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A person has normal ventilatory volumes, but low flow rates. What do they most likely have?

A. Constriction (or blockage) of the airways
B. Poorly functioning diaphragm or chest wall muscles
C. A problem with neural control of ventilation

1 Answer

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Final answer:

A person with normal ventilatory volumes but low flow rates likely has an obstructive lung disease such as asthma or emphysema, which involves constriction or blockage of the airways, leading to air trapping and reduced air flow.

Step-by-step explanation:

A person with normal ventilatory volumes but low flow rates most likely has a condition related to constriction (or blockage) of the airways. Such conditions are typically classified as obstructive lung diseases. This is indicated by a reduced FEV1/FVC ratio, which measures the amount of air that can be forcibly exhaled in one second (FEV1) to the total amount of air exhaled (FVC). In obstructive lung diseases like asthma or emphysema, there is resistance in the air passages which leads to air being trapped in the lungs and slow exhalation rates. In contrast, restrictive lung diseases, such as fibrosis, result in a decreased FVC due to stiffened airways, but the FEV1/FVC ratio remains relatively normal because airway blockage is not the core issue.

For instance, in asthma, there is often inflammation leading to edema, spasms, increased mucus, or epithelial damage which all contribute to obstructed airflow. Emphysema, on the other hand, results from the destruction of alveoli walls, decreasing gas exchange surface area and causing a loss of lung elastic recoil. Both conditions lead to increased resistance and difficulty in breathing out, explaining the low flow rates despite normal ventilatory volumes.

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