PFT Flashcards

1
Q

The principle that gas flow is proportional to the pressure drop across a known resistance is used by which of the following devices?

a) Turbine flowmeter
b) Thermal flowmeter
c) Ultrasonic pneumotachograph

d) Fleisch pneumotachograph
e) c) and d)

A

d) Fleisch pneumotachograph

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2
Q

Which of the following is not a contraindica”on for pulmonary func”on tes”ng? a) Pneumothorax

b) Recent eye surgery
c) Pulmonary embolism
d) Coughing
e) Recent myocardial infarc”on

A

d) Coughing

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3
Q

Which of these elements of a FVC determines if the pa”ent had a good start of test?

a) FVC test results being within ATS criteria
b) Predicted popula”on compara”ve values for the pa”ent

c) FEV1 test results being with ATS criteria
d) That the pa”ent gave good effort for tes”ng
e) The back-extrapolated volume measurement

A

e) The back-extrapolated volume measurement

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4
Q

Which of the following best describes Vital Capacity (VC) in adults?

a) It varies inversely with height and directly with age.

b) It may vary with race or ethnic origin.
c) It may easily vary as much as 20% in comparable individuals.

d) All of the above.
e) b) and c)

A

e) b) and c)

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5
Q
A

Variable intrathoracic obstruc”on

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6
Q

A pa”ent who produces a flow-volume loop representing a fixed obstructive pa!ern:

I. May be stridorous with increased work of breathing

II. May demonstrate exercise intolerance
III. May be prone to recurrent aspira”on pneumonias

IV. May be at risk of sudden catastrophic hemorrhage

V. May have a hoarse voice

A

I, II, and V

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7
Q

Toward the end of a multi breath Nitrogen Washout test, the expired N2 concentration begins rising. What is the most likely cause?

a) The pa”ent is trying too hard.
b) There is a leak in the system.
c) The test is nearing comple”on.

d) The apices are star”ng to empty.

A

b) There is a leak in the system.

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8
Q

The “res”ng level” is best defined as?
a) Occurring at peak inspira”on

b) Occurring at RV
c) Occurring when the elas”c forces of the lungs and chest wall are equal

d) The pulmonary func”on value when the pa”ent is in the supine posi”on

A

c) Occurring when the elastic forces of the lungs and chest wall are equal

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9
Q

What Do You Report for FVC

A

Highest

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10
Q

In a healthy individual, the functional residual capacity is expected to be what percentage of total lung capacity?

a) 10%
b) 20%
c) 40%
d) 50%
e) 60%

A

c) 40%

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11
Q

Which of the following is/are advantages of body plethysmography?
a) It is portable and therefore a useful tool for bedside pulmonary function studies.

b) The ability to perform all pulmonary function tests within it
c) Volumes measured in the thorax includes all gas-containing structures

d) Both b) and c)
e) Both a) and c)

A

c) Volumes measured in the thorax includes all gas-containing structures

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12
Q

You have just given your pa”ent a 0.03mg/ml dose of methacholine to assess for asthma. The subsequent FVC shows no change. What should you do next?

a) Report to the physician that the pa”ent does not have asthma.

b) Wait one (1) hour and repeat then test at the same dose.
c) Have the pa”ent return tomorrow to repeat the test.
d) Double the dose and repeat the FVC maneuver.

e) None of the above.

A

d) Double the dose and repeat the FVC maneuver.

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13
Q

Which of the following statements apply to minute ventilation

I. Normal people increase minute ventilation by raising both the “dal volume and respiratory rate.
II. Early in exercise, a higher tidal volume produces most of the increase in minute ventilation
III. Early in exercise, an increased respiratory rate produces most of the increase in minute ventilation
IV. After~ 50-60% of the vital capacity is reached, “dal volume plateaus and increased respiratory rate is responsible for additional minute ventilation increases.

A

I, II, IV

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14
Q

At maximal exercise, hyperven”la”on adequately compensates for lac”c acidosis or anaerobic metabolism.

a) True
b) False

A

b) False

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15
Q

Which of the following are rela”ve contraindica”ons for performing a pulmonary func”on test?

I. Recent eye surgery
II. Unstable cardiovascular status

III. Untreated pneumothorax
IV. Hemoptysis of unknown origin

A

All of the above

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16
Q

Which of the following statements is false regarding FEV1?

a) It is a volume measurement
b) The reported FEV1 must come from the same FVC effort
c) Is often compared to the size of the FVC

A

b) The reported FEV1 must come from the same FVC effort

17
Q

Which of the following refers to the equilibrium that exists in the human thorax at the end of normal exhalation

A

FRC

18
Q

The volume of air inhaled and exhaled during quiet breathing is known as the:

a) Res”ng volume

b) Tidal volume
c) Inspiratory volume

d) Inspiratory capacity

A

b) Tidal volume

19
Q

Which of the following is true about FVC

  1. Close to VC
  2. Reduced with obstructive lung disease
  3. FVC is the volume of gas exhaled from total lung capacity to RV as forcefully and rapidly as the pa”ent is able.
  4. In normal individuals, it should be the same as the volume measured during a forced inspiratory capacity.
  5. All of the above
A

All of the above

20
Q

Which of the following is characteris”c of restric”ve pulmonary disease?

a) Increased RV, TLC, VC
b) Decreased RV, TLC, VC
c) Decreased FEV 1, FEF 25-75

d) Normal FEV1%
e) Both b) and d)

A

e) Both b) and d)

21
Q

How long do the ATS guidelines suggest to wait before tes”ng for baseline values, if the subject has taken short-ac”ng inhaled drugs such as salbutamol, pre-test?

A

4 hours

22
Q

In a healthy individual, the inspiratory capacity is expected to be what percentage of total lung capacity?

a) 10%
b) 20%
c) 40%
d) 50%
e) 60%

A

e) 60%

23
Q

Indications for a methacholine challenge test?

a) Evaluation of emphysema
b) Evaluation of occupational asthma
c) Evaluation of interstitial lung disease

d) Exclude the diagnosis of asthma
e) b) and d) are correct

A

e) b) and d) are correct

24
Q

Which is true regarding the Methacholine used for this challenge test?
a) It is an indirect acting agent that inhibits cholinesterase enzyme.

b) It occupies cholinergic receptor sites, activating the receptor.
c) It is a reversible inhibitor.
d) It makes Ach available to a!ach to receptor sites producing parasympathetic effects.

A

b) It occupies cholinergic receptor sites, activating the receptor.

25
Q

Which of these will not cause some degree of bronchodilation?

a) Coffee
b) Theophylline
c) Alvesco
d) All of the above

e) a) and b) only

A

c) Alvesco

26
Q

The RRT has asked that you provide educa”on to Jane regarding her medica”ons. Which of the following statements should you discuss with Jane regarding her Flu”casone?

a) Medica”on should be taken using an aero-chamber.
b) The onset of ac”on is 4 – 7 days.
c) Side effects she should look for are fluid reten”on, hypertension and hyperglycemia.

d) This medica”on will help with her acute coughing episodes.
e) a) and b)

A

e) a) and b)

27
Q

You are also to provide Jane with informa”on on the Salbutamol that Dr. Smart has prescribed. Review the following statements and select which statement(s) you would discuss with Jane.

I. Effects will last from 3 – 6 hours.
II. Peak effect will be felt in 15 – 60 minutes.
III. Side effects may include ↑HR, nervousness and irritability.
IV. The medica”on will help to control Jane’s nocturnal symptoms.

A

I, II, III