l# l# l# l# l#
l# PULMONARY FUNCTION TESTING 12TH
l# l# l#
l# EDITION, BY MOTTRAM
l# l#
CHAPTER 1 - 13 UPDATED
l# l# l# l# l#
,CHAPTER 1: INDICATIONS FOR PULMONARY
l# l# l# l#
FUNCTION TESTING TEST BANK
l# l# l# l#
MULTIPLE l#CHOICE
1. Who l#first l#popularized l#spirometry l#for l#the l#evaluation l#of l#pulmonary l#function?
a. August l#and l#Marie l#Krogh
b. Alvan l#Barach
c. John l#Severinghaus
d. John l#Hutchinson
ANS: l#D
Hutchinson l#popularized l#the l#concept l#of l#using l#VC l#to l#assess l#lung l#function,
l#and l#the l#names l#he l#gave l#to l#several l#other l#lung l#compartments l#are l#still l#used
l#today.
DIF: 1 REF: p. l#2 OBJ: None l # MSC: l#NBRC: l#None
2. Which l#of l#the l#following l#are l#indications l#for l#performing l#spirometry?
1. Assess l#the l#risk l#of l#lung l#resection.
2. Determine l#the l#response l#to l#bronchodilator l#therapy.
3. Assess l#the l#severity l#of l#restrictive l#lung l#disease.
4. Quantify l#the l#extent l#of l#COPD.
a. 1 l # and l # 4
b. 2 l # and l # 3
c. 1 l#, l#2, l#and l # 4
d. 2 l#, l#3, l#and l # 4
ANS: l#C
Spirometry l#cannot l#assess l#severity l#of l#restriction; l#for l#that l#you l#need l#to
l#measure l#lung l#volumes l#( l#see l#Box l#1-2, l#Chapter l # 1).
DIF: 1 REF: p. l#7 OBJ: EL-2 MSC: l#NBRC: l#None
,3. The l#main l#indication l#for l#the l#measurement l#of l#lung l#volumes l#is l#to l#do l#which
l#of l#the l#following?
a. Diagnose l#or l#assess l#the l#severity l#of l#restriction.
b. Evaluate l#the l#severity l#of l#pulmonary l#hypertension.
c. Determine l#the l#level l#of l#cardiopulmonary l#fitness.
d. Assess l#the l#risk l#of l#abdominal l#surgical l#procedures.
ANS: l#A
The l#most l#common l#reason l#for l#measuring l#lung l#volumes l#is l#to l#identify
restrictive l#lung l#disease. l#DIF:
l# 1 REF: p. l#35 OBJ: EL-2 MSC:
l# NBRC: l#None
4. DLCO l#measurements l#may l#be l#indicated l#to l#evaluate l#pulmonary
l#involvement l#in l#which l#of l#the l#following l#systemic l#diseases?
a. Asthma
b. Sarcoidosis
c. Exertional l#hypoxemia
, Stuvia.com l#- l#The l#Marketplace l#to l#Buy l#and l#Sell l#your l#Study
l#Material
d. Guillain-Barré l#syndrome
ANS: l#B
Sarcoidosis l#is l#the l#only l#systemic l#disease l#listed l#that l#affects
gas l#exchange. l#DIF: l#1 l#REF: l#p. l#9 l#| l#p. l#19 l#| l#p. l#21 l#| l#p. l#35
l#
l# OBJ: l#EL-2 l#MSC: l#NBRC: l#None
5. Blood l#gas l#analysis l#is l#used l#with l#patients l#with l#COPD l#to
l#do l#which l#of l#the l#following?
a. Monitor l#airway l#responsiveness.
b. Determine l#level l#of l#cardiopulmonary l#fitness.
c. Detect l#pulmonary l#hypertension.
d. Assess l#need l#for l#supplementary l#O2.
ANS: l#D
Blood l#gas l#analysis l#is l#most l#commonly l#used l#to l#determine l#the l#need l#for
l#supplemental l#oxygen l#and l#to l#manage l#patients l#who l#require l#ventilatory
l#support.
DIF: 2 REF: p. l#15 OBJ: EL-
1 l#MSC: l#NBRC: l#CPFT l#2A-2
6. Which l#of l#the l#following l#cause l#emphysema?
1. 1- l#Antitrypsin l#deficiency
2. Exposure l#to l#environmental l#pollutants
3. Radiation l#therapy
4. Cigarette l#smoking
a. 1 l # and l # 2
b. 3 l # and l # 4
c. 1 l#, l#2, l#and l # 4
d. 2 l#, l#3, l#and l # 4
ANS: l#C
Emphysema l#is l#caused l#primarily l#by l#cigarette l#smoking. l#Some l#emphysema l#is
l#caused l#by l#the l#absence l#of l#a l#protective l#enzyme. l#Chronic l#exposure l#to
l#environmental l#pollutants l#can l#also l#contribute l#to l#the l#development l#of
l#emphysema.
DIF: 1 REF: p. l#11 OBJ: EL-3 l#| l#AL-2MSC: l#NBRC: l#None
7. An l#adult l#patient l#complains l#of l#chest l#tightness l#and l#cough l#whenever l#he
l#jogs l#in l#cold l#weather. l#These l#symptoms l#are l#consistent l#with l#which l#of l#the
l#following?
a. Cystic l#fibrosis
b. Asthma
c. Pulmonary l#hypertension
d. Idiopathic l#pulmonary l#fibrosis
|