Test Bank for Ruppel’s Manual of Pulmonary Function Testing 12th Edition, By Mottram Chapter 1 - 13 Updated

Test Bank for Ruppel’s Manual of Pulmonary Function Testing

12th Edition, By Mottram

Chapter 1 - 13 Updated

,Chapter1:IndicationsforPulmonaryFunctionTestingTest Bank
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MULTIPLE CHOICE zs




1. Who first popularized spirometry for the evaluation of pulmonary function?
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a. August and Marie Krogh zs zs zs




b. Alvan Barach zs




c. John Severinghaus zs




d. John Hutchinson zs




ANS: D zs




Hutchinson popularized the concept of using VC to assess lung function, and the names he gave t
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o several other lung compartments are still used today.
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DIF: 1 REF: p. 2 zs OBJ: None MSC: NBRC: Nonez s zs zs




2. Which of the following are indications for performing spirometry?
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1. Assess the risk of lung resection. zs zs zs zs zs




2. Determine the response to bronchodilator therapy. zs zs zs zs zs




3. Assess the severity of restrictive lung disease. zs zs zs zs zs zs




4. Quantify the extent of COPD. zs zs zs zs




a. 1 and 4 z s z s




b. 2 and 3 z s z s




c. 1 , 2, and 4 zs zs zs z s




d. 2 , 3, and 4 zs zs zs z s




ANS: C zs




Spirometry cannot assess severity of restriction; for that you need to measure lung volumes ( see
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Box 1-2, Chapter 1).
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DIF: 1 REF: p. 7 zs OBJ: EL-2 MSC: NBRC: None zs zs

,3. The main indication for the measurement of lung volumes is to do which of the following?
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a. Diagnose or assess the severity of restriction.
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b. Evaluate the severity of pulmonary hypertension.
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c. Determine the level of cardiopulmonary fitness.
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d. Assess the risk of abdominal surgical procedures.
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ANS: A zs




The most common reason for measuring lung volumes is to identify restrictive lung disease. DI
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F: 1 REF: p. 35 zs OBJ: EL-2 MSC: NBRC: None
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4. DLCO measurements may be indicated to evaluate pulmonary involvement in which of the fo
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llowing systemic diseases?
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a. Asthma
b. Sarcoidosis
c. Exertional hypoxemia zs

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d. Guillain-Barré syndrome zs




ANS: B zs




Sarcoidosis is the only systemic disease listed that affects gas exchange. DIF: zs zs zs zs zs zs zs zs zs zs zs z




s 1 REF: p. 9 | p. 19 | p. 21 | p. 35 OBJ: EL-2 MSC: NBRC: None
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5. Blood gas analysis is used with patients with COPD to do which of the foll zs zs zs zs zs zs zs zs zs zs zs zs zs zs




owing?
a. Monitor airway responsiveness. zs zs




b. Determine level of cardiopulmonary fitness. zs zs zs zs




c. Detect pulmonary hypertension. zs zs




d. Assess need for supplementary O2. zs zs zs zs




ANS: D zs




Blood gas analysis is most commonly used to determine the need for supplemental oxygen an
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d to manage patients who require ventilatory support.
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DIF: 2 REF: p. 15 zs OBJ: EL-
1 MSC: NBRC: CPFT 2A-2
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6. Which of the following cause emphysema? zs zs zs zs zs




1. 1- Antitrypsin deficiency zs zs




2. Exposure to environmental pollutants zs zs zs




3. Radiation therapy zs




4. Cigarette smoking zs




a. 1 and 2 z s z s




b. 3 and 4 z s z s




c. 1 , 2, and 4 zs zs zs z s




d. 2 , 3, and 4 zs zs zs z s




ANS: C zs




Emphysema is caused primarily by cigarette smoking. Some emphysema is caused by the absenc zs zs zs zs zs zs zs zs zs zs zs zs zs




e of a protective enzyme. Chronic exposure to environmental pollutants can also contribute to t
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he development of emphysema.
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DIF: 1 REF: p. 11 zs OBJ: EL-3 |AL-2 zs sz MSC: NBRC: None zs zs




7. An adult patient complains of chest tightness and cough whenever he jogs in cold weather. Th
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ese symptoms are consistent with which of the following?
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a. Cystic fibrosis zs




b. Asthma
c. Pulmonary hypertension zs




d. Idiopathic pulmonary fibrosis zs zs




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