Test Bank for Ruppel’s Manual of Pulmonary Function Testing 12th Edition, By Mottram Chapter 1 - 13 Updated

,Chapter 1: Indications for Pulmonary Function Testing Test
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Bank
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MULTIPLE CHOICE a2




1. Who first popularized spirometry for the evaluation of pulmonary function?
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a. August and Marie Krogh a2 a2 a2



b. Alvan Barach a2



c. John Severinghaus a2



d. John Hutchinson a2




ANS: D a2



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: a 2 p. 2 OBJ: a2 a2 a2 None a 2 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.
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2. Determine the response to bronchodilator therapy. a2 a2 a2 a2 a2



3. Assess the severity of restrictive lung disease.
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4. Quantify the extent of COPD. a2 a2 a2 a2



a. 1 and 4 a 2 a 2



b. 2 and 3 a 2 a 2



c. 1 , 2, and 4 a2 a2 a2 a 2



d. 2 , 3, and 4 a2 a2 a2 a 2




ANS: C a2



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: a 2 p. 7 OBJ: a2 a 2 a 2 EL-2 a 2 a 2 MSC: NBRC: None
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,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 a2



The most common reason for measuring lung volumes is to identify
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a 2 restrictive lung disease. DIF:a2 a2 a2 1 REF: a 2 p. 35
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a 2 OBJ: EL-2 a 2 MSC: NBRC: None
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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 a2

, Stuvia.com a2- a2The a2Marketplace a2to a2Buy a2and a2Sell a2your a2Study a2Material


d. Guillain-Barré syndrome a2




ANS: B a2



Sarcoidosis is the only systemic disease listed that affects
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a2 gas exchange. DIF: 1 REF: p. 9 | p. 19 | p. 21 | p. 35
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a2 OBJ: EL-2 MSC: NBRC: None
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5. Blood gas analysis is used with patients with COPD to a2 a2 a2 a2 a2 a2 a2 a2 a2


do which of the following?
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a. Monitor airway responsiveness. a2 a2



b. Determine level of cardiopulmonary fitness. a2 a2 a2 a2



c. Detect pulmonary hypertension.
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d. Assess need for supplementary O2.
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ANS: D a2



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
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support.
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DIF: 2 REF: p. 15 OBJ: a 2 a2 a 2



a 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
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2. Exposure to environmental pollutants a2 a2 a2



3. Radiation therapy a2



4. Cigarette smoking a2



a. 1 and 2 a 2 a 2



b. 3 and 4 a 2 a 2



c. 1 , 2, and 4 a2 a2 a2 a 2



d. 2 , 3, and 4 a2 a2 a2 a 2




ANS: C a2



Emphysema is caused primarily by cigarette smoking. Some
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emphysema is caused by the absence of a protective enzyme. Chronic
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exposure to environmental pollutants can also contribute to the development
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of emphysema.
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DIF: 1 REF: a 2 p. 11 a2 a 2 OBJ: a 2 EL-3 | AL-2 MSC: NBRC: None
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7. An adult patient complains of chest tightness and cough whenever he jogs
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in cold weather. These symptoms are consistent with which of the
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following?
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a. Cystic fibrosis a2



b. Asthma
c. Pulmonary hypertension a 2



d. Idiopathic pulmonary fibrosis a2 a2


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