PFTs Flashcards

1
Q

define obstructive disease

A

air can’t get out

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2
Q

2 subtypes of obstructive

A
  1. asthma

2. COPD

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3
Q

2 subtypes of COPD

A
  1. emphysema

2. chronic bronchitis

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4
Q

formula for resistance

A

^P/flow

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5
Q

key to asthma

A
  1. reversible
  2. narrowing by smooth muscle
  3. mucous hypersecretion
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6
Q

2 key things to look for in asthma with broncodilator

A
  1. FEV1 > 12%

2. > 180cc

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7
Q

define chronic bronch.

A

cough with sputum most days > 3month/year, 2 years in row

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8
Q

what happens to inflation in emphysema

A

hyperinflation - TLC increases

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9
Q

2 types of restriction causes

A
  1. chest wall

2. lung scarring

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10
Q

3 things measured with PFT

A
  1. volume
  2. flow
  3. diffusion
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11
Q

3 measures of volume

A
  1. TLC - total inspiration
  2. FRC - end of quiet expiration
  3. RV - end of hard expiration
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12
Q

2 ways to measure FRC

A
  1. He dilution

2. body box

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13
Q

what does a large diff between He and body box measures

A

gas trapping

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14
Q

what do the curves of an FT curve represent

A

flow vs. volume

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15
Q

when is flow normally bigger, before or after FEV50

A

before

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16
Q

what happens on expiration in extrathoracic obstruction?

A

pushes airway open

17
Q

what happens on expiration in extrathoracic obstruction?

A

closes airway

18
Q

what suggest obstruction

A

FEV1/FVC < 0.7

19
Q

what does a high flow with low volume suggest?

A

restriction

20
Q

what is happening if FEV1/FVC is normal but FEV50 and 75 are low

A

small airway disease - not sure what it means

21
Q

3 causes of lowered diffusion

A
  1. decreased surface area
  2. thicker walls
  3. low Hb
22
Q

what is obs with low DLCO

A

emphysema

23
Q

what is obs with good DLCO

A

CB or asthma

24
Q

what does DLCO tell us about restriction

A

low - interstitial

good - chest wall

25
Q

how does methacholine test work?

A

slowly increase until FEV1 hits 20%

26
Q

how to do walk test

A

walk 6 minutes and compare O2 from before and after

27
Q

what is first step of PFT?

A

look at demos

28
Q

what is normal for FEV, FRC, FVC, VC, RV

A

+/-20% of normal

29
Q

what is normal for DLCO

A

+/-25% of normal

30
Q

normal for FEV50 and 75

A

+/-50% of normal

31
Q

requirement for athma reversibility

A

12% FEV1 change or increase of 180 cc