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A 54-Year-Old Woman with Advanced Emphysema from Long-Term Cigarette Smoking

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A 54-year-old woman with advanced emphysema from long-term cigarette smoking is admitted to the hospital for shortness of breath. She is diagnosed with pulmonary hypertension. Her arterial blood gases are: PO2=75 mmHgPCO2=45 mmHgpH=7.35\begin{array} { l } \mathrm { PO } _ { 2 } = 75 \mathrm {~mm} \mathrm { Hg } \\\mathrm { PCO } _ { 2 } = 45 \mathrm {~mm} \mathrm { Hg } \\\mathrm { pH } = 7.35\end{array}
What is the cause of her pulmonary hypertension?
A. Increased alveolar pCO2\mathrm { pCO } _ { 2 }
B. Increased sympathetic tone
C. Decreased alveolar pO2\mathrm { pO } _ { 2 }
D. Decreased pulmonary capillary number


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