TEST BANK For Ruppel’s Manual of Pulmonary Function Testing, 12th Edition, By Mottram, Chapters 1 - 13 Updated Newest Version

,Chapter 1: Indications for Pulmonary Function Testing Test Bank
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MULTIPLE CHOICE e




1. Who first popularized spirometry for the evaluation of pulmonary function?
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a. August and Marie Krogh e e e



b. Alvan Barach e



c. John Severinghaus e



d. John Hutchinson e




ANS: D e



Hutchinson popularized the concept of using VC to assess lung function, and the
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names he gave to several other lung compartments are still used today.
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DIF: 1 REF: p. 2 e e OBJ: None MSC: NBRC: None
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2. Which of the following are indications for performing spirometry?
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1. Assess the risk of lung resection. e e e e e



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



3. Assess the severity of restrictive lung disease.
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4. Quantify the extent of COPD. e e e e



a. 1 and 4 e e



b. 2 and 3 e e



c. 1 , 2, and 4 e e e e



d. 2 , 3, and 4 e e e e




ANS: C e



Spirometry cannot assess severity of restriction; for that you need to measure
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lung volumes ( see Box 1-2, Chapter 1).
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DIF: 1 REF: p. 7 e e OBJ: e e EL-2 e e MSC: NBRC: None e e

,3. The main indication for the measurement of lung volumes is to do which of the
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following?
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a. Diagnose or assess the severity of restriction.
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b. Evaluate the severity of pulmonary hypertension.
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c. Determine the level of cardiopulmonary fitness.
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d. Assess the risk of abdominal surgical procedures.
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ANS: A e



The most common reason for measuring lung volumes is to identify
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e restrictive lung disease. DIF: 1
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e MSC: NBRC: None
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4. DLCO measurements may be indicated to evaluate pulmonary involvement in
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which of the following systemic diseases?
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a. Asthma
b. Sarcoidosis
c. Exertional hypoxemia e

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d. Guillain-Barré syndrome e




ANS: B e



Sarcoidosis is the only systemic disease listed that affects gas
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e exchange. DIF: 1 REF: p. 9 | p. 19 | p. 21 | p. 35 OBJ: EL-2
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e MSC: NBRC: None e e




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


which of the following? e e e e



a. Monitor airway responsiveness. e e



b. Determine level of cardiopulmonary fitness. e e e e



c. Detect pulmonary hypertension. e e



d. Assess need for supplementary O2. e e e e




ANS: D e



Blood gas analysis is most commonly used to determine the need for
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supplemental oxygen and to manage patients who require ventilatory support.
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DIF: 2 REF: p. 15 OBJ: e e e



eEL- 1 MSC: NBRC: CPFT 2A-2
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6. Which of the following cause emphysema?
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1. 1- Antitrypsin deficiency
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2. Exposure to environmental pollutants e e e



3. Radiation therapy e



4. Cigarette smoking e



a. 1 and 2 e e



b. 3 and 4 e e



c. 1 , 2, and 4 e e e e



d. 2 , 3, and 4 e e e e




ANS: C e



Emphysema is caused primarily by cigarette smoking. Some emphysema is e e e e e e e e e


caused by the absence of a protective enzyme. Chronic exposure to environmental
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pollutants can also contribute to the development of emphysema.
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DIF: 1 REF: p. 11 OBJ: EL-3 | AL-2 MSC: NBRC: None
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7. An adult patient complains of chest tightness and cough whenever he jogs in
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cold weather. These symptoms are consistent with which of the following?
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a. Cystic fibrosis e



b. Asthma
c. Pulmonary hypertension e



d. Idiopathic pulmonary fibrosis e e




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