Resp. Misc. 5 - Overview of Lung Function Tests Flashcards
What are the 3 main categories of pulmonary function tests?
Effort dependent tests
Effort independent tests
Gas diffusion tests
What are 2 effort dependent pulmonary function tests?
Peak Expiratory Flow (peak flow metre)
Spirometry (forced expiatory volumes)
*these are the most important in clinical practice
what does the flow rate =
Volume / time
What are 5 effort independent tests?
Relaxed vital capacity (spirometry)Helium/ N2 washout stati lung volumesWhole body plethysmographyImpulse oscillometryExhaled breath nitric oxide*these are the most important in clinical practice
What are 3 gas diffusion tests?
CO transfer testsArterial blood gases (resting)SaO2 during exercise*these are the most important in clinical practice
What is the name for the following ratio:FEV1/FVC?
Forced expiratory ratio (FER)
What does RVC stand for?
Relaxed vital capacity
What is the difference between static and dynamic lung volumes?
Static = not concerned with rate at which they are inspirited or exhaledDynamic = dependent on the rate (FVC)
How many times do the airways divide?
23 times
In terms of spirometry, where is air trapping suggested?
When there is a major difference between the relaxed vital capacity and the forced vital capacity
Do people with asthma or COPD normally have a full forced vital capacity?
FVC is normally preserved in asthmatics although it is normally lowered in COPD (due to remodelling)
Is the reduced FVC in COPD patients usually proportionate to the reduced FEV1?
No meaning the ratio is still lowered where as in restrictive conditions both are reduced proportionally meaning the ratio is usually normal
if you plot the expiatory flow rate against the forced expiatory volume (from TLC to RV), what is the shape for:-normal?-volume dependent airway closure e.g. asthma, chronic bronchitis-pressure dependent airway closure e.g. emphysema
Normal = comes to a peak and decreases Volume = comes to less f a peak and decreases in a curve instead of a straight linePressure = comes to a much lesser peak and decreases suddenly
What test produces the flow-volume curve?
Spirometry (have to take gradients from some line)
What values can be extracted from the flow-volume curve?
Peak expiatory flow rate (PEFR)Forced expiatory flow rate (FEFR) at a % of FVC
What are the units of the peak expiatory flow rate?
L/min