Diving Physiology Quiz settings Property Setting Passing score 80% Display Point Value Yes Randomize Questions Yes Total Number of Questions 35 Total Number of Questions to Ask All Display User Score Yes Display Passing Score Yes Display Pass/Fail Messages Yes Email recipient Questions Multiple Choice, 10 points, 1 attempt(s) permitted. 1. From a diving perspective the ________ are the last tissues to become saturated with inert gas. Correct Choice Feedback X bones Correct muscles Incorrect, bones are the last to become saturated due to limited blood supply. brain and spinal cord Incorrect, bones are the last to become saturated due to limited blood supply. digestive system Incorrect, bones are the last to become saturated due to limited blood supply. Matching Drag and Drop, 10 points, 1 attempt(s) permitted. 2. Match the basic function with the body system. Choice Match Musculoskeletal System provides the structure around which the body the body is formed; provides protection for vital organs; causes movement by contracting Nervous System uses approximately 20% of the blood's available oxygen supply Digestive System converts food to a form that can be transported and utilized by the cells Feedback when correct: Correct Feedback when incorrect: Incorrect Multiple Choice, 10 points, 1 attempt(s) permitted. 3. Respiration is the process of getting oxygen into the body and carbon dioxide out. Select the correct path of gas being inhaled: Correct X Choice Feedback Nose/mouth, trachea, bronchi, bronchioles, alveoli Currect Nose/mouth, bronchi, bronchioles, trachea, alveoli Incorrect, the correct path is: Nose/mouth, trachea, bronchi, bronchioles, alveoli Nose/mouth, alveoli, trachea, bronchi, bronchioles Incorrect, the correct path is: Nose/mouth, trachea, bronchi, bronchioles, alveoli Nose/mouth, trachea, alveoli, bronchi, bronchioles Incorrect, the correct path is: Nose/mouth, trachea, bronchi, bronchioles, alveoli True/False, 10 points, 1 attempt(s) permitted. 4. The lungs contain five lobes; three for the right lung and two for the left. Correct X Choice True False Feedback when correct: Correct Feedback when incorrect: Incorrect Multiple Choice, 10 points, 1 attempt(s) permitted. 5. The single cell, semi-permeable, wall separating _____ and capillary is where the gas exchange between lungs and blood flow takes place. Correct Choice Feedback X alveoli Correct bronchioles Incorrect, the cell wall separating alveoli and capillary is where the gas exchange between lungs and blood flow takes place. bronchi Incorrect, the cell wall separating alveoli and capillary is where the gas exchange between lungs and blood flow takes place. trachea Incorrect, the cell wall separating alveoli and capillary is where the gas exchange between lungs and blood flow takes place. Multiple Choice, 10 points, 1 attempt(s) permitted. 6. During the normal mechanics of respiration the diaphragm _____ on inhalation and _____ during exhalation. Correct X Choice Feedback contracts / relaxes Correct relaxes / contracts Incorrect. During the normal mechanics of respiration the diaphragm contracts on inhalation and relaxes during exhalation. pushes / pulls Incorrect. During the normal mechanics of respiration the diaphragm contracts on inhalation and relaxes during exhalation. constricts / expands Incorrect. During the normal mechanics of respiration the diaphragm contracts on inhalation and relaxes during exhalation. Multiple Choice, 10 points, 1 attempt(s) permitted. 7. The need to breathe is controlled by _____ levels in the body. Correct X Choice Feedback carbon dioxide Correct oxygen Incorrect. Carbon dioxide levels in the body control the need to breathe. carbon monoxide Incorrect. Carbon dioxide levels in the body control the need to breathe. nitrogen Incorrect. Carbon dioxide levels in the body control the need to breathe. Multiple Choice, 10 points, 1 attempt(s) permitted. 8. The ______ brings oxygenated blood from the lungs to the heart. Correct X Choice Feedback pulmonary vein Correct pulmonary artery Incorrect. The pulmonary vein brings oxygenated blood from the lungs to the heart. aorta Incorrect. The pulmonary vein brings oxygenated blood from the lungs to the heart. superior vena cava Incorrect. The pulmonary vein brings oxygenated blood from the lungs to the heart. Multiple Choice, 10 points, 1 attempt(s) permitted. 9. At sea level, about 98% of the oxygen in the blood is carried by _____. Correct X Choice Feedback hemoglobin Correct plasma Incorrect. At sea level, about 98% of the oxygen in the blood is carried by hemoglobin. water Incorrect. At sea level, about 98% of the oxygen in the blood is carried by hemoglobin. carbon dioxide Incorrect. At sea level, about 98% of the oxygen in the blood is carried by hemoglobin. True/False, 10 points, 1 attempt(s) permitted. 10. Most carbon dioxide reacts with water in the blood cells and is transported into bicarbonate ions, many of which diffuse into the blood plasma for transport to the lungs. Correct X Choice True False Feedback when correct: Correct Feedback when incorrect: Incorrect True/False, 10 points, 1 attempt(s) permitted. 