Test Bank for Ruppel’s Manual of Pulmonary Function Testing 12t Edition, By Mottram Chapter 1 - 13 Updated12 

Test Bank for Ruppel’s Manual of Pulmonary Function Testing 12t

Edition, By Mottram

Chapter 1 - 13 Updated 12

,Chapter121:12Indications12for12Pulmonary12Function12Testing12Test12Ban
k



MULTIPLE12CHOICE

1. Who12first12popularized12spirometry12for12the12evaluation12of12pulmonary12function?
a. August12and12Marie12Krogh
b. Alvan12Barach
c. John12Severinghaus
d. John12Hutchinson

ANS:12D
Hutchinson12popularized12the12concept12of12using12VC12to12assess12lung12function,12and12the12na
mes12he12gave12to12several12other12lung12compartments12are12still12used12today.

DIF: 1 REF: p.122 OBJ: None1 2 MSC:12NBRC:12None

2. Which12of12the12following12are12indications12for12performing12spirometry?
1. Assess12the12risk12of12lung12resection.
2. Determine12the12response12to12bronchodilator12therapy.
3. Assess12the12severity12of12restrictive12lung12disease.
4. Quantify12the12extent12of12COPD.
a. 11 2 and1 2 4
b. 21 2 and1 2 3
c. 112,122,12and1 2 4
d. 212,123,12and1 2 4

ANS:12C
Spirometry12cannot12assess12severity12of12restriction;12for12that12you12need12to12measure12lung12v
olumes12(12see12Box121-2,12Chapter1 2 1).

DIF: 1 REF: p.127 OBJ: EL-2 MSC:12NBRC:12None

,3. The12main12indication12for12the12measurement12of12lung12volumes12is12to12do12which12of12the12foll
owing?
a. Diagnose12or12assess12the12severity12of12restriction.
b. Evaluate12the12severity12of12pulmonary12hypertension.
c. Determine12the12level12of12cardiopulmonary12fitness.
d. Assess12the12risk12of12abdominal12surgical12procedures.

ANS:12A
The12most12common12reason12for12measuring12lung12volumes12is12to12identify12restrictive12lung

12disease.12DIF: 1 REF: p.1235 OBJ: EL-2 MSC:12NBRC:12None

4. DLCO12measurements12may12be12indicated12to12evaluate12pulmonary12involvement12in12whic
h12of12the12following12systemic12diseases?
a. Asthma
b. Sarcoidosis
c. Exertional12hypoxemia

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d. Guillain-Barré12syndrome

ANS:12B
Sarcoidosis12is12the12only12systemic12disease12listed12that12affects12gas12exch

ange.12DIF:12112REF:12p.12912|12p.121912|12p.122112|12p.123512OBJ:12EL-

212MSC:12NBRC:12None

5. Blood12gas12analysis12is12used12with12patients12with12COPD12to12do12which
12of12the12following?

a. Monitor12airway12responsiveness.
b. Determine12level12of12cardiopulmonary12fitness.
c. Detect12pulmonary12hypertension.
d. Assess12need12for12supplementary12O2.

ANS:12D
Blood12gas12analysis12is12most12commonly12used12to12determine12the12need12for12supplemental
12oxygen12and12to12manage12patients12who12require12ventilatory12support.




DIF: 2 REF: p.1215 OBJ: EL-
112MSC:12NBRC:12CPFT122A-2

6. Which12of12the12following12cause12emphysema?
1. 1-12Antitrypsin12deficiency
2. Exposure12to12environmental12pollutants
3. Radiation12therapy
4. Cigarette12smoking
a. 11 2 and1 2 2
b. 31 2 and1 2 4
c. 112,122,12and1 2 4
d. 212,123,12and1 2 4

ANS:12C
Emphysema12is12caused12primarily12by12cigarette12smoking.12Some12emphysema12is12caused12by12
the12absence12of12a12protective12enzyme.12Chronic12exposure12to12environmental12pollutants12c
an12also12contribute12to12the12development12of12emphysema.

DIF: 1 REF: p.1211 OBJ: EL-312|12AL-2 MSC:12NBRC:12None

7. An12adult12patient12complains12of12chest12tightness12and12cough12whenever12he12jogs12in12cold
12weather.12These12symptoms12are12consistent12with12which12of12the12following?

a. Cystic12fibrosis
b. Asthma
c. Pulmonary12hypertension
d. Idiopathic12pulmonary12fibrosis


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