,Chapter 1: Indications for Pulmonary Function Testing
ss ss ss ss ss ss
Test Bank
ss ss
MULTIPLE CHOICE ss
1. Who first popularized spirometry for the evaluation of pulmonary function?
ss ss ss ss ss ss ss ss ss
a. August and Marie Krogh ss ss ss
b. Alvan Barach ss
c. John Severinghaus ss
d. John Hutchinson ss
ANS: D s s
Hutchinson popularized the concept of using VC to assess lung function, and the names he
ss ss ss ss ss ss ss ss ss ss ss ss ss ss
gave to several other lung compartments are still used today.
ss ss ss ss ss ss ss ss ss ss
DIF: 1 REF: p. 2 ss OBJ: None MSC: NBRC: None ss ss
2. Which of the following are indications for performing spirometry?
ss ss ss ss ss ss ss ss
1. Assess the risk of lung resection. ss ss ss ss ss
2. Determine the response to bronchodilator therapy. ss ss ss ss ss
3. Assess the severity of restrictive lung disease. ss ss ss ss ss ss
4. Quantify the extent of COPD. ss ss ss ss
a. 1 and 4 ss ss
b. 2 and 3 ss ss
c. 1, 2, and 4 ss ss ss
d. 2, 3, and 4 ss ss ss
ANS: C s s
Spirometry cannot assess severity of restriction; for that you need to measure lung volumes
ss ss ss ss ss ss ss ss ss ss ss ss ss
(see Box 1-2, Chapter 1).
ss ss ss ss ss
DIF: 1 REF: p. 7 ss OBJ: EL-2 MSC: NBRC: None ss ss
3. The main indication for the measurement of lung volumes is to do which of the following?
ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss
a. Diagnose or assess the severity of restriction. ss ss ss ss ss ss
b. Evaluate the severity of pulmonary hypertension. ss ss ss ss ss
c. Determine the level of cardiopulmonary fitness. ss ss ss ss ss
d. Assess the risk of abdominal surgical procedures. ss ss ss ss ss ss
ANS: A s s
The most common reason for measuring lung volumes is to identify restrictive lung disease.
ss ss ss ss ss ss ss ss ss ss ss ss ss
ss DIF: 1 REF: p. 35 ss OBJ: EL-2 MSC: NBRC: None s s ss
4. DLCO measurements may be indicated to evaluate pulmonary involvement in which of the
ss ss ss ss ss ss ss ss ss ss ss ss
following systemic diseases?
ss ss ss
a. Asthma
b. Sarcoidosis
c. Exertional hypoxemia ss
, d. Guillain-Barré syndrome ss
ANS: B
ss s s
Sarcoidosis is the only systemic disease listed that affects gas exchange.
ss ss ss ss ss ss ss ss ss ss
DIF: 1 REF: p. 9 | p. 19 | p. 21 | p. 35 ss ss ss ss ss ss ss ss ss ss OBJ: EL-2
MSC: NBRC: None
ss s s ss
5. Blood gas analysis is used with patients with COPD to do which of the following?
ss ss ss ss ss ss ss ss ss ss ss ss ss ss
a. Monitor airway responsiveness. ss ss
b. Determine level of cardiopulmonary fitness. ss ss ss ss
c. Detect pulmonary hypertension. ss ss
d. Assess need for supplementary O2. ss ss ss ss
ANS: D s s
Blood gas analysis is most commonly used to determine the need for supplemental oxygen
ss ss ss ss ss ss ss ss ss ss ss ss ss
and to manage patients who require ventilatory support.
ss ss ss ss ss ss ss ss
DIF: 2 REF: p. 15 ss OBJ: EL-1
MSC: NBRC: CPFT 2A-2
ss s s ss ss
6. Which of the following cause emphysema?
ss ss ss ss ss
1. α1-Antitrypsin deficiency ss
2. Exposure to environmental pollutants ss ss ss
3. Radiation therapy ss
4. Cigarette smoking ss
a. 1 and 2 ss ss
b. 3 and 4 ss ss
c. 1, 2, and 4 ss ss ss
d. 2, 3, and 4 ss ss ss
ANS: C s s
Emphysema is caused primarily by cigarette smoking. Some emphysema is caused by the
ss ss ss ss ss ss ss ss ss ss ss ss
absence of a protective enzyme. Chronic exposure to environmental pollutants can also
ss ss ss ss ss ss ss ss ss ss ss ss
contribute to the development of emphysema.
