Test Bank: Ruppel's Manual Of Pulmonary Function Testing, 12th Edition 2024/LATEST UPDATE /ALL CHAPTERS INCLUDED

Test Bank for Ruppel’s Manual of Pulmonary Function Testing
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12th Edition, By Mottram
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Chapter 1 - 13 Updated
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,Chapter 1: Indications for Pulmonary Function Testing Test Bank
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MULTIPLE CHOICE
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1. Who first popularized spirometry for the evaluation of pulmonary function?
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a. August and Marie Krogh b b b



b. Alvan Barach b



c. John Severinghaus b



d. John Hutchinson b




ANS: D b



Hutchinson popularized the concept of using VC to assess lung function, and the names he
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gave to several other lung compartments are still used today.
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DIF: 1 REF: p. 2 b OBJ: None MSC: NBRC: None b b b




2. Which of the following are indications for performing spirometry?
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1. Assess the risk of lung resection.b b b b b



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



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



a. 1 and 4 b b



b. 2 and 3 b b



c. 1 , 2, and 4 b b b b



d. 2 , 3, and 4 b b b b




ANS: C b



Spirometry cannot assess severity of restriction; for that you need to measure lung volumes
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( see Box 1-2, Chapter 1).
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DIF: 1 REF: p. 7 b OBJ: EL-2 MSC: NBRC: None
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,3. The main indication for the measurement of lung volumes is to do which of the 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 b



The most common reason for measuring lung volumes is to identify restrictive lung
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disease. DIF:
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b EL-2 MSC: NBRC: None b b




4. DLCO measurements may be indicated to evaluate pulmonary involvement in which of
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the following systemic diseases?
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a. Asthma
b. Sarcoidosis
c. Exertional hypoxemia b

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d. Guillain-Barré syndrome b




ANS: B b



Sarcoidosis is the only systemic disease listed that affects gas exchange.
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bDIF: 1 REF: p. 9 | p. 19 | p. 21 | p. 35 OBJ: EL-2 MSC: NBRC: None
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5. Blood gas analysis is used with patients with COPD to do which of the b b b b b b b b b b b b b


following? b



a. Monitor airway responsiveness. b b



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



c. Detect pulmonary hypertension. b b



d. Assess need for supplementary O2. b b b b




ANS: D b



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



2. Exposure to environmental pollutants b b b



3. Radiation therapy b



4. Cigarette smoking b



a. 1 and 2 b b



b. 3 and 4 b b



c. 1 , 2, and 4 b b b b



d. 2 , 3, and 4 b b b b




ANS: C b



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



b. Asthma
c. Pulmonary hypertension b



d. Idiopathic pulmonary fibrosis b b




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