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EL’S MANUAL OF PULMONARY FUNCTI
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ON TESTING 11 TH EDITION BY MOTTR
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AM
Chapter 1: Indications for Pulmonary Function Testing Test Ba
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nk
MULTIPLEdCHOICE
1. Whodfirstdpopularizeddspirometrydfordthedevaluationdofdpulmonarydfunction?
a. AugustdanddMariedKrogh
b. AlvandBarach
c. JohndSeveringhaus
d. JohndHutchinson
ANS:dD
HutchinsondpopularizeddthedconceptdofdusingdVCdtodassessdlungdfunction,danddthednamesdhedgav
edtodseveraldotherdlungdcompartmentsdaredstillduseddtoday.
DIF: 1 REF: p.d2 OBJ: None MSC:dNBRC:dNone
2. Whichdofdthedfollowingdaredindicationsdfordperformingdspirometry?
1. Assessdthedriskdofdlungdresection.
2. Determinedthedresponsedtodbronchodilatordtherapy.
3. Assessdthedseveritydofdrestrictivedlungddisease.
4. QuantifydthedextentdofdCOPD.
a. 1d andd 4
b. 2d andd 3
c. 1d,d2,dandd 4
d. 2d,d3,dandd 4
ANS:dC
Spirometrydcannotdassessdseveritydofdrestriction;dfordthatdyoudneeddtodmeasuredlungdvolumesd(ds
eedBoxd1-2,dChapterd 1).
DIF: 1 REF: p.d7 OBJ: EL-2 MSC:dNBRC:dNone
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,3. Thedmaindindicationdfordthedmeasurementdofdlungdvolumesdisdtoddodwhichdofdthedfollowing?
a. Diagnosedordassessdthedseveritydofdrestriction.
b. Evaluatedthedseveritydofdpulmonarydhypertension.
c. Determinedthedleveldofdcardiopulmonarydfitness.
d. Assessdthedriskdofdabdominaldsurgicaldprocedures.
ANS:dA
Thedmostdcommondreasondfordmeasuringdlungdvolumesdisdtodidentifydrestrictivedlungddisease.d
DIF: 1 REF: p.d35 OBJ: EL-2 MSC:dNBRC:dNone
4. DLCOdmeasurementsdmaydbedindicateddtodevaluatedpulmonarydinvolvementdindwhichdofdthedf
ollowingdsystemicddiseases?
a. Asthma
b. Sarcoidosis
c. Exertionaldhypoxemia
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,Stuvia.comd-
dThedMarketplacedtodBuydanddSelldyourdStudydMaterial
d. Guillain-Barrédsyndrome
ANS:dB
Sarcoidosisdisdthedonlydsystemicddiseasedlisteddthatdaffectsdgasdexchange.dD
IF:d1dREF:dp.d9d|dp.d19d|dp.d21d|dp.d35dOBJ:dEL-2dMSC:dNBRC:dNone
5. BlooddgasdanalysisdisduseddwithdpatientsdwithdCOPDdtoddodwhichdofdthedf
ollowing?
a. Monitordairwaydresponsiveness.
b. Determinedleveldofdcardiopulmonarydfitness.
c. Detectdpulmonarydhypertension.
d. AssessdneeddfordsupplementarydO2.
ANS:dD
Blooddgasdanalysisdisdmostdcommonlyduseddtoddeterminedthedneeddfordsupplementaldoxygendand
dtodmanagedpatientsdwhodrequiredventilatorydsupport.
DIF: 2 REF: p.d15 OBJ: EL-
1dMSC:dNBRC:dCPFTd2A-2
6. Whichdofdthedfollowingdcausedemphysema?
1. 1-d Antitrypsind deficiency
2. Exposuredtodenvironmentaldpollutants
3. Radiationdtherapy
4. Cigarettedsmoking
a. 1d andd 2
b. 3d andd 4
c. 1d,d2,dandd 4
d. 2d,d3,dandd 4
ANS:dC
Emphysemadisdcauseddprimarilydbydcigarettedsmoking.dSomedemphysemadisdcauseddbydthedabse
ncedofdadprotectivedenzyme.dChronicdexposuredtodenvironmentaldpollutantsdcandalsodcontributed
todtheddevelopmentdofdemphysema.
DIF: 1 REF: p.d11 OBJ: EL-3d|dAL-2 MSC:dNBRC:dNone
7. Andadultdpatientdcomplainsdofdchestdtightnessdanddcoughdwheneverdhedjogsdindcolddweather.d
Thesedsymptomsdaredconsistentdwithdwhichdofdthedfollowing?
a. Cysticdfibrosis
b. Asthma
c. Pulmonarydhypertension
d. Idiopathicdpulmonarydfibrosis
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, Stuvia.comd-
dThedMarketplacedtodBuydanddSelldyourdStudydMaterial
ANS:dB
Agentsdordeventsdthatdcausedandasthmaticdepisodedaredcalleddtriggersd(seedBoxd1-
7,dChapterd1).dAntigensdsuchdasdanimalddander,dpollens,dandddustsdaredthedmostdcommondtrigge
rs.dOtherdcommondtriggersdincludedexposuredtodairdpollutantsdanddexercisedindcolddorddrydair.
DIF: 2 REF: p.d16 OBJ: EL-3 MSC:dNBRC:dNone
8. Whichdofdthedfollowingdstatementsdconcerningdtumorsdindthedupperdairwaydisdtrue?
a. Theredmaydbedvariabledordfixeddobstruction.
b. Fixeddobstructiondwilldbedpresent.
c. Variabledobstructiondwilldbedpresent.
d. Smalldairwaydobstructiondwilldresult.
ANS:dA
Tumorsdinvolvingdthedupperdairwaydmaydcausedvariabledordfixeddobstruction.
DIF: 2 REF: p.d19 OBJ: EL-
2dMSC:dNBRC:dCPFTd3C-3
9. Sarcoidosisdisdadsystemicddisorderdthatdusuallydcausesdwhichdofdthedfollowing?
a. Adrestrictivedventilatoryddefect
b. Andobstructivedventilatoryddefect
c. Hyperreactivedairways
d. Primarydpulmonarydhypertension
ANS:dA
Restrictiondisdoftendassociateddwithdthedfollowing:dinterstitialdlungddiseases,dincludingdidiopathi
cdfibrosis,dpneumoconioses,danddsarcoidosis.
DIF: 1 REF: p.d19d|dp.d21 OBJ: EL-3 MSC:dNBRC:dNone
10. Fordwhichdofdthedfollowingdconditionsdmightdpulmonarydfunctiondtestingdbedcontraindicated?
a. Vocaldcordddysfunction
b. Untreateddpneumothorax
c. Congestivedheartdfailured(CHF)
d. Bronchiolitisdobliterans
ANS:dB
Pulmonarydfunctiondtestsdaredusuallydcontraindicateddindthedpresencedofdpneumothorax.dHowe
ver,dundiagnoseddpneumothoraxdmaydpresentdadriskdifdpulmonarydfunctiondstudiesdaredperforme
d.
DIF: 1 REF: p.d23 OBJ: EL-
4dMSC:dNBRC:dCPFTd2B-6
d.
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Distributiondofdthisddocumentdisdillegal