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* nbme 4 - 1
 #674351  
  besho013 - 04/28/12 12:14
 
  For each patient with respiratory problems. select the most likely pathophysiology.
A) Allergen-induced bronchospasm
B) Barotrauma-relateci alveolar disease
C) Cardiac-induced pulmonary edema
D) Chemical imtant pneumonitis
E) Community-acquired viral disease
F) Conguousl spread bacterial infection
G) Osmotically generated fluid shift
H) Toxin-mediated capillary leak
33. A 7-year-old boy is brought to the emergency department because of facial edema and respiratory distress since eating dinner 2 hours
ago He has had coryza and cough dunng the past 2 days His temperature is 37 5C (99 5F). pulse is 100min. respirations are
40mm. and blood pressure is 10070 mm Hg. Breath sounds are unequal with decreased aeration and a prolonged expiratory phase.

i picked A but i feel its not consistent with the last line from the vignette
 
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* Re:nbme 4 - 1
#2652949
  usmlepak - 04/28/12 12:42
 
  yes its A  
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* Re:nbme 4 - 1
#2652950
  besho013 - 04/28/12 12:44
 
  what about unequal with decreased aeration and a prolonged expiratory phase
is that a combination of foreign body aspiration and allergy reaction
 
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* Re:nbme 4 - 1
#2653786
  gigi74 - 04/29/12 19:25
 
  A
 
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