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Physiology mcq 6 Questions 76-90 Physiology multiple choice questions for the primary FRCA examination. Discuss answers and explanations area

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58) .AT A CORE TEMPERATURE OF 30 DEGREES C - 03-30-2005, 03:45 AM

a) oxygen consumption is about half of normal
b) blood coagulability is increased
c) the blood glucose concentration is increased
d) blood viscosity is reduced
e) the solubility of carbon dioxide in the blood is increased


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Re:58) .AT A CORE TEMPERATURE OF 30 DEGREES C - 03-30-2005, 03:45 AM

tttft
CVS-Reduced cardiac output-30% reduction at 30 degrees,J waves on ECG,ventricular arrythmias at 30degrees,VF at 28 degrees, vasoconstriction, vasodilation below 20 degrees, increased blood viscosity and hence increased hematocrit,thrombocytopenia.
RS-apnoea at 24 degrees,reduced tissue oxygen delivery,shift of ODC to left despite increased solubility of oxygen in blood,reduced oxygen demand and CO2 production.
CNS-confusion below 35degrees,unconsiousness below 30 degrees,reduced requirement for volatile agents,cessation of all electrical activity at 18degrees
Other-diuresis,reduced GFR by 50%
Metabolic and respiratory acidosis,increased blood glucose and potassium


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Question 12-02-2005, 07:48 PM

At what temperature does hypothermia cause a coagulopathy? I appreciate an increased viscosity suggests increased coagulability but won't the thrombocytopenia cause a coagulopathy?
 
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