E

B: cardiogenic shock leads to decreased

perfusion of tissues. Decreased perfusion
leads decreased oxygen delivery to
tissues which leads to anaerobic
glycolosis and increased lactic acid
production.

D -> pe

E -> pul edema

Factor 8 inhibitor is abs formed against transfused factor

8 that may cause patient to *experience new
breakthrough bleeding *not have spontaneous resolution
of bleeding as expected based on prior experience
SO>>>the inhibitor should be suspected when any
bleeding episodes of hemophilia is refractory to usual
therapy Dx and screened by Bethesda assay that can
confirm inhibitor presence and quantify ab titre

41. A

A - step pneumo

25. E