TestglBankglforglRuppelsglManualglofglPulmonaryglFunctionglTestinggl

TestglBankglforglRuppel’sglManualglofglPulmonaryglFunctionglTestinggl 12thglEdition,glByglMottram Chaptergl1gl-gl13glUpdatedgl 1 / 4

Chapterwf1:wfIndicationswfforwfPulmonarywfFunctionwfTestingwfTestwfBank

MULTIPLEwfCHOICE

• Whowffirstwfpopularizedwfspirometrywfforwfthewfevaluationwfofwfpulmonarywffunction?
• AugustwfandwfMariewfKrogh
• AlvanwfBarach
• JohnwfSeveringhaus
• JohnwfHutchinson

ANS:wfD

HutchinsonwfpopularizedwfthewfconceptwfofwfusingwfVCwftowfassesswflungwffunction,wfandwfthewfnameswfh ewfgavewftowfseveralwfotherwflungwfcompartmentswfarewfstillwfusedwftoday.

DIF: 1 REF: p.wf2 OBJ: NonewfMSC:wfNBRC:wfNone

• Whichwfofwfthewffollowingwfarewfindicationswfforwfperformingwfspirometry?
• Assesswfthewfriskwfofwflungwfresection.
• Determinewfthewfresponsewftowfbronchodilatorwftherapy.
• Assesswfthewfseveritywfofwfrestrictivewflungwfdisease.
• QuantifywfthewfextentwfofwfCOPD.
• 1wfandwf4
• 2wfandwf3
• 1wf,wf2,wfandwf4
• 2wf,wf3,wfandwf4

ANS:wfC

Spirometrywfcannotwfassesswfseveritywfofwfrestriction;wfforwfthatwfyouwfneedwftowfmeasurewflungwfvolum eswf(wfseewfBoxwf1-2,wfChapterwf1).

DIF: 1 REF: p.wf7 OBJ: EL-2 MSC:wfNBRC:wfNone 2 / 4

• Thewfmainwfindicationwfforwfthewfmeasurementwfofwflungwfvolumeswfiswftowfdowfwhichwfofwfthewffollowing

?

• Diagnosewforwfassesswfthewfseveritywfofwfrestriction.
• Evaluatewfthewfseveritywfofwfpulmonarywfhypertension.
• Determinewfthewflevelwfofwfcardiopulmonarywffitness.
• Assesswfthewfriskwfofwfabdominalwfsurgicalwfprocedures.

ANS:wfA

Thewfmostwfcommonwfreasonwfforwfmeasuringwflungwfvolumeswfiswftowfidentifywfrestrictivewflungwfdise ase.wfDIF: 1 REF: p.wf35 OBJ: EL-2 MSC:wfNBRC:wfNone

• DLCOwfmeasurementswfmaywfbewfindicatedwftowfevaluatewfpulmonarywfinvolvementwfinwfwhichwfofw

fthewffollowingwfsystemicwfdiseases?

• Asthma
• Sarcoidosis
• Exertionalwfhypoxemia 3 / 4

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• Guillain-Barréwfsyndrome

ANS:wfB

Sarcoidosiswfiswfthewfonlywfsystemicwfdiseasewflistedwfthatwfaffectswfgaswfexchang e.wfDIF:wf1wfREF:wfp.wf9wf|wfp.wf19wf|wfp.wf21wf|wfp.wf35wfOBJ:wfEL-2wfMSC:wfNBRC:wfNone

• BloodwfgaswfanalysiswfiswfusedwfwithwfpatientswfwithwfCOPDwftowfdowfwhichwfofwft

hewffollowing?

• Monitorwfairwaywfresponsiveness.
• Determinewflevelwfofwfcardiopulmonarywffitness.
• Detectwfpulmonarywfhypertension.
• AssesswfneedwfforwfsupplementarywfO2.

ANS:wfD

Bloodwfgaswfanalysiswfiswfmostwfcommonlywfusedwftowfdeterminewfthewfneedwfforwfsupplementalwfoxy genwfandwftowfmanagewfpatientswfwhowfrequirewfventilatorywfsupport.

DIF: 2 REF: p.wf15 OBJ: EL- 1wfMSC:wfNBRC:wfCPFTwf2A-2

• Whichwfofwfthewffollowingwfcausewfemphysema?
• 1-wfAntitrypsinwfdeficiency
• Exposurewftowfenvironmentalwfpollutants
• Radiationwftherapy
• Cigarettewfsmoking
• 1wfandwf2
• 3wfandwf4
• 1wf,wf2,wfandwf4
• 2wf,wf3,wfandwf4

ANS:wfC

Emphysemawfiswfcausedwfprimarilywfbywfcigarettewfsmoking.wfSomewfemphysemawfiswfcausedwfbywfthewf absencewfofwfawfprotectivewfenzyme.wfChronicwfexposurewftowfenvironmentalwfpollutantswfcanwfalsowfc ontributewftowfthewfdevelopmentwfofwfemphysema.

DIF: 1 REF: p.wf11 OBJ: EL-3wf|wfAL-2 MSC:wfNBRC:wfNone

• Anwfadultwfpatientwfcomplainswfofwfchestwftightnesswfandwfcoughwfwheneverwfhewfjogswfinwfcoldwfwea

ther.wfThesewfsymptomswfarewfconsistentwfwithwfwhichwfofwfthewffollowing?

• Cysticwffibrosis
• Asthma
• Pulmonarywfhypertension
• Idiopathicwfpulmonarywffibrosis
• / 4