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Physiology · Respiratory system: Bohr dead space
Sample itemIn a resting adult, arterial PCO2 is 40 mmHg and mixed expired PCO2 is 28 mmHg. Tidal volume is 500 mL. Using the Bohr equation, what is the physiological dead space?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
B. 150 mL
The Bohr equation is VD/VT = (PaCO2 - PECO2)/PaCO2. Here it is (40 - 28)/40 = 12/40 = 0.30. Multiplied by a tidal volume of 500 mL, the physiological dead space is 150 mL. It is the sum of anatomical dead space and alveolar dead space from ventilated but unperfused alveoli.
Option by option
A. 120 mL
120 mL would require a ratio of 0.24, which does not follow from these values.
B. 150 mL (correct)
0.30 x 500 mL = 150 mL.
C. 250 mL
250 mL would correspond to a ratio of 0.5, requiring a mixed expired PCO2 of 20 mmHg.
D. 350 mL
350 mL is the fraction that reaches perfused alveoli (0.70 x 500), the complement of dead space.
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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