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n 12th Edition, By Mottram
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Chapter 1 - 13 Updated
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,Chapter1:Indications forPulmonaryFunction TestingTest Bank
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MULTIPLE CHOICEn
1. Who first popularized spirometry for the evaluation of pulmonary function?
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a. August and Marie Krogh n n n
b. Alvan Barach n
c. John Severinghaus n
d. John Hutchinson n
ANS: D n
Hutchinson popularized the concept of using VC to assess lung function, and the names he gave
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to several other lung compartments are still used today.
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DIF: 1 REF: p. 2 n OBJ: None MSC: NBRC: None n n n
2. Which of the following are indications for performing spirometry?
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1. Assess the risk of lung resection. n n n n n
2. Determine the response to bronchodilator therapy. n n n n n
3. Assess the severity of restrictive lung disease. n n n n n n
4. Quantify the extent of COPD. n n n n
a. 1 and 4 n n
b. 2 and 3 n n
c. 1 , 2, and 4 n n n n
d. 2 , 3, and 4 n n n n
ANS: C n
Spirometry cannot assess severity of restriction; for that you need to measure lung volumes ( see
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Box 1-2, Chapter 1).
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DIF: 1 REF: p. 7 n OBJ: EL-2 MSC: NBRC: None n n
,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 n
The most common reason for measuring lung volumes is to identify restrictive lung disease.
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n DIF: 1 REF: p. 35 n OBJ: EL-2 MSC: NBRC: None
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4. DLCO measurements may be indicated to evaluate pulmonary involvement in which of the
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following systemic diseases?
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a. Asthma
b. Sarcoidosis
c. Exertional hypoxemia n
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d. Guillain-Barré syndrome n
ANS: B n
Sarcoidosis is the only systemic disease listed that affects gas exchange. DIF:
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n 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 n n n n n n n n n n n n n
following? n
a. Monitor airway responsiveness. n n
b. Determine level of cardiopulmonary fitness. n n n n
c. Detect pulmonary hypertension. n n
d. Assess need for supplementary O2. n n n n
ANS: D n
Blood gas analysis is most commonly used to determine the need for supplemental oxygen and
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to manage patients who require ventilatory support.
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DIF: 2 REF: p. 15 n OBJ: 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 n n
2. Exposure to environmental pollutants n n n
3. Radiation therapy n
4. Cigarette smoking n
a. 1 and 2 n n
b. 3 and 4 n n
c. 1 , 2, and 4 n n n n
d. 2 , 3, and 4 n n n n
ANS: C n
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 n OBJ: EL-3 |AL-2 n n MSC: NBRC: None n n
7. An adult patient complains of chest tightness and cough whenever he jogs in cold weather.
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These symptoms are consistent with which of the following?
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a. Cystic fibrosis n
b. Asthma
c. Pulmonary hypertension n
d. Idiopathic pulmonary fibrosis n n
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