12th Edition, By Mottram
Chapter 1 - 13 Updated
,Chaptery1:yIndicationsyforyPulmonaryyFunctionyTestingyTestyBank
MULTIPLEyCHOICE
1. Whoyfirstypopularizedyspirometryyforytheyevaluationyofypulmonaryyfunction?
a. AugustyandyMarieyKrogh
b. AlvanyBarach
c. JohnySeveringhaus
d. JohnyHutchinson
ANS:yD
HutchinsonypopularizedytheyconceptyofyusingyVCytoyassessylungyfunction,yandytheynamesyheyga
veytoyseveralyotherylungycompartmentsyareystillyusedytoday.
DIF: 1 REF: p.y2 OBJ: Noney MSC:yNBRC:yNone
2. Whichyofytheyfollowingyareyindicationsyforyperformingyspirometry?
1. Assessytheyriskyofylungyresection.
2. Determineytheyresponseytoybronchodilatorytherapy.
3. Assessytheyseverityyofyrestrictiveylungydisease.
4. QuantifyytheyextentyofyCOPD.
a. 1y andy 4
b. 2y andy 3
c. 1y,y2,yandy 4
d. 2y,y3,yandy 4
ANS:yC
Spirometryycannotyassessyseverityyofyrestriction;yforythatyyouyneedytoymeasureylungyvolumesy(
yseeyBoxy1-2,yChaptery 1).
DIF: 1 REF: p.y7 OBJ: EL-2 MSC:yNBRC:yNone
,3. Theymainyindicationyforytheymeasurementyofylungyvolumesyisytoydoywhichyofytheyfollowing?
a. Diagnoseyoryassessytheyseverityyofyrestriction.
b. Evaluateytheyseverityyofypulmonaryyhypertension.
c. Determineytheylevelyofycardiopulmonaryyfitness.
d. Assessytheyriskyofyabdominalysurgicalyprocedures.
ANS:yA
Theymostycommonyreasonyforymeasuringylungyvolumesyisytoyidentifyyrestrictiveylungydisease
.yDIF: 1 REF: p.y35 OBJ: EL-2 MSC:yNBRC:yNone
4. DLCOymeasurementsymayybeyindicatedytoyevaluateypulmonaryyinvolvementyinywhichyofyth
eyfollowingysystemicydiseases?
a. Asthma
b. Sarcoidosis
c. Exertionalyhypoxemia
, Stuvia.comy-
yTheyMarketplaceytoyBuyyandySellyyouryStudyyMaterial
d. Guillain-Barréysyndrome
ANS:yB
Sarcoidosisyisytheyonlyysystemicydiseaseylistedythatyaffectsygasyexchange.y
DIF:y1yREF:yp.y9y|yp.y19y|yp.y21y|yp.y35yOBJ:yEL-2yMSC:yNBRC:yNone
5. BloodygasyanalysisyisyusedywithypatientsywithyCOPDytoydoywhichyofythey
following?
a. Monitoryairwayyresponsiveness.
b. Determineylevelyofycardiopulmonaryyfitness.
c. Detectypulmonaryyhypertension.
d. AssessyneedyforysupplementaryyO2.
ANS:yD
Bloodygasyanalysisyisymostycommonlyyusedytoydetermineytheyneedyforysupplementalyoxygen
yandytoymanageypatientsywhoyrequireyventilatoryysupport.
DIF: 2 REF: p.y15 OBJ: EL-
1yMSC:yNBRC:yCPFTy2A-2
6. Whichyofytheyfollowingycauseyemphysema?
1. 1-yAntitrypsinydeficiency
2. Exposureytoyenvironmentalypollutants
3. Radiationytherapy
4. Cigaretteysmoking
a. 1y andy 2
b. 3y andy 4
c. 1y,y2,yandy 4
d. 2y,y3,yandy 4
ANS:yC
Emphysemayisycausedyprimarilyybyycigaretteysmoking.ySomeyemphysemayisycausedybyytheyabs
enceyofyayprotectiveyenzyme.yChronicyexposureytoyenvironmentalypollutantsycanyalsoycontrib
uteytoytheydevelopmentyofyemphysema.
DIF: 1 REF: p.y11 OBJ: EL-3y|yAL-2 MSC:yNBRC:yNone
7. Anyadultypatientycomplainsyofychestytightnessyandycoughywheneveryheyjogsyinycoldyweathe
r.yTheseysymptomsyareyconsistentywithywhichyofytheyfollowing?
a. Cysticyfibrosis
b. Asthma
c. Pulmonaryyhypertension
d. Idiopathicypulmonaryyfibrosis
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