TEST BANK FOR RUPPEL’S MANUAL OF PULMONARY FUNCTION TESTING 12TH EDITION BY MOTTRAM | LATEST VERSION

,Chapter .1: .Indications .for .Pulmonary .Function .Testing
.Test .Bank



MULTIPLE .CHOICE

1. Who .first .popularized .spirometry .for .the .evaluation .of .pulmonary .function?
a. August .and .Marie .Krogh
b. Alvan .Barach
c. John .Severinghaus
d. John .Hutchinson
ANS: . . D
Hutchinson .popularized .the .concept .of .using .VC .to .assess .lung .function, .and .the .names .he
.gave .to .several .other .lung .compartments .are .still .used .today.


DIF: 1 REF: p. .2 OBJ: None MSC: . NBRC: .None

2. Which .of .the .following .are .indications .for .performing .spirometry?
1. Assess .the .risk .of .lung .resection.
2. Determine .the .response .to .bronchodilator .therapy.
3. Assess .the .severity .of .restrictive .lung .disease.
4. Quantify .the .extent .of .COPD.
a. 1 .and .4
b. 2 .and .3
c. 1, .2, .and .4
d. 2, .3, .and .4
ANS: . . C
Spirometry .cannot .assess .severity .of .restriction; .for .that .you .need .to .measure .lung
.volumes .(see .Box .1-2, .Chapter .1).


DIF: 1 REF: p. .7 OBJ: EL-2 MSC: . NBRC: .None

3. The .main .indication .for .the .measurement .of .lung .volumes .is .to .do .which .of .the .following?
a. Diagnose .or .assess .the .severity .of .restriction.
b. Evaluate .the .severity .of .pulmonary .hypertension.
c. Determine .the .level .of .cardiopulmonary .fitness.
d. Assess .the .risk .of .abdominal .surgical .procedures.
ANS: . . A
The .most .common .reason .for .measuring .lung .volumes .is .to .identify .restrictive .lung

.disease. .DIF: 1 REF: p. .35 OBJ: EL-2 MSC: . NBRC:

.None


4. DLCO .measurements .may .be .indicated .to .evaluate .pulmonary .involvement .in .which .of
.the .following .systemic .diseases?
a. Asthma
b. Sarcoidosis
c. Exertional .hypoxemia

, d. Guillain-Barré .syndrome
ANS: . . B
Sarcoidosis .is .the .only .systemic .disease .listed .that .affects .gas .exchange.

DIF: 1 REF: p. .9 .| .p. .19 .| .p. .21 .| .p. .35 OBJ: EL-2
.MSC: . NBRC: .None


5. Blood .gas .analysis .is .used .with .patients .with .COPD .to .do .which .of .the .following?
a. Monitor .airway .responsiveness.
b. Determine .level .of .cardiopulmonary .fitness.
c. Detect .pulmonary .hypertension.
d. Assess .need .for .supplementary .O2.
ANS: . . D
Blood .gas .analysis .is .most .commonly .used .to .determine .the .need .for .supplemental
.oxygen .and .to .manage .patients .who .require .ventilatory .support.


DIF: 2 REF: p. .15 OBJ: EL-1
.MSC: . NBRC: .CPFT .2A-2


6. Which .of .the .following .cause .emphysema?
1. 1-Antitrypsin .deficiency
2. Exposure .to .environmental .pollutants
3. Radiation .therapy
4. Cigarette .smoking
a. 1 .and .2
b. 3 .and .4
c. 1, .2, .and .4
d. 2, .3, .and .4
ANS: . . C
Emphysema .is .caused .primarily .by .cigarette .smoking. .Some .emphysema .is .caused .by .the
.absence .of .a .protective .enzyme. .Chronic .exposure .to .environmental .pollutants .can .also
.contribute .to .the .development .of .emphysema.


DIF: 1 REF: p. .11 OBJ: EL-3 .| .AL-2 MSC: . NBRC: .None

7. An .adult .patient .complains .of .chest .tightness .and .cough .whenever .he .jogs .in .cold
.weather. .These .symptoms .are .consistent .with .which .of .the .following?
a. Cystic .fibrosis
b. Asthma
c. Pulmonary .hypertension
d. Idiopathic .pulmonary .fibrosis
ANS: . . B
Agents .or .events .that .cause .an .asthmatic .episode .are .called .triggers .(see .Box .1-7,
.Chapter .1). .Antigens .such .as .animal .dander, .pollens, .and .dusts .are .the .most .common
.triggers. .Other .common .triggers .include .exposure .to .air .pollutants .and .exercise .in .cold
.or .dry .air.


DIF: 2 REF: p. .16 OBJ: EL-3 MSC: . NBRC: .None

, 8. Which .of .the .following .statements .concerning .tumors .in .the .upper .airway .is .true?
a. There .may .be .variable .or .fixed .obstruction.
b. Fixed .obstruction .will .be .present.
c. Variable .obstruction .will .be .present.
d. Small .airway .obstruction .will .result.
ANS: . . A
Tumors .involving .the .upper .airway .may .cause .variable .or .fixed .obstruction.

DIF: 2 REF: p. .19 OBJ: EL-2
.MSC: . NBRC: .CPFT .3C-3


9. Sarcoidosis .is .a .systemic .disorder .that .usually .causes .which .of .the .following?
a. A .restrictive .ventilatory .defect
b. An .obstructive .ventilatory .defect
c. Hyperreactive .airways
d. Primary .pulmonary .hypertension
ANS: . . A
Restriction .is .often .associated .with .the .following: .interstitial .lung .diseases, .including
.idiopathic .fibrosis, .pneumoconioses, .and .sarcoidosis.


DIF: 1 REF: p. .19 .| .p. .21 OBJ: EL-3 MSC: . NBRC: .None

10. For .which .of .the .following .conditions .might .pulmonary .function .testing .be .contraindicated?
a. Vocal .cord .dysfunction
b. Untreated .pneumothorax
c. Congestive .heart .failure .(CHF)
d. Bronchiolitis .obliterans
ANS: . . B
Pulmonary .function .tests .are .usually .contraindicated .in .the .presence .of .pneumothorax.
.However, .undiagnosed .pneumothorax .may .present .a .risk .if .pulmonary .function .studies .are
.performed.


DIF: 1 REF: p. .23 OBJ: EL-4
.MSC: . NBRC: .CPFT .2B-6


11. Which .of .the .following .correctly .describe(s) .appropriate .physical .measurements
.before .pulmonary .function .testing?
1. Actual .body .weight .should .be .used .to .calculate .predicted .values.
2. Standing .height .should .be .measured .when .the .patient .is .barefoot.
3. Arm .span .should .be .used .instead .of .height .for .a .patient .with .kyphosis.
4. Age .should .be .recorded .to .the .nearest .decade .(10 .years).
a. 1 .only
b. 2 .and .3
c. 1, .2, .and .4
d. 1, .2, .3, .and
.4 .ANS: . B