Test Bank for Ruppel’s Manual of Pulmonary Function Testing
b b b b b b b b
b 12th Edition, By Mottram
b b b
Chapter 1 - 13 Updated
b b b b b
,Chapter1:IndicationsforPulmonaryFunctionTestingTest Bank
b b b b b b b b
MULTIPLE CHOICEb
1. Who first popularized spirometry for the evaluation of pulmonary function?
b b b b b b b b b
a. August and Marie Krogh b b b
b. Alvan Barach b
c. John Severinghaus b
d. John Hutchinson b
ANS: D b
Hutchinson popularized the concept of using VC to assess lung function, and the names he gave
b b b b b b b b b b b b b b b
to several other lung compartments are still used today.
b b b b b b b b b
DIF: 1 REF: p. 2 b OBJ: None MSC: NBRC: None b b b
2. Which of the following are indications for performing spirometry?
b b b b b b b b
1. Assess the risk of lung resection. b b b b b
2. Determine the response to bronchodilator therapy. b b b b b
3. Assess the severity of restrictive lung disease. b b b b b b
4. Quantify the extent of COPD. b b b b
a. 1 and 4 b b
b. 2 and 3 b b
c. 1 , 2, and 4 b b b b
d. 2 , 3, and 4 b b b b
ANS: C b
Spirometry cannot assess severity of restriction; for that you need to measure lung volumes ( see
b b b b b b b b b b b b b b b
Box 1-2, Chapter 1).
b b b b
DIF: 1 REF: p. 7 b OBJ: EL-2 MSC: NBRC: None b b
,3. The main indication for the measurement of lung volumes is to do which of the following?
b b b b b b b b b b b b b b b
a. Diagnose or assess the severity of restriction.
b b b b b b
b. Evaluate the severity of pulmonary hypertension.
b b b b b
c. Determine the level of cardiopulmonary fitness.
b b b b b
d. Assess the risk of abdominal surgical procedures.
b b b b b b
ANS: A b
The most common reason for measuring lung volumes is to identify restrictive lung disease.
b b b b b b b b b b b b b
b DIF: 1 REF: p. 35 b OBJ: EL-2 MSC: NBRC: None
b b
4. DLCO measurements may be indicated to evaluate pulmonary involvement in which of the
b b b b b b b b b b b b
following systemic diseases?
b b b
a. Asthma
b. Sarcoidosis
c. Exertional hypoxemia b
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d. Guillain-Barré syndrome b
ANS: B b
Sarcoidosis is the only systemic disease listed that affects gas exchange. DIF:
b b b b b b b b b b b
b 1 REF: p. 9 | p. 19 | p. 21 | p. 35 OBJ: EL-2 MSC: NBRC: None
b b b b b b b b b b b b b b b b b
5. Blood gas analysis is used with patients with COPD to do which of the b b b b b b b b b b b b b
following? b
a. Monitor airway responsiveness. b b
b. Determine level of cardiopulmonary fitness. b b b b
c. Detect pulmonary hypertension. b b
d. Assess need for supplementary O2. b b b b
ANS: D b
Blood gas analysis is most commonly used to determine the need for supplemental oxygen and
b b b b b b b b b b b b b b
to manage patients who require ventilatory support.
b b b b b b b
DIF: 2 REF: p. 15 b OBJ: EL-1
MSC: NBRC: CPFT 2A-2
b b b b
6. Which of the following cause emphysema?
b b b b b
1. 1- Antitrypsin deficiency b b
2. Exposure to environmental pollutants b b b
3. Radiation therapy b
4. Cigarette smoking b
a. 1 and 2 b b
b. 3 and 4 b b
c. 1 , 2, and 4 b b b b
d. 2 , 3, and 4 b b b b
ANS: C b
Emphysema is caused primarily by cigarette smoking. Some emphysema is caused by the
b b b b b b b b b b b b
absence of a protective enzyme. Chronic exposure to environmental pollutants can also
b b b b b b b b b b b b
contribute to the development of emphysema.
b b b b b b
DIF: 1 REF: p. 11 b OBJ: EL-3 |AL-2 b b MSC: NBRC: None b b
7. An adult patient complains of chest tightness and cough whenever he jogs in cold weather.
b b b b b b b b b b b b b b
These symptoms are consistent with which of the following?
b b b b b b b b b
a. Cystic fibrosis b
b. Asthma
c. Pulmonary hypertension b
d. Idiopathic pulmonary fibrosis b b
|
b b b b b b b b
b 12th Edition, By Mottram
b b b
Chapter 1 - 13 Updated
b b b b b
,Chapter1:IndicationsforPulmonaryFunctionTestingTest Bank
b b b b b b b b
MULTIPLE CHOICEb
1. Who first popularized spirometry for the evaluation of pulmonary function?
b b b b b b b b b
a. August and Marie Krogh b b b
b. Alvan Barach b
c. John Severinghaus b
d. John Hutchinson b
ANS: D b
Hutchinson popularized the concept of using VC to assess lung function, and the names he gave
b b b b b b b b b b b b b b b
to several other lung compartments are still used today.
b b b b b b b b b
DIF: 1 REF: p. 2 b OBJ: None MSC: NBRC: None b b b
2. Which of the following are indications for performing spirometry?
b b b b b b b b
1. Assess the risk of lung resection. b b b b b
2. Determine the response to bronchodilator therapy. b b b b b
3. Assess the severity of restrictive lung disease. b b b b b b
4. Quantify the extent of COPD. b b b b
a. 1 and 4 b b
b. 2 and 3 b b
c. 1 , 2, and 4 b b b b
d. 2 , 3, and 4 b b b b
ANS: C b
Spirometry cannot assess severity of restriction; for that you need to measure lung volumes ( see
b b b b b b b b b b b b b b b
Box 1-2, Chapter 1).
b b b b
DIF: 1 REF: p. 7 b OBJ: EL-2 MSC: NBRC: None b b
,3. The main indication for the measurement of lung volumes is to do which of the following?
b b b b b b b b b b b b b b b
a. Diagnose or assess the severity of restriction.
b b b b b b
b. Evaluate the severity of pulmonary hypertension.
b b b b b
c. Determine the level of cardiopulmonary fitness.
b b b b b
d. Assess the risk of abdominal surgical procedures.
b b b b b b
ANS: A b
The most common reason for measuring lung volumes is to identify restrictive lung disease.
b b b b b b b b b b b b b
b DIF: 1 REF: p. 35 b OBJ: EL-2 MSC: NBRC: None
b b
4. DLCO measurements may be indicated to evaluate pulmonary involvement in which of the
b b b b b b b b b b b b
following systemic diseases?
b b b
a. Asthma
b. Sarcoidosis
c. Exertional hypoxemia b
, Stuvia.com - The Marketplace to Buy and Sell your Study Material
d. Guillain-Barré syndrome b
ANS: B b
Sarcoidosis is the only systemic disease listed that affects gas exchange. DIF:
b b b b b b b b b b b
b 1 REF: p. 9 | p. 19 | p. 21 | p. 35 OBJ: EL-2 MSC: NBRC: None
b b b b b b b b b b b b b b b b b
5. Blood gas analysis is used with patients with COPD to do which of the b b b b b b b b b b b b b
following? b
a. Monitor airway responsiveness. b b
b. Determine level of cardiopulmonary fitness. b b b b
c. Detect pulmonary hypertension. b b
d. Assess need for supplementary O2. b b b b
ANS: D b
Blood gas analysis is most commonly used to determine the need for supplemental oxygen and
b b b b b b b b b b b b b b
to manage patients who require ventilatory support.
b b b b b b b
DIF: 2 REF: p. 15 b OBJ: EL-1
MSC: NBRC: CPFT 2A-2
b b b b
6. Which of the following cause emphysema?
b b b b b
1. 1- Antitrypsin deficiency b b
2. Exposure to environmental pollutants b b b
3. Radiation therapy b
4. Cigarette smoking b
a. 1 and 2 b b
b. 3 and 4 b b
c. 1 , 2, and 4 b b b b
d. 2 , 3, and 4 b b b b
ANS: C b
Emphysema is caused primarily by cigarette smoking. Some emphysema is caused by the
b b b b b b b b b b b b
absence of a protective enzyme. Chronic exposure to environmental pollutants can also
b b b b b b b b b b b b
contribute to the development of emphysema.
b b b b b b
DIF: 1 REF: p. 11 b OBJ: EL-3 |AL-2 b b MSC: NBRC: None b b
7. An adult patient complains of chest tightness and cough whenever he jogs in cold weather.
b b b b b b b b b b b b b b
These symptoms are consistent with which of the following?
b b b b b b b b b
a. Cystic fibrosis b
b. Asthma
c. Pulmonary hypertension b
d. Idiopathic pulmonary fibrosis b b
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