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Chapter 1: Indications for Pulmonary Function Testing
WQ WQ WQ WQ WQ WQ WQ
Test Bank
WQ
MULTIPLE CHOICE WQ
1. Who first popularized spirometry for the evaluation of pulmonary function?
WQ WQ WQ WQ WQ WQ WQ WQ WQ
a. August and Marie Krogh WQ WQ WQ
b. Alvan Barach WQ
c. John Severinghaus WQ
d. John Hutchinson WQ
ANS: D W Q
Hutchinson popularized the concept of using VC to assess lung function, and the names he ga
WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ
ve to several other lung compartments are still used today.
WQ WQ WQ WQ WQ WQ WQ WQ WQ
DIF: 1 REF: p. 2 WQ OBJ: None MSC: NBRC: None
W Q WQ
2. Which of the following are indications for performing spirometry?
WQ WQ WQ WQ WQ WQ WQ WQ
1. Assess the risk of lung resection. WQ WQ WQ WQ WQ
2. Determine the response to bronchodilator therapy. WQ WQ WQ WQ WQ
3. Assess the severity of restrictive lung disease.
WQ WQ WQ WQ WQ WQ
4. Quantify the extent of COPD. WQ WQ WQ WQ
a. 1 and 4 WQ WQ
b. 2 and 3 WQ WQ
c. 1, 2, and 4 WQ WQ WQ
d. 2, 3, and 4 WQ WQ WQ
ANS: C W Q
Spirometry cannot assess severity of restriction; for that you need to measure lung volumes
WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ
(see Box 1-2, Chapter 1).
WQ WQ WQ WQ
DIF: 1 REF: p. 7 WQ OBJ: EL-2 MSC: NBRC: None
W Q WQ
3. The main indication for the measurement of lung volumes is to do which of the following?
WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ
a. Diagnose or assess the severity of restriction. WQ WQ WQ WQ WQ WQ
b. Evaluate the severity of pulmonary hypertension. WQ WQ WQ WQ WQ
c. Determine the level of cardiopulmonary fitness. WQ WQ WQ WQ WQ
d. Assess the risk of abdominal surgical procedures.
WQ WQ WQ WQ WQ WQ
ANS: A W Q
The most common reason for measuring lung volumes is to identify restrictive lung disease
WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ
. DIF: 1
WQ REF: p. 35 WQ OBJ: EL-2 MSC: NBRC: None
W Q WQ
4. DLCO measurements may be indicated to evaluate pulmonary involvement in which of th
WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ
e following systemic diseases?
WQ WQ WQ
a. Asthma
b. Sarcoidosis
c. Exertional hypoxemia WQ
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WQ WQ WQ WQ WQ WQ WQ WQ WQ
d. Guillain-Barré syndrome WQ
ANS: B W Q
Sarcoidosis is the only systemic disease listed that affects gas exchange.
WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ
DIF: 1 REF: p. 9 | p. 19 | p. 21 | p. 35 WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ OBJ: EL-
2 MSC: NBRC: None
WQ W Q WQ
5. Blood gas analysis is used with patients with COPD to do which of the following?
WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ
a. Monitor airway responsiveness. WQ WQ
b. Determine level of cardiopulmonary fitness. WQ WQ WQ WQ
c. Detect pulmonary hypertension. WQ WQ
d. Assess need for supplementary O2. WQ WQ WQ WQ
ANS: D W Q
Blood gas analysis is most commonly used to determine the need for supplemental oxygen
WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ
and to manage patients who require ventilatory support.
WQ WQ WQ WQ WQ WQ WQ
DIF: 2 REF: p. 15 WQ OBJ: EL-
1 MSC: NBRC: CPFT 2A-2
WQ W Q WQ WQ
6. Which of the following cause emphysema?
WQ WQ WQ WQ WQ
1. 1-Antitrypsin deficiency WQ
2. Exposure to environmental pollutants WQ WQ WQ
3. Radiation therapy WQ
4. Cigarette smoking WQ
a. 1 and 2 WQ WQ
b. 3 and 4 WQ WQ
c. 1, 2, and 4 WQ WQ WQ
d. 2, 3, and 4 WQ WQ WQ
ANS: C W Q
Emphysema is caused primarily by cigarette smoking. Some emphysema is caused by the abs
WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ
ence of a protective enzyme. Chronic exposure to environmental pollutants can also contribut
WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ
e to the development of emphysema.
WQ WQ WQ WQ WQ
DIF: 1 REF: p. 11 WQ OBJ: EL-3 | AL-2 MSC: NBRC: None
WQ WQ W Q WQ
7. An adult patient complains of chest tightness and cough whenever he jogs in cold weather.
WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ
These symptoms are consistent with which of the following?
WQ WQ WQ WQ WQ WQ WQ WQ WQ
a. Cystic fibrosis WQ
b. Asthma
c. Pulmonary hypertension WQ
d. Idiopathic pulmonary fibrosis WQ WQ
ANS: B W Q
Agents or events that cause an asthmatic episode are called triggers (see Box 1-
WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ
7, Chapter 1). Antigens such as animal dander, pollens, and dusts are the most common trig
WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ
gers. Other common triggers include exposure to air pollutants and exercise in cold or dry
WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ
air.
DIF: 2 REF: p. 16 WQ OBJ: EL-3 MSC: NBRC: None W Q WQ
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, Stuvia.com - WQ
The Marketplace to Buy and Sell your Study Material
WQ WQ WQ WQ WQ WQ WQ WQ WQ
8. Which of the following statements concerning tumors in the upper airway is true?
WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ
a. There may be variable or fixed obstruction.
WQ WQ WQ WQ WQ WQ
b. Fixed obstruction will be present. WQ WQ WQ WQ
c. Variable obstruction will be present. WQ WQ WQ WQ
d. Small airway obstruction will result. WQ WQ WQ WQ
ANS: A W Q
Tumors involving the upper airway may cause variable or fixed obstruction.
WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ
DIF: 2 REF: p. 19 WQ OBJ: EL-
2 MSC: NBRC: CPFT 3C-3
WQ W Q WQ WQ
9. Sarcoidosis is a systemic disorder that usually causes which of the following?
WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ
a. A restrictive ventilatory defect
WQ WQ WQ
b. An obstructive ventilatory defect
WQ WQ WQ
c. Hyperreactive airways WQ
d. Primary pulmonary hypertension WQ WQ
ANS: A W Q
Restriction is often associated with the following: interstitial lung diseases, including idiopa
WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ
thic fibrosis, pneumoconioses, and sarcoidosis.
WQ WQ WQ WQ
DIF: 1 REF: p. 19 | p. 21 WQ WQ WQ WQ OBJ: EL-3 MSC: NBRC: None
W Q WQ
10. For which of the following conditions might pulmonary function testing be contraindicated?
WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ
a. Vocal cord dysfunction WQ WQ
b. Untreated pneumothorax WQ
c. Congestive heart failure (CHF) WQ WQ WQ
d. Bronchiolitis obliterans WQ
ANS: B W Q
Pulmonary function tests are usually contraindicated in the presence of pneumothorax. Howe
WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ
ver, undiagnosed pneumothorax may present a risk if pulmonary function studies are performe
WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ
d.
DIF: 1 REF: p. 23 WQ OBJ: EL-
4 MSC: NBRC: CPFT 2B-6
WQ W Q WQ WQ
11. Which of the following correctly describe(s) appropriate physical measurements before
WQ WQ WQ WQ WQ WQ WQ WQ WQ
pulmonary function testing?
WQ WQ WQ
1. Actual body weight should be used to calculate predicted values.
WQ WQ WQ WQ WQ WQ WQ WQ WQ
2. Standing height should be measured when the patient is barefoot.
WQ WQ WQ WQ WQ WQ WQ WQ WQ
3. Arm span should be used instead of height for a patient with kyphosis.
WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ
4. Age should be recorded to the nearest decade (10 years).
WQ WQ WQ WQ WQ WQ WQ WQ WQ
a. 1 only WQ
b. 2 and 3 WQ WQ
c. 1, 2, and 4 WQ WQ WQ
d. 1, 2, 3, and 4WQ WQ WQ WQ W
QANS: B W Q
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Distribution of this document is illegal WQ WQ WQ WQ WQ
TEST BANK FOR RUPPELS MANUAL OF PULMONARY FUNCTION TESTING 11TH EDITION BY MOTTRAM
Full Testbank!!!
Instant download
TEST BANK
Downloaded by: kishe |
Distribution of this document is illegal
, Stuvia.com - WQ
The Marketplace to Buy and Sell your Study Material
WQ WQ WQ WQ WQ WQ WQ WQ WQ
Chapter 1: Indications for Pulmonary Function Testing
WQ WQ WQ WQ WQ WQ WQ
Test Bank
WQ
MULTIPLE CHOICE WQ
1. Who first popularized spirometry for the evaluation of pulmonary function?
WQ WQ WQ WQ WQ WQ WQ WQ WQ
a. August and Marie Krogh WQ WQ WQ
b. Alvan Barach WQ
c. John Severinghaus WQ
d. John Hutchinson WQ
ANS: D W Q
Hutchinson popularized the concept of using VC to assess lung function, and the names he ga
WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ
ve to several other lung compartments are still used today.
WQ WQ WQ WQ WQ WQ WQ WQ WQ
DIF: 1 REF: p. 2 WQ OBJ: None MSC: NBRC: None
W Q WQ
2. Which of the following are indications for performing spirometry?
WQ WQ WQ WQ WQ WQ WQ WQ
1. Assess the risk of lung resection. WQ WQ WQ WQ WQ
2. Determine the response to bronchodilator therapy. WQ WQ WQ WQ WQ
3. Assess the severity of restrictive lung disease.
WQ WQ WQ WQ WQ WQ
4. Quantify the extent of COPD. WQ WQ WQ WQ
a. 1 and 4 WQ WQ
b. 2 and 3 WQ WQ
c. 1, 2, and 4 WQ WQ WQ
d. 2, 3, and 4 WQ WQ WQ
ANS: C W Q
Spirometry cannot assess severity of restriction; for that you need to measure lung volumes
WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ
(see Box 1-2, Chapter 1).
WQ WQ WQ WQ
DIF: 1 REF: p. 7 WQ OBJ: EL-2 MSC: NBRC: None
W Q WQ
3. The main indication for the measurement of lung volumes is to do which of the following?
WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ
a. Diagnose or assess the severity of restriction. WQ WQ WQ WQ WQ WQ
b. Evaluate the severity of pulmonary hypertension. WQ WQ WQ WQ WQ
c. Determine the level of cardiopulmonary fitness. WQ WQ WQ WQ WQ
d. Assess the risk of abdominal surgical procedures.
WQ WQ WQ WQ WQ WQ
ANS: A W Q
The most common reason for measuring lung volumes is to identify restrictive lung disease
WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ
. DIF: 1
WQ REF: p. 35 WQ OBJ: EL-2 MSC: NBRC: None
W Q WQ
4. DLCO measurements may be indicated to evaluate pulmonary involvement in which of th
WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ
e following systemic diseases?
WQ WQ WQ
a. Asthma
b. Sarcoidosis
c. Exertional hypoxemia WQ
DD
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Distribution of this document is illegal WQ WQ WQ WQ WQ
, Stuvia.com - WQ
The Marketplace to Buy and Sell your Study Material
WQ WQ WQ WQ WQ WQ WQ WQ WQ
d. Guillain-Barré syndrome WQ
ANS: B W Q
Sarcoidosis is the only systemic disease listed that affects gas exchange.
WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ
DIF: 1 REF: p. 9 | p. 19 | p. 21 | p. 35 WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ OBJ: EL-
2 MSC: NBRC: None
WQ W Q WQ
5. Blood gas analysis is used with patients with COPD to do which of the following?
WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ
a. Monitor airway responsiveness. WQ WQ
b. Determine level of cardiopulmonary fitness. WQ WQ WQ WQ
c. Detect pulmonary hypertension. WQ WQ
d. Assess need for supplementary O2. WQ WQ WQ WQ
ANS: D W Q
Blood gas analysis is most commonly used to determine the need for supplemental oxygen
WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ
and to manage patients who require ventilatory support.
WQ WQ WQ WQ WQ WQ WQ
DIF: 2 REF: p. 15 WQ OBJ: EL-
1 MSC: NBRC: CPFT 2A-2
WQ W Q WQ WQ
6. Which of the following cause emphysema?
WQ WQ WQ WQ WQ
1. 1-Antitrypsin deficiency WQ
2. Exposure to environmental pollutants WQ WQ WQ
3. Radiation therapy WQ
4. Cigarette smoking WQ
a. 1 and 2 WQ WQ
b. 3 and 4 WQ WQ
c. 1, 2, and 4 WQ WQ WQ
d. 2, 3, and 4 WQ WQ WQ
ANS: C W Q
Emphysema is caused primarily by cigarette smoking. Some emphysema is caused by the abs
WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ
ence of a protective enzyme. Chronic exposure to environmental pollutants can also contribut
WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ
e to the development of emphysema.
WQ WQ WQ WQ WQ
DIF: 1 REF: p. 11 WQ OBJ: EL-3 | AL-2 MSC: NBRC: None
WQ WQ W Q WQ
7. An adult patient complains of chest tightness and cough whenever he jogs in cold weather.
WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ
These symptoms are consistent with which of the following?
WQ WQ WQ WQ WQ WQ WQ WQ WQ
a. Cystic fibrosis WQ
b. Asthma
c. Pulmonary hypertension WQ
d. Idiopathic pulmonary fibrosis WQ WQ
ANS: B W Q
Agents or events that cause an asthmatic episode are called triggers (see Box 1-
WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ
7, Chapter 1). Antigens such as animal dander, pollens, and dusts are the most common trig
WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ
gers. Other common triggers include exposure to air pollutants and exercise in cold or dry
WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ
air.
DIF: 2 REF: p. 16 WQ OBJ: EL-3 MSC: NBRC: None W Q WQ
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Distribution of this document is illegal WQ WQ WQ WQ WQ
, Stuvia.com - WQ
The Marketplace to Buy and Sell your Study Material
WQ WQ WQ WQ WQ WQ WQ WQ WQ
8. Which of the following statements concerning tumors in the upper airway is true?
WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ
a. There may be variable or fixed obstruction.
WQ WQ WQ WQ WQ WQ
b. Fixed obstruction will be present. WQ WQ WQ WQ
c. Variable obstruction will be present. WQ WQ WQ WQ
d. Small airway obstruction will result. WQ WQ WQ WQ
ANS: A W Q
Tumors involving the upper airway may cause variable or fixed obstruction.
WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ
DIF: 2 REF: p. 19 WQ OBJ: EL-
2 MSC: NBRC: CPFT 3C-3
WQ W Q WQ WQ
9. Sarcoidosis is a systemic disorder that usually causes which of the following?
WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ
a. A restrictive ventilatory defect
WQ WQ WQ
b. An obstructive ventilatory defect
WQ WQ WQ
c. Hyperreactive airways WQ
d. Primary pulmonary hypertension WQ WQ
ANS: A W Q
Restriction is often associated with the following: interstitial lung diseases, including idiopa
WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ
thic fibrosis, pneumoconioses, and sarcoidosis.
WQ WQ WQ WQ
DIF: 1 REF: p. 19 | p. 21 WQ WQ WQ WQ OBJ: EL-3 MSC: NBRC: None
W Q WQ
10. For which of the following conditions might pulmonary function testing be contraindicated?
WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ
a. Vocal cord dysfunction WQ WQ
b. Untreated pneumothorax WQ
c. Congestive heart failure (CHF) WQ WQ WQ
d. Bronchiolitis obliterans WQ
ANS: B W Q
Pulmonary function tests are usually contraindicated in the presence of pneumothorax. Howe
WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ
ver, undiagnosed pneumothorax may present a risk if pulmonary function studies are performe
WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ
d.
DIF: 1 REF: p. 23 WQ OBJ: EL-
4 MSC: NBRC: CPFT 2B-6
WQ W Q WQ WQ
11. Which of the following correctly describe(s) appropriate physical measurements before
WQ WQ WQ WQ WQ WQ WQ WQ WQ
pulmonary function testing?
WQ WQ WQ
1. Actual body weight should be used to calculate predicted values.
WQ WQ WQ WQ WQ WQ WQ WQ WQ
2. Standing height should be measured when the patient is barefoot.
WQ WQ WQ WQ WQ WQ WQ WQ WQ
3. Arm span should be used instead of height for a patient with kyphosis.
WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ
4. Age should be recorded to the nearest decade (10 years).
WQ WQ WQ WQ WQ WQ WQ WQ WQ
a. 1 only WQ
b. 2 and 3 WQ WQ
c. 1, 2, and 4 WQ WQ WQ
d. 1, 2, 3, and 4WQ WQ WQ WQ W
QANS: B W Q
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Distribution of this document is illegal WQ WQ WQ WQ WQ
