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Chapter 1: Indications for Pulmonary Function Testing
Test Bank
MULTIPLE CHOICE
1. Who first popularized spirometry for the evaluation of pulmonary function? T T T T
a. August and Marie Krogh T T T
b. Alvan Barach T
c. John Severinghaus T
d. John Hutchinson T
ANS: D T
Hutchinson popularized the concept of using VC to assess lung function, and the names he
T T T T T T T T T T T T T T T
gave to several other lung compartments are still used today.
T T T T T T T T T
DIF: 1 REF: p. 2 T OBJ: None MSC: NBRC: None
T T
2. Which of the following are indications for performing spirometry?
T T T T T T T T
1. Assess the risk of lung resection. T T T T T
2. Determine the response to bronchodilator therapy. T T T T T
3. Assess the severity of restrictive lung disease.
T T T T T T
4. Quantify the extent of COPD. T T T T
a. 1 and 4 T T
b. 2 and 3 T T
c. 1, 2, and 4 T T T
d. 2, 3, and 4 T T T
ANS: C T
Spirometry cannot assess severity of restriction; for that you need to measure lung volumes
T T T T T T T T T T T T T T
(see Box 1-2, Chapter 1).
T T T T
DIF: 1 REF: p. 7 T OBJ: EL-2 MSC: NBRC: None
T T
3. The main indication for the measurement of lung volumes is to do which of the following?
T T T T T T T T T T T T T T T
a. Diagnose or assess the severity of restriction. T T T T T T
b. Evaluate the severity of pulmonary hypertension. T T T T T
c. Determine the level of cardiopulmonary fitness. T T T T T
d. Assess the risk of abdominal surgical procedures.
T T T T T T
ANS: A T
The most common reason for measuring lung volumes is to identify restrictive lung disease.
T T T T T T T T T T T T T T
DIF: 1 REF: p. 35 T OBJ: EL-2 MSC: NBRC: None
T T
4. DLCO measurements may be indicated to evaluate pulmonary involvement in which of the
T T T T T T T T T T T T T
following systemic diseases? T T
a. Asthma
b. Sarcoidosis
c. Exertional hypoxemia T
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d. Guillain-Barré syndrome T
ANS: B T
Sarcoidosis is the only systemic disease listed that affects gas exchange.
T T T T T T T T T T
DIF: 1 REF: p. 9 | p. 19 | p. 21 | p. 35 T T T T T T T T T T OBJ: EL-2 T
MSC: NBRC: NoneT T
5. Blood gas analysis is used with patients with COPD to do which of the following?
T T T T T T T T T T T T T T
a. Monitor airway responsiveness. T T
b. Determine level of cardiopulmonary fitness. T T T T
c. Detect pulmonary hypertension. T T
d. Assess need for supplementary O2. T T T T
ANS: D T
Blood gas analysis is most commonly used to determine the need for supplemental oxygen
T T T T T T T T T T T T T T
and to manage patients who require ventilatory support.
T T T T T T T
DIF: 2 REF: p. 15 T OBJ: EL-1 T
MSC: NBRC: CPFT 2A-2
T T T
6. Which of the following cause emphysema?
T T T T T
1. 1-Antitrypsin deficiency T
2. Exposure to environmental pollutants T T T
3. Radiation therapy T
4. Cigarette smoking T
a. 1 and 2 T T
b. 3 and 4 T T
c. 1, 2, and 4 T T T
d. 2, 3, and 4 T T T
ANS: C T
Emphysema is caused primarily by cigarette smoking. Some emphysema is caused by the
T T T T T T T T T T T T T
absence of a protective enzyme. Chronic exposure to environmental pollutants can also
T T T T T T T T T T T T
contribute to the development of emphysema.T T T T T
DIF: 1 REF: p. 11 T OBJ: EL-3 | AL-2 T T MSC: NBRC: None T T
7. An adult patient complains of chest tightness and cough whenever he jogs in cold weather.
T T T T T T T T T T T T T T T
These symptoms are consistent with which of the following?
