Ruppel’s Manual of Pulmonary Function Testing, 13th Edition – Mottram | Complete Test Bank (Chapters 1–13, Updated)

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,Chapter 1: Indications for Pulmonary Function Testing Tes
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t Bank
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MULTIPLE CHOICE pc




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



b. Alvan Barach pc



c. John Severinghaus pc



d. John Hutchinson pc




ANS: D pc



Hutchinson popularized the concept of using VC to assess lung function, and t
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he names he gave to several other lung compartments are still used today.
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DIF: 1 REF: p c p. 2 OBJ:
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pc pc




2. Which of the following are indications for performing spirometry?
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1. Assess the risk of lung resection. pc pc pc pc pc



2. Determine the response to bronchodilator therapy. pc pc pc pc pc



3. Assess the severity of restrictive lung disease.
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4. Quantify the extent of COPD. pc pc pc pc



a. 1 and 4 p c p c



b. 2 and 3 p c p c



c. 1 , 2, and 4 pc pc pc p c



d. 2 , 3, and 4 pc pc pc p c




ANS: C pc



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 c p. 7 OBJ:
pc p c p c EL-2 MSC: NBRC: None pc pc

,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 pc



The most common reason for measuring lung volumes is to identify restric
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tive lung disease. DIF: 1
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p c pc p c EL-2 MSC: NBRC: None
p c pc pc




4. DLCO measurements may be indicated to evaluate pulmonary involvement
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in which of the following systemic diseases?
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a. Asthma
b. Sarcoidosis
c. Exertional hypoxemia pc

, Stuvia.compc-pcThepcMarketplacepctopcBuypcandpcSellpcyourpcStudypcMaterial


d. Guillain-Barré syndrome pc




ANS: B pc



Sarcoidosis is the only systemic disease listed that affects ga
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s exchange. DIF: 1 REF: p. 9 | p. 19 | p. 21 | p. 35 OBJ:
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c EL-2 MSC: NBRC: None
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5. Blood gas analysis is used with patients with COPD to pc pc pc pc pc pc pc pc pc pc


do which of the following? pc pc pc pc



a. Monitor airway responsiveness. pc pc



b. Determine level of cardiopulmonary fitness. pc pc pc pc



c. Detect pulmonary hypertension.
p c p c



d. Assess need for supplementary O2.
p c p c p c p c




ANS: D pc



Blood gas analysis is most commonly used to determine the need for supple
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mental oxygen and to manage patients who require ventilatory support.
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DIF: 2
REF: p. 15 OBJ: EL- p c pc p c p c



pc 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
pc pc



2. Exposure to environmental pollutants pc pc pc



3. Radiation therapy pc



4. Cigarette smoking pc



a. 1 and 2 p c p c



b. 3 and 4 p c p c



c. 1 , 2, and 4 pc pc pc p c



d. 2 , 3, and 4 pc pc pc p c




ANS: C pc



Emphysema is caused primarily by cigarette smoking. Some emphysema i
p c p c p c p c p c p c p c p c p c


s caused by the absence of a protective enzyme. Chronic exposure to environme
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ntal pollutants can also contribute to the development of emphysema.
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DIF: 1 REF: p. 11 p c pc p c OBJ: p c 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 followi
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ng?
a. Cystic fibrosis pc



b. Asthma
c. Pulmonary hypertension pc



d. Idiopathic pulmonary fibrosis pc pc




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