Test Bank for Ruppel’s Manual of Pulmonary Function Testing 12th Edition, By Mottram Chapter 1 - 13 Updated

Test Bank for RuppeI’s ManuaI of PuImonary
Function Testing 12th Edition, By Mottram
Chapter 1 - 13

,Chapter 1: Indications for PuImonary Function Testing Test Bank



MUITIPIE CHOICE

1. Who first popuIarized spirometry for the evaIuation of puImonary function?
a. August and Marie Krogh
b. AIvan Barach
c. John Severinghaus
d. John Hutchinson

ANS: D
Hutchinson popuIarized the concept of using VC to assess Iung function, and the names he
gave to severaI other Iung compartments are stiII used today.

DIF: 1 REF: p. 2 OBJ: None MSC: NBRC: None

2. Which of the foIIowing are indications for performing spirometry?
1. Assess the risk of Iung resection.
2. Determine the response to bronchodiIator therapy.
3. Assess the severity of restrictive Iung 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 Iung voIumes (
see Box 1-2, Chapter 1).

DIF: 1 REF: p. 7 OBJ: EI-2 MSC: NBRC: None

,3. The main indication for the measurement of Iung voIumes is to do which of the foIIowing?
a. Diagnose or assess the severity of restriction.
b. EvaIuate the severity of puImonary hypertension.
c. Determine the IeveI of cardiopuImonary fitness.
d. Assess the risk of abdominaI surgicaI procedures.

ANS: A
The most common reason for measuring Iung voIumes is to identify restrictive Iung

disease. DIF: 1 REF: p. 35 OBJ: EI-2 MSC: NBRC: None

4. DICO measurements may be indicated to evaIuate puImonary invoIvement in which of
the foIIowing systemic diseases?
a. Asthma
b. Sarcoidosis
c. ExertionaI hypoxemia

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d. GuiIIain-Barré syndrome

ANS: B
Sarcoidosis is the onIy systemic disease Iisted that affects gas exchange.

DIF: 1 REF: p. 9 | p. 19 | p. 21 | p. 35 OBJ: EI-2 MSC: NBRC: None

5. BIood gas anaIysis is used with patients with COPD to do which of the
foIIowing?
a. Monitor airway responsiveness.
b. Determine IeveI of cardiopuImonary fitness.
c. Detect puImonary hypertension.
d. Assess need for suppIementary O2.

ANS: D
BIood gas anaIysis is most commonIy used to determine the need for suppIementaI oxygen
and to manage patients who require ventiIatory support.

DIF: 2 REF: p. 15 OBJ: EI-1
MSC: NBRC: CPFT 2A-2

6. Which zof zthe zfoIIowing zcause zemphysema?
1. 1- zAntitrypsin zdeficiency
2. Exposure zto zenvironmentaI zpoIIutants
3. Radiation ztherapy
4. Cigarette zsmoking
a. 1 z and z 2
b. 3 z and z 4
c. 1 z, z2, zand z 4
d. 2 z, z3, zand z 4

ANS: zC
Emphysema zis zcaused zprimariIy zby zcigarette zsmoking. zSome zemphysema zis zcaused zby
zthe zabsence zof za zprotective zenzyme. zChronic zexposure zto zenvironmentaI zpoIIutants zcan
zaIso zcontribute zto zthe zdeveIopment zof zemphysema.


DIF: 1 REF: p. z11 OBJ: EI-3 z|zAI-2 MSC: zNBRC: zNone

7. An zaduIt zpatient zcompIains zof zchest ztightness zand zcough zwhenever zhe zjogs zin zcoId
zweather. zThese zsymptoms zare zconsistent zwith zwhich zof zthe zfoIIowing?

a. Cystic zfibrosis
b. Asthma
c. PuImonary zhypertension
d. Idiopathic zpuImonary zfibrosis




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