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Exam (elaborations)

Ruppel’s Manual of Pulmonary Function Testing, 13th Edition – Mottram | Complete Test Bank (Chapters 1–13, Updated)

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Ruppel’s Manual of Pulmonary Function Testing, 13th Edition – Mottram | Complete Test Bank (Chapters 1–13, Updated)

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,Chapter 1: Indications for Pulmonary Function Testing Te
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st Bank
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MULTIPLE CHOICE xq




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



b. Alvan Barach xq



c. John Severinghaus xq



d. John Hutchinson xq




ANS: D xq



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




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



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



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



a. 1 and 4 x q x q



b. 2 and 3 x q x q



c. 1 , 2, and 4 xq xq xq x q



d. 2 , 3, and 4 xq xq xq x q




ANS: C xq



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

,3. The main indication for the measurement of lung volumes is to do which of
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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 xq



The most common reason for measuring lung volumes is to identify restri
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ctive lung disease. DIF: 1
xq xq xq REF: p. 35 OBJ:
x q xq x q EL-2 MSC: NBRC: None
x q xq xq




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

, Stuvia.comxq-xqThexqMarketplacexqtoxqBuyxqandxqSellxqyourxqStudyxqMaterial


d. Guillain-Barré syndrome xq




ANS: B xq



Sarcoidosis is the only systemic disease listed that affects g
xq xq xq xq xq xq xq xq xq




as exchange. DIF: 1 REF: p. 9 | p. 19 | p. 21 | p. 35 OB
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J: EL-2 MSC: NBRC: None
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5. Blood gas analysis is used with patients with COPD to
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do which of the following? xq xq xq xq



a. Monitor airway responsiveness.
xq xq



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



c. Detect pulmonary hypertension.
x q x q



d. Assess need for supplementary O2.
x q x q x q x q




ANS: D xq



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



xq 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
xq xq



2. Exposure to environmental pollutants xq xq xq



3. Radiation therapy xq



4. Cigarette smoking xq



a. 1 and 2 x q x q



b. 3 and 4 x q x q



c. 1 , 2, and 4 xq xq xq x q



d. 2 , 3, and 4 xq xq xq x q




ANS: C xq



Emphysema is caused primarily by cigarette smoking. Some emphysema i
x q x q x q x q x q x q x q x q x q


s caused by the absence of a protective enzyme. Chronic exposure to environm
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ental pollutants can also contribute to the development of emphysema.
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DIF: 1 REF: p. 11 x q xq x q OBJ: x q EL-3 | AL-2 MSC: NBRC: None
xq xq xq xq xq




7. An adult patient complains of chest tightness and cough whenever he jogs
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in cold weather. These symptoms are consistent with which of the follow
xq xq xq xq xq xq xq xq xq xq xq xq


ing?
a. Cystic fibrosis xq



b. Asthma
c. Pulmonary hypertension xq



d. Idiopathic pulmonary fibrosis xq xq




|

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