TOP: Respiratory System

7. Which of the following is the correct sequence for passage of air to the lungs? (Some
structures are not included.)
a. Pharynx, larynx, trachea, alveoli
b. Pharynx, trachea, larynx, alveoli
c. Trachea, alveoli, bronchiole, bronchus
d. Trachea, bronchiole, bronchus, alveoli
ANS: A REF: 204
OBJ: Write or recognize the sequence of the flow of air from the atmosphere through the respiratory
structures. TOP: Respiratory System

8. What is the uppermost part of the pharynx?


a. Oropharynx
b. Hypopharynx
c. Nasopharynx
d. Laryngopharynx
ANS: C REF: 207
OBJ: Write the names of the structures of the respiratory system when given their descriptions,
define the terms associated with these structures, and label the structures.
TOP: Respiratory System

9. There are several compensatory mechanisms in the body that help regulate the acid–base
balance. Which of the following is a major way in which the lungs accomplish this task?
a. By regulating the retention or excretion of carbon dioxide
b. By regulating the retention or excretion of water
c. By stimulating the kidneys to excrete either acidic or alkaline urine
d. By stimulating the bicarbonate buffer system
ANS: A REF: 204
OBJ: State the function of the respiratory system, and analyze associated terminology.
TOP: Respiratory System

10. Which of the following is not true of chronic obstructive pulmonary disease?
a. It is a disease process that decreases the ability of the lungs to perform their
ventilatory function.
b. It can result from many disorders such as emphysema or chronic asthma.
c. It is also called chronic obstructive lung disease.
d. It is an inherited disease generally characterized by infection and disorders of other
organs.
ANS: D REF: 223
OBJ: Match terms for respiratory system pathologies with their meanings, or write the names of the
pathologies when given their descriptions. TOP: Respiratory System

11. What does phrenitis mean?


a. Inflamed diaphragm
b. Paralyzed diaphragm
c. Inflamed chest
d. Sagging chest
ANS: A REF: 215
OBJ: Write the meaning of the word parts associated with the respiratory system, and use the word
parts to build and analyze terms. TOP: Respiratory System

12. What does phrenodynia mean?


a. Painful chest
b. Prolapsed chest
c. Painful diaphragm
d. Prolapsed diaphragm
ANS: C REF: 215
OBJ: Write the meaning of the word parts associated with the respiratory system, and use the word
parts to build and analyze terms. TOP: Respiratory System

13. What does expectorate mean?


a. To cough up and spit out sputum
b. To expel air from the lungs
c. To hollow out
d. To shed tissue in scales or layers
ANS: A REF: 224
OBJ: Match terms for respiratory system pathologies with their meanings, or write the names of the
pathologies when given their descriptions. TOP: Respiratory System

14. Which of the following means a reduction of oxygen in body tissues to levels below those
required for normal metabolic functioning?
a. Bradypnea
b. Bronchiectasis
c. Hypoxia
d. Tracheostenosis
ANS: C REF: 213
OBJ: Match terms for respiratory system pathologies with their meanings, or write the names of the
pathologies when given their descriptions. TOP: Respiratory System

15. Which term means between the air sacs of the lungs?
a. Intrapleural
b. Interpleural
c. Intraalveolar
d. Interalveolar
ANS: D REF: 208
OBJ: Write the names of the structures of the respiratory system when given their descriptions,
define the terms associated with these structures, and label the structures.
TOP: Respiratory System

16. What does apnea mean?


a. Increased breathing
b. Labored or difficult breathing
c. Absence of breathing
d. Breathing is possible only in an upright position
ANS: C REF: 213
OBJ: Match terms for respiratory system pathologies with their meanings, or write the names of the
pathologies when given their descriptions. TOP: Respiratory System

17. What does hyperpnea mean?


a. Increased breathing
b. Labored or difficult breathing
c. Absence of breathing
d. Breathing is possible only in an upright position
ANS: A REF: 214
OBJ: Match terms for respiratory system pathologies with their meanings, or write the names of the
pathologies when given their descriptions. TOP: Respiratory System

18. Which of the following is not an abnormal breath sound?


a. Auscultation
b. Crackle
c. Friction rub
d. Rale
ANS: A REF: 210
OBJ: Match terms for respiratory system pathologies with their meanings, or write the names of the
pathologies when given their descriptions. TOP: Respiratory System

19. Which of the following is an acute, infectious disease characterized by cough ending in a
whooping inspiration?
a. Pertussis
b. Paroxysmal
c. Chronic obstructive lung disease
d. Respiratory distress syndrome
ANS: A REF: 218
OBJ: Match terms for respiratory system pathologies with their meanings, or write the names of the
pathologies when given their descriptions. TOP: Respiratory System

20. Which term means the drawing of air into the lungs?
a. Pneumomalacia
b. Orthopnea
c. Inspiration
d. Hypoxia
ANS: C REF: 204
OBJ: Write or recognize the sequence of the flow of air from the atmosphere through the respiratory
structures. TOP: Respiratory System

21. What is the term for loss of acid by the body, such as may occur in hyperventilation?
a. Acidosis
b. Alkalosis
c. Acid–base balance
d. Acid–base compensation
ANS: B REF: 214
OBJ: Match terms for respiratory system pathologies with their meanings, or write the names of the
pathologies when given their descriptions. TOP: Respiratory System

22. What is the term for difficult breathing in all positions except an upright position?
a. Dysphonia
b. Dyspnea
c. Orthopnea
d. Hyperpnea
ANS: C REF: 215
OBJ: Match terms for respiratory system pathologies with their meanings, or write the names of the
pathologies when given their descriptions. TOP: Respiratory System

23. What is the term for slow breathing?


a. Bradypnea
b. Bradyphasia
c. Tachypnea
d. Tachyphasia
ANS: A REF: 216
OBJ: Write the meaning of the word parts associated with the respiratory system, and use the word
parts to build and analyze terms. TOP: Respiratory System

24. What is the name of the instrument that measures the amount of air taken in and expelled from
the lungs?
a. Stethoscope
b. Pneumoscope
c. Cardiometer
d. Spirometer
ANS: D REF: 229
OBJ: Match structures of the respiratory system with the instruments and procedures that are used to
study them, or write the names of the procedures when given their descriptions.
TOP: Respiratory System

25. Which procedure involves removing ribs and allowing the chest wall to collapse a diseased
lung?
a. Thoracoplasty
b. Pneumoplasty
c. Pneumocentesis
d. Thoracocentesis
ANS: A REF: 228
OBJ: Match terms for surgical and other therapeutic interventions for respiratory system pathologies
with descriptions of the interventions, or write the names of the interventions when given their
descriptions. TOP: Respiratory System

26. What is the membrane that surrounds the lungs?


a. Pharynx
b. Palate
c. Pleura
d. Polyp
ANS: C REF: 208
OBJ: Write the names of the structures of the respiratory system when given their descriptions,
define the terms associated with these structures, and label the structures.
TOP: Respiratory System

27. What is phrenoplegia?


a. Prolapse of the partition between the abdominal and thoracic cavities
b. Pain in the partition between the abdominal and thoracic cavities
c. Paralysis of the head
d. Paralysis of the diaphragm
ANS: D REF: 216
OBJ: Match terms for respiratory system pathologies with their meanings, or write the names of the
pathologies when given their descriptions. TOP: Respiratory System

28. What does pulmonologist mean?


a. A collection of nonpurulent fluid in the chest cavity
b. A physician specializing in the lungs
c. A sign that is often associated with advanced pulmonary disease
d. A skeletal abnormality of the chest
ANS: B REF: 229
OBJ: Write the meaning of the word parts associated with the respiratory system, and use the word
parts to build and analyze terms. TOP: Respiratory System

29. Which is true of flail chest?


a. The breastbone and ribs are not affected.
b. The breastbone has a prominent anterior projection.
c. The chest is large and rounded in appearance.
d. This condition may occur after multiple rib fractures.
ANS: D REF: 220
OBJ: Match terms for respiratory system pathologies with their meanings, or write the names of the
pathologies when given their descriptions. TOP: Respiratory System

30. What is effusion of fluid into the air spaces and tissue spaces of the lungs called?
a. Pleuropneumonia
b. Pneumonitis
c. Pulmonary edema
d. Pulmonary insufficiency
ANS: C REF: 222
OBJ: Match terms for respiratory system pathologies with their meanings, or write the names of the
pathologies when given their descriptions. TOP: Respiratory System

31. What does pulmonary embolus mean?


a. Congestion and engorgement of the pulmonary vessels
b. A painful condition caused by pleural adhesions
c. A morbid softening of the lungs
d. Obstruction of the pulmonary artery or one of its branches
ANS: D REF: 222
OBJ: Match terms for respiratory system pathologies with their meanings, or write the names of the
pathologies when given their descriptions. TOP: Respiratory System

32. What is another name for pneumonia?


a. Pulmonary edema
b. Pulmonary insufficiency
c. Congestive heart
d. Pneumonitis
ANS: D REF: 221
OBJ: Match terms for respiratory system pathologies with their meanings, or write the names of the
pathologies when given their descriptions. TOP: Respiratory System

33. What is pleurisy?


a. Effusion of fluid into the air spaces and tissue spaces of the lungs
b. A morbid softening of the lungs
c. Engorgement of the pulmonary vessels with escape of fluid
d. Inflammation of the membrane that surrounds the lungs and lines the walls of the
chest cavity
ANS: D REF: 221
OBJ: Match terms for respiratory system pathologies with their meanings, or write the names of the
pathologies when given their descriptions. TOP: Respiratory System

34. What is the term for air or gas in the pleural cavity?
a. Pneumothorax
b. Pleuropneumonia
c. Pneumonectomy
d. Pulmonary edema
ANS: A REF: 221
OBJ: Match terms for respiratory system pathologies with their meanings, or write the names of the
pathologies when given their descriptions. TOP: Respiratory System

35. What term means hemorrhage from the nose?


a. Nasopharyngitis
b. Rhinorrhea
c. Rhinorrhagia
d. Septorhinoplasty
ANS: C REF: 217
OBJ: Match terms for respiratory system pathologies with their meanings, or write the names of the
pathologies when given their descriptions. TOP: Respiratory System
36. What is surgical puncture of the lungs?
a. Pneumoconiosis
b. Pneumocentesis
c. Pneumomelanosis
d. Pneumogenesis
ANS: B REF: 228
OBJ: Match terms for surgical and other therapeutic interventions for respiratory system pathologies
with descriptions of the interventions, or write the names of the interventions when given their
descriptions. TOP: Respiratory System

37. The nasolacrimal duct is a tubular passageway between what two structures?
a. Ear and throat
b. Ear and nose
c. Throat and lungs
d. Eye and nose
ANS: D REF: 207
OBJ: Write the names of the structures of the respiratory system when given their descriptions,
define the terms associated with these structures, and label the structures.
TOP: Respiratory System

38. What does the term nasal polyp mean?


a. The structure separating the mouth and nasal cavity
b. The partition between the two cavities in the nose
c. The air-containing cavities communicating with the nose
d. A growth protruding from the mucous membrane of the nose
ANS: D REF: 216
OBJ: Match terms for respiratory system pathologies with their meanings, or write the names of the
pathologies when given their descriptions. TOP: Respiratory System

39. Which of the following means runny nose?


a. Rhinoplasty
b. Rhinorrhea
c. Nasitis
d. Nasopharynx
ANS: B REF: 218
OBJ: Write the meaning of the word parts associated with the respiratory system, and use the word
parts to build and analyze terms. TOP: Respiratory System

40. A nasal calculus is which of the following?


a. Rhinolith
b. Nasoscope
c. Rhinolitholysis
d. Nasolithogenesis
ANS: A REF: 217
OBJ: Match terms for respiratory system pathologies with their meanings, or write the names of the
pathologies when given their descriptions. TOP: Respiratory System
41. Which instrument is used to examine the nose?
a. Bronchoscopy
b. Mediastinoscope
c. Nasoscope
d. Pharyngoscope
ANS: C REF: 216
OBJ: Match structures of the respiratory system with the instruments and procedures that are used to
study them, or write the names of the procedures when given their descriptions.
TOP: Respiratory System

42. Which of the following would probably cause dysphonia?


a. Rhinitis
b. Laryngitis
c. Otitis
d. Ophthalmalgia
ANS: B REF: 217
OBJ: Match terms for respiratory system pathologies with their meanings, or write the names of the
pathologies when given their descriptions. TOP: Respiratory System

43. Which term means the same as nosebleed?


a. Aphasic
b. Epistaxis
c. Nasal cannula
d. Rhinolithiasis
ANS: B REF: 217
OBJ: Match terms for respiratory system pathologies with their meanings, or write the names of the
pathologies when given their descriptions. TOP: Respiratory System

44. What is the lidlike structure that covers the larynx during the swallowing of food?
a. Glottis
b. Epiglottis
c. Trachea
d. Uvula
ANS: B REF: 207
OBJ: Write the names of the structures of the respiratory system when given their descriptions,
define the terms associated with these structures, and label the structures.
TOP: Respiratory System

45. Where is the tube inserted in an endotracheal intubation?


a. Chest wall
b. Abdominal wall
c. Mouth into the throat
d. Mouth or nose into the windpipe
ANS: D REF: 226
OBJ: Match terms for surgical and other therapeutic interventions for respiratory system pathologies
with descriptions of the interventions, or write the names of the interventions when given their
descriptions. TOP: Respiratory System
46. Which of the following is a photoelectric device for determining the oxygen saturation of the
blood?
a. Nasoscope
b. Oximetry
c. Pulmonary angiography
d. Pulse oximeter
ANS: D REF: 209
OBJ: Match structures of the respiratory system with the instruments and procedures that are used to
study them, or write the names of the procedures when given their descriptions.
TOP: Respiratory System

47. What structures are involved in bronchopneumonia?


a. Bronchi only
b. Lungs and bronchi
c. Heart and bronchi
d. Pleura and bronchi
ANS: B REF: 221
OBJ: Write the meaning of the word parts associated with the respiratory system, and use the word
parts to build and analyze terms. TOP: Respiratory System

48. What is chronic dilation of the bronchi accompanied by infection?


a. Bronchiectasis
b. Bronchopathy
c. Bronchiolitis
d. Bronchoscopy
ANS: A REF: 220
OBJ: Match terms for respiratory system pathologies with their meanings, or write the names of the
pathologies when given their descriptions. TOP: Respiratory System

49. What is the name of a respiratory disorder characterized by destruction of the alveolar walls?
a. Bronchitis
b. Emphysema
c. Hemoptysis
d. Aplasia
ANS: B REF: 224
OBJ: Match terms for respiratory system pathologies with their meanings, or write the names of the
pathologies when given their descriptions. TOP: Respiratory System

50. Which is not true of dysphasia?


a. It is a speech impairment.
b. There is an inability to arrange words in their proper order.
c. It usually precedes aphonia.
d. The problem results from a brain lesion.
ANS: C REF: 217
OBJ: Match terms for respiratory system pathologies with their meanings, or write the names of the
pathologies when given their descriptions. TOP: Respiratory System

51. What is another name for hoarseness?


a. Dysplasia
b. Dysphasia
c. Dysphonia
d. Dyspnea
ANS: C REF: 217
OBJ: Match terms for respiratory system pathologies with their meanings, or write the names of the
pathologies when given their descriptions. TOP: Respiratory System

52. What is inflammation of the small branches of the bronchi?


a. Bronchiolitis
b. Bronchiopathy
c. Alveolitis
d. Emphysema
ANS: A REF: 225
OBJ: Write the meaning of the word parts associated with the respiratory system, and use the word
parts to build and analyze terms. TOP: Respiratory System

53. Which statement is not true concerning the pharynx?


a. Four recognized divisions of the pharynx have been established.
b. It is a muscular tube about 5 inches long.
c. Whether air is taken in by the nose or mouth, it generally passes to the pharynx.
d. It also functions as part of the digestive system.
ANS: A REF: 206
OBJ: Write the names of the structures of the respiratory system when given their descriptions,
define the terms associated with these structures, and label the structures.
TOP: Respiratory System

54. What is the common name of the trachea?


a. Voice box
b. Throat
c. Tonsil
d. Windpipe
ANS: D REF: 206
OBJ: Write the names of the structures of the respiratory system when given their descriptions,
define the terms associated with these structures, and label the structures.
TOP: Respiratory System

55. Which statement is not true concerning the larynx?


a. It is also called the voice box.
b. Inspired air passes the larynx on its way to the pharynx.
c. It is generally covered by the epiglottis when one swallows.
d. Inflammation of this organ would probably result in dysphonia.
ANS: B REF: 204
OBJ: Write the names of the structures of the respiratory system when given their descriptions,
define the terms associated with these structures, and label the structures.
TOP: Respiratory System

56. What does phrenoptosis mean?


a. Inflammation of the diaphragm
b. Paralysis of the diaphragm
c. Painful diaphragm
d. Prolapse of the diaphragm
ANS: D REF: 215
OBJ: Write the meaning of the word parts associated with the respiratory system, and use the word
parts to build and analyze terms. TOP: Respiratory System

57. Which statement best describes a pulmonary alveolus?


a. It communicates with the paranasal sinuses.
b. This is where blood picks up oxygen.
c. It is located where the windpipe branches off.
d. This structure causes movement of the diaphragm during respiration.
ANS: B REF: 204
OBJ: Write the names of the structures of the respiratory system when given their descriptions,
define the terms associated with these structures, and label the structures.
TOP: Respiratory System

58. Which statement best describes a bronchus?


a. It communicates with the paranasal sinuses.
b. It snaps shut during swallowing to prevent strangulation.
c. It is a branch of the trachea.
d. It is a microscopic air sac.
ANS: C REF: 208
OBJ: Write the names of the structures of the respiratory system when given their descriptions,
define the terms associated with these structures, and label the structures.
TOP: Respiratory System

59. What is the diaphragm?


a. Membrane that surrounds the lungs
b. Membrane that lines the chest cavity
c. Partition that divides the nostrils
d. Partition that divides the abdominal and thoracic cavities
ANS: D REF: 209
OBJ: Write the names of the structures of the respiratory system when given their descriptions,
define the terms associated with these structures, and label the structures.
TOP: Respiratory System

60. Which of the following best describes visceral pleura?


a. Membrane that surrounds the lungs
b. Membrane that lines the chest cavity
c. Partition that divides the nostrils
d. Partition that divides the abdominal and thoracic cavities
ANS: A REF: 208
OBJ: Write the names of the structures of the respiratory system when given their descriptions,
define the terms associated with these structures, and label the structures.
TOP: Respiratory System
61. Which of the following best describes nasal septum?
a. Membrane that surrounds the lungs
b. Membrane that lines the chest cavity
c. Partition that divides the nostrils
d. Partition that divides the abdominal and thoracic cavities
ANS: C REF: 206
OBJ: Write the names of the structures of the respiratory system when given their descriptions,
define the terms associated with these structures, and label the structures.
TOP: Respiratory System

62. Which of the following conditions is caused by insufficient intake of oxygen?


a. Acapnia
b. Aphonia
c. Asphyxia
d. Auscultation
ANS: C REF: 213
OBJ: Match terms for respiratory system pathologies with their meanings, or write the names of the
pathologies when given their descriptions. TOP: Respiratory System

63. Which of the following is a region of the throat that contains the voice box?
a. Adenoid
b. Epiglottis
c. Laryngopharynx
d. Uvula
ANS: C REF: 207
OBJ: Write the names of the structures of the respiratory system when given their descriptions,
define the terms associated with these structures, and label the structures.
TOP: Respiratory System

64. What is the location of the oropharynx?


a. Behind the mouth
b. Behind the nose
c. Behind the trachea
d. Behind the larynx
ANS: A REF: 207
OBJ: Write the names of the structures of the respiratory system when given their descriptions,
define the terms associated with these structures, and label the structures.
TOP: Respiratory System

65. Which sequence is correct for the passage of air on its way to the lungs?
a. Larynx, pharynx, trachea, bronchi
b. Pharynx, larynx, trachea, bronchi
c. Trachea, larynx, bronchi, pharynx
d. Trachea, larynx, pharynx, bronchi
ANS: B REF: 204
OBJ: Write or recognize the sequence of the flow of air from the atmosphere through the respiratory
structures. TOP: Respiratory System
66. Which term means expelling air from the lungs?
a. Expectoration
b. Exfoliation
c. Exhalation
d. Extrapleuration
ANS: C REF: 204
OBJ: State the function of the respiratory system, and analyze associated terminology.
TOP: Respiratory System

67. Which of the following maintains at least temporary ventilation for a patient who is no longer
able to maintain adequate ventilation on his or her own?
a. Spirometry
b. Endotracheal intubation
c. Vital capacity
d. Thromboembolectomy
ANS: B REF: 226
OBJ: Match terms for surgical and other therapeutic interventions for respiratory system pathologies
with descriptions of the interventions, or write the names of the interventions when given their
descriptions. TOP: Respiratory System

68. What is the term for congenital, incomplete expansion of a lung?


a. Asthma
b. Primary atelectasis
c. Cystic fibrosis
d. SIDS
ANS: B REF: 224
OBJ: Match terms for respiratory system pathologies with their meanings, or write the names of the
pathologies when given their descriptions. TOP: Respiratory System

69. Which of the following conditions means airlessness of a lung?


a. Atelectasis
b. SIDS
c. ARDS
d. COLD
ANS: A REF: 224
OBJ: Match terms for respiratory system pathologies with their meanings, or write the names of the
pathologies when given their descriptions. TOP: Respiratory System

70. What is the abbreviation for the sudden and unexpected death of an apparently healthy infant
that is not explained by careful postmortem studies?
a. ARDS
b. SIDS
c. COLD
d. COPD
ANS: B REF: 220
OBJ: Match terms for respiratory system pathologies with their meanings, or write the names of the
pathologies when given their descriptions. TOP: Respiratory System
71. Which term means normal breathing?
a. Eupnea
b. Hyperpnea
c. Spirometer
d. Spirometry
ANS: A REF: 216
OBJ: State the function of the respiratory system, and analyze associated terminology.
TOP: Respiratory System

72. Which condition would one expect just after a person begins running?
a. Bradypnea
b. Tachypnea
c. Dyspnea
d. Orthopnea
ANS: B REF: 216
OBJ: Write the meaning of the word parts associated with the respiratory system, and use the word
parts to build and analyze terms. TOP: Respiratory System

73. Which term means below the lungs?


a. Epiglottitis
b. Eustachian
c. Infracostal
d. Subpulmonary
ANS: D REF: 209
OBJ: Write the meaning of the word parts associated with the respiratory system, and use the word
parts to build and analyze terms. TOP: Respiratory System

74. Formation of tough, threadlike scar tissue in the lungs sometimes occurs after inflammation.
What is the name of this condition?
a. Pleuropneumonia
b. Pulmonary edema
c. Pulmonary fibrosis
d. Pulmonary tuberculosis
ANS: C REF: 222
OBJ: Match terms for respiratory system pathologies with their meanings, or write the names of the
pathologies when given their descriptions. TOP: Respiratory System

75. Which of the following is likely to result from congestive heart failure?
a. Pulmonary edema
b. Pulmonary tuberculosis
c. Bronchiectasis
d. Rhinolithiasis
ANS: A REF: 222
OBJ: Match terms for respiratory system pathologies with their meanings, or write the names of the
pathologies when given their descriptions. TOP: Respiratory System

76. Which term means pertaining to the uppermost portion of the lung?
a. Apical
b. Embolic
c. Extrapulmonary
d. Lobar
ANS: A REF: 205
OBJ: Write the names of the structures of the respiratory system when given their descriptions,
define the terms associated with these structures, and label the structures.
TOP: Respiratory System

77. What is a pulmonary lobectomy?


a. Incision of one lung
b. Removal of a lung
c. Excision of a lobe of the lung
d. Bilateral incision of the lungs
ANS: C REF: 228
OBJ: Match terms for surgical and other therapeutic interventions for respiratory system pathologies
with descriptions of the interventions, or write the names of the interventions when given their
descriptions. TOP: Respiratory System

78. What is the purpose of thoracentesis?


a. To remove fluid from the thoracic cavity
b. To measure the vital capacity of an individual
c. To introduce medication into the lung
d. To repair the chest wall
ANS: A REF: 228
OBJ: Match terms for surgical and other therapeutic interventions for respiratory system pathologies
with descriptions of the interventions, or write the names of the interventions when given their
descriptions. TOP: Respiratory System

79. What is the location of the hard palate?


a. Anterior portion of the structure that separates the mouth and nasal cavity
b. Posterior portion of the structure that separates the mouth and nasal cavity
c. Anterior portion of the structure that separates the abdominal and thoracic cavities
d. Posterior portion of the nasal septum
ANS: A REF: 206
OBJ: Write the names of the structures of the respiratory system when given their descriptions,
define the terms associated with these structures, and label the structures.
TOP: Respiratory System

80. What is the name of the pendant, fleshy tissue that projects from the back part of the mouth?
a. Palate
b. Fibroma
c. Uvula
d. Polyp
ANS: C REF: 206
OBJ: Write the names of the structures of the respiratory system when given their descriptions,
define the terms associated with these structures, and label the structures.
TOP: Respiratory System
81. Which term means the sense of smell?
a. Lacrimation
b. Olfaction
c. Rhinitis
d. Nasal
ANS: B REF: 206
OBJ: State the function of the respiratory system, and analyze associated terminology.
TOP: Respiratory System

82. What does septorhinoplasty mean?


a. Reconstruction of the nasal septum
b. Surgical creation of an abnormal opening in the nose
c. Surgery to remove nasal stones
d. Surgical puncture of the nasolacrimal duct
ANS: A REF: 228
OBJ: Match terms for surgical and other therapeutic interventions for respiratory system pathologies
with descriptions of the interventions, or write the names of the interventions when given their
descriptions. TOP: Respiratory System

83. Which term means inflammation of the mucous membrane of the larynx?
a. Laryngoplegia
b. Laryngostomy
c. Laryngitis
d. Laryngalgia
ANS: C REF: 217
OBJ: Match terms for respiratory system pathologies with their meanings, or write the names of the
pathologies when given their descriptions. TOP: Respiratory System

84. What is the name of the instrument that provides direct viewing of the bronchi?
a. Bronchogram
b. Bronchoscope
c. Mediastinoscope
d. Spirometer
ANS: B REF: 212
OBJ: Match structures of the respiratory system with the instruments and procedures that are used to
study them, or write the names of the procedures when given their descriptions.
TOP: Respiratory System

85. What structures are inflamed in laryngotracheobronchitis?


a. Larynx, trachea, and bronchioles
b. Larynx, trachea, and bronchi
c. Larynx, trachea, and lungs
d. Larynx, trachea, bronchioles, and lungs
ANS: B REF: 225
OBJ: Write the meaning of the word parts associated with the respiratory system, and use the word
parts to build and analyze terms. TOP: Respiratory System

86. Which of the following is not a diagnostic procedure?


a. Bronchoscopy
b. Bronchography
c. Bronchiectasis
d. Spirometry
ANS: C REF: 220
OBJ: Match structures of the respiratory system with the instruments and procedures that are used to
study them, or write the names of the procedures when given their descriptions.
TOP: Respiratory System

87. What is the condition marked by recurrent attacks of dyspnea and wheezing?
a. Bronchitis
b. Tuberculosis
c. Emphysema
d. Asthma
ANS: D REF: 221
OBJ: Match terms for respiratory system pathologies with their meanings, or write the names of the
pathologies when given their descriptions. TOP: Respiratory System

88. What are the tiny air sacs at the end of the bronchioles called?
a. Bronchi
b. Alveoli
c. Nares
d. Angiectasis
ANS: B REF: 208
OBJ: Write the names of the structures of the respiratory system when given their descriptions,
define the terms associated with these structures, and label the structures.
TOP: Respiratory System

89. In some cases, dyspnea can be alleviated with the use of a bronchodilator. What is the purpose
of a bronchodilator?
a. Forms a new opening in the windpipe
b. Creates a new opening in the bronchi
c. Expands the bronchi as well as other air passages
d. Softens the alveolar walls to expedite air exchange
ANS: C REF: 229
OBJ: Match terms for surgical and other therapeutic interventions for respiratory system pathologies
with descriptions of the interventions, or write the names of the interventions when given their
descriptions. TOP: Respiratory System

90. Which of the following is an infectious disease that may occur in other parts of the body but
commonly affects the lungs?
a. Emphysema
b. Bronchiectasis
c. Pneumonia
d. Tuberculosis
ANS: D REF: 224
OBJ: Match terms for respiratory system pathologies with their meanings, or write the names of the
pathologies when given their descriptions. TOP: Respiratory System
91. Which is true of aplasia of a lung?
a. It is absence of formation or development of the lung.
b. It is absence of normal breathing.
c. It results in death.
d. It can usually be treated effectively with antibiotics.
ANS: A REF: 210
OBJ: Match terms for respiratory system pathologies with their meanings, or write the names of the
pathologies when given their descriptions. TOP: Respiratory System

92. Which is true of dysphonia?


a. It is a speech impairment.
b. It is an inability to communicate through speech, writing, or signs.
c. It results from a brain lesion.
d. It may precede aphonia.
ANS: D REF: 217
OBJ: Match terms for respiratory system pathologies with their meanings, or write the names of the
pathologies when given their descriptions. TOP: Respiratory System

93. Which term means an abnormal discontinuous bubbly sound that is heard during inspiration?
a. Crackle
b. Friction rub
c. Rhonchus
d. Wheeze
ANS: A REF: 210
OBJ: Match terms for respiratory system pathologies with their meanings, or write the names of the
pathologies when given their descriptions. TOP: Respiratory System

94. What does vital capacity mean?


a. The volume of air that can be expelled after full inspiration
b. A measure of the strength and stamina of an individual
c. Normal findings regarding respiration, pulse, and temperature
d. A specific amount of oxygen that is minimal to maintain life
ANS: A REF: 211
OBJ: Match structures of the respiratory system with the instruments and procedures that are used to
study them, or write the names of the procedures when given their descriptions.
TOP: Respiratory System

95. What occurs during inspiration?


a. The diaphragm moves downward, decreasing the size of the thoracic cavity.
b. The diaphragm moves downward, increasing the size of the thoracic cavity.
c. The diaphragm contracts and pushes upward, decreasing the size of the thoracic
cavity.
d. The diaphragm contracts and pushes upward, increasing the size of the thoracic
cavity.
ANS: B REF: 204
OBJ: State the function of the respiratory system, and analyze associated terminology.
TOP: Respiratory System
96. Which of the following means an examination of the mediastinum by means of an endoscope
inserted through an incision of the chest?
a. Laryngoscopy
b. Mediastinoscopy
c. Spirometry
d. Vital capacity
ANS: B REF: 212
OBJ: Match structures of the respiratory system with the instruments and procedures that are used to
study them, or write the names of the procedures when given their descriptions.
TOP: Respiratory System

97. All but one of the following are synonyms. Which word does not mean excision of all or part
of a lung?
a. Pleurectomy
b. Pneumectomy
c. Pneumonectomy
d. Pulmonectomy
ANS: A REF: 228
OBJ: Match terms for surgical and other therapeutic interventions for respiratory system pathologies
with descriptions of the interventions, or write the names of the interventions when given their
descriptions. TOP: Respiratory System

98. Which statement is true concerning the lungs?


a. The right lung is divided into lobes, but the left lung is not lobed.
b. Both lungs are divided into lobes.
c. Bilateral aplasia of the lungs leads to emphysema.
d. Pneumocentesis is a morbid softening of the lungs.
ANS: B REF: 208
OBJ: Write the names of the structures of the respiratory system when given their descriptions,
define the terms associated with these structures, and label the structures.
TOP: Respiratory System

99. Which of the following is associated with respiratory failure, an inability of the lungs to
function adequately?
a. Aphonia
b. Aphasia
c. Hypoxia
d. Hyperoxemia
ANS: C REF: 213
OBJ: Match terms for respiratory system pathologies with their meanings, or write the names of the
pathologies when given their descriptions. TOP: Respiratory System

100. Which of the following words means an absence or deficiency of oxygen in body tissues?
a. Anoxia
b. Aplasia
c. Hyperoxemia
d. Hyperplasia
ANS: A REF: 213
OBJ: Write the meaning of the word parts associated with the respiratory system, and use the word
parts to build and analyze terms. TOP: Respiratory System

101. Which of the following is used in hospitals to provide respiratory support using an artificial
lung?
a. CPAP
b. SARS
c. ECMO
d. PFT
ANS: C REF: 227
OBJ: Match terms for surgical and other therapeutic interventions for respiratory system pathologies
with descriptions of the interventions, or write the names of the interventions when given their
descriptions. TOP: Respiratory System

102. Which of the following is not a form of pneumoconiosis?


a. Silicosis
b. Phrenoptosis
c. Asbestosis
d. Anthracosis
ANS: B REF: 223
OBJ: Match terms for respiratory system pathologies with their meanings, or write the names of the
pathologies when given their descriptions. TOP: Respiratory System

103. What does tachypnea mean?


a. Rapid breathing
b. Fast speech
c. Slow respiration
d. Slow repair
ANS: A REF: 216
OBJ: Match terms for respiratory system pathologies with their meanings, or write the names of the
pathologies when given their descriptions. TOP: Respiratory System

104. Aplasia means lack of which of the following?


a. Breathing
b. Formation
c. Speech
d. Voice
ANS: B REF: 220
OBJ: Match terms for respiratory system pathologies with their meanings, or write the names of the
pathologies when given their descriptions. TOP: Respiratory System

105. What does hemoptysis mean?


a. Spitting up of sputum
b. Spitting up of blood
c. Blood in the chest cavity
d. Bloody nose resulting from hypoxemia
ANS: B REF: 220
OBJ: Match terms for respiratory system pathologies with their meanings, or write the names of the
pathologies when given their descriptions. TOP: Respiratory System

106. Which of the following is the meaning of pharyngodynia?


a. Sore throat
b. Inflammation of the pharynx
c. Examination of the throat
d. A fungal condition of the pharynx
ANS: A REF: 217
OBJ: Match terms for respiratory system pathologies with their meanings, or write the names of the
pathologies when given their descriptions. TOP: Respiratory System

107. What is the name for the musical noise that sounds like a squeak common to patients with
asthma?
a. Wheeze
b. Naris
c. Larynges
d. Hyperpnea
ANS: A REF: 210
OBJ: Match terms for respiratory system pathologies with their meanings, or write the names of the
pathologies when given their descriptions. TOP: Respiratory System

108. Which of the following is the surgical creation of an opening into the trachea?
a. Gastrostomy
b. Tracheobronchial
c. Pneumohemothorax
d. Tracheostomy
ANS: D REF: 226
OBJ: Match terms for surgical and other therapeutic interventions for respiratory system pathologies
with descriptions of the interventions, or write the names of the interventions when given their
descriptions. TOP: Respiratory System

109. What term indicates the openings of the nose with the air (also called nostrils)?
a. Wheezes
b. Nares
c. Larynges
d. Hyperpneas
ANS: B REF: 206
OBJ: Write the names of the structures of the respiratory system when given their descriptions,
define the terms associated with these structures, and label the structures.
TOP: Respiratory System

110. Which term indicates any disease of the bronchi?


a. Bronchitis
b. Mediastinoscope
c. Bronchopathy
d. Orthopnea
ANS: C REF: 225
OBJ: Match terms for respiratory system pathologies with their meanings, or write the names of the
pathologies when given their descriptions. TOP: Respiratory System

111. Which term indicates visual examination of the area between the lungs?
a. Bronchoscopy
b. Atelectasis
c. Bronchiolectasis
d. Mediastinoscopy
ANS: D REF: 212
OBJ: Match structures of the respiratory system with the instruments and procedures that are used to
study them, or write the names of the procedures when given their descriptions.
TOP: Respiratory System

112. Which medication is used to treat the body’s reaction to allergies?


a. Antitussive
b. Antihistamine
c. Nebulizer
d. Hilum
ANS: B REF: 229
OBJ: Match terms for surgical and other therapeutic interventions for respiratory system pathologies
with descriptions of the interventions, or write the names of the interventions when given their
descriptions. TOP: Respiratory System

113. Which term means pertaining to the muscular structure that separates the thorax from the
abdomen?
a. Crackles
b. Diphtheria
c. Alveolar
d. Diaphragmatic
ANS: D REF: 209
OBJ: Write the names of the structures of the respiratory system when given their descriptions,
define the terms associated with these structures, and label the structures.
TOP: Respiratory System

114. Which of these terms is a noninflammatory accumulation of fluid in one or both pleural
cavities?
a. Extrapleural
b. Hydrothorax
c. Mediastinum
d. Pharyngopathy
ANS: B REF: 221
OBJ: Match terms for respiratory system pathologies with their meanings, or write the names of the
pathologies when given their descriptions. TOP: Respiratory System

COMPLETION

Write one word for the following.


1. A decreased pH of the blood ____________________

ANS: Acidosis

REF: 214
OBJ: Match terms for respiratory system pathologies with their meanings, or write the names of the
pathologies when given their descriptions. TOP: Respiratory System

2. Above the nose ____________________

ANS: Supranasal

REF: 207
OBJ: Write the names of the structures of the respiratory system when given their descriptions,
define the terms associated with these structures, and label the structures.
TOP: Respiratory System

3. Absence of speech ____________________

ANS: Aphasia

REF: 217
OBJ: Match terms for respiratory system pathologies with their meanings, or write the names of the
pathologies when given their descriptions. TOP: Respiratory System

4. An agent that relieves or prevents cough ____________________

ANS: Antitussive

REF: 230
OBJ: Match terms for surgical and other therapeutic interventions for respiratory system pathologies
with descriptions of the interventions, or write the names of the interventions when given their
descriptions. TOP: Respiratory System

5. Below the diaphragm ____________________

ANS: Subphrenic

REF: 209
OBJ: Write the meanings of the word parts associated with the respiratory system, and use the word
parts to build and analyze terms. TOP: Respiratory System

6. Inflammation of the tonsils ____________________

ANS: Tonsillitis

REF: 217
OBJ: Match terms for respiratory system pathologies with their meanings, or write the names of the
pathologies when given their descriptions. TOP: Respiratory System

7. Labored or difficult breathing ____________________


ANS: Dyspnea

REF: 213
OBJ: Match terms for respiratory system pathologies with their meanings, or write the names of the
pathologies when given their descriptions. TOP: Respiratory System

8. Paralysis of the voice box ____________________

ANS: Laryngoplegia

REF: 219
OBJ: Match terms for respiratory system pathologies with their meanings, or write the names of the
pathologies when given their descriptions. TOP: Respiratory System

9. Softening of the trachea ____________________

ANS: Tracheomalacia

REF: 225
OBJ: Match terms for respiratory system pathologies with their meanings, or write the names of the
pathologies when given their descriptions. TOP: Respiratory System

10. Surgical repair of the palate ____________________

ANS: Palatoplasty

REF: 228
OBJ: Match terms for surgical and other therapeutic interventions for respiratory system pathologies
with descriptions of the interventions, or write the names of the interventions when given their
descriptions. TOP: Respiratory System

Some of the medical terms are spelled incorrectly. Correctly spell all misspelled words. If
correct, write Correct as the answer.

11. Asfixiation ____________________

ANS: Asphyxiation

REF: 238 OBJ: Spell the terms accurately. TOP: Respiratory System

12. Coriza ____________________

ANS: Coryza

REF: 238 OBJ: Spell the terms accurately. TOP: Respiratory System

13. Epiglotitis ____________________

ANS: Epiglottitis

REF: 238 OBJ: Spell the terms accurately. TOP: Respiratory System
14. Faryngeal ____________________

ANS: Pharyngeal

REF: 239 OBJ: Spell the terms accurately. TOP: Respiratory System

15. Paroxismal ____________________

ANS: Paroxysmal

REF: 239 OBJ: Spell the terms accurately. TOP: Respiratory System

Syllables are shown for the following terms. Indicate the primary accented syllable in each
term by typing which numbered syllable receives the primary accent: 1, 2, 3, 4, and so on.
Example: biology (b -ol-uh-j ) 2

16. Atelectasis (at-uh-lek-tuh-sis)

ANS: 3

REF: 238 OBJ: Pronounce the terms correctly. TOP: Respiratory System

17. Embolus (em-b -lus)

ANS: 1

REF: 239 OBJ: Pronounce the terms correctly. TOP: Respiratory System

18. Laryngectomy (lar-in-jek-tuh-m )

ANS: 3

REF: 239 OBJ: Pronounce the terms correctly. TOP: Respiratory System

19. Spirometry (sp -rom-uh-tr )

ANS: 2

REF: 239 OBJ: Pronounce the terms correctly. TOP: Respiratory System

20. Tracheoscopy (tr -k -os-kuh-p )

ANS: 3

REF: 240 OBJ: Pronounce the terms correctly. TOP: Respiratory System

Write the meaning of each abbreviation.

21. ABG ____________________

ANS: Arterial blood gas


REF: 230 OBJ: Write the meanings of the abbreviations.
TOP: Respiratory System

22. CPAP ____________________

ANS: Continuous positive airway pressure

REF: 230 OBJ: Write the meanings of the abbreviations.


TOP: Respiratory System

23. CPR ____________________

ANS: Cardiopulmonary resuscitation

REF: 230 OBJ: Write the meanings of the abbreviations.


TOP: Respiratory System

24. SARS ____________________

ANS: Severe acute respiratory syndrome

REF: 230 OBJ: Write the meanings of the abbreviations.


TOP: Respiratory System

25. URI ____________________

ANS: Upper respiratory infection

REF: 230 OBJ: Write the meanings of the abbreviations.


TOP: Respiratory System

MATCHING

Match terms with the appropriate category.


a. Anatomy
b. Diagnostic test or procedure
c. Pathology
d. Surgery
e. Nonsurgical therapy

1. Anthracosis
2. Pulse oximetry
3. Glottis
4. Septorhinoplasty
5. Extracorporeal membrane oxygenation

1. ANS: C REF: 223


OBJ: Categorize terms as anatomy, diagnostic test or procedure, pathology, surgery, or nonsurgical
therapy. TOP: Respiratory System
2. ANS: B REF: 209
OBJ: Categorize terms as anatomy, diagnostic test or procedure, pathology, surgery, or nonsurgical
therapy. TOP: Respiratory System
3. ANS: A REF: 207
OBJ: Categorize terms as anatomy, diagnostic test or procedure, pathology, surgery, or nonsurgical
therapy. TOP: Respiratory System
4. ANS: D REF: 228
OBJ: Categorize terms as anatomy, diagnostic test or procedure, pathology, surgery, or nonsurgical
therapy. TOP: Respiratory System
5. ANS: E REF: 227
OBJ: Categorize terms as anatomy, diagnostic test or procedure, pathology, surgery, or nonsurgical
therapy. TOP: Respiratory System
Another random document with
no related content on Scribd:
The Project Gutenberg eBook of Holiday stories
This ebook is for the use of anyone anywhere in the United States
and most other parts of the world at no cost and with almost no
restrictions whatsoever. You may copy it, give it away or re-use it
under the terms of the Project Gutenberg License included with this
ebook or online at www.gutenberg.org. If you are not located in the
United States, you will have to check the laws of the country where
you are located before using this eBook.

Title: Holiday stories

Author: Ruth Lamb

Illustrator: Mary Ellen Edwards

Release date: September 16, 2023 [eBook #71661]

Language: English

Original publication: London: The Religious Tract Society, 1892

*** START OF THE PROJECT GUTENBERG EBOOK HOLIDAY


STORIES ***
Transcriber's note: Unusual and inconsistent spelling is as printed.
HOLIDAY STORIES
BY

RUTH LAMB

AUTHOR OF "ARTHUR GLYNN'S CHRISTMAS BOX," "HER OWN


CHOICE," ETC.

WITH ILLUSTRATIONS

THE RELIGIOUS TRACT SOCIETY

56, PATERNOSTER ROW; 65, ST. PAUL'S CHURCHYARD

AND 164, PICCADILLY

1892
CONTENTS

DEAR MISS MEG

CHAPTER I. MISTRESS AND MAID.—A BRIDE'S


HOMECOMING.

CHAPTER II. LADY LONGRIDGE MEETS HER MATCH.

CHAPTER III. "MEN MAY COME AND MEN MAY GO," BUT I
STAY ON FOR EVER.

CHAPTER IV. THE MOUSE HELPS THE LIONESS, AND


MARGARETTA GAINS A THIRD FRIEND.

CHAPTER V. BRIGHTER DAYS FOR MARGARETTA.

CHAPTER VI. ANXIOUS DAYS.—A PAINFUL DISCOVERY.

CHAPTER VII. WHICH SHALL IT BE? BLUE OR WHITE?

A TALE OF A PENNY

CHAPTER I. INTRODUCTORY.

CHAPTER II.

CHAPTER III.

CHAPTER IV.

CHAPTER V.
BORROWED FEATHERS

CHAPTER I.

CHAPTER II.

CHAPTER III.

A STORY OF AN ANGLE WINDOW

CHAPTER I. "STEPBROTHER DICK."

CHAPTER II. "SILENCE IS GOLDEN."

CHAPTER III. RICHARD'S WARDS.

CHAPTER IV. THE ANGLE WINDOW.

CHAPTER V. MEETING AND PARTING.

CHAPTER VI. THE FRAME HAS A PICTURE ONCE MORE.

A MERE FLIRTATION

CHAPTER I.

CHAPTER II.

CHAPTER III.

BY A GIRL'S HAND

CHAPTER I. LIKE FATHER UNLIKE SON.

CHAPTER II. A PEEP INTO AN EARTHLY PARADISE, AND A


MEETING WITH EVE.

CHAPTER III. MR. WALTHEW IS FAR FROM EASY IN HIS


MIND.
CHAPTER IV. A NEW FACE.
DEAR MISS MEG

CHAPTER I.

MISTRESS AND MAID.—A BRIDE'S HOMECOMING.

"THORLEY; go and tell Miss Margaretta to make less noise. How


can I get my afternoon nap with that girl screeching and screaming
loud enough to be heard beyond the park? I suppose she thinks I
cannot be disturbed by her noise when she is out of doors, though I
have told her twenty times already that she has a voice like a
railway-whistle, and that it travels as far as one. It seems to me I
cannot get out of reach of it. Thorley, why don't you go? What are
you waiting for?"

The last questions were uttered in such a shrill tone, and with such
evident irritation, that the pale face of the listener flushed, and she
answered in a frightened voice—

"I thought your ladyship was speaking to me, and I waited for you to
finish."

"I was doing nothing of the kind. I gave you an order which might
have been attended to by this time. Then I went on thinking aloud,
and you stood staring there, and listening in place of going about
your business. Go now. Wait! I cannot hear the girl's voice. She has
stopped, but she will begin again, so go all the same."
The person addressed as "Thorley" did not wait for the speaker to
change her mind again, but hastened to do her mistress's bidding.

"Poor young thing!" she murmured, as she went in search of the


offender. "It is well she can sing. Only one that has not been long at
Northbrook Hall would be likely to lift up a cheerful voice in my
mistress's hearing. I believe she would silence the very birds if she
could, but she cannot do that, thank God." And the woman listened
with gladness to a flood of melody that was being poured from
scores of bird-throats, and rejoiced again that a message from her
mistress could not stop it.

Thorley was old Lady Longridge's personal attendant, and had been
such for twenty-five years. She was a staid spinster of fifty or
thereabouts. Not that she ever told her age, or that any member of
the household would have ventured to ask it; but there were older
retainers at the Hall than herself, who could put two and two
together.

There was old Jakes, for instance, who had spent sixty out of his
seventy years of life in and about the gardens. He was morally
certain that Susan Thorley would never see fifty again.

"Why, it's five-and-twenty years last May since Susan were promoted
to be maid to our old lady, and she was no chicken in those days. I
should have said she was nigh upon, if not all out thirty, though I do
not suppose she would have owned to it, any more than she would
say straight out, 'I am fifty-five to-day.' You don't catch these staid
women folks telling their age." And the old man wagged his grey
pate knowingly.

Thorley was accustomed to say of herself, "I have aged dreadfully


since I came here, and I look older than I am. Five-and-twenty years
in the service of Lady Longridge would equal forty, for wear and tear,
under a reasonable mistress."

If someone suggested that Thorley was not compelled to endure the


aggravations of the tyrannical old lady, she would reply, "If I thought
only of myself, or studied my own comfort, I should have turned my
back on the Hall many a year ago. But look at her age. She is turned
eighty-one, and her mind is as clear as ever. I may have had a deal
to put up with, and seen my hair turn grey before its time through her
worrying, but I feel proud of my mistress, who is a wonderful old lady.
Conscience reproaches me whenever I think of leaving her, and
seems to say, 'What will you be at eighty-one? You will want
someone to put up with your tempers then.' So I bear as well as I
can, and if I have an uneasy time of it, conscience tells me I am
right."

Some of Thorley's acquaintances credited her with at least one other


motive for remaining at Northbrook. Lady Longridge was reputed
wealthy, though she professed to be poor and unable to spare
money for much-needed repairs and renewals within and around her
home. She was always quarrelling with her relatives, and altering her
will, or adding codicils to disinherit one and reinstate another.

At one time she would declare that none of her own kindred should
ever possess a penny that she could bequeath to an outsider; at
another she would quote the old proverb about blood being thicker
than water, and rail against those who left their own families out in
the cold when disposing of their wealth.

That quarter of a century of service had not been without its


disturbing elements. Lady Longridge's temper often got the better of
her, and Thorley usually had to bear the brunt of these outbreaks.

The woman was wonderfully patient, but this fact often had a
different effect on her mistress from what might have been expected.
It only made her more provoking, and on several occasions Thorley
had received notice to quit. At first these breaches between mistress
and maid had been patched up by mutual concessions, but by
degrees Thorley became less placable. Then the old lady found that
all advances for a renewal of the former relations must come from
herself.
Thorley performed all her duties during the month she was under
notice with the greatest exactitude, but she only spoke when spoken
to and said no needless word, but packed her boxes and made
ready to go to another situation. With such a character for long
service, fidelity, patience, and trustworthiness, there were plenty of
doors ready to open for Thorley's admission, plenty of places where
her duties would be of a pleasanter character, and where, as she
indignantly put it, "One might expect to have peace, a kind word
sometimes, and get a bit of credit for trying with all one's heart to do
right."

So Lady Longridge became convinced that Thorley could do better


than stay at Northbrook, but that she would herself find it very
difficult to replace Thorley.

The squabble always ended in the same way. The old lady would
offer her hand to her departing maid and wish her well in a new
place. Then she would break down and say that she was a
miserable old woman for whom nobody cared, and that she was
being left to die in her loneliness and helplessness by the one
creature in whom she could trust.

The maid's tears would then accompany the mistress's; Thorley's


boxes would be unpacked, and Lady Longridge promptly paid any
expenses that might have been incurred in arranging for the new
situation.

It was noticed that after each of these quarrels, Thorley had a day
out accorded her without a murmur, and that as invariably she paid a
visit to the savings bank. She would have wages to deposit there, no
doubt, but it was whispered that Thorley found these little scenes
very profitable, each reconciliation being sealed with a present. At
any rate, she stayed at the Hall and bore a great deal of ill-temper
and many hard words from Lady Longridge with more patience than
any servant not inured thereto by many years of experience could
have been expected to manifest.
The old lady had been more than usually provoking on that fair
spring day, when the birds and her granddaughter, Margaretta, were
carolling in company, and Thorley was on her way to silence the girl.

The errand was very distasteful to Thorley. If there was a creature on


earth that the woman loved with a true, unselfish affection, it was
Margaretta, who had spent the last few months of her life in that dull
house, once the home of her dead father. Now it was the home of
the girl herself, or the best substitute for one that she could claim.

Not that it was the first time Margaretta Longridge had been an
inmate of Northbrook Hall. She had lived there off and on from the
time of her birth until she was twelve years old, and now after an
absence of nearly three, it was settled that she should remain
permanently with her grandmother.

This was perhaps the best arrangement that could be made under
the circumstances. But there were plenty of people who said that to
condemn the fair young girl of fifteen to live in that gloomy, tumble-
down house, and under the guardianship of that terrible old lady, was
only a shade better than burying her alive.

The circumstances were these. Lady Longridge had been left a


widow at twenty-eight, with one son and three daughters. By her
husband's will, she was appointed their sole guardian, and she ruled
them with enough of firmness and a scant expenditure of tenderness
until each was emancipated by attaining the age of twenty-one, and
receiving a handsome sum from the estate.

The daughters, being well dowered, soon married, and without


exception resided far-away from Northbrook, which they seldom
visited, and then only for a few days at a time.

