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Medicine Respiratory e79c7cad

A 67-year-old woman has pulmonary function tests performed to evaluate symptoms of dyspnea. The most prominent finding is a reduction of the ratio of FEV1/FVC. Which of the following is the most likely diagnosis?

A
COPD
B
ankylosing spondylitis
C
Pickwickian syndrome
D
scleroderma of the chest wall
High-Yield Explanation
The VC is reduced in emphysema, but the FEV1 is grossly reduced because of high airway resistance. In predominant emphysema, diffusing capacity is more profoundly decreased than in predominant bronchitis.

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