Test Bank -Ruppel's Manual of Pulmonary Function Testing, 12th Edition( Carl Mottram, 2025), All Chapters ||Latest Edition

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




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




b. Alvan Barach jg




c. John Severinghaus jg




d. John Hutchinson jg




ANS: D jg




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: j g p. 2 OBJ:
jg j g j g None j g MSC: NBRC: Nonejg jg




2. Which of the following are indications for performing spirometry?
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1. Assess the risk of lung resection. jg jg jg jg jg




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




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




4. Quantify the extent of COPD. jg jg jg jg




a. 1 and 4 j g j g




b. 2 and 3 j g j g




c. 1 , 2, and 4 jg jg jg j g




d. 2 , 3, and 4 jg jg jg j g




ANS: C jg




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: j g p. 7 OBJ:
jg j g j g EL-2 j g j g MSC: NBRC: Nonejg jg

,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 jg




The most common reason for measuring lung volumes is to identify
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j g restrictive lung disease. DIF: 1
jg jg jg REF: j g p. 35 jg j g OBJ:

EL-2 j g MSC: NBRC: None jg jg




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 jg

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d. Guillain-Barré syndrome jg




ANS: B jg




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




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




jg MSC: NBRC: None jg jg




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



which of the following? jg jg jg jg




a. Monitor airway responsiveness. jg jg




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




c. Detect pulmonary hypertension. j g j g




d. Assess need for supplementary O2. j g j g j g j g




ANS: D jg




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: j g jg j g




jEL- 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 jg jg




2. Exposure to environmental pollutants jg jg jg




3. Radiation therapy jg




4. Cigarette smoking jg




a. 1 and 2 j g j g




b. 3 and 4 j g j g




c. 1 , 2, and 4 jg jg jg j g




d. 2 , 3, and 4 jg jg jg j g




ANS: C jg




Emphysema is caused primarily by cigarette smoking. Some emphysema j g j g j g j g j g j g j g j g



is caused by the absence of a protective enzyme. Chronic exposure to
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environmental pollutants can also contribute to the development of emphysema.
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DIF: 1 REF: p. 11 j g jg j g OBJ: j g 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 jg




b. Asthma
c. Pulmonary hypertension j g




d. Idiopathic pulmonary fibrosis jg jg




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