l l l l l l l l
sting 12th Edition, By Mottram
l l l l
Chapter 1 - 13 Updated
l l l l l
,Chapterl1:lIndicationslforlPulmonarylFunctionlTestinglTestl
Bank
MULTIPLElCHOICE
1. Wholfirstlpopularizedlspirometrylforlthelevaluationloflpulmonarylfunction?
a. AugustlandlMarielKrogh
b. AlvanlBarach
c. JohnlSeveringhaus
d. JohnlHutchinson
ANS:lD
HutchinsonlpopularizedlthelconceptloflusinglVCltolassessllunglfunction,landlthelna
meslhelgaveltolseverallotherllunglcompartmentslarelstilllusedltoday.
DIF: 1 REF: p.l2 OBJ: Nonel MSC:lNBRC:lNone
2. Whichloflthelfollowinglarelindicationslforlperforminglspirometry?
1. Assesslthelrisklofllunglresection.
2. Determinelthelresponseltolbronchodilatorltherapy.
3. Assesslthelseverityloflrestrictivellungldisease.
4. QuantifylthelextentloflCOPD.
a. 1l andl 4
b. 2l andl 3
c. 1l,l2,landl 4
d. 2l,l3,landl 4
ANS:lC
Spirometrylcannotlassesslseverityloflrestriction;lforlthatlyoulneedltolmeasurellunglv
olumesl(lseelBoxl1-2,lChapterl 1).
DIF: 1 REF: p.l7 OBJ: EL-2 MSC:lNBRC:lNone
,3. Thelmainlindicationlforlthelmeasurementlofllunglvolumeslisltoldolwhichloflthelfollo
wing?
a. Diagnoselorlassesslthelseverityloflrestriction.
b. Evaluatelthelseverityloflpulmonarylhypertension.
c. Determinelthellevelloflcardiopulmonarylfitness.
d. Assesslthelriskloflabdominallsurgicallprocedures.
ANS:lA
Thelmostlcommonlreasonlforlmeasuringllunglvolumeslisltolidentifylrestrictivellun
gldisease.lDIF: 1 REF: p.l35 OBJ: EL-2 MSC:lNBRC:lNone
4. DLCOlmeasurementslmaylbelindicatedltolevaluatelpulmonarylinvolvementlinlw
hichloflthelfollowinglsystemicldiseases?
a. Asthma
b. Sarcoidosis
c. Exertionallhypoxemia
, Stuvia.coml-lThelMarketplaceltolBuylandlSelllyourlStudylMaterial
d. Guillain-Barrélsyndrome
ANS:lB
Sarcoidosislislthelonlylsystemicldiseasellistedlthatlaffectslgaslexc
hange.lDIF:l1lREF:lp.l9l|lp.l19l|lp.l21l|lp.l35lOBJ:lEL-
2lMSC:lNBRC:lNone
5. BloodlgaslanalysislislusedlwithlpatientslwithlCOPDltoldolwhic
hloflthelfollowing?
a. Monitorlairwaylresponsiveness.
b. Determinellevelloflcardiopulmonarylfitness.
c. Detectlpulmonarylhypertension.
d. AssesslneedlforlsupplementarylO2.
ANS:lD
Bloodlgaslanalysislislmostlcommonlylusedltoldeterminelthelneedlforlsupplemental
loxygenlandltolmanagelpatientslwholrequirelventilatorylsupport.
DIF: 2 REF: p.l15 OBJ: EL-
1lMSC:lNBRC:lCPFTl2A-2
6. Whichloflthelfollowinglcauselemphysema?
1. 1-lAntitrypsinldeficiency
2. Exposureltolenvironmentallpollutants
3. Radiationltherapy
4. Cigarettelsmoking
a. 1l andl 2
b. 3l andl 4
c. 1l,l2,landl 4
d. 2l,l3,landl 4
ANS:lC
Emphysemalislcausedlprimarilylbylcigarettelsmoking.lSomelemphysemalislcausedl
bylthelabsenceloflalprotectivelenzyme.lChroniclexposureltolenvironmentallpollutan
tslcanlalsolcontributeltoltheldevelopmentloflemphysema.
DIF: 1 REF: p.l11 OBJ: EL-3l|lAL-2 MSC:lNBRC:lNone
7. Anladultlpatientlcomplainsloflchestltightnesslandlcoughlwheneverlheljogslinlcoldl
weather.lTheselsymptomslarelconsistentlwithlwhichloflthelfollowing?
a. Cysticlfibrosis
b. Asthma
c. Pulmonarylhypertension
d. Idiopathiclpulmonarylfibrosis
|