TEST BANK For Ruppel’s Manual of Pulmonary Function Testing, 12th Edition, By Mottram, Chapters 1 - 13 Updated Newest Version

,Chapter 1: Indications for Pulmonary Function Testing Test
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Bank
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MULTIPLE CHOICE m




1. Who first popularized spirometry for the evaluation of pulmonary function?
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a. August and Marie Krogh m m m



b. Alvan Barach m



c. John Severinghaus m



d. John Hutchinson m




ANS: D m



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: m p. 2 OBJ:
m m m None m MSC: NBRC: None
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2. Which of the following are indications for performing spirometry?
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1. Assess the risk of lung resection.
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2. Determine the response to bronchodilator therapy.
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3. Assess the severity of restrictive lung disease.
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4. Quantify the extent of COPD. m m m m



a. 1 and 4 m m



b. 2 and 3 m m



c. 1 , 2, and 4
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d. 2 , 3, and 4
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ANS: C m



Spirometry cannot assess severity of restriction; for that you need to measure
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mlung volumes ( see Box 1-2, Chapter 1).
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DIF: 1 REF: m p. 7 OBJ:
m m m EL-2 m m MSC: NBRC: None
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,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.
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d. Assess the risk of abdominal surgical procedures.
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ANS: A m



The most common reason for measuring lung volumes is to identify
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m restrictive lung disease. DIF: 1
m m m REF: m p. 35 m m OBJ: EL-2

m MSC: NBRC: None
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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 m

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d. Guillain-Barré syndrome m




ANS: B m



Sarcoidosis is the only systemic disease listed that affects gas
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m exchange. DIF: 1 REF: p. 9 | p. 19 | p. 21 | p. 35 OBJ:
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m EL-2 MSC: NBRC: None
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5. Blood gas analysis is used with patients with COPD to
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do which of the following?
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a. Monitor airway responsiveness.
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b. Determine level of cardiopulmonary fitness.
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c. Detect pulmonary hypertension.
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d. Assess need for supplementary O2.
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ANS: D m



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: m m m



mEL- 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
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2. Exposure to environmental pollutants m m m



3. Radiation therapy m



4. Cigarette smoking m



a. 1 and 2 m m



b. 3 and 4 m m



c. 1 , 2, and 4
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d. 2 , 3, and 4
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ANS: C m



Emphysema is caused primarily by cigarette smoking. Some emphysema is
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mcaused by the absence of a protective enzyme. Chronic exposure to
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menvironmental pollutants can also contribute to the development of emphysema.
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DIF: 1 REF: p. 11 m m m OBJ: m EL-3 | AL-2 MSC: NBRC: None
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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 m



b. Asthma
c. Pulmonary hypertension m



d. Idiopathic pulmonary fibrosis m m




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