3.5 Quiz 1

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Questions and Answers

What is the dominant feature of hypoventilation?

  • Hypercapnia (correct)
  • Respiratory alkalosis
  • Alkalosis
  • Hypoxemia

What is a common finding in patients with central sleep apnea?

  • Loud snoring
  • Effort without airflow
  • Apneic periods of no respiratory effort (correct)
  • Obstruction during inspiration

How does CPAP help in the treatment of sleep apnea?

  • Increases risk of CV complications
  • Raises pressure inside airways (correct)
  • Causes daytime somnolence
  • Induces sleep disordered breathing

What is the main cause of low FiO2 leading to hypoxemic hypoxia?

<p>High altitude (C)</p> Signup and view all the answers

What are two cardinal features of hypoventilation?

<p>Rise in PCO2 and alveolar hypoxia (A)</p> Signup and view all the answers

What is the most common cause of hypoxemia according to the text?

<p>Ventilation-perfusion inequality (C)</p> Signup and view all the answers

Which gas transfer is affected by ventilation-perfusion inequality?

<p>All gases - O2, CO2, anesthetic gases (A)</p> Signup and view all the answers

In obstructive diseases, increased resistance to expiratory airflow primarily occurs due to which process?

<p>Hypertrophy of smooth muscle in the airway wall (B)</p> Signup and view all the answers

What exacerbates ventilation-perfusion inequality according to the text?

<ol> <li>Hypoventilation and 2) decreased cardiac output (A)</li> </ol> Signup and view all the answers

Which condition is specifically mentioned in the text as contributing to the fundamental physiologic problem in obstructive diseases?

<p>Emphysema (A)</p> Signup and view all the answers

In a patient with hypoventilation, which of the following is a characteristic finding?

<p>Decreased respiratory rate (C)</p> Signup and view all the answers

Which of the following is a common cause of respiratory acidosis?

<p>Obstructive lung disease (B)</p> Signup and view all the answers

What differentiates obstructive sleep apnea from central sleep apnea?

<p>Increased respiratory effort in central sleep apnea (D)</p> Signup and view all the answers

Which of the following is NOT a feature of central sleep apnea?

<p>Associated with loud snoring (B)</p> Signup and view all the answers

What is a potential consequence of untreated sleep apnea?

<p>Increased risk of stroke (C)</p> Signup and view all the answers

Which condition can lead to the depression of respiratory centers by drugs like opiates?

<p>Hemorrhage diseases of the medulla (C)</p> Signup and view all the answers

What is a characteristic of diseases of the nerves to respiratory muscles like in Guillain-Barre syndrome?

<p>Hypercapnia (B)</p> Signup and view all the answers

Which condition may cause upper airway obstruction, leading to obstructive sleep apnea?

<p>Duchenne muscular dystrophy (B)</p> Signup and view all the answers

In the context of hypoxemic hypoxia, what effect does diffusion impairment have across the alveolar-capillary unit?

<p>Impaired gas exchange between blood and alveoli (A)</p> Signup and view all the answers

Which type of shunt allows blood to bypass ventilated lung regions and does not respond to 100% O2 therapy?

<p>Right-to-Left Shunt (B)</p> Signup and view all the answers

What is the main physiological factor that contributes to hypoventilation in patients with severe chronic lung disease?

<p>Worsening of ventilation-perfusion relationships (A)</p> Signup and view all the answers

Which condition may lead to hypercapnic respiratory failure when exposed to excessive oxygen therapy?

<p>Chronic obstructive pulmonary disease (COPD) (B)</p> Signup and view all the answers

What is a common hazard associated with oxygen therapy mentioned in the text?

<p>CO2 retention (A)</p> Signup and view all the answers

Which type of sleep apnea is commonly treated with continuous positive airway pressure (CPAP) postoperatively?

<p>Obstructive sleep apnea (OSA) (B)</p> Signup and view all the answers

In mechanical ventilation, which mode delivers a known volume despite changes in lung properties or airway resistance?

<p>Volume control (D)</p> Signup and view all the answers

Which of the following is a potential cause of hypoventilation?

<p>Excessive oxygen therapy (C)</p> Signup and view all the answers

What is a common feature of both obstructive sleep apnea and central sleep apnea?

<p>Decreased oxygen saturation in the blood (C)</p> Signup and view all the answers

In respiratory acidosis, which of the following compensatory mechanisms is expected to occur?

<p>Increased blood bicarbonate levels (A)</p> Signup and view all the answers

What is a potential hazard associated with central sleep apnea?

<p>Increased risk of heart attack (D)</p> Signup and view all the answers

Which of the following best describes a characteristic of obstructive sleep apnea?

<p>Intermittent airflow obstruction during sleep (C)</p> Signup and view all the answers

What is the characteristic arterial blood gas finding in patients with respiratory acidosis?

<p>Decreased pH and increased PaCO2 (C)</p> Signup and view all the answers

Which condition is characterized by decreased sensitivity of central chemoreceptors to changes in PaCO2?

<p>Central sleep apnea (B)</p> Signup and view all the answers

What is a common feature in patients with chronic bronchitis?

<p>Elevated jugular venous pressure (A)</p> Signup and view all the answers

Which factor contributes to luminal narrowing in chronic bronchitis?

<p>Increased mucus production (B)</p> Signup and view all the answers

What is the primary cause of COPD in developing populations?

<p>Indoor exposure to burning biofuels (A)</p> Signup and view all the answers

Which type of emphysema is usually associated with alpha-1 antitrypsin deficiency?

<p>Panacinar emphysema (B)</p> Signup and view all the answers

Which feature distinguishes emphysema from chronic bronchitis?

<p>Irreversible enlargement of airspaces distal to terminal bronchioles (A)</p> Signup and view all the answers

What is a clinical feature specific to chronic bronchitis?

<p>Purulent sputum from bacterial infection (A)</p> Signup and view all the answers

Which condition can lead to hypercapnia and respiratory acidosis in patients with COPD?

<p>Administration of high FiO2 levels (C)</p> Signup and view all the answers

What is a characteristic feature of hypoventilation that may be observed in COPD patients?

<p>Elevated PaCO2 levels with normal pH levels (C)</p> Signup and view all the answers

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