,Chapter561:56Indications56for56Pulmonary56Function56Testing56Test5 6 Bank
MULTIPLE56 CHOICE
1. Who56first56popularized56spirometry56for56the56evaluation56of56pulmonary56function?
a. August56and56Marie56Krogh
b. Alvan56Barach
c. John56Severinghaus
d. John56Hutchinson
ANS:56D
Hutchinson56popularized56the56concept56of56using56VC56to56assess56lung56function,56and56the56names56h
e56gave56to56several56other56lung56compartments56are56still56used56today.
DIF: 1 REF: p.562 OBJ: None5 6 MSC:56NBRC:56None
2. Which56of56the56following56are56indications56for56performing56spirometry?
1. Assess56the56risk56of56lung56resection.
2. Determine56the56response56to56bronchodilator56therapy.
3. Assess56the56severity56of56restrictive56lung56disease.
4. Quantify56the56extent56of56COPD.
a. 15 6 and5 6 4
b. 25 6 and5 6 3
c. 156,562,56and56 4
d. 256,563,56and56 4
ANS:56C
Spirometry56cannot56assess56severity56of56restriction;56for56that56you56need56to56measure56lung56vol
umes56(56see56Box561-2,56Chapter5 6 1).
DIF: 1 REF: p.567 OBJ: EL-2 MSC:56NBRC:56None
,3. The56main56indication56for56the56measurement56of56lung56volumes56is56to56do56which56of56the56following
?
a. Diagnose56or56assess56the56severity56of56restriction.
b. Evaluate56 the56 severity56 of56 pulmonary5 6 hypertension.
c. Determine5 6 the5 6 level5 6 of5 6 cardiopulmonary5 6 fitness.
d. Assess56the56risk56of56abdominal56surgical56procedures.
ANS:5A
The56most56common56reason56for56measuring56lung56volumes56is56to56identify56restrictive56lung56disease.
56DIF:
1 REF: p.5635 OBJ: EL-2 MSC:56NBRC:56None
4. DLCO56measurements56may56be56indicated56to56evaluate56pulmonary56involvement5in56which56o
f56the56foll5 6 owing56systemic56diseases?
a. Asthma
b. Sarcoidosis
c. Exertional5 6 hypoxemia
, Stuvia.com56-
d. Guillain-Barré56syndrome
ANS:56B
Sarcoidosis56is56the56only56systemic56disease56listed56that56affects56gas56exchange.56DIF
:56156REF:56p.56956|56p.561956|56p.562156|56p.563556OBJ:56EL-256MSC:56NBRC:56None
5. Blood56gas5analysis56is56used56with56patients56with56COPD56to56do56which5
6of56the56foll56owing?
a. Monitor56 airway56 responsiveness.
b. Determine56level56of56cardiopulmonary56fitness.
c. Detect56 pulmonary56 hypertension.
d. Assess56need56for56supplementary56O2.
ANS:56D
Blood56gas56analysis56is56most56commonly56used56to56determine56the56need56for56supplemental
56oxygen56and5 6 to56manage56patients56who56require56ventilatory56support.
DIF: 2 REF: p.5615 OBJ: EL-
56156MSC:56NBRC:56CPFT562A-2
6. Which56of56the56 following56cause56 emphysema?
1. 1-56Antitrypsin56deficiency
2. Exposure56to56environmental56pollutants
3. Radiation5 6 therapy
4. Cigarette56 smoking
a. 15 6 and5 6 2
b. 35 6 and5 6 4
c. 156,562,56and56 4
d. 256,563,56and56 4
ANS:56C
Emphysema56is56caused56primarily56by56cigarette56smoking.56Some56emphysema56is5caused56by56t
he56absenc5 6 e56of56a56protective56enzyme.56Chronic56exposure56to56environmental56pollutants56
can56also56contribute56to56th56e56development56of56emphysema.
