1. Who jfirst jpopularized jspirometry jfor jthe jevaluation jof jpulmonary jfunction?
a. August jand jMarie jKrogh
b. Alvan jBarach
c. John jSeveringhaus
d. John jHutchinson
ANS: j D
Hutchinson jpopularized jthe jconcept jof jusing jVC jto jassess jlung jfunction, jand jthe
jnames jhejgave jto jseveral jother jlung jcompartments jare jstill jused jtoday.
DIF: 1 REF: p. j2 OBJ: None MSC: j NBRC: jNone
2. Which jof jthe jfollowing jare jindications jfor jperforming jspirometry?
1. Assess jthe jrisk jof jlung jresection.
2. Determine jthe jresponse jto jbronchodilator jtherapy.
3. Assess jthe jseverity jof jrestrictive jlung jdisease.
4. Quantify jthe jextent jof jCOPD.
a. 1 jand j4
b. 2 jand j3
c. 1, j2, jand j4
d. 2, j3, jand j4
ANS: j C
Spirometry jcannot jassess jseverity jof jrestriction; jfor jthat jyou jneed jto jmeasure jlung
jvolumesj(see jBox j1-2, jChapter j1).
DIF: 1 REF: p. j7 OBJ: EL-2 MSC: j NBRC: jNone
3. The jmain jindication jfor jthe jmeasurement jof jlung jvolumes jis jto jdo jwhich jof jthe jfollowing?
a. Diagnose jor jassess jthe jseverity jof jrestriction.
b. Evaluate jthe jseverity jof jpulmonary jhypertension.
c. Determine jthe jlevel jof jcardiopulmonary jfitness.
d. Assess jthe jrisk jof jabdominal jsurgical jprocedures.
ANS: j A
The jmost jcommon jreason jfor jmeasuring jlung jvolumes jis jto jidentify jrestrictive jlung
jdisease.jDIF: 1 REF: p. j35 OBJ: EL-2 MSC: j NBRC:
jNone
4. DLCO jmeasurements jmay jbe jindicated jto jevaluate jpulmonary jinvolvement jin jwhich jof
jthejfollowing jsystemic jdiseases?
a. Asthma
b. Sarcoidosis
c. Exertional jhypoxemia
, d. Guillain-Barré jsyndrome
ANS: j B
Sarcoidosis jis jthe jonly jsystemic jdisease jlisted jthat jaffects jgas jexchange.
9. Sarcoidosis jis ja jsystemic jdisorder jthat jusually jcauses jwhich jof jthe jfollowing?
a. A jrestrictive jventilatory jdefect
b. An jobstructive jventilatory jdefect
c. Hyperreactive jairways
d. Primary jpulmonary jhypertension
ANS: j A
Restriction jis joften jassociated jwith jthe jfollowing: jinterstitial jlung jdiseases,
jincludingjidiopathic jfibrosis, jpneumoconioses, jand jsarcoidosis.
11. Which jof jthe jfollowing jcorrectly jdescribe(s) jappropriate jphysical jmeasurements
jbeforejpulmonary jfunction jtesting?
1. Actual jbody jweight jshould jbe jused jto jcalculate jpredicted jvalues.
2. Standing jheight jshould jbe jmeasured jwhen jthe jpatient jis jbarefoot.
3. Arm jspan jshould jbe jused jinstead jof jheight jfor ja jpatient jwith jkyphosis.
4. Age jshould jbe jrecorded jto jthe jnearest jdecade j(10 jyears).
a. 1 jonly
b. 2 jand j3
c. 1, j2, jand j4
d. j1, j2, j3, jand
j4jANS: j B
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