QUESTIONS WITH CORRECT
ANSWERS GRADED A+
◍ The FEV1 is deemed to be normal if it is greater thanThe FVC is deemed to
be normal if it is greater thanThis maneuver can sometimes be performed
with a ? which is called?.
Answer: 80% of the predicted value.slow exhalationSlow Vital Capacity
(SVC).
◍ (TLC) and (RV) is considered normal when values are between what
numbers?.
Answer: 80%-120%
◍ obstructive pattern and a patient cannot be deemed to have this pattern
unless.
Answer: FEV1/FVC is reduced
◍ In many patients with airflow obstruction, the FEV1 and FVC are below
_____ predicted. Patients with FEV1 and FVC above 80% predicted can
still be labeled as having an _____ pattern if the FEV1/FVC ratio is reduced,
although you should be careful about labeling someone as having an
obstructive pattern if the FEV1 and FVC are greater than ____ of predicted..
Answer: 80%obstructive100%
◍ Restrictive pattern:is marked by reductions in the FEV1 and FVC but a
preserved (i.e., normal) FEV1/FVC ratio and a reduced ____. The reduced
TLC is the sine qua non of this pattern. The reduction in FEV1 and FVC
with a preserved ratio is only suggestive of the diagnosis of restriction and
you must demonstrate a reduced TLC with _____ ____ _____ in order to
label a patient as having a restrictive defect..
, Answer: TLClung volume measurements
◍ frenum.
Answer: Secures a moveable part of the body (fold of tissue)Supports or
restrains Provides tissue attachment In the oral cavity - Cheeks(buccal) •
Tongue(lingual) • Lips(labial)
◍ Mixed obstructive and restrictive pattern:is present when the patient has
both a reduced _______ ratio and the ____ is less than 80% of the predicted
value.
Answer: FEV1/FVCTLC
◍ If you use the criteria set forth by GOLD, the actual ratio of 0.68 is below
the 0.7 cutoff and the patient has an obstructive defect. If you use the other
approach and determine the lower limit of normal for this particular patient,
the lower limit of normal would be ____ below the predicted value (0.8 - 0.1
= 0.7 in this case). His actual ratio of 0.68 _____ _____ that cut-off as well
so he would also be deemed to have airflow obstruction by this criterion..
Answer: 0.1falls below
◍ restrictive lung diseases.
Answer: ARDSAlpha 1
antitryspinAsbestosisBroncholitisConoraviruspneumoniaHistoplamosisIdiopathic
pulmonary fibroisisInfluenza Lung cancerTBPnemothoraxPulmonary
emblosimpulmonary hypertensionSarcoidosisSARSAlectelesis
◍ Wharton's duct opening.
Answer: sublingual caruncles
◍ fungiform papillae (bright red, globular).
Answer: C- towards the front of tongue
◍ Extra oral exam.
Answer: temporals - clicking is ok masseterlymph nodes of head and neck -
squishy/pain is bad, firm could also mean malignancy but is normally good
◍ intra oral exam.
, Answer: look for vermillion border and lip color upper and lower labial
mucosa to be squishybuccal mucosastensens ducttongue(posterior lateral
and underside)mucosa(darker is not always bad if bilateral because of
varying skin tones
◍ Which of the following findings on pulmonary function testing is required
for the diagnosis of an "obstructive" pattern?.
Answer: Decreased FEV1/FVC ratio
◍ bilateral findings are.
Answer: NORMAL
◍ linea alba.
Answer: white streak or line of slightly keratinized mucosa thought to be
caused by "pinching" the tissue between the teeth
◍ Dietary standards.
Answer: Dietary Reference Intakes (DRI)Estimated Average Requirements
(EAR)Recommended Dietary Allowances (RDA)Adequate Intakes
(AI)Tolerable Upper Intake Levels (UL)
◍ Dietary Reference Intakes (DRI).
Answer: Comprehensive term for categories of reference values to meet the
general nutrient needs for the healthy population to prevent deficiencies,
toxicities, and chronic disease
◍ A 51 year-old woman with no prior tobacco use presents to his primary care
provider for evaluation of chronic cough and dyspnea over a several month
period. She is referred for pulmonary function testing which reveals FEV1
1.6L (59% predicted), FVC 1.8 L (60% predicted) and FEV1/FVC 0.89. Her
total lung capacity is 3.0 L (60% predicted). Which of the following
statements correctly characterizes the observed abnormality?.
Answer: restrictive defect
◍ Estimated Average Requirements (EAR).
Answer: Estimates the nutritional requirements of the average individual