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aiilal.ciclo
.ocm
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Distribution of this document is illegal
as as as as as
,Chapter 1: Indications for Pulmonary Function Testing
as as as as as as
Test Bank
as as
MULTIPLE CHOICE as
1. Who first popularized spirometry for the evaluation of pulmonary function?
as as as as as as as as as
a. August and Marie Krogh as as as
b. Alvan Barach as
c. John Severinghaus as
d. John Hutchinson as
ANS: D a s a s
Hutchinson popularized the concept of using VC to assess lung function, and the names he
as as as as as as as as as as as as as as
gave to several other lung compartments are still used today.
as as as as as as as as as as
DIF: 1 REF: p. 2 as OBJ: None MSC: a s NBRC: None as
2. Which of the following are indications for performing spirometry?
as as as as as as as as
1. Assess the risk of lung resection. as as as as as
2. Determine the response to bronchodilator therapy. as as as as as
3. Assess the severity of restrictive lung disease. as as as as as as
4. Quantify the extent of COPD. as as as as
a. 1 and 4 as as
b. 2 and 3 as as
c. 1, 2, and 4 as as as
d. 2, 3, and 4 as as as
ANS: C a s a s
Spirometry cannot assess severity of restriction; for that you need to measure lung volumes
as as as as as as as as as as as as as
(see Box 1-2, Chapter 1).
as as as as as
DIF: 1 REF: p. 7 as OBJ: EL-2 MSC: a s NBRC: None as
3. The main indication for the measurement of lung volumes is to do which of the following?
as as as as as as as as as as as as as as as
a. Diagnose or assess the severity of restriction. as as as as as as
b. Evaluate the severity of pulmonary hypertension. as as as as as
c. Determine the level of cardiopulmonary fitness. as as as as as
d. Assess the risk of abdominal surgical procedures. as as as as as as
ANS: A a s a s
The most common reason for measuring lung volumes is to identify restrictive lung disease.
as as as as as as as as as as as as as
as DIF: 1 REF: p. 35 as OBJ: EL-2 MSC: a s NBRC: None as
4. DLCO measurements may be indicated to evaluate pulmonary involvement in which of the
as as as as as as as as as as as as
following systemic diseases?
as as as
a. Asthma
b. Sarcoidosis
c. Exertional hypoxemia as
DD
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iharehA|||paaabbpbiieigeklciatlcyinh1@
2@
gmgm
aiilal.ciclo
.ocm
om
a s
Distribution of this document is illegal as as as as as
, d. Guillain-Barré syndrome as
ANS: B a s a s
Sarcoidosis is the only systemic disease listed that affects gas exchange.
as as as as as as as as as as
DIF: 1 REF: p. 9 | p. 19 | p. 21 | p. 35 as as as as as as as as as as OBJ: EL-2
MSC: NBRC: None
as a s as
5. Blood gas analysis is used with patients with COPD to do which of the following?
as as as as as as as as as as as as as as
a. Monitor airway responsiveness. as as
b. Determine level of cardiopulmonary fitness. as as as as
c. Detect pulmonary hypertension. as as
d. Assess need for supplementary O2. as as as as
ANS: D a s a s
Blood gas analysis is most commonly used to determine the need for supplemental oxygen
as as as as as as as as as as as as as
and to manage patients who require ventilatory support.
as as as as as as as as
DIF: 2 REF: p. 15 as OBJ: EL-1
MSC: NBRC: CPFT 2A-2
as a s as as
6. Which of the following cause emphysema?
as as as as as
1. 1-Antitrypsin deficiency as
2. Exposure to environmental pollutants as as as
3. Radiation therapy as
4. Cigarette smoking as
a. 1 and 2 as as
b. 3 and 4 as as
c. 1, 2, and 4 as as as
d. 2, 3, and 4 as as as
ANS: C a s a s
Emphysema is caused primarily by cigarette smoking. Some emphysema is caused by the
as as as as as as as as as as as as
absence of a protective enzyme. Chronic exposure to environmental pollutants can also
as as as as as as as as as as as as
contribute to the development of emphysema.
as as as as as as
DIF: 1 REF: p. 11 as OBJ: EL-3 | AL-2 MSC: as as a s NBRC: None as
7. An adult patient complains of chest tightness and cough whenever he jogs in cold weather.
as as as as as as as as as as as as as as
These symptoms are consistent with which of the following?
as as as as as as as as as
a. Cystic fibrosis as
b. Asthma
c. Pulmonary hypertension as
d. Idiopathic pulmonary fibrosis as as
ANS: B a s a s
Agents or events that cause an asthmatic episode are called triggers (see Box 1-7, Chapter
as as as as as as as as as as as as as as
1). Antigens such as animal dander, pollens, and dusts are the most common triggers. Other
as as as as as as as as as as as as as as as
common triggers include exposure to air pollutants and exercise in cold or dry air.
as as as as as as as as as as as as as as
DIF: 2 REF: p. 16 as OBJ: EL-3 MSC: a s NBRC: None as
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iharehA|||paaabbpbiieigeklciatlcyinh1@
2@
gmgm
aiilal.ciclo
.ocm
om
a s
Distribution of this document is illegal as as as as as
, 8. Which of the following statements concerning tumors in the upper airway is true?
as as as as as as as as as as as as
a. There may be variable or fixed obstruction. as as as as as as
b. Fixed obstruction will be present. as as as as
c. Variable obstruction will be present. as as as as
d. Small airway obstruction will result. as as as as
ANS: A a s a s
Tumors involving the upper airway may cause variable or fixed obstruction.
as as as as as as as as as as
DIF: 2 REF: p. 19 as OBJ: EL-2
MSC: NBRC: CPFT 3C-3
as a s as as
9. Sarcoidosis is a systemic disorder that usually causes which of the following?
as as as as as as as as as as as
a. A restrictive ventilatory defect
as as as
b. An obstructive ventilatory defect
as as as
c. Hyperreactive airways as
d. Primary pulmonary hypertension as as
ANS: A a s a s
Restriction is often associated with the following: interstitial lung diseases, including
as as as as as as as as as as
idiopathic fibrosis, pneumoconioses, and sarcoidosis.
as as as as as
DIF: 1 REF: p. 19 | p. 21 as as as as OBJ: EL-3 MSC: a s NBRC: None as
10. For which of the following conditions might pulmonary function testing be contraindicated?
as as as as as as as as as as as
a. Vocal cord dysfunction as as
b. Untreated pneumothorax as
c. Congestive heart failure (CHF) as as as
d. Bronchiolitis obliterans as
ANS: B a s a s
Pulmonary function tests are usually contraindicated in the presence of pneumothorax.
as as as as as as as as as as
However, undiagnosed pneumothorax may present a risk if pulmonary function studies are
as as as as as as as as as as as as
performed.
as
DIF: 1 REF: p. 23 as OBJ: EL-4
MSC: NBRC: CPFT 2B-6
as a s as as
11. Which of the following correctly describe(s) appropriate physical measurements before
as as as as as as as as as
pulmonary function testing?
as as as
1. Actual body weight should be used to calculate predicted values.
as as as as as as as as as
2. Standing height should be measured when the patient is barefoot. as as as as as as as as as
3. Arm span should be used instead of height for a patient with kyphosis.
as as as as as as as as as as as as
4. Age should be recorded to the nearest decade (10 years).
as as as as as as as as as
a. 1 only as
b. 2 and 3 as as
c. 1, 2, and 4 as as as
d. 1, 2, 3, and 4as as as as
as ANS: a s B
DD
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lodaeddedbyb:yS
: u
kAipsre
iharehA|||paaabbpbiieigeklciatlcyinh1@
2@
gmgm
aiilal.ciclo
.ocm
a som
Distribution of this document is illegal as as as as as
oDw
ownwlno
nla
lodaeddedbyb:yS
: u
kAipsre
iharehA|||paaabbpbiieigeklciatlcyinh1@
a s 2@
gmgm
aiilal.ciclo
.ocm
om
Distribution of this document is illegal
as as as as as
,Chapter 1: Indications for Pulmonary Function Testing
as as as as as as
Test Bank
as as
MULTIPLE CHOICE as
1. Who first popularized spirometry for the evaluation of pulmonary function?
as as as as as as as as as
a. August and Marie Krogh as as as
b. Alvan Barach as
c. John Severinghaus as
d. John Hutchinson as
ANS: D a s a s
Hutchinson popularized the concept of using VC to assess lung function, and the names he
as as as as as as as as as as as as as as
gave to several other lung compartments are still used today.
as as as as as as as as as as
DIF: 1 REF: p. 2 as OBJ: None MSC: a s NBRC: None as
2. Which of the following are indications for performing spirometry?
as as as as as as as as
1. Assess the risk of lung resection. as as as as as
2. Determine the response to bronchodilator therapy. as as as as as
3. Assess the severity of restrictive lung disease. as as as as as as
4. Quantify the extent of COPD. as as as as
a. 1 and 4 as as
b. 2 and 3 as as
c. 1, 2, and 4 as as as
d. 2, 3, and 4 as as as
ANS: C a s a s
Spirometry cannot assess severity of restriction; for that you need to measure lung volumes
as as as as as as as as as as as as as
(see Box 1-2, Chapter 1).
as as as as as
DIF: 1 REF: p. 7 as OBJ: EL-2 MSC: a s NBRC: None as
3. The main indication for the measurement of lung volumes is to do which of the following?
as as as as as as as as as as as as as as as
a. Diagnose or assess the severity of restriction. as as as as as as
b. Evaluate the severity of pulmonary hypertension. as as as as as
c. Determine the level of cardiopulmonary fitness. as as as as as
d. Assess the risk of abdominal surgical procedures. as as as as as as
ANS: A a s a s
The most common reason for measuring lung volumes is to identify restrictive lung disease.
as as as as as as as as as as as as as
as DIF: 1 REF: p. 35 as OBJ: EL-2 MSC: a s NBRC: None as
4. DLCO measurements may be indicated to evaluate pulmonary involvement in which of the
as as as as as as as as as as as as
following systemic diseases?
as as as
a. Asthma
b. Sarcoidosis
c. Exertional hypoxemia as
DD
oDw
ownwlno
nla
lodaeddedbyb:yS
: u
kAipsre
iharehA|||paaabbpbiieigeklciatlcyinh1@
2@
gmgm
aiilal.ciclo
.ocm
om
a s
Distribution of this document is illegal as as as as as
, d. Guillain-Barré syndrome as
ANS: B a s a s
Sarcoidosis is the only systemic disease listed that affects gas exchange.
as as as as as as as as as as
DIF: 1 REF: p. 9 | p. 19 | p. 21 | p. 35 as as as as as as as as as as OBJ: EL-2
MSC: NBRC: None
as a s as
5. Blood gas analysis is used with patients with COPD to do which of the following?
as as as as as as as as as as as as as as
a. Monitor airway responsiveness. as as
b. Determine level of cardiopulmonary fitness. as as as as
c. Detect pulmonary hypertension. as as
d. Assess need for supplementary O2. as as as as
ANS: D a s a s
Blood gas analysis is most commonly used to determine the need for supplemental oxygen
as as as as as as as as as as as as as
and to manage patients who require ventilatory support.
as as as as as as as as
DIF: 2 REF: p. 15 as OBJ: EL-1
MSC: NBRC: CPFT 2A-2
as a s as as
6. Which of the following cause emphysema?
as as as as as
1. 1-Antitrypsin deficiency as
2. Exposure to environmental pollutants as as as
3. Radiation therapy as
4. Cigarette smoking as
a. 1 and 2 as as
b. 3 and 4 as as
c. 1, 2, and 4 as as as
d. 2, 3, and 4 as as as
ANS: C a s a s
Emphysema is caused primarily by cigarette smoking. Some emphysema is caused by the
as as as as as as as as as as as as
absence of a protective enzyme. Chronic exposure to environmental pollutants can also
as as as as as as as as as as as as
contribute to the development of emphysema.
as as as as as as
DIF: 1 REF: p. 11 as OBJ: EL-3 | AL-2 MSC: as as a s NBRC: None as
7. An adult patient complains of chest tightness and cough whenever he jogs in cold weather.
as as as as as as as as as as as as as as
These symptoms are consistent with which of the following?
as as as as as as as as as
a. Cystic fibrosis as
b. Asthma
c. Pulmonary hypertension as
d. Idiopathic pulmonary fibrosis as as
ANS: B a s a s
Agents or events that cause an asthmatic episode are called triggers (see Box 1-7, Chapter
as as as as as as as as as as as as as as
1). Antigens such as animal dander, pollens, and dusts are the most common triggers. Other
as as as as as as as as as as as as as as as
common triggers include exposure to air pollutants and exercise in cold or dry air.
as as as as as as as as as as as as as as
DIF: 2 REF: p. 16 as OBJ: EL-3 MSC: a s NBRC: None as
DD
oDw
ownwlno
nla
lodaeddedbyb:yS
: u
kAipsre
iharehA|||paaabbpbiieigeklciatlcyinh1@
2@
gmgm
aiilal.ciclo
.ocm
om
a s
Distribution of this document is illegal as as as as as
, 8. Which of the following statements concerning tumors in the upper airway is true?
as as as as as as as as as as as as
a. There may be variable or fixed obstruction. as as as as as as
b. Fixed obstruction will be present. as as as as
c. Variable obstruction will be present. as as as as
d. Small airway obstruction will result. as as as as
ANS: A a s a s
Tumors involving the upper airway may cause variable or fixed obstruction.
as as as as as as as as as as
DIF: 2 REF: p. 19 as OBJ: EL-2
MSC: NBRC: CPFT 3C-3
as a s as as
9. Sarcoidosis is a systemic disorder that usually causes which of the following?
as as as as as as as as as as as
a. A restrictive ventilatory defect
as as as
b. An obstructive ventilatory defect
as as as
c. Hyperreactive airways as
d. Primary pulmonary hypertension as as
ANS: A a s a s
Restriction is often associated with the following: interstitial lung diseases, including
as as as as as as as as as as
idiopathic fibrosis, pneumoconioses, and sarcoidosis.
as as as as as
DIF: 1 REF: p. 19 | p. 21 as as as as OBJ: EL-3 MSC: a s NBRC: None as
10. For which of the following conditions might pulmonary function testing be contraindicated?
as as as as as as as as as as as
a. Vocal cord dysfunction as as
b. Untreated pneumothorax as
c. Congestive heart failure (CHF) as as as
d. Bronchiolitis obliterans as
ANS: B a s a s
Pulmonary function tests are usually contraindicated in the presence of pneumothorax.
as as as as as as as as as as
However, undiagnosed pneumothorax may present a risk if pulmonary function studies are
as as as as as as as as as as as as
performed.
as
DIF: 1 REF: p. 23 as OBJ: EL-4
MSC: NBRC: CPFT 2B-6
as a s as as
11. Which of the following correctly describe(s) appropriate physical measurements before
as as as as as as as as as
pulmonary function testing?
as as as
1. Actual body weight should be used to calculate predicted values.
as as as as as as as as as
2. Standing height should be measured when the patient is barefoot. as as as as as as as as as
3. Arm span should be used instead of height for a patient with kyphosis.
as as as as as as as as as as as as
4. Age should be recorded to the nearest decade (10 years).
as as as as as as as as as
a. 1 only as
b. 2 and 3 as as
c. 1, 2, and 4 as as as
d. 1, 2, 3, and 4as as as as
as ANS: a s B
DD
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lodaeddedbyb:yS
: u
kAipsre
iharehA|||paaabbpbiieigeklciatlcyinh1@
2@
gmgm
aiilal.ciclo
.ocm
a som
Distribution of this document is illegal as as as as as
