Chapter·PhysiologyV/Q mismatch

Hypoxic pulmonary vasoconstrictionDownloads

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Sample Questions

1

A 21-year-old man presents to his physician because he has been feeling increasingly tired and short of breath at work. He has previously had these symptoms but cannot recall the diagnosis he was given. Chart review reveals the following results: Oxygen tension in inspired air = 150 mmHg Alveolar carbon dioxide tension = 50 mmHg Arterial oxygen tension = 71 mmHg Respiratory exchange ratio = 0.80 Diffusion studies reveal normal diffusion distance. The patient is administered 100% oxygen but the patient's blood oxygen concentration does not improve. Which of the following conditions would best explain this patient's findings?

ASeptal defect since birth

BUse of opioid medications

CPulmonary fibrosis

DPulmonary embolism

EVacation at the top of a mountain

2

Which of the following physiologic changes decreases pulmonary vascular resistance (PVR)?

AInhaling the inspiratory reserve volume (IRV)

BExhaling the entire vital capacity (VC)

CExhaling the expiratory reserve volume (ERV)

DBreath holding maneuver at functional residual capacity (FRC)

EInhaling the entire vital capacity (VC)

3

A 30-year-old patient presents to clinic for pulmonary function testing. With body plethysmography, the patient's functional residual capacity is 3 L, tidal volume is 650 mL, expiratory reserve volume is 1.5 L, total lung capacity is 8 L, and dead space is 150 mL. Respiratory rate is 15 breaths per minute. What is the alveolar ventilation?

A7.5 L/min

B7 L/min

C8.5 L/min

D8 L/min

E6.5 L/min

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