Ruppel’s Manual of Pulmonary Function Testing, 13th Edition – Mottram | Complete Test Bank (Chapters 1–13, Updated)

Test Bank for Ruppel’s Manual of Pulmonary Function Testing
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oj 13th Edition, By Mottram
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Chapter 1 - 13 Updated
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,Chapter1: Indications forPulmonaryFunctionTesting Test Bank
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MULTIPLECHOICE oj




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




b. Alvan Barach oj




c. John Severinghaus oj




d. John Hutchinson oj




ANS: D oj




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 oj OBJ: None o j MSC: NBRC: None oj oj




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




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




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




4. Quantify the extent of COPD. oj oj oj oj




a. 1 and 4 o j o j




b. 2 and 3 o j o j




c. 1 , 2, and 4 oj oj oj o j




d. 2 , 3, and 4 oj oj oj o j




ANS: C oj




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 oj OBJ: EL-2 MSC: NBRC: None oj oj

,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. oj oj oj oj oj




d. Assess the risk of abdominal surgical procedures.
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ANS:A oj




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

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d. Guillain-Barré syndrome oj




ANS: B oj




Sarcoidosis is the only systemic disease listed that affects gas exchange. oj oj oj oj oj oj oj oj oj oj




oj DIF: 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 oj oj oj oj oj oj oj oj oj oj oj oj oj




following? oj




a. Monitor airway responsiveness. oj oj




b. Determine level of cardiopulmonary fitness. oj oj oj oj




c. Detect pulmonary hypertension. oj oj




d. Assess need for supplementary O2. oj oj oj oj




ANS: D oj




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 oj OBJ: EL-1
MSC: NBRC: CPFT 2A-2
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6. Which of the following cause emphysema? oj oj oj oj oj




1. 1- Antitrypsin deficiency oj oj




2. Exposure to environmental pollutants oj oj oj




3. Radiation therapy oj




4. Cigarette smoking oj




a. 1 and 2 o j o j




b. 3 and 4 o j o j




c. 1 , 2, and 4 oj oj oj o j




d. 2 , 3, and 4 oj oj oj o j




ANS: C oj




Emphysema is caused primarily by cigarette smoking. Some emphysema is caused by the oj oj oj oj oj oj oj oj oj oj oj oj




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 oj OBJ: EL-3 |AL-2 oj oj MSC: NBRC: None oj oj




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 oj




b. Asthma
c. Pulmonary hypertension oj




d. Idiopathic pulmonary fibrosis oj oj




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