HY USMLE Q #618 – Pulmonary

A 52-year-old man comes to the physician for a 2-week history of shortness of breath. Vitals are within normal limits. Physical examination is unremarkable. Laboratory studies show:

Arterial pCO                                                            32 mmHg
Arterial pO2                                                                             98 mmHg
Arterial O2 content                                                13% (NR 17-21%)

Which of the following is the most likely explanation for these findings?

Anemia
Drug-induced alveolar hypoventilation
High altitude residence
Alveolar-arterial mismatch
Voluntary hyperventilation