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h Edition, By Mottram
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Chapter 1 - 13 Updated
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,Chapter 1: Indications for Pulmonary Function Testing Test Bank
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MULTIPLEvCHOICE
1. Whovfirstvpopularizedvspirometryvforvthevevaluationvofvpulmonaryvfunction?
a. AugustvandvMarievKrogh
b. AlvanvBarach
c. JohnvSeveringhaus
d. JohnvHutchinson
ANS:vD
HutchinsonvpopularizedvthevconceptvofvusingvVCvtovassessvlungvfunction,vandvthevnamesvhevgav
evtovseveralvothervlungvcompartmentsvarevstillvusedvtoday.
DIF: 1 REF: p.v2 OBJ: Nonev MSC:vNBRC:vNone
2. Whichvofvthevfollowingvarevindicationsvforvperformingvspirometry?
1. Assessvthevriskvofvlungvresection.
2. Determinevthevresponsevtovbronchodilatorvtherapy.
3. Assessvthevseverityvofvrestrictivevlungvdisease.
4. QuantifyvthevextentvofvCOPD.
a. 1v andv 4
b. 2v andv 3
c. 1v,v2,vandv 4
d. 2v,v3,vandv 4
ANS:vC
Spirometryvcannotvassessvseverityvofvrestriction;vforvthatvyouvneedvtovmeasurevlungvvolumesv(vs
eevBoxv1-2,vChapterv 1).
DIF: 1 REF: p.v7 OBJ: EL-2 MSC:vNBRC:vNone
,3. Thevmainvindicationvforvthevmeasurementvofvlungvvolumesvisvtovdovwhichvofvthevfollowing?
a. Diagnosevorvassessvthevseverityvofvrestriction.
b. Evaluatevthevseverityvofvpulmonaryvhypertension.
c. Determinevthevlevelvofvcardiopulmonaryvfitness.
d. Assessvthevriskvofvabdominalvsurgicalvprocedures.
ANS:vA
Thevmostvcommonvreasonvforvmeasuringvlungvvolumesvisvtovidentifyvrestrictivevlungvdisease.v
DIF: 1 REF: p.v35 OBJ: EL-2 MSC:vNBRC:vNone
4. DLCOvmeasurementsvmayvbevindicatedvtovevaluatevpulmonaryvinvolvementvinvwhichvofvthev
followingvsystemicvdiseases?
a. Asthma
b. Sarcoidosis
c. Exertionalvhypoxemia
, Stuvia.comv-vThevMarketplacevtovBuyvandvSellvyourvStudyvMaterial
d. Guillain-Barrévsyndrome
ANS:vB
Sarcoidosisvisvthevonlyvsystemicvdiseasevlistedvthatvaffectsvgasvexchange.vD
IF:v1vREF:vp.v9v|vp.v19v|vp.v21v|vp.v35vOBJ:vEL-2vMSC:vNBRC:vNone
5. BloodvgasvanalysisvisvusedvwithvpatientsvwithvCOPDvtovdovwhichvofvthevf
ollowing?
a. Monitorvairwayvresponsiveness.
b. Determinevlevelvofvcardiopulmonaryvfitness.
c. Detectvpulmonaryvhypertension.
d. AssessvneedvforvsupplementaryvO2.
ANS:vD
Bloodvgasvanalysisvisvmostvcommonlyvusedvtovdeterminevthevneedvforvsupplementalvoxygenv
andvtovmanagevpatientsvwhovrequirevventilatoryvsupport.
DIF: 2 REF: p.v15 OBJ: EL-
1vMSC:vNBRC:vCPFTv2A-2
6. Whichvofvthevfollowingvcausevemphysema?
1. 1-vAntitrypsinvdeficiency
2. Exposurevtovenvironmentalvpollutants
3. Radiationvtherapy
4. Cigarettevsmoking
a. 1v andv 2
b. 3v andv 4
c. 1v,v2,vandv 4
d. 2v,v3,vandv 4
ANS:vC
Emphysemavisvcausedvprimarilyvbyvcigarettevsmoking.vSomevemphysemavisvcausedvbyvthevabse
ncevofvavprotectivevenzyme.vChronicvexposurevtovenvironmentalvpollutantsvcanvalsovcontribut
evtovthevdevelopmentvofvemphysema.
DIF: 1 REF: p.v11 OBJ: EL-3v|vAL-2 MSC:vNBRC:vNone
7. Anvadultvpatientvcomplainsvofvchestvtightnessvandvcoughvwhenevervhevjogsvinvcoldvweather.
vThesevsymptomsvarevconsistentvwithvwhichvofvthevfollowing?
a. Cysticvfibrosis
b. Asthma
c. Pulmonaryvhypertension
d. Idiopathicvpulmonaryvfibrosis
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