s s s s s s s s
s 12th Edition, By Mottram
s s s
Chapter 1 - 13 Updated
s s s s s
,Chapter s1: sIndications sfor sPulmonary sFunction sTesting sTest sBank
MULTIPLE sCHOICE
1. Who sfirst spopularized sspirometry sfor sthe sevaluation sof spulmonary sfunction?
a. August sand sMarie sKrogh
b. Alvan sBarach
c. John sSeveringhaus
d. John sHutchinson
ANS: sD
Hutchinson spopularized sthe sconcept sof susing sVC sto sassess slung sfunction, sand sthe snames
she sgave sto sseveral sother slung scompartments sare sstill sused stoday.
DIF: 1 REF: p. s2 OBJ: None s MSC: sNBRC: sNone
2. Which sof sthe sfollowing sare sindications sfor sperforming sspirometry?
1. Assess sthe srisk sof slung sresection.
2. Determine sthe sresponse sto sbronchodilator stherapy.
3. Assess sthe sseverity sof srestrictive slung sdisease.
4. Quantify sthe sextent sof sCOPD.
a. 1 s and s 4
b. 2 s and s 3
c. 1 s, s2, sand s 4
d. 2 s, s3, sand s 4
ANS: sC
Spirometry scannot sassess sseverity sof srestriction; sfor sthat syou sneed sto smeasure slung
svolumes s( ssee sBox s1-2, sChapter s 1).
DIF: 1 REF: p. s7 OBJ: EL-2 MSC: sNBRC: sNone
,3. The smain sindication sfor sthe smeasurement sof slung svolumes sis sto sdo swhich sof sthe
sfollowing?
a. Diagnose sor sassess sthe sseverity sof srestriction.
b. Evaluate sthe sseverity sof spulmonary shypertension.
c. Determine sthe slevel sof scardiopulmonary sfitness.
d. Assess sthe srisk sof sabdominal ssurgical sprocedures.
ANS: sA
The smost scommon sreason sfor smeasuring slung svolumes sis sto sidentify srestrictive slung
sdisease. sDIF: 1 REF: p. s35 OBJ: EL-2 MSC: sNBRC: sNone
4. DLCO smeasurements smay sbe sindicated sto sevaluate spulmonary sinvolvement sin swhich
sof sthe sfollowing ssystemic sdiseases?
a. Asthma
b. Sarcoidosis
c. Exertional shypoxemia
, Stuvia.com s- sThe sMarketplace sto sBuy sand sSell syour sStudy
sMaterial
d. Guillain-Barré ssyndrome
ANS: sB
Sarcoidosis sis sthe sonly ssystemic sdisease slisted sthat saffects sgas
sexchange. sDIF: s1 sREF: sp. s9 s| sp. s19 s| sp. s21 s| sp. s35 sOBJ: sEL-2 sMSC:
sNBRC: sNone
5. Blood sgas sanalysis sis sused swith spatients swith sCOPD sto sdo swhich sof
sthe sfollowing?
a. Monitor sairway sresponsiveness.
b. Determine slevel sof scardiopulmonary sfitness.
c. Detect spulmonary shypertension.
d. Assess sneed sfor ssupplementary sO2.
ANS: sD
Blood sgas sanalysis sis smost scommonly sused sto sdetermine sthe sneed sfor ssupplemental
soxygen sand sto smanage spatients swho srequire sventilatory ssupport.
DIF: 2 REF: p. s15 OBJ: EL-1
sMSC: sNBRC: sCPFT s2A-2
6. Which sof sthe sfollowing scause semphysema?
1. 1- sAntitrypsin sdeficiency
2. Exposure sto senvironmental spollutants
3. Radiation stherapy
4. Cigarette ssmoking
a. 1 s and s 2
b. 3 s and s 4
c. 1 s, s2, sand s 4
d. 2 s, s3, sand s 4
ANS: sC
Emphysema sis scaused sprimarily sby scigarette ssmoking. sSome semphysema sis scaused sby sthe
sabsence sof sa sprotective senzyme. sChronic sexposure sto senvironmental spollutants scan salso
scontribute sto sthe sdevelopment sof semphysema.
DIF: 1 REF: p. s11 OBJ: EL-3 s| sAL-2 MSC: sNBRC: sNone
7. An sadult spatient scomplains sof schest stightness sand scough swhenever she sjogs sin scold
sweather. sThese ssymptoms sare sconsistent swith swhich sof sthe sfollowing?
a. Cystic sfibrosis
b. Asthma
c. Pulmonary shypertension
d. Idiopathic spulmonary sfibrosis
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