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* Edition, By Mottram
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Chapter 1 - 13 Updated
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,Chapter1:IndicationsforPulmonaryFunctionTestingTest Bank
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MULTIPLECHOICE *
1. Whofirstpopularized spirometry forthe evaluation of pulmonary function?
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a. Augustand Marie Krogh * * *
b. AlvanBarach *
c. JohnSeveringhaus *
d. John Hutchinson *
ANS: D *
Hutchinsonpopularizedthe conceptofusingVCtoassesslungfunction, andthenameshe gave to
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several other lung compartments are still used today.
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DIF: 1 REF: p. 2 * OBJ: None MSC: NBRC: None * * *
2. Whichof the following are indications for performing spirometry?
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1. Assess the riskof lung resection. * * * * *
2. Determinetheresponsetobronchodilatortherapy. * * * * *
3. Assesstheseverity of restrictivelung disease. * * * * * *
4. Quantify theextent of COPD. * * * *
a. 1 and 4 * *
b. 2 and 3 * *
c. 1 , 2, and 4 * * * *
d. 2 , 3, and 4 * * * *
ANS: C *
Spirometrycannotassessseverityofrestriction; forthat youneedtomeasurelung volumes ( see
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Box 1-2, Chapter 1).
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DIF: 1 REF: p. 7 * OBJ: EL-2 MSC:NBRC: None * *
,3. The main indication for the measurement of lungvolumes isto do whichof the following?
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a. Diagnoseorassess the severity ofrestriction.
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b. Evaluatetheseverity ofpulmonary hypertension.
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c. Determinethelevel ofcardiopulmonary fitness.
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d. Assessthe riskof abdominalsurgicalprocedures.
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ANS:A *
Themostcommonreasonfor measuringlungvolumesistoidentify restrictivelung disease. DIF:
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1 REF: p. 35 * OBJ: EL-2 MSC: NBRC: None
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4. DLCO measurements maybe indicated to evaluate pulmonaryinvolvement in which of the
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following systemic diseases?
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a. Asthma
b. Sarcoidosis
c. Exertional hypoxemia *
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d. Guillain-Barrésyndrome *
ANS: B *
Sarcoidosisistheonlysystemicdiseaselistedthataffectsgasexchange. DIF: 1 * * * * * * * * * * * *
* REF: p. 9 | p. 19 | p. 21 | p. 35 OBJ: EL-2 MSC: NBRC: None
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5. Bloodgasanalysisisusedwith patientswith COPDtodowhich ofthe * * * * * * * * * * * * *
following? *
a. Monitorairwayresponsiveness. * *
b. Determinelevelofcardiopulmonaryfitness. * * * *
c. Detectpulmonaryhypertension. * *
d. Assessneedfor supplementaryO2. * * * *
ANS: D *
Bloodgasanalysisismostcommonly used todetermine theneed forsupplementaloxygen and
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to manage patients who require ventilatory support.
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DIF: 2 REF: p. 15 * OBJ: EL-1
MSC: NBRC: CPFT 2A-2
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6. Whichof the following cause emphysema? * * * * *
1. 1-Antitrypsindeficiency * *
2. Exposure toenvironmental pollutants * * *
3. Radiation therapy *
4. Cigarettesmoking *
a. 1 and 2 * *
b. 3 and 4 * *
c. 1 , 2, and 4 * * * *
d. 2 , 3, and 4 * * * *
ANS: C *
Emphysemaiscaused primarilybycigarettesmoking.Someemphysemaiscaused bythe absence * * * * * * * * * * * * *
of a protective enzyme. Chronic exposure to environmental pollutants can also contribute to the
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development of emphysema.
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DIF: 1 REF: p.11 * OBJ: EL-3|AL-2 * * MSC: NBRC: None * *
7. Anadultpatientcomplainsofchesttightnessandcoughwheneverhejogsincoldweather.
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These symptoms are consistent with which of the following?
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a. Cysticfibrosis *
b. Asthma
c. Pulmonaryhypertension *
d. Idiopathicpulmonaryfibrosis * *
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