Library/Health Professions and Related Programs/Guyton and Hall Textbook of Medical Physiology, 14th Edition/Respiratory Insufficiency—Pathophysiology, Diagnosis, Oxygen Therapy

Respiratory Insufficiency—Pathophysiology, Diagnosis, Oxygen Therapy

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Questions

Question 1

Assuming a lung Po2 of about 3000 mm Hg (4 atm pressure), what is the approximate total oxygen content in each 100 ml of blood, as represented by point A in Figure 45-2?

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Question 2

What is the primary danger associated with breathing oxygen at 4 atm pressure for a period of 30 to 60 minutes?

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Question 3

What is the primary mechanism that causes nervous system oxygen toxicity when tissue PO2 levels become extremely high?

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Question 4

Under what condition can a person develop chronic oxygen poisoning, leading to pulmonary disability such as lung passageway congestion and pulmonary edema?

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Question 5

According to the text, why does chronic oxygen poisoning primarily affect the lungs and not other body tissues when breathing 1 atm O2?

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Question 6

What is the maximum alveolar CO2 pressure (PCO2) a diver can typically tolerate before the situation becomes intolerable and the respiratory center begins to be depressed?

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Question 7

What is the primary gas responsible for causing decompression sickness when a diver ascends too quickly?

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Question 8

How many times more soluble is nitrogen in body fat than it is in body water?

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Question 9

Which tissue in the body takes the longest to become saturated with nitrogen during a deep dive?

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Question 10

What is the volume of nitrogen dissolved in the body of a diver saturated at a depth of 100 feet?

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Question 11

Pain in the joints and muscles, known as 'the bends', affects what percentage of individuals who experience decompression sickness?

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Question 12

What is the condition called 'the chokes' in the context of decompression sickness?

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Question 13

According to the example decompression schedule for a diver at 190 feet for 60 minutes, how much time is spent at the 10-feet depth stop?

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Question 14

Which of the following is NOT a reason for using helium instead of nitrogen in gas mixtures for very deep dives?

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Question 15

At a depth of 700 feet (22 atm pressure), what percentage of oxygen in the breathing mixture is sufficient to provide all the O2 required by a diver while avoiding toxicity?

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Question 16

What is the function of the 'demand' valve in an open-circuit SCUBA system?

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Question 17

What is the most significant limiting factor for the amount of time a SCUBA diver can remain at a depth like 200 feet?

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Question 18

What is a major physiological problem a person must prevent during an escape from a submerged submarine?

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Question 19

For which of the following conditions has hyperbaric oxygen therapy been shown to be particularly successful, often converting a previously fatal condition into one that is cured?

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Question 20

At what PO2 pressure do the clostridial organisms that cause gas gangrene stop growing?

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Question 21

What is the critical alveolar PO2 level above which the hemoglobin-O2 buffer mechanism fails, leading to a rapid rise in tissue PO2?

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Question 22

According to Figure 45-1, what is the atmospheric pressure experienced by a diver at a depth of 100 feet (30.5 meters)?

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Question 23

What happens to a gas volume of 1 liter at sea level when it is taken down to a depth of 233 feet, according to Figure 45-1?

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Question 24

Which factor greatly increases a diver's susceptibility to acute oxygen toxicity, causing symptoms to appear much earlier and with greater severity?

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Question 25

Why are nervous tissues especially susceptible to the lethal effects of acute oxygen toxicity?

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Question 26

If a diver remains underwater at a deep level for only a few minutes, what is the expected level of nitrogen dissolution in their tissues?

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Question 27

What is the collective term for the multiple problems, including 'the bends' and 'the chokes,' that arise from the removal of nitrogen from tissues during ascent?

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Question 28

Approximately what percentage of the total dissolved nitrogen in the body is liberated within the first hour of a diver being brought to the surface slowly?

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Question 29

What is the primary purpose of 'saturation diving'?

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Question 30

What is the primary component of the gas inside the bubbles that form during decompression sickness?

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Question 31

The open-circuit demand type of SCUBA is used in what percentage of all sports and commercial diving?

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Question 32

What action must a person take to prevent air embolism when escaping from a submerged submarine?

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Question 33

What is believed to be responsible for both the toxicity and the therapeutic benefits of hyperbaric oxygen therapy?

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Question 34

In hyperbaric oxygen therapy, at what typical PO2 values is the oxygen administered to the patient?

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Question 35

What is the primary difference between the effect of depth on CO2 partial pressure versus O2 partial pressure in a diver breathing compressed air?

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Question 36

When a diver experiences CO2 toxicity due to buildup in a rebreathing apparatus, what is the eventual effect on the respiratory center at very high PCO2 levels?

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Question 37

When treating a patient with decompression sickness who has already surfaced, what is the immediate and crucial first step in tank decompression?

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Question 38

What is the primary reason that fat tissue reaches equilibrium with dissolved nitrogen much slower than the water of the body?

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Question 39

Which of the following conditions is NOT listed as being valuable or possibly valuable for treatment with hyperbaric oxygen therapy?

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Question 40

What is the total pressure of gases inside the body fluids of a diver equilibrated at a depth where the outside pressure is 5000 mm Hg?

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Question 41

When a diver suddenly ascends from a depth with 5000 mm Hg external pressure to sea level (760 mm Hg), what happens to the gases dissolved in their body?

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Question 42

Which tissue's high susceptibility to damage from oxidizing free radicals is the primary cause of the acute lethal effects of oxygen toxicity?

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Question 43

What is the normal, safe range for tissue PO2 that the hemoglobin-O2 buffer mechanism is responsible for maintaining?

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Question 44

According to Figure 45-2, the oxygen-hemoglobin dissociation curve shows that beyond a certain PO2, the amount of oxygen combined with hemoglobin plateaus. What happens to the amount of dissolved oxygen as PO2 continues to increase to 3040 mm Hg?

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Question 45

What is the approximate volume of nitrogen dissolved in the entire body at sea level?

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Question 46

What causes the symptoms of decompression sickness, such as joint pain or 'the chokes'?

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Question 47

What is the third reason provided for using helium instead of nitrogen in gas mixtures for very deep dives?

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Question 48

What is the primary physiological principle that limits dive time on an open-circuit SCUBA system at increasing depth?

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Question 49

What is the theoretical escape depth from a submarine that could be achieved using a proper rebreathing device with helium?

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Question 50

What happens to the tissue PO2 once the alveolar PO2 rises above a critical level like 2 atm?

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