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ChapterPhysiology Respiratory

High altitude adaptation

Free notes, MCQs, tables & flowcharts for USMLE Step 3 Physiology

10Questions
10Flashcards
1Tables & Flowcharts

Sample Questions

1

A 24-year-old professional athlete is advised to train in the mountains to enhance his performance. After 5 months of training at an altitude of 1.5 km (5,000 feet), he is able to increase his running pace while competing at sea-level venues. Which of the following changes would produce the same effect on the oxygen-hemoglobin dissociation curve as this athlete's training did?

ADecreased 2,3-bisphosphoglycerate

BIncreased carbon monoxide inhalation

CDecreased temperature

DDecreased pH

EIncreased partial pressure of oxygen

2

An experiment to determine the effects of gravity on blood pressure is conducted on 3 individuals of equal height and blood pressure oriented in different positions in space. Participant A is strapped in a supine position on a bed turned upside down in a vertical orientation with his head towards the floor and his feet towards the ceiling. Participant B is strapped in a supine position on a bed turned downwards in a vertical orientation with his head towards the ceiling and his feet just about touching the floor. Participant C is strapped in a supine position on a bed in a horizontal orientation. Blood pressure readings are then taken at the level of the head, heart, and feet from all 3 participants. Which of these positions will have the lowest recorded blood pressure reading?

AParticipant B: at the level of the feet

BParticipant A: at the level of the head

CParticipant C: at the level of the heart

DParticipant A: at the level of the feet

EParticipant C: at the level of the feet

3

A 34-year-old woman comes to a physician for a routine health maintenance examination. She moved to Denver 1 week ago after having lived in New York City all her life. She has no history of serious illness and takes no medications. Which of the following sets of changes is most likely on analysis of a blood sample obtained now compared to prior to her move? Erythropoietin level | O2 saturation | Plasma volume

A↑ unchanged unchanged

B↑ ↓ ↓

CUnchanged ↓ unchanged

D↓ unchanged ↑

EUnchanged unchanged ↓

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