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,Chapter 1: Indications for Pulmonary Function Testing Te
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st Bank
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MULTIPLE CHOICE 5%




1. Who first popularized spirometry for the evaluation of pulmonary function?
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a. August and Marie Krogh 5% 5% 5%




b. Alvan Barach 5%




c. John Severinghaus 5%




d. John Hutchinson 5%




ANS: D 5%




Hutchinson popularized the concept of using VC to assess lung function, and
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the names he gave to several other lung compartments are still used today.
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DIF: 1 REF: 5 % p. 2 OBJ:
5% 5 % 5 % None 5 % MSC: NBRC: None
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2. Which of the following are indications for performing spirometry?
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1. Assess the risk of lung resection.5% 5% 5% 5% 5%




2. Determine the response to bronchodilator therapy.5% 5% 5% 5% 5%




3. Assess the severity of restrictive lung disease.
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4. Quantify the extent of COPD. 5% 5% 5% 5%




a. 1 and 4 5 % 5 %




b. 2 and 3 5 % 5 %




c. 1 , 2, and 4 5% 5 % 5% 5 %




d. 2 , 3, and 4 5% 5 % 5% 5 %




ANS: C 5%




Spirometry cannot assess severity of restriction; for that you need to measur
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e lung volumes ( see Box 1-2, Chapter 1).
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DIF: 1 REF: 5 % p. 7 OBJ:
5% 5 % 5 % EL-2 MSC: NBRC: None 5% 5%

,3. The main indication for the measurement of lung volumes is to do which of
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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 5%




The most common reason for measuring lung volumes is to identify restri
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ctive lung disease. DIF:1
5% 5% 5% REF: p. 35 OBJ:
5 % 5% 5 % EL-2 MSC: NBRC: None
5 % 5% 5%




4. DLCO measurements may be indicated to evaluate pulmonary involvement
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in which of the following systemic diseases?
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a. Asthma
b. Sarcoidosis
c. Exertional hypoxemia 5%

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d. Guillain-Barré syndrome 5%




ANS: B 5%




Sarcoidosis is the only systemic disease listed that affects g
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as exchange. DIF: 1 REF: p. 9 | p. 19 | p. 21 | p. 35 O
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BJ: EL-2 MSC: NBRC: None
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5. Blood gas analysis is used with patients with COPD to 5% 5% 5% 5% 5% 5% 5% 5% 5% 5%



do which of the following? 5% 5% 5% 5%




a. Monitor airway responsiveness. 5% 5%




b. Determine level of cardiopulmonary fitness. 5% 5% 5% 5%




c. Detect pulmonary hypertension.
5 % 5 %




d. Assess need for supplementary O2.
5 % 5 % 5 % 5 %




ANS: D 5%




Blood gas analysis is most commonly used to determine the need for supple
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mental oxygen and to manage patients who require ventilatory support.
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DIF: 2
REF: p. 15 OBJ: EL- 5 % 5% 5 % 5 %




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 5% 5%




2. Exposure to environmental pollutants 5% 5% 5%




3. Radiation therapy 5%




4. Cigarette smoking 5%




a. 1 and 2 5 % 5 %




b. 3 and 4 5 % 5 %




c. 1 , 2, and 4 5% 5 % 5% 5 %




d. 2 , 3, and 4 5% 5 % 5% 5 %




ANS: C 5%




Emphysema is caused primarily by cigarette smoking. Some emphysema
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is caused by the absence of a protective enzyme. Chronic exposure to environ
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mental pollutants can also contribute to the development of emphysema.
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DIF: 1 REF: p. 11 5 % 5% 5 % OBJ: 5 % EL-3 | AL-2 MSC: NBRC: None
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7. An adult patient complains of chest tightness and cough whenever he jog
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s in cold weather. These symptoms are consistent with which of the follo
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wing?
a. Cystic fibrosis 5%




b. Asthma
c. Pulmonary hypertension 5 %




d. Idiopathic pulmonary fibrosis 5% 5%




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