Physiology of Hypoxia
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Questions and Answers

What is hypoxia defined as?

  • Complete absence of oxygen in the tissues
  • Increased oxygen level in the tissues
  • Lack of oxygen at the tissue level (correct)
  • Normal oxygen level in the tissues
  • What is anoxia defined as?

  • Increased oxygen level in the tissues
  • Lack of oxygen at the tissue level
  • Normal oxygen level in the tissues
  • Complete absence of oxygen in the tissues (correct)
  • What type of hypoxia is characterized by low arterial pO2?

  • Stagnant (ischaemic) hypoxia
  • Anaemic hypoxia
  • Histotoxic hypoxia
  • Hypoxic hypoxia (correct)
  • What is the cause of anaemic hypoxia?

    <p>Reduced haemoglobin available to carry oxygen</p> Signup and view all the answers

    What is the cause of stagnant (ischaemic) hypoxia?

    <p>Low blood flow to the tissues</p> Signup and view all the answers

    What is the cause of histotoxic hypoxia?

    <p>Cyanide poisoning</p> Signup and view all the answers

    What is a clinical feature of hypoxia?

    <p>Impairment of judgment</p> Signup and view all the answers

    What is a cause of hypoxic hypoxia?

    <p>Low pO2 of inspired air</p> Signup and view all the answers

    Study Notes

    Hypoxia

    • Defined as a lack of oxygen at the tissue level
    • Different from anoxia, which is a complete absence of oxygen in the tissues

    Types of Hypoxia

    • Classified into four groups:

    Hypoxic Hypoxia

    • Characterized by low arterial pO2 despite normal or elevated oxygen carrying capacity of blood and rate of blood flow to tissues
    • Causes:
      • Low pO2 of inspired air
      • Decreased pulmonary ventilation
      • Defect in exchange of gases
      • Venous arterial shunts (Right to left shunt)
      • Ventilation-perfusion imbalance (including increased physiological dead space and physiological shunt)

    Anaemic Hypoxia

    • Characterized by normal arterial pO2 but reduced amount of haemoglobin available to carry oxygen
    • Causes:
      • Anaemia
      • Haemorrhage
      • Conversion of haemoglobin to some abnormal form (e.g. met haemoglobin, carboxyhemoglobin)

    Stagnant (Ischaemic) Hypoxia

    • Blood flow to the tissue is too low to deliver adequate oxygen despite normal arterial pO2 and haemoglobin concentration
    • Causes:
      • General slowing of the circulation (e.g. heart failure, shock)
      • Local slowing (e.g. vasoconstriction, cold, arterial wall spasm)
      • Haemorrhage

    Histotoxic Hypoxia

    • Amount of oxygen delivered to the tissues is adequate, but tissues cannot make use of the oxygen due to toxic agents inhibiting oxidative enzyme activity
    • Cause:
      • Cyanide poisoning, which damages the enzyme cytochrome oxidase

    Effects of Hypoxia

    • Can lead to impairment of judgment, and other clinical features, depending on the degree of hypoxia

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    Description

    This quiz covers the definition, types, and characteristics of hypoxia, including hypoxic, anaemic, stagnant, and histotoxic hypoxia.

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