Test Bank For Ruppel-s Manual of Pulmonary Function Testing 12th Edition by Carl Mottram.pdf

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TESTgBANKgFORgRUPPELSgMANUALgOFgPULMONARYgFUNCTIONgTESTINGg11THgEDITIONgBYgMOTTRAM



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Chapter 1: Indications for Pulmonary Function Testing T
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est Bank
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MULTIPLEgCHOICE

1. Whogfirstgpopularizedgspirometrygforgthegevaluationgofgpulmonarygfunction?
a. AugustgandgMariegKrogh
b. AlvangBarach
c. JohngSeveringhaus
d. JohngHutchinson
ANS:g g D
HutchinsongpopularizedgthegconceptgofgusinggVCgtogassessglunggfunction,gandgthegnamesgheggaveg
togseveralgotherglunggcompartmentsgaregstillgusedgtoday.

DIF: 1 REF: p.g2 OBJ: None MSC:g NBRC:gNone

2. Whichgofgthegfollowinggaregindicationsgforgperforminggspirometry?
1. Assessgthegriskgofglunggresection.
2. Determinegthegresponsegtogbronchodilatorgtherapy.
3. Assessgthegseveritygofgrestrictiveglunggdisease.
4. QuantifygthegextentgofgCOPD.
a. 1gandg4
b. 2gandg3
c. 1,g2,gandg4
d. 2,g3,gandg4
ANS:g g C
Spirometrygcannotgassessgseveritygofgrestriction;gforgthatgyougneedgtogmeasureglunggvolumesg(s
eegBoxg1-2,gChapterg1).

DIF: 1 REF: p.g7 OBJ: EL-2 MSC:g NBRC:gNone

3. Thegmaingindicationgforgthegmeasurementgofglunggvolumesgisgtogdogwhichgofgthegfollowing?
a. Diagnosegorgassessgthegseveritygofgrestriction.
b. Evaluategthegseveritygofgpulmonaryghypertension.
c. Determinegtheglevelgofgcardiopulmonarygfitness.
d. Assessgthegriskgofgabdominalgsurgicalgprocedures.
ANS:g g A
Thegmostgcommongreasongforgmeasuringglunggvolumesgisgtogidentifygrestrictiveglunggdisease.g

DIF: 1 REF: p.g35 OBJ: EL-2 MSC:g NBRC:gNone

4. DLCOgmeasurementsgmaygbegindicatedgtogevaluategpulmonaryginvolvementgingwhichgofgthegf
ollowinggsystemicgdiseases?
a. Asthma
b. Sarcoidosis
c. Exertionalghypoxemia




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d. Guillain-Barrégsyndrome
ANS:g g B
Sarcoidosisgisgthegonlygsystemicgdiseaseglistedgthatgaffectsggasgexchange.

DIF: 1 REF: p.g9g|gp.g19g|gp.g21g|gp.g35 OBJ: EL-
2gMSC:g NBRC:gNone

5. BloodggasganalysisgisgusedgwithgpatientsgwithgCOPDgtogdogwhichgofgthegfollowing?
a. Monitorgairwaygresponsiveness.
b. Determineglevelgofgcardiopulmonarygfitness.
c. Detectgpulmonaryghypertension.
d. AssessgneedgforgsupplementarygO2.
ANS:g g D
Bloodggasganalysisgisgmostgcommonlygusedgtogdeterminegthegneedgforgsupplementalgoxygengan
dgtogmanagegpatientsgwhogrequiregventilatorygsupport.

DIF: 2 REF: p.g15 OBJ: EL-
1gMSC:g NBRC:gCPFTg2A-2

6. Whichgofgthegfollowinggcausegemphysema?
1. 1-Antitrypsingdeficiency
2. Exposuregtogenvironmentalgpollutants
3. Radiationgtherapy
4. Cigarettegsmoking
a. 1gandg2
b. 3gandg4
c. 1,g2,gandg4
d. 2,g3,gandg4
ANS:g g C
Emphysemagisgcausedgprimarilygbygcigarettegsmoking.gSomegemphysemagisgcausedgbygthegabsen
cegofgagprotectivegenzyme.gChronicgexposuregtogenvironmentalgpollutantsgcangalsogcontributegtogt
hegdevelopmentgofgemphysema.

DIF: 1 REF: p.g11 OBJ: EL-3g|gAL-2 MSC:g NBRC:gNone

7. Angadultgpatientgcomplainsgofgchestgtightnessgandgcoughgwheneverghegjogsgingcoldgweather.g
Thesegsymptomsgaregconsistentgwithgwhichgofgthegfollowing?
a. Cysticgfibrosis
b. Asthma
c. Pulmonaryghypertension
d. Idiopathicgpulmonarygfibrosis
ANS:g g B
Agentsgorgeventsgthatgcausegangasthmaticgepisodegaregcalledgtriggersg(seegBoxg1-
7,gChapterg1).gAntigensgsuchgasganimalgdander,gpollens,gandgdustsgaregthegmostgcommongtrigge
rs.gOthergcommongtriggersgincludegexposuregtogairgpollutantsgandgexercisegingcoldgorgdrygair.

DIF: 2 REF: p.g16 OBJ: EL-3 MSC:g NBRC:gNone




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8. Whichgofgthegfollowinggstatementsgconcerninggtumorsgingtheguppergairwaygisgtrue?
a. Theregmaygbegvariablegorgfixedgobstruction.
b. Fixedgobstructiongwillgbegpresent.
c. Variablegobstructiongwillgbegpresent.
d. Smallgairwaygobstructiongwillgresult.
ANS:g g A
Tumorsginvolvinggtheguppergairwaygmaygcausegvariablegorgfixedgobstruction.

DIF: 2 REF: p.g19 OBJ: EL-
2gMSC:g NBRC:gCPFTg3C-3

9. Sarcoidosisgisgagsystemicgdisordergthatgusuallygcausesgwhichgofgthegfollowing?
a. Agrestrictivegventilatorygdefect
b. Angobstructivegventilatorygdefect
c. Hyperreactivegairways
d. Primarygpulmonaryghypertension
ANS:g g A
Restrictiongisgoftengassociatedgwithgthegfollowing:ginterstitialglunggdiseases,gincludinggidiopat
hicgfibrosis,gpneumoconioses,gandgsarcoidosis.

DIF: 1 REF: p.g19g|gp.g21 OBJ: EL-3 MSC:g NBRC:gNone

10. Forgwhichgofgthegfollowinggconditionsgmightgpulmonarygfunctiongtestinggbegcontraindicated?
a. Vocalgcordgdysfunction
b. Untreatedgpneumothorax
c. Congestivegheartgfailureg(CHF)
d. Bronchiolitisgobliterans
ANS:g g B
Pulmonarygfunctiongtestsgaregusuallygcontraindicatedgingthegpresencegofgpneumothorax.gHoweve
r,gundiagnosedgpneumothoraxgmaygpresentgagriskgifgpulmonarygfunctiongstudiesgaregperformed.

DIF: 1 REF: p.g23 OBJ: EL-
4gMSC:g NBRC:gCPFTg2B-6

11. Whichgofgthegfollowinggcorrectlygdescribe(s)gappropriategphysicalgmeasurementsgbeforeg
pulmonarygfunctiongtesting?
1. Actualgbodygweightgshouldgbegusedgtogcalculategpredictedgvalues.
2. Standinggheightgshouldgbegmeasuredgwhengthegpatientgisgbarefoot.
3. Armgspangshouldgbegusedginsteadgofgheightgforgagpatientgwithgkyphosis.
4. Agegshouldgbegrecordedgtogthegnearestgdecadeg(10gyears).
a. 1gonly
b. 2gandg3
c. 1,g2,gandg4
d. 1,g2,g3,gandg4g
ANS:g B




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