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m 12th Edition, By Mottram
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Chapter 1 - 13 Updated
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,Chapterm1:mIndicationsmformPulmonarymFunctionmTestingmTestmBa
nk
MULTIPLEmCHOICE
1. Whomfirstmpopularizedmspirometrymformthemevaluationmofmpulmonarymfunction?
a. AugustmandmMariemKrogh
b. AlvanmBarach
c. JohnmSeveringhaus
d. JohnmHutchinson
ANS:mD
HutchinsonmpopularizedmthemconceptmofmusingmVCmtomassessmlungmfunction,mandmthemna
mesmhemgavemtomseveralmothermlungmcompartmentsmaremstillmusedmtoday.
DIF: 1 REF: p.m2 OBJ: Nonem MSC:mNBRC:mNone
2. Whichmofmthemfollowingmaremindicationsmformperformingmspirometry?
1. Assessmthemriskmofmlungmresection.
2. Determinemthemresponsemtombronchodilatormtherapy.
3. Assessmthemseveritymofmrestrictivemlungmdisease.
4. QuantifymthemextentmofmCOPD.
a. 1m andm 4
b. 2m andm 3
c. 1m,m2,mandm 4
d. 2m,m3,mandm 4
ANS:mC
Spirometrymcannotmassessmseveritymofmrestriction;mformthatmyoumneedmtommeasuremlungm
volumesm(mseemBoxm1-2,mChapterm 1).
DIF: 1 REF: p.m7 OBJ: EL-2 MSC:mNBRC:mNone
,3. Themmainmindicationmformthemmeasurementmofmlungmvolumesmismtomdomwhichmofmthemfo
llowing?
a. Diagnosemormassessmthemseveritymofmrestriction.
b. Evaluatemthemseveritymofmpulmonarymhypertension.
c. Determinemthemlevelmofmcardiopulmonarymfitness.
d. Assessmthemriskmofmabdominalmsurgicalmprocedures.
ANS:mA
Themmostmcommonmreasonmformmeasuringmlungmvolumesmismtomidentifymrestrictivemlun
gmdisease.mDIF: 1 REF: p.m35 OBJ: EL-2 MSC:mNBRC:mNone
4. DLCOmmeasurementsmmaymbemindicatedmtomevaluatempulmonaryminvolvementminmwhi
chmofmthemfollowingmsystemicmdiseases?
a. Asthma
b. Sarcoidosis
c. Exertionalmhypoxemia
, Stuvia.comm-
mThemMarketplacemtomBuymandmSellmyourmStudymMaterial
d. Guillain-Barrémsyndrome
ANS:mB
Sarcoidosismismthemonlymsystemicmdiseasemlistedmthatmaffectsmgasmexc
hange.mDIF:m1mREF:mp.m9m|mp.m19m|mp.m21m|mp.m35mOBJ:mEL-
2mMSC:mNBRC:mNone
5. BloodmgasmanalysismismusedmwithmpatientsmwithmCOPDmtomdomwhic
hmofmthemfollowing?
a. Monitormairwaymresponsiveness.
b. Determinemlevelmofmcardiopulmonarymfitness.
c. Detectmpulmonarymhypertension.
d. AssessmneedmformsupplementarymO2.
ANS:mD
Bloodmgasmanalysismismmostmcommonlymusedmtomdeterminemthemneedmformsupplement
almoxygenmandmtommanagempatientsmwhomrequiremventilatorymsupport.
DIF: 2 REF: p.m15 OBJ: EL-
1mMSC:mNBRC:mCPFTm2A-2
6. Whichmofmthemfollowingmcausememphysema?
1. 1-mAntitrypsinmdeficiency
2. Exposuremtomenvironmentalmpollutants
3. Radiationmtherapy
4. Cigarettemsmoking
a. 1m andm 2
b. 3m andm 4
c. 1m,m2,mandm 4
d. 2m,m3,mandm 4
ANS:mC
Emphysemamismcausedmprimarilymbymcigarettemsmoking.mSomememphysemamismcausedmby
mthemabsencemofmamprotectivemenzyme.mChronicmexposuremtomenvironmentalmpollutants
mcanmalsomcontributemtomthemdevelopmentmofmemphysema.
DIF: 1 REF: p.m11 OBJ: EL-3m|mAL-2 MSC:mNBRC:mNone
7. Anmadultmpatientmcomplainsmofmchestmtightnessmandmcoughmwhenevermhemjogsminmco
ldmweather.mThesemsymptomsmaremconsistentmwithmwhichmofmthemfollowing?
a. Cysticmfibrosis
b. Asthma
c. Pulmonarymhypertension
d. Idiopathicmpulmonarymfibrosis
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