Respiratory Medicine MCQ for NEET PG & FMGE

An elderly patient with a diagnosis of cor pulmonale 2 years ago presents with worsening cough, sputum production, wheezing, and bilateral lower extremity edema over the past week. Physical examination reveals extensive rales/crackles in the lungs, heart rate of 100 bpm, liver palpable 2.5 cm below the costal margin, and bilateral lower extremity edema. Lab results show elevated white blood cell (WBC) count and neutrophil (N) percentage. Blood gas analysis: pH 7.335, PaCO₂ 78 mmHg, PaO₂ 50 mmHg, HCO₃⁻ 34 mmol/L. Which of the following complications is NOT present in this patient?

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