v v v v v v v v v
v Edition, By Mottram
v v
Chapter 1 - 13 Updated
v v v v v
,Chapter1:IndicationsforPulmonaryFunctionTestingTest Bank
v v v v v v v v
MULTIPLE CHOICEv
1. Who first popularized spirometry for the evaluation of pulmonary function?
v v v v v v v v v
a. August and Marie Krogh v v v
b. Alvan Barach v
c. John Severinghaus v
d. John Hutchinson v
ANS: D v
Hutchinson popularized the concept of using VC to assess lung function, and the names he gave to
v v v v v v v v v v v v v v v v
several other lung compartments are still used today.
v v v v v v v v
DIF: 1 REF: p. 2 v OBJ: None MSC: NBRC: None
v v v
2. Which of the following are indications for performing spirometry?
v v v v v v v v
1. Assess the risk of lung resection. v v v v v
2. Determine the response to bronchodilator therapy. v v v v v
3. Assess the severity of restrictive lung disease. v v v v v v
4. Quantify the extent of COPD. v v v v
a. 1 and 4 v v
b. 2 and 3 v v
c. 1 , 2, and 4 v v v v
d. 2 , 3, and 4 v v v v
ANS: C v
Spirometry cannot assess severity of restriction; for that you need to measure lung volumes ( see
v v v v v v v v v v v v v v v
Box 1-2, Chapter 1).
v v v v
DIF: 1 REF: p. 7 v OBJ: EL-2 MSC: NBRC: None v v
,3. The main indication for the measurement of lung volumes is to do which of the following?
v v v v v v v v v v v v v v v
a. Diagnose or assess the severity of restriction.
v v v v v v
b. Evaluate the severity of pulmonary hypertension.
v v v v v
c. Determine the level of cardiopulmonary fitness.
v v v v v
d. Assess the risk of abdominal surgical procedures.
v v v v v v
ANS: A v
The most common reason for measuring lung volumes is to identify restrictive lung disease.
v v v v v v v v v v v v v
v DIF: 1 REF: p. 35 v OBJ: EL-2 MSC: NBRC: None
v v
4. DLCO measurements may be indicated to evaluate pulmonary involvement in which of the
v v v v v v v v v v v v
following systemic diseases?
v v v
a. Asthma
b. Sarcoidosis
c. Exertional hypoxemia v
, Stuvia.com - The Marketplace to Buy and Sell your Study Material
v v v v v v v v v v
d. Guillain-Barré syndrome v
ANS: B v
Sarcoidosis is the only systemic disease listed that affects gas exchange. DIF:
v v v v v v v v v v v
v 1 REF: p. 9 | p. 19 | p. 21 | p. 35 OBJ: EL-2 MSC: NBRC: None
v v v v v v v v v v v v v v v v v
5. Blood gas analysis is used with patients with COPD to do which of the v v v v v v v v v v v v v
following? v
a. Monitor airway responsiveness. v v
b. Determine level of cardiopulmonary fitness. v v v v
c. Detect pulmonary hypertension. v v
d. Assess need for supplementary O2. v v v v
ANS: D v
Blood gas analysis is most commonly used to determine the need for supplemental oxygen and
v v v v v v v v v v v v v v
to manage patients who require ventilatory support.
v v v v v v v
DIF: 2 REF: p. 15 v OBJ: EL-1
MSC: NBRC: CPFT 2A-2
v v v v
6. Which of the following cause emphysema? v v v v v
1. 1- Antitrypsin deficiency v v
2. Exposure to environmental pollutants v v v
3. Radiation therapy v
4. Cigarette smoking v
a. 1 and 2 v v
b. 3 and 4 v v
c. 1 , 2, and 4 v v v v
d. 2 , 3, and 4 v v v v
ANS: C v
Emphysema is caused primarily by cigarette smoking. Some emphysema is caused by the v v v v v v v v v v v v
absence of a protective enzyme. Chronic exposure to environmental pollutants can also
v v v v v v v v v v v v
contribute to the development of emphysema.
v v v v v v
DIF: 1 REF: p. 11 v OBJ: EL-3 |AL-2 v v MSC: NBRC: None v v
7. An adult patient complains of chest tightness and cough whenever he jogs in cold weather.
v v v v v v v v v v v v v v
These symptoms are consistent with which of the following?
v v v v v v v v v
a. Cystic fibrosis v
b. Asthma
c. Pulmonary hypertension v
d. Idiopathic pulmonary fibrosis v v
|