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7- Respiratory (1 Hour & 57 minutes)

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   Content of this Session
    • Hypoxemia due to Ventilation-Perfusion mismatch
    • VA/Q Mismatches
    • Response to exercise
    • Hyperbaric Environment
    • Rhinosinusitis
    • Epistaxis
    • Nasal polyps
    • Angiofibroma
    • Nasopharyngeal carcinoma

 

 

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[h] Cardiovascular System Flashcards

[i] Master this session in just 5 minutes.

[q] Several mechanisms contribute to oxygen-induced hypercapnia, but the major cause is increased ………..?

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[q] ………… is blood passing through the pulmonary circulation and entering the left heart without changing its chemical composition (without gas exchange). It’s one of the causes of hypoxemia with high A-a gradient and supplemental oxygen doesn’t improve hypoxemia.

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[q] Although both ventilation and perfusion increase from apex to base, ………. increases to a greater degree. For this reason, the ventilation/perfusion ratio ………… in the lung from apex to base.

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[q] The combination of acute onset dyspnea, calf swelling, obesity in a patient with hypoxemia (high A-a gradient) and respiratory alkalosis is suggestive of ………..?

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[q] Because exercising muscles extract additional O2, the venous blood O2 content is …………? The venous blood CO2 content is ………. due to increased CO2 production. The venous blood pH is …………..? But no change in arterial Pao2 and Paco2 because they are balanced by increases of the cardiac output/skeletal muscle perfusion and ventilation, respectively.

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[q] Treatment of caisson diseases is …………..or ………..?

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[q] What is the most likely diagnosis?

15 years old patient presenting with facial pain, headache that is worse when the patient leans forward, postnasal drainage, and purulent nasal drainage. CT of the face is shown below?

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[q] If symptoms of Rhinosinusitis persist get worse after symptomatic treatment, antibiotics should be considered. Streptococcus pneumoniae and nontypeable Haemophilus influenzae are the most common causes of acute bacterial rhinosinusitis. Due to increasing beta-lactamase resistance, the treatment of choice is ………….?

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[q] The most common cause of epistaxis is ……….?

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[q] 90-95% of epistaxis are (anterior or posterior). Bleeding source is (venous or arterial) from ………..?. Management is directed at stopping the bleeding from Kiesselbach plexus, preferably by direct compression of the nasal alae. Cautery (silver nitrate) at ……….. may be necessary for persistent bleeding.

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[q] 5% of epistaxis are (anterior or posterior). Bleeding source is (venous or arterial) from ………..?. These are very dangerous and need packing or balloon.

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[q] …………… is a protrusion of edematous, inflamed nasal mucosa. Usually secondary to repeated bouts of rhinitis; also occurs in cystic fibrosis and aspirin -intolerant asthma.

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[q] ……….. is a benign tumor of nasal mucosa composed of large blood vessels and fibrous tissue; classically seen in adolescent males and presents with profuse epistaxis.

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[q] What is the most likely diagnosis?

46 years old Asian patient who is immigrated from china presenting with neck mass, epistaxis, headache, and cervical enlargement. Biopsy reveals pleomorphic keratin-positive epithelial cells (poorly differentiated squamous cell carcinoma) in a background of lymphocytes?

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[q] Nasopharyngeal carcinoma is usually associated with ………?

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