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Questions and Answers

[Blank] volume, inspiratory reserve volume, expiratory reserve volume, and residual volume are the four lung volumes.

tidal

The two main types of respiratory disease pathologies are ______ and obstructive.

restrictive

Vital capacity, inspiratory capacity, functional residual capacity, and ______ lung capacity are the four lung capacities.

total

Pulmonary function tests (PFTs) are indicated to screen for pulmonary disease, evaluate patients for surgical risk, assess the progression of disease, assist in determining pulmonary disability, and modify the ______ approach to patient care.

<p>therapeutic</p> Signup and view all the answers

Relative contraindications for a PFT include recent cataract removal surgery, unstable cardiovascular status, untreated pneumothorax, and ______ of unknown origin.

<p>hemoptysis</p> Signup and view all the answers

Hazards of performing a PFT include untreated pneumothorax and unstable ______ status, recent MI.

<p>hemodynamic</p> Signup and view all the answers

Predicted values for pulmonary function are influenced by height, age, ______, and race.

<p>gender</p> Signup and view all the answers

Volumes in PFTs tell about restrictive disorders if FVC is less than 80%, while ______ tell about obstructive disorders if $FEV_1$ is less than 80% or more importantly, if $FEV_1$/FVC is less than 5%.

<p>flows</p> Signup and view all the answers

The diffusion capacity test helps to determine the pathology with otherwise normal, restrictive, & ______ PFT's.

<p>obstructive</p> Signup and view all the answers

Two types of PFT tests are FVC (Forced Vital Capacity, the main test done) and ______ lung volumes.

<p>static</p> Signup and view all the answers

Assist in determining pulmonary ______ is one of the indications of Pulmonary Function Test.

<p>disability</p> Signup and view all the answers

Functional residual ______ is a lung capacity.

<p>capacity</p> Signup and view all the answers

The predicted values are calculated based on: height, age, gender, and ______.

<p>race</p> Signup and view all the answers

Recent MI and unstable ______ status are hazards of performing Pulmonary Function Tests.

<p>hemodynamic</p> Signup and view all the answers

Total lung capacity is a lung ______.

<p>capacity</p> Signup and view all the answers

Evaluating patients for surgical ______ is one of the indications of performing Pulmonary Function Tests.

<p>risk</p> Signup and view all the answers

Relative contraindications for Pulmonary Function Tests include: unstable cardiovascular status, recent surgery, and untreated ______.

<p>pneumothorax</p> Signup and view all the answers

The four lung volumes are measured to provide a comprehensive assessment of pulmonary function of the patient: tidal volume, inspiratory reserve volume, expiratory reserve volume, and ______ volume.

<p>residual</p> Signup and view all the answers

Diffusion is used to determine the ______ with otherwise Normal, Restrictive, and Obstructive PFT's.

<p>pathology</p> Signup and view all the answers

The progress of disease is ______ through the usage of pulmonary function tests.

<p>assessed</p> Signup and view all the answers

MVV tells about patient effort and the patient's ______ muscles.

<p>respiratory</p> Signup and view all the answers

A PFT that measures patient effort and upper airways is the ______.

<p>FEF 200-1200</p> Signup and view all the answers

To assess mid to low airway disease, a PFT measurement of ______ is used.

<p>FEF 25-75%</p> Signup and view all the answers

The ______ test can be taken at home to assess asthma on a regular basis.

<p>Peak Flow</p> Signup and view all the answers

[Blank], N2 Washout, and Body Plethysmography, are three methods to measure the Residual Volume indirectly.

<p>Helium Dilution</p> Signup and view all the answers

A flow volume loop with a scooped out appearance suggests an ______ pattern.

<p>Obstructive</p> Signup and view all the answers

A ______ flow volume loop is narrow and tall.

<p>Restrictive</p> Signup and view all the answers

The flow volume loop for a fixed upper airway obstruction looks like a ______.

<p>rectangle</p> Signup and view all the answers

[Blank] is often performed before and after bronchodilator administration to assess the reversibility of airflow obstruction.

<p>Pre/Post</p> Signup and view all the answers

[Blank] involves exposing a patient to a substance to induce bronchospasm, assessing airway reactivity.

<p>Bronchoprovocation</p> Signup and view all the answers

[Blank] measures the diffusing capacity of the lungs for carbon monoxide, reflecting gas exchange efficiency.

<p>DLCO</p> Signup and view all the answers

The ______ assesses exercise capacity and endurance in individuals with respiratory conditions.

<p>6- &amp; 12-minute walks</p> Signup and view all the answers

[Blank] measures the maximum expiratory flow rate, indicating the degree of airway obstruction.

<p>Peak Flow</p> Signup and view all the answers

[Blank] assesses respiratory muscle strength, reflecting the ability to generate pressure during inspiration and expiration.

<p>MIP/MEP</p> Signup and view all the answers

[Blank] measures the volume of air inhaled or exhaled per minute, reflecting overall ventilation efficiency.

<p>Minute Ventilation</p> Signup and view all the answers

The test of ______ tells about patient effort and respiratory muscle strength.

<p>MVV</p> Signup and view all the answers

One hazard related to the MVV test is ______.

<p>dizziness</p> Signup and view all the answers

During the MVV test, the patient breaths ______ and deeply for 12-15 seconds.

<p>rapidly</p> Signup and view all the answers

The MVV is estimated by multiplying the ______ by a factor.

<p>FEV1</p> Signup and view all the answers

[Blank] is defined as a significant improvement in pulmonary function after bronchodilator use.

<p>Reversibility</p> Signup and view all the answers

The technologist uses a ______ to compensate for or adjust for errors of measurement seen during calibration.

<p>correction factor</p> Signup and view all the answers

[Blank] refers to the closeness of agreement between independent test results obtained under stipulated conditions.

<p>Reproducibility</p> Signup and view all the answers

The ______ Society and the European Respiratory Society set the standards to follow for Pulmonary Function Tests (PFTs).

<p>American Thoracic</p> Signup and view all the answers

[Blank] are people or samples from people who have known values, serving as a benchmark in testing.

<p>Biological controls</p> Signup and view all the answers

The two primary areas of quality control include equipment performance standards and ______ performance standards.

<p>patient</p> Signup and view all the answers

Determining if a patient has an obstructive lung disease requires using the FVC, FEV1, along with the ratio of ______.

<p>FEV1/FVC</p> Signup and view all the answers

To calibrate volume measuring devices, a ______ L syringe is typically used.

<p>3.0</p> Signup and view all the answers

[Blank] is defined as the ability of a measurement to consistently reproduce the same result.

<p>Repeatability</p> Signup and view all the answers

Evaluating ______ is important to determine if a patient is obstructive and if the FVC and SVC should be the same.

<p>lung function</p> Signup and view all the answers

[Blank] refers to the correction factor which is a number used to compensate for errors of measurement.

<p>calibration</p> Signup and view all the answers

Regular ______ is essential for a Pulmonary Function Test (PFT) machine to maintain accuracy and reliability.

<p>calibration</p> Signup and view all the answers

The American Thoracic Society and the European ______ Society both agree on PFT standards.

<p>Respiratory</p> Signup and view all the answers

[Blank] is the term that describes how close a measurement is to the true value.

<p>Accuracy</p> Signup and view all the answers

To assess obstructive, restrictive, combined, or normal lung function, one must use the ______.

<p>FVC</p> Signup and view all the answers

To test accuracy, one must determine if the ______ meets the specified criteria.

<p>accuracy</p> Signup and view all the answers

One aspect of quality control is measuring ______ performance standards, for instance, ensuring equipment functions as intended.

<p>equipment</p> Signup and view all the answers

[Blank] is the ability of an instrument to measure consistently throughout its range.

<p>Linearity</p> Signup and view all the answers

The use of a 3.0L ______ is used to calibrate volume measuring devices.

<p>syringe</p> Signup and view all the answers

Knowing if the FVC and the SVC should be the same is important to determine if a patient is ______.

<p>obstructive</p> Signup and view all the answers

[Blank] ensures measurements are consistently close to each other, indicating reliability.

<p>Precision</p> Signup and view all the answers

Match the following statistical terms to their definitions in the context of Pulmonary Function Testing (PFT):

<p>Precision = The degree to which repeated measurements under unchanged conditions show the same results. Accuracy = The degree of closeness of measurements to a true value. Repeatability = Variation arising when the same instrument/method is used repeatedly on the same object/subject under the same conditions. Reproducibility = Variation arising using the same measurement process among different instruments and locations.</p> Signup and view all the answers

Match the following Quality Control terms to their descriptions:

<p>Calibration = To standardize an instrument by checking or adjusting it with a known standard to ensure accuracy. Quality Control = A process to ensure test results are reliable and accurate by monitoring various phases of testing. Biological Controls = People or samples from people who have. Correction Factor = Number used to compensate for errors of measurement or calculation.</p> Signup and view all the answers

Match the following standards to the organizations we use for PFT's:

<p>Equipment performance standards = Standards which apply to the technical features and operations of pulmonary function testing equipment. Patient performance standards = Standards which apply to the subject and administration in pulmonary function testing. American Thoracic Society = A society with an agreement for standards when performing PFT's. Regular use of PFT machine = Calibration is required for this.</p> Signup and view all the answers

Match the descriptions to the appropriate category of Lung function test:

<p>Obstructive = Pertaining to lung disease of airflow obstruction Restrictive = Pertaining to lung disease of reduced lung volume Combined = Pertaining to lung disease that features both airflow obstruction and reduced lung volumes. FEV1/FVC Ratio = These items will help in determining the category of lung function tests.</p> Signup and view all the answers

Match these terms to their significance when obtaining SVC and FVC:

<p>SVC = Single Vital Capacity FVC = Forced Vital Capacity SVC and FVC are the same = In healthy patients, the SVC and FVC should be the same. This is important because a large discrepancy can indicate an abnormality or sub-optimal effort during testing 3.0 L Syringe = This is used to calibrate volume-measuring devices.</p> Signup and view all the answers

Flashcards

Types of respiratory disease pathologies?

Restrictive and Obstructive.

What are the four lung volumes?

The four volumes are: Tidal Volume (500), Inspiratory Reserve Volume (3100), Expiratory Reserve Volume (1200), and Residual Volume (1200).

What are the four lung capacities?

Vital Capacity (TV/IRV/ERV), Inspiratory Capacity (TV/IRV), Functional Residual Capacity (RV/ERV), and Total Lung Capacity (TV/IRV/ERV/RV).

Indications for a PFT?

Screen for pulmonary disease, evaluate patients for surgical risk, assess disease progression, assist in determining pulmonary disability, and modify the therapeutic approach to patient care.

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Contraindications for a PFT?

Recent cataract removal surgery, unstable cardiovascular status, untreated pneumothorax, and hemoptysis of unknown origin.

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Hazards of performing a PFT?

Untreated pneumothorax and unstable hemodynamic status/recent MI.

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Factors for Predicted Values?

Height, Age, Gender, and Race.

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PFTs Indicate What?

Volumes (restrictive, FVC < 80%), Flows (obstructive, FEV1 < 80%), and Diffusion (determine pathology).

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Types of PFT Tests?

FVC (main test) and Static Lung Volumes.

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What is MVV?

Measure of the volume of gas the patient can inhale and exhale in one minute; reflects effort and respiratory muscle strength.

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What does FEF 200-1200 measure?

Measurement providing insight into patient effort and upper airway function; recorded in liters per minute (LPM).

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What does FEF 25-75% measure?

PFT measurement helpful in early detection of airway obstruction; measured in percentage.

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What is Peak Flow?

A device used to check asthma that measures the fastest speed at which you can blow air out of your lungs.

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How to indirectly measure Residual Volume?

Helium Dilution, Nitrogen Washout, and Body Plethysmography.

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What is 'reversibility' in PFTs?

Significant increase in pulmonary function after bronchodilator administration, indicating reversible airway obstruction.

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What does a normal Flow Volume Loop look like?

Displays a normal breathing pattern with a characteristic loop shape, indicating healthy lung function.

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What does an obstructive Flow Volume Loop look like?

Indicates reduced flow rates, especially during exhalation, suggesting an obstruction in the airways.

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What does a restrictive Flow Volume Loop look like?

Indicates reduced lung volumes, resulting in a smaller loop size compared to normal.

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What does a fixed upper airway obstruction Flow Volume Loop look like?

Shows flattening of both inspiratory and expiratory limbs, indicating a fixed obstruction in the upper airway.

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Calibration vs Quality Control

The process of ensuring a measuring device's accuracy by comparing it to a known standard. Quality control is the overall process of ensuring reliability and accuracy of test results.

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Precision

The degree to which repeated measurements show the same results.

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Accuracy

The degree of closeness of measurements to a true value.

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Linearity

The ability of a measurement to produce a straight line when measuring different values across a range.

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Repeatability

The ability of a test to yield consistent results when repeated on the same sample.

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Reproducibility

The ability of a test to yield consistent results when performed in different locations.

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Biological Controls

Controls using samples or people with known values to verify the accuracy and reliability of measurements.

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Correction Factor

A factor used to compensate for errors of measurement.

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Quality Control: Primary Areas

Equipment performance and patient performance standards.

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Standards for PFTs

The American Thoracic Society (ATS) and the European Respiratory Society (ERS).

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PFT Machine Calibration

Regular volume calibration using a 3.0 L syringe is required.

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Accuracy Testing tool

Spirometry.

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PFT Interpretation: Classification

Compare FVC and FEV1/FVC ratio to reference ranges to classify respiratory patterns.

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FVC and SVC Comparison

Yes, comparing FVC and SVC helps determine if a patient has air trapping or hyperinflation, signs of obstructive disease.

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Volume Measuring Device Calibration

A 3.0 L syringe.

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Quality Control Areas

Equipment performance standards and patient performance standards

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Obstructive, Restrictive, or Combined disease

To compare FEV1 with FVC ratio.

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Accuracy Testing

Spirometry

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Study Notes

  • Bernoulli's principle dictates that for an inviscid flow, fluid speed increases in tandem with a decrease in pressure or potential energy.

Wing Lift Generation

  • Airplane wings are designed so air flows faster over the top surface compared to the bottom.
  • Faster airflow results in lower pressure, while slower airflow leads to higher pressure.
  • This pressure difference generates lift, propelling the wing and airplane upward.

Bernoulli’s Equation

  • The incompressible flow equation is $v^2/2 + gz + p/ρ = constant$.
  • $v$ is fluid flow speed
  • $g$ is gravitational acceleration
  • $z$ is elevation
  • $p$ is pressure
  • $ρ$ is fluid density.

Venturi Effect

  • The Venturi effect describes the reduction in fluid pressure when a fluid passes through a constricted section of a pipe.
  • Fluid speed increases at the constriction to maintain mass flow rate.
  • Pressure decreases at the constriction to conserve energy.

Exercice 1

  • $f$ is an endomorphism of $\mathbb{R}^3$.
  • The matrix in the canonical basis is $A = \begin{pmatrix} 1 & 1 & -1 \ 1 & 1 & 1 \ 1 & 1 & 1 \end{pmatrix}$
  • $Ker(f) = Vect \left{ \begin{pmatrix} -1 \ 1 \ 0 \end{pmatrix}\right}$
  • $Im(f) = Vect \left{ \begin{pmatrix} 1 \ 1 \ 1 \end{pmatrix}, \begin{pmatrix} 1 \ 1 \ 1 \end{pmatrix} \right} = Vect \left{ \begin{pmatrix} 1 \ 1 \ 1 \end{pmatrix}, \begin{pmatrix} -1 \ 1 \ 0 \end{pmatrix} \right}$
  • $Ker(f) \cap Im(f) = {0}$, $dim(Ker(f)) + dim(Im(f)) = 1 + 2 = 3 = dim(\mathbb{R}^3)$.
  • $Ker(f)$ and $Im(f)$ are supplementary.
  • $B = (u_1, u_2, u_3)$ is a basis of $\mathbb{R}^3$ such that $u_1 \in Ker(f)$ and $u_2, u_3 \in Im(f)$.
  • The matrix of $f$ in the base $B$ is of the form: $A' = \begin{pmatrix} 0 & * & * \ 0 & * & * \ 0 & * & * \end{pmatrix}$

Exercice 2

  • $f$ is an endomorphism of $\mathbb{R}^3$.
  • The matrix in the canonical basis is $A = \begin{pmatrix} 5 & