Respiratory System Questions & MCQ — Free Practice with Answers

Free respiratory system MCQ questions with answers, based on analysis of past PSLE papers, MOE syllabus requirements, and common exam mistakes.

  • Taught in Primary 5–6 under the Systems theme in the MOE syllabus
  • Breathing mechanism and gas exchange are commonly tested in PSLE Booklet A (MCQ) and Booklet B
  • Commonly tested: questions linking the respiratory system to the circulatory and digestive systems

Key Concepts

What is breathing and respiration

Breathing is the physical process of moving air into and out of the lungs. Respiration is the process by which cells in the body use oxygen to break down food (such as digested glucose) to release energy. Breathing brings oxygen into the body for respiration, and removes carbon dioxide produced during respiration.

Parts of the respiratory system

The main parts of the respiratory system are:

  • Nose: Air enters the body through the nose. The nose warms, moistens, and filters the air by trapping dust and germs with tiny hairs and mucus.
  • Windpipe (trachea): A tube that carries air from the nose down to the lungs. It is kept open by rings of cartilage.
  • Lungs: Two spongy organs in the chest where gas exchange takes place. The lungs contain millions of tiny air sacs that provide a large surface area for oxygen and carbon dioxide to move in and out of the blood.
  • Diaphragm: A large, dome-shaped muscle below the lungs. It moves down during inhalation and moves up during exhalation to help move air in and out.
  • Ribs: The rib cage surrounds and protects the lungs. The rib muscles move the ribs up and out during inhalation, and down and in during exhalation.

How breathing works

Breathing involves two phases:

  • Inhalation (breathing in): The diaphragm moves down and the ribs move up and outwards. This increases the space inside the chest, causing the lungs to expand and air to rush in.
  • Exhalation (breathing out): The diaphragm moves up and the ribs move down and inwards. This decreases the space inside the chest, causing the lungs to be compressed and air to be pushed out.

Gas exchange

In the lungs, oxygen from the inhaled air passes into the blood, while carbon dioxide from the blood passes into the lungs to be exhaled. This exchange happens in the tiny air sacs of the lungs. The oxygen-rich blood is then carried by the circulatory system to all parts of the body, where cells use the oxygen for respiration.

Keeping the respiratory system healthy

A healthy respiratory system can be maintained by:

  • Not smoking — smoking damages the lungs and makes breathing difficult.
  • Exercising regularly — exercise strengthens the lungs and improves breathing efficiency.
  • Breathing clean air — avoiding polluted areas reduces damage to the lungs.

Key Terms for PSLE

Breathing
The physical process of inhaling (breathing in) and exhaling (breathing out) air. Breathing moves air into and out of the lungs.
Respiration
The process by which cells use oxygen to break down digested food (such as glucose) to release energy. Respiration takes place in all living cells. It is not the same as breathing.
Diaphragm
A large, dome-shaped muscle located below the lungs. During inhalation it moves down to allow the lungs to expand. During exhalation it moves up to push air out.
Windpipe (trachea)
A tube that carries air from the nose to the lungs. It is kept open at all times by rings of cartilage so that air can always flow through.
Gas exchange
The process in the lungs where oxygen from inhaled air passes into the blood, and carbon dioxide from the blood passes into the lungs to be exhaled. This takes place in the tiny air sacs of the lungs.

Common Misconceptions

We reviewed PSLE marking schemes and student answer scripts to identify the mistakes that cost marks most often.

“Breathing and respiration are the same thing.” Breathing is the physical movement of air into and out of the lungs. Respiration is a chemical process that takes place in cells, where oxygen is used to break down food to release energy. Breathing supports respiration by supplying oxygen, but they are two different processes.

“We breathe in only oxygen and breathe out only carbon dioxide.” The air we breathe in contains about 21% oxygen, 78% nitrogen, and a small amount of carbon dioxide. The air we breathe out still contains oxygen (about 16%) and nitrogen, but has more carbon dioxide (about 4%) than inhaled air. We do not breathe in pure oxygen or breathe out pure carbon dioxide.

“The lungs push air in and out by themselves.” The lungs do not have muscles of their own and cannot move by themselves. Air moves in and out because of the movements of the diaphragm and the rib muscles. When these muscles move, they change the space inside the chest cavity, which causes the lungs to expand or compress.

“The diaphragm moves up when we breathe in.” This is a common mix-up. During inhalation, the diaphragm moves down (flattens) to create more space for the lungs to expand. During exhalation, the diaphragm moves up (returns to its dome shape) to reduce the space and push air out.

Practice Questions

Practice respiratory system questions with answers below \u2014 great for revision. Each question is modelled on common PSLE patterns for breathing and gas exchange, with a detailed explanation covering why wrong answers are wrong \u2014 not just the right one.

Question 1
Five adults were trapped in a faulty lift where air could not enter or exit. The graph shows the composition of air in the lift at the start of the fault.
Horizontal bar graph showing initial air composition with three sections: a large dark gray section (Nitrogen) on the left taking up approximately 78% of the bar, a medium dotted section (Oxygen) in the middle, and a small striped section (other gases) on the right
Key showing three patterns: dark gray for Nitrogen, dotted for Oxygen, vertical stripes for other gases
Which of the following shows the composition of air in the lift after they were trapped for an hour?
Question 2
Two boys were trapped in a lift for several hours.
Drawing of two boys standing inside a lift
Key showing three line types: solid line for oxygen, dotted line for water vapor, dashed line for carbon dioxide
Which graph shows the amount of oxygen, water vapour and carbon dioxide in the lift as time goes by?
Question 3
The diagram below shows parts of a human system and a fish system. The arrows represent the exchange of gases with the surroundings.
This image is a line diagram showing a human torso with lungs and spine on the left, and a fish head with labeled anatomical features (eye, mouth, fins) on the right. Labels include 'P', 'Q', 'R', and 'S' marking arrows that show the direction of gas exchange.
Which arrows show the air/water having more carbon dioxide?
Question 4
Five people were trapped in a small lift for 30 minutes. Which of the following graphs best represents the composition of air in the lift at the start and at the end of the 30 minutes?
Key showing two bar patterns: diagonal lines pattern labeled 'at the start of 30 minutes' and dotted pattern labeled 'at the end of 30 minutes'

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