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

Test Bank for Ruppel’s Manual of Pulmonary Function Testing
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cd 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
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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 cd cd cd



b. Alvan Barach cd



c. John Severinghaus cd



d. John Hutchinson cd




ANS: D cd



Hutchinson popularized the concept of using VC to assess lung function, and the names
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he gave to several other lung compartments are still used today.
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DIF: 1 REF: p. 2 cd OBJ: None c d MSC: NBRC: None cd cd




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



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



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



a. 1 and 4 c d c d



b. 2 and 3 c d c d



c. 1 , 2, and 4 cd cd cd c d



d. 2 , 3, and 4 cd cd cd c d




ANS: C cd



Spirometry cannot assess severity of restriction; for that you need to measure lung
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volumes ( see Box 1-2, Chapter 1).
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DIF: 1 REF: p. 7 cd OBJ: EL-2 MSC: NBRC: None cd cd

,3. The main indication for the measurement of lung volumes is to do which of the
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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 cd



The most common reason for measuring lung volumes is to identify restrictive lung
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cd disease. DIF: cd 1 REF: p. 35 OBJ:
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4. DLCO measurements may be indicated to evaluate pulmonary involvement in which
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of the following systemic diseases?
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a. Asthma
b. Sarcoidosis
c. Exertional hypoxemia cd

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d. Guillain-Barré syndrome cd




ANS: B cd



Sarcoidosis is the only systemic disease listed that affects gas
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exchange. DIF: 1 REF: p. 9 | p. 19 | p. 21 | p. 35 OBJ: EL-2 MSC:
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cd NBRC: None cd




5. Blood gas analysis is used with patients with COPD to do which of
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the following? cd cd



a. Monitor airway responsiveness. cd cd



b. Determine level of cardiopulmonary fitness. cd cd cd cd



c. Detect pulmonary hypertension.
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d. Assess need for supplementary O2.
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ANS: D cd



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



3. Radiation therapy cd



4. Cigarette smoking cd



a. 1 and 2 c d c d



b. 3 and 4 c d c d



c. 1 , 2, and 4
cd cd cd c d



d. 2 , 3, and 4
cd cd cd c d




ANS: C cd



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




7. An adult patient complains of chest tightness and cough whenever he jogs in cold
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weather. These symptoms are consistent with which of the following?
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a. Cystic fibrosis cd



b. Asthma
c. Pulmonary hypertension cd



d. Idiopathic pulmonary fibrosis cd cd




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