DIF: 1 REF: p.5611 OBJ: EL-356|56AL-2 MSC:56NBRC:56None
7. An56adult56patient56complains56of56chest5tightness56and56cough56whenever56he56jogs56in56cold56
weather.56Th56ese56symptoms56are56consistent56with56which56of56the56following?
a. Cystic56 fibrosis
b. Asthma
c. Pulmonary56hypertension
d. Idiopathic56pulmonary56fibrosis
|
MULTIPLE56 CHOICE
1. Who56first56popularized56spirometry56for56the56evaluation56of56pulmonary56function?
a. August56and56Marie56Krogh
b. Alvan56Barach
c. John56Severinghaus
d. John56Hutchinson
ANS:56D
Hutchinson56popularized56the56concept56of56using56VC56to56assess56lung56function,56and56the56names56h
e56gave56to56several56other56lung56compartments56are56still56used56today.
DIF: 1 REF: p.562 OBJ: None5 6 MSC:56NBRC:56None
2. Which56of56the56following56are56indications56for56performing56spirometry?
1. Assess56the56risk56of56lung56resection.
2. Determine56the56response56to56bronchodilator56therapy.
3. Assess56the56severity56of56restrictive56lung56disease.
4. Quantify56the56extent56of56COPD.
a. 15 6 and5 6 4
b. 25 6 and5 6 3
c. 156,562,56and56 4
d. 256,563,56and56 4
ANS:56C
Spirometry56cannot56assess56severity56of56restriction;56for56that56you56need56to56measure56lung56vol
umes56(56see56Box561-2,56Chapter5 6 1).
DIF: 1 REF: p.567 OBJ: EL-2 MSC:56NBRC:56None
,3. The56main56indication56for56the56measurement56of56lung56volumes56is56to56do56which56of56the56following
?
a. Diagnose56or56assess56the56severity56of56restriction.
b. Evaluate56 the56 severity56 of56 pulmonary5 6 hypertension.
c. Determine5 6 the5 6 level5 6 of5 6 cardiopulmonary5 6 fitness.
d. Assess56the56risk56of56abdominal56surgical56procedures.
ANS:5A
The56most56common56reason56for56measuring56lung56volumes56is56to56identify56restrictive56lung56disease.
56DIF:
1 REF: p.5635 OBJ: EL-2 MSC:56NBRC:56None
4. DLCO56measurements56may56be56indicated56to56evaluate56pulmonary56involvement5in56which56o
f56the56foll5 6 owing56systemic56diseases?
a. Asthma
b. Sarcoidosis
c. Exertional5 6 hypoxemia
, Stuvia.com56-
d. Guillain-Barré56syndrome
ANS:56B
Sarcoidosis56is56the56only56systemic56disease56listed56that56affects56gas56exchange.56DIF
:56156REF:56p.56956|56p.561956|56p.562156|56p.563556OBJ:56EL-256MSC:56NBRC:56None
5. Blood56gas5analysis56is56used56with56patients56with56COPD56to56do56which5
6of56the56foll56owing?
a. Monitor56 airway56 responsiveness.
b. Determine56level56of56cardiopulmonary56fitness.
c. Detect56 pulmonary56 hypertension.
d. Assess56need56for56supplementary56O2.
ANS:56D
Blood56gas56analysis56is56most56commonly56used56to56determine56the56need56for56supplemental
56oxygen56and5 6 to56manage56patients56who56require56ventilatory56support.
DIF: 2 REF: p.5615 OBJ: EL-
56156MSC:56NBRC:56CPFT562A-2
6. Which56of56the56 following56cause56 emphysema?
1. 1-56Antitrypsin56deficiency
2. Exposure56to56environmental56pollutants
3. Radiation5 6 therapy
4. Cigarette56 smoking
a. 15 6 and5 6 2
b. 35 6 and5 6 4
c. 156,562,56and56 4
d. 256,563,56and56 4
ANS:56C
Emphysema56is56caused56primarily56by56cigarette56smoking.56Some56emphysema56is5caused56by56t
he56absenc5 6 e56of56a56protective56enzyme.56Chronic56exposure56to56environmental56pollutants56
can56also56contribute56to56th56e56development56of56emphysema.
DIF: 1 REF: p.5611 OBJ: EL-356|56AL-2 MSC:56NBRC:56None
7. An56adult56patient56complains56of56chest5tightness56and56cough56whenever56he56jogs56in56cold56
weather.56Th56ese56symptoms56are56consistent56with56which56of56the56following?
a. Cystic56 fibrosis
b. Asthma
c. Pulmonary56hypertension
d. Idiopathic56pulmonary56fibrosis
|
