Types of Hypoxia
Symptoms and signs
TUC myths
Causes in aviation
Sneaky factors
100

This type is caused by poor blood circulation

what is stagnant hypoxia

100

At 16,000' a pilot says "This flight is going GREAT" but skips checklist items 

what is euphoria 

100

True or false: My TUC at a certain altitude is 3 minutes. That means I have 3 minutes to think clearly 

False, mental performance starts to degrade immediately

100

A pressurization system maintains cabin pressure but the bleed air source becomes contaminated. Pilots feel headache and confusion at normal cabin altitude

What is carbon monoxide or contaminated air causing hypemic hypoxia

100

Name two “invisible” sneaky factors that can worsen hypoxia besides altitude.

fatigue, food, hydration, illness, alcohol, smoking ect.

200

A pilot has several drinks the night before. At 8,000' they show signs of hypoxia sooner than expected even though oxygen is available and circulation is normal 

what is histotoxic hypoxia 

200

A pilot keeps turning the heading bug the wrong direction and can’t follow simple ATC instructions.

what is impaired jugement/confusion

200

True or False: FAA charts show an average TUC for specific altitudes. My TUC will be the same as what is shown on the charts 

False, outside factors (drugs, sleep) can impact your personal TUC

200

Why can anxiety during an emergency worsen hypoxia

Because hyperventilation disrupts oxygen/CO₂ balance and worsens symptoms.

200

This common stimulant can mask fatigue but increases oxygen demand and can make hypoxia symptoms more noticeable once it wears off.

caffeine 

300

A pilot with anemia develops hypoxic symptoms faster than other pilots in the plane

what is hypemic hypoxia 

300

Which symptom often becomes severe right before loss of consciousness

what is drowsiness/sleepy/fatigue/mental collapse

300

True or false: If I feel better after a minute hypoxia is no longer a danger

False, euphoria could replace early warning signs 

300

Why does dehydration make hypoxia effects worse

Because reduced blood volume impairs oxygen delivery

300

This chemical in Zyn pouches can increase heart rate and oxygen demand at altitude

Nicotine 

400
During a prolonged steep turn at 10,000' a pilot experiences reduced vision. What 2 types of hypoxia are happening at once 

what is stagnant and hypoxic

400
Above 18,000' this symptom commonly increases 

what is shortness of breath or rapid breathing 

400

True or false: If I can move or talk I still have some useful consciousness 

False, TUC refers to purposeful decision making not just movement 

400

Why does high cockpit workload increase hypoxia risk

Attention is diverted and subtle symptoms go unnoticed 

400

What environmental factor increases metabolic rate (speed at which your body breaks down nutrients to energy) and oxygen demand? 

Temperature 

500

A pilot who is a smoker experiences a rapid decompression at 30,000'. What 2 types of Hypoxia are at work?

hypoxic and hypemic 

500

Why does cyanosis appear later on rather than earlier with symptoms?

Significant oxygen deprivation must occur before blue discoloration is noticeable 

500

True or false: An immediate emergency descent eliminates the need for supplemental oxygen

False, Time of Useful Consciousness may expire before you descend enough for sufficient oxygen 

500

At moderate altitude, a pilot recovering from the flu becomes hypoxic sooner than expected. Why

Reduced lung capacity or impaired oxygen exchange from illness
500

Not eating impacts your _______ levels

Blood sugar

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