Ruppel’s Manual of Pulmonary Function
Testing 12th Edition, By Mottram
Chapter 1 - 13 Updated
are encouraged to study theories and frameworks but also to keep up-to-date with current business trends. Case studies from leading businesses can be helpful, as they illustrate how business concepts
,Writing Skills: Business Chapter 1: Indications for Pulmonary Function Testing Test Bank
Writing Skills: Business exams may require students to present ideas clearly and concisely. Students must convey complex concepts in a way that demonstrates their understanding of business principl
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
are encouraged to study theories and frameworks but also to keep up-to-date with current business trends. Case studies from leading businesses can be helpful, as they illustrate how business
concepts
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
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
are encouraged to study theories and frameworks but also to keep up-to-date with current business trends. Case studies from leading businesses
can be helpful, as they illustrate how business concepts
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
Writing Skills: Business exams may require students to present ideas clearly and concisely. Students must convey complex concepts in a way that demonstrates their
understanding of business principl
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
are encouraged to study theories and frameworks but also to keep up-to-date with current business trends. Case studies from leading businesses can be helpful, as they illustrate how business
concepts
Writing Skills: Business exams may require students to present ideas clearly and concisely. Students must convey complex concepts in a way that demonstrates their understanding of business principl
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
ANS: B
Agents or events that cause an asthmatic episode are called triggers (see Box 1-
7, Chapter 1). Antigens such as animal dander, pollens, and dusts are the most
common triggers. Other common triggers include exposure to air pollutants and
exercise in cold or dry air.
DIF: 2 REF: p. 16 OBJ: EL-3 MSC: NBRC: None
8. Which of the following statements concerning tumors in the upper airway is true?
a. There may be variable or fixed obstruction.
b. Fixed obstruction will be present.
c. Variable obstruction will be present.
d. Small airway obstruction will result.
ANS: A
Tumors involving the upper airway may cause variable or fixed obstruction.
DIF: 2 REF: p. 19 OBJ:
EL-2 MSC: NBRC: CPFT 3C-3
9. Sarcoidosis is a systemic disorder that usually causes which of the
following?
a. A restrictive ventilatory defect
b. An obstructive ventilatory defect
c. Hyperreactive airways
d. Primary pulmonary hypertension
ANS: A
Restriction is often associated with the following: interstitial lung diseases, including
idiopathic fibrosis, pneumoconioses, and sarcoidosis.
DIF: 1 REF: p. 19 | p. 21 OBJ: EL-3 MSC: NBRC: None
10. For which of the following conditions might pulmonary function testing be
contraindicated?