Which is not a part of Respiratory Unit (also called respiratory lobule)
ক
ক) Principal bronchiole
খ
খ) Respiratory bronchiole
গ
গ) Atria
ঘ
ঘ) Alveoli
ব্যাখ্যা
Reference: Guyton 14th; P- 515
২.
Gas exchange unit of lung
ক
Alveolus
খ
Acinus
গ
Terminal brochiole
ঘ
Atrium
ব্যাখ্যা
Davidson 24th
৩.
Greater portion of CO2 trandsported to lung by binding with
ক
Hb
খ
Protein
গ
HCO3
ঘ
Freely
ব্যাখ্যা
৪.
Which of the following is responsible for the movement of O2 from the alveoli into the blood in the pulmonary capillaries?
ক
ক) Active transport
খ
খ) Secondary active transport
গ
গ) Facilitated diffusion
ঘ
ঘ) Passive diffusion
ব্যাখ্যা
Respiratory gases pass through the alveolar capillary membrane by passive diffusion.
৫.
Lungs apics have following zone of blood flow
ক
1 and 2
খ
2 and 3
গ
1 and 3
ঘ
None
ব্যাখ্যা
Zones 1, 2, and 3 of Pulmonary Blood Flow The capillaries in the alveolar walls are distended by the blood pressure inside them but simultaneously are compressed by the alveolar air pressure on their outsides. Therefore, whenever the lung alveolar air pressure becomes greater than the capillary blood pressure, the capillaries close, and there is no blood flow. Under different normal and pathological lung conditions, one may find any one of three possible zones (patterns) of pulmonary blood flow, as follows:
Zone 1: No blood flow during all portions of the cardiac cycle because the local alveolar capillary pressure in that area of the lung never rises higher than the alveolar air pressure during any part of the cardiac cycle Zone 2: Intermittent blood flow only during the peaks of pulmonary arterial pressure because the systolic pressure is then greater than the alveolar air pressure, but the diastolic pressure is less than the alveolar air pressure Zone 3: Continuous blood flow because the alveolar capillary pressure are remains greater than alveolar air pressure during the entire cardiac cycle
Normally, the lungs have only zones 2 and 3 blood flow-zone 2 (intermittent flow) in the apices and zone 3 (continuous flow) in all the lower areas.
৬.
O2 level in peripheral circulation depends on?
ক
Hb level
খ
O2 dissolving capacity of Hb
গ
CO
ঘ
Temperature
ব্যাখ্যা
কোন ব্যাখ্যা যোগ হয় নি।
৭.
Find the true
ক
VA and Q normal,Va/q normal
খ
VA=O and Q=N normal,Va/q normal
গ
VA= N and Q= O ,Va/q normal
ঘ
Va/q= 0 max gas excahnge
ব্যাখ্যা
কোন ব্যাখ্যা যোগ হয় নি।
৮.
1st line investigation of Pulmonary embolism
ক
DTPA
খ
CTPA
গ
MRI
ঘ
CT Scan
ব্যাখ্যা
Davidson 24th
৯.
The ultimate goal of respiration is to maintain proper concentrations of the following in the tissues except?
ক
ক) O2
খ
খ) CO2
গ
গ) NH3-
ঘ
ঘ) H+
ব্যাখ্যা
The ultimate goal of respiration is to maintain proper concentrations of O2, CO2 & H+
১০.
Acute type 2 respiratory failure occurs in
ক
ALVF
খ
Lung Fibrosis
গ
Sleep apnea
ঘ
Narcotics
১১.
The decrease in O2 affinity of hemoglobin when the pH of blood falls is called the
ক
ক) Haldane effect
খ
খ) Bohr Effect
গ
গ) Donnean effect
ঘ
ঘ) Channel effect
ব্যাখ্যা
[Ganong 24th p-643]
১২.
The ultimate goal of respiration is to maintain proper concentrations of the following in the tissues except?
ক
O2
খ
CO2
গ
HCO3-
ঘ
H+
ব্যাখ্যা
Reference: Guyton 14th; P- 533
১৩.
Factors that shift 02-Hb dissociation curve to left
ক
ক) Increased pH
খ
খ) Increased CO2
গ
গ) Increased temperature
ঘ
ঘ) Increased BPG
ব্যাখ্যা
Reference: Guyton 14th; P- 526
১৪.
Maximum CO2 is transported as
ক
ক) Dissolved state
খ
খ) HCO3-
গ
গ) Hb-CO2
ঘ
ঘ) H2CO3
ব্যাখ্যা
Reference: Guyton 14th; P- 528
১৫.
A-a gradient normal in
ক
V/Q mismatch
খ
Fibrosis
গ
High Altitude
ঘ
Rt to Lt shunts
১৬.
Diffusion of gas through respiratory membrane is inversly proportional to
ক
Surface area
খ
Diffusion co efficient
গ
Pressure differene
ঘ
MW
ব্যাখ্যা
Guyton 13 th page 522
১৭.
Va/Q is infinity in
ক
Asthma
খ
COPD
গ
Pulmonary Embolism
ঘ
Pulmonary Fibrosis
ব্যাখ্যা
Va/Q is infinity : No perfusion but ventilation remains normal. Causes: 1. Embolism 2. Emphysema 3.Bronchiectasis
১৮.
Maximum percentage of 02 is present in
ক
ক) Atmospheric air
খ
খ) Humidified air
গ
গ) Alveolar air
ঘ
ঘ) Expired air
ব্যাখ্যা
Reference: Guyton 14th; P- 513
১৯.
Parameter in venous blood
ক
pH 7.4
খ
PCO2 46 mmHg
গ
PCO2 95 mm Hg
ঘ
O2 saturation > 95 %
ব্যাখ্যা
ABC of Biochemistry 6th - P:362
২০.
O2-Hb dissociation curve becomes almost flat when PO2 becomes....mmHg?