Exam 8: Oxygen Equilibrium and Transport

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Which of the following are normal values for hemoglobin saturations and oxygen partial pressures? I.Arterial oxygen saturation (SaO2) is approximately 97.5%. II.PO2 is 100 mm Hg at SaO2 of 97.5%. III.Mixed venous oxygen saturation (S Vˉ \bar{V} O2) is normally 75%. IV. P Vˉ \bar{V} O2 is 60 mm Hg at S Vˉ \bar{V} O2 of 75%.

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D

Under resting conditions, what percentage of the arterial oxygen content is extracted by the tissues?

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A

What is the normal amount of oxygen delivered to the tissues?

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B

A patient has the following arterial blood-gas values while breathing room air: PaO2 = 100 mm Hg; SaO2 = 0.975.The hemoglobin concentration is 7 g/dL, and the Q˙\dot Q is 8 L/min.Will the resting oxygen consumption be affected?

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What is the best explanation for the presence of peripheral cyanosis?

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Which of the following conditions is an example of hypoxemia with cyanosis?

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What is the normal amount of oxygen consumed by the tissues?

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Which of the following statements are true of fetal hemoglobin? I.Hemoglobin present in the fetus has a high affinity for oxygen. II.HbF of normal-term infants has a P50 of approximately 22 mm Hg. III.A cyanotic newborn infant has a much lower arterial PO2 than an equally cyanotic adult. IV.By 6 months after birth, most HbF has been replaced with HbA.

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What is the clinical consequence of the point below DO2crit?

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Which of the following are pathological features associated with HbS? I.Thromboemboli II.Ischemia III.Polycythemia IV.Tissue hypoxia

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Assuming a concentration of 15 g/dL, what will be the hemoglobin's oxygen-carrying capacity?

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Which of the following levels of PO2 is associated with a significant oxygen content gain?

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Which of the following conditions decrease hemoglobin's affinity for oxygen? I.Increased blood PCO2 II.Decreased blood pH III.Increased blood temperature IV.Decreased blood levels of the organic phosphate 2,3-DPG

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What is the effect of a high P50?

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What is the effect of transfusing banked blood stored with an acid-citrate dextrose anticoagulant?

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Which of the following statements are true of oxygen transport? I.Hemoglobin allows whole blood to carry approximately 20 mL of oxygen per 100 mL of blood at the normal arterial PaO2 of 100 mm Hg. II.Hemoglobin's capacity to carry oxygen is approximately 67 times more than the capacity of plasma alone when PaO? is 100 mm Hg. III.A normal cardiac output of 5 L/min delivers approximately 1000 mL of oxygen to the body's tissues each minute. IV.The amount of oxygen delivered is not enough to meet the tissues' resting requirement.

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What is the name of the phenomenon associated with the decreased affinity of Hb for oxygen when PCO2 is high?

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Where is the majority of oxygen in blood?

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Which of the following statements relate to the HbO2 equilibrium curve? I.Large PO2 changes cause small to minimal changes in oxygen content, especially at the extreme flat right end (60 to 100 mm Hg). II.Small PO2 changes cause large blood oxygen content changes in the middle, steep portion of the curve (20 to 60 mm Hg). III.Large PO2 changes cause large changes in oxygen content at the extreme flatter ends of the curve, especially the flat right end (60 to 100 mm Hg). IV.Small PO2 changes cause small blood oxygen content changes in the middle, steep portion of the curve (20 to 60 mm Hg).

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Which of the following statements are true of blood transfusion to improve oxygen delivery? I.It is recommended when DO2crit is reached. II.It is associated with increased mortality. III.It is indicated when hypoxia is due to anemia (Hb of 8 g/dL). IV.It is associated with increased mortality.

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