Test ssBank ssfor ssRuppel’s ssManual ssof ssPulmonary ssFunction ssTesting ss12th ssEdition, ssBy ssMottram
Chapter ss1 ss- ss13 ssUpdated ss
,Chapter ss1: ssIndications ssfor ssPulmonary ssFunction ssTesting ssTest
ssBank
MULTIPLE ssCHOICE
1. Who ssfirst sspopularized ssspirometry ssfor ssthe ssevaluation ssof sspulmonary ssfunction?
a. August ssand ssMarie ssKrogh
b. Alvan ssBarach
c. John ssSeveringhaus
d. John ssHutchinson
ANS: ssD
Hutchinson sspopularized ssthe ssconcept ssof ssusing ssVC ssto ssassess sslung ssfunction,
ssand ssthe ssnames sshe ssgave ssto ssseveral ssother sslung sscompartments ssare ssstill
ssused sstoday.
DIF: 1 REF: p. ss2 OBJ: None s s MSC: ssNBRC: ssNone
2. Which ssof ssthe ssfollowing ssare ssindications ssfor ssperforming ssspirometry?
1. Assess ssthe ssrisk ssof sslung ssresection.
2. Determine ssthe ssresponse ssto ssbronchodilator sstherapy.
3. Assess ssthe ssseverity ssof ssrestrictive sslung ssdisease.
4. Quantify ssthe ssextent ssof ssCOPD.
a. 1 s s and s s 4
b. 2 s s and s s 3
c. 1 ss, ss2, ssand s s 4
d. 2 ss, ss3, ssand s s 4
ANS: ssC
Spirometry sscannot ssassess ssseverity ssof ssrestriction; ssfor ssthat ssyou ssneed ssto
ssmeasure sslung ssvolumes ss( sssee ssBox ss1-2, ssChapter s s 1).
DIF: 1 REF: p. ss7 OBJ: EL-2 MSC: ssNBRC: ssNone
,3. The ssmain ssindication ssfor ssthe ssmeasurement ssof sslung ssvolumes ssis ssto ssdo
sswhich ssof ssthe ssfollowing?
a. Diagnose ssor ssassess ssthe ssseverity ssof ssrestriction.
b. Evaluate ssthe ssseverity ssof sspulmonary sshypertension.
c. Determine ssthe sslevel ssof sscardiopulmonary ssfitness.
d. Assess ssthe ssrisk ssof ssabdominal sssurgical ssprocedures.
ANS: ssA
The ssmost sscommon ssreason ssfor ssmeasuring sslung ssvolumes ssis ssto ssidentify
ssrestrictive sslung ssdisease. ssDIF: 1 REF: p. ss35 OBJ: EL-2 MSC:
ssNBRC: ssNone
4. DLCO ssmeasurements ssmay ssbe ssindicated ssto ssevaluate sspulmonary
ssinvolvement ssin sswhich ssof ssthe ssfollowing sssystemic ssdiseases?
a. Asthma
b. Sarcoidosis
c. Exertional sshypoxemia
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ss ss ss ss ss ss ss ss ss
Material
d. Guillain-Barré sssyndrome
ANS: ssB
Sarcoidosis ssis ssthe ssonly sssystemic ssdisease sslisted ssthat ssaffects
ssgas ssexchange. ssDIF: ss1 ssREF: ssp. ss9 ss| ssp. ss19 ss| ssp. ss21 ss|
ssp. ss35 ssOBJ: ssEL-2 ssMSC: ssNBRC: ssNone
5. Blood ssgas ssanalysis ssis ssused sswith sspatients sswith ssCOPD ssto
ssdo sswhich ssof ssthe ssfollowing?
a. Monitor ssairway ssresponsiveness.
b. Determine sslevel ssof sscardiopulmonary ssfitness.
c. Detect sspulmonary sshypertension.
d. Assess ssneed ssfor sssupplementary ssO2.
ANS: ssD
Blood ssgas ssanalysis ssis ssmost sscommonly ssused ssto ssdetermine ssthe ssneed ssfor
sssupplemental ssoxygen ssand ssto ssmanage sspatients sswho ssrequire ssventilatory
sssupport.
DIF: 2 REF: p. ss15 OBJ: EL-1
ssMSC: ssNBRC: ssCPFT ss2A-2
6. Which ssof ssthe ssfollowing sscause ssemphysema?
1. 1- ssAntitrypsin ssdeficiency
2. Exposure ssto ssenvironmental sspollutants
3. Radiation sstherapy
4. Cigarette sssmoking
a. 1 s s and s s 2
b. 3 s s and s s 4
c. 1 ss, ss2, ssand s s 4
d. 2 ss, ss3, ssand s s 4
ANS: ssC
Emphysema ssis sscaused ssprimarily ssby sscigarette sssmoking. ssSome ssemphysema ssis
sscaused ssby ssthe ssabsence ssof ssa ssprotective ssenzyme. ssChronic ssexposure ssto
ssenvironmental sspollutants sscan ssalso sscontribute ssto ssthe ssdevelopment ssof
ssemphysema.
DIF: 1 REF: p. ss11 OBJ: EL-3 ss| ssAL-2 MSC: ssNBRC: ssNone
7. An ssadult sspatient sscomplains ssof sschest sstightness ssand sscough sswhenever sshe
ssjogs ssin sscold ssweather. ssThese sssymptoms ssare ssconsistent sswith sswhich ssof
ssthe ssfollowing?
a. Cystic ssfibrosis
b. Asthma
c. Pulmonary sshypertension
|
Chapter ss1 ss- ss13 ssUpdated ss
,Chapter ss1: ssIndications ssfor ssPulmonary ssFunction ssTesting ssTest
ssBank
MULTIPLE ssCHOICE
1. Who ssfirst sspopularized ssspirometry ssfor ssthe ssevaluation ssof sspulmonary ssfunction?
a. August ssand ssMarie ssKrogh
b. Alvan ssBarach
c. John ssSeveringhaus
d. John ssHutchinson
ANS: ssD
Hutchinson sspopularized ssthe ssconcept ssof ssusing ssVC ssto ssassess sslung ssfunction,
ssand ssthe ssnames sshe ssgave ssto ssseveral ssother sslung sscompartments ssare ssstill
ssused sstoday.
DIF: 1 REF: p. ss2 OBJ: None s s MSC: ssNBRC: ssNone
2. Which ssof ssthe ssfollowing ssare ssindications ssfor ssperforming ssspirometry?
1. Assess ssthe ssrisk ssof sslung ssresection.
2. Determine ssthe ssresponse ssto ssbronchodilator sstherapy.
3. Assess ssthe ssseverity ssof ssrestrictive sslung ssdisease.
4. Quantify ssthe ssextent ssof ssCOPD.
a. 1 s s and s s 4
b. 2 s s and s s 3
c. 1 ss, ss2, ssand s s 4
d. 2 ss, ss3, ssand s s 4
ANS: ssC
Spirometry sscannot ssassess ssseverity ssof ssrestriction; ssfor ssthat ssyou ssneed ssto
ssmeasure sslung ssvolumes ss( sssee ssBox ss1-2, ssChapter s s 1).
DIF: 1 REF: p. ss7 OBJ: EL-2 MSC: ssNBRC: ssNone
,3. The ssmain ssindication ssfor ssthe ssmeasurement ssof sslung ssvolumes ssis ssto ssdo
sswhich ssof ssthe ssfollowing?
a. Diagnose ssor ssassess ssthe ssseverity ssof ssrestriction.
b. Evaluate ssthe ssseverity ssof sspulmonary sshypertension.
c. Determine ssthe sslevel ssof sscardiopulmonary ssfitness.
d. Assess ssthe ssrisk ssof ssabdominal sssurgical ssprocedures.
ANS: ssA
The ssmost sscommon ssreason ssfor ssmeasuring sslung ssvolumes ssis ssto ssidentify
ssrestrictive sslung ssdisease. ssDIF: 1 REF: p. ss35 OBJ: EL-2 MSC:
ssNBRC: ssNone
4. DLCO ssmeasurements ssmay ssbe ssindicated ssto ssevaluate sspulmonary
ssinvolvement ssin sswhich ssof ssthe ssfollowing sssystemic ssdiseases?
a. Asthma
b. Sarcoidosis
c. Exertional sshypoxemia
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ss ss ss ss ss ss ss ss ss
Material
d. Guillain-Barré sssyndrome
ANS: ssB
Sarcoidosis ssis ssthe ssonly sssystemic ssdisease sslisted ssthat ssaffects
ssgas ssexchange. ssDIF: ss1 ssREF: ssp. ss9 ss| ssp. ss19 ss| ssp. ss21 ss|
ssp. ss35 ssOBJ: ssEL-2 ssMSC: ssNBRC: ssNone
5. Blood ssgas ssanalysis ssis ssused sswith sspatients sswith ssCOPD ssto
ssdo sswhich ssof ssthe ssfollowing?
a. Monitor ssairway ssresponsiveness.
b. Determine sslevel ssof sscardiopulmonary ssfitness.
c. Detect sspulmonary sshypertension.
d. Assess ssneed ssfor sssupplementary ssO2.
ANS: ssD
Blood ssgas ssanalysis ssis ssmost sscommonly ssused ssto ssdetermine ssthe ssneed ssfor
sssupplemental ssoxygen ssand ssto ssmanage sspatients sswho ssrequire ssventilatory
sssupport.
DIF: 2 REF: p. ss15 OBJ: EL-1
ssMSC: ssNBRC: ssCPFT ss2A-2
6. Which ssof ssthe ssfollowing sscause ssemphysema?
1. 1- ssAntitrypsin ssdeficiency
2. Exposure ssto ssenvironmental sspollutants
3. Radiation sstherapy
4. Cigarette sssmoking
a. 1 s s and s s 2
b. 3 s s and s s 4
c. 1 ss, ss2, ssand s s 4
d. 2 ss, ss3, ssand s s 4
ANS: ssC
Emphysema ssis sscaused ssprimarily ssby sscigarette sssmoking. ssSome ssemphysema ssis
sscaused ssby ssthe ssabsence ssof ssa ssprotective ssenzyme. ssChronic ssexposure ssto
ssenvironmental sspollutants sscan ssalso sscontribute ssto ssthe ssdevelopment ssof
ssemphysema.
DIF: 1 REF: p. ss11 OBJ: EL-3 ss| ssAL-2 MSC: ssNBRC: ssNone
7. An ssadult sspatient sscomplains ssof sschest sstightness ssand sscough sswhenever sshe
ssjogs ssin sscold ssweather. ssThese sssymptoms ssare ssconsistent sswith sswhich ssof
ssthe ssfollowing?
a. Cystic ssfibrosis
b. Asthma
c. Pulmonary sshypertension
|
