Test Bank – Ruppel's Manual of Pulmonary Function Testing, 12th Edition by Carl Mottram (2026) | All Chapters | Latest Edition | Verified Answers

,Chapter 1: Indications for Pulmonary Function Testing Test
x x x x x x x


Bank
x




MULTIPLE CHOICE x




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



a. August and Marie Krogh x x x



b. Alvan Barach x



c. John Severinghaus x



d. John Hutchinson x




ANS: D x



Hutchinson popularized the concept of using VC to assess lung function, and the
x x x x x x x x x x x x


names he gave to several other lung compartments are still used today.
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DIF: 1 REF: p. 2 x x OBJ: None MSC: NBRC: None
x x x x x




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



1. Assess the risk of lung resection. x x x x x



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



3. Assess the severity of restrictive lung disease.
x x x x x x



4. Quantify the extent of COPD. x x x x



a. 1 and 4 x x



b. 2 and 3 x x



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



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




ANS: C x



Spirometry cannot assess severity of restriction; for that you need to measure
x x x x x x x x x x x


lung volumes ( see Box 1-2, Chapter 1).
x x x x x x x x




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

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


following?
x



a. Diagnose or assess the severity of restriction.
x x x x x x



b. Evaluate the severity of pulmonary hypertension.
x x x x x



c. Determine the level of cardiopulmonary fitness.
x x x x x



d. Assess the risk of abdominal surgical procedures.
x x x x x x




ANS: A x



The most common reason for measuring lung volumes is to identify
x x x x x x x x x x




x restrictive lung disease. DIF: 1
x x x REF: p. 35 OBJ: EL-2
x x x




x MSC: NBRC: None
x x




4. DLCO measurements may be indicated to evaluate pulmonary involvement in
x x x x x x x x x


which of the following systemic diseases?
x x x x x x



a. Asthma
b. Sarcoidosis
c. Exertional hypoxemia x

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d. Guillain-Barré syndrome x




ANS: B x



Sarcoidosis is the only systemic disease listed that affects gas
x x x x x x x x x




x exchange. DIF: 1 REF: p. 9 | p. 19 | p. 21 | p. 35 OBJ: EL-2
x x x x x x x x x x x x x x x x




x MSC: NBRC: None x x




5. Blood gas analysis is used with patients with COPD to do x x x x x x x x x x


which of the following? x x x x



a. Monitor airway responsiveness. x x



b. Determine level of cardiopulmonary fitness. x x x x



c. Detect pulmonary hypertension. x x



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




ANS: D x



Blood gas analysis is most commonly used to determine the need for
x x x x x x x x x x x


supplemental oxygen and to manage patients who require ventilatory support.
x x x x x x x x x x




DIF: 2 REF: p. 15 OBJ: x x x



xEL- 1 MSC: NBRC: CPFT 2A-2
x x x x x




6. Which of the following cause emphysema?
x x x x x



1. 1- Antitrypsin deficiency
x x



2. Exposure to environmental pollutants x x x



3. Radiation therapy x



4. Cigarette smoking x



a. 1 and 2 x x



b. 3 and 4 x x



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



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




ANS: C x



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


caused by the absence of a protective enzyme. Chronic exposure to environmental
x x x x x x x x x x x x


pollutants can also contribute to the development of emphysema.
x x x x x x x x x




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




7. An adult patient complains of chest tightness and cough whenever he jogs in
x x x x x x x x x x x x


cold weather. These symptoms are consistent with which of the following?
x x x x x x x x x x x



a. Cystic fibrosis x



b. Asthma
c. Pulmonary hypertension x



d. Idiopathic pulmonary fibrosis x x




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