Correct Answer = D.

The high peak pressure in association with the relatively normal plateau pressure indicates high airways resistance, such as one would expect during acute bronchospasm, kinking or encrustation of the endotracheal tube, and/or partial mucus plugging. Right mainstem intubation, pneumothorax, ARDS, interstitial lung disease, and restrictive chest wall disease would all result in high peak pressures AND high plateau pressures indicating reduced compliance and normal airways resistance.