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Test Bank for Ruppel's Manual of Pulmonary Function Testing, 11th Edition by Carl D. Mottram – Complete Chapters 1–14

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This comprehensive Instructor's Test Bank accompanies the 11th edition of Ruppel's Manual of Pulmonary Function Testing by Carl D. Mottram. Published by Elsevier, it provides hundreds of exam-style questions with verified answer keys and detailed rationales, covering all chapters of the textbook. This resource is essential for respiratory therapy students, pulmonary function technologists, and healthcare professionals seeking to master pulmonary function testing techniques, quality assurance, and interpretation, as well as for those preparing for the National Board for Respiratory Care (NBRC) Certified Pulmonary Function Technologist (CPFT) and Registered Pulmonary Function Technologist (RPFT) credentialing exams. Organized to match the textbook's structure, the test bank covers key topics including: Chapter 1: Pulmonary Function Testing – An Overview (indications, contraindications, and basic physiology) Chapter 2: Spirometry (FVC, FEV₁, flow-volume loops, and quality control) Chapter 3: Diffusing Capacity of the Lungs (DLCO, single‑breath method, and Hb correction) Chapter 4: Lung Volumes (FRC, RV, TLC – helium dilution, nitrogen washout, and plethysmography) Chapter 5: Airway Resistance and Conductance Chapter 6: Bronchoprovocation Testing (methacholine, histamine, exercise, and mannitol) Chapter 7: Cardiopulmonary Exercise Testing Chapter 8: Pulmonary Function Testing in Special Populations (pediatrics, geriatrics, and obesity) Chapter 9: Quality Assurance and Respiratory Equipment Chapter 10: Interpretation of Pulmonary Function Tests (obstructive vs. restrictive patterns, ATS/ERS guidelines) Chapters 11–14: Additional advanced topics including blood gas analysis, respiratory mechanics, pre‑surgical evaluation, and case studies

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Institution
Ruppel\\\'s Manual Of Pulmonary Function Testing,
Course
Ruppel\\\'s Manual of Pulmonary Function Testing,

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Test Bank for Ruppel’s Manual of Pulmonary Function Testing

12th Edition, By Mottram

Chapter 1 - 13 Updated

,Chapter 1: Indications for Pulmonary Function Testing Test Bank



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

ANS: 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

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

DIF: 1 REF: p. 7 OBJ: EL-2 MSC: NBRC: None

,3. The main indication for the measurement of lung volumes is to do which of the following?
a. Diagnose or assess the severity of restriction.
b. Evaluate the severity of pulmonary hypertension.
c. Determine the level of cardiopulmonary fitness.
d. Assess the risk of abdominal surgical procedures.

ANS: A
The most common reason for measuring lung volumes is to identify restrictive lung

disease. DIF: 1 REF: p. 35 OBJ: EL-2 MSC: NBRC: None

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

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d. Guillain-Barré syndrome

ANS: 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.

ANS: 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

6. Which of the following cause emphysema?
1. 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

ANS: 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




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