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Kaplan Qbank USMLE



Author6 Posts
  #1

Calculate FRC.<?xml:namespace prefix = o ns = "urn:schemas-microsoft-com:office:office" />

Data available:

12L spirometer with 10% helium concentration. After several min of breathing, Helium concentr falls to 8%


  #2

2.4L.......confused

  #3

how did u get it?

i don't have the correct answer


  #4

i am sorry the ans is 3L.....

helium dilution method is a closed circuit technique in which pt is allowed to breath through spirometer having fixed conc of O2 and helium....pt is allowed to breath normally and after some breaths there occurs a stage of equilibrium b/w the lungs and the spirometer..

so C1 * V1(before equilibration )=C2(V1+V2)after equilibration

C1 conc of helium before equilibration in the spirometer...which in this case is 10%

V1 volume of the gas mixture =12L

C2 conc of after equilibration=8%

V2 is the volume we want to calculate(FRC)

12*10=8(12+V2)

120=96+8V2

120-96=8V2

24=8V2

V2=3....


  #5

I guess I would think of it in simpler teerms. 12L is the FVC. After introduction of Helium in to closed system, the change was 2%, that means that the RV (which is represented by the change) is 2% of the FVC, which is 2.4 L, the FRC is usually a bit larger than RV since it includes the RV and FEV. So if given the choices I d go for something close to 2.5- 3L. However, the formula given above givesone an exact amount. :-)

___________________
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  #6

My calculation is 3L too.








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