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Anaesthesia · Obstetric anaesthesia: pregnancy physiology
Sample itemWhich respiratory change occurs in term pregnancy and makes hypoxia develop quickly on apnoea?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
A. Reduced functional residual capacity with increased oxygen consumption
FRC falls by about 20% while oxygen consumption rises by about 20%, so desaturation occurs within about a minute. Minute ventilation rises by about 50% and MAC falls by about 30%.
Option by option
A. Reduced functional residual capacity with increased oxygen consumption (correct)
Correct. Low FRC and high consumption lead to rapid desaturation.
B. Increased FRC
FRC falls in pregnancy.
C. Increased residual volume
Residual volume falls.
D. Reduced minute ventilation
Minute ventilation increases.
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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