12th Edition, By Mottram
Chapter 1 - 13 Updated
,Chapter1:IndicationsforPulmonaryFunctionTestingTest Bank
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MULTIPLECHOICE
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1. Whofirstpopularized spirometry forthe evaluation of pulmonary function?
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a. Augustand Marie Krogh df df df
b. Alvan Barach df
c. JohnSeveringhaus df
d. John Hutchinson df
ANS: D df
Hutchinson popularizedthe conceptof usingVCto assesslungfunction, andthe nameshe gave to s
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everal other lung compartments are still used today.
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DIF: 1 REF: p. 2 df OBJ: None MSC: NBRC: None d f df df
2. Whichof the following are indications for performing spirometry?
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1. Assess the risk of lung resection. df df df df df
2. Determinetheresponsetobronchodilatortherapy. f
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3. Assesstheseverity of restrictivelung disease. df df df df df df
4. Quantify theextent of COPD. df df df df
a. 1 and 4 d f d f
b. 2 and 3 d f d f
c. 1 , 2, and 4 df df df d f
d. 2 , 3, and 4 df df df d f
ANS: C df
Spirometrycannotassess severityofrestriction; forthat youneedto measurelung volumes ( see B
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ox 1-2, Chapter 1).
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DIF: 1 REF: p. 7 df OBJ: EL-2 MSC:NBRC: None df df
,3. The main indication for the measurement of lungvolumes isto do which of the following?
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a. Diagnoseorassess the severity ofrestriction.
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b. Evaluatetheseverity of pulmonary hypertension.
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c. Determinethelevel ofcardiopulmonary fitness. f
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d. Assessthe riskof abdominal surgical procedures.
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ANS:A df
Themostcommonreasonfor measuringlung volumesistoidentify restrictivelung disease. DIF:
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1 REF: p. 35 df OBJ: EL-2 MSC: NBRC: None
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4. DLCO measurements may be indicated to evaluate pulmonaryinvolvement in which of the foll
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owing systemic diseases?
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a. Asthma
b. Sarcoidosis
c. Exertional hypoxemia df
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d. Guillain-Barrésyndrome df
ANS: B df
Sarcoidosisistheonlysystemicdiseaselistedthataffectsgasexchange. DIF: 1 df df df df df df df df df df df df df
REF: p. 9 | p. 19 | p. 21 | p. 35 OBJ: EL-2 MSC: NBRC: None
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5. Bloodgas analysisisused with patientswith COPDtodowhich ofthe follow df df df df df df df df df df df df df df
ing?
a. Monitorairwayresponsiveness. df df
b. Determinelevelof cardiopulmonaryfitness. f
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c. Detectpulmonaryhypertension. df df
d. Assessneedfor supplementaryO2. df df df df
ANS: D df
Bloodgasanalysisismostcommonly used todetermine theneed forsupplementaloxygen and t
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d df df df df df
o manage patients who require ventilatory support.
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DIF: 2 REF: p. 15 df OBJ: EL-
1MSC: NBRC: CPFT 2A-2
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6. Whichof the following cause emphysema? df df df df df
1. 1-Antitrypsin deficiency df df
2. Exposure toenvironmental pollutants df df df
3. Radiation therapy df
4. Cigarettesmoking df
a. 1 and 2 d f d f
b. 3 and 4 d f d f
c. 1 , 2, and 4 df df df d f
d. 2 , 3, and 4 df df df d f
ANS: C df
Emphysemaiscaused primarilyby cigarettesmoking.Someemphysemais caused bythe absence f
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of a protective enzyme. Chronic exposure to environmental pollutants can also contribute to the
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development of emphysema. df df
DIF: 1 REF: p.11 df OBJ: EL-3|AL-2 df f
d MSC: NBRC: None df df
7. Anadultpatientcomplains of chesttightnessandcoughwheneverhejogsincoldweather. Thes
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e symptoms are consistent with which of the following?
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a. Cysticfibrosis df
b. Asthma
c. Pulmonaryhypertension df
d. Idiopathicpulmonaryfibrosis df df
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