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