Nokea
One of the following is a difference between pulmonary respiration of frog and human
- A. Diaphragm and ribs play role in respiration
- B. Lungs are respiratory organs
- C. Respiration occurs due to pressure gradient
- D. None of the above
Correct Answer: A
Rationale: The correct answer is A because in frogs, respiration is mainly driven by buccal pumping using their mouth cavity and floor of the mouth, while in humans, diaphragm and ribs play a crucial role in expanding and contracting the chest cavity for breathing. Choices B and C are incorrect as both frogs and humans have lungs as respiratory organs and respiration occurs due to a pressure gradient in both species. Choice D is incorrect as the difference lies in the involvement of the diaphragm and ribs in respiration.
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Inhibition of medulla oblongata chemoreceptors and respiratory muscles has what effect on respiratory rate, elimination of CO2 at alveoli, and arterial PCO2?
- A. increased respiratory rate, increased elimination of CO2 at alveoli, and increased arterial
PCO2 - B. increased respiratory rate, decreased elimination of CO2 at alveoli, and decreased arterial
PCO2 - C. increased respiratory rate, increased elimination of CO2 at alveoli, and decreased arterial
PCO2 - D. decreased respiratory rate, decreased elimination of CO2 at alveoli, and increased arterial
PCO2
Correct Answer: D
Rationale: The correct answer is D. Inhibition of medulla oblongata chemoreceptors and respiratory muscles would decrease respiratory rate, leading to decreased elimination of CO2 at alveoli. This would cause an increase in arterial PCO2 due to less CO2 being removed from the body. Therefore, choice D is correct.
Choices A, B, and C are incorrect because they do not align with the physiological effects of inhibiting the medulla oblongata chemoreceptors and respiratory muscles. Option A suggests an increase in respiratory rate and elimination of CO2, which goes against the expected decrease in these parameters. Option B proposes an increase in respiratory rate but a decrease in CO2 elimination and arterial PCO2, which is inconsistent with the expected outcomes. Option C suggests an increase in respiratory rate and CO2 elimination but a decrease in arterial PCO2, which does not follow the logic of the question.
Hemoglobin affinity for Oxygen is to the P50 (O2 tension that produces 50% saturation of Hb)
- A. Directly related
- B. Inversely related
- C. Not related
- D. Related
Correct Answer: B
Rationale: The correct answer is B. Hemoglobin affinity for oxygen is inversely related to P50. When P50 is lower, hemoglobin has higher affinity for oxygen, meaning it binds oxygen more readily at lower oxygen tensions. Conversely, when P50 is higher, hemoglobin has lower affinity for oxygen. This relationship is crucial for the efficient loading and unloading of oxygen in tissues. Choices A, C, and D are incorrect because hemoglobin affinity for oxygen is not directly related, unrelated, or simply related to P50.
A patient asks the nurse why an infection in his upper respiratory system is affecting the clarity of his speech. Which structure serves as the patient's resonating chamber in speech?
- A. Trachea
- B. Pharynx
- C. Paranasal sinuses
- D. Larynx
Correct Answer: C
Rationale: Rationale: The paranasal sinuses act as resonating chambers in speech production due to their location near the nasal cavity and their ability to amplify sound vibrations. When infected, the sinuses can become inflamed, affecting speech clarity. The trachea (A) is a passageway for air, not involved in speech. The pharynx (B) is a common pathway for both air and food, not a resonating chamber. The larynx (D) contains the vocal cords for sound production but is not primarily responsible for speech resonance.
Oxygen dissociation curve of myoglobin is
- A. Hypobolic
- B. Hyperbolic
- C. Linear
- D. Sigmoid
Correct Answer: B
Rationale: The correct answer is B: Hyperbolic. Myoglobin exhibits a hyperbolic oxygen dissociation curve due to its high affinity for oxygen, allowing it to bind oxygen quickly and efficiently at low partial pressures. This curve represents a simple one-to-one binding relationship between myoglobin and oxygen. The other choices are incorrect because A (Hypobolic) does not accurately describe myoglobin's binding characteristics, C (Linear) is not representative of the typical oxygen binding behavior of myoglobin, and D (Sigmoid) is more characteristic of hemoglobin, which exhibits cooperative binding of oxygen.
A nurse is suctioning fluids from a female client through an endotracheal tube. During the suctioning procedure, the nurse notes on the monitor that the heart rate is decreasing. Which if the following is the appropriate nursing intervention?
- A. Continue to suction.
- B. Notify the physician immediately.
- C. Stop the procedure and reoxygenate the client.
- D. Ensure that the suction is limited to 15 seconds.
Correct Answer: C
Rationale: The correct answer is C: Stop the procedure and reoxygenate the client. When the nurse notes a decreasing heart rate during suctioning, it could indicate that the client is experiencing hypoxia. Stopping the procedure and providing additional oxygenation is crucial to prevent further complications such as bradycardia or cardiac arrest. Continuing to suction (choice A) can worsen the hypoxia. Notifying the physician immediately (choice B) may cause a delay in addressing the immediate issue. Limiting suction to 15 seconds (choice D) does not address the primary concern of hypoxia and decreasing heart rate.