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Medicine
A 60-year old male has a long standing history of breathlessness. He has been a heavy smoker since the age of 20 years. Physical examination reveals an anxious male who is emaciated, puffing for breath but is not cyanosed. The chest is barrels shaped. The primary pathology of the lung in this patient is associated with which of the following pathogenetic mechanisms?
Type I hypersensitivity
Unabashed action of proteases
Deposition of immune complexes
Deficiency of a protein produced by the liver
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