Ruppel's Manual of Pulmonary Function Testing 11th Edition Test Bank
1. Chapter 01-01
Who first popularized spirometry for the evaluation of pulmonary
function?
a. August and Marie Krogh
b. Alvan Barach
c. John Severinghaus
*d. John Hutchinson
2. Chapter 01-02
Which of the following are indications for performing spirometry?
1. Assess the risk of lung resection.
2. Determine the response to bronchodilator therapy.
3. Assess the severity of restrictive lung disease.
4. Quantify the extent of COPD.
a. 1 and 4
b. 2 and 3
*c. 1, 2, and 4
d. 2, 3, and 4
3. Chapter 01-03
The main indication for the measurement of lung volumes is to do which of the following?
*a. Diagnose or assess the severity of restriction.
b. Evaluate the severity of pulmonary hypertension.
c. Determine the level of cardiopulmonary fitness.
d. Assess the risk of abdominal surgical procedures.
4. Chapter 01-04
DLCO measurements may be indicated to evaluate pulmonary involvement in which of the
following systemic diseases?
a. Asthma
*b. Sarcoidosis
c. Exertional hypoxemia
d. Guillain-Barré syndrome
5. Chapter 01-05
Blood gas analysis is used with patients with COPD to do which of the following?
a. Monitor airway responsiveness.
b. Determine level of cardiopulmonary fitness.
c. Detect pulmonary hypertension.
*d. Assess need for supplementary O2.
,Ruppel's Manual of Pulmonary Function Testing 11th Edition Test Bank
6. Chapter 01-06
Which of the following cause emphysema?
1. á1-Antitrypsin deficiency
2. Exposure to environmental pollutants
3. Radiation therapy
4. Cigarette smoking
a. 1 and 2
b. 3 and 4
*c. 1, 2, and 4
d. 2, 3, and 4
7. Chapter 01-07
An adult patient complains of chest tightness and cough whenever he jogs in cold weather.
These symptoms are consistent with which of the following?
a. Cystic fibrosis
*b. Asthma
c. Pulmonary hypertension
d. Idiopathic pulmonary fibrosis
8. Chapter 01-08
Which of the following statements concerning tumors in the upper airway is true?
*a. There may be variable or fixed obstruction.
b. Fixed obstruction will be present.
c. Variable obstruction will be present.
d. Small airway obstruction will result.
9. Chapter 01-09
Sarcoidosis is a systemic disorder that usually causes which of the following?
*a. A restrictive ventilatory defect
b. An obstructive ventilatory defect
c. Hyperreactive airways
d. Primary pulmonary hypertension
10. Chapter 01-10
For which of the following conditions might pulmonary function testing be contraindicated?
a. Vocal cord dysfunction
*b. Untreated pneumothorax
c. Congestive heart failure (CHF)
d. Bronchiolitis obliterans
,Ruppel's Manual of Pulmonary Function Testing 11th Edition Test Bank
11. Chapter 01-11
Which of the following correctly describes appropriate physical measurements before
pulmonary function testing?
1. Actual body weight should be used to calculate predicted values.
2. Standing height should be measured when the patient is barefoot.
3. Arm span should be used instead of height for a patient with kyphosis.
4. Age should be recorded to the nearest decade (10 years).
a. 1 and 4
*b. 2 and 3
c. 1, 2, and 4
d. 2, 3, and 4
12. Chapter 01-12
In addition to explaining the procedure for each pulmonary function test to the patient, the
pulmonary function technologist should do which of the following?
a. Briefly explain the physiologic basis of the test.
*b. Demonstrate the correct performance of the test maneuver.
c. Limit feedback to the patient to reduce the placebo effect.
d. Explain the exact number of efforts that will be required for each test.
13. Chapter 01-13
The single-breath diffusing capacity test was first described by
a. John Severinghaus.
*b. August and Marie Krogh.
c. Robert Hyatt.
d. Leland Clark.
