Test Bank for Ruppel’s Manual of Pulmonary Function Testing 12th Edition, By Mottram Chapter 1 - 13 Updated

Test Bank for Ruppel’s Manual of Pulmonary Function Testing
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12th Edition, By Mottram
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Chapter 1 - 13 Updated
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,Chapter 1: Indications for Pulmonary Function Testing Test Bank
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MULTIPLE CHOICE
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1. Who first popularized spirometry for the evaluation of pulmonary function?
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a. August and Marie Krogh nn nn nn



b. Alvan Barach nn



c. John Severinghaus nn



d. John Hutchinson nn




ANS: D nn



Hutchinson popularized the concept of using VC to assess lung function, and the names
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he gave to several other lung compartments are still used today.
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DIF: 1 REF: p. 2 nn OBJ: None n n MSC: NBRC: None nn nn




2. Which of the following are indications for performing spirometry?
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1. Assess the risk of lung resection.nn nn nn nn nn



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



3. Assess the severity of restrictive lung disease.
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4. Quantify the extent of COPD. nn nn nn nn



a. 1 and 4 n n n n



b. 2 and 3 n n n n



c. 1 , 2, and 4 nn nn nn n n



d. 2 , 3, and 4 nn nn nn n n




ANS: C nn



Spirometry cannot assess severity of restriction; for that you need to measure lung
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volumes ( see Box 1-2, Chapter 1).
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DIF: 1 REF: p. 7 nn OBJ: EL-2 MSC: NBRC: None nn nn

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



The most common reason for measuring lung volumes is to identify restrictive lung
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disease. DIF:
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4. DLCO measurements may be indicated to evaluate pulmonary involvement in which
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of the following systemic diseases?
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a. Asthma
b. Sarcoidosis
c. Exertional hypoxemia nn

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Material

d. Guillain-Barré syndrome nn




ANS: B nn



Sarcoidosis is the only systemic disease listed that affects gas
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nnexchange. DIF: 1 REF: p. 9 | p. 19 | p. 21 | p. 35 OBJ: EL-2 MSC:
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nn NBRC: None nn




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



a. Monitor airway responsiveness. nn nn



b. Determine level of cardiopulmonary fitness. nn nn nn nn



c. Detect pulmonary hypertension.
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d. Assess need for supplementary O2.
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ANS: D nn



Blood gas analysis is most commonly used to determine the need for supplemental
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oxygen and to manage patients who require ventilatory support.
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DIF: 2 REF: p. 15 OBJ: nn EL-1
MSC: NBRC: CPFT 2A-2
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6. Which of the following cause emphysema?
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1. 1- Antitrypsin deficiency
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2. Exposure to environmental pollutants nn nn nn



3. Radiation therapy nn



4. Cigarette smoking nn



a. 1 and 2 n n n n



b. 3 and 4 n n n n



c. 1 , 2, and 4 nn nn nn n n



d. 2 , 3, and 4 nn nn nn n n




ANS: C nn



Emphysema is caused primarily by cigarette smoking. Some emphysema is caused by
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the absence of a protective enzyme. Chronic exposure to environmental pollutants
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can also contribute to the development of emphysema.
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DIF: 1 REF: p. 11 OBJ:
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7. An adult patient complains of chest tightness and cough whenever he jogs in cold
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weather. These symptoms are consistent with which of the following?
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a. Cystic fibrosis nn



b. Asthma
c. Pulmonary hypertension nn



d. Idiopathic pulmonary fibrosis nn nn




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