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What is the average sleep rhythm?
Circadian, avg. 8h/night, cycle 90 min / 5 stages
What physiological changes occur during sleep?
Metabolic rate ↓, BP ↓, pulse rate ↓
When is body temperature lowest during sleep?
05:00
What is orthodox (deep) sleep for?
Physical recovery
What is paradox (REM) sleep for?
Cognitive regeneration; brain highly active
How long is each sleep cycle?
90–120 min, 5–6 phases; REM increases per cycle
What is the effect of frequent REM interruption?
Harmful
What is sleep efficiency?
1 hour sleep ≈ 2 hours activity
What is the circadian rhythm?
Free running 24–28h, adjustment 1h/day, slower westward, varies individually
What is a nap duration?
10–40 min
What is the effect of a pack-a-day smoker on O₂ transport?
Loses 5–8% O₂ transport capacity
How does smoking affect hypoxia tolerance?
Decreases it
What is the physiological altitude increase due to smoking?
5,000–8,000 ft
Which health risks are increased by smoking?
Myocardial infarction, stroke, urinary tract cancer
What effect does smoking abstinence have?
May cause irritability
How is alcohol absorbed?
Stomach/intestine → bloodstream
How does alcohol affect hypoxia tolerance?
Decreases it
How does alcohol affect sleep quality?
Decreases it
How can alcohol irritate the body?
May irritate inner ear
How is alcohol metabolised?
Liver; 10–15 mg/h (0.1–0.15‰ per hour)
At what blood alcohol concentration are precise movements impaired?
0.05%
What is the legal blood alcohol limit for flight/cabin crew?
20 mg/100 ml
What is alcoholism?
Increased tolerance, withdrawal symptoms, legal conflicts
What are contributing factors to alcoholism?
Cheap alcohol, genetics, family history, comforting effect
What are benefits of regular exercise?
Improves general health, weight management, reduces caloric intake
What is the BMI formula?
Weight (kg) ÷ height² (m²); e.g., 75 ÷ (1.75×1.75) = 24.5
What are BMI categories?
What are risk factors for Type 2 Diabetes?
Overweight, genetic predisposition, low physical activity
How is Type 2 Diabetes managed?
Controlled diet, regular exercise
How should water be purified when traveling abroad?
Purify with chemical tablets or drink cooked water
What is disinsection and when is it required?
Required by some states, ≥30 min prior to landing
What are examples of toxic fumes in aircraft?
Anti-ice fluids, furnishings, hydraulic fluids
What proportion of daily calories should breakfast provide?
25%
What are common caffeine sources for pilots?
Hot chocolate, black tea (>250 mg/day considered excess), Coca-Cola
What are main energy sources for the body?
Carbohydrates, proteins, fats
At what body temperature is physical and mental performance impaired?
39°C
What are hypoglycaemia symptoms?
Headache, lack of concentration
What is barodontalgia?
Tooth root tissue irritation due to pressure changes
What is barotrauma and which areas are frequently affected?
Risk increased by cold; common in facial sinuses, middle ear, dental cavities
What is gastroenteritis?
Vomiting, diarrhea, stomach pain
Name common transmissible diseases relevant to pilots.
Cholera, dysentery, typhoid, hepatitis A/B/C, tetanus, dengue, malaria, yellow fever
What are transmission modes for these diseases?
Contaminated food/water, improperly sterilized needles, bacteria via skin puncture, mosquitoes
What are antihistamine side effects?
Drowsiness, dizziness, dry mouth, headache, impaired depth perception, nausea
What are nasal decongestant side effects?
Drowsiness, mucous membrane damage
How can back pain be prevented for pilots?
Weight loss, physiotherapy, physical exercise