ANSWERS 2025/2026 kk kk
Type II pneumocytes - CORRECT ANSWER -surfactant (*lecithin*)
kk kk kk kk kk kk kk
kk Proliferate after injury kk kk
Type I progenitors kk kk
*Neonatal Respiratory Distress Syndrome* kk kk kk
Polio live v killed vaccine - CORRECT ANSWER -Killed = Salk = IgG
kk kk kk kk kk kk kk kk kk kk kk kk
Live = Sabin = IgG + IgA
kk kk kk kk kk kk
- can be shed in feces
kk kk kk kk kk
Neonatal Respiratory Distress: kk kk
Etiology + Tx - CORRECT ANSWER -Maternal DM (*high insulin*) or
kk kk kk kk kk kk kk kk kk kk
kk C-section (*low cortisol*) kk kk
TX: *dexamethasone* before birth
kk kk kk
Lung maturity determined with - CORRECT ANSWER -Amniocentesis of Phospholipids (*type II
kk kk kk kk kk kk kk kk kk kk kk
pneumocytes)
kk
L >> Skk kk
Type I pneumocytes - CORRECT ANSWER -Squamous gas diffusion
kk kk kk kk kk kk kk kk
Elastase in lungs - CORRECT ANSWER -macrophage: *lysosomes*
kk kk kk kk kk kk kk
kk PMN: *azuronphilic granules*
kk kk
,Elastin stretches and recoils due to - CORRECT ANSWER -Lysine interchain crosslinks
kk kk kk kk kk kk kk kk kk kk kk
air pressure and
kk kk
intrapleural pressure at FRC - CORRECT ANSWER -Air pressure = 0
kk kk kk kk kk kk kk kk kk kk
kk Intrapleural pressure = -5 kk kk kk
Pulm Vasc Resistance is lowest during - CORRECT ANSWER -Exhale of Tidal Volume
kk kk kk kk kk kk kk kk kk kk kk kk
Lung Compliance is decreased by - CORRECT ANSWER -LHF, pulmonary edema,
kk kk kk kk kk kk kk kk kk kk
kk pulmonary fibrosis kk
Lung Compliance is increased by - CORRECT ANSWER -emphysema, age
kk kk kk kk kk kk kk kk kk
Obesity affects ERV and FRC - CORRECT ANSWER -DECREASE ERV
kk kk kk kk kk kk kk kk kk
kk & FRC
kk
Blood flow/min (pulmonary v systemic) - CORRECT ANSWER -pulmonary = systemic
kk kk kk kk kk kk kk kk kk kk
Anatomic pulmonary shunting - CORRECT ANSWER -Bronchial circulation causes
kk kk kk kk kk kk kk kk
*decreased PO2 in LA/LV* kk kk kk
kk than in pulmonary capillaries
kk kk kk
More ventilation is at the - CORRECT ANSWER -BASE
kk kk kk kk kk kk kk kk
O2-Hgb dissociation LEFT shift - CORRECT ANSWER -basic, cold, low 2,3 BPG
kk kk kk kk kk kk kk kk kk kk kk
,low pO2 (compensatory erythrocytosis)
kk kk kk
O2-Hgb dissociation RIGHT shift - CORRECT ANSWER -low pH, high 2,3BPG, high T HOT,
kk kk kk kk kk kk kk kk kk kk kk kk kk
kk ACIDIC
CO2 transport to lungs - CORRECT ANSWER -*carbonic anhydrase* Cl
kk kk kk kk kk kk kk kk kk
kk shift
*Haldane*: CO2 released to lung (*Bohr*: kk kk kk kk kk
kk O2 release to tissue)
kk kk kk
CO poisoning causes - CORRECT ANSWER -carboxyhemoglobin
kk kk kk kk kk kk
kk no affect on PaO2
kk kk kk
Cyanide poisoning causes - CORRECT ANSWER -lactic acidosis
kk kk kk kk kk kk kk
How to treat cyanide poisoning - CORRECT ANSWER -*Amyl nitrite* --> Methemoglobin
kk kk kk kk kk kk kk kk kk kk kk
kk THEN *Thiosulfate* (hydroxycobalamin)
kk kk
Normal A-a gradient - CORRECT ANSWER -5-15 kk kk kk kk kk kk
Hypoventilation: Heroin OD or high altitude kk kk kk kk kk
Increased A-a gradient - CORRECT ANSWER -*Diffusion impairment* (fibrosis)
kk kk kk kk kk kk kk kk
*R-L shunt* (aspiration, ARDS)
kk kk kk
*V/Q mismatch* (pulmonary edema
kk kk kk
, AT--> AT IIk kk kk
where and how - CORRECT ANSWER -ACE (-
kk kk kk kk kk kk kk
kk high in sarcoidosis)
kk kk
In small pulmonary bV
kk kk kk
C5a induces what - CORRECT ANSWER -PMN influx (ie: in lungs)
kk kk kk kk kk kk kk kk kk kk
Korotkoff sound - CORRECT ANSWER -BP cuff - appear and disappear in
kk kk kk kk kk kk kk kk kk kk kk
kk inflation/deflation
Pulsus Paradoxus - CORRECT ANSWER -10mmHg difference in
kk kk kk kk kk kk kk
kk Korotkoff sound kk
Pulsus Paradoxus occurs in - CORRECT ANSWER -Cardiac Tamponade
kk kk kk kk kk kk kk kk
Kussmaul sign - CORRECT ANSWER -JVP rises *during inspiration*
kk kk kk kk kk kk kk kk
kk Constrictive Pericardiditis kk
Restrictive/Interstitial Lung Disease: kk kk
A-a, FVC, FEV1, EFR - CORRECT ANSWER -Airway widening due to *radial traction* from fibrosis
kk kk kk kk kk kk kk kk kk kk kk kk kk kk
*increase Aa* kk
decreased FVC & FEV1 kk kk kk
*Increased EFR* kk
Sarcoidosis - CORRECT ANSWER -*Th1 *noncaseating granulmona kk kk kk kk kk kk
kk bilateral hilar adenopathy kk kk