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Anaesthesia · Oxygen therapy
Sample itemA patient with an acute exacerbation of COPD needs controlled oxygen therapy to avoid worsening hypercapnia. Which device is the most suitable?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
C. Venturi mask
A Venturi mask entrains a fixed amount of air through a jet, delivering a precise and constant FiO2 whatever the patient's breathing pattern. This allows careful titration in patients at risk of carbon dioxide retention.
Option by option
A. Non-rebreathing mask with reservoir
A non-rebreathing mask with reservoir delivers a high, variable FiO2, which risks hypercapnia.
B. Bag-valve-mask with reservoir
A bag-valve-mask with reservoir is for assisted ventilation and delivers near-100% oxygen.
C. Venturi mask (correct)
Correct. It delivers a fixed, known FiO2 that can be titrated.
D. Simple face mask
A simple face mask delivers a variable FiO2 that depends on flow and breathing pattern.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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