HY USMLE Q #1110 – Cardio

A 71-year-old man is brought to emergency following a 1-hour history of chest tightness, left shoulder pain, and dyspnea. He has a history of hypertension managed with hydrochlorothiazide. He has smoked one pack of cigarettes daily for 50 years. Laboratory studies show:

Bicarbonate                                                                              18 mEq/L
pCO2                                                                                            33 mmHg

Which of the following is most likely to be seen in this patient?

  Exudation; ↑ Pulmonary capillary wedge pressure (PCWP); metabolic acidosis
  Exudation; ↑ PCWP; metabolic alkalosis
  Exudation; ↑ PCWP; respiratory acidosis
  Exudation; ↑ PCWP; respiratory alkalosis
  Exudation; ↔ PCWP; metabolic acidosis
  Exudation; ↔  PCWP; metabolic alkalosis
  Exudation; ↔  PCWP; respiratory acidosis
  Exudation; ↔  PCWP; respiratory alkalosis
  Transudation; ↑ PCWP; metabolic acidosis
  Transudation; ↑ PCWP; metabolic alkalosis
  Transudation; ↑ PCWP; respiratory acidosis
  Transudation; ↑ PCWP; respiratory alkalosis
  Transudation; ↔ PCWP; metabolic acidosis
  Transudation; ↔  PCWP; metabolic alkalosis
  Transudation; ↔  PCWP; respiratory acidosis
  Transudation; ↔  PCWP; respiratory alkalosis