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
!| !|
MULTIPLE !|CHOICE
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
ANS: !|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.
DIF: 1 REF: p. !|2 OBJ: 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 !|disease.
4. Quantify !|the !|extent !|of !|COPD.
a. 1 ! | and ! | 4
b. 2 ! | and ! | 3
c. 1 !|, !|2, !|and ! | 4
d. 2 !|, !|3, !|and ! | 4
ANS: !|C
Spirometry !|cannot !|assess !|severity !|of !|restriction; !|for !|that !|you !|need !|to !|measure
!|lung !|volumes !|( !|see !|Box !|1-2, !|Chapter ! | 1).
DIF: 1 REF: p. !|7 OBJ: 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.
ANS: !|A
The !|most !|common !|reason !|for !|measuring !|lung !|volumes !|is !|to !|identify
restrictive !|lung !|disease. !|DIF:
!| 1 REF: p. !|35 OBJ: EL-2 MSC:
!| NBRC: !|None
4. DLCO !|measurements !|may !|be !|indicated !|to !|evaluate !|pulmonary !|involvement
!|in !|which !|of !|the !|following !|systemic !|diseases?
a. Asthma
b. Sarcoidosis
c. Exertional !|hypoxemia
, Stuvia.com !|- !|The !|Marketplace !|to !|Buy !|and !|Sell !|your !|Study
!|Material
d. Guillain-Barré !|syndrome
ANS: !|B
Sarcoidosis !|is !|the !|only !|systemic !|disease !|listed !|that !|affects
gas !|exchange. !|DIF: !|1 !|REF: !|p. !|9 !|| !|p. !|19 !|| !|p. !|21 !|| !|p. !|35
!|
!| OBJ: !|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.
ANS: !|D
Blood !|gas !|analysis !|is !|most !|commonly !|used !|to !|determine !|the !|need !|for
!|supplemental !|oxygen !|and !|to !|manage !|patients !|who !|require !|ventilatory
!|support.
DIF: 2 REF: p. !|15 OBJ: EL-
1 !|MSC: !|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
ANS: !|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.
DIF: 1 REF: p. !|11 OBJ: 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
|
!| !| !| !| !| !| !|
!| Testing 12th Edition, By Mottram
!| !| !| !|
Chapter 1 - 13 Updated
!| !| !| !| !|
,Chapter 1: Indications for Pulmonary Function Testing
!| !| !| !| !| !|
Test Bank
!| !|
MULTIPLE !|CHOICE
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
ANS: !|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.
DIF: 1 REF: p. !|2 OBJ: 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 !|disease.
4. Quantify !|the !|extent !|of !|COPD.
a. 1 ! | and ! | 4
b. 2 ! | and ! | 3
c. 1 !|, !|2, !|and ! | 4
d. 2 !|, !|3, !|and ! | 4
ANS: !|C
Spirometry !|cannot !|assess !|severity !|of !|restriction; !|for !|that !|you !|need !|to !|measure
!|lung !|volumes !|( !|see !|Box !|1-2, !|Chapter ! | 1).
DIF: 1 REF: p. !|7 OBJ: 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.
ANS: !|A
The !|most !|common !|reason !|for !|measuring !|lung !|volumes !|is !|to !|identify
restrictive !|lung !|disease. !|DIF:
!| 1 REF: p. !|35 OBJ: EL-2 MSC:
!| NBRC: !|None
4. DLCO !|measurements !|may !|be !|indicated !|to !|evaluate !|pulmonary !|involvement
!|in !|which !|of !|the !|following !|systemic !|diseases?
a. Asthma
b. Sarcoidosis
c. Exertional !|hypoxemia
, Stuvia.com !|- !|The !|Marketplace !|to !|Buy !|and !|Sell !|your !|Study
!|Material
d. Guillain-Barré !|syndrome
ANS: !|B
Sarcoidosis !|is !|the !|only !|systemic !|disease !|listed !|that !|affects
gas !|exchange. !|DIF: !|1 !|REF: !|p. !|9 !|| !|p. !|19 !|| !|p. !|21 !|| !|p. !|35
!|
!| OBJ: !|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.
ANS: !|D
Blood !|gas !|analysis !|is !|most !|commonly !|used !|to !|determine !|the !|need !|for
!|supplemental !|oxygen !|and !|to !|manage !|patients !|who !|require !|ventilatory
!|support.
DIF: 2 REF: p. !|15 OBJ: EL-
1 !|MSC: !|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
ANS: !|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.
DIF: 1 REF: p. !|11 OBJ: 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
|
