,Chapter 1: Indications for Pulmonary Function Testing Test
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Bank
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MULTIPLE CHOICE l8
1. Who first popularized spirometry for the evaluation of pulmonary function?
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a. August and Marie Krogh l8 l8 l8
b. Alvan Barach l8
c. John Severinghaus l8
d. John Hutchinson l8
ANS: D l8
Hutchinson popularized the concept of using VC to assess lung function, and th
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e names he gave to several other lung compartments are still used today.
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DIF: 1 REF: p. 2 OBJ: l 8 l8 l8l8 None MSC: NBRC: None l 8 l8 l8
2. Which of the following are indications for performing spirometry?
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1. Assess the risk of lung resection.l8 l8 l8 l8 l8
2. Determine the response to bronchodilator therapy. l8 l8 l8 l8 l8
3. Assess the severity of restrictive lung disease.
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4. Quantify the extent of COPD. l8 l8 l8 l8
a. 1 and 4 l 8 l 8
b. 2 and 3 l 8 l 8
c. 1 , 2, and 4
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d. 2 , 3, and 4
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ANS: C l8
Spirometry cannot assess severity of restriction; for that you need to measure l
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ung volumes ( see Box 1-2, Chapter 1).
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DIF: 1 REF: p. 7 OBJ: l 8 l8 l 8 l 8 EL-2 MSC: NBRC: None l8 l8
,3. The main indication for the measurement of lung volumes is to do which of th
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e 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 l8
The most common reason for measuring lung volumes is to identify restricti
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ve lung disease. DIF:
l8 l8 l8 1 REF: p. 35 OBJ:
l 8 l8 l 8 EL-2 MSC: NBRC: None
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4. DLCO measurements may be indicated to evaluate pulmonary involvement i
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n which of the following systemic diseases?
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a. Asthma
b. Sarcoidosis
c. Exertional hypoxemia l8
, Stuvia.coml8-l8Thel8Marketplacel8tol8Buyl8andl8Selll8yourl8Studyl8Material
d. Guillain-Barré syndrome l8
ANS: B l8
Sarcoidosis is the only systemic disease listed that affects gas
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8exchange. DIF: 1 REF: p. 9 | p. 19 | p. 21 | p. 35 OBJ: EL
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-2 MSC: NBRC: None
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5. Blood gas analysis is used with patients with COPD to d l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
o which of the following? l8 l8 l8 l8
a. Monitor airway responsiveness. l8 l8
b. Determine level of cardiopulmonary fitness. l8 l8 l8 l8
c. Detect pulmonary hypertension. l 8 l 8
d. Assess need for supplementary O2.
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ANS: D l8
Blood gas analysis is most commonly used to determine the need for suppleme
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ntal oxygen and to manage patients who require ventilatory support.
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DIF: 2
REF: p. 15 OBJ: EL- l 8 l8 l 8 l 8
l8 1 MSC: NBRC: CPFT 2A-2
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6. Which of the following cause emphysema?
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1. 1- Antitrypsin deficiencyl8 l8
2. Exposure to environmental pollutants l8 l8 l8
3. Radiation therapy l8
4. Cigarette smoking l8
a. 1 and 2 l 8 l 8
b. 3 and 4 l 8 l 8
c. 1 , 2, and 4 l8 l8 l8 l 8
d. 2 , 3, and 4 l8 l8 l8 l 8
ANS: C l8
Emphysema is caused primarily by cigarette smoking. Some emphysema is
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caused by the absence of a protective enzyme. Chronic exposure to environment
8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
al pollutants can also contribute to the development of emphysema.
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DIF: 1 REF: p. 11 l 8 l8 l 8 OBJ: EL-3 | AL-2 MSC: NBRC: None
l 8 l8 l8 l8 l8 l8
7. An adult patient complains of chest tightness and cough whenever he jogs i
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n cold weather. These symptoms are consistent with which of the following
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?
a. Cystic fibrosis l8
b. Asthma
c. Pulmonary hypertension l8
d. Idiopathic pulmonary fibrosis l8 l8
|
l8 l8 l8 l8 l8 l8 l8
Bank
l8
MULTIPLE CHOICE l8
1. Who first popularized spirometry for the evaluation of pulmonary function?
l8 l8 l8 l8 l8 l8 l8 l8 l8
a. August and Marie Krogh l8 l8 l8
b. Alvan Barach l8
c. John Severinghaus l8
d. John Hutchinson l8
ANS: D l8
Hutchinson popularized the concept of using VC to assess lung function, and th
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
e names he gave to several other lung compartments are still used today.
l8 l8 l8 l8 l8 l8 l8 l 8 l8 l8 l8 l8
DIF: 1 REF: p. 2 OBJ: l 8 l8 l8l8 None MSC: NBRC: None l 8 l8 l8
2. Which of the following are indications for performing spirometry?
l8 l8 l8 l8 l8 l8 l8 l8
1. Assess the risk of lung resection.l8 l8 l8 l8 l8
2. Determine the response to bronchodilator therapy. l8 l8 l8 l8 l8
3. Assess the severity of restrictive lung disease.
l8 l8 l8 l8 l8 l8
4. Quantify the extent of COPD. l8 l8 l8 l8
a. 1 and 4 l 8 l 8
b. 2 and 3 l 8 l 8
c. 1 , 2, and 4
l8 l8 l8 l 8
d. 2 , 3, and 4
l8 l8 l8 l 8
ANS: C l8
Spirometry cannot assess severity of restriction; for that you need to measure l
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
ung volumes ( see Box 1-2, Chapter 1).
l8 l8 l8 l8 l8 l8 l 8
DIF: 1 REF: p. 7 OBJ: l 8 l8 l 8 l 8 EL-2 MSC: NBRC: None l8 l8
,3. The main indication for the measurement of lung volumes is to do which of th
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
e following?
l8
a. Diagnose or assess the severity of restriction.
l8 l8 l8 l8 l8 l8
b. Evaluate the severity of pulmonary hypertension.
l 8 l 8 l 8 l 8 l 8
c. Determine the level of cardiopulmonary fitness.
l8 l8 l8 l8 l8
d. Assess the risk of abdominal surgical procedures.
l8 l8 l8 l8 l8 l8
ANS: A l8
The most common reason for measuring lung volumes is to identify restricti
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
ve lung disease. DIF:
l8 l8 l8 1 REF: p. 35 OBJ:
l 8 l8 l 8 EL-2 MSC: NBRC: None
l 8 l8 l8
4. DLCO measurements may be indicated to evaluate pulmonary involvement i
l8 l8 l8 l8 l8 l8 l8 l8 l8
n which of the following systemic diseases?
l8 l8 l8 l8 l8 l8
a. Asthma
b. Sarcoidosis
c. Exertional hypoxemia l8
, Stuvia.coml8-l8Thel8Marketplacel8tol8Buyl8andl8Selll8yourl8Studyl8Material
d. Guillain-Barré syndrome l8
ANS: B l8
Sarcoidosis is the only systemic disease listed that affects gas
l8 l8 l8 l8 l8 l8 l8 l8 l8 l
8exchange. DIF: 1 REF: p. 9 | p. 19 | p. 21 | p. 35 OBJ: EL
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
-2 MSC: NBRC: None
l8 l8 l8
5. Blood gas analysis is used with patients with COPD to d l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
o which of the following? l8 l8 l8 l8
a. Monitor airway responsiveness. l8 l8
b. Determine level of cardiopulmonary fitness. l8 l8 l8 l8
c. Detect pulmonary hypertension. l 8 l 8
d. Assess need for supplementary O2.
l 8 l 8 l 8 l 8
ANS: D l8
Blood gas analysis is most commonly used to determine the need for suppleme
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
ntal oxygen and to manage patients who require ventilatory support.
l8 l8 l8 l8 l8 l8 l8 l8 l8
DIF: 2
REF: p. 15 OBJ: EL- l 8 l8 l 8 l 8
l8 1 MSC: NBRC: CPFT 2A-2
l8 l8 l8 l8
6. Which of the following cause emphysema?
l8 l8 l8 l8 l8
1. 1- Antitrypsin deficiencyl8 l8
2. Exposure to environmental pollutants l8 l8 l8
3. Radiation therapy l8
4. Cigarette smoking l8
a. 1 and 2 l 8 l 8
b. 3 and 4 l 8 l 8
c. 1 , 2, and 4 l8 l8 l8 l 8
d. 2 , 3, and 4 l8 l8 l8 l 8
ANS: C l8
Emphysema is caused primarily by cigarette smoking. Some emphysema is
l 8 l 8 l 8 l 8 l 8 l 8 l 8 l 8 l 8 l
caused by the absence of a protective enzyme. Chronic exposure to environment
8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
al pollutants can also contribute to the development of emphysema.
l8 l8 l8 l8 l8 l8 l8 l8 l8
DIF: 1 REF: p. 11 l 8 l8 l 8 OBJ: EL-3 | AL-2 MSC: NBRC: None
l 8 l8 l8 l8 l8 l8
7. An adult patient complains of chest tightness and cough whenever he jogs i
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
n cold weather. These symptoms are consistent with which of the following
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
?
a. Cystic fibrosis l8
b. Asthma
c. Pulmonary hypertension l8
d. Idiopathic pulmonary fibrosis l8 l8
|