ss ss ss ss ss ss
DIF: 1 REF: p. 11 ss OBJ: EL-3 | AL-2 ss ss MSC: NBRC: None ss ss
7. An adult patient complains of chest tightness and cough whenever he jogs in cold weather.
ss ss ss ss ss ss ss ss ss ss ss ss ss ss
These symptoms are consistent with which of the following?
ss ss ss ss ss ss ss ss ss
a. Cystic fibrosis ss
b. Asthma
c. Pulmonary hypertension ss
d. Idiopathic pulmonary fibrosis ss ss
ANS: B s s
Agents or events that cause an asthmatic episode are called triggers (see Box 1-7, Chapter
ss ss ss ss ss ss ss ss ss ss ss ss ss ss
1). Antigens such as animal dander, pollens, and dusts are the most common triggers. Other
ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss
common triggers include exposure to air pollutants and exercise in cold or dry air.
ss ss ss ss ss ss ss ss ss ss ss ss ss ss
DIF: 2 REF: p. 16 ss OBJ: EL-3 MSC: NBRC: None ss ss
, 8. Which of the following statements concerning tumors in the upper airway is true?
ss ss ss ss ss ss ss ss ss ss ss ss
a. There may be variable or fixed obstruction. ss ss ss ss ss ss
b. Fixed obstruction will be present. ss ss ss ss
c. Variable obstruction will be present. ss ss ss ss
d. Small airway obstruction will result. ss ss ss ss
ANS: A s s
Tumors involving the upper airway may cause variable or fixed obstruction.
ss ss ss ss ss ss ss ss ss ss
DIF: 2 REF: p. 19 ss OBJ: EL-2
MSC: NBRC: CPFT 3C-3
ss s s ss ss
9. Sarcoidosis is a systemic disorder that usually causes which of the following?
ss ss ss ss ss ss ss ss ss ss ss
a. A restrictive ventilatory defect
ss ss ss
b. An obstructive ventilatory defect
ss ss ss
c. Hyperreactive airways ss
d. Primary pulmonary hypertension ss ss
ANS: A s s
Restriction is often associated with the following: interstitial lung diseases, including
ss ss ss ss ss ss ss ss ss ss
idiopathic fibrosis, pneumoconioses, and sarcoidosis.
ss ss ss ss ss
DIF: 1 REF: p. 19 | p. 21 ss ss ss ss OBJ: EL-3 MSC: NBRC: None ss ss
10. For which of the following conditions might pulmonary function testing be contraindicated?
ss ss ss ss ss ss ss ss ss ss ss
a. Vocal cord dysfunction ss ss
b. Untreated pneumothorax ss
c. Congestive heart failure (CHF) ss ss ss
d. Bronchiolitis obliterans ss
ANS: B s s
Pulmonary function tests are usually contraindicated in the presence of pneumothorax.
ss ss ss ss ss ss ss ss ss ss
However, undiagnosed pneumothorax may present a risk if pulmonary function studies are
ss ss ss ss ss ss ss ss ss ss ss ss
performed.
ss
DIF: 1 REF: p. 23 ss OBJ: EL-4
MSC: NBRC: CPFT 2B-6
ss s s ss ss
11. Which of the following correctly describe(s) appropriate physical measurements before
ss ss ss ss ss ss ss ss ss
pulmonary function testing?
ss ss ss
1. Actual body weight should be used to calculate predicted values.
ss ss ss ss ss ss ss ss ss
2. Standing height should be measured when the patient is barefoot. ss ss ss ss ss ss ss ss ss
3. Arm span should be used instead of height for a patient with kyphosis.
ss ss ss ss ss ss ss ss ss ss ss ss
4. Age should be recorded to the nearest decade (10 years).
ss ss ss ss ss ss ss ss ss
a. 1 only ss
b. 2 and 3 ss ss
c. 1, 2, and 4 ss ss ss
d. 1, 2, 3, and 4
ss ss ss ss
ss ANS: B s s
ss ss ss ss ss ss
Test Bank
ss ss
MULTIPLE CHOICE ss
1. Who first popularized spirometry for the evaluation of pulmonary function?
ss ss ss ss ss ss ss ss ss
a. August and Marie Krogh ss ss ss
b. Alvan Barach ss
c. John Severinghaus ss
d. John Hutchinson ss
ANS: D s s
Hutchinson popularized the concept of using VC to assess lung function, and the names he
ss ss ss ss ss ss ss ss ss ss ss ss ss ss
gave to several other lung compartments are still used today.
