Physics MCQ 7 Flashcards

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1
Q

Which device can measure CO2 in the blood? O2 in the blood?

A

Severinghaus electrode

Clark electrode measures O2 in the blood

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2
Q

What values do you need to calculate shunt fraction (Q’s/Qt)?

A
  1. Pulmonary end capillary O2 content (same as alveolar O2)
  2. Arterial O2
  3. Mixed venous O2 content

Qs - blood flow through the shunt/min
Qt - total cardiac output/min

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3
Q

Measurement of peak expiratory flow:
1. Does it reveal normal diurnal variation?

  1. What are the readings for a normal adult?
A
  1. Reveals a normal diurnal variation of less than 10%

2. Reading of 450 - 650 litres.min-1

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4
Q

Can electrically isolated circuits eliminate the risk of electrocution?

A

No, even if the patient comes into contact with the earth this does not prevent electrocution.

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5
Q

What is relative humidity?

A

The ratio of mass of water vapour present in a given volume of air to the mass required to SATURATE the same volume of air at the same temperature.

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6
Q

How is relative humidity calculated?

A

SVP at dew point / SVP at ambient temperature.

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7
Q

How does a hair hygrometer respond to temperature?

A

Hair in the hair hygrometer lengthens as humidity rises.

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8
Q

How does a Renaults hygrometer work?

A

Works by bubbling air through a silver tube of ether. The ether cools, and condensation appears on the surface of the silver tube.

The temperature at which the condensation appears is known as dew point.

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9
Q

In a manometer:

7.5mmHg is equivalent to how many cm H2O and kPa?

A

7.5mmHg = 10.2cm H2O = 1kPa.

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10
Q

What is different in the way mercury manometers and mercury barometer is sealed?

A

A manometer used to measure BP is open top, it has a gas permeable top which is open to atmospheric pressure. Measures gauge pressure.
(Michelle - open - engaging)

The barometer is sealed with vacuum above the surface of the liquid, which allows full absolute pressure to be recorded.
(Barak - closed - absolute)

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11
Q

In the Bain co-axial breathing system is fresh gas flow equivalent to the patients minute ventilation?

A

Fresh gas flow is 2-4 timess the patients minute ventilation to maintain normocapnia in a spontaneously breathing patient.

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12
Q

What classification of Mapleson does Bains function under?

A

Mapleson D

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13
Q

In the Bain coaxial system how is fresh gas flow delivered?

What can cause an increase in dead space?

A

Fresh gas flow is delivered through the inner tube and if this becomes disconnected it can hugely increase the dead space.

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14
Q

What temperature do hot water humidifiers usually operate?

A

40-45 degrees C

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15
Q

How can ultrasonic nebulisers produce fluid overload?

A

Because they produce very fine water droplets, those at 5microns deposit in the trachea and 1 micron in the alveoli.

Relative humidities > 100% can be produced which may lead to fluid overload or pulmonary oedema in children.

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16
Q

What is the humidified water content in the trachea?

A

Humidified in the upper airway, it should have a water content of 44g.m-3.

This compared to 17g.m-3 in room air at 20 degrees.