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Testing 12th Edition, By Mottram Chapter 1 - 13
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Updated ||!
,Chapter 1: Indications for Pulmonary Function Testing Test
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Bank
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MULTIPLE CHOICE ||!
1. Who first popularized spirometry for the evaluation of pulmonary function?
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a. August and Marie Krogh ||! ||! ||!
b. Alvan Barach ||!
c. John Severinghaus ||!
d. John Hutchinson ||!
ANS: D ||!
Hutchinson popularized the concept of using VC to assess lung function, and
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the names he gave to several other lung compartments are still used today.
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DIF: 1 REF: | | ! p. 2 OBJ:
||! ||! ||! None | | ! MSC: NBRC: None ||! ||!
2. Which of the following are indications for performing spirometry?
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1. Assess the risk of lung resection. |! |! |! ||! ||!
2. Determine the response to bronchodilator therapy. ||! ||! ||! ||! ||!
3. Assess the severity of restrictive lung disease.
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4. Quantify the extent of COPD. |! |! ||! |!
a. 1 and 4 | | ! | | !
b. 2 and 3 | | ! | | !
c. 1 , 2, and 4 ||! ||! ||! | | !
d. 2 , 3, and 4 ||! ||! ||! | | !
ANS: C |!
Spirometry cannot assess severity of restriction; for that you need to measure
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lung volumes ( see 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 lung volumes is to do which of
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the following?
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a. Diagnose or assess the severity of restriction.
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b. Evaluate the severity of pulmonary hypertension.
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c. Determine the level of cardiopulmonary fitness. ||! ||! ||! ||! || !
d. Assess the risk of abdominal surgical procedures.
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ANS: A ||!
The most | | ! | | ! common reason | | ! | | ! for measuring lung volumes is to
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| | ! identify restrictive lung disease. DIF:
| | ! ||! ||! ||! 1 REF: | | ! p. 35 ||!
| | ! OBJ: EL-2 | | ! MSC: NBRC: None ||! ||!
4. DLCO measurements may be indicated to evaluate pulmonary involvement in
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which of the following systemic diseases?
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a. Asthma
b. Sarcoidosis
c. Exertional hypoxemia ||!
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d. Guillain-Barré syndrome ||!
ANS: B |!
Sarcoidosis is the only systemic disease listed that affects gas
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||! exchange. DIF: 1 REF: p. 9 | p. 19 | p. 21 | p. 35 OBJ: EL-2
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||! MSC: NBRC: None ||! ||!
5. 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. | | ! | | ! | | ! | | !
ANS: D ||!
Blood gas analysis is most commonly used to determine the need for
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supplemental oxygen and 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. Which of the following cause emphysema?
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1. 1- 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 ||! ||! ||! | | !
ANS: C |!
Emphysema is caused primarily by cigarette smoking. Some | | ! | | ! | | ! | | ! | | ! | | ! | | !
emphysema is caused by the absence of a protective enzyme. Chronic
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exposure to environmental pollutants can also contribute to the development of
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emphysema.
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DIF: 1 REF: | | ! p. 11 |! | | ! OBJ: | | ! EL-3 |AL-2 MSC: NBRC: None |! |! ||! |! |!
7. An adult patient complains of chest tightness and cough whenever he jogs
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in cold weather. These symptoms are consistent with which of the
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following?
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a. Cystic fibrosis ||!
b. Asthma
c. Pulmonary hypertension | | !
d. Idiopathic pulmonary fibrosis || ! ||!
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