T T T T T T T T
a. Cystic fibrosis T
b. Asthma
c. Pulmonary hypertension T
d. Idiopathic pulmonary fibrosis T T
ANS: B T
Agents or events that cause an asthmatic episode are called triggers (see Box 1-7, Chapter
T T T T T T T T T T T T T T T
1). Antigens such as animal dander, pollens, and dusts are the most common triggers. Other
T T T T T T T T T T T T T T T
common triggers include exposure to air pollutants and exercise in cold or dry air.
T T T T T T T T T T T T T
DIF: 2 REF: p. 16 T OBJ: EL-3 MSC: NBRC: None T T
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8. Which of the following statements concerning tumors in the upper airway is true?
T T T T T T T T T T T T
a. There may be variable or fixed obstruction. T T T T T T
b. Fixed obstruction will be present. T T T T
c. Variable obstruction will be present. T T T T
d. Small airway obstruction will result. T T T T
ANS: A T
Tumors involving the upper airway may cause variable or fixed obstruction.
T T T T T T T T T T
DIF: 2 REF: p. 19 T OBJ: EL-2 T
MSC: NBRC: CPFT 3C-3
T T T
9. Sarcoidosis is a systemic disorder that usually causes which of the following?
T T T T T T T T T T T
a. A restrictive ventilatory defect
T T T
b. An obstructive ventilatory defect
T T T
c. Hyperreactive airways T
d. Primary pulmonary hypertension T T
ANS: A T
Restriction is often associated with the following: interstitial lung diseases, including
T T T T T T T T T T T
idiopathic fibrosis, pneumoconioses, and sarcoidosis.
T T T T
DIF: 1 REF: p. 19 | p. 21 T T T T OBJ: EL-3 MSC: NBRC: None
T T
10. For which of the following conditions might pulmonary function testing be contraindicated?
T T T T T T T T T T T
a. Vocal cord dysfunction T T
b. Untreated pneumothorax T
c. Congestive heart failure (CHF) T T T
d. Bronchiolitis obliterans T
ANS: B T
Pulmonary function tests are usually contraindicated in the presence of pneumothorax.
T T T T T T T T T T T
However, undiagnosed pneumothorax may present a risk if pulmonary function studies are
T T T T T T T T T T T T
performed.
DIF: 1 REF: p. 23 T OBJ: EL-4 T
MSC: NBRC: CPFT 2B-6
T T T
11. Which of the following correctly describe(s) appropriate physical measurements before
T T T T T T T T T T
pulmonary function testing? T T
1. Actual body weight should be used to calculate predicted values.
T T T T T T T T T
2. Standing height should be measured when the patient is barefoot.T T T T T T T T T
3. Arm span should be used instead of height for a patient with kyphosis.
T T T T T T T T T T T T
4. Age should be recorded to the nearest decade (10 years).
T T T T T T T T T
a. 1 only T
b. 2 and 3 T T
c. 1, 2, and 4 T T T
d. 1, 2, 3, and 4
T T T T T T
ANS: B T
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Various physical measurements are required for estimating each patient’s expected level of
T T T T T T T T T T T T
pulmonary function. Age to the nearest month, height to the nearest 0.1 cm, and weight are
T T T T T T T T T T T T T T T T
usually recorded in addition to the patient’s gender. Race or ethnic origin should also be
T T T T T T T T T T T T T T T
recorded. (Although body weight is recorded, it is not used to calculate predicted values.)
T T T T T T T T T T T T T
DIF: 1 REF: p. 29 T OBJ: None T
MSC: NBRC: CPFT 3A-20
T T T
12. In addition to explaining the procedure for each pulmonary function test to the patient, the
T T T T T T T T T T T T T T T
pulmonary function technologist should do which of the following?
T T T T T T T T
a. Briefly explain the physiologic basis of the test.
