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AT5-year-old man comes to the physician because of a 1-month history of leg swelling, His respirations are 20/min, Physical examination shows jugular venous distention, There is 3 pitting edema of the lower extremities below the knees. The lngs are clear to auscultation. Echocardiography is mas ikely to show an enlargement of which of the folowing vascular structures? A)lnferior vena cava andleft atrium B) Left atrium and left ventricle C) Right atrium andleftatium D) Right atrium and right ventricle E) Right ventricle and let atium A study is conducted ofthe orygen-binding properties of hemoglobin in an experimental animal. The hydrogen ion concentration is increased in blood. Results show thatthe xygershemogiobin dissociation curve shifts othe right This effect wil most ikely result in wich ofthe folowing processes? A) Binding of carbon dioxide in tissue capillaries B) Binding of oxygen in the lungs C) Decrease in erythrocyte 2.3-bisphosphoglycerate (2,3-BPG) concentration D) Increase in erythrocyte 2,3-BPG concentration E) Release of carbon dioxide in the lungs F) Release of oxygen in tissue capilaries 46-year-old man als tee stories from an open window and fractures the shaft of his right femur and pels. Thiry.six hours alter stabilization ofthe tactwes, hebecomes confused and develops dyspnea, tachypnea, and arterial hypoxemia. Examination shows petechiae inthe coniunctvae and over the pectoral regions. An ay ofthe chest shows a difuse aleolarinftrate, Pulmonary lavage shows cells staining fr oll red O. Which ofthe folowing isthe most ikly cause of the respiratory dysfunction A) Bacterial pneumonia B) Disseminated intravascular coagulation C)Fat emboism D) Myocardial infarction E) Puimonary thromboembotsm

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