A 46-Year-Old Man with Kyphoscoliosis Comes to the Office Due

question 242

Multiple Choice

A 46-year-old man with kyphoscoliosis comes to the office due to fatigue and progressive shortness of breath over the last year.  He has no other medical problems and does not use tobacco.
On examination, the angle of scoliosis is 67 degrees, and kyphosis deformity is above the level of T10.
Which of the following is the main mechanism of respiratory compensation in this patient?

• A)High tidal volume, high respiratory rate breathing
• B)Improved ventilation/perfusion matching
• C)Increased chest wall compliance
• D)Low tidal volume, high respiratory rate breathing
• E)Prolonged expiration

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Definitions:

Never Events

Serious, preventable patient safety incidents that should never happen in healthcare settings, such as surgery on the wrong site.

Skilled Nursing

A high level of medical care that is provided by trained individuals, such as registered nurses, to patients with serious illnesses or conditions.

Extensive Wound Care

A comprehensive approach to treating serious wounds that involves cleaning, protecting, and potentially surgical intervention to promote healing.

Hospice

System of family-centered care designed to help terminally ill people be comfortable and maintain a satisfactory lifestyle throughout the terminal phase of their illness.