Test Bank for Ruppel’s Manual of Pulmonary Function Testing 12th Editio

Test Bank for Ruppel’s Manual of Pulmonary Function T
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esting 12th Edition, By Mottram
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Chapter 1 - 13 Updated
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,Chapter 1: Indications for Pulmonary Function Testing Test
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Bank



MULTIPLEhCHOICE

1. Whohfirsthpopularizedhspirometryhforhthehevaluationhofhpulmonaryhfunction?
a. AugusthandhMariehKrogh
b. AlvanhBarach
c. JohnhSeveringhaus
d. JohnhHutchinson

ANS:hD
HutchinsonhpopularizedhthehconcepthofhusinghVChtohassesshlunghfunction,handhthehn
ameshhehgavehtohseveralhotherhlunghcompartmentsharehstillhusedhtoday.

DIF: 1 REF: p.h2 OBJ: Noneh MSC:hNBRC:hNone

2. Whichhofhthehfollowingharehindicationshforhperforminghspirometry?
1. Assesshthehriskhofhlunghresection.
2. Determinehthehresponsehtohbronchodilatorhtherapy.
3. Assesshthehseverityhofhrestrictivehlunghdisease.
4. QuantifyhthehextenthofhCOPD.
a. 1h andh 4
b. 2h andh 3
c. 1h,h2,handh 4
d. 2h,h3,handh 4

ANS:hC
Spirometryhcannothassesshseverityhofhrestriction;hforhthathyouhneedhtohmeasurehlun
ghvolumesh(hseehBoxh1-2,hChapterh 1).

DIF: 1 REF: p.h7 OBJ: EL-2 MSC:hNBRC:hNone

,3. Thehmainhindicationhforhthehmeasurementhofhlunghvolumeshishtohdohwhichhofhthehfoll
owing?
a. Diagnosehorhassesshthehseverityhofhrestriction.
b. Evaluatehthehseverityhofhpulmonaryhhypertension.
c. Determinehthehlevelhofhcardiopulmonaryhfitness.
d. Assesshthehriskhofhabdominalhsurgicalhprocedures.

ANS:hA
Thehmosthcommonhreasonhforhmeasuringhlunghvolumeshishtohidentifyhrestrictivehlu

nghdisease.hDIF: 1 REF: p.h35 OBJ: EL-2 MSC:hNBRC:hNone

4. DLCOhmeasurementshmayhbehindicatedhtohevaluatehpulmonaryhinvolvementhinh
whichhofhthehfollowinghsystemichdiseases?
a. Asthma
b. Sarcoidosis
c. Exertionalhhypoxemia

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d. Guillain-Barréhsyndrome

ANS:hB
Sarcoidosishishthehonlyhsystemichdiseasehlistedhthathaffectshgashex

change.hDIF:h1hREF:hp.h9h|hp.h19h|hp.h21h|hp.h35hOBJ:hEL-

2hMSC:hNBRC:hNone

5. BloodhgashanalysishishusedhwithhpatientshwithhCOPDhtohdohwhi
chhofhthehfollowing?
a. Monitorhairwayhresponsiveness.
b. Determinehlevelhofhcardiopulmonaryhfitness.
c. Detecthpulmonaryhhypertension.
d. AssesshneedhforhsupplementaryhO2.

ANS:hD
Bloodhgashanalysishishmosthcommonlyhusedhtohdeterminehthehneedhforhsupplement
alhoxygenhandhtohmanagehpatientshwhohrequirehventilatoryhsupport.

DIF: 2 REF: p.h15 OBJ: EL-
1hMSC:hNBRC:hCPFTh2A-2

6. Whichhofhthehfollowinghcausehemphysema?
1. 1-hAntitrypsinhdeficiency
2. Exposurehtohenvironmentalhpollutants
3. Radiationhtherapy
4. Cigarettehsmoking
a. 1h andh 2
b. 3h andh 4
c. 1h,h2,handh 4
d. 2h,h3,handh 4

ANS:hC
Emphysemahishcausedhprimarilyhbyhcigarettehsmoking.hSomehemphysemahishcause
dhbyhthehabsencehofhahprotectivehenzyme.hChronichexposurehtohenvironmentalhpollu
tantshcanhalsohcontributehtohthehdevelopmenthofhemphysema.

DIF: 1 REF: p.h11 OBJ: EL-3h|hAL-2 MSC:hNBRC:hNone

7. Anhadulthpatienthcomplainshofhchesthtightnesshandhcoughhwheneverhhehjogshinhco
ldhweather.hThesehsymptomsharehconsistenthwithhwhichhofhthehfollowing?
a. Cystichfibrosis
b. Asthma
c. Pulmonaryhhypertension
d. Idiopathichpulmonaryhfibrosis



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