Ruppel's Manual of Pulmonary Function Testing
Carl Mottram
12th Edition
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,Table of Contents
1. Indications for Pulmonary Function Testing
2. Spirometry
3. Diffusing Capacity Tests
4. Lung Volumes, Airway Resistance and Gas Distribution Tests
5. Ventilation and Ventilatory Control Tests
6. Blood Gases and Related Tests
7. Cardiopulmonary Exercise Testing and Field Tests
8. Pediatric Pulmonary Function Testing
9. Bronchoprovocation Challenge Testing
10. Specialized Test Regimens
11. Pulmonary Function Testing Equipment
12. Quality Systems in the Pulmonary Function Laboratory
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13. Reference Values and Interpretation Strategies
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,Chapter 1: Indications for Pulmonary Function Testing
MULTIPLE CHOICE
1. Who first popularized spirometry for the evaluation of pulmonary function?
a. August and Marie Krogh
b. Alvan Barach
c. John Severinghaus
d. John Hutchinson
ANS: D
Hutchinson popularized the concept of using VC to assess lung function, and the names he
gave to several other lung compartments are still used today.
DIF: 1 REF: p. 2 OBJ: None MSC: NBRC: None
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2. Which of the following are indications for performing spirometry?
1. Assess the risk of lung resection.
2. Determine the response to bronchodilator therapy.
3. Assess the severity of restrictive lung disease.
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4. Quantify the extent of COPD.
a. 1 and 4
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b. 2 and 3
c. 1 , 2, and 4
d. 2 , 3, and 4
ANS: C
Spirometry cannot assess severity of restriction; for that you need to measure lung volumes (
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see Box 1-2, Chapter 1).
DIF: 1 REF: p. 7 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 following?
a. Diagnose or assess the severity of restriction.
b. Evaluate the severity of pulmonary hypertension.
c. Determine the level of cardiopulmonary fitness.
d. Assess the risk of abdominal surgical procedures.
ANS: A
The most common reason for measuring lung volumes is to identify restrictive lung
disease. DIF: 1 REF: p. 35 OBJ: EL-2 MSC: NBRC: None
4. DLCO measurements may be indicated to evaluate pulmonary involvement in which of
the following systemic diseases?
a. Asthma
b. Sarcoidosis
c. Exertional hypoxemia
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