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

12th Edition, By Mottram

Chapter 1 - 13 Updated

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




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




b. Alvan Barach ZXC




c. John Severinghaus ZXC




d. John Hutchinson ZXC




ANS: D ZXC




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




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




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




3. Assess the severity of restrictive lung disease. ZXC ZXC ZXC ZXC ZXC ZXC




4. Quantify the extent of COPD. ZXC ZXC ZXC ZXC




a. 1 and 4 Z X C Z X C




b. 2 and 3 Z X C Z X C




c. 1 , 2, and 4 ZXC ZXC ZXC Z X C




d. 2 , 3, and 4 ZXC ZXC ZXC Z X C




ANS: C ZXC




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

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




The most common reason for measuring lung volumes is to identify restrictive lung disease.
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DIF: 1 REF: p. 35 ZXC OBJ: EL-2 MSC: NBRC: None ZXC ZXC




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

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d. Guillain-Barré syndrome ZXC




ANS: B ZXC




Sarcoidosis is the only systemic disease listed that affects gas exchange. DI ZXC ZXC ZXC ZXC ZXC ZXC ZXC ZXC ZXC ZXC ZXC




F: 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 fo ZXC ZXC ZXC ZXC ZXC ZXC ZXC ZXC ZXC ZXC ZXC ZXC ZXC ZXC




llowing?
a. Monitor airway responsiveness. ZXC ZXC




b. Determine level of cardiopulmonary fitness. ZXC ZXC ZXC ZXC




c. Detect pulmonary hypertension. ZXC ZXC




d. Assess need for supplementary O2. ZXC ZXC ZXC ZXC




ANS: D ZXC




Blood gas analysis is most commonly used to determine the need for supplemental oxygen a
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nd to manage patients who require ventilatory support.
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DIF: 2 REF: p. 15 ZXC OBJ: EL-
1 MSC: NBRC: CPFT 2A-2
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6. Which of the following cause emphysema? ZXC ZXC ZXC ZXC ZXC




1. 1- Antitrypsin deficiency ZXC ZXC




2. Exposure to environmental pollutants ZXC ZXC ZXC




3. Radiation therapy ZXC




4. Cigarette smoking ZXC




a. 1 and 2 Z X C Z X C




b. 3 and 4 Z X C Z X C




c. 1 , 2, and 4 ZXC ZXC ZXC Z X C




d. 2 , 3, and 4 ZXC ZXC ZXC Z X C




ANS: C ZXC




Emphysema is caused primarily by cigarette smoking. Some emphysema is caused by the abse ZXC ZXC ZXC ZXC ZXC ZXC ZXC ZXC ZXC ZXC ZXC ZXC ZXC




nce of a protective enzyme. Chronic exposure to environmental pollutants can also contribut
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e to the development of emphysema.
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DIF: 1 REF: p. 11 ZXC OBJ: EL-3 |AL-2 ZXC ZXC MSC: NBRC: None ZXC ZXC




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




b. Asthma
c. Pulmonary hypertension ZXC




d. Idiopathic pulmonary fibrosis ZXC ZXC




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