14. Chapter 01-14
DLCO measurements may be indicated to evaluate gas exchange abnormality in which of the
following?
a. Ketoacidosis
b. Myasthenia gravis
*c. Interstitial lung disease
d. Bronchitis
15. Chapter 01-15
Vocal cord dysfunction will typically affect the flow-volume loop in what way?
a. Blunt the expiratory portion of the curve
b. Blunt both the inspiratory and expiratory portions of the curve
*c. Blunt the inspiratory portion of the curve
d. Have no effect on the curve but cause inspiratory stridor
, Ruppel's Manual of Pulmonary Function Testing 11th Edition Test Bank
16. Chapter 01-16
All of the following disease processes are potential causes of a restrictive pattern except
a. interstitial lung disease (e.g., fibrosis, sarcoidosis).
b. kyphoscoliosis.
*c. asthma.
d. neuromuscular disorders.
17. Chapter 01-17
The following data are obtained from a subject complaining of shortness of breath:
Predicted Found %
Pred
TLCpl 5.76 3.18 55
RVpl 2.38 1.18 50
FVC 3.38 2.10 62
FEV1 2.63 1.88 71
FEV1/FVC 78 89
DLCO 23.1 6.0 26
These data are most consistent with which disease entity?
*a. Pulmonary fibrosis
b. Kyphoscoliosis
c. Obesity
d. Emphysema
18. Chapter 01-18
Lou Gehrig, a famous New York Yankee baseball player, is often associated with which
neuromuscular disease?
*a. Amyotrophic lateral sclerosis
b. Guillain-Barré syndrome
c. Diaphragm paralysis syndrome
d. Myasthenia gravis
19. Chapter 01-19
The following data are obtained from a subject complaining of shortness of breath:
Predicted Found %
Pre
d
TLCpl 6.59 4.12 63
RVpl 2.43 3.01 124
FVC 4.16 1.14 28
FEV1 3.16 1.16 37
FEV1/FVC 76 99
MEP +190 63 33
1. Chapter 01-01
Who first popularized spirometry for the evaluation of pulmonary
function?
a. August and Marie Krogh
b. Alvan Barach
c. John Severinghaus
*d. John Hutchinson
2. Chapter 01-02
Which of the following are indications for performing spirometry?
1. Assess the risk of lung resection.
2. Determine the response to bronchodilator therapy.
3. Assess the severity of restrictive lung disease.
4. Quantify the extent of COPD.
a. 1 and 4
b. 2 and 3
*c. 1, 2, and 4
d. 2, 3, and 4
3. Chapter 01-03
The main indication for the measurement of lung volumes is to do which of the following?
*a. Diagnose or assess the severity of restriction.
b. Evaluate the severity of pulmonary hypertension.
c. Determine the level of cardiopulmonary fitness.
d. Assess the risk of abdominal surgical procedures.
4. Chapter 01-04
DLCO measurements may be indicated to evaluate pulmonary involvement in which of the
following systemic diseases?
a. Asthma
*b. Sarcoidosis
c. Exertional hypoxemia
d. Guillain-Barré syndrome
5. Chapter 01-05
Blood gas analysis is used with patients with COPD to do which of the following?
a. Monitor airway responsiveness.
b. Determine level of cardiopulmonary fitness.
c. Detect pulmonary hypertension.
*d. Assess need for supplementary O2.
,Ruppel's Manual of Pulmonary Function Testing 11th Edition Test Bank
6. Chapter 01-06
Which of the following cause emphysema?
1. á1-Antitrypsin deficiency
2. Exposure to environmental pollutants
3. Radiation therapy
4. Cigarette smoking
a. 1 and 2
b. 3 and 4
*c. 1, 2, and 4
d. 2, 3, and 4
7. Chapter 01-07
An adult patient complains of chest tightness and cough whenever he jogs in cold weather.
