TEST BANK FOR TEST BANK FOR RUPPEL’S MANUAL OF
ss ss ss ss ss ss ss ss
PULMONARY FUNCTION TESTING 11 TH EDITION BY MOTTRAM
ss ss ss ss ss ss ss ss
,Chapter 1: Indications for Pulmonary Function Testing Test
ss ss ss ss ss ss ss
Bank
ss
MULTIPLE ssCHOICE
1. Who ssfirst sspopularized ssspirometry ssfor ssthe ssevaluation ssof sspulmonary ssfunction?
a. August ssand ssMarie ssKrogh
b. Alvan ssBarach
c. John ssSeveringhaus
d. John ssHutchinson
ANS: ssD
Hutchinson sspopularized ssthe ssconcept ssof ssusing ssVC ssto ssassess sslung ssfunction, ssand ssthe ssnames
sshe ssgave ssto ssseveral ssother sslung sscompartments ssare ssstill ssused sstoday.
DIF: 1 REF: p. ss2 OBJ: None MSC: ssNBRC: ssNone
2. Which ssof ssthe ssfollowing ssare ssindications ssfor ssperforming ssspirometry?
1. Assess ssthe ssrisk ssof sslung ssresection.
2. Determine ssthe ssresponse ssto ssbronchodilator sstherapy.
3. Assess ssthe ssseverity ssof ssrestrictive sslung ssdisease.
4. Quantify ssthe ssextent ssof ssCOPD.
a. 1 s s and s s 4
b. 2 s s and s s 3
c. 1 ss, ss2, ssand s s 4
d. 2 ss, ss3, ssand s s 4
ANS: ssC
Spirometry sscannot ssassess ssseverity ssof ssrestriction; ssfor ssthat ssyou ssneed ssto ssmeasure sslung
ssvolumes ss( sssee ssBox ss1-2, ssChapter s s 1).
DIF: 1 REF: p. ss7 OBJ: EL-2 MSC: ssNBRC: ssNone
,3. The ssmain ssindication ssfor ssthe ssmeasurement ssof sslung ssvolumes ssis ssto ssdo sswhich ssof ssthe
ssfollowing?
a. Diagnose ssor ssassess ssthe ssseverity ssof ssrestriction.
b. Evaluate ssthe ssseverity ssof sspulmonary sshypertension.
c. Determine ssthe sslevel ssof sscardiopulmonary ssfitness.
d. Assess ssthe ssrisk ssof ssabdominal sssurgical ssprocedures.
ANS: ssA
The ssmost sscommon ssreason ssfor ssmeasuring sslung ssvolumes ssis ssto ssidentify ssrestrictive sslung
disease. ssDIF:
ss 1 REF: p. ss35 OBJ: EL-2 MSC: ssNBRC: ssNone
4. DLCO ssmeasurements ssmay ssbe ssindicated ssto ssevaluate sspulmonary ssinvolvement ssin sswhich
ssof ssthe ssfollowing sssystemic ssdiseases?
a. Asthma
b. Sarcoidosis
c. Exertional sshypoxemia
, Stuvia.com ss- ssThe ssMarketplace ssto ssBuy ssand ssSell ssyour
Study Material
d. Guillain-Barré sssyndrome
ANS: ssB
Sarcoidosis ssis ssthe ssonly sssystemic ssdisease sslisted ssthat ssaffects ssgas
exchange. ssDIF: ss1 ssREF: ssp. ss9 ss| ssp. ss19 ss| ssp. ss21 ss| ssp. ss35 ssOBJ: ssEL-2
ss
ss MSC: ssNBRC: ssNone
5. Blood ssgas ssanalysis ssis ssused sswith sspatients sswith ssCOPD ssto ssdo sswhich
ssof ssthe ssfollowing?
a. Monitor ssairway ssresponsiveness.
b. Determine sslevel ssof sscardiopulmonary ssfitness.
c. Detect sspulmonary sshypertension.
d. Assess ssneed ssfor sssupplementary ssO2.
ANS: ssD
Blood ssgas ssanalysis ssis ssmost sscommonly ssused ssto ssdetermine ssthe ssneed ssfor sssupplemental
ssoxygen ssand ssto ssmanage sspatients sswho ssrequire ssventilatory sssupport.
DIF: 2 REF: p. ss15 OBJ: EL-1
ssMSC: ssNBRC: ssCPFT ss2A-2
6. Which ssof ssthe ssfollowing sscause ssemphysema?
1. 1- s s Antitrypsin s s deficiency
2. Exposure ssto ssenvironmental sspollutants
3. Radiation sstherapy
4. Cigarette sssmoking
a. 1 s s and s s 2
b. 3 s s and s s 4
c. 1 ss, ss2, ssand s s 4
d. 2 ss, ss3, ssand s s 4
ANS: ssC
Emphysema ssis sscaused ssprimarily ssby sscigarette sssmoking. ssSome ssemphysema ssis sscaused ssby
ssthe ssabsence ssof ssa ssprotective ssenzyme. ssChronic ssexposure ssto ssenvironmental sspollutants sscan
ssalso sscontribute ssto ssthe ssdevelopment ssof ssemphysema.
