A patient with emphysema shows signs of low oxygen saturation and reports fatigue and chest tightness. What structural lung changes account for these symptoms?
destruction of alveolar walls
loss of elastic recoil
enlargement of the airspaces distal to the terminal bronchioles
Correct Answer : A,B,C
The structural lung changes in emphysema that account for low oxygen saturation, fatigue, and chest tightness include the destruction of alveolar walls, loss of elastic recoil, and enlargement of the airspaces distal to the terminal bronchioles. These changes reduce the surface area available for gas exchange, impairing oxygen diffusion into the blood and leading to hypoxemia. Loss of elastic recoil also hinders effective expiration, causing air trapping and hyperinflation, which contributes to chest tightness and increased work of breathing. Collectively, these structural alterations compromise pulmonary function, resulting in fatigue and decreased oxygen delivery to tissues, which explains the patient’s clinical symptoms.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Correct answer: True
Ventilation, the movement of air into (inhalation) and out of (exhalation) the lungs, depends on pressure gradients between the atmosphere and the alveoli. During inspiration, the diaphragm and intercostal muscles contract, expanding the thoracic cavity and lowering intrapulmonary pressure below atmospheric pressure, allowing air to flow into the lungs. During expiration, these muscles relax, thoracic volume decreases, intrapulmonary pressure rises above atmospheric pressure, and air flows out. Without a pressure gradient, airflow cannot occur because gases move passively from regions of higher pressure to regions of lower pressure. This principle is fundamental to understanding normal respiratory mechanics and breathing physiology.
Correct Answer is B
Explanation
Correct answer: False
Asthma prevalence varies across different racial and ethnic groups. Epidemiological studies show that asthma is more prevalent among African American and Hispanic populations compared with Caucasian individuals. Factors such as genetics, environmental exposures, socioeconomic status, and access to healthcare contribute to these differences. While asthma can affect people of any race, assuming it is most common in Caucasians is inaccurate. Public health data emphasize that minority populations often experience higher rates of asthma morbidity and mortality, highlighting the importance of targeted prevention and management strategies in these groups.
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