Use the following patient vignette to answer questions 32 –…

Use the following patient vignette to answer questions 32 – 33. A 23-year-old student at CWRU is taken to Student Health by his friend after passing out on a run. The student says he has been experiencing trouble breathing while he runs and has been feeling very tired most of the time. He denies smoking or drinking alcohol in excess. Past medical history is significant for 2 episodes of angina upon exertion. At the physical examination his vitals are HR 80 bpm with a loud P2 (pulmonic) heart sound, BP 120/75 mmHg, RR 18 bpm. He appears to have a slightly lifted sternum but the rest of his physical exam is normal.  CXR shows normal lung fields, with a slightly increased umbra of the pulmonary artery. Cardiac silhouette appears slightly enlarged in the CXR image. 33. What changes on an EKG might you expect to see in this patient?

36. In patients with asthma, narrowing of the bronchi makes…

36. In patients with asthma, narrowing of the bronchi makes it difficult for them to inhale but significantly more difficult to exhale. Narrowing of the bronchi may be caused by inflammation, bronchospasms or a reversible airflow obstruction. Which of the following characteristics are present with extrinsic asthma? Environmental Triggers Systemic IgE Local IgE A. Yes Yes No B. Yes No No C. No Yes Yes D. No No Yes