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Multiple Choice: Chapter 33 Ventilation-perfusion matching and right to left shunts Question 33.1 In a situation where there is a ventilation–perfusion mismatch with a VA/Q value of less than unity, i.e. shunt effect A there is no gas exchange B the blood has a lower than normal Po2, and a higher than normal Pco2 C the blood has a higher than normal Po2, and a lower than normal Pco2 D there is excessive ventilation