Test Bank For Ruppel-s Manual of Pulmonary Function Testing 12th Edition by Carl Mottram, All Chapters.pdf

Test Bank for Ruppel’s Manual of Pulmonary Function
Testing 12th Edition, By Mottram
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Chapter 1 - 13 Updated
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,Chapter 1: Indications for Pulmonary Function Testing Test
Bank



MULTIPLE CHOICE
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1. Who first popularized spirometry for the evaluation of pulmonary function?
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a. August and Marie Krogh
b. Alvan Barach
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c. John Severinghaus
d. John Hutchinson
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ANS: D
Hutchinson popularized the concept of using VC to assess lung function, and the
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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
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2. Which of the following are indications for performing spirometry?
1. Assess the risk of lung resection.
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2. Determine the response to bronchodilator therapy.
3. Assess the severity of restrictive lung disease.
4. Quantify the extent of COPD.
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a. 1 and 4
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b. 2 and 3
c. 1 , 2, and 4
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d. 2 , 3, and 4

ANS: C
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Spirometry cannot assess severity of restriction; for that you need to measure
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 the
following?
a. Diagnose or assess the severity of restriction.
b. Evaluate the severity of pulmonary hypertension.
c. Determine the level of cardiopulmonary fitness.
d. Assess the risk of abdominal surgical procedures.

ANS: A
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The most common reason for measuring lung volumes is to identify restrictive
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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?
a. Asthma
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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

exchange. DIF: 1 REF: p. 9 | p. 19 | p. 21 | p. 35 OBJ: EL-2

MSC: NBRC: None
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5. Blood gas analysis is used with patients with COPD to do
which of the following?
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a. Monitor airway responsiveness.
b. Determine level of cardiopulmonary fitness.
c. Detect pulmonary hypertension.
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d. Assess need for supplementary O2.
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ANS: D
Blood gas analysis is most commonly used to determine the need for
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?
1. 1- Antitrypsin deficiency
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2. Exposure to environmental pollutants
3. Radiation therapy
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4. Cigarette smoking
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a. 1 and 2
b. 3 and 4
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c. 1 , 2, and 4
d. 2 , 3, and 4
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ANS: C
Emphysema is caused primarily by cigarette smoking. Some emphysema is
caused by the absence of a protective enzyme. Chronic exposure to environmental
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pollutants can also contribute to the development of emphysema.

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 in
cold weather. These symptoms are consistent with which of the following?
a. Cystic fibrosis
b. Asthma
c. Pulmonary hypertension
d. Idiopathic pulmonary fibrosis



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