A 68-Year-Old Man Comes to the Office Due to Increased

question 150

Multiple Choice

A 68-year-old man comes to the office due to increased abdominal distension.  The patient was discharged from the hospital last week after an acute pulmonary embolism.  He also has a history of emphysema caused by extensive tobacco use.  The patient has no other medical conditions and does not use alcohol or illicit drugs.  Temperature is 37.6 C (99.7 F) , blood pressure is 112/78 mm Hg, pulse is 85/min, and respirations are 18/min.  BMI is 27 kg/m².  Examination shows increased jugular venous pressure and lower extremity edema.  The abdomen is distended, and a fluid wave is present.  This patient's ascites most likely developed due to which of the following changes in portal capillary exchange parameters?

• A)A
• B)B
• C)C
• D)D
• E)E

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Definitions:

Pollution

The contamination of natural environments by harmful substances, resulting from human activities, which negatively affects air, water, soil quality, and consequently, living organisms.

Mortality

The state of being mortal or the incidence of death within a population.

Air Pollution

The presence of harmful substances in the air that can lead to health problems for living organisms and damage to the environment.

Conserve Water

The practice of using water efficiently to reduce unnecessary waste.