A healthy person at sea level breathes room air (FiO2 0.21). The PaCO2 is 40 mmHg, the respiratory quotient is 0.8 and water vapour pressure is 47 mmHg. What is the alveolar PO2?

Answer and explanation

Correct answer: A. About 100 mmHg

  1. Step 1: PAO2 = FiO2 x (Patm - PH2O) - PaCO2 / R. Step 2. 0.21 x (760 - 47) = 150; 40 / 0.8 = 50. Step 3. 150 - 50 = 100 mmHg. Answer: about 100 mmHg. Why not the others: 150 forgets to subtract the CO2 term, and 60 and 40 would imply severe hypoxia.

Practise more Cardiovascular, Respiratory and Renal Physiology.

Free questions with an explanation for every one, and full timed USMLE Step 1 mock tests.