Respiratory Disorders

Question 1

Screening pulse oximeter and/or ABG indicated when:

Answer 1

PFT shows:
1. FEV1 < 65%
2. FEV1/FVC Ratio < 65%
3. FVC < 60%

Question 2

If screening pulse oximeter is < 92% then:

Answer 2

ABG is indicated

Question 3

Disqualifying ABG

Answer 3

If PaO2 is less than:
65mmHg at altitudes < 5000ft
60mmHg at altitudes > 5000ft

PaCO2 > 45mmHg at any altitude

Question 4

1st Generation Antihistamine Guidance

Answer 4

Avoid taking 12 hours prior to driving CMV

Question 5

Asthma Certification Period and DQ

Answer 5

Max Cert: 2 years

DQ if:
1. Uncontrolled
2. Impaired pulmonary function

Question 6

COPD DQ

Answer 6

1. Hypoxemia at rest
2. Chronic respiratory failure
3. Continuing cough with syncope

Question 7

Pneumothorax Certification Period

Answer 7

Max Cert: 1 year

• Must ensure complete resolution via chest XR

Question 8

Pneumothorax Certification Requirements

Answer 8

1. Asymptomatic
2. No disqualifying underlying lung disease
3. Confirmed resolution of single spontaneous pneumothorax
4. Successful pleurodesis of recurrent pneumothorax to same side

Question 9

Pneumothorax DQ

Answer 9

1. History of multiple pneumothorax on same side w/o treatment
2. Hypoxemia at rest
3. Chronic respiratory failture
4. Continuing cough with syncope

Question 10

Pulmonary HTN Certification Period

Answer 10

Max Cert: 1 year

Question 11

Pulmonary HTN Certification Requirements

Answer 11

1. Treatment is adequate
2. Condition is stable

Question 12

Pulmonary HTN DQ

Answer 12

1. Dyspnea at rest
2. Dizziness
3. Hypotension
4. PaO2 < 65mmHg

Question 13

Obstructive Sleep Apnea Critera

Answer 13

1. BMI > 40
2. BMI > 33 and < 40 with at least three of the following
   - HTN
   - Type II DM
   - Stroke/CAD
   - Snoring/Witnessed apnea
   - 17” male/15.5” female
   - Hypothyroidism
   - Age > 42
   - Male or PMP Female

Question 14

CPAP Compliance Standard

Answer 14

Use of CPAP > 4 hrs/night for > 70% nights