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NBME CBSE | latest |COMPLETE FREQUENTLY MOST TESTED QUESTIONS WITH VERIFIED ANSWERS/ALREADY GREADED A+ |GET IT 100% ACCURATE!!

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NBME CBSE | latest |COMPLETE FREQUENTLY MOST TESTED QUESTIONS WITH VERIFIED ANSWERS/ALREADY GREADED A+ |GET IT 100% ACCURATE!!

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NBME CBSE | latest |COMPLETE
FREQUENTLY MOST TESTED QUESTIONS
WITH VERIFIED ANSWERS/ALREADY
GREADED A+ |GET IT 100% ACCURATE!!
Type II pneumocytes - (ANSWER)surfactant (*lecithin*)

Proliferate after injury

Type I progenitors

*Neonatal Respiratory Distress Syndrome*



Polio live v killed vaccine - (ANSWER)Killed = Salk = IgG



Live = Sabin = IgG + IgA

- can be shed in feces



Neonatal Respiratory Distress:

Etiology + Tx - (ANSWER)Maternal DM (*high insulin*)

or C-section (*low cortisol*)

TX: *dexamethasone* before birth



Lung maturity determined with - (ANSWER)Amniocentesis of Phospholipids
(*type II pneumocytes)

L >> S

,2




Type I pneumocytes - (ANSWER)Squamous gas diffusion



Elastase in lungs - (ANSWER)macrophage: *lysosomes*

PMN: *azuronphilic granules*



Elastin stretches and recoils due to - (ANSWER)Lysine interchain crosslinks



air pressure and

intrapleural pressure at FRC - (ANSWER)Air pressure = 0

Intrapleural pressure = -5



Pulm Vasc Resistance is lowest during - (ANSWER)Exhale of Tidal Volume



Lung Compliance is decreased by - (ANSWER)LHF, pulmonary edema,

pulmonary fibrosis



Lung Compliance is increased by - (ANSWER)emphysema, age



Obesity affects ERV and FRC - (ANSWER)DECREASE

ERV & FRC

,3


Blood flow/min (pulmonary v systemic) - (ANSWER)pulmonary = systemic



Anatomic pulmonary shunting - (ANSWER)Bronchial circulation causes

*decreased PO2 in LA/LV*

than in pulmonary capillaries



More ventilation is at the - (ANSWER)BASE



O2-Hgb dissociation LEFT shift - (ANSWER)basic, cold, low 2,3 BPG

low pO2 (compensatory erythrocytosis)



O2-Hgb dissociation RIGHT shift - (ANSWER)low pH, high 2,3BPG, high T

HOT, ACIDIC



CO2 transport to lungs - (ANSWER)*carbonic anhydrase*

Cl shift

*Haldane*: CO2 released to lung

(*Bohr*: O2 release to tissue)



CO poisoning causes - (ANSWER)carboxyhemoglobin

no affect on PaO2

, 4


Cyanide poisoning causes - (ANSWER)lactic acidosis



How to treat cyanide poisoning - (ANSWER)*Amyl nitrite* --> Methemoglobin

THEN *Thiosulfate* (hydroxycobalamin)



Normal A-a gradient - (ANSWER)5-15



Hypoventilation: Heroin OD or high altitude



Increased A-a gradient - (ANSWER)*Diffusion impairment* (fibrosis)

*R-L shunt* (aspiration, ARDS)

*V/Q mismatch* (pulmonary edema



AT --> AT II

where and how - (ANSWER)ACE

(- high in sarcoidosis)

In small pulmonary bV



C5a induces what - (ANSWER)PMN influx (ie: in lungs)



Korotkoff sound - (ANSWER)BP cuff - appear and disappear

in inflation/deflation

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