Physio

Question 1

COPD
stable disease
FEV1/FVC likely to be

Answer 1

60%

Question 2

in emphysema what is increased

Answer 2

pulmonary compliance is increased
residual volume and residual capacity
total lung volume

Question 3

dynamic airways compression is less likely to occur during active expiration

Answer 3

COPD

Question 4

anxiety and resp physio

Answer 4

increased central and autonomic arousal

Question 5

pulmonary fibrosis

FEV1/FVC

Answer 5

80%

Question 6

impaired LV function and sob

Answer 6

reduced pulmonary compliance and impaired gas diffusion

Question 7

lung infection with sputum and sob
po2 is 8.2
what are his sats going to be

Answer 7

90%

Question 8

pulmonary fibrosis px

sats o2 and co2 on climbing stairs

Answer 8

sats 90% (go down)
o2 8.3 (go down)
co2 4.8 (normal 4.9)

Question 9

functional residual capacity

Answer 9

is approx 2.2L in a young adult man

Question 10

a low po2 causes what

Answer 10

pulmonary vasoconstriction

Question 11

tension pneumothorax

Answer 11

patient likely to be hypotensive

Question 12

severe anaemia sats and o2

Answer 12

sats 99%

o2 13.1 (normal)

Question 13

acute pulmonary oedema

Answer 13

sit up
IV furosemide 20-40mg
nitrates

Question 14

anxiety

Answer 14

resp alkalosis with no compensation as not hyperventilating all the time
o2 normal

Question 15

pin point pupils unconscious

Answer 15

resp acodisos
antidote malpoxin
o2 low as he has had resp depression
metabolic compensation takes days to occur

Question 16

type 1 resp failure

Answer 16

low o2
normal co2

pneumonia, ARDS, PE

Question 17

type 2 reps failure

Answer 17

low oxygen, high co2

COPS, asthma, suffocation, GBS, ank spond, chronic bronchitis

Question 18

COPD

Answer 18

resp alk with metabolic compensation

type 2 RF

Question 19

asthma

Answer 19

resp alk with no compensation

type 2 RF

Question 20

palliative - anxiety causing breathlessness

Answer 20

Lorazepam IV