Transition Block - Physiology

Description

Honours Degree Medicine (Transition Block) Quiz on Transition Block - Physiology, created by Matthew Coulson on 12/04/2019.
Matthew Coulson
Quiz by Matthew Coulson, updated more than 1 year ago
Matthew Coulson
Created by Matthew Coulson about 5 years ago
4
1

Resource summary

Question 1

Question
In a restrictive lung disease:
Answer
  • FEV1 Normal FVC Reduced FEV1/FVC Reduced PEFR Reduced
  • FEV1 Reduced FVC Reduced FEV1/FVC Normal PEFR Normal
  • FEV1 Reduced FVC Reduced FEV1/FVC Reduced PEFR Reduced
  • FEV1 Reduced FVC Normal FEV1/FVC Reduced PEFR Reduced

Question 2

Question
In order to diagnose an obstructive lung condition, the FEV1/FVC must be below ...
Answer
  • 70%
  • 50%
  • 60%
  • 80%

Question 3

Question
In an obstructive lung disease:
Answer
  • FEV1 Normal FVC Reduced FEV1/FVC Reduced PEFR Reduced
  • FEV1 Reduced FVC Normal FEV1/FVC Reduced PEFR Reduced
  • FEV1 Reduced FVC Reduced FEV1/FVC Normal PEFR Normal
  • FEV1 Reduced FVC Reduced FEV1/FVC Reduced PEFR Reduced

Question 4

Question
In an obstructive lung condition, the [blank_start]FVC[blank_end] is reduced to a greater extent than the [blank_start]FEV1[blank_end], thus there is a reduced FEV1/FVC ratio.
Answer
  • FVC
  • FEV1

Question 5

Question
Increased lung compliance means that the lungs are [blank_start]easier[blank_end] to stretch
Answer
  • easier
  • harder

Question 6

Question
Increased Pulmonary Compliance = [blank_start]Increased[blank_end] difficulty in expiring
Answer
  • Increased
  • Decreased

Question 7

Question
Lung Compliance is [blank_start]increased[blank_end] in COPD
Answer
  • increased
  • decreased

Question 8

Question
Total lung capacity in COPD patients is [blank_start]increased[blank_end] due to [blank_start]hyperinflation[blank_end]
Answer
  • hyperinflation
  • hypoinflation
  • increased
  • decreased

Question 9

Question
In COPD patients, dynamic airway compression is more likely to occur on active inspiration.
Answer
  • True
  • False

Question 10

Question
Pulmonary fibrosis causes a [blank_start]decreased[blank_end] lung compliance and [blank_start]decreased[blank_end] gas diffusion
Answer
  • decreased
  • increased
  • decreased
  • increased

Question 11

Question
A diabetic patient is admitted comatose, with a 2 day history of urinary frequency and vomiting. She is displaying deep, sighing breathing. Which of the following is most likely?
Answer
  • pH 7.26 PCO2 3.2 HCO3- 8 PO2 12
  • pH 7.08 PCO2 5.2 HCO3- 8 PO2 11.8
  • pH 7.1 PCO2 7.1 HCO3- 26 PO2 10.2

Question 12

Question
[blank_start]Functional Residual Capacity[blank_end] is the volume of air present in the lungs at the end of passive expiration
Answer
  • Functional Residual Capacity

Question 13

Question
Functional Residual Capacity is about [blank_start]2.2 litres[blank_end] in a young adult male.
Answer
  • 2.2 litres
  • 3.2 litres
  • 1.6 litres
  • 0.8 litres

Question 14

Question
A patient experiencing a pneumothorax is at risk of becoming hypotensive.
Answer
  • True
  • False

Question 15

Question
A 67 year old patient presents with shortness of breathness and coughing up green sputum regularly. They have a 40 pack year history of smoking. What is their FEV1/FVC ratio most likely to be?
Answer
  • 20%
  • 40%
  • 60%
  • 80%
  • 90%

Question 16

Question
Peripheral Chemoreceptors are only stimulated by which two of the following?
Answer
  • PO2
  • H+
  • HCO3
  • H2O2
  • PCO2

Question 17

Question
Mechanism of anxiety related hyperventilation:
Answer
  • Increased work of breathing due to reversible airways obstruction
  • Increased central and autonomic arousal
  • Increased autonomic arousal
  • Increased central arousal
  • Stimulation of peripheral chemoreceptors

Question 18

Question
In a patient with diffuse pulmonary fibrosis, what is the most likely FEV1/FVC ratio?
Answer
  • 20%
  • 40%
  • 60%
  • 80%

Question 19

Question
Kussmaul breathing is one of the hallmark signs of
Answer
  • Diabetic Ketoacidosis
  • Hyperglycemic Hyperosmolar State
  • Hypertensive Crisis
  • Hypotensive Crisis

Question 20

Question
A low oxygen level in the blood would likely bring about [blank_start]vasoconstriction[blank_end]
Answer
  • vasoconstriction
  • vasodilation

Question 21

Question
In which foetal artery does the presence of oxygen cause vasoconstriction? (It is a vasodilator in every other bodily artery) [blank_start]Ductus Arteriosus[blank_end] Artery
Answer
  • Ductus Arteriosus

Question 22

Question
A 28 year old woman, with a long history of anxiety presents complaining of tingling around her mouth and in her fingers, what will her blood gases likely show?
Answer
  • Respiratory Alkalosis (High pH, Low CO2)
  • Respiratory Acidosis (Low pH, High CO2)
  • Metabolic Alkalosis (High Bicarbonate, High pH)
  • Metabolic Acidosis (Low Bicarbonate, Low pH)

Question 23

Question
Hyperventilation causing Respiratory Alkalosis would cause a tingling sensation in the fingers due to a reduced level of free [blank_start]calcium[blank_end] in the blood as it binds to albumin, thus reducing the only metabolically active form of this mineral in the body causing a deficiency state - which includes peripheral tingling.
Answer
  • calcium
  • iron
  • zinc
  • potassium
  • sodium

Question 24

Question
An opioid overdose would cause which of the following ABG findings?
Answer
  • pH 7.2, PC02 6.8. P02 8.2, HC03- 26
  • pH 7.36, PC02 6.8. P02 12.2, HC03- 38
  • pH 7.5, PC02 3.4, P02 6.9, HC03- 26
  • pH 7.5, PC02 3.4, P02 12.2, HC03-

Question 25

Question
Hyoscine is a [blank_start]parasympathetic[blank_end] antagonist which reduces respiratory secretions in palliative care patients
Answer
  • parasympathetic
  • sympathetic
  • histamine
  • noradrenaline
  • acetylcholine

Question 26

Question
Which two of the following leads are used to check the axis of an ECG?
Answer
  • Lead 1
  • Lead II
  • Lead III
  • aVF
  • aVR
  • aVL

Question 27

Question
If Leads I and aVF are [blank_start]positive[blank_end] on an ECG (first deflection of QRS complex is [blank_start]up[blank_end] the way) then the axis of the ECG is considered to be normal
Answer
  • positive
  • negative
  • up
  • down

Question 28

Question
[blank_start]Left Axis Deviation[blank_end]: Lead 1 is positive but aVF is negative [blank_start]Right Axis Deviation[blank_end]: Lead 1 is negative but aVF is positive
Answer
  • Right Axis Deviation
  • Left Axis Deviation
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