T T T T T T T
b. Demonstrate the correct performance of the test maneuver. T T T T T T T
c. Limit feedback to the patient to reduce the placebo effect.
T T T T T T T T T
d. Explain the exact number of efforts that will be required for each test.
T T T T T T T T T T T T
ANS: B T
In addition to a description of the test, the maneuver should always be demonstrated.
T T T T T T T T T T T T T
DIF: 1 REF: p. 32 T OBJ: None T
MSC: NBRC: CPFT 2B-6
T T T
13. The single-breath diffusing capacity test was first described by:
T T T T T T T T
a. John Severinghaus T
b. August and Marie Krogh T T T
c. Robert Hyatt T
d. Leland Clark T
ANS: B T
The basis for the modern single-breath diffusing capacity (DLCO) test was described by
T T T T T T T T T T T T T
August and Marie Krogh in 1911.
T T T T T
DIF: 1 REF: p. 5 T OBJ: None MSC: NBRC: None T T
14. DLCO measurements may be indicated to evaluate gas exchange abnormality in which of the
T T T T T T T T T T T T T T
following?
a. Ketoacidosis
b. Myasthenia gravis T
c. Interstitial lung disease T T
d. Bronchitis
ANS: C T
The other options do not affect the alveolar capillary membrane interface.
T T T T T T T T T T
DIF: 1 REF: p. 9 T OBJ: EL-2 MSC: NBRC: None T T
15. Vocal cord dysfunction will typically affect the flow-volume loop in what way?
T T T T T T T T T T T
a. Blunt the expiratory portion of the curve
T T T T T T
b. Blunt both the inspiratory and expiratory portions of the curve
T T T T T T T T T
c. Blunt the inspiratory portion of the curve
T T T T T T
d. Have no effect on the curve but cause inspiratory stridor
T T T T T T T T T
Chapter 1: Indications for Pulmonary Function Testing
Test Bank
MULTIPLE CHOICE
1. Who first popularized spirometry for the evaluation of pulmonary function? T T T T
a. August and Marie Krogh T T T
b. Alvan Barach T
c. John Severinghaus T
d. John Hutchinson T
ANS: D T
Hutchinson popularized the concept of using VC to assess lung function, and the names he
T T T T T T T T T T T T T T T
gave to several other lung compartments are still used today.
T T T T T T T T T
DIF: 1 REF: p. 2 T OBJ: None MSC: NBRC: None
T T
2. Which of the following are indications for performing spirometry?
T T T T T T T T
1. Assess the risk of lung resection. T T T T T
2. Determine the response to bronchodilator therapy. T T T T T
3. Assess the severity of restrictive lung disease.
T T T T T T
4. Quantify the extent of COPD. T T T T
a. 1 and 4 T T
b. 2 and 3 T T
c. 1, 2, and 4 T T T
d. 2, 3, and 4 T T T
ANS: C T
Spirometry cannot assess severity of restriction; for that you need to measure lung volumes
T T T T T T T T T T T T T T
(see Box 1-2, Chapter 1).
T T T T
DIF: 1 REF: p. 7 T OBJ: EL-2 MSC: NBRC: None
T T
3. The main indication for the measurement of lung volumes is to do which of the following?
T T T T T T T T T T T T T T T
a. Diagnose or assess the severity of restriction. T T T T T T
b. Evaluate the severity of pulmonary hypertension. T T T T T
c. Determine the level of cardiopulmonary fitness. T T T T T
d. Assess the risk of abdominal surgical procedures.
T T T T T T
ANS: A T
The most common reason for measuring lung volumes is to identify restrictive lung disease.