11. Oxygen and carbon dioxide diffuse across tissues from areas of lower concentration to areas of higher concentration. Correct Choice True X False Feedback when correct: Correct Feedback when incorrect: Incorrect Multiple Choice, 10 points, 1 attempt(s) permitted. 12. At rest, the body inhales approximately _____ oxygen and exhales about _____ oxygen. Correct X Choice Feedback 21% / 16% Correct 25% / 10% Incorrect. At rest, the body inhales approximately 21% oxygen and exhales about 16% oxygen. 21% / 25% Incorrect. At rest, the body inhales approximately 21% oxygen and exhales about 16% oxygen. 21% / 4% Incorrect. At rest, the body inhales approximately 21% oxygen and exhales about 16% oxygen. True/False, 10 points, 1 attempt(s) permitted. 13. People who are aerobically fit are able to deliver, extract, and use more oxygen when exercising. Correct X Choice True False Feedback when correct: Correct Feedback when incorrect: Incorrect Matching Drag and Drop, 10 points, 2 attempt(s) permitted. 14. Match the respiratory problem with its description. Choice Match Hypoxia results when tissue oxygen pressure drops below normal from an inadequate supply of oxygen Hyperventilation short term, rapid deep breathing beyond the need for the activity; lowers carbon dioxide level in blood Hypercapnia occurs from too much carbon dioxide in the breathing gas, or because carbon dioxide produced by the body is not eliminated properly Shallow Water Blackout falling ambient pressure during ascent reduces the partial pressure of oxygen in the body; can cause unconsciousness Carbon Monoxide Poisoning results from contamination of a scuba cylinder by fumes from the exhaust of an internal combustion engine or partial combustion of compressor lubricating oil Lipoid Pneumonia can result if a diver breaths gas containing suspended petroleum vapor Feedback when correct: Correct Feedback when incorrect: Incorrect True/False, 10 points, 1 attempt(s) permitted. 15. Swallowing, yawing, or the Valsalva Maneuver are acceptable methods to equalize the pressure increase on the middle ear experienced during decent. Correct X Choice True False Feedback when correct: Correct Feedback when incorrect: Incorrect True/False, 10 points, 1 attempt(s) permitted. 16. Over the counter and prescription drugs can open sinus passages with no risk to diving situations. Correct Choice True X False Feedback when correct: Correct Feedback when incorrect: Incorrect True/False, 10 points, 1 attempt(s) permitted. 17. On a breath-hold dive, the lungs compress with increased depth. This compression does not correlate completely to the pressure-volume relationship of Boyle's law. Correct X Choice True False Feedback when correct: Correct Feedback when incorrect: Incorrect True/False, 10 points, 1 attempt(s) permitted. 18. An "eye squeeze" is caused by negative pressure creating suction in the mask when a diver descends without equalization. Correct X Choice True False Feedback when correct: Correct Feedback when incorrect: Incorrect True/False, 10 points, 1 attempt(s) permitted. 19. To clear a reverse block, the diver should Valsalva as they ascend. Correct Choice True X False Feedback when correct: Correct Feedback when incorrect: Incorrect Matching Drag and Drop, 10 points, 2 attempt(s) permitted. 20. Match the lung overexpansion injury with its signs and symptoms. Choice Match Pneumothorax difficulty or rapid breathing; leaning toward the affected side; deep breathing hurts; decreased or absent lung sounds on affected side; death Mediastinal Emphysema pain under the sternum that may radiate to the neck, collarbone, or shoulder; swelling around the neck; a brassy quality to the voice; cough; deviation of the Adams apple to the affected side Subcutaneous Emphysema feeling of fullness in the neck area, swelling or inflation around the neck and upper chest; crackling sensation when skin is palpated; change in sound of voice; cough Arterial Gas Embolism chest pain; cough or shortness of breath; bloody, frothy sputum; headache; visual disturbances; numbness or tingling; weakness or paralysis; loss of, or change in, sensation over part of the body; dizziness; confusion; sudden unconsciousness, death Feedback when correct: Correct Feedback when incorrect: Incorrect Multiple Choice, 10 points, 1 attempt(s) permitted. 21. The treatment common to all lung overexpansion injuries is: Correct X Choice Feedback administrator 100% oxygen Correct recompression in a chamber Incorrect. The common treatment for all lung overexpansion injuries is to administer 100% oxygen. place the diver in a sitting position Incorrect. The common treatment for all lung overexpansion injuries is to administer 100% oxygen. administer fluids by mouth Incorrect. The common treatment for all lung overexpansion injuries is to administer 100% oxygen. Multiple Response, 10 points, 2 attempt(s) permitted. 22. There are ways to minimize the risk of lung overexpansion injuries while diving. Select all that apply. There are at least four correct answers. Correct Choice X Never hold your breath when diving compressed gasses X Ascend slowly while breathing normally X Don't dive with a chest cold or obstructed air passages X Carry sufficient quantities of gas to complete the dive Ascend at 30 feet per minute or slower skip breathing use of antihistamines not exceeding your planned dive time Feedback when correct: Correct Feedback when incorrect: Incorrect Matching Drag and Drop, 10 points, 2 attempt(s) permitted. 