33627082 mcq respiratory

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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.