Pulmonary Physiology and V/Q Ratio Quiz
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Questions and Answers

What effect does an increase in pH have on the oxygen dissociation curve?

  • It shifts to the right.
  • It remains unchanged.
  • It shifts to the left. (correct)
  • It causes hemoglobin to lose affinity for carbon dioxide.
  • Which of the following diseases is NOT known to affect the V/Q ratio?

  • Bronchitis
  • Pneumonia
  • Pulmonary fibrosis (correct)
  • Asthma
  • In an upright position, where is the V/Q ratio typically higher?

  • In the diaphragm area.
  • Throughout the entire lung equally.
  • In the lower bases of the lungs.
  • In the upper parts of the lung. (correct)
  • If a patient's V/Q ratio trend is downward, what can be inferred about the ratio?

    <p>It is becoming lower.</p> Signup and view all the answers

    What is the Respiratory Quotient (RQ) value indicating the relationship between air and blood flow?

    <p>0.8</p> Signup and view all the answers

    What is the formula used to calculate the arterial content of oxygen (CaO₂)?

    <p>CaO₂ = (Hb × 1.34% × s) + (PaO₂ × 0.003)</p> Signup and view all the answers

    What is the normal value for the difference in arterial and venous oxygen content ((Cla-v)O₂)?

    <p>5 v/o</p> Signup and view all the answers

    In a scenario where the alveolar ventilation is 10 LPM and pulmonary blood flow is 12 LPM, what can be inferred about the V/Q ratio?

    <p>The V/Q ratio is less than 1.</p> Signup and view all the answers

    What is the normal value for oxygen delivery (DO₂) in mL?

    <p>1000 mL</p> Signup and view all the answers

    When the pH decreases and the oxygen dissociation curve shifts to the right (P50 increase), which of the following is most likely affected?

    <p>Increased oxygen unloading from hemoglobin.</p> Signup and view all the answers

    Study Notes

    Example Calculation

    • Alveolar ventilation is 10 LPM
    • Pulmonary blood flow is 12 LPM
    • The V/Q ratio is about?

    Ratio Explanation

    • RQ = 0.8: for every unit of air reaching alveoli, there's slightly more than 1 unit of blood flow to the capillaries
    • When pH ↑, O2 diss curve shifts to the right
    • When pH ↓, O2 diss curve shifts to the left
    • ↑ P50 ↓

    Conditions Causing Hypoxia

    • Know conditions that cause 4 Hypoxia Types

    Diseases & V/Q Ratio

    • Diseases that ↑ V/Q = asthma, PNA, bronchitis
    • Which way will CO2 + HCO3 move in relation to pH?

    V/Q Ratio and Position

    • Ratio is lower in bases (in upright position) due to gravity
    • V/Q ratio is higher in apices (upright posture)
    • More ventilation relative to perfusion
    • If I trend my pt.’s ratio now would be lower

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    Description

    Test your understanding of pulmonary physiology, specifically the V/Q ratio and its implications in different conditions. This quiz covers alveolar ventilation, blood flow, and factors affecting hypoxia. Determine how various diseases influence the V/Q ratio and explore the relationship between pH and oxygen dissociation.

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