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The Oxygen Cascade and Oxygen Consumption Quiz
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The Oxygen Cascade and Oxygen Consumption Quiz

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Questions and Answers

Which of the following best describes the concept of the oxygen cascade?

  • The solubility of O2 increases as it moves from the atmosphere to the mitochondria in the tissues.
  • The partial pressure of O2 decreases as it moves from the atmosphere to the mitochondria in the tissues. (correct)
  • The solubility of O2 decreases as it moves from the atmosphere to the mitochondria in the tissues.
  • The partial pressure of O2 increases as it moves from the atmosphere to the mitochondria in the tissues.
  • What happens if there is a disruption to the oxygen cascade?

  • Arterial Po2 increases and tissue Po2 remains the same.
  • Arterial Po2 decreases and tissue Po2 decreases. (correct)
  • Arterial Po2 remains the same and tissue Po2 decreases.
  • Arterial Po2 decreases and tissue Po2 remains the same.
  • How much O2 is dissolved in every 100 mL of blood at 100 mmHg?

  • 3 mL
  • 0.3 mL (correct)
  • 30 mL
  • 0.03 mL
  • What is the approximate O2 consumption at rest?

    <p>230-250 mL O2 per minute</p> Signup and view all the answers

    How does the amount of O2 needed by the heart compare to the amount of O2 consumed by the tissues?

    <p>The heart needs more O2 than the tissues.</p> Signup and view all the answers

    What is the purpose of haemoglobin (Hb) in oxygen delivery?

    <p>To carry and transport oxygen to tissues</p> Signup and view all the answers

    During internal respiration in the tissues, at a Po2 of 40 mmHg, approximately what percentage of oxygen saturation remains on hemoglobin (Hb)?

    <p>75%</p> Signup and view all the answers

    Which of the following accurately describes the role of central chemoreceptors in the control of ventilation?

    <p>They sense the CO2 and pH level of cerebrospinal fluid (CSF)</p> Signup and view all the answers

    Where are the peripheral chemoreceptors located?

    <p>In the arteries</p> Signup and view all the answers

    Which of the following is true about the relative importance of O2 and CO2 in ventilatory control at rest?

    <p>CO2 is more important than O2</p> Signup and view all the answers

    Where are the central chemoreceptors located?

    <p>Brain stem</p> Signup and view all the answers

    What do peripheral chemoreceptors sense?

    <p>All of the above</p> Signup and view all the answers

    Which chemoreceptors are primarily responsible for detecting changes in carbon dioxide (CO2) levels?

    <p>Central chemoreceptors</p> Signup and view all the answers

    Which of the following statements about central chemoreceptors is true?

    <p>Central chemoreceptors are responsible for minute-to-minute control of breathing.</p> Signup and view all the answers

    What is the role of peripheral chemoreceptors?

    <p>Peripheral chemoreceptors detect changes in O2 and pH level of blood.</p> Signup and view all the answers

    What happens to the pH of cerebrospinal fluid (CSF) during high CO2 level in blood?

    <p>The pH of CSF drops.</p> Signup and view all the answers

    Where are the peripheral chemoreceptors located?

    <p>Peripheral chemoreceptors are located in the carotid and aortic bodies.</p> Signup and view all the answers

    What activates the glomus cells in the peripheral chemoreceptors?

    <p>Low O2 or low pH level in blood.</p> Signup and view all the answers

    What happens to the ventilatory response to increased CO2 levels when the alveolar O2 level is constant?

    <p>Increase in ventilation</p> Signup and view all the answers

    What happens to the ventilatory response when alveolar CO2 level is constant and there is a decrease in alveolar O2 level?

    <p>Increase in ventilation</p> Signup and view all the answers

    What happens to the ventilatory response when alveolar O2 level is low and there is a further increase in CO2 level?

    <p>Greatly increase in ventilation</p> Signup and view all the answers

    What happens to the ventilatory response curve in the presence of metabolic acidosis (high H+)?

    <p>Shift to the left</p> Signup and view all the answers

    What happens to the ventilatory response in individuals using narcotic drugs, anesthetics, or COPD patients?

    <p>Shift to the right</p> Signup and view all the answers

    What response occurs when there is a combination of low pH with hypoxemia or hypercapnia?

    <p>Ventilation increases significantly</p> Signup and view all the answers

    What is the reason that increasing alveolar oxygen (O2) is meaningless for hypoxemia caused by shunting?

    <p>There is no blood flowing in shunting</p> Signup and view all the answers

    Which of the following conditions does oxygen therapy NOT work for?

