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Retired NBME 20 Answers

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submitted by โˆ—mbourne(118)
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In restrictive lung disease, literally all lung values are DECREASED ("restricted") except for the FEV1/FVC ratio. FEV1/FVC ratio may be normal or increased (increased only if FEV1 decreases a bit less than the decrease in FVC, resulting in an increased ratio).

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lovebug  Your explaination is very useful! thanks! :) FA 2019, Page 658. +1
aashkad  FA2020 p.673 +



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submitted by โˆ—strugglebus(189)
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Ok, so you can reason this by drawing out REIT (sorry I can't draw it here). Anywho, you know its a restrictive disorder and will have a decreased RV, so automatically you know that RV is a component of FRC (FRC= RV+ERV). Thus, FRC should also be decreased. You also know that restrictive diseases are characterized by a steady decrease in FEV1/FVC since both components are decreasing. This leaves you with VC decreasing since FVC= forced vital capacity.

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champagnesupernova3  FEV1 and FVC both decrease but FEV1/FVC actually increases because FVC decreases more than FEV1 so the ratio increases +
fluentinwhale  Excuse my stupidity but what is REIT? +2



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