DIF: 1 REF: p. ss11 OBJ: EL-3 ss| ssAL-2 MSC: ssNBRC: ssNone
7. An ssadult sspatient sscomplains ssof sschest sstightness ssand sscough sswhenever sshe ssjogs ssin sscold
ssweather. ssThese sssymptoms ssare ssconsistent sswith sswhich ssof ssthe ssfollowing?
a. Cystic ssfibrosis
b. Asthma
c. Pulmonary sshypertension
d. Idiopathic sspulmonary ssfibrosis
ss ss ss ss ss ss ss ss
PULMONARY FUNCTION TESTING 11 TH EDITION BY MOTTRAM
ss ss ss ss ss ss ss ss
,Chapter 1: Indications for Pulmonary Function Testing Test
ss ss ss ss ss ss ss
Bank
ss
MULTIPLE ssCHOICE
1. Who ssfirst sspopularized ssspirometry ssfor ssthe ssevaluation ssof sspulmonary ssfunction?
a. August ssand ssMarie ssKrogh
b. Alvan ssBarach
c. John ssSeveringhaus
d. John ssHutchinson
ANS: ssD
Hutchinson sspopularized ssthe ssconcept ssof ssusing ssVC ssto ssassess sslung ssfunction, ssand ssthe ssnames
sshe ssgave ssto ssseveral ssother sslung sscompartments ssare ssstill ssused sstoday.
DIF: 1 REF: p. ss2 OBJ: None MSC: ssNBRC: ssNone
2. Which ssof ssthe ssfollowing ssare ssindications ssfor ssperforming ssspirometry?
1. Assess ssthe ssrisk ssof sslung ssresection.
2. Determine ssthe ssresponse ssto ssbronchodilator sstherapy.
3. Assess ssthe ssseverity ssof ssrestrictive sslung ssdisease.
4. Quantify ssthe ssextent ssof ssCOPD.
a. 1 s s and s s 4
b. 2 s s and s s 3
c. 1 ss, ss2, ssand s s 4
d. 2 ss, ss3, ssand s s 4
ANS: ssC
Spirometry sscannot ssassess ssseverity ssof ssrestriction; ssfor ssthat ssyou ssneed ssto ssmeasure sslung
ssvolumes ss( sssee ssBox ss1-2, ssChapter s s 1).
DIF: 1 REF: p. ss7 OBJ: EL-2 MSC: ssNBRC: ssNone
,3. The ssmain ssindication ssfor ssthe ssmeasurement ssof sslung ssvolumes ssis ssto ssdo sswhich ssof ssthe
ssfollowing?
a. Diagnose ssor ssassess ssthe ssseverity ssof ssrestriction.
b. Evaluate ssthe ssseverity ssof sspulmonary sshypertension.
c. Determine ssthe sslevel ssof sscardiopulmonary ssfitness.
d. Assess ssthe ssrisk ssof ssabdominal sssurgical ssprocedures.
ANS: ssA
The ssmost sscommon ssreason ssfor ssmeasuring sslung ssvolumes ssis ssto ssidentify ssrestrictive sslung
disease. ssDIF:
ss 1 REF: p. ss35 OBJ: EL-2 MSC: ssNBRC: ssNone
4. DLCO ssmeasurements ssmay ssbe ssindicated ssto ssevaluate sspulmonary ssinvolvement ssin sswhich
ssof ssthe ssfollowing sssystemic ssdiseases?
a. Asthma
b. Sarcoidosis
c. Exertional sshypoxemia
, Stuvia.com ss- ssThe ssMarketplace ssto ssBuy ssand ssSell ssyour
Study Material
d. Guillain-Barré sssyndrome
ANS: ssB
Sarcoidosis ssis ssthe ssonly sssystemic ssdisease sslisted ssthat ssaffects ssgas
exchange. ssDIF: ss1 ssREF: ssp. ss9 ss| ssp. ss19 ss| ssp. ss21 ss| ssp. ss35 ssOBJ: ssEL-2
ss
ss MSC: ssNBRC: ssNone
5. Blood ssgas ssanalysis ssis ssused sswith sspatients sswith ssCOPD ssto ssdo sswhich
ssof ssthe ssfollowing?
a. Monitor ssairway ssresponsiveness.
b. Determine sslevel ssof sscardiopulmonary ssfitness.
c. Detect sspulmonary sshypertension.
d. Assess ssneed ssfor sssupplementary ssO2.
ANS: ssD
Blood ssgas ssanalysis ssis ssmost sscommonly ssused ssto ssdetermine ssthe ssneed ssfor sssupplemental
ssoxygen ssand ssto ssmanage sspatients sswho ssrequire ssventilatory sssupport.
DIF: 2 REF: p. ss15 OBJ: EL-1
ssMSC: ssNBRC: ssCPFT ss2A-2
6. Which ssof ssthe ssfollowing sscause ssemphysema?
1. 1- s s Antitrypsin s s deficiency
2. Exposure ssto ssenvironmental sspollutants
3. Radiation sstherapy
4. Cigarette sssmoking
a. 1 s s and s s 2
b. 3 s s and s s 4
c. 1 ss, ss2, ssand s s 4
d. 2 ss, ss3, ssand s s 4
ANS: ssC
Emphysema ssis sscaused ssprimarily ssby sscigarette sssmoking. ssSome ssemphysema ssis sscaused ssby
ssthe ssabsence ssof ssa ssprotective ssenzyme. ssChronic ssexposure ssto ssenvironmental sspollutants sscan
ssalso sscontribute ssto ssthe ssdevelopment ssof ssemphysema.
DIF: 1 REF: p. ss11 OBJ: EL-3 ss| ssAL-2 MSC: ssNBRC: ssNone
7. An ssadult sspatient sscomplains ssof sschest sstightness ssand sscough sswhenever sshe ssjogs ssin sscold
ssweather. ssThese sssymptoms ssare ssconsistent sswith sswhich ssof ssthe ssfollowing?
a. Cystic ssfibrosis
b. Asthma
c. Pulmonary sshypertension
d. Idiopathic sspulmonary ssfibrosis