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Kaplan Qbank USMLE



Author7 Posts
  #1

what can minimize the work of breathing in pulmonary fibrosis patient

Resp frequency / Tidal vol

a-dec,inc
b-dec,normal
c-dec,inc
d-normal,dec
e-normal,normal
f-normal, inc
g-inc,dec
h-inc,normal
i-inc,inc

could anyone explain why ....
thanks !!

Edited by linaorvos on 11/06/06 - 09:08 AM

  #2

I

pink puffer-> they are fighting for every breath

  #3

but if inc frequency, wouldn't it inc the work load?
could it be normal frequency and inc TV?

  #4

but...they normally can't have large TV, so the only way to get more O2 is to inc frequency....I'm totally confused...

  #5

well these pts shud undergo resp.rehab therapy where they are made to learn to take slower but deep breaths!

as inc. frequency will only increase dead space ventilation unless the tidal volume is increased too!

i'll go with C!

by the way tht applies even to normal individual, thts wht meditation is all about.


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  #6

yes i agree with ssrpk...i selected A which seems to be the same as C!

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Aim High

  #7

I think any measure would increase the work load or is insufficient.
Usually patients are advised to exercise only to feel better functionality.
No good purpose is served in advising the patient to change breathing patterns.
Only in acute caes(ARDS) high O2 and PPV are provided(which i suppose is inc in TV)
any way i go with e(normal/normal).









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