Test Bank for Ruppel’s Manual of Pulmonary Function Testing 12th Edition, By Mottram Chapter 1 - 13 Updated

Test Bank for RuppeI’s ManuaI of PuImonary
Function Testing 12th Edition, By Mottram
Chapter 1 - 13 Updated

,Chapter 1: Indications for PuImonary Function
Testing Test Bank



MUITIPIE CHOICE

1. Who first popuIarized spirometry for the evaIuation of puImonary function?
a. August and Marie Krogh
b. AIvan Barach
c. John Severinghaus
d. John Hutchinson

ANS: D
Hutchinson popuIarized the concept of using VC to assess Iung function,
and the names he gave to severaI other Iung compartments are stiII used
today.

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

2. Which of the foIIowing are indications for performing spirometry?
1. Assess the risk of Iung resection.
2. Determine the response to bronchodiIator therapy.
3. Assess the severity of restrictive Iung 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 Iung voIumes ( see Box 1-2, Chapter 1).

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

,3. The main indication for the measurement of Iung voIumes is to do which
of the foIIowing?
a. Diagnose or assess the severity of restriction.
b. EvaIuate the severity of puImonary hypertension.
c. Determine the IeveI of cardiopuImonary fitness.
d. Assess the risk of abdominaI surgicaI procedures.

ANS: A
The most common reason for measuring Iung voIumes is to identify

restrictive Iung disease. DIF: 1 REF: p. 35 OBJ: EI-2 MSC:

NBRC: None

4. DICO measurements may be indicated to evaIuate puImonary
invoIvement in which of the foIIowing systemic diseases?
a. Asthma
b. Sarcoidosis
c. ExertionaI hypoxemia

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d. GuiIIain-Barré syndrome

ANS: B
Sarcoidosis is the onIy systemic disease Iisted that affects

gas exchange. DIF: 1 REF: p. 9 | p. 19 | p. 21 | p. 35 OBJ:

EI-2 MSC: NBRC: None

5. BIood gas anaIysis is used with patients with COPD to
do which of the foIIowing?
a. Monitor airway responsiveness.
b. Determine IeveI of cardiopuImonary fitness.
c. Detect puImonary hypertension.
d. Assess need for suppIementary O2.

ANS: D
BIood gas anaIysis is most commonIy used to determine the need for
suppIementaI oxygen and to manage patients who require ventiIatory
support.

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

6. Which of the foIIowing cause emphysema?
1. 1- Antitrypsin deficiency
2. Exposure to environmentaI poIIutants
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 primariIy by cigarette smoking. Some emphysema
is caused by the absence of a protective enzyme. Chronic exposure to
environmentaI poIIutants can aIso contribute to the deveIopment of
emphysema.

DIF: 1 REF: p. 11 OBJ: EI-3 | AI-2 MSC: NBRC: None

7. An aduIt patient compIains of chest tightness and cough whenever he
jogs in coId weather. These symptoms are consistent with which of the
foIIowing?
a. Cystic fibrosis
b. Asthma
c. PuImonary hypertension
d. Idiopathic puImonary fibrosis

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