Philip, the one son, seemed likely to remain a bachelor. His home
was nominally with his mother, but he was fond of travelling, and
ever on the look-out for new countries to explore, consequently he
never stayed long at the Hall. The brevity of his visits rather than the
fact of his being her only son, probably conduced to the good
understanding between him and his mother. She had really no time
to begin fault-finding before the packing process was in full
operation, and Philip was preparing for a new journey. Even Lady
Longridge did not like to quarrel with her son when he was about to
leave her for an indefinite period.

She rejoiced in his bachelor estate, for, so long as Sir Philip


remained unmarried, her rule at Northbrook would be undisturbed.

As to her daughters, she would say, when someone suggested that it


was a pity they were not nearer, "Nearer! They are better where they
are. If we met oftener we should quarrel. As it is, we have a week of
each other's society now and then, and we can be happy and love
one another for that time. But we never get beyond the week. We
know the length of our affections' tether, and we keep within
bounds."

"But mother and daughters, Lady Longridge!" the old clergyman


would say, with uplifted hands and eyes.

"What of that? We get enough of each other in a week, and we part


friends. If we had a fortnight we should not part at all, or at any rate
we should go through no formal farewells. We should have ceased
to speak to each other six days earlier, the previous one having been
spent in mutual recrimination. We know our little failings, and we
strive to keep out of the way of temptation."

"At your age, I should have thought the young ladies would bear
anything from you without retorting, and that they would be unhappy
if they did not see you often."

"No fear of that," was the earnest response. "They will not lose an
hour's rest owing to anxiety on my account. And to be frank with you,
I think it is very good of them to come at all. The journey costs
something, and takes time. They count the hours whilst they are
here, and long for the last to come. They know they have nothing to
gain, for, lest they should forget, I remind them every time that they
have had their fortunes; also, that I have nothing to leave, and if I
had, they would not get a penny of it. Frankness promotes a good
understanding. I take care to prevent false hopes."

The rector, Dr. Darley, was going to reply, but one of Lady
Longridge's peculiarities was a liking for saying her own say at great
length, and then calmly ending an interview.

"I will say good-bye now," she added, extending two fingers, though
her visitor had shown no intention of rising to leave. "When I write to
my daughters, I will not fail to mention that you alluded to them as
'young ladies.' I like to please people when I can, and it costs nothing
to do it."

Lady Longridge was quite the most impracticable of the kind old
rector's parishioners. He knew her too well to suppose that she
would listen to him, so he quietly took his leave.

Sir Philip was the youngest of the family, but at length he brought
home the wife whose possible coming had been the one thing his
mother feared. He was thirty-nine when this happened, and he had
been absent a full year, when he returned accompanied by a
beautiful girl less than half his age—in fact, barely eighteen.

"Mother," he said, "this is my wife. Make her welcome for my sake, to


begin with. You will do so for her own when you know her better."

The expression of his mother's face as he made this announcement


was something never to be forgotten. She had risen at her son's
approach and stood erect, her head on a level with Sir Philip's, for
she was very tall, and at sixty-five had not lost a hair's-breadth of her
height. At the slight fair girl whom he was putting forward with his left
arm, whilst he extended his right to greet his mother, Lady Longridge
did not deign to glance. She looked past her and straight into the
face of her son, whilst she locked her mittened hands one within the
other, without appearing to see the one he extended.

"It is a pity that when you decided to bring a wife to Northbrook, you
forgot the fact of your mother's existence. Had you written, I should
have arranged for her and your fitting reception. We would have had
a rustic fête, a gathering of tenants, the carriage unhorsed, and a
team of enthusiastic cottagers to draw you and your bride home in
triumph; perhaps even a triumphal arch at the entrance of the park.
Why, Philip! The forgetting your mother has made your homecoming
of no more account than that of old Jakes' son, who was married the
other day."

Sir Philip moved uneasily, and his eyes fell before the half-angry,
half-sarcastic look of his mother, whilst his wife shrank back within
the encircling arm that had gently urged her towards Lady Longridge.

"We desired none of these things," he said. "Florence has known a


great sorrow, too recently to allow of her entering into the spirit of
such festivities as you speak of. The one thing we both wish for is a
welcome from yourself. To some extent we can command it from all
beside."

It was proverbial of Lady Longridge that she would indulge her


temper at any cost of discomfort to others, but that self-interest
would induce her to subdue all outward sign of anger. She would not
forget her grievance, but she would bide her time. Her son's last
words brought certain unpalatable facts to mind and effected a
change in her manner. He was master of Northbrook Hall, and, if he
willed it, she must give up the place of mistress to his wife. Quick as
lightning the thought flashed through her mind, "Philip has never
cared to live here. Is it likely that marriage will entirely change his
habits, and that he who has been wandering the world over for more
than half his life will settle down to the dull life of a country
gentleman? I may remain mistress of the Hall to the end of the
chapter."

Aloud, Lady Longridge said, but in softened tones, "I think, Philip,
you must admit that I have cause for displeasure. That your mother
should know nothing of your marriage until you brought your wife
under the roof to which she herself came, a bride in all honour, five-
and-forty years ago, shows scant courtesy in an only son. But you
are master here, and we must try to make up for the want of a more
formal welcome as best we may."

She extended her hand, which her son took, and once again he
would have urged his wife forward. The latter, however, gave one
terrified glance at Lady Longridge's face, then turned away, and
clinging to her husband cried out, "Take me away, Philip. I care not
where we go, but do not let us stay here. I thought I should find a
mother in yours."

It was vain to attempt to bring the two together. The lovely, fair young
wife, a bride of less than a month, was dressed in mourning, which
betokened recent bereavement.

It was evident that she was ill-fitted to bear the trial of such a
meeting, when she had hoped for a genuine homecoming, and to
find a mother in Lady Longridge. But the sight of that tall figure, with
its clasped hands, the look of dislike shot from the keen black eyes,
together with the mocking words, so startled the girl, that she was
terrified into the display of feeling already described, and which
added greatly to the uneasiness of her husband.

There was nothing left for him but to lead his weeping wife to the
room always kept in readiness for his reception, and to comfort her
as best he might, until, wearied with her long journey and all she had
gone through, she slept like a tired child.

There were servants enough to minister to the bodily wants of the


pair, and, amongst others, Susan Thorley, my lady's own maid, and
at that time sixteen years younger than she is represented at the
beginning of this chapter, was sent to offer her aid, and "Mind you
find out everything you can about the girl," said her mistress, as she
sent her on the former errand.
CHAPTER II.
LADY LONGRIDGE MEETS HER MATCH.

SUSAN THORLEY had no chance of fulfilling the behest of her lady.


Her offered services were declined with thanks, and speech she had
none with Sir Philip's bride. He liked Thorley, but guessed his
mother's principal object in sending her, so answered—

"I will look after my wife for to-night. She has not been accustomed
to the attendance of a maid, so will miss nothing. All she needs is
rest and sleep, and these she is more likely to get by not seeing any
more fresh faces."

"The sight of one new face has been enough for her, poor dear
young creature," thought the maid, but she did not say it. She only
replied, "I hope you will call me, sir, if I can be of any use."

"I would rather call you than any one, if help were needed," said Sir
Philip; and Thorley, not a little gratified, dropped a respectful curtsey
and withdrew.

"Humph! So that is all you have to tell me?" said Lady Longridge,
when her maid reappeared. "Well, that is something. Not used to the
attendance of a maid! Just as I thought. Philip has married a nobody
for the sake of a pretty face. And to be so foolish at thirty-nine. Older
and madder—older and madder. You can go, Thorley."

Later still, when his young wife was sleeping calmly, Sir Philip joined
his mother in a little sitting-room, which she preferred to any of the
larger apartments used on state occasions. The two were silent for
some minutes; then Sir Philip raised his head, and said—

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