MRCP UK EXAMINATIONS

RESPIRATORY

CHRONIC OBSTRUCTIVE PULMONARY DISEASE

Question [CLICK ON ANY CHOICE TO KNOW THE RIGHT ANSWER]
Normal systolic pulmonary BP range?
A
8-10 at rest
B
15-20 at rest
C
Either A or B
D
None of the above
Explanation: 

Detailed explanation-1: -Pathophysiology. Normal pulmonary artery systolic pressure at rest is 18 to 25 mm Hg, with a mean pulmonary pressure ranging from 12 to 16 mm Hg. This low pressure is due to the large cross-sectional area of the pulmonary circulation, which results in low resistance.

Detailed explanation-2: -Normal systemic blood pressure is 120/80 mmHg. Normal blood pressure within the lungs is much lower and much more difficult to evaluate. Normal blood pressure in the lungs is 15-25 mmHg, or about 1/5th the bodies blood pressure. Pulmonary Hypertension results when the blood vessels constrict (tightens).

Detailed explanation-3: -There was a progressive increase in rest and exercise pulmonary artery pressures with increasing age. Pulmonary artery systolic pressures at rest and with exercise were 25±5mmHg and 33±9mmHg, respectively, in those <40 years, and 30±5mmHg and 41±12mmHg, respectively, in those ≥70 years.

Detailed explanation-4: -Normally, mean pulmonary arterial pressure is about 15 mmHg, and the pulmonary arterial systolic and diastolic pressures are about 25 and 10 mmHg, respectively.

There is 1 question to complete.