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    SubjectsMedicineSpirometry — Restrictive Pattern in Severe Kyphoscoliosis (Chest Wall Restriction with Normal DLCO)
    ClinicalMedicine

    Spirometry — Restrictive Pattern in Severe Kyphoscoliosis (Chest Wall Restriction with Normal DLCO)

    1 MCQs in Medicine for NEET PG

    1 Medium
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    Sample Questions

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    A 52-year-old man with severe kyphoscoliosis (Cobb angle 85°) presents with progressive dyspnea on exertion and morning headaches. Spirometry shows TLC 52% predicted, FVC 48% predicted, FEV₁ 45% predicted, with FEV₁/FVC ratio of 94%. DLCO is 82% predicted and DLCO/VA is 110% predicted. The pattern marked **A** in the diagram represents the physiological abnormality in this patient. Which of the following BEST explains why the DLCO/VA ratio remains elevated despite reduced lung volumes in the condition marked **A**?

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