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12th Edition, By Mottram
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Chapter 1 - 13 Updated
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,Chapter 1: Indications for Pulmonary Function Testing Test Bank
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MULTIPLEn CHOICE
1. n Whon firstn popularizedn spirometryn forn then evaluationn ofn pulmonaryn function?
a. Augustn andn Marien Krogh
b. Alvann Barach
c. Johnn Severinghaus
d. Johnn Hutchinson
ANS:n D
Hutchinsonn popularizedn then conceptn ofn usingn VCn ton assessn lungn function,n andn then namesn hen gaven
ton severaln othern lungn compartmentsn aren stilln usedn today.
DIF: 1 REF: p.n 2 OBJ: Nonen MSC:n NBRC:n None
2. Whichn ofn then followingn aren indicationsn forn performingn spirometry?
1. Assessn then riskn ofn lungn resection.
2. Determinen then responsen ton bronchodilatorn therapy.
3. Assessn then severityn ofn restrictiven lungn disease.
4. Quantifyn then extentn ofn COPD.
a. 1n andn 4
b. 2n andn 3
c. 1n ,n 2,n andn 4
d. 2n ,n 3,n andn 4
ANS:n C
Spirometryn cannotn assessn severityn ofn restriction;n forn thatn youn needn ton measuren lungn volumesn (n
seen Boxn 1-2,n Chaptern 1).
DIF: 1 REF: p.n 7 OBJ: EL-2 MSC:n NBRC:n None
,3. Then mainn indicationn forn then measurementn ofn lungn volumesn isn ton don whichn ofn then following?
a. Diagnosen orn assessn then severityn ofn restriction.
b. Evaluaten then severityn ofn pulmonaryn hypertension.
c. Determinen then leveln ofn cardiopulmonaryn fitness.
d. Assessn then riskn ofn abdominaln surgicaln procedures.
ANS:n A
Then mostn commonn reasonn forn measuringn lungn volumesn isn ton identifyn restrictiven lungn disease.n
DIF: 1 REF: p.n 35 OBJ: EL-2 MSC:n NBRC:n None
4. DLCOn measurementsn mayn ben indicatedn ton evaluaten pulmonaryn involvementn inn whichn ofn then
followingn systemicn diseases?
a. Asthma
b. Sarcoidosis
c. Exertionaln hypoxemia
, Stuvia.comn -n Then Marketplacen ton Buyn andn Selln yourn Studyn
Material
d. Guillain-Barrén syndrome
ANS:n B
Sarcoidosisn isn then onlyn systemicn diseasen listedn thatn affectsn gasn exchange.n
DIF:n 1n REF:n p.n 9n |n p.n 19n |n p.n 21n |n p.n 35n OBJ:n EL-2n MSC:n NBRC:n None
5. Bloodn gasn analysisn isn usedn withn patientsn withn COPDn ton don whichn ofn then
following?
a. Monitorn airwayn responsiveness.
b. Determinen leveln ofn cardiopulmonaryn fitness.
c. Detectn pulmonaryn hypertension.
d. Assessn needn forn supplementaryn O2.
ANS:n D
Bloodn gasn analysisn isn mostn commonlyn usedn ton determinen then needn forn supplementaln oxygenn
andn ton managen patientsn whon requiren ventilatoryn support.
DIF: 2 REF: p.n 15 OBJ: EL-1n
MSC:n NBRC:n CPFTn 2A-2
6. Whichn ofn then followingn causen emphysema?
1. 1-n Antitrypsinn deficiency
2. Exposuren ton environmentaln pollutants
3. Radiationn therapy
4. Cigaretten smoking
a. 1n andn 2
b. 3n andn 4
c. 1n ,n 2,n andn 4
d. 2n ,n 3,n andn 4
ANS:n C
Emphyseman isn causedn primarilyn byn cigaretten smoking.n Somen emphyseman isn causedn byn then
absencen ofn an protectiven enzyme.n Chronicn exposuren ton environmentaln pollutantsn cann alson
contributen ton then developmentn ofn emphysema.
DIF: 1 REF: p.n 11 OBJ: EL-3n |nAL-2 MSC:n NBRC:n None
7. Ann adultn patientn complainsn ofn chestn tightnessn andn coughn whenevern hen jogsn inn coldn weather.n
Thesen symptomsn aren consistentn withn whichn ofn then following?
a. Cysticn fibrosis
b. Asthma
c. Pulmonaryn hypertension
d. Idiopathicn pulmonaryn fibrosis
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