Ruppel’s Manual of Pulmonary Function
Testing 12th Edition, By Mottram
Chapter 1 - 13 Updated
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
, 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
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
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
d.
, 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
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