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Physiology · General physiology: indicator dilution
Sample itemTo measure plasma volume, 15 mg of Evans blue dye is injected intravenously. After complete mixing the plasma concentration is 0.5 mg/dL. Ignoring any loss of dye from the circulation, what is the plasma volume?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
B. 3 L
In the dilution principle volume = amount injected / concentration. Here 15 mg / 0.5 mg per dL = 30 dL, which is 3 L, a typical plasma volume. Evans blue binds albumin and stays in plasma, so it measures plasma volume; inulin or sucrose would be used for extracellular fluid.
Option by option
A. 0.75 L
0.75 L results from multiplying 15 by 0.5 instead of dividing.
B. 3 L (correct)
15 / 0.5 = 30 dL, and 10 dL make 1 L, so the volume is 3 L.
C. 14 L
14 L approximates the extracellular fluid volume of a 70 kg adult, which needs a marker that leaves the vessels.
D. 30 L
30 L results from forgetting that the answer of 30 is in decilitres, not litres.
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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