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jessicakissinge jessicakissinge
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Posts: 493
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6 years ago
What is a uniform distribution of large molecules that attract and hold water?
 
  a. Colloid
  b. Mixture
  c. Solution
  d. Suspension



Q. 2  The two major causes of dead space ventilation are: 1. a decreased tidal volume. 2. dysoxia. 3. impaired CO2 removal. 4. increased physiologic dead space.
 
  a. 1 and 2 only
  b. 1 and 3 only
  c. 1 and 4 only
  d. 1, 2, and 3 only



Q. 3  When using therapeutic agents that can cause methemoglobinemia (methHb), which of the fol-lowing is important to prevent adverse effects?
 
  a. Checking the frequency of ventilation
  b. Frequent monitoring for methHb to weigh the risk against the benefit
  c. Occasional monitoring for sickle cell ane-mia
  d. Frequent monitoring for abnormal body temperature (high or low)



Q. 4  Under which of the following conditions can the alveolar partial pressure of carbon dioxide (PACO2) be increased?
 
  1. When the body increases its production of CO2 (VCO2)
  2. When the dead space ventilation per minute is increased (VD)
  3. When the minute ventilation is inadequate (VE)
  4. When the alveolar ventilation is decreased (VA)
  a. 1 and 2 only
  b. 1 and 3 only
  c. 1, 2 and 3
  d. 1, 2, 3, and 4



Q. 5  Which of the following statements is NOT true about the effect of / imbalances on O2 and carbon dioxide exchange?
 
  a. Blood leaving high units has a high PO2 and a low PCO2.
  b. Blood leaving low units has a low PO2 and a high PCO2.
  c. High units can compensate for high PCO2 levels from low units.
  d. High units can compensate for low PO2 levels from low units.
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wrote...
6 years ago
(Answer to Q. 1)  ANS: A
Colloids (sometimes called dispersions or gels) consist of large molecules that attract and hold water.

(Answer to Q. 2)  ANS: C
An increase in dead space ventilation, or VD/VT, is caused by either (1) a decreased tidal volume as with rapid, shallow breathing (an increase in anatomic dead space per minute) or (2) increased physiologic dead space as in pulmonary embolus. (= 0). In either case, the proportion of wasted ventilation increases.

(Answer to Q. 3)  ANS: B
Methemoglobin (metHb) is an abnormal form of the molecule, in which the heme-complex nor-mal ferrous iron ion (Fe2+) loses an electron and is oxidized to its ferric state (Fe2+). In the ferric state, the iron ion cannot combine with O2. The result is a special form of anemia called methe-moglobinemia. As with HbCO, clinical abnormalities come from the associated increased affinity for O2 and loss of oxygen-binding capacity. The most common cause of methemoglobinemia is the therapeutic use of oxidant medications such as nitric oxide, nitroglycerin, and lidocaine. When using these therapeutic agents, frequent monitoring for metHg is important to weigh the risk against the benefit.

(Answer to Q. 4)  ANS: D
The alveolar partial pressure of carbon dioxide, or PACO2, varies directly with the body's pro-duction of carbon dioxide (VCO2) and inversely with alveolar ventilation (VA). A decrease in alveolar ventilation occurs when the minute ventilation is inadequate, the dead space ventilation per minute is increased, or a / imbalance exists.

(Answer to Q. 5)  ANS: D
However, the shape of the dissociation curves dictates that a high / unit can reverse the high PCO2 but not the low PO2.
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6 years ago
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