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

,Chapter1:IndicationsforPulmonaryFunctionTestingTest Bank
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MULTIPLECHOICE e




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




b. Alvan Barach e




c. John Severinghaus e




d. John Hutchinson e




ANS: D e




Hutchinson popularized the concept of using VC to assess lung function, and the names e e e e e e e e e e e e e




he gave to several other lung compartments are still used today.
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DIF: 1 REF: p. 2 e e OBJ: None MSC: NBRC: None
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2. Which of the following are indications for performing spirometry?
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1. Assesstheriskoflungresection. e e e e e




2. Determine the responsetobronchodilator therapy. e e e e e




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




4. QuantifytheextentofCOPD. e e e e




a. 1 and 4 e e




b. 2 and 3 e e




c. 1 , 2,and 4 e e e e




d. 2 , 3,and 4 e e e e




ANS:C e




Spirometry cannot assess severity of restriction; for that you need to measure lung e e e e e e e e e e e e




volumes ( see Box 1-2, Chapter 1).
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DIF: 1 REF: p. 7 e e OBJ: EL-2 MSC: NBRC: None
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,3. The main indication for the measurement of lung volumes is to do which of the
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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. e e e e e




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




The most common reason for measuring lung volumes is to identify restrictive
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e lung disease. DIF:
e e 1 REF: p. 35 OBJ:
e e e EL-2 MSC: NBRC: None
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4. DLCO measurements may be indicated to evaluate pulmonary involvement in which
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of the following systemic diseases?
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a. Asthma
b. Sarcoidosis
c. Exertional hypoxemia e

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d. Guillain-Barré syndrome e




ANS:B e




Sarcoidosisistheonlysystemicdiseaselistedthataffectsgas e e e e e e e e e




exchange. DIF: 1REF: p. 9 |p. 19|p.21|p. 35 OBJ: EL-2 MSC:
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e NBRC: None e




5. Blood gas analysis is used with patients with COPD to do which e e e e e e e e e e e




of the following? e e e




a. Monitor airway responsiveness. e e




b. Determine level of cardiopulmonary fitness. e e e e




c. Detect pulmonary hypertension. e e




d. Assess need for supplementary O2. e e e e




ANS: D e




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




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




1. 1-Antitrypsindeficiency e e




2. Exposure to environmental pollutants e e e




3. Radiationtherapy e




4. Cigarette smoking e




a. 1 and 2 e e




b. 3 and 4 e e




c. 1 , 2,and 4 e e e e




d. 2 , 3,and 4 e e e e




ANS:C e




Emphysema is caused primarily by cigarette smoking. Some emphysema is e e e e e e e e e




caused by the absence of a protective enzyme. Chronic exposure to environmental
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pollutants can also contribute to the development of emphysema.
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DIF: 1 REF: p.11 OBJ: EL-3|AL-2 MSC:NBRC:None e e e e e e e e e




7. An adult patient complains of chest tightness and cough whenever he jogs in cold
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weather. These symptoms are consistent with which of the following?
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a. Cystic fibrosis e




b. Asthma
c. Pulmonary hypertension e




d. Idiopathic pulmonary fibrosis e e




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