Nokea
This blood gas picture reveals which of the following? PH = 7.52 pCO2 = 20 mmHg pO2 = 120 mmHg bicarb = 16 mmol/l
- A. Metabolic alkalosis
- B. Respiratory alkalosis with partial renal compensation
- C. Metabolic acidosis
- D. Respiratory acidosis
Correct Answer: B
Rationale: The blood gas values indicate respiratory alkalosis due to a high pH (7.52) and low pCO2 (20 mmHg). The normal pO2 and low bicarb suggest partial renal compensation. The kidneys retain HCO3- to partially offset the respiratory alkalosis. Metabolic alkalosis (A) is incorrect as bicarb is low. Metabolic acidosis (C) is incorrect due to the high pH. Respiratory acidosis (D) is incorrect as pCO2 is low. In summary, the correct answer is B as it aligns with the blood gas values and the concept of compensation.
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The partial pressure of carbon dioxide is greatest in
- A. venous blood
- B. alveolar air
- C. expired air
- D. inspired air
Correct Answer: A
Rationale: The correct answer is A: venous blood. In the body, carbon dioxide is carried in the blood, primarily in the form of bicarbonate ions. Venous blood, returning from tissues to the heart, has higher levels of carbon dioxide compared to arterial blood. This results in a higher partial pressure of carbon dioxide in venous blood. Alveolar air (B) has a lower partial pressure of carbon dioxide due to gas exchange in the lungs, while expired air (C) has even lower levels as carbon dioxide is exhaled. Inspired air (D) has the lowest partial pressure of carbon dioxide as it has not yet entered the body.
Bovine tuberculosis is transmitted from cow to man through
- A. Contact
- B. Milk
- C. Contamination of water with infected urine
- D. Meat
Correct Answer: B
Rationale: The correct answer is A: Contact. Bovine tuberculosis is primarily transmitted through direct contact with infected cows, such as through inhalation of respiratory droplets or consumption of contaminated milk. It is less commonly transmitted through consumption of infected meat or contamination of water with infected urine. Contact with infected animals poses the highest risk for transmission due to the bacterium Mycobacterium bovis being present in respiratory secretions and excretions of infected cows.
Pulmonary ventilation is
- A. Tidal volume + Respiratory rate
- B. Tidal volume + Vital capacity
- C. Tidal volume + Residual volume
- D. Tidal volume + Inspiratory reserve volume
Correct Answer: A
Rationale: Pulmonary ventilation is the total volume of air moved in and out of the lungs per minute. It is calculated by multiplying tidal volume (amount of air inhaled or exhaled in one breath) by respiratory rate (number of breaths per minute). Therefore, the correct answer is A: Tidal volume + Respiratory rate.
Choice B (Tidal volume + Vital capacity) is incorrect because vital capacity is the maximum amount of air that can be exhaled after a maximum inhalation, not a component of pulmonary ventilation. Choice C (Tidal volume + Residual volume) is incorrect because residual volume is the volume of air remaining in the lungs after a maximal exhalation and is not involved in ventilation. Choice D (Tidal volume + Inspiratory reserve volume) is incorrect because inspiratory reserve volume is the additional air that can be inhaled after a normal inhalation and is not part of pulmonary ventilation calculation.
The nurse is caring for a patient admitted with an acute exacerbation of chronic obstructive pulmonary disease. During assessment, the nurse finds that the patient is experiencing increased dyspnea. What is the most accurate measurement of the concentration of oxygen in the patient's blood?
- A. A capillary blood sample
- B. Pulse oximetry
- C. An arterial blood gas (ABG) study
- D. A complete blood count (CBC)
Correct Answer: C
Rationale: The correct answer is C: An arterial blood gas (ABG) study. This is the most accurate measurement of the concentration of oxygen in the patient's blood because ABG provides direct measurement of oxygen levels, including partial pressure of oxygen (PaO2). It also gives information on other important parameters like pH and carbon dioxide levels. Arterial blood is the best representation of oxygenation status.
Choice A (A capillary blood sample) may provide some information on oxygen saturation but is not as accurate as an ABG for measuring oxygen levels in the blood.
Choice B (Pulse oximetry) measures oxygen saturation in peripheral blood and can give a quick estimate of oxygen levels, but it is not as accurate as an ABG for determining the actual oxygen concentration in the blood.
Choice D (A complete blood count) does not provide direct information on oxygen levels in the blood, as it mainly focuses on the cellular components of blood such as red blood cells, white blood cells, and
Partial pressure of oxygen in the inspired and expired air is respectively
- A. 158 and 116 mm Hg
- B. 158 and 40 mm Hg
- C. 100 and 95 mm Hg
- D. 40 and 95 mm hg
Correct Answer: A
Rationale: The correct answer is A (158 and 116 mm Hg) because in inspired air, the partial pressure of oxygen is around 158 mm Hg, which corresponds to the atmospheric oxygen level. During expiration, some oxygen is exchanged for carbon dioxide, leading to a decrease in oxygen partial pressure to around 116 mm Hg.
Choice B is incorrect because the partial pressure of oxygen in expired air is not as high as 40 mm Hg, which is too low for the oxygen content in the air we breathe.
Choice C is incorrect because the partial pressure of oxygen in inspired air is not exactly 100 mm Hg, and the partial pressure in expired air is not as close to 95 mm Hg.
Choice D is incorrect because the partial pressure of oxygen in inspired air is not as low as 40 mm Hg, and the partial pressure in expired air is not as high as 95 mm Hg.