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Kaplan Qbank USMLE



Author8 Posts
  #1

patient A has CO poisoning and patient B has iron deficiency anemia. Assume that CO is binding 50% of the available O2 binding sites on the hemoglobin, and that the anemic patient has 50% of the normal amount of Hb. Patient A is more at risk of tissue hypoxia becoz CO causes

a)arterial hypoxemia, while anemia does not

b)a decrease in diffusing capacity

c)a decrease in P50 of Hb for O2

d)a greater decrease in the concentration of arterial O2

e)a reduced rate of O2 binding to available Hb


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I don't believe in miracles...I rely on them. And sometimes, I create my own.

  #2

The last one

  #3

correct answer is c.

CO increases Hb's affinity for O2.


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"Everything should be made as simple as possible, but not simpler." - Albert Einstein

  #4

correct, p53


___________________
I don't believe in miracles...I rely on them. And sometimes, I create my own.

  #5

I suppose that you wanted to say "decreases" instead of "increases"

  #6

no mildus its increased affinity so o2 not released to the tissues. thus hypoxia

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  #7

yeah increase binding affinity results in left shift of oxy-hemoglobin curve , thus reduced p50!

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  #8

thanks very much guys!







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