Ruppel’s Pulmonary Function Testing, 12th Edition: Test Bank and Exam Prep for Spirometry, Diffusing Capacity, and PFT Interpretation

TEST BANK for Ruppel's Manual of Pulmonary
Function Testing 12th Edition by Carl Mottram
EXPERT ASSURED QUESTIONS AND
CORRECT ANSWERS| CHAPTER 1-13

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, Chapter 1: Indications for Pulmonary Function Testing

MULTIPLE CHOICE

1. Who first popularized spirometry for the evaluation of pulmonary function?

a. August and Marie Krogh

b. Alvan Barach

c. John Severinghaus

d. John Hutchinson

CORRECT ANSWER: D

Hutchinson popularized the concept of using VC to assess lung function, and the names he gave to several
other lung compartments are still used today.

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



2. Which of the following are indications for performing spirometry?

1. Assess the risk of lung resection.

2. Determine the response to bronchodilator therapy.

3. Assess the severity of restrictive lung 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

CORRECT ANSWER: C

Spirometry cannot assess severity of restriction; for that you need to measure lung volumes (see Box 1-2,
Chapter 1).

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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.

c. Determine the level of cardiopulmonary fitness.

d. Assess the risk of abdominal surgical procedures.

CORRECT ANSWER: A

The most common reason for measuring lung volumes is to identify restrictive lung disease. DIF: 1
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4. DLCO measurements may be indicated to evaluate pulmonary involvement in which of the following
systemic diseases?

a. Asthma

b. Sarcoidosis

c. Exertional hypoxemia

d. Guillain-Barré syndrome

CORRECT ANSWER: B

Sarcoidosis is the only systemic disease listed that affects gas exchange.

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



5. Blood gas analysis is used with patients with COPD to do which of the following?

a. Monitor airway responsiveness.

b. Determine level of cardiopulmonary fitness.

c. Detect pulmonary hypertension.

d. Assess need for supplementary O2.

CORRECT ANSWER: D

Blood gas analysis is most commonly used to determine the need for supplemental oxygen and to manage
patients who require ventilatory support.

DIF: 2 REF: p. 15 OBJ: EL-1 MSC: NBRC: CPFT 2A-2
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, 6. Which of the following cause emphysema?

1. -Antitrypsin deficiency

2. Exposure to environmental pollutants

3. Radiation therapy

4. Cigarette smoking

a. 1 and 2

b. 3 and 4

c. 1, 2, and 4

d. 2, 3, and 4

CORRECT ANSWER: C

Emphysema is caused primarily by cigarette smoking. Some emphysema is caused by the absence of a
protective enzyme. Chronic exposure to environmental pollutants can also contribute to the development of
emphysema.

DIF: 1 REF: p. 11 OBJ: EL-3 | AL-2 MSC: NBRC: None



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

a. Cystic fibrosis

b. Asthma

c. Pulmonary hypertension

d. Idiopathic pulmonary fibrosis

CORRECT ANSWER: B

Agents or events that cause an asthmatic episode are called triggers (see Box 1-7, Chapter 1). Antigens such as
animal dander, pollens, and dusts are the most common triggers. Other common triggers include exposure to
air pollutants and exercise in cold or dry air.

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8. Which of the following statements concerning tumors in the upper airway is true?
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a. There may be variable or fixed obstruction.
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