12th Edition, By Mottram
Chapter 1 - 13 Updated
,Chapter o1: oIndications ofor oPulmonary oFunction oTesting oTest
oBank
MULTIPLE oCHOICE
1. Who ofirst opopularized ospirometry ofor othe oevaluation oof opulmonary ofunction?
a. August oand oMarie oKrogh
b. Alvan oBarach
c. John oSeveringhaus
d. John oHutchinson
ANS: oD
Hutchinson opopularized othe oconcept oof ousing oVC oto oassess olung ofunction, oand othe
onames ohe ogave oto oseveral oother olung ocompartments oare ostill oused otoday.
DIF: 1 REF: p. o2 OBJ: None o MSC: oNBRC: oNone
2. Which oof othe ofollowing oare oindications ofor operforming ospirometry?
1. Assess othe orisk oof olung oresection.
2. Determine othe oresponse oto obronchodilator otherapy.
3. Assess othe oseverity oof orestrictive olung odisease.
4. Quantify othe oextent oof oCOPD.
a. 1 o and o 4
b. 2 o and o 3
c. 1 o, o2, oand o 4
d. 2 o, o3, oand o 4
ANS: oC
Spirometry ocannot oassess oseverity oof orestriction; ofor othat oyou oneed oto omeasure olung
ovolumes o( osee oBox o1-2, oChapter o 1).
DIF: 1 REF: p. o7 OBJ: EL-2 MSC: oNBRC: oNone
3. The omain oindication ofor othe omeasurement oof olung ovolumes ois oto odo owhich oof othe
ofollowing?
a. Diagnose oor oassess othe oseverity oof orestriction.
b. Evaluate othe oseverity oof opulmonary ohypertension.
c. Determine othe olevel oof ocardiopulmonary ofitness.
d. Assess othe orisk oof oabdominal osurgical oprocedures.
ANS: oA
The omost ocommon oreason ofor omeasuring olung ovolumes ois oto oidentify orestrictive olung
odisease. oDIF: 1 REF: p. o35 OBJ: EL-2 MSC: oNBRC: oNone
, 4. DLCO omeasurements omay obe oindicated oto oevaluate opulmonary oinvolvement oin
owhich oof othe ofollowing osystemic odiseases?
a. Asthma
b. Sarcoidosis
c. Exertional ohypoxemia
d. Guillain-Barré osyndrome
ANS: oB
Sarcoidosis ois othe oonly osystemic odisease olisted othat oaffects ogas
oexchange. oDIF: o1 oREF: op. o9 o| op. o19 o| op. o21 o| op. o35 oOBJ: oEL-2
oMSC: oNBRC: oNone
5. Blood ogas oanalysis ois oused owith opatients owith oCOPD oto odo owhich
oof othe ofollowing?
a. Monitor oairway oresponsiveness.
b. Determine olevel oof ocardiopulmonary ofitness.
c. Detect opulmonary ohypertension.
d. Assess oneed ofor osupplementary oO2.
ANS: oD
Blood ogas oanalysis ois omost ocommonly oused oto odetermine othe oneed ofor osupplemental
ooxygen oand oto omanage opatients owho orequire oventilatory osupport.
DIF: 2 REF: p. o15 OBJ: EL-1
oMSC: oNBRC: oCPFT o2A-2
6. Which oof othe ofollowing ocause oemphysema?
1. 1- oAntitrypsin odeficiency
2. Exposure oto oenvironmental opollutants
3. Radiation otherapy
4. Cigarette osmoking
a. 1 o and o 2
b. 3 o and o 4
c. 1 o, o2, oand o 4
d. 2 o, o3, oand o 4
ANS: oC
Emphysema ois ocaused oprimarily oby ocigarette osmoking. oSome oemphysema ois ocaused oby
othe oabsence oof oa oprotective oenzyme. oChronic oexposure oto oenvironmental opollutants
ocan oalso ocontribute oto othe odevelopment oof oemphysema.
DIF: 1 REF: p. o11 OBJ: EL-3 o| oAL-2 MSC: oNBRC: oNone
7. An oadult opatient ocomplains oof ochest otightness oand ocough owhenever ohe ojogs oin ocold
oweather. oThese osymptoms oare oconsistent owith owhich oof othe ofollowing?
a. Cystic ofibrosis
, b. Asthma
c. Pulmonary ohypertension
d. Idiopathic opulmonary ofibrosis
ANS: oB
Agents oor oevents othat ocause oan oasthmatic oepisode oare ocalled otriggers o(see oBox o1-7,
oChapter o1). oAntigens osuch oas oanimal odander, opollens, oand odusts oare othe omost
ocommon otriggers. oOther ocommon otriggers oinclude oexposure oto oair opollutants oand
oexercise oin ocold oor odry oair.
DIF: 2 REF: p. o16 OBJ: EL-3 MSC: oNBRC: oNone
8. Which oof othe ofollowing ostatements oconcerning otumors oin othe oupper oairway ois otrue?
a. There omay obe ovariable oor ofixed oobstruction.
b. Fixed oobstruction owill obe opresent.
c. Variable oobstruction owill obe opresent.
d. Small oairway oobstruction owill oresult.
ANS: oA
Tumors oinvolving othe oupper oairway omay ocause ovariable oor ofixed oobstruction.
DIF: 2 REF: p. o19 OBJ: EL-2
oMSC: oNBRC: oCPFT o3C-3
9. Sarcoidosis ois oa osystemic odisorder othat ousually ocauses owhich oof othe ofollowing?
a. A orestrictive oventilatory odefect
b. An oobstructive oventilatory odefect
c. Hyperreactive oairways
d. Primary opulmonary ohypertension
ANS: oA
Restriction ois ooften oassociated owith othe ofollowing: ointerstitial olung odiseases, oincluding
oidiopathic ofibrosis, opneumoconioses, oand osarcoidosis.
DIF: 1 REF: p. o19 o| op. o21OBJ: EL-3 MSC: oNBRC: oNone
10. For owhich oof othe ofollowing oconditions omight opulmonary ofunction otesting obe
ocontraindicated?
a. Vocal ocord odysfunction
b. Untreated opneumothorax
c. Congestive oheart ofailure o(CHF)
d. Bronchiolitis oobliterans
ANS: oB
Pulmonary ofunction otests oare ousually ocontraindicated oin othe opresence oof
opneumothorax. oHowever, oundiagnosed opneumothorax omay opresent oa orisk oif
opulmonary ofunction ostudies oare operformed.
DIF: 1 REF: p. o23 OBJ: EL-4
oMSC: oNBRC: oCPFT o2B-6
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