TEST BANK FOR TEST BANK FOR RUPPEL’S MANUAL OF PULMONARY FUNCTION TESTING 11TH EDITION BY MOTTRAM

,Chapter 1: Indications for Pulmonary Function Testing Test
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Bank
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MULTIPLE CHOICE v




1. Who first popularized spirometry for the evaluation of pulmonary function?
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a. August and Marie Krogh v v v



b. Alvan Barach v



c. John Severinghaus v



d. John Hutchinson v




ANS: D v



Hutchinson popularized the concept of using VC to assess lung function, and the
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names he gave to several other lung compartments are still used today.
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DIF: 1 REF: p. 2 v v OBJ: None MSC: NBRC: None
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2. Which of the following are indications for performing spirometry?
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1. Assess the risk of lung resection. v v v v v



2. Determine the response to bronchodilator therapy. v v v v v



3. Assess the severity of restrictive lung disease.
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4. Quantify the extent of COPD. v v v v



a. 1 and 4 v v



b. 2 and 3 v v



c. 1 , 2, and 4 v v v v



d. 2 , 3, and 4 v v v v




ANS: C v



Spirometry cannot assess severity of restriction; for that you need to measure
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lung volumes ( see Box 1-2, Chapter 1).
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DIF: 1 REF: p. 7 v v OBJ: v v EL-2 v v MSC: NBRC: None
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,3. The main indication for the measurement of lung volumes is to do which of the
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following?
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a. Diagnose or assess the severity of restriction.
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b. Evaluate the severity of pulmonary hypertension.
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c. Determine the level of cardiopulmonary fitness.
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d. Assess the risk of abdominal surgical procedures.
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ANS: A v



The most common reason for measuring lung volumes is to identify
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v restrictive lung disease. DIF: 1
v v v REF: p. 35 OBJ: EL-2
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v MSC: NBRC: None
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4. DLCO measurements may be indicated to evaluate pulmonary involvement in
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which of the following systemic diseases?
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a. Asthma
b. Sarcoidosis
c. Exertional hypoxemia v

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d. Guillain-Barré syndrome v




ANS: B v



Sarcoidosis is the only systemic disease listed that affects gas
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v exchange. DIF: 1 REF: p. 9 | p. 19 | p. 21 | p. 35 OBJ: EL-2
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v MSC: NBRC: None v v




5. Blood gas analysis is used with patients with COPD to do v v v v v v v v v v


which of the following? v v v v



a. Monitor airway responsiveness. v v



b. Determine level of cardiopulmonary fitness. v v v v



c. Detect pulmonary hypertension. v v



d. Assess need for supplementary O2. v v v v




ANS: D v



Blood gas analysis is most commonly used to determine the need for
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supplemental oxygen and to manage patients who require ventilatory support.
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DIF: 2 REF: p. 15 OBJ: v v v



vEL- 1 MSC: NBRC: CPFT 2A-2
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6. Which of the following cause emphysema?
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1. 1- Antitrypsin deficiency
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2. Exposure to environmental pollutants v v v



3. Radiation therapy v



4. Cigarette smoking v



a. 1 and 2 v v



b. 3 and 4 v v



c. 1 , 2, and 4 v v v v



d. 2 , 3, and 4 v v v v




ANS: C v



Emphysema is caused primarily by cigarette smoking. Some emphysema is
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caused by the absence of a protective enzyme. Chronic exposure to environmental
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pollutants can also contribute to the development of emphysema.
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DIF: 1 REF: p. 11 OBJ: EL-3 | AL-2 MSC: NBRC: None
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7. An adult patient complains of chest tightness and cough whenever he jogs in
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cold weather. These symptoms are consistent with which of the following?
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a. Cystic fibrosis v



b. Asthma
c. Pulmonary hypertension v



d. Idiopathic pulmonary fibrosis v v




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