Prep for USMLEPrep for USMLE Forum
   Forum    Step 1  Step 2 CK Step 2 CS Step 3  Match  IMGs Resources Search






Previous Topic | Next Topic  question 




 
Kaplan Qbank USMLE



Author11 Posts
  #1

which one of the following indiacates small air way obstruction.

a.increase in closing volume of lung
b.increase in max.airflow during expiration
c.decrase if FVC
d.decrease in maximum expiratory pressure.

pls explain ur answer

___________________
Dont worry.Nobody knows 100%

  #2

whtz closing volume of the lung??? and wht exactly is max. expiratory pressure, IPP or alveolar..where???

anyway, i'll go with C, as in any kind of obstruction, functional vital capacity decreases!


___________________
life is guud

  #3

well ssrpk, i too had same quieries.its a mcq from score95.com
the explanation they offered is A.bcoz in small airway obstruction,as contrary to large airway obstruction there is a parodoxical increase in closing lung volume.
i really dont know what the hell is closing lung volume mean.

___________________
Dont worry.Nobody knows 100%

  #4

just posting some of the questions which i thought were vague and questions that r intresting.
ur feedbacks r welcomed

___________________
Dont worry.Nobody knows 100%

  #5

well, maybe its residual volume, but anyway one thing is for sure, tht FVC gets reduced, it can't be even normal in obstruction of any kind, even in restrictve diseases!

___________________
life is guud

  #6

ssrpk, from what i know, FVC is fairly equal to the normal individual's.. it's FVC in 1 second that is grossly decreased. please corrcet me if I'm wrong

___________________
"Love is the only inflamation of the heart that drains in the vagina" (translation after Dr Petre Florescu, Professor of Pathology, UMF "Iuliu Hatieganu", Cluj Napoca

  #7

Increase in the Lung closing volume is well known change in Small airway disease

Best of luck


___________________
FA is just a good revision book.It is not a "real" learning tool.

  #8

Leopard wrote:
Increase in the Lung closing volume is well known change in Small airway disease

Best of luck


thanks loepard

___________________
Dont worry.Nobody knows 100%

  #9

yeah its true tht FEV1 is more important than FVC as it decreases earlier than FVC which may be normal! whtz more important is ratio [FEV1/FVC]

answer is definitely A [closing volume is residual volume]


___________________
life is guud

  #10

ssrpk wrote:
yeah its true tht FEV1 is more important than FVC as it decreases earlier than FVC which may be normal! whtz more important is ratio [FEV1/FVC]

answer is definitely A [closing volume is residual volume]
Dude .. Its most prob A) an incrase in Residual Vol .. But C is also a farily correct answer .. how to eliminate it ??


___________________
... Idle hands are the DeVilS play ground ...

  #11

as i said, at the initial stages of obstructive lung disease, or say tht diseases has'nt progresed tht much, the first value to go down will be FEV1 and the FEV25%-75% [midmaximal flow rate], while the FVC overall may remain normal, tht's why FEV1/FVC ratio is much more informative! butofcourse as the dieases progreses, FVC will reduce!

___________________
life is guud







You don't have permission to post.




Login or Register to post messages in this topic





















Contact | Leaders | Disclaimer | Privacy

Copyright @ Prep for USMLE. All rights reserved.