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TEST BANK: Ruppel's Manual of Pulmonary Function Testing, 12th Edition

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TEST BANK: Ruppel's Manual of Pulmonary Function Testing, 12th Edition

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


Bank
ty




MULTIPLE CHOICE t y




1. Who first popularized
t y t y t y spirometry t y for t y the t y evaluation t y of t y pulmonary
t yfunction?
a. August and Marie t y t y t y Krogh
b. Alvan Barach t y



c. John Severinghaus t y



d. John Hutchinson t y




ANS: D t y



Hutchinson popularized the t y t y t y concept of using VC to assess lung
t y t y t y t y t y t y


function, and the names
t y t y t y ty t y he gave
t yto several other lung t y t y t y t y


compartments are
t y still t y t y t y used today. t y




DIF: 1 REF: p. t y 2 OBJ: None MSC: t y NBRC: t y None

2. Which of t y t y the t y following are t y t y indications t y for t y performing t y spirometry?
1. Assess t y the t y risk of lungt y t y t y resection.
2. Determine the response to bronchodilator therapy.t y t y t y t y t y



3. Assess the severity of restrictive lung disease.
t y t y t y t y t y t y



4. Quantify the extent of COPD. t y t y t y t y



a. 1 and 4
b. 2 and 3
c. 1 t y , 2, t y t y and 4
d. 2 t y , 3, t y t y and 4

ANS: C t y



Spirometry cannot assess severity of restriction;
t y t y t y t y t y t y for that you
t y t y


need to measure lung volumes ( see Box
t y t y t y ty t y t y t y t y t y 1-2, Chapter 1).
t y




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

,3. The main indication for the measurement of lung
t y t y t y t y t y t y t y t y volumes t y is t y to
t do which of the following?
y t y t y t y ty



a. Diagnose or assess the severity of restriction.t y t y t y t y t y t y



b. Evaluate the severity of pulmonary hypertension.
t y t y t y t y t y



c. Determine the level of cardiopulmonary fitness. t y t y t y t y t y



d. Assess the risk of abdominal surgical procedures.
t y t y t y t y t y t y




ANS: A t y



The most t y t y common t y reason t y for t y measuring t y lung t y volumes t y is t y to

t y identify t y restrictive lung ty t y disease. t y DIF: 1 REF: p. t y 35 OBJ: t y




EL-2 MSC: t y NBRC: t y None

4. DLCO measurements may be indicated to evaluate pulmonary
t y t y t y t y t y t y t y


t yinvolvement in which of the following systemic diseases? t y ty t y t y t y t y t y



a. Asthma
b. Sarcoidosis
c. Exertional hypoxemia t y

, Stuvia.com t y - t y The t y Marketplace t y to t y Buy t y and t y Sell t y your


d. Guillain-Barré t y syndrome

ANS: B t y



Sarcoidosis is the only systemic disease t y t y t y t y t y t y listed t y that

t y affects t y gas exchange. ty t y DIF: t y 1 t y REF: t y p. t y 9 t y | t y p.

t y 19 t y | t y p. t y 21 t y | t y p. t y 35 t y OBJ: EL-2 ty t y MSC:

t y NBRC: t y None

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



a. Monitor airway responsiveness. t y t y



b. Determine level of cardiopulmonary fitness. t y t y t y t y



c. Detect t y pulmonary t y hypertension.
d. Assess t y need for t y t y supplementary t y O2.

ANS: D t y



Blood gas analysis is most commonly used to
t y t y t y t y t y t y t y t y determine the t y


tneed for supplemental oxygen and to
y manage t y ty t y t y t y t y t y patients who t y


trequire ventilatory support.
y t y t y




DIF: 2 REF: p. 15 OBJ: EL-1 t y t y



MSC:
ty t y NBRC: CPFT 2A-2 t y t y




6. Which of the following cause emphysema?
t y t y t y t y t y



1. 1- Antitrypsin deficiency t y t y



2. Exposure to environmental pollutants t y t y t y



3. Radiation therapy t y



4. Cigarette smoking t y



a. 1 and 2
b. 3 and 4
c. 1 , 2, and
t y t y t y 4
d. 2 , 3, and
t y t y t y 4

ANS: C t y



Emphysema is caused primarily by cigarette smoking. Some t y t y t y t y t y t y t y


emphysema is caused by the absence of a protective enzyme.
t y t y t y ty t y t y t y t y t y t y


Chronic exposure to environmental pollutants can
t y also contribute
t y t y t y t y t y t y t y


to t the development of emphysema.
y t y t y t y t y




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




7. An adult patient complains of chest tightness and cough
t y t y t y t y t y t y t y t y


t y whenever he jogs in cold weather. These symptoms are t y t y t y ty t y t y t y t y


t y consistent with which of the following? t y t y t y t y t y




|

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Publisher: 2013 ISBN: 9780323085052 Edition: Unknown

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