T T T T T T T T T T T T T T
DIF: 1 REF: p. 35 T OBJ: EL-2 MSC: NBRC: None
T T
4. DLCO measurements may be indicated to evaluate pulmonary involvement in which of the
T T T T T T T T T T T T T
following systemic diseases? T T
a. Asthma
b. Sarcoidosis
c. Exertional hypoxemia T
, Stuvia.com - The Marketplace to Buy and Sell your Study Material
d. Guillain-Barré syndrome T
ANS: B T
Sarcoidosis is the only systemic disease listed that affects gas exchange.
T T T T T T T T T T
DIF: 1 REF: p. 9 | p. 19 | p. 21 | p. 35 T T T T T T T T T T OBJ: EL-2 T
MSC: NBRC: NoneT T
5. Blood gas analysis is used with patients with COPD to do which of the following?
T T T T T T T T T T T T T T
a. Monitor airway responsiveness. T T
b. Determine level of cardiopulmonary fitness. T T T T
c. Detect pulmonary hypertension. T T
d. Assess need for supplementary O2. T T T T
ANS: D T
Blood gas analysis is most commonly used to determine the need for supplemental oxygen
T T T T T T T T T T T T T T
and to manage patients who require ventilatory support.
T T T T T T T
DIF: 2 REF: p. 15 T OBJ: EL-1 T
MSC: NBRC: CPFT 2A-2
T T T
6. Which of the following cause emphysema?
T T T T T
1. 1-Antitrypsin deficiency T
2. Exposure to environmental pollutants T T T
3. Radiation therapy T
4. Cigarette smoking T
a. 1 and 2 T T
b. 3 and 4 T T
c. 1, 2, and 4 T T T
d. 2, 3, and 4 T T T
ANS: C T
Emphysema is caused primarily by cigarette smoking. Some emphysema is caused by the
T T T T T T T T T T T T T
absence of a protective enzyme. Chronic exposure to environmental pollutants can also
T T T T T T T T T T T T
contribute to the development of emphysema.T T T T T
DIF: 1 REF: p. 11 T OBJ: EL-3 | AL-2 T T MSC: NBRC: None T T
7. An adult patient complains of chest tightness and cough whenever he jogs in cold weather.
T T T T T T T T T T T T T T T
These symptoms are consistent with which of the following?
T T T T T T T T
a. Cystic fibrosis T
b. Asthma
c. Pulmonary hypertension T
d. Idiopathic pulmonary fibrosis T T
ANS: B T
Agents or events that cause an asthmatic episode are called triggers (see Box 1-7, Chapter
T T T T T T T T T T T T T T T
1). Antigens such as animal dander, pollens, and dusts are the most common triggers. Other
T T T T T T T T T T T T T T T
common triggers include exposure to air pollutants and exercise in cold or dry air.
T T T T T T T T T T T T T
DIF: 2 REF: p. 16 T OBJ: EL-3 MSC: NBRC: None T T
, Stuvia.com - The Marketplace to Buy and Sell your Study Material
8. Which of the following statements concerning tumors in the upper airway is true?
T T T T T T T T T T T T
a. There may be variable or fixed obstruction. T T T T T T
b. Fixed obstruction will be present. T T T T
c. Variable obstruction will be present. T T T T
d. Small airway obstruction will result. T T T T
ANS: A T
Tumors involving the upper airway may cause variable or fixed obstruction.
T T T T T T T T T T
DIF: 2 REF: p. 19 T OBJ: EL-2 T
MSC: NBRC: CPFT 3C-3
T T T
9. Sarcoidosis is a systemic disorder that usually causes which of the following?
T T T T T T T T T T T
a. A restrictive ventilatory defect
T T T
b. An obstructive ventilatory defect
T T T
c. Hyperreactive airways T
d. Primary pulmonary hypertension T T
ANS: A T
Restriction is often associated with the following: interstitial lung diseases, including
T T T T T T T T T T T
idiopathic fibrosis, pneumoconioses, and sarcoidosis.
