Anest. Day 3, 2nd sem, Acute respiratory failure Types of hypoxia Asthmatic condition. Bronchospasm. Aspiration syndrome Classification of coma by etiology

Додано: 28 березня 2021
Предмет:
Тест виконано: 37 разів
15 запитань
Запитання 1

What is “hypoxia”?


варіанти відповідей

Disrupted oxygen exchange

Oxygen toxicity

Oxygen deficiency

Reduced oxygen needs

Limited aerobic capacity

Запитання 2

What is the main functional aspect of hypoxia?


варіанти відповідей

Inadequate oxygen supply/oxygen demand

 Hyperadaptation to oxygen insufficiency

Oxygen hyporesponsiveness

Adequate oxygen deficiency

Decreased oxygen reserves in the body

Запитання 3

Which is NOT a cause for the development of local hypoxia?

варіанти відповідей

Arterial spasm

 Arterial hyperemia

 Arterial compression

Arterial obstruction

Arterial occlusion

Запитання 4

What is the pathophysiological classification of hypoxia?

варіанти відповідей

Hypoxic, hemic, circulatory, O2 utilization, mixed.

Compensated, uncompensated,subcompensated, overcompensated

Fulminant, acute, subacute, chronic

Local, organic, systemic, generalized.

Pulmonary, cardiovascular, blood, mixed.


Запитання 5

What could cause hypoxic hypoxia?


варіанти відповідей

Insufficient pulmonary oxygen transfer.

Increased CO2 production.

 Increased oxygen export by the lungs.

Blocked cytochrome oxidase.

Acute haemoglobin deficiency.

Запитання 6

Which of the following is NOT a cause for circulatory hypoxia development?

варіанти відповідей

Arterial hyperemia.

 Arterial spasm.

 Decreased blood flow to tissues in Right-Sided Heart Failure (RSHF).

  Blockage of arterial vessel by thrombus.

 Thromboembolic development.

Запитання 7

Which of the following best describes asthma?

варіанти відповідей

chronic airway inflammation with superimposed bronchospasm

intermittent airway inflammation with occasionally bronchospasm

a disease of bronchospasm that leads to airway inflammation

relatively fixed airway constriction

Запитання 8

A 66-year-old woman on 40 mg prednisolone/day for temporal arteritis was exposed to a confirmed case of influenza A (H1N1)pdm09. She also had hypertension, asthma and osteoarthritis, for which she took amlodipine, Lisinopril, paracetamol and inhaled salmeterol. She had not yet received her seasonal influenza vaccination. She presented to her doctor 24 hours after the exposure and a choice of prophylaxis with either oral oseltamivir or inhaled zanamivir was considered.

What side effect of zanamivir is she at risk of developing?

варіанти відповідей

Agitation

Bronchospasm

Cardiac arrhythmia

Guillain–Barré syndrome

Reye's syndrome

Запитання 9

Roth is a 28-year-old Caucasian All American Super Bowl quarterback star who on arrival at the emergency room after a motorbike accident with no helmet on, was jovial, ebullient, and fully aware. He urged to be discharged home as he had no obvious physical injuries. About 30 minutes after his arrival, Roth lapsed into a coma with no evident motor deficit. The most likely cause of coma in this patient is:

варіанти відповідей

Acute Subarachnoid hemorrhage

Acute Subdural hemorrhage

Acute Parenchymatous hemorrhage

Acute Epidural hemorrhage

Acute Lateral ventricle hemorrhage

Запитання 10

A young female patient is brought to the ER. She is unconscious and unarousable. A CT scan is done and the neuroradiologist reports that she has herniation syndrome. What is the most likely cause of her loss of consciousness?

варіанти відповідей

She is in coma due to secondary lesions of her reticular formation

She is in coma due to primary lesions of her cerebral cortex

She is in coma due to primary lesions of her thalamus

She is in coma due to primary lesions of her reticular formation

She is not in coma, it’s only that her reticular activating system has been inactivated

Запитання 11

The MRI of a 49-year-old woman with a brain tumor and ataxic breathing shows tonsillar herniation. Which of the following portions of the brain stem would be most adversely affected by tonsillar herniation?




варіанти відповідей

Caudal midbrain

Rostral midbrain

Rostral Pons

Rostral Diencephalon

Medulla

Запитання 12

 A 35 year old man is brought to the Emergency Room unresponsive by ambulance. He is cyanotic with a BP of 100/80 and pulse of 75. His arterial blood gases on room air are: PaO2 = 45 mmHg; PaCO2 = 75 mmHg; pHa = 7.12. The most likely diagnosis for the blood gases are:


варіанти відповідей

Metabolic acidosis

Hypoxic respiratory failure

Hypercapnic respiratory failure

Combined respiratory and metabolic acidosis

Запитання 13

 In hypoxic ventilatory failure the arterial PCO2 is usually


варіанти відповідей

Normal

Reduced

Increased

Запитання 14

In Bipolar II Disorder, major depressive episodes alternate with periods of:


варіанти відповідей

Hyperventilation

Hypomania

Hypothermia

Hypoxia

Запитання 15

Which of the following is not the symptom of high altitude sickness

варіанти відповідей

Fatigue  

Hypoxia  

Dizziness

Nausea

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