ss ss ss ss ss ss ss ss ss ss
DIF: 1 REF: p. 2 ss OBJ: None MSC: NBRC: None ss ss
2. Which of the following are indications for performing spirometry?
ss ss ss ss ss ss ss ss
1. Assess the risk of lung resection. ss ss ss ss ss
2. Determine the response to bronchodilator therapy. ss ss ss ss ss
3. Assess the severity of restrictive lung disease. ss ss ss ss ss ss
4. Quantify the extent of COPD. ss ss ss ss
a. 1 and 4 ss ss
b. 2 and 3 ss ss
c. 1, 2, and 4 ss ss ss
d. 2, 3, and 4 ss ss ss
ANS: C s s
Spirometry cannot assess severity of restriction; for that you need to measure lung volumes
ss ss ss ss ss ss ss ss ss ss ss ss ss
(see Box 1-2, Chapter 1).
ss ss ss ss ss
DIF: 1 REF: p. 7 ss OBJ: EL-2 MSC: NBRC: None ss ss
3. The main indication for the measurement of lung volumes is to do which of the following?
ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss
a. Diagnose or assess the severity of restriction. ss ss ss ss ss ss
b. Evaluate the severity of pulmonary hypertension. ss ss ss ss ss
c. Determine the level of cardiopulmonary fitness. ss ss ss ss ss
d. Assess the risk of abdominal surgical procedures. ss ss ss ss ss ss
ANS: A s s
The most common reason for measuring lung volumes is to identify restrictive lung disease.
ss ss ss ss ss ss ss ss ss ss ss ss ss
ss DIF: 1 REF: p. 35 ss OBJ: EL-2 MSC: NBRC: None s s ss
4. DLCO measurements may be indicated to evaluate pulmonary involvement in which of the
ss ss ss ss ss ss ss ss ss ss ss ss
following systemic diseases?
ss ss ss
a. Asthma
b. Sarcoidosis
c. Exertional hypoxemia ss
, d. Guillain-Barré syndrome ss
ANS: B
ss s s
Sarcoidosis is the only systemic disease listed that affects gas exchange.
ss ss ss ss ss ss ss ss ss ss
DIF: 1 REF: p. 9 | p. 19 | p. 21 | p. 35 ss ss ss ss ss ss ss ss ss ss OBJ: EL-2
MSC: NBRC: None
ss s s ss
5. Blood gas analysis is used with patients with COPD to do which of the following?
ss ss ss ss ss ss ss ss ss ss ss ss ss ss
a. Monitor airway responsiveness. ss ss
b. Determine level of cardiopulmonary fitness. ss ss ss ss
c. Detect pulmonary hypertension. ss ss
d. Assess need for supplementary O2. ss ss ss ss
ANS: D s s
Blood gas analysis is most commonly used to determine the need for supplemental oxygen
ss ss ss ss ss ss ss ss ss ss ss ss ss
and to manage patients who require ventilatory support.
ss ss ss ss ss ss ss ss
DIF: 2 REF: p. 15 ss OBJ: EL-1
MSC: NBRC: CPFT 2A-2
ss s s ss ss
6. Which of the following cause emphysema?
ss ss ss ss ss
1. α1-Antitrypsin deficiency ss
2. Exposure to environmental pollutants ss ss ss
3. Radiation therapy ss
4. Cigarette smoking ss
a. 1 and 2 ss ss
b. 3 and 4 ss ss
c. 1, 2, and 4 ss ss ss
d. 2, 3, and 4 ss ss ss
ANS: C s s
Emphysema is caused primarily by cigarette smoking. Some emphysema is caused by the
ss ss ss ss ss ss ss ss ss ss ss ss
absence of a protective enzyme. Chronic exposure to environmental pollutants can also
ss ss ss ss ss ss ss ss ss ss ss ss
contribute to the development of emphysema.