T T T T
DIF: 1 REF: p. 19 | p. 21 T T T T OBJ: EL-3 MSC: NBRC: None
T T
10. For which of the following conditions might pulmonary function testing be contraindicated?
T T T T T T T T T T T
a. Vocal cord dysfunction T T
b. Untreated pneumothorax T
c. Congestive heart failure (CHF) T T T
d. Bronchiolitis obliterans T
ANS: B T
Pulmonary function tests are usually contraindicated in the presence of pneumothorax.
T T T T T T T T T T T
However, undiagnosed pneumothorax may present a risk if pulmonary function studies are
T T T T T T T T T T T T
performed.
DIF: 1 REF: p. 23 T OBJ: EL-4 T
MSC: NBRC: CPFT 2B-6
T T T
11. Which of the following correctly describe(s) appropriate physical measurements before
T T T T T T T T T T
pulmonary function testing? T T
1. Actual body weight should be used to calculate predicted values.
T T T T T T T T T
2. Standing height should be measured when the patient is barefoot.T T T T T T T T T
3. Arm span should be used instead of height for a patient with kyphosis.
T T T T T T T T T T T T
4. Age should be recorded to the nearest decade (10 years).
T T T T T T T T T
a. 1 only T
b. 2 and 3 T T
c. 1, 2, and 4 T T T
d. 1, 2, 3, and 4
T T T T T T
ANS: B T
, Stuvia.com - The Marketplace to Buy and Sell your Study Material
Various physical measurements are required for estimating each patient’s expected level of
T T T T T T T T T T T T
pulmonary function. Age to the nearest month, height to the nearest 0.1 cm, and weight are
T T T T T T T T T T T T T T T T
usually recorded in addition to the patient’s gender. Race or ethnic origin should also be
T T T T T T T T T T T T T T T
recorded. (Although body weight is recorded, it is not used to calculate predicted values.)
T T T T T T T T T T T T T
DIF: 1 REF: p. 29 T OBJ: None T
MSC: NBRC: CPFT 3A-20
T T T
12. In addition to explaining the procedure for each pulmonary function test to the patient, the
T T T T T T T T T T T T T T T
pulmonary function technologist should do which of the following?
T T T T T T T T
a. Briefly explain the physiologic basis of the test.
T T T T T T T
b. Demonstrate the correct performance of the test maneuver. T T T T T T T
c. Limit feedback to the patient to reduce the placebo effect.
T T T T T T T T T
d. Explain the exact number of efforts that will be required for each test.
T T T T T T T T T T T T
ANS: B T
In addition to a description of the test, the maneuver should always be demonstrated.
T T T T T T T T T T T T T
DIF: 1 REF: p. 32 T OBJ: None T
MSC: NBRC: CPFT 2B-6
T T T
13. The single-breath diffusing capacity test was first described by:
T T T T T T T T
a. John Severinghaus T
b. August and Marie Krogh T T T
c. Robert Hyatt T
d. Leland Clark T
ANS: B T
The basis for the modern single-breath diffusing capacity (DLCO) test was described by
T T T T T T T T T T T T T
August and Marie Krogh in 1911.
T T T T T
DIF: 1 REF: p. 5 T OBJ: None MSC: NBRC: None T T
14. DLCO measurements may be indicated to evaluate gas exchange abnormality in which of the
T T T T T T T T T T T T T T
following?
a. Ketoacidosis
b. Myasthenia gravis T
c. Interstitial lung disease T T
d. Bronchitis
ANS: C T
The other options do not affect the alveolar capillary membrane interface.
T T T T T T T T T T
DIF: 1 REF: p. 9 T OBJ: EL-2 MSC: NBRC: None T T
15. Vocal cord dysfunction will typically affect the flow-volume loop in what way?
T T T T T T T T T T T
a. Blunt the expiratory portion of the curve
T T T T T T
b. Blunt both the inspiratory and expiratory portions of the curve
T T T T T T T T T
c. Blunt the inspiratory portion of the curve
T T T T T T
d. Have no effect on the curve but cause inspiratory stridor
T T T T T T T T T
