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