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NBME 7 - Pulmonary - 3usmlesteps
#1
A 50-year-old man comes to the physician for a follow-up examination. One year ago, he was admitted to the hospital for treatment of acute respiratory distress syndrome (ARDS) associated with acute pancreatitis. Which of the following is most likely to be found in this patient with resolved ARDS?

A -Decreased alveolar dead space:tidal volume

B- Decreased concentrations of surfactant protein D

C -Decreased diffusing capacity for carbon monoxide (DLCO)

D- Increased concentrations of neutrophils in bronchoalveolar lavage fluid

E -Increased concentrations of surfactant protein D

F - Increased pulmonary capillary blood volume

why not B?

-I thought CO2 plays a role in ARDS and not CO.

Can anyone please explain the CO2 and CO role in ARDS?
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#2
DLCO is just a test to measure the diffusion capacity of lung. CO is diffusion limited while CO2 and O2 are perfusion-limited.

Fibrosis resulted from ARDS impairs diffusion
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#3
Thank you, it makes sense.
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#4
@3usmlesteps, please kindly send nbme 7 questions to me mail rays2010.Thanks
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#5
@drrush25 -Here are the links. I got it from here:

http://www.usmleforum.com/showthread.php?tid=669744-2

http://www.usmleforum.com/showthread.php?tid=701180

http://www.usmleforum.com/showthread.php?tid=700807

http://www.usmleforum.com/showthread.php?tid=675730

http://www.usmleforum.com/showthread.php?tid=533131



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