Transition Block - Physiology

Descripción

Honours Degree (Transition Block) Medicine Test sobre Transition Block - Physiology, creado por Matthew Coulson el 12/04/2019.
Matthew Coulson
Test por Matthew Coulson, actualizado hace más de 1 año
Matthew Coulson
Creado por Matthew Coulson hace más de 5 años
9
1

Resumen del Recurso

Pregunta 1

Pregunta
In a restrictive lung disease:
Respuesta
  • FEV1 Normal FVC Reduced FEV1/FVC Reduced PEFR Reduced
  • FEV1 Reduced FVC Reduced FEV1/FVC Normal PEFR Normal
  • FEV1 Reduced FVC Reduced FEV1/FVC Reduced PEFR Reduced
  • FEV1 Reduced FVC Normal FEV1/FVC Reduced PEFR Reduced

Pregunta 2

Pregunta
In order to diagnose an obstructive lung condition, the FEV1/FVC must be below ...
Respuesta
  • 70%
  • 50%
  • 60%
  • 80%

Pregunta 3

Pregunta
In an obstructive lung disease:
Respuesta
  • FEV1 Normal FVC Reduced FEV1/FVC Reduced PEFR Reduced
  • FEV1 Reduced FVC Normal FEV1/FVC Reduced PEFR Reduced
  • FEV1 Reduced FVC Reduced FEV1/FVC Normal PEFR Normal
  • FEV1 Reduced FVC Reduced FEV1/FVC Reduced PEFR Reduced

Pregunta 4

Pregunta
In an obstructive lung condition, the [blank_start]FVC[blank_end] is reduced to a greater extent than the [blank_start]FEV1[blank_end], thus there is a reduced FEV1/FVC ratio.
Respuesta
  • FVC
  • FEV1

Pregunta 5

Pregunta
Increased lung compliance means that the lungs are [blank_start]easier[blank_end] to stretch
Respuesta
  • easier
  • harder

Pregunta 6

Pregunta
Increased Pulmonary Compliance = [blank_start]Increased[blank_end] difficulty in expiring
Respuesta
  • Increased
  • Decreased

Pregunta 7

Pregunta
Lung Compliance is [blank_start]increased[blank_end] in COPD
Respuesta
  • increased
  • decreased

Pregunta 8

Pregunta
Total lung capacity in COPD patients is [blank_start]increased[blank_end] due to [blank_start]hyperinflation[blank_end]
Respuesta
  • hyperinflation
  • hypoinflation
  • increased
  • decreased

Pregunta 9

Pregunta
In COPD patients, dynamic airway compression is more likely to occur on active inspiration.
Respuesta
  • True
  • False

Pregunta 10

Pregunta
Pulmonary fibrosis causes a [blank_start]decreased[blank_end] lung compliance and [blank_start]decreased[blank_end] gas diffusion
Respuesta
  • decreased
  • increased
  • decreased
  • increased

Pregunta 11

Pregunta
A diabetic patient is admitted comatose, with a 2 day history of urinary frequency and vomiting. She is displaying deep, sighing breathing. Which of the following is most likely?
Respuesta
  • pH 7.26 PCO2 3.2 HCO3- 8 PO2 12
  • pH 7.08 PCO2 5.2 HCO3- 8 PO2 11.8
  • pH 7.1 PCO2 7.1 HCO3- 26 PO2 10.2

Pregunta 12

Pregunta
[blank_start]Functional Residual Capacity[blank_end] is the volume of air present in the lungs at the end of passive expiration
Respuesta
  • Functional Residual Capacity

Pregunta 13

Pregunta
Functional Residual Capacity is about [blank_start]2.2 litres[blank_end] in a young adult male.
Respuesta
  • 2.2 litres
  • 3.2 litres
  • 1.6 litres
  • 0.8 litres

Pregunta 14

Pregunta
A patient experiencing a pneumothorax is at risk of becoming hypotensive.
Respuesta
  • True
  • False

