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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,Chapter1:IndicationsforPulmonaryFunction TestingTest Bank
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1. Who first popularized spirometry for the evaluation of pulmonary function?
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a. August and Marie Krogh IItI IItI IItI




b. Alvan Barach IItI




c. John Severinghaus IItI




d. John Hutchinson IItI




ANS: D IItI




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




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




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




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




4. Quantify the extent of COPD. IItI IItI IItI IItI




a. 1 and 4 I I t I I I t I




b. 2 and 3 I I t I I I t I




c. 1 , 2, and 4 IItI IItI IItI I I t I




d. 2 , 3, and 4 IItI IItI IItI I I t I




ANS: C IItI




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

,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. IItI IItI IItI IItI IItI IItI




b. Evaluate the severity of pulmonary hypertension.
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c. Determine the level of cardiopulmonary fitness. IItI IItI IItI IItI IItI




d. Assess the risk of abdominal surgical procedures.
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ANS: A IItI




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 of
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the following systemic diseases?
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a. Asthma
b. Sarcoidosis
c. Exertional hypoxemia IItI

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Material
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d. Guillain-Barré syndrome IItI




ANS: B IItI




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




IItI DIF: 1 REF: p. 9 | p. 19 | p. 21 | p. 35 OBJ: EL-2 MSC: NBRC: None
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5. Blood gas analysis is used with patients with COPD to do which of IItI IItI IItI IItI IItI IItI IItI IItI IItI IItI IItI IItI



the following? IItI IItI




a. Monitor airway responsiveness. IItI IItI




b. Determine level of cardiopulmonary fitness. IItI IItI IItI IItI




c. Detect pulmonary hypertension. IItI IItI




d. Assess need for supplementary O2. IItI IItI IItI IItI




ANS: D IItI




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: IItI EL-1
MSC: NBRC: CPFT 2A-2
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6. Which of the following cause emphysema? IItI IItI IItI IItI IItI




1. 1- Antitrypsin deficiency IItI IItI




2. Exposure to environmental pollutants IItI IItI IItI




3. Radiation therapy IItI




4. Cigarette smoking IItI




a. 1 and 2 I I t I I I t I




b. 3 and 4 I I t I I I t I




c. 1 , 2, and 4 IItI IItI IItI I I t I




d. 2 , 3, and 4 IItI IItI IItI I I t I




ANS: C IItI




Emphysema is caused primarily by cigarette smoking. Some emphysema is caused by the IItI IItI IItI IItI IItI IItI IItI IItI IItI IItI IItI IItI



absence of a protective enzyme. Chronic exposure to environmental pollutants can also
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contribute to the development of emphysema.
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DIF: 1 REF: p. 11 OBJ: IItI EL-3 |AL-2 IItI It MSC: NBRC: None IItI IItI




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 IItI




b. Asthma
c. Pulmonary hypertension IItI




d. Idiopathic pulmonary fibrosis IItI IItI




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