Breath of Fresh Air
Gas Exchange Gurus
Brainstem Bosses
Sounds Like Trouble
Critical Care & Clinical Clues
100

Which muscle is the primary driver of quiet, resting inspiration

Diaphragm

100

Approximately what percentage of oxygen in the blood is transported bound to hemoglobin

About 98%

100

Which brainstem structure is often referred to as the pacemaker of respiration

Pre-Bötzinger complex

100

Low-pitched, soft breath sounds heard over peripheral lung fields are called

Vesicular breath sounds

100

Each 1 L/min increase in oxygen via nasal cannula raises FiO₂ by approximately how much

About 4%

200

During normal exhalation at rest, air leaves the lungs mainly because of

Passive elastic recoil of the lungs

200

Most carbon dioxide in the bloodstream is transported in what form

As bicarbonate ions

200

Central chemoreceptors primarily respond to changes in the levels of which substance

Carbon dioxide (via CSF pH)

200

A patient with airway narrowing is most likely to have which abnormal lung sound

Wheezes

200

Which ventilator setting helps prevent alveolar collapse at end-expiration

PEEP

300

What pressure remains sub-atmospheric throughout the entire breathing cycle and helps keep the lungs expanded

Intrapleural pressure

300

A leftward shift of the oxyhemoglobin dissociation curve indicates

Increased affinity of hemoglobin for oxygen

300

Which receptor type is stimulated by pulmonary congestion and can trigger rapid, shallow breathing

J (juxtacapillary) receptors

300

Increased tactile fremitus most strongly suggests

Lung consolidation

300

Which disease is the most common infectious cause of death worldwide and primarily affects the lungs

Tuberculosis

400

When the thoracic cavity expands during inspiration, what happens to intrapulmonary pressure

It decreases below atmospheric pressure

400

Which physiological change would most likely cause a rightward shift of the oxyhemoglobin dissociation curve

Increased temperature or decreased pH

400

The dorsal respiratory group mainly contributes to which breathing function

Control of inspiration

400

A PaO₂ value below what level indicates hypoxemia

60 mmHg

400

A PaO₂/FiO₂ ratio of 250 suggests which type of respiratory support may be needed

Non-invasive oxygen support (e.g., high-flow nasal cannula)

500

A patient has reduced diaphragmatic movement due to hyperinflated lungs. Which respiratory condition most likely explains this finding

Emphysema

500

During vigorous exercise, why does oxygen unload more readily from hemoglobin at the tissues

Increased CO₂, temperature, and acidity reduce hemoglobin’s affinity for oxygen

500

During high-intensity exercise, which respiratory center increases activity to meet ventilatory demand

Ventral respiratory group

500

Diminished breath sounds, dyspnea with activity, and lower extremity edema most strongly point toward which condition

Congestive heart failure exacerbation

500

Thick, dehydrated mucus due to faulty chloride ion transport is characteristic of which condition

Cystic fibrosis

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