ss ss ss ss ss ss
DIF: 1 REF: p. 11 ss OBJ: EL-3 | AL-2 ss ss MSC: NBRC: None ss ss
7. An adult patient complains of chest tightness and cough whenever he jogs in cold weather.
ss ss ss ss ss ss ss ss ss ss ss ss ss ss
These symptoms are consistent with which of the following?
ss ss ss ss ss ss ss ss ss
a. Cystic fibrosis ss
b. Asthma
c. Pulmonary hypertension ss
d. Idiopathic pulmonary fibrosis ss ss
ANS: B s s
Agents or events that cause an asthmatic episode are called triggers (see Box 1-7, Chapter
ss ss ss ss ss ss ss ss ss ss ss ss ss ss
1). Antigens such as animal dander, pollens, and dusts are the most common triggers. Other
ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss
common triggers include exposure to air pollutants and exercise in cold or dry air.
ss ss ss ss ss ss ss ss ss ss ss ss ss ss
DIF: 2 REF: p. 16 ss OBJ: EL-3 MSC: NBRC: None ss ss
, 8. Which of the following statements concerning tumors in the upper airway is true?
ss ss ss ss ss ss ss ss ss ss ss ss
a. There may be variable or fixed obstruction. ss ss ss ss ss ss
b. Fixed obstruction will be present. ss ss ss ss
c. Variable obstruction will be present. ss ss ss ss
d. Small airway obstruction will result. ss ss ss ss
ANS: A s s
Tumors involving the upper airway may cause variable or fixed obstruction.
ss ss ss ss ss ss ss ss ss ss
DIF: 2 REF: p. 19 ss OBJ: EL-2
MSC: NBRC: CPFT 3C-3
ss s s ss ss
9. Sarcoidosis is a systemic disorder that usually causes which of the following?
ss ss ss ss ss ss ss ss ss ss ss
a. A restrictive ventilatory defect
ss ss ss
b. An obstructive ventilatory defect
ss ss ss
c. Hyperreactive airways ss
d. Primary pulmonary hypertension ss ss
ANS: A s s
Restriction is often associated with the following: interstitial lung diseases, including
ss ss ss ss ss ss ss ss ss ss
idiopathic fibrosis, pneumoconioses, and sarcoidosis.
ss ss ss ss ss
DIF: 1 REF: p. 19 | p. 21 ss ss ss ss OBJ: EL-3 MSC: NBRC: None ss ss
10. For which of the following conditions might pulmonary function testing be contraindicated?
ss ss ss ss ss ss ss ss ss ss ss
a. Vocal cord dysfunction ss ss
b. Untreated pneumothorax ss
c. Congestive heart failure (CHF) ss ss ss
d. Bronchiolitis obliterans ss
ANS: B s s
Pulmonary function tests are usually contraindicated in the presence of pneumothorax.
ss ss ss ss ss ss ss ss ss ss
However, undiagnosed pneumothorax may present a risk if pulmonary function studies are
ss ss ss ss ss ss ss ss ss ss ss ss
performed.
ss
DIF: 1 REF: p. 23 ss OBJ: EL-4
MSC: NBRC: CPFT 2B-6
ss s s ss ss
11. Which of the following correctly describe(s) appropriate physical measurements before
ss ss ss ss ss ss ss ss ss
pulmonary function testing?
ss ss ss
1. Actual body weight should be used to calculate predicted values.
ss ss ss ss ss ss ss ss ss
2. Standing height should be measured when the patient is barefoot. ss ss ss ss ss ss ss ss ss
3. Arm span should be used instead of height for a patient with kyphosis.
ss ss ss ss ss ss ss ss ss ss ss ss
4. Age should be recorded to the nearest decade (10 years).
ss ss ss ss ss ss ss ss ss
a. 1 only ss
b. 2 and 3 ss ss
c. 1, 2, and 4 ss ss ss
d. 1, 2, 3, and 4
ss ss ss ss
ss ANS: B s s