These symptoms are consistent with which of the following?
a. Cystic fibrosis
*b. Asthma
c. Pulmonary hypertension
d. Idiopathic pulmonary fibrosis
8. Chapter 01-08
Which of the following statements concerning tumors in the upper airway is true?
*a. There may be variable or fixed obstruction.
b. Fixed obstruction will be present.
c. Variable obstruction will be present.
d. Small airway obstruction will result.
9. Chapter 01-09
Sarcoidosis is a systemic disorder that usually causes which of the following?
*a. A restrictive ventilatory defect
b. An obstructive ventilatory defect
c. Hyperreactive airways
d. Primary pulmonary hypertension
10. Chapter 01-10
For which of the following conditions might pulmonary function testing be contraindicated?
a. Vocal cord dysfunction
*b. Untreated pneumothorax
c. Congestive heart failure (CHF)
d. Bronchiolitis obliterans
,Ruppel's Manual of Pulmonary Function Testing 11th Edition Test Bank
11. Chapter 01-11
Which of the following correctly describes appropriate physical measurements before
pulmonary function testing?
1. Actual body weight should be used to calculate predicted values.
2. Standing height should be measured when the patient is barefoot.
3. Arm span should be used instead of height for a patient with kyphosis.
4. Age should be recorded to the nearest decade (10 years).
a. 1 and 4
*b. 2 and 3
c. 1, 2, and 4
d. 2, 3, and 4
12. Chapter 01-12
In addition to explaining the procedure for each pulmonary function test to the patient, the
pulmonary function technologist should do which of the following?
a. Briefly explain the physiologic basis of the test.
*b. Demonstrate the correct performance of the test maneuver.
c. Limit feedback to the patient to reduce the placebo effect.
d. Explain the exact number of efforts that will be required for each test.
13. Chapter 01-13
The single-breath diffusing capacity test was first described by
a. John Severinghaus.
*b. August and Marie Krogh.
c. Robert Hyatt.
d. Leland Clark.
14. Chapter 01-14
DLCO measurements may be indicated to evaluate gas exchange abnormality in which of the
following?
a. Ketoacidosis
b. Myasthenia gravis
*c. Interstitial lung disease
d. Bronchitis
15. Chapter 01-15
Vocal cord dysfunction will typically affect the flow-volume loop in what way?
a. Blunt the expiratory portion of the curve
b. Blunt both the inspiratory and expiratory portions of the curve
*c. Blunt the inspiratory portion of the curve
d. Have no effect on the curve but cause inspiratory stridor
, Ruppel's Manual of Pulmonary Function Testing 11th Edition Test Bank
16. Chapter 01-16
All of the following disease processes are potential causes of a restrictive pattern except
a. interstitial lung disease (e.g., fibrosis, sarcoidosis).
b. kyphoscoliosis.
*c. asthma.
d. neuromuscular disorders.
17. Chapter 01-17
The following data are obtained from a subject complaining of shortness of breath:
Predicted Found %
Pred
TLCpl 5.76 3.18 55
RVpl 2.38 1.18 50
FVC 3.38 2.10 62
FEV1 2.63 1.88 71
FEV1/FVC 78 89
DLCO 23.1 6.0 26
These data are most consistent with which disease entity?
*a. Pulmonary fibrosis
b. Kyphoscoliosis
c. Obesity
d. Emphysema
18. Chapter 01-18
Lou Gehrig, a famous New York Yankee baseball player, is often associated with which
neuromuscular disease?
*a. Amyotrophic lateral sclerosis
b. Guillain-Barré syndrome
c. Diaphragm paralysis syndrome
d. Myasthenia gravis
19. Chapter 01-19
The following data are obtained from a subject complaining of shortness of breath:
Predicted Found %
Pre
d
TLCpl 6.59 4.12 63
RVpl 2.43 3.01 124
FVC 4.16 1.14 28
FEV1 3.16 1.16 37
FEV1/FVC 76 99
MEP +190 63 33
