Test Bank For Ruppel’s Manual of Pulmonary Function Testing, 12th Edition, By Mottram, Complete Chapters 1 - 13, Newest Version (100% Verified by Experts)

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Chapter 1: Indications for Pulmonary Function Testing
o

Test Bank


MULTIPLEoCHOICE

1. Whoofirstopopularizedospirometryoforotheoevaluationoofopulmonaryofunction?
a. AugustoandoMarieoKrogh
b. AlvanoBarach
c. JohnoSeveringhaus
d. JohnoHutchinson
ANSWER:o o D
HutchinsonopopularizedotheoconceptoofousingoVCotooassessolungofunction,oandotheonamesoheogaveo
tooseveralootherolungocompartmentsoareostillousedotoday.

DIF: 1 REF: p.o2 OBJ: None MSC:o NBRC:oNone

2. Whichoofotheofollowingoareoindicationsoforoperformingospirometry?
1. Assessotheoriskoofolungoresection.
2. Determineotheoresponseotoobronchodilatorotherapy.
3. Assessotheoseverityooforestrictiveolungodisease.
4. QuantifyotheoextentoofoCOPD.
a. 1oando4
b. 2oando3
c. 1,o2,oando4
d. 2,o3,oando4
ANSWER:o o C
Spirometryocannotoassessoseverityooforestriction;oforothatoyouoneedotoomeasureolungovolumeso(s
eeoBoxo1-2,oChaptero1).

DIF: 1 REF: p.o7 OBJ: EL-2 MSC:o NBRC:oNone

3. Theomainoindicationoforotheomeasurementoofolungovolumesoisotoodoowhichoofotheofollowing?
a. Diagnoseooroassessotheoseverityooforestriction.
b. Evaluateotheoseverityoofopulmonaryohypertension.
c. Determineotheoleveloofocardiopulmonaryofitness.
d. Assessotheoriskoofoabdominalosurgicaloprocedures.
ANSWER:o o A
Theomostocommonoreasonoforomeasuringolungovolumesoisotooidentifyorestrictiveolungodisease.o

DIF: 1 REF: p.o35 OBJ: EL-2 MSC:o NBRC:oNone

4. DLCOomeasurementsomayobeoindicatedotooevaluateopulmonaryoinvolvementoinowhichoofotheof
ollowingosystemicodiseases?
a. Asthma
b. Sarcoidosis
c. Exertionalohypoxemia




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d. Guillain-Barréosyndrome
ANSWER:o o B
Sarcoidosisoisotheoonlyosystemicodiseaseolistedothatoaffectsogasoexchange.

DIF: 1 REF: p.o9o|op.o19o|op.o21o|op.o35 OBJ: EL-
2oMSC:o NBRC:oNone

5. BloodogasoanalysisoisousedowithopatientsowithoCOPDotoodoowhichoofotheofollowing?
a. Monitoroairwayoresponsiveness.
b. Determineoleveloofocardiopulmonaryofitness.
c. Detectopulmonaryohypertension.
d. AssessoneedoforosupplementaryoO2.
ANSWER:o o D
Bloodogasoanalysisoisomostocommonlyousedotoodetermineotheoneedoforosupplementalooxygenoan
dotoomanageopatientsowhoorequireoventilatoryosupport.

DIF: 2 REF: p.o15 OBJ: EL-
1oMSC:o NBRC:oCPFTo2A-2

6. Whichoofotheofollowingocauseoemphysema?
1. 1-Antitrypsinodeficiency
2. Exposureotooenvironmentalopollutants
3. Radiationotherapy
4. Cigaretteosmoking
a. 1oando2
b. 3oando4
c. 1,o2,oando4
d. 2,o3,oando4
ANSWER:o o C
Emphysemaoisocausedoprimarilyobyocigaretteosmoking.oSomeoemphysemaoisocausedobyotheoabsen
ceoofoaoprotectiveoenzyme.oChronicoexposureotooenvironmentalopollutantsocanoalsoocontributeotoot
heodevelopmentoofoemphysema.

DIF: 1 REF: p.o11 OBJ: EL-3o|oAL-2 MSC:o NBRC:oNone

7. Anoadultopatientocomplainsoofochestotightnessoandocoughowheneveroheojogsoinocoldoweather.o
Theseosymptomsoareoconsistentowithowhichoofotheofollowing?
a. Cysticofibrosis
b. Asthma
c. Pulmonaryohypertension
d. Idiopathicopulmonaryofibrosis
ANSWER:o o B
Agentsooroeventsothatocauseoanoasthmaticoepisodeoareocalledotriggerso(seeoBoxo1-
7,oChaptero1).oAntigensosuchoasoanimalodander,opollens,oandodustsoareotheomostocommonotrigge
rs.oOtherocommonotriggersoincludeoexposureotooairopollutantsoandoexerciseoinocoldoorodryoair.

DIF: 2 REF: p.o16 OBJ: EL-3 MSC:o NBRC:oNone




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8. Whichoofotheofollowingostatementsoconcerningotumorsoinotheoupperoairwayoisotrue?
a. Thereomayobeovariableoorofixedoobstruction.
b. Fixedoobstructionowillobeopresent.
c. Variableoobstructionowillobeopresent.
d. Smalloairwayoobstructionowilloresult.
ANSWER:o o A
Tumorsoinvolvingotheoupperoairwayomayocauseovariableoorofixedoobstruction.

DIF: 2 REF: p.o19 OBJ: EL-
2oMSC:o NBRC:oCPFTo3C-3

9. Sarcoidosisoisoaosystemicodisorderothatousuallyocausesowhichoofotheofollowing?
a. Aorestrictiveoventilatoryodefect
b. Anoobstructiveoventilatoryodefect
c. Hyperreactiveoairways
d. Primaryopulmonaryohypertension
ANSWER:o o A
Restrictionoisooftenoassociatedowithotheofollowing:ointerstitialolungodiseases,oincludingoidiopat
hicofibrosis,opneumoconioses,oandosarcoidosis.

DIF: 1 REF: p.o19o|op.o21 OBJ: EL-3 MSC:o NBRC:oNone

10. Forowhichoofotheofollowingoconditionsomightopulmonaryofunctionotestingobeocontraindicated?
a. Vocalocordodysfunction
b. Untreatedopneumothorax
c. Congestiveoheartofailureo(CHF)
d. Bronchiolitisoobliterans
ANSWER:o o B
Pulmonaryofunctionotestsoareousuallyocontraindicatedoinotheopresenceoofopneumothorax.oHoweve
r,oundiagnosedopneumothoraxomayopresentoaoriskoifopulmonaryofunctionostudiesoareoperformed.

DIF: 1 REF: p.o23 OBJ: EL-
4oMSC:o NBRC:oCPFTo2B-6

11. Whichoofotheofollowingocorrectlyodescribe(s)oappropriateophysicalomeasurementsobeforeo
pulmonaryofunctionotesting?
1. Actualobodyoweightoshouldobeousedotoocalculateopredictedovalues.
2. Standingoheightoshouldobeomeasuredowhenotheopatientoisobarefoot.
3. Armospanoshouldobeousedoinsteadoofoheightoforoaopatientowithokyphosis.
4. Ageoshouldobeorecordedotootheonearestodecadeo(10oyears).
a. 1oonly
b. 2oando3
c. 1,o2,oando4
d. 1,o2,o3,oando4o
ANSWER:o B




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