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
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