Pregunta 15

Pregunta
A 67 year old patient presents with shortness of breathness and coughing up green sputum regularly. They have a 40 pack year history of smoking. What is their FEV1/FVC ratio most likely to be?
Respuesta
  • 20%
  • 40%
  • 60%
  • 80%
  • 90%

Pregunta 16

Pregunta
Peripheral Chemoreceptors are only stimulated by which two of the following?
Respuesta
  • PO2
  • H+
  • HCO3
  • H2O2
  • PCO2

Pregunta 17

Pregunta
Mechanism of anxiety related hyperventilation:
Respuesta
  • Increased work of breathing due to reversible airways obstruction
  • Increased central and autonomic arousal
  • Increased autonomic arousal
  • Increased central arousal
  • Stimulation of peripheral chemoreceptors

Pregunta 18

Pregunta
In a patient with diffuse pulmonary fibrosis, what is the most likely FEV1/FVC ratio?
Respuesta
  • 20%
  • 40%
  • 60%
  • 80%

Pregunta 19

Pregunta
Kussmaul breathing is one of the hallmark signs of
Respuesta
  • Diabetic Ketoacidosis
  • Hyperglycemic Hyperosmolar State
  • Hypertensive Crisis
  • Hypotensive Crisis

Pregunta 20

Pregunta
A low oxygen level in the blood would likely bring about [blank_start]vasoconstriction[blank_end]
Respuesta
  • vasoconstriction
  • vasodilation

Pregunta 21

Pregunta
In which foetal artery does the presence of oxygen cause vasoconstriction? (It is a vasodilator in every other bodily artery) [blank_start]Ductus Arteriosus[blank_end] Artery
Respuesta
  • Ductus Arteriosus

Pregunta 22

Pregunta
A 28 year old woman, with a long history of anxiety presents complaining of tingling around her mouth and in her fingers, what will her blood gases likely show?
Respuesta
  • Respiratory Alkalosis (High pH, Low CO2)
  • Respiratory Acidosis (Low pH, High CO2)
  • Metabolic Alkalosis (High Bicarbonate, High pH)
  • Metabolic Acidosis (Low Bicarbonate, Low pH)

Pregunta 23

Pregunta
Hyperventilation causing Respiratory Alkalosis would cause a tingling sensation in the fingers due to a reduced level of free [blank_start]calcium[blank_end] in the blood as it binds to albumin, thus reducing the only metabolically active form of this mineral in the body causing a deficiency state - which includes peripheral tingling.
Respuesta
  • calcium
  • iron
  • zinc
  • potassium
  • sodium

Pregunta 24

Pregunta
An opioid overdose would cause which of the following ABG findings?
Respuesta
  • pH 7.2, PC02 6.8. P02 8.2, HC03- 26
  • pH 7.36, PC02 6.8. P02 12.2, HC03- 38
  • pH 7.5, PC02 3.4, P02 6.9, HC03- 26
  • pH 7.5, PC02 3.4, P02 12.2, HC03-

Pregunta 25

Pregunta
Hyoscine is a [blank_start]parasympathetic[blank_end] antagonist which reduces respiratory secretions in palliative care patients
Respuesta
  • parasympathetic
  • sympathetic
  • histamine
  • noradrenaline
  • acetylcholine

Pregunta 26

Pregunta
Which two of the following leads are used to check the axis of an ECG?
Respuesta
  • Lead 1
  • Lead II
  • Lead III
  • aVF
  • aVR
  • aVL

Pregunta 27

Pregunta
If Leads I and aVF are [blank_start]positive[blank_end] on an ECG (first deflection of QRS complex is [blank_start]up[blank_end] the way) then the axis of the ECG is considered to be normal
Respuesta
  • positive
  • negative
  • up
  • down

Pregunta 28

Pregunta
[blank_start]Left Axis Deviation[blank_end]: Lead 1 is positive but aVF is negative [blank_start]Right Axis Deviation[blank_end]: Lead 1 is negative but aVF is positive
Respuesta
  • Right Axis Deviation
  • Left Axis Deviation
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