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12th Edition, By Mottram
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Chapter 1 - 13 Updated
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,Chapter 1: Indications for Pulmonary Function Testing Test Bank
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MULTIPLE CHOICE
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1. Who first popularized spirometry for the evaluation of pulmonary function?
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a. August and Marie Krogh m m m
b. Alvan Barach m
c. John Severinghaus m
d. John Hutchinson m
ANS: D m
Hutchinson popularized the concept of using VC to assess lung function, and the names he gave
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to several other lung compartments are still used today.
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DIF: 1 REF: p. 2 m OBJ: None MSC: NBRC: None m m m
2. Which of the following are indications for performing spirometry?
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1. Assess the risk of lung resection. m m m m m
2. Determine the response to bronchodilator therapy. m m m m m
3. Assess the severity of restrictive lung disease.
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4. Quantify the extent of COPD. m m m m
a. 1 and 4 m m
b. 2 and 3 m m
c. 1 , 2, and 4 m m m m
d. 2 , 3, and 4 m m m m
ANS: C m
Spirometry cannot assess severity of restriction; for that you need to measure lung volumes (
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msee Box 1-2, Chapter 1).
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DIF: 1 REF: p. 7 m OBJ: EL-2 MSC: NBRC: None m m
,3. The main indication for the measurement of lung volumes is to do which of the following?
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a. Diagnose or assess the severity of restriction.
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b. Evaluate the severity of pulmonary hypertension.
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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 m
The most common reason for measuring lung volumes is to identify restrictive lung disease.
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mDIF: 1 REF: p. 35 OBJ:
m EL-2 MSC: NBRC: None
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4. DLCO measurements may be indicated to evaluate pulmonary involvement in which of the
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following systemic diseases?
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a. Asthma
b. Sarcoidosis
c. Exertional hypoxemia m
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d. Guillain-Barré syndrome m
ANS: B m
Sarcoidosis is the only systemic disease listed that affects gas exchange.
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DIF: 1 REF: p. 9 | p. 19 | p. 21 | p. 35 OBJ: EL-2 MSC: NBRC: None
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5. Blood gas analysis is used with patients with COPD to do which of the
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following? m
a. Monitor airway responsiveness. m m
b. Determine level of cardiopulmonary fitness. m m m m
c. Detect pulmonary hypertension. m m
d. Assess need for supplementary O2.
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ANS: D m
Blood gas analysis is most commonly used to determine the need for supplemental oxygen
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mand to manage patients who require ventilatory support.
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DIF: 2 REF: p. 15 OBJ: m EL-1
MSC: NBRC: CPFT 2A-2
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6. Which of the following cause emphysema?
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1. 1- Antitrypsin deficiency
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2. Exposure to environmental pollutants m m m
3. Radiation therapy m
4. Cigarette smoking m
a. 1 and 2 m m
b. 3 and 4 m m
c. 1 , 2, and 4 m m m m
d. 2 , 3, and 4 m m m m
ANS: C m
Emphysema is caused primarily by cigarette smoking. Some emphysema is caused by the
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mabsence of a protective enzyme. Chronic exposure to environmental pollutants can also
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mcontribute to the development of emphysema.
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DIF: 1 REF: p. 11 OBJ:
m EL-3 | AL-2
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7. An adult patient complains of chest tightness and cough whenever he jogs in cold weather.
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These symptoms are consistent with which of the following?
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a. Cystic fibrosis m
b. Asthma
c. Pulmonary hypertension m
d. Idiopathic pulmonary fibrosis m m
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