23. Match the indirect effect of pressure with its description. Choice Match Inert Gas Narcosis a state of altered mental function ranging from mild impairment of judgment or euphoria, to complete loss of consciousness, produced by exposure to increased partial pressure of nitrogen and certain other gases High Pressure Nervous Syndrome occurs at depths greater than 400 fsw (123 msw); characterized by dizziness, nausea, vomiting; twitching, decrements to performance, and poor sleep with nightmares CNS Oxygen Toxicity an epileptic-like convulsion resulting from exposure to high partial pressures of oxygen (typically above 1.6 atm) Whole-Body Oxygen Toxicity a slow developing condition resulting from exposure to above normal partial pressures of oxygen Feedback when correct: Correct Feedback when incorrect: Incorrect True/False, 10 points, 1 attempt(s) permitted. 24. The speed at which a given tissue group absorbs or eliminates an inert gas is dependent on the blood supply and makeup of the tissue. Correct X Choice True False Feedback when correct: Correct Feedback when incorrect: Incorrect True/False, 10 points, 1 attempt(s) permitted. 25. On ascent, the diver's tissues, especially slow compartments, may continue to absorb nitrogen. Correct X Choice True False Feedback when correct: Correct Feedback when incorrect: Incorrect True/False, 10 points, 1 attempt(s) permitted. 26. Adhering to accepted decompression limits and proper ascent rates is guarantee to avoiding decompression sickness. Correct Choice True X False Feedback when correct: Correct Feedback when incorrect: Incorrect Multiple Response, 10 points, 1 attempt(s) permitted. 27. While you can do everything correctly and still suffer DCS, prevention can be enhanced if you: (Select all that apply. There are at least 5 correct answers.) Correct Choice X Ascend slowly (30 feet per minute) X Make safety stops X Use longer surface intervals X Plan the dive, dive the plan, and have a backup plan X Maintain good physical fitness, nutrition, and hydration Use a dive computer rather than dive tables Avoid "reverse profile dives" at all cost Exercise post dive Feedback when correct: Correct Feedback when incorrect: Incorrect Multiple Choice, 10 points, 1 attempt(s) permitted. 28. Aseptic Bone Necrosis is an occupational hazard of professional divers and others exposed to hyperbaric stresses. The _____ and _____ are most often affected. Correct X Choice Feedback hip / shoulder Correct elbow / wrist Incorrect. The hip and shoulder are most often affected by Aseptic Bone Necrosis. ankles / long bone shafts Incorrect. The hip and shoulder are most often affected by Aseptic Bone Necrosis. knee / vertebra Incorrect. The hip and shoulder are most often affected by Aseptic Bone Necrosis. Multiple Choice, 10 points, 1 attempt(s) permitted. 29. It is estimated _____ is present in 20-30% of the general population. This condition can cause severe problems for affected divers by allowing bubbles accumulated during a dive to be shunted from one side of the heart to the other, bypassing the lungs. Correct X Choice Feedback Patent Foramen Ovale (PFO) Correct Arterial Gas Embolism (AGE) Incorrect. The condition is Patent Foramen Ovale (PFO). Capillary Bed Lesions (CBL) Incorrect. The condition is Patent Foramen Ovale (PFO). Mitral Valve Defect Incorrect. The condition is Patent Foramen Ovale (PFO). True/False, 10 points, 1 attempt(s) permitted. 30. Women should not dive during pregnancy. Correct X Choice True False Feedback when correct: Correct Feedback when incorrect: Incorrect Multiple Response, 10 points, 1 attempt(s) permitted. 31. Select all that apply to hypothermia. Correct Choice X susceptibility increases with dehydration, fatigue, hunger, and illness X susceptibility increases if you are out of shape, underweight, a smoker, or using drugs or alcohol keeping your wetsuit on between dives is a good prevention strategy minimize exposure by efficient pre-dive preparations and cooling down as needed Feedback when correct: Correct Feedback when incorrect: Incorrect True/False, 10 points, 1 attempt(s) permitted. 32. Hypothermia and Hyperthermia can occur irrespective of ambient temperature. Correct X Choice True False Feedback when correct: Correct Feedback when incorrect: Incorrect True/False, 10 points, 1 attempt(s) permitted. 33. Beta blockers, motion sickness medications, and antihistamines have been shown to have no affect on diver performance, the ability to thermoregulate, or diver safety. Correct Choice True X False Feedback when correct: Correct Feedback when incorrect: Incorrect True/False, 10 points, 1 attempt(s) permitted. 34. Smoking reduces the oxygen carrying capacity of the blood and may predispose the diver to DCS. Correct X Choice True False Feedback when correct: Correct Feedback when incorrect: Incorrect True/False, 10 points, 1 attempt(s) permitted. 35. Alcohol protects a diver from thermal stress. Correct Choice True X False Feedback when correct: Correct Feedback when incorrect: Incorrect