TEST BANK FOR RUPPEL’S MANUAL OF
PULMONARY FUNCTION TESTING
,Chapter 1: Indications for Pulmonary Function Testing
MULTIPLE RESPONCE
1. Who first popularized spirometry for the evaluation of pulmonary function?
a. August and Marie Krogh
b. Alvan Barach
c. John Severinghaus
d. John Hutchinson
ANSWER: D
Hutchinson popularized the concept of using VC to assess lung function, and the names he
gave to several other lung compartments are still used today.
DIFFICULTYFICULTYFICULTY: 1 REFFERENCE: p. 2 OBJECTIVE:
None MSC: NBRC: None
2. Which of the following are indications for performing spirometry?
1. Assess the risk of lung resection.
2. Determine the response to bronchodilator therapy.
3. Assess the severity of restrictive lung illness.
4. Quantify the extent of COPD.
a. 1 and 4
b. 2 and 3
c. 1 , 2, and 4
d. 2 , 3, and 4
ANSWER: C
Spirometry can’t assess severity of restriction; for that you need to measure lung volumes (
see Box 1-2, Chapter 1).
DIFFICULTYFICULTYFICULTY: 1 REFFERENCE: p. 7 OBJECTIVE: EL-2
MSC: NBRC: None
,3. The main indication for the measurement of lung volumes is to do which of the following?
a. Diagnose or assess the severity of restriction.
b. Evaluate the severity of pulmonary hypertension.
c. Determine the level of cardiopulmonary fitness.
d. Assess the risk of abdominal surgical procedures.
ANSWER: A
The most common reason for measuring lung volumes is to identify restrictive lung illness.
DIFFICULTYFICULTYFICULTY: 1 REFFERENCE: p. 35 OBJECTIVE:
EL-2 MSC: NBRC: None
4. DLCO measurements may be indicated to evaluate pulmonary involvement in which of the
following systemic illnesss?
a. Asthma
b. Sarcoidosis
c. Exertional hypoxemia
, d. Guillain-Barré syndrome
ANSWER: B
Sarcoidosis is the only systemic illness listed that affects gas exchange.
DIFFICULTYFICULTYFICULTY: 1 REFFERENCE: p. 9 | p. 19 | p. 21 |
p. 35 OBJECTIVE: EL-2 MSC: NBRC: None
5. Blood gas analysis is used with patients with COPD to do which of the
following?
a. Monitor airway responsiveness.
b. Determine level of cardiopulmonary fitness.
c. Detect pulmonary hypertension.
d. Assess need for supplementary O2.
ANSWER: D
Blood gas analysis is most commonly used to determine the need for supplemental oxygen
and to manage patients who require ventilatory support.
DIFFICULTYFICULTYFICULTY: 2
REFFERENCE: p. 15
OBJECTIVE: EL-1MSC: NBRC:
CPFT 2A-2
6. Which of the following cause emphysema?
1. 1- Antitrypsin deficiency
2. Exposure to environmental pollutants
3. Radiation therapy
4. Cigarette smoking
a. 1 and 2
b. 3 and 4
c. 1 , 2, and 4
d. 2 , 3, and 4
ANSWER: C
Emphysema is caused primarily by cigarette smoking. Some emphysema is caused by the
absence of a protective enzyme. Chronic exposure to environmental pollutants can also
contribute to the development of emphysema.
DIFFICULTYFICULTYFICULTY: 1 REFFERENCE: p. 11
OBJECTIVE: EL-3 | AL-2 MSC: NBRC: None
7. An adult patient complains of chest tightness and cough whenever he jogs in cold weather.
These symptoms are consistent with which of the following?
a. Cystic fibrosis
b. Asthma
c. Pulmonary hypertension
d. Idiopathic pulmonary fibrosis
ANSWER: B
Agents or events that cause an asthmatic episode are called triggers (see Box 1-7, Chapter
1). Antigens such as animal dander, pollens, and dusts are the most common triggers. Other
PULMONARY FUNCTION TESTING
,Chapter 1: Indications for Pulmonary Function Testing
MULTIPLE RESPONCE
1. Who first popularized spirometry for the evaluation of pulmonary function?
a. August and Marie Krogh
b. Alvan Barach
c. John Severinghaus
d. John Hutchinson
ANSWER: D
Hutchinson popularized the concept of using VC to assess lung function, and the names he
gave to several other lung compartments are still used today.
