33627082 mcq respiratory
TRANSCRIPT
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MCQ RESPIRATORY
1. Pulmonary vascular resistance is increased in
a. Increase in pulmonary arterial pressure
. !ypocaria
c. Al"alosis
d. Increased le#t atrial pressure
e. elevated C$P
%. T&e 'reatest increase in dead space (ould e e)pected (it&
a. Pulmonary emolism
. Atelectasis
c. Pneumot&ora)
d. *ronc&oconstriction
e. Oesity
+. t&e di##erence et(een t&e apical and asal alveoli in an erect lun'
a. Apical PaO% , asal PaO%
. Apical PaCO% - *asal PaCO%
c. $Q mismatc& Apical , *asal
d. Compliance *asal - Apical
e. Per#usion increases as 'o up t&e lun'
/. Perip&eral c&emoreceptors
a. 0ocated in in t&e carotid sinus
. !ave 'lomus cells
c. Innervated y 'lossop&aryn'eal nerve
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d. *lood #lo( o# %mls'min
e. !ave a nonlinear response to paO% c&an'es
2. Sur#actant
a. Is produced y type 1 pneumocytes
. Reduces t&e amount o# ne'ative intrapleural pressure
c. Increases pulmonary compliance
d. Increases sur#ace tension in smaller alveoli to promote staility
e. Causes &ysteresis
3. T&e lun'
a. Removesinactivates serotonin 42!T5
. Activates rady"inin
c. Converts an'iotensin II to I
d. Inactivates aldosterone
e. Ta"es up noradrenaline
6. 7&ic& o# t&e #ollo(in' is inactivated in t&e lun'
a. $asopressin
. An'iotensin I
c. Serotonin
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d. An'iotensin II
e. !istamine
8. P&ysiolo'ical dead space increases (it&
a. Anaest&esia
. Supine position
c. PEEP
d. !ypotension
e. Pleural e##usion
9. S&unt can e calculated y "no(in'
a. Cardiac output
. Arterial o)y'en content
c. Mi)ed venous o)y'en content
d. End pulm. capillary o)y'en content
e. Partial pressure o# O%
1.Alveolar pressure
a. Is ne'ative t&rou'&out normal :uiet reat&in'
. Is less t&an 2;3 cms !%O durin' :uiet inspiration
c. Is
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. !ave aroreceptors activity
c. Respond to c&an'es in o)y'en content o# t&e lood
d. Respond to c&an'es in p!
e. Are not a##ected y carotid endarterectomy
1%.Concernin' compliance
a. 0un' compliance is les t&an total compliance
. >ynamic compliance is less in a paralysed patient
c. In IPP$ tidal volume depends only on compliance
d. Compliance is directly proportional to $Q ratio
e. Compliance in a 2 year old is doule t&an t&at o# a % year old.
1+.T&e #ollo(in' can e determined #rom t&e volume pressure curve
a. 7or" o# reat&in'
. =RC
c. S&unt
d. Static Compliance
e. >ynamic Compliance
1/.*reat&in' in t&e lateral position
a. $entilation is 'reater in t&e upper lun'
. PO% is 'reater in t&e lo(er lun'
c. $Q ratio in t&e lo(er lun' is increased
d. Per#usion is 'reater in t&e upper loe
e. $Q is aout 1 near ri'&t pulmonary artery
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12.Closin' volume
a. Is 1? o# a #it youn' persons vital capacity
. $aries (it& e)tremes o# a'e
c. Increases (it& supine position
d. Increases (it& oesity
e. *y la( is more t&an closin' capacity
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SAQ Respiratory
1. 0ist t&e p&ysiolo'ical #actors (&ic& increase respiratory rate. Include a
rie# e)planation o# t&e mec&anism y (&ic& eac& ac&ieves t&isincrease.
%. >escrie t&e #actors t&at a##ect lun' compliance
+. >ra( an e)piratory #lo( volume curve #or a #orced e)piration #rom total
lun' capacity. >escrie its c&aracteristics in people (it& normal lun's@
as (ell as t&ose (it& ostructive and restrictive lun' disease.