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