DIFFICULTYFICULTYFICULTY: 1 REFFERENCE: p. 2 OBJECTIVE:
None MSC: NBRC: None
2. Which of the following are indications for performing spirometry?
1. Assess the risk of lung resection.
2. Determine the response to bronchodilator therapy.
3. Assess the severity of restrictive lung illness.
4. Quantify the extent of COPD.
a. 1 and 4
b. 2 and 3
c. 1 , 2, and 4
d. 2 , 3, and 4
ANSWER: C
Spirometry can’t assess severity of restriction; for that you need to measure lung volumes (
see Box 1-2, Chapter 1).
DIFFICULTYFICULTYFICULTY: 1 REFFERENCE: p. 7 OBJECTIVE: EL-2
MSC: NBRC: None
,3. The main indication for the measurement of lung volumes is to do which of the following?
a. Diagnose or assess the severity of restriction.
b. Evaluate the severity of pulmonary hypertension.
c. Determine the level of cardiopulmonary fitness.
d. Assess the risk of abdominal surgical procedures.
ANSWER: A
The most common reason for measuring lung volumes is to identify restrictive lung illness.
DIFFICULTYFICULTYFICULTY: 1 REFFERENCE: p. 35 OBJECTIVE:
EL-2 MSC: NBRC: None
4. DLCO measurements may be indicated to evaluate pulmonary involvement in which of the
following systemic illnesss?
a. Asthma
b. Sarcoidosis
c. Exertional hypoxemia
, d. Guillain-Barré syndrome
ANSWER: B
Sarcoidosis is the only systemic illness listed that affects gas exchange.
DIFFICULTYFICULTYFICULTY: 1 REFFERENCE: p. 9 | p. 19 | p. 21 |
p. 35 OBJECTIVE: EL-2 MSC: NBRC: None
5. Blood gas analysis is used with patients with COPD to do which of the
following?
a. Monitor airway responsiveness.
b. Determine level of cardiopulmonary fitness.
c. Detect pulmonary hypertension.
d. Assess need for supplementary O2.
ANSWER: D
Blood gas analysis is most commonly used to determine the need for supplemental oxygen
and to manage patients who require ventilatory support.
DIFFICULTYFICULTYFICULTY: 2
REFFERENCE: p. 15
OBJECTIVE: EL-1MSC: NBRC:
CPFT 2A-2
6. Which of the following cause emphysema?
1. 1- Antitrypsin deficiency
2. Exposure to environmental pollutants
3. Radiation therapy
4. Cigarette smoking
a. 1 and 2
b. 3 and 4
c. 1 , 2, and 4
d. 2 , 3, and 4
ANSWER: C
Emphysema is caused primarily by cigarette smoking. Some emphysema is caused by the
absence of a protective enzyme. Chronic exposure to environmental pollutants can also
contribute to the development of emphysema.
DIFFICULTYFICULTYFICULTY: 1 REFFERENCE: p. 11
OBJECTIVE: EL-3 | AL-2 MSC: NBRC: None
7. An adult patient complains of chest tightness and cough whenever he jogs in cold weather.
These symptoms are consistent with which of the following?
a. Cystic fibrosis
b. Asthma
c. Pulmonary hypertension
d. Idiopathic pulmonary fibrosis
ANSWER: B
Agents or events that cause an asthmatic episode are called triggers (see Box 1-7, Chapter
1). Antigens such as animal dander, pollens, and dusts are the most common triggers. Other