    <p>Hypoxemia caused by shunting</p> Signup and view all the answers

    Select the correct statement on oxygen cascade and consumption:

    <p>Alveolar gas equation determines the final partial pressure of oxygen in alveoli upon mixing of humidified inhaled air with remained exhaled air</p> Signup and view all the answers

    Select the correct statement on oxygen delivery:

    <p>During resting condition, the hemoglobin saturation is about 75% after the internal respiration</p> Signup and view all the answers

    Select the best description on chemoreceptors:

    <p>Peripheral chemoreceptors detect the changes of oxygen level in blood</p> Signup and view all the answers

    Select the correct statement on ventilatory responses:

    <p>Ventilation rate is higher during low oxygen or high carbon dioxide level</p> Signup and view all the answers

    Select the correct statement on COPD management.

    <p>COPD patients with respiratory failure may require long-term oxygen therapy</p> Signup and view all the answers

    Why is oxygen therapy contraindicated in patients with severe COPD?

    <p>Oxygen therapy can lead to hypercapnia and respiratory acidosis</p> Signup and view all the answers

    What is the recommended oxygen saturation range for patients receiving low O2 therapy?

    <p>Between 88-92%</p> Signup and view all the answers

    What is the potential risk of stopping oxygen therapy in patients with severe COPD?

    <p>Hypoxemia worsens</p> Signup and view all the answers

    What should be monitored in patients receiving low O2 therapy?

    <p>Respiratory acidosis development</p> Signup and view all the answers

    When may a shift to long-term oxygen therapy be necessary?

    <p>When oxygen saturation cannot be maintained within the desired range</p> Signup and view all the answers

    Study Notes

    Oxygen Cascade and Consumption

    • The oxygen cascade refers to the process of oxygen delivery from the atmosphere to the body's tissues.
    • A disruption to the oxygen cascade can lead to tissue hypoxia.
    • At 100 mmHg, approximately 0.003 mL of O2 is dissolved in every 100 mL of blood.
    • The approximate O2 consumption at rest is 250 mL/min.
    • The heart requires 10-15% of the total O2 consumption, while the remaining 85-90% is consumed by the tissues.

    Oxygen Delivery and Hemoglobin

    • Hemoglobin (Hb) plays a crucial role in oxygen delivery by binding to oxygen in the lungs and releasing it to the tissues.
    • During internal respiration in the tissues, at a Po2 of 40 mmHg, approximately 30% of oxygen saturation remains on hemoglobin (Hb).

    Chemoreceptors and Ventilatory Control

    • Central chemoreceptors are responsible for detecting changes in CO2 and H+ levels in the cerebrospinal fluid (CSF).
    • Peripheral chemoreceptors are located in the carotid and aortic bodies and sense changes in O2 and CO2 levels.
    • At rest, CO2 is the primary stimulus for ventilation, while O2 plays a minor role.
    • Central chemoreceptors are primarily responsible for detecting changes in carbon dioxide (CO2) levels.
    • Peripheral chemoreceptors are responsible for detecting changes in O2 levels.

    Ventilatory Responses

    • During high CO2 levels in the blood, the pH of cerebrospinal fluid (CSF) decreases.
    • The glomus cells in the peripheral chemoreceptors are activated by hypoxia.
    • When the alveolar O2 level is constant, an increase in CO2 levels stimulates ventilation.
    • When the alveolar CO2 level is constant, a decrease in alveolar O2 level stimulates ventilation.
    • When alveolar O2 level is low and there is a further increase in CO2 level, ventilation is strongly stimulated.
    • In the presence of metabolic acidosis (high H+), the ventilatory response curve shifts to the left.
    • In individuals using narcotic drugs, anesthetics, or COPD patients, the ventilatory response to CO2 is depressed.
    • When there is a combination of low pH with hypoxemia or hypercapnia, ventilation is strongly stimulated.

    Oxygen Therapy and COPD Management

    • Increasing alveolar oxygen (O2) is meaningless for hypoxemia caused by shunting.
    • Oxygen therapy does not work for shunting or ventilation-perfusion mismatch.
    • Oxygen therapy is contraindicated in patients with severe COPD because it can lead to respiratory depression.
    • The recommended oxygen saturation range for patients receiving low O2 therapy is 88-92%.
    • The potential risk of stopping oxygen therapy in patients with severe COPD is respiratory failure.
    • In patients receiving low O2 therapy, oxygen saturation and acid-base status should be monitored.
    • A shift to long-term oxygen therapy may be necessary when oxygen saturation remains below 88% despite optimal medical therapy.

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    Description

    Test your knowledge on the oxygen cascade and oxygen consumption with this quiz! Learn about how the partial pressure of oxygen decreases from the atmosphere to the mitochondria in the tissues, and how disruptions can affect arterial and tissue oxygen levels. Explore the concept of dissolved oxygen and its relationship to oxygen consumption.

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