TEST BANK For Ruppel’s Manual of Pulmonary Function Testing, 12th Edition, By Mottram, Chapters 1 - 13 Updated Newest Version .

Chapter j1: jIndications jfor jPulmonary jFunction
jTestingjTest jBank

,MULTIPLE jCHOICE

1. Who jfirst jpopularized jspirometry jfor jthe jevaluation jof jpulmonary jfunction?
a. August jand jMarie jKrogh
b. Alvan jBarach
c. John jSeveringhaus
d. John jHutchinson
ANS: j D
Hutchinson jpopularized jthe jconcept jof jusing jVC jto jassess jlung jfunction, jand jthe
jnames jhejgave jto jseveral jother jlung jcompartments jare jstill jused jtoday.


DIF: 1 REF: p. j2 OBJ: None MSC: j NBRC: jNone

2. Which jof jthe jfollowing jare jindications jfor jperforming jspirometry?
1. Assess jthe jrisk jof jlung jresection.
2. Determine jthe jresponse jto jbronchodilator jtherapy.
3. Assess jthe jseverity jof jrestrictive jlung jdisease.
4. Quantify jthe jextent jof jCOPD.
a. 1 jand j4
b. 2 jand j3
c. 1, j2, jand j4
d. 2, j3, jand j4
ANS: j C
Spirometry jcannot jassess jseverity jof jrestriction; jfor jthat jyou jneed jto jmeasure jlung
jvolumesj(see jBox j1-2, jChapter j1).


DIF: 1 REF: p. j7 OBJ: EL-2 MSC: j NBRC: jNone

3. The jmain jindication jfor jthe jmeasurement jof jlung jvolumes jis jto jdo jwhich jof jthe jfollowing?
a. Diagnose jor jassess jthe jseverity jof jrestriction.
b. Evaluate jthe jseverity jof jpulmonary jhypertension.
c. Determine jthe jlevel jof jcardiopulmonary jfitness.
d. Assess jthe jrisk jof jabdominal jsurgical jprocedures.
ANS: j A
The jmost jcommon jreason jfor jmeasuring jlung jvolumes jis jto jidentify jrestrictive jlung

jdisease.jDIF: 1 REF: p. j35 OBJ: EL-2 MSC: j NBRC:

jNone


4. DLCO jmeasurements jmay jbe jindicated jto jevaluate jpulmonary jinvolvement jin jwhich jof
jthejfollowing jsystemic jdiseases?
a. Asthma
b. Sarcoidosis
c. Exertional jhypoxemia

, d. Guillain-Barré jsyndrome
ANS: j B
Sarcoidosis jis jthe jonly jsystemic jdisease jlisted jthat jaffects jgas jexchange.

DIF: 1 REF: p. j9 j| jp. j19 j| jp. j21 j| jp. j35 OBJ: EL-
2jMSC: j NBRC: jNone

5. Blood jgas janalysis jis jused jwith jpatients jwith jCOPD jto jdo jwhich jof jthe jfollowing?
a. Monitor jairway jresponsiveness.
b. Determine jlevel jof jcardiopulmonary jfitness.
c. Detect jpulmonary jhypertension.
d. Assess jneed jfor jsupplementary jO2.
ANS: j D
Blood jgas janalysis jis jmost jcommonly jused jto jdetermine jthe jneed jfor jsupplemental
joxygenjand jto jmanage jpatients jwho jrequire jventilatory jsupport.


DIF: 2 REF: p. j15 OBJ: EL-
1jMSC: j NBRC: jCPFT j2A-2

6. Which jof jthe jfollowing jcause jemphysema?
1. 1-Antitrypsin jdeficiency
2. Exposure jto jenvironmental jpollutants
3. Radiation jtherapy
4. Cigarette jsmoking
a. 1 jand j2
b. 3 jand j4
c. 1, j2, jand j4
d. 2, j3, jand j4
ANS: j C
Emphysema jis jcaused jprimarily jby jcigarette jsmoking. jSome jemphysema jis jcaused jby
jthejabsence jof ja jprotective jenzyme. jChronic jexposure jto jenvironmental jpollutants jcan
jalso jcontribute jto jthe jdevelopment jof jemphysema.


DIF: 1 REF: p. j11 OBJ: EL-3 j| jAL-2 MSC: j NBRC: jNone

7. An jadult jpatient jcomplains jof jchest jtightness jand jcough jwhenever jhe jjogs jin jcold
jweather.jThese jsymptoms jare jconsistent jwith jwhich jof jthe jfollowing?
a. Cystic jfibrosis
b. Asthma
c. Pulmonary jhypertension
d. Idiopathic jpulmonary jfibrosis
ANS: j B
Agents jor jevents jthat jcause jan jasthmatic jepisode jare jcalled jtriggers j(see jBox j1-7,
jChapter j1). jAntigens jsuch jas janimal jdander, jpollens, jand jdusts jare jthe jmost jcommon
jtriggers. jOtherjcommon jtriggers jinclude jexposure jto jair jpollutants jand jexercise jin jcold
jor jdry jair.


DIF: 2 REF: p. j16 OBJ: EL-3 MSC: j NBRC: jNone

, 8. Which jof jthe jfollowing jstatements jconcerning jtumors jin jthe jupper jairway jis jtrue?
a. There jmay jbe jvariable jor jfixed jobstruction.
b. Fixed jobstruction jwill jbe jpresent.
c. Variable jobstruction jwill jbe jpresent.
d. Small jairway jobstruction jwill jresult.
ANS: j A
Tumors jinvolving jthe jupper jairway jmay jcause jvariable jor jfixed jobstruction.

DIF: 2 REF: p. j19 OBJ: EL-
2jMSC: j NBRC: jCPFT j3C-3

9. Sarcoidosis jis ja jsystemic jdisorder jthat jusually jcauses jwhich jof jthe jfollowing?
a. A jrestrictive jventilatory jdefect
b. An jobstructive jventilatory jdefect
c. Hyperreactive jairways
d. Primary jpulmonary jhypertension
ANS: j A
Restriction jis joften jassociated jwith jthe jfollowing: jinterstitial jlung jdiseases,
jincludingjidiopathic jfibrosis, jpneumoconioses, jand jsarcoidosis.


DIF: 1 REF: p. j19 j| jp. j21 OBJ: EL-3 MSC: j NBRC: jNone

10. For jwhich jof jthe jfollowing jconditions jmight jpulmonary jfunction jtesting jbe
jcontraindicated?
a. Vocal jcord jdysfunction
b. Untreated jpneumothorax
c. Congestive jheart jfailure j(CHF)
d. Bronchiolitis jobliterans
ANS: j B
Pulmonary jfunction jtests jare jusually jcontraindicated jin jthe jpresence jof jpneumothorax.
jHowever, jundiagnosed jpneumothorax jmay jpresent ja jrisk jif jpulmonary jfunction jstudies
jarejperformed.


DIF: 1 REF: p. j23 OBJ: EL-
4jMSC: j NBRC: jCPFT j2B-6

11. Which jof jthe jfollowing jcorrectly jdescribe(s) jappropriate jphysical jmeasurements
jbeforejpulmonary jfunction jtesting?
1. Actual jbody jweight jshould jbe jused jto jcalculate jpredicted jvalues.
2. Standing jheight jshould jbe jmeasured jwhen jthe jpatient jis jbarefoot.
3. Arm jspan jshould jbe jused jinstead jof jheight jfor ja jpatient jwith jkyphosis.
4. Age jshould jbe jrecorded jto jthe jnearest jdecade j(10 jyears).
a. 1 jonly
b. 2 jand j3
c. 1, j2, jand j4
d. j1, j2, j3, jand
j4jANS: j B