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Test Bank for Ruppel’s Manual of Pulmonary Function Testing, 12th Edition by Carl Mottram | Complete Verified Questions and Answers | Recent Updated Version | Graded A+*

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This test bank follows the 12th edition of Ruppel’s Manual of Pulmonary Function Testing by Carl Mottram. It includes verified questions and correct answers covering spirometry, lung volumes, diffusion capacity, quality control, equipment handling, and clinical interpretation. It’s designed to help students and clinicians build confidence with real-style exam items and reinforce core concepts used in pulmonary diagnostics.

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Institution
Pulmonary Function
Course
Pulmonary function











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Institution
Pulmonary function
Course
Pulmonary function

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Uploaded on
July 17, 2025
Number of pages
310
Written in
2024/2025
Type
Exam (elaborations)
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Questions & answers

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,Chapter 1: Indications for Pulmonary Function Testing Test
Bank



MULTIPLE CHOICE

1. Who first popularized spirometry for the evaluation of pulmonary function?
a. August and Marie Krogh
b. Alvan Barach
c. John Severinghaus
d. John Hutchinson

ANS: D
Hutchinson popularized the concept of using VC to assess lung function, and the
names he gave to several other lung compartments are still used today.

DIF: 1 REF: p. 2 OBJ: None MSC: NBRC: None

2. Which of the following are indications for performing spirometry?
1. Assess the risk of lung resection.
2. Determine the response to bronchodilator therapy.
3. Assess the severity of restrictive lung disease.
4. Quantify the extent of COPD.
a. 1 and 4
b. 2 and 3
c. 1 , 2, and 4
d. 2 , 3, and 4

ANS: C
Spirometry cannot assess severity of restriction; for that you need to measure
lung volumes ( see Box 1-2, Chapter 1).

DIF: 1 REF: p. 7 OBJ: EL-2 MSC: NBRC: None

,3. The main indication for the measurement of lung volumes is to do which of the
following?
a. Diagnose or assess the severity of restriction.
b. Evaluate the severity of pulmonary hypertension.
c. Determine the level of cardiopulmonary fitness.
d. Assess the risk of abdominal surgical procedures.

ANS: A
The most common reason for measuring lung volumes is to identify restrictive

lung disease. DIF: 1 REF: p. 35 OBJ: EL-2 MSC: NBRC: None

4. DLCO measurements may be indicated to evaluate pulmonary involvement in
which of the following systemic diseases?
a. Asthma
b. Sarcoidosis
c. Exertional hypoxemia

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d. Guillain-Barré syndrome

ANS: B
Sarcoidosis is the only systemic disease listed that affects gas

exchange. DIF: 1 REF: p. 9 | p. 19 | p. 21 | p. 35 OBJ: EL-2

MSC: NBRC: None

5. Blood gas analysis is used with patients with COPD to do
which of the following?
a. Monitor airway responsiveness.
b. Determine level of cardiopulmonary fitness.
c. Detect pulmonary hypertension.
d. Assess need for supplementary O2.

ANS: D
Blood gas analysis is most commonly used to determine the need for
supplemental oxygen and to manage patients who require ventilatory support.

DIF: 2 REF: p. 15 OBJ: EL-
1 MSC: NBRC: CPFT 2A-2

6. Which of the following cause emphysema?
1. 1- Antitrypsin deficiency
2. Exposure to environmental pollutants
3. Radiation therapy
4. Cigarette smoking
a. 1 and 2
b. 3 and 4
c. 1 , 2, and 4
d. 2 , 3, and 4

ANS: C
Emphysema is caused primarily by cigarette smoking. Some emphysema is
caused by the absence of a protective enzyme. Chronic exposure to environmental
pollutants can also contribute to the development of emphysema.

DIF: 1 REF: p. 11 OBJ: EL-3 | AL-2 MSC: NBRC: None

7. An adult patient complains of chest tightness and cough whenever he jogs in
cold weather. These symptoms are consistent with which of the following?
a. Cystic fibrosis
b. Asthma
c. Pulmonary hypertension
d. Idiopathic pulmonary fibrosis



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