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

,Chapter 1: Indications for Pulmonary Function Testing Test
x x x x x x x x x


Bank



MULTIPLE CHOICE x




1. Who first popularized spirometry for the evaluation of pulmonary function?
x x x x x x x x x



a. August and Marie Krogh x x x



b. Alvan Barach x



c. John Severinghaus x



d. John Hutchinson x




ANS: D x



Hutchinson popularized the concept of using VC to assess lung function, and the n
x x x x x x x x x x x x x


ames he gave to several other lung compartments are still used today.
x x x x x x x x x x x




DIF: 1 REF: p. 2 x x OBJ: None MSC: NBRC: None
xx x x x




2. Which of the following are indications for performing spirometry?
x x x x x x x x



1. Assess the risk of lung resection. x x x x x



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



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



4. Quantify the extent of COPD. x x x x



a. 1 and 4 x x



b. 2 and 3 x x



c. 1 , 2, and 4 x x x x



d. 2 , 3, and 4 x x x x




ANS: C x



Spirometry cannot assess severity of restriction; for that you need to measure lun
x x x x x x x x x x x x


g volumes ( see Box 1-2, Chapter 1).
x x x x x x x




DIF: 1 REF: p. 7 x x OBJ: EL-2 x x MSC: NBRC: None x x

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


lowing?
a. Diagnose or assess the severity of restriction.
x x x x x x



b. Evaluate the severity of pulmonary hypertension.
x x x x x



c. Determine the level of cardiopulmonary fitness.
x x x x x



d. Assess the risk of abdominal surgical procedures.
x x x x x x




ANS: A x



The most common reason for measuring lung volumes is to identify restrictive l
x x x x x x x x x x x x




ung disease. DIF:
x x 1 REF: p. 35 OBJ:
x x x EL-2 MSC: NBRC: None
x x x




4. DLCO measurements may be indicated to evaluate pulmonary involvement in
x x x x x x x x x x


which of the following systemic diseases?
x x x x x



a. Asthma
b. Sarcoidosis
c. Exertional hypoxemia x

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d. Guillain-Barré syndrome x




ANS: B x



Sarcoidosis is the only systemic disease listed that affects gas x x x x x x x x x x




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




2 MSC: NBRC: None
x x x




5. Blood gas analysis is used with patients with COPD to do w x x x x x x x x x x x


hich of the following? x x x



a. Monitor airway responsiveness. x x



b. Determine level of cardiopulmonary fitness. x x x x



c. Detect pulmonary hypertension. x x



d. Assess need for supplementary O2. x x x x




ANS: D x



Blood gas analysis is most commonly used to determine the need for supplementa
x x x x x x x x x x x x


l oxygen and to manage patients who require ventilatory support.
x x x x x x x x x




DIF: 2 REF: p. 15 OBJ: EL- x x x x



1 MSC: NBRC: CPFT 2A-2
x x x x x




6. Which of the following cause emphysema?
x x x x x



1. 1- Antitrypsin deficiency x x



2. Exposure to environmental pollutants x x x



3. Radiation therapy x



4. Cigarette smoking x



a. 1 and 2 x x



b. 3 and 4 x x



c. 1 , 2, and 4 x x x x



d. 2 , 3, and 4 x x x x




ANS: C x



Emphysema is caused primarily by cigarette smoking. Some emphysema is cause x x x x x x x x x x


d by the absence of a protective enzyme. Chronic exposure to environmental polluta
x x x x x x x x x x x x


nts can also contribute to the development of emphysema.
x x x x x x x x




DIF: 1 REF: p. 11 OBJ: EL-3 | AL-2 MSC: NBRC: None
x x x x x x x x x




7. An adult patient complains of chest tightness and cough whenever he jogs in c
x x x x x x x x x x x x x


old weather. These symptoms are consistent with which of the following?
x x x x x x x x x x



a. Cystic fibrosis x



b. Asthma
c. Pulmonary hypertension x



d. Idiopathic pulmonary fibrosis x x




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