Nokea
Oxygen and carbon dioxide concentration in the alveolar air is respectively
- A. 16 % and 4%
- B. 19.8 % and 4.6 %
- C. 21 % and 4%
- D. 13.1 % and 5 %
Correct Answer: D
Rationale: The correct answer is D (13.1% oxygen and 5% carbon dioxide). In the alveolar air, the oxygen concentration is around 13.1%, which is lower than atmospheric air (21%) due to gas exchange in the lungs. The carbon dioxide concentration in alveolar air is around 5%, higher than atmospheric air (0.04%). Choices A, B, and C have oxygen concentrations higher than what is found in alveolar air, making them incorrect. Choice B also has a carbon dioxide concentration higher than what is typically found in alveolar air, making it incorrect.
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which one of the following statements is false about the trachea?
- A. c-shaped rings
- B. covered by epiglottis
- C. it split into the right and left lungs
- D. non of the above
Correct Answer: B
Rationale: The correct answer is B because the trachea is not covered by the epiglottis; it is a flap of cartilage that covers the larynx during swallowing, not the trachea. A is correct as the trachea is supported by C-shaped rings of cartilage. C is correct as the trachea branches into the right and left bronchi. D is incorrect as B is false about the trachea.
Which of the following instructions should the nurse give a client about his active tuberculosis (TB)?
- A. "It's okay to miss a dose every day or two."
- B. "If side effects occur, stop taking the medication."
- C. "Only take the medication until you feel better."
- D. "You must comply with the medication regimen to treat TB."
Correct Answer: D
Rationale: The correct answer is D because adherence to the medication regimen is crucial in treating active TB to prevent drug resistance and ensure successful treatment. Missing doses can lead to treatment failure and the spread of TB. Option A is incorrect because missing doses compromises treatment effectiveness. Option B is incorrect as stopping medication due to side effects can also result in treatment failure. Option C is incorrect because TB treatment must be completed as prescribed, regardless of symptom improvement.
Which condition contributes to secondary pulmonary arterial hypertension by causing pulmonary capillary and alveolar damage?
- A. COPD
- B. Sarcoidosis
- C. Pulmonary fibrosis
- D. Pulmonary embolism
Correct Answer: D
Rationale: In this case, the correct answer should be D, as pulmonary embolism can lead to secondary pulmonary arterial hypertension by causing damage to the pulmonary capillaries and alveoli, resulting in increased pressure in the pulmonary arteries.
Although carbon dioxide is normally carried by hemoglobin, the fact that carbon monoxide reduces hemoglobin's oxygen-carrying capacity would indicate that
- A. different hemoglobins carry different gases.
- B. carbon monoxide competes with oxygen for the same binding sites on hemoglobin.
- C. binding of different gases is directed by a variety of enzymes.
- D. carbon dioxide is an abnormal gas.
Correct Answer: B
Rationale: The correct answer is B because carbon monoxide competes with oxygen for the same binding sites on hemoglobin, leading to reduced oxygen-carrying capacity. This is known as competitive inhibition. Other choices are incorrect because different hemoglobins do not carry different gases (A), binding of gases is not directed by enzymes in this context (C), and carbon dioxide is a normal gas in the body (D).
A person met with an accident and died instantly without any injury to heart, brain, stomach and kidney. One of the following is a reason for his death
- A. Intestine got twisted
- B. RBC became coagulated
- C. Stomach stopped digestion
- D. Diaphragm got punctured
Correct Answer: D
Rationale: The correct answer is D: Diaphragm got punctured. The diaphragm is a crucial muscle responsible for breathing. If it gets punctured, it can lead to immediate death due to respiratory failure. In this scenario, since there are no injuries to vital organs like the heart, brain, stomach, or kidney, the only plausible reason for instant death would be a punctured diaphragm affecting the person's ability to breathe.
A: Intestine getting twisted would not lead to instant death without affecting the heart, brain, stomach, or kidney.
B: RBC becoming coagulated would not result in immediate death without directly impacting vital organs.
C: Stomach stopping digestion is not a life-threatening condition that would cause instant death without injury to vital organs.