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Resp - Exam 1 - Andrews

Total questions: 45

Worksheet time: 28mins

Name
Class
Date
1.

The primary function of the respiratory system is to maintain normal arterial gases in the blood

a)

true

b)

false (venous gases)

2.

What organs work together to maintain the acid/base levels in the body

a)

lungs

b)

kidneys

c)

liver

d)

spleen

3.

What organs work together to maintain the acid/base levels in the arterial partial pressure of O2 and arterial partial pressure of CO2

a)

lungs

b)

kidneys

c)

liver

d)

spleen

4.

Imbalance in arterial blood gases can lead to

a)

alkalosis

b)

acidosis

c)

ketosis

d)

glycolysis

5.

Why would PFTs need to be ordered

a)

Evaluation of symptomatic disease

b)

Screening for early, asymptomatic disease

c)

Monitoring response to treatment

d)

Determine fitness for surgery

e)

Routine screening for insurance companies

6.

What are characteristics of obstructive lung disease

a)

difficulty expelling all the air out of their lungs

b)

shortness of breath

c)

airways become narrow or there is damage to the lung

d)

cannot fully fill lungs with air

e)

stiffness in the lungs

7.

What are characteristics of restrictive lung disease

a)

difficulty expelling all the air out of their lungs

b)

shortness of breath

c)

airways become narrow or there is damage to the lung

d)

cannot fully fill lungs with air

e)

stiffness in the lungs

8.

What are the major categories of lung disease

a)

obstructive lung disease

b)

restrictive lung disease

c)

pulmonary vascular disease

9.

What can PFTs measure

a)

patency of airways (large airways or small airways)

b)

parenchyma (alveoli and interstitium)

c)

pulmonary vasculature

d)

diaphragm and chest wall

e)

neural control of ventilation

10.

The amount of air a person is breathing normally

a)

tidal volume

b)

inspiratory reserve volume

c)

expiratory reserve volume

d)

residual volume

11.

The amount of air deeply inhaled above the normal amount

a)

tidal volume

b)

inspiratory reserve volume

c)

expiratory reserve volume

d)

residual volume

12.

The amount of air deeply exhaled beyond the normal amount

a)

tidal volume

b)

inspiratory reserve volume

c)

expiratory reserve volume

d)

residual volume

13.

The amount of air that is unable to leave the lungs

a)

tidal volume

b)

inspiratory reserve volume

c)

expiratory reserve volume

d)

residual volume

14.

The inspiratory capacity is made up of

a)

tidal volume

b)

inspiratory reserve volume

c)

expiratory reserve volume

d)

residual volume

15.

The functional reserve capacity is made up of

a)

tidal volume

b)

inspiratory reserve volume

c)

expiratory reserve volume

d)

residual volume

16.

The vital capacity is made up of

a)

tidal volume

b)

inspiratory reserve volume

c)

expiratory reserve volume

d)

residual volume

17.

The total lung capacity is made up of

a)

tidal volume

b)

inspiratory reserve volume

c)

expiratory reserve volume

d)

residual volume

18.

The total lung capacity is made up of

a)

inspiratory capacity

b)

functional reserve capacity

c)

vital capacity

d)

residual volume

19.

Vital capacity represents how much of a normal lung capacity

a)

50%

b)

75%

c)

80%

d)

85%

20.

What is the equation for the typical measurement used to determine obstruction/lung function

a)

FEV1/FVC

b)

FVC/FEV1

c)

IRV/ERV

d)

ERV/IRV

21.

What is FEV1

a)

amount of air one can forcibly exhale over 1 second

b)

forced vital capacity

c)

IRV + VT + ERV

22.

What is FEV1

a)

amount of air one can forcibly exhale over 1 second

b)

forced vital capacity

c)

IRV + VT + ERV

23.

What is the normal adult FEV1/FVC expected to be

a)

≥80%

b)

>85%

c)

<75%

d)

≤70%

24.

What is the normal children/young adult FEV1/FVC expected to be

a)

≥80%

b)

>85%

c)

<75%

d)

≤70%

25.

Which FEV1/FVC implies obstruction

a)

≥80%

b)

>85%

c)

<75%

d)

≤70%

26.

Which PFT test is used to diagnose obstructive lung disease

a)

spirometry

b)

lung volumes

c)

diffusion capacity

d)

arterial blood gases

e)

oxygen saturation

27.

Which PFT test is used to diagnose restrictive lung disease

a)

spirometry

b)

lung volumes

c)

diffusion capacity

d)

arterial blood gases

e)

oxygen saturation

28.

Which PFT test is used to determine the effectiveness of gas exchange

a)

spirometry

b)

lung volumes

c)

diffusion capacity

d)

arterial blood gases

e)

oxygen saturation

29.

Which PFT test is used for people with asthma

a)

spirometry

b)

lung volumes

c)

diffusion capacity

d)

arterial blood gases

e)

peak flow

30.

Which PFT test is the gold standard and most common measurement due to its non-invasive procedure

a)

spirometry

b)

lung volumes

c)

diffusion capacity

d)

arterial blood gases

e)

peak flow

31.

What are some characteristics of spirometry

a)

takes 15-20 mins, minimal risks, gives information on restrictive and obstructive diseases

b)

patients take a maximum inhale and then forcefully exhales

c)

measures all lung volumes and capacities except RV

d)

results shown in standard spirometry

e)

results shown in flow-volume loops

32.

What is measured on a standard spirometry

a)

lung volume (L) vs time (sec)

b)

flow of air (L/sec) vs volume (L)

33.

What is measured on a flow loop spirometry

a)

lung volume (L) vs time (sec)

b)

flow of air (L/sec) vs volume (L)

34.

How many times should spirometry be performed to ensure results are reproducible

a)

1

b)

2

c)

3

d)

4

e)

5

35.

What are some contraindications of spirometry

a)

unstable angina

b)

MI in the last month

c)

recent thoracic/abd aneurysm

d)

current pneumothorax

e)

sinus infection

36.

On a Peak Flow Meter, a reading of 80% would fall under the

a)

green zone

b)

yellow zone

c)

red zone

37.

On a Peak Flow Meter, a reading of 60% would fall under the

a)

green zone

b)

yellow zone

c)

red zone

38.

On a Peak Flow Meter, a reading of 45% would fall under the

a)

green zone

b)

yellow zone

c)

red zone

39.

What are characteristics of spirometry

a)

usually requires a skilled medical professional

b)

diagnosis purpose, measures lung capacity

c)

may be performed by patients at home

d)

limited to monitoring

e)

measures force of exhalation

40.

What are characteristics of peak flow meter

a)

usually requires a skilled medical professional

b)

diagnosis purpose, measures lung capacity

c)

may be performed by patients at home

d)

limited to monitoring

e)

measures force of exhalation

41.

What is used to measure SpO2

a)

pulse ox

b)

spirometry

c)

pulse flow rate

42.

What are some characteristics of a pulse oximeter

a)

quick estimate

b)

can be falsely elevated in smokers

c)

detected with light on finger capillaries

d)

detected with light on ear lobe

43.

A spirometry report will be reported as % of that predicted given the patient's

a)

age

b)

gender

c)

height

d)

comorbidities

e)

weight

44.

In most patients, what would a "normal" spirometry report show

a)

~80-120% predicted

b)

5th to 95th percentile

c)

~70-100% predicted

d)

10th to 90th percentile

45.

A patient arrives to your pharmacy with a peak flow reading around 410. She states her personal best is 540. Based on the reading today vs her personal best, what "zone" does she fall in?

a)

Green Zone

b)

Yellow Zone

c)

Red Zone

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