Pulmonary Function Tests Flashcards

1
Q

Name 5 effort independent tests?

A
  1. Relaxed vital capacity
  2. Helium/N2 washout static lung volume
  3. Whole body plethysmography
  4. Impulse oscillometry
  5. Exhaled breath nitic oxide
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2
Q

Name 3 gas diffusion tests

A

CO transfer factor
Arterial blood gases
SaO2 during exercise

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3
Q

Name the term for testing dynamic lung volumes?

A

Spirometry

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4
Q

What curve is present in spirometry?

A

Volume vs. time curve

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5
Q

What is the forced expiratory manoeuvre from in spirometry?

A

From TLC to RV

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6
Q

What is FEV1?

A

Forced Expiratory Volume in 1 second

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7
Q

What is FVC?

A

Forced vital capacity

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8
Q

What is the forced espiratory ratio?

A

FER = FEV1/FVC%

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9
Q

On the spirometry volume vs. time curve, what are the curve desscriptions of normal, asthma and COPD?

A

Normal maintains FVC and has the steepest initial slope
Asthma maintains FVC however has a gentler slope than normal
COPD has a lower FVC and has the gentlest slope

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10
Q

Expiratory flow rates: what two conditions have a volume dependent expiratory airway closure?

A

Asthma and chronic bronchitis

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11
Q

Expiratory flow rates: what condition has a pressure dependent expiratory airway closure?

A

Emphysema

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12
Q

What is the PEFR like in obstructive and restrictive lung conditions?

A

Obstructive - decreased

Restrictive - normal

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13
Q

What is FEV1 like in obstructive and restrictive conditions?

A

Obstructive - decreased

Restrictive - decreased

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14
Q

What is FVC like in obstructive and restrictive conditions?

A

Obstructive - (normal in asthma, reduced in COPD)

Restrictive - decreased

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15
Q

What is the FEV1/FVC ratio like in obstructive and restrictive conditions?

A

Obstructive 75%

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16
Q

What type of testing is used to diagnose occupational asthma?

A

Bronchial challenge testing with allergens/chemicals

17
Q

What are 3 types of exercise testing?

A
  1. FEV1 or PEF post exercise
  2. SaO2 during exercise
  3. Full Cardiopulmonary Exercise Test (CPET)
18
Q

What will the results from FEV1 and PEF in exercise testing be in an asthmatic patient?

A

Decreased FEV1 or decreased post exercise

19
Q

What is monitored in exercise testing for interstitial lung disease?

A

SaO2

20
Q

What is CPET used to differentiate?

A

Cardiac vs. respiratory dyspnoea (heart rate vs. oxygen uptake vs. ventilatory rate

21
Q

What can be used to measure functional residual capacity?

A

Helium dilution/N2 washout

22
Q

What is the equation for RV?

A

FRC - ERV

23
Q

What is the equation for TLC?

A

VC + RV

24
Q

What is the TLC like in hyperinflation?

A

Increased TLC (emphysema)

25
Q

What is the TLC like in restrictive lung disease?

A

Decreased TLC (restrictive lung disease)

26
Q

What can be used to measure static lung volumes in COPD?

A

Gas trapping

27
Q

What is a CO diffusion across alveolar-capillary barrier-single breath diffusing capacity test?

A

Tranfer factor diffusing capacity

28
Q

What is TLCO or DLCO?

A

Total lung transfer for CO or diffusing capacity

29
Q

What 6 conditions would you see decreased TLCO?

A
  1. Anaemia
  2. Emphysema
  3. Interstitial lung disease
  4. Pulmonary oedema
  5. Pulmonary Emboli
  6. Bronchiectesis
30
Q

What is used to monitor treatment response in interstitial lung disease?

A

Transfer factor diffusing capacity

31
Q

What are whole body plethysmography or impulse oscillometry used to measure?

A

Airway resistance

32
Q

What measures airway resistance during quiet tidal breathing?

A

Impulse oscillometry

33
Q

What is exhaled breath nitric oxide a non-invasive marker of?

A

Eosinophilic airway inflammation in asthma

34
Q

What is nitric oxide suppressed by in COPD?

A

Smoking so exhaled breath condensate wont work

35
Q

What reflects uncontrolled asthmatic inflammation in exhaled breath condensate tests?

A

High levels of exhaled NO >35ppb

36
Q

Name an effort dependent tests

A
  1. Forced Expiratory Volumes/flow rates