12th Edition, By Mottram
Chapter 1 - 13 Updated
,Chapter 1: Indications for Pulmonary Function Testing Test Bank
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
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3. The omain oindication ofor othe omeasurement oof olung ovolumes ois oto odo owhich oof othe
ofollowing?
a. Diagnose oor oassess othe oseverity oof orestriction.
b. Evaluate othe oseverity oof opulmonary ohypertension.
c. Determine othe olevel oof ocardiopulmonary ofitness.
d. Assess othe orisk oof oabdominal osurgical oprocedures.
ANS: oA
The omost ocommon oreason ofor omeasuring olung ovolumes ois oto oidentify orestrictive olung
odisease. oDIF: 1 REF: p. o35 OBJ: EL-2 MSC: oNBRC: oNone
4. DLCO omeasurements omay obe oindicated oto oevaluate opulmonary oinvolvement oin owhich
oof othe ofollowing osystemic odiseases?
a. Asthma
b. Sarcoidosis
Exertional ohypoxemia
d. Guillain-Barré osyndrome
ANS: oB
Sarcoidosis ois othe oonly osystemic odisease olisted othat oaffects ogas
oexchange. oDIF: o1 oREF: op. o9 o| op. o19 o| op. o21 o| op. o35 oOBJ: oEL-2
oMSC: oNBRC: oNone
5. Blood ogas oanalysis ois oused owith opatients owith oCOPD oto odo owhich
oof othe ofollowing?
a. Monitor oairway oresponsiveness.
b. Determine olevel oof ocardiopulmonary ofitness.
c. Detect opulmonary ohypertension.
d. Assess oneed ofor osupplementary oO2.
ANS: oD
Blood ogas oanalysis ois omost ocommonly oused oto odetermine othe oneed ofor osupplemental
ooxygen oand oto omanage opatients owho orequire oventilatory osupport.
DIF: 2 REF: p. o15 OBJ: EL-1
oMSC: oNBRC: oCPFT o2A-2
6. Which oof othe ofollowing ocause oemphysema?
1. 1- oAntitrypsin odeficiency
2. Exposure oto oenvironmental opollutants
3. Radiation otherapy
4. Cigarette osmoking
a. 1 o and o 2
b. 3 o and o 4
c. 1 o, o2, oand o 4
d. 2 o, o3, oand o 4
ANS: oC
Emphysema ois ocaused oprimarily oby ocigarette osmoking. oSome oemphysema ois ocaused oby
othe oabsence oof oa oprotective oenzyme. oChronic oexposure oto oenvironmental opollutants ocan
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oalso ocontribute oto othe odevelopment oof oemphysema.
DIF: 1 REF: p. o11 OBJ: EL-3 o| oAL-2 MSC: oNBRC: oNone
7. An oadult opatient ocomplains oof ochest otightness oand ocough owhenever ohe ojogs oin ocold
oweather. oThese osymptoms oare oconsistent owith owhich oof othe ofollowing?
a. Cystic ofibrosis
b. Asthma
c. Pulmonary ohypertension
d. Idiopathic opulmonary ofibrosis
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