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Question

A patient with severe chest trauma is unable to ventilate effectively. Which of the following best explains the immediate physiological consequence regarding gas exchange?

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RRB Paramedical 2025 Nursing Superintendent Question Paper PDF (12-Mar-2026) (Shift 3)
The correct answer is

Reduced oxygen diffusion from alveoli to blood

Severe chest trauma (e.g. flail chest, pneumothorax) prevents adequate expansion of the lungs, so alveolar ventilation falls.

With less fresh air reaching the alveoli, alveolar oxygen tension drops and less oxygen diffuses across the alveolar–capillary membrane into the blood, causing hypoxaemia (with CO2 retention).

Kidney bicarbonate reabsorption is a slower compensatory change, not the immediate consequence; CO2 release and haemoglobin oxygen affinity are not improved by hypoventilation.

Hence, Reduced oxygen diffusion from alveoli to blood.

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Important Questions from Physiology

  1. If a person touches a hot surface and quickly pulls their hand away, which type of nerves are primarily responsible for sending the signal to move the hand?

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