Nokea
Total alveolar surface area is reduced in
- A. lung cancer
- B. atelectasis
- C. emphysema
- D. pneumothorax
Correct Answer: C
Rationale: The correct answer is C: emphysema. Emphysema is a condition characterized by the destruction of alveolar walls, leading to a decrease in alveolar surface area for gas exchange. This reduction in surface area impairs the exchange of oxygen and carbon dioxide in the lungs. In contrast, lung cancer (A) primarily affects lung tissue but may not directly reduce alveolar surface area. Atelectasis (B) refers to the collapse of lung tissue, which can impact ventilation but not necessarily alveolar surface area. Pneumothorax (D) is the presence of air in the pleural space and does not directly affect alveolar surface area.
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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.
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.
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.
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.
Rhea, confused and short breath, is brought to the emergency department by a family member. The medical history reveals chronic bronchitis and hypertension. To learn more about the current respiratory problem, the doctor orders a chest x-ray and arterial blood gas (ABG) analysis. When reviewing the ABG report, the nurses see many abbreviations. What does a lowercase in ABG value present?
- A. Acid-base balance
- B. Arterial Blood
- C. Arterial oxygen saturation
- D. Alveoli
Correct Answer: B
Rationale: The correct answer is B: Arterial Blood. The lowercase "a" in ABG values denotes arterial blood, indicating that the values are specific to the blood obtained from an artery. ABG analysis provides information about the oxygen and carbon dioxide levels in the blood, as well as the pH and bicarbonate levels, which are crucial in assessing respiratory and metabolic functions.
Choice A: Acid-base balance - This is incorrect because the lowercase "a" in ABG does not represent acid-base balance. Acid-base balance is determined by the pH level in the blood, which is one of the parameters measured in ABG analysis.
Choice C: Arterial oxygen saturation - This is incorrect because oxygen saturation is typically measured using pulse oximetry, not through ABG analysis. ABG values focus on the partial pressure of oxygen in the arterial blood.
Choice D: Alveoli - This is incorrect because ABG values do not directly represent the condition of the alveoli. ABG analysis