m m m m m m
EL’S MANUAL OF PULMONARY FUNCT
m m m m
ION TESTING 11 TH EDITION BY MOTT
m m m m m m
RAM
Chapter m1:mIndications mfor mPulmonary mFunctionmTesting mTestm
Bank
MULTIPLEmCHOICE
1. Whomfirst mpopularized mspirometrymformthemevaluationmof mpulmonarymfunction?
a. August mand mMariemKrogh
b. AlvanmBarach
c. JohnmSeveringhaus
d. JohnmHutchinson
ANS:mD
Hutchinsonmpopularized mthemconcept mof musingmVCmtomassessmlungmfunction,mand mthemnamesmhe
mgavemtomseveralmothermlungmcompartmentsmaremstillmused mtoday.
DIF: 1 REF: p.m2 OBJ: None MSC:mNBRC:mNone
2. Whichmof mthemfollowingmaremindicationsmformperformingmspirometry?
1. Assessmthemriskmof mlungmresection.
2. Determinemthemresponsemtombronchodilatormtherapy.
3. Assessmthemseveritymof mrestrictivemlungmdisease.
4. Quantifymthemextent mof mCOPD.
a. 1m and m 4
b. 2m and m 3
c. 1m,m2,mand m 4
d. 2m,m3,mand m 4
ANS:mC
Spirometrymcannot massessmseveritymof mrestriction;mformthat myoumneed mtommeasuremlungmvolume
sm(mseemBoxm1-2,mChapterm 1).
DIF: 1 REF: p.m7 OBJ: EL-2 MSC:mNBRC:mNone
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,3. Themmainmindicationmformthemmeasurement mof mlungmvolumesmismtomdomwhichmof mthemfollowing?
a. Diagnosemormassessmthemseveritymof mrestriction.
b. Evaluatemthemseveritymof mpulmonarymhypertension.
c. Determinemthemlevelmof mcardiopulmonarymfitness.
d. Assessmthemriskmof mabdominalmsurgicalmprocedures.
ANS:mA
Themmost mcommonmreasonmformmeasuringmlungmvolumesm ismtomidentifymrestrictivemlungmdisea
se.mDIF: 1 REF: p.m35 OBJ: EL-2 MSC:mNBRC:mNone
4. DLCOmmeasurementsmmaymbemindicated mtomevaluatempulmonaryminvolvement minmwhichmof mt
hemfollowingmsystemicmdiseases?
a. Asthma
b. Sarcoidosis
c. Exertionalmhypoxemia
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d. Guillain-Barrémsyndrome
ANS:mB
Sarcoidosismismthemonlymsystemicmdiseasemlisted mthat maffectsmgasmexchange.
mDIF:m1mREF:mp.m9m|mp.m19m|mp.m21m|mp.m35mOBJ:mEL-2mMSC:mNBRC:mNone
5. Blood mgasmanalysismismused mwithmpatientsmwithmCOPD mtomdomwhichmof mt
hemfollowing?
a. Monitormairwaymresponsiveness.
b. Determinemlevelmof mcardiopulmonarymfitness.
c. Detect mpulmonarymhypertension.
d. Assessmneed mformsupplementarymO 2 .
ANS:mD
Blood mgasmanalysismismmost mcommonlymused mtomdeterminemthemneed mformsupplementalmoxygen
mand mtommanagempatientsmwhomrequiremventilatorymsupport.
DIF: 2 REF: p.m15 OBJ: EL-
1mMSC:mNBRC:mCPFTm2A-2
6. Whichmof mthemfollowingmcausememphysema?
1. 1 -m Antitrypsin m deficiency
2. Exposuremtomenvironmentalmpollutants
3. Radiationmtherapy
4. Cigarettemsmoking
a. 1m and m 2
b. 3m and m 4
c. 1m,m2,mand m 4
d. 2m,m3,mand m 4
ANS:mC
Emphysemamismcaused mprimarilymbymcigarettemsmoking.mSomememphysemam ismcaused mbymthem
absencemof mamprotectivemenzyme.mChronicmexposuremtomenvironmentalmpollutantsmcanmalso mco
ntributemtomthemdevelopment mof memphysema.
DIF: 1 REF: p.m11 OBJ: EL-3m|mAL-2 MSC:mNBRC:mNone
7. Anmadult mpatient mcomplainsmof mchest mtightnessmand mcoughmwhenevermhemjogsminmcold mweath
er.mThesemsymptomsmaremconsistent mwithmwhichmof mthemfollowing?
a. Cysticmfibrosis
b. Asthma
c. Pulmonarymhypertension
d. Idiopathicmpulmonarymfibrosis
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ANS:mB
Agentsmormeventsmthat mcausemanmasthmaticmepisodemaremcalled mtriggersm(seemBoxm1-
7,mChapterm1).mAntigensmsuchmasmanimalmdander,mpollens,mand mdustsmaremthemmost mcommonmtr
iggers.mOthermcommonmtriggersmincludemexposuremtomairmpollutantsmand mexercisem inmcold morm
drymair.
DIF: 2 REF: p.m16 OBJ: EL-3 MSC:mNBRC:mNone
8. Whichmof mthemfollowingmstatementsmconcerningmtumorsminmthemuppermairwaymismtrue?
a. Theremmaymbemvariablemormfixed mobstruction.
b. Fixed mobstructionmwillmbempresent.
c. Variablemobstructionmwillmbempresent.
d. Smallmairwaymobstructionmwillmresult.
ANS:mA
Tumorsminvolvingmthemuppermairwaymmaymcausemvariablemormfixed mobstruction.
DIF: 2 REF: p.m19 OBJ: EL-
2mMSC:mNBRC:mCPFTm3C-3
9. Sarcoidosismismamsystemicmdisordermthat musuallymcausesmwhichmof mthemfollowing?
a. Amrestrictivemventilatorymdefect
b. Anmobstructivemventilatorymdefect
c. Hyperreactivemairways
d. Primarympulmonarymhypertension
ANS:mA
Restrictionmismoftenmassociated mwithmthemfollowing:minterstitialmlungmdiseases,mincludingmidiop
athicmfibrosis,mpneumoconioses,mand msarcoidosis.
DIF: 1 REF: p.m19m|mp.m21 OBJ: EL-3 MSC:mNBRC:mNone
10. Formwhichmof mthemfollowingmconditionsmmight mpulmonarymfunctionmtestingmbemcontraindicated
?
a. Vocalmcord mdysfunction
b. Untreated mpneumothorax
c. Congestivemheart mfailurem(CHF)
d. Bronchiolitismobliterans
ANS:mB
Pulmonarymfunctionmtestsmaremusuallymcontraindicated minmthempresencemof mpneumothorax.mHo
wever,mundiagnosed mpneumothoraxmmaympresent mamriskmif mpulmonarymfunctionmstudiesmarempe
rformed.
DIF: 1 REF: p.m23 OBJ: EL-
4mMSC:mNBRC:mCPFTm2B-6
d.
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