TEST BANK: Ruppel's Manual of Pulmonary Function Testing, 12th Edition

Test Bank for Ruppel’s Manual of Pulmonary Function Testing 1
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2th 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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MULTIPLEmCHOICE

1. Whomfirstmpopularizedmspirometrymformthemevaluationmofmpulmonarymfunction?
a. AugustmandmMariemKrogh
b. AlvanmBarach
c. JohnmSeveringhaus
d. JohnmHutchinson

ANS:mD
HutchinsonmpopularizedmthemconceptmofmusingmVCmtomassessmlungmfunction,mandmthemnamesmh
emgavemtomseveralmothermlungmcompartmentsmaremstillmusedmtoday.

DIF: 1 REF: p.m2 OBJ: Nonem MSC:mNBRC:mNone

2. Whichmofmthemfollowingmaremindicationsmformperformingmspirometry?
1. Assessmthemriskmofmlungmresection.
2. Determinemthemresponsemtombronchodilatormtherapy.
3. Assessmthemseveritymofmrestrictivemlungmdisease.
4. QuantifymthemextentmofmCOPD.
a. 1m andm 4
b. 2m andm 3
c. 1m,m2,mandm 4
d. 2m,m3,mandm 4

ANS:mC
Spirometrymcannotmassessmseveritymofmrestriction;mformthatmyoumneedmtommeasuremlungmvolum
esm(mseemBoxm1-2,mChapterm 1).

DIF: 1 REF: p.m7 OBJ: EL-2 MSC:mNBRC:mNone

,3. Themmainmindicationmformthemmeasurementmofmlungmvolumesmismtomdomwhichmofmthemfollowing
?
a. Diagnosemormassessmthemseveritymofmrestriction.
b. Evaluatemthemseveritymofmpulmonarymhypertension.
c. Determinemthemlevelmofmcardiopulmonarymfitness.
d. Assessmthemriskmofmabdominalmsurgicalmprocedures.

ANS:mA
Themmostmcommonmreasonmformmeasuringmlungmvolumesmismtomidentifymrestrictivemlungmdise

ase.mDIF: 1 REF: p.m35 OBJ: EL-2 MSC:mNBRC:mNone

4. DLCOmmeasurementsmmaymbemindicatedmtomevaluatempulmonaryminvolvementminmwhichmof
mthemfollowingmsystemicmdiseases?


a. Asthma
b. Sarcoidosis
c. Exertionalmhypoxemia

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d. Guillain-Barrémsyndrome

ANS:mB
Sarcoidosismismthemonlymsystemicmdiseasemlistedmthatmaffectsmgasmexchang

e.mDIF:m1mREF:mp.m9m|mp.m19m|mp.m21m|mp.m35mOBJ:mEL-2mMSC:mNBRC:mNone

5. BloodmgasmanalysismismusedmwithmpatientsmwithmCOPDmtomdomwhichmofmt
hemfollowing?
a. Monitormairwaymresponsiveness.
b. Determinemlevelmofmcardiopulmonarymfitness.
c. Detectmpulmonarymhypertension.
d. AssessmneedmformsupplementarymO2.

ANS:mD
Bloodmgasmanalysismismmostmcommonlymusedmtomdeterminemthemneedmformsupplementalmoxy
genmandmtommanagempatientsmwhomrequiremventilatorymsupport.

DIF: 2 REF: p.m15 OBJ: EL-
1mMSC:mNBRC:mCPFTm2A-2

6. Whichmofmthemfollowingmcausememphysema?
1. 1-mAntitrypsinmdeficiency
2. Exposuremtomenvironmentalmpollutants
3. Radiationmtherapy
4. Cigarettemsmoking
a. 1m andm 2
b. 3m andm 4
c. 1m,m2,mandm 4
d. 2m,m3,mandm 4

ANS:mC
Emphysemamismcausedmprimarilymbymcigarettemsmoking.mSomememphysemamismcausedmbymthem
absencemofmamprotectivemenzyme.mChronicmexposuremtomenvironmentalmpollutantsmcanmalsomc
ontributemtomthemdevelopmentmofmemphysema.

DIF: 1 REF: p.m11 OBJ: EL-3m|mAL-2 MSC:mNBRC:mNone

7. Anmadultmpatientmcomplainsmofmchestmtightnessmandmcoughmwhenevermhemjogsminmcoldmwea
ther.mThesemsymptomsmaremconsistentmwithmwhichmofmthemfollowing?
a. Cysticmfibrosis
b. Asthma
c. Pulmonarymhypertension
d. Idiopathicmpulmonarymfibrosis




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