CCRP AACVPR PULMONARY
CERTIFICATION EVALUATION 2026
COMPREHENSIVE QUESTIONS ANSWERS
◉ T or F: COPD is an umbrella term. Answer: T: includes
emphysema, chronic bronchitis, and asthma
◉ obstructive pulmonary diseases (5). Answer: emphysema, chronic
bronchitis, asthma, bronchiectasis, CF
◉ restrictive pulmonary disease (3). Answer: idiopathic pulmonary
fibrosis, occupational exposures, mechanical/extrinsic disorders
◉ sequela of chronic lung disease. Answer: pulmonary HTN > right
heart failure > a-fib > obstructive sleep apnea > polycythemia
◉ polycythemia. Answer: increased red blood cells in an area
◉ T or F: sleep apnea can cause a-fib if untreated. Answer: T
,◉ cor pulmonale. Answer: right sided heart failure due to a
pulmonary pathology
◉ gold standard for measuring pulmonary function. Answer:
spirometry
◉ What happens when breathing in those with COPD?. Answer:
They cannot get air out as quickly as someone with healthy lungs
◉ People with mild to moderate COPD develop ____________ while
people with more severe cases (FEV1 >50%) develop.... Answer:
hypoxemia
hypoxemia and hypercapnia
◉ Supplemental O2 orders for COPD is usually to keep levels at
greater than _______%. Why?. Answer: 88%
too much O2 will cause hypoventilation and hypercarbia...it removes
the automatic drive to breathe
◉ clinical diagnosis of chronic bronchitis. Answer: persistent cough
that produces sputum for > 3 months per year for at least 2
consecutive years
, ◉ What is the physiology of chronic bronchitis?. Answer: -
obstruction of airway leads to loss of elastic recoil
-there is also mucus plugging
◉ What happens during an acute exacerbation of chronic
bronchitis?. Answer: -increased SOB
-productive cough
-incrs sputum production
-infection
◉ What is the most important risk factor for chronic bronchitis?.
Answer: cigarette smoking
◉ T or F: pts who spend at least 50% of the day in bed are 4x more
likely to die than pts who are mobilized early and frequently.
Answer: T: pulmonary rehab is important!!
◉ With chronic bronchitis you should encourage __________. Answer:
hydration
◉ Emphysema is characterized by. Answer: -destruction of elastin
protein of alveolar walls
-decrs surface area for gas exchange
CERTIFICATION EVALUATION 2026
COMPREHENSIVE QUESTIONS ANSWERS
◉ T or F: COPD is an umbrella term. Answer: T: includes
emphysema, chronic bronchitis, and asthma
◉ obstructive pulmonary diseases (5). Answer: emphysema, chronic
bronchitis, asthma, bronchiectasis, CF
◉ restrictive pulmonary disease (3). Answer: idiopathic pulmonary
fibrosis, occupational exposures, mechanical/extrinsic disorders
◉ sequela of chronic lung disease. Answer: pulmonary HTN > right
heart failure > a-fib > obstructive sleep apnea > polycythemia
◉ polycythemia. Answer: increased red blood cells in an area
◉ T or F: sleep apnea can cause a-fib if untreated. Answer: T
,◉ cor pulmonale. Answer: right sided heart failure due to a
pulmonary pathology
◉ gold standard for measuring pulmonary function. Answer:
spirometry
◉ What happens when breathing in those with COPD?. Answer:
They cannot get air out as quickly as someone with healthy lungs
◉ People with mild to moderate COPD develop ____________ while
people with more severe cases (FEV1 >50%) develop.... Answer:
hypoxemia
hypoxemia and hypercapnia
◉ Supplemental O2 orders for COPD is usually to keep levels at
greater than _______%. Why?. Answer: 88%
too much O2 will cause hypoventilation and hypercarbia...it removes
the automatic drive to breathe
◉ clinical diagnosis of chronic bronchitis. Answer: persistent cough
that produces sputum for > 3 months per year for at least 2
consecutive years
, ◉ What is the physiology of chronic bronchitis?. Answer: -
obstruction of airway leads to loss of elastic recoil
-there is also mucus plugging
◉ What happens during an acute exacerbation of chronic
bronchitis?. Answer: -increased SOB
-productive cough
-incrs sputum production
-infection
◉ What is the most important risk factor for chronic bronchitis?.
Answer: cigarette smoking
◉ T or F: pts who spend at least 50% of the day in bed are 4x more
likely to die than pts who are mobilized early and frequently.
Answer: T: pulmonary rehab is important!!
◉ With chronic bronchitis you should encourage __________. Answer:
hydration
◉ Emphysema is characterized by. Answer: -destruction of elastin
protein of alveolar walls
-decrs surface area for gas exchange
