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 Best of Five 116

 

   

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BOF: 116

A 50-year-old male who is known to have chronic bronchitis presented to the accident and emergency department. After initial treatment he was sent up to the ward. His blood gases on admission to the ward were as follows:

pH 7.22

PaO2 14.4 kPa

PaCO2 18.8 kPa

The physical sign that alerted the examining clinician to this condition was:

a)    Tachycardia

b)      Pulsus paradoxus

c)      Flapping tremor

d)      Elevated JVP

e)      Fourth heart sound

 

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