An otherwise healthy 58-year-old man comes to the physician because of a 1-year history of episodic coughing whenever he cleans his left ear. There is no history of hearing loss, tinnitus, or vertigo. Stimulating his left ear canal with a cotton swab triggers a bout of coughing. The physician informs him that these symptoms are caused by hypersensitivity of a cranial nerve. A peripheral lesion of this nerve is most likely to manifest with which of the following findings on physical examination?
AIpsilateral sensorineural hearing loss
BIpsilateral deviation of the tongue
CInability to raise ipsilateral eyebrow
DDecreased secretion from ipsilateral sublingual gland
EIpsilateral vocal cord palsy
Which of the following physiologic changes decreases pulmonary vascular resistance (PVR)?
AInhaling the inspiratory reserve volume (IRV)
BExhaling the entire vital capacity (VC)
CExhaling the expiratory reserve volume (ERV)
DBreath holding maneuver at functional residual capacity (FRC)
EInhaling the entire vital capacity (VC)
A 66-year-old man is brought to the emergency department because of shortness of breath and confusion. His pulse is 98/min, and blood pressure is 109/73 mm Hg. He is oriented to person but not time or place. A graph of his breathing pattern and oxygen saturation is shown. Which of the following additional findings is most likely present in this patient?
ARib fracture
BFruity breath odor
CVentricular gallop
DMiotic pupils
EBarrel chest
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