TEST BANK: Ruppel's Manual of Pulmonary Function Testing, 12th Edition

,Chapter 1: Indications for Pulmonary Function Testing Test
b b b b b b b


Bank
b




MULTIPLE CHOICE b




1. Who first popularized spirometry for the evaluation of pulmonary function?
b b b b b b b b b



a. August and Marie Krogh b b b



b. Alvan Barach b



c. John Severinghaus b



d. John Hutchinson b




ANS: D b



Hutchinson popularized the concept of using VC to assess lung function, and the
b b b b b b b b b b b b


names he gave to several other lung compartments are still used today.
b b b b b b b b b b b b




DIF: 1 REF: p. 2 b b OBJ: None MSC: NBRC: None
b b b b b




2. Which of the following are indications for performing spirometry?
b b b b b b b b



1. Assess the risk of lung resection. b b b b b



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



3. Assess the severity of restrictive lung disease.
b b b b b b



4. Quantify the extent of COPD. b b b b



a. 1 and 4 b b



b. 2 and 3 b b



c. 1 , 2, and 4 b b b b



d. 2 , 3, and 4 b b b b




ANS: C b



Spirometry cannot assess severity of restriction; for that you need to measure
b b b b b b b b b b b


lung volumes ( see Box 1-2, Chapter 1).
b b b b b b b b




DIF: 1 REF: p. 7 b b OBJ: b b EL-2 b b MSC: NBRC: None
b b

,3. The main indication for the measurement of lung volumes is to do which of the
b b b b b b b b b b b b b b


following?
b



a. Diagnose or assess the severity of restriction.
b b b b b b



b. Evaluate the severity of pulmonary hypertension.
b b b b b



c. Determine the level of cardiopulmonary fitness.
b b b b b



d. Assess the risk of abdominal surgical procedures.
b b b b b b




ANS: A b



The most common reason for measuring lung volumes is to identify
b b b b b b b b b b




b restrictive lung disease. DIF: 1
b b b REF: p. 35 OBJ: EL-2
b b b




b MSC: NBRC: None
b b




4. DLCO measurements may be indicated to evaluate pulmonary involvement in
b b b b b b b b b


which of the following systemic diseases?
b b b b b b



a. Asthma
b. Sarcoidosis
c. Exertional hypoxemia b

, Stuvia.com b- bThe bMarketplace bto bBuy band bSell byour bStudy bMaterial


d. Guillain-Barré syndrome b




ANS: B b



Sarcoidosis is the only systemic disease listed that affects gas
b b b b b b b b b




b exchange. DIF: 1 REF: p. 9 | p. 19 | p. 21 | p. 35 OBJ: EL-2
b b b b b b b b b b b b b b b b




b MSC: NBRC: None b b




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


which of the following? b b b b



a. Monitor airway responsiveness. b b



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



c. Detect pulmonary hypertension. b b



d. Assess need for supplementary O2. b b b b




ANS: D b



Blood gas analysis is most commonly used to determine the need for
b b b b b b b b b b b


supplemental oxygen and to manage patients who require ventilatory support.
b b b b b b b b b b




DIF: 2 REF: p. 15 OBJ: b b b



bEL- 1 MSC: NBRC: CPFT 2A-2
b b b b b




6. Which of the following cause emphysema?
b b b b b



1. 1- Antitrypsin deficiency
b b



2. Exposure to environmental pollutants b b b



3. Radiation therapy b



4. Cigarette smoking b



a. 1 and 2 b b



b. 3 and 4 b b



c. 1 , 2, and 4 b b b b



d. 2 , 3, and 4 b b b b




ANS: C b



Emphysema is caused primarily by cigarette smoking. Some emphysema is
b b b b b b b b b


caused by the absence of a protective enzyme. Chronic exposure to environmental
b b b b b b b b b b b b


pollutants can also contribute to the development of emphysema.
b b b b b b b b b




DIF: 1 REF: p. 11 OBJ: EL-3 | AL-2 MSC: NBRC: None
b b b b b b b b b




7. An adult patient complains of chest tightness and cough whenever he jogs in
b b b b b b b b b b b b


cold weather. These symptoms are consistent with which of the following?
b b b b b b b b b b b



a. Cystic fibrosis b



b. Asthma
c. Pulmonary hypertension b



d. Idiopathic pulmonary fibrosis b b




|