A 34-Year-Old Woman Comes to the Physician's Office Due to Worsening

question 90

Multiple Choice

A 34-year-old woman comes to the physician's office due to worsening shortness of breath over the last 6 months.  She can no longer walk a block or climb a flight of stairs without stopping to catch her breath.  The patient is occasionally lightheaded when trying to exert herself.  An albuterol inhaler prescribed 3 months ago has provided little relief.  She does not use tobacco.
Pulse oximetry on room air is 97% at rest and drops to 92% on walking in the office hallway.  The patient's BMI is 26 kg/m².  Lung examination is normal.
Chest x-ray is unremarkable.  Echocardiogram shows moderate right ventricular dilation and hypokinesis with increased flow velocities through the tricuspid valve.
Which of the following is most likely to be seen on pulmonary function testing?
DLCO = diffusing capacity for carbon monoxide; FEV1 = forced expiratory volume in 1 second; FVC = forced vital capacity.

• A)A
• B)B
• C)C
• D)D

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Definitions:

Self-concept

An individual's perception of themselves, including beliefs, feelings, and thoughts about one's abilities, appearance, and values.

Eysenck's Higher-order

A description of personality that is based on Eysenck’s hierarchical model of personality, focusing on higher-order traits such as extraversion, neuroticism, and psychoticism.

Extraversion

A personality trait characterized by sociability, assertiveness, excitement-seeking, and positive emotional experiences.

Sociable

Characteristic of enjoying companionship and being friendly.