Basic and Clinical Sciences (BCSE) Practice Exam

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What condition is indicated by low arterial PO2?

  1. Histotoxic hypoxia

  2. Hypoxic hypoxia

  3. Stagnant hypoxia

  4. Hypoxemic respiratory failure

The correct answer is: Hypoxic hypoxia

Low arterial PO2 indicates hypoxic hypoxia, a condition characterized by inadequate oxygen levels in the blood that can lead to insufficient oxygen delivery to tissues. This condition is typically due to problems related to oxygen availability in the environment (such as high altitudes or suffocation) or issues with the lungs themselves (such as pneumonia or pulmonary edema) that prevent the lungs from effectively oxygenating the blood. Hypoxic hypoxia is specifically identified by low arterial oxygen levels, and the primary issue stems from a lack of oxygen in the blood, which can be measured directly. This condition can lead to symptoms like shortness of breath and decreased exercise tolerance, as the body struggles to meet its oxygen demands. Other types of hypoxia, such as histotoxic hypoxia, stagnant hypoxia, or hypoxemic respiratory failure, although they might involve low oxygen levels in some manner, are not primarily characterized by low arterial PO2. Histotoxic hypoxia is related to the inability of tissues to utilize oxygen even when it's available, stagnant hypoxia is due to inadequate blood flow, and hypoxemic respiratory failure indicates a broader failure of the respiratory system to maintain sufficient oxygenation, which may not always reflect solely low arterial PO2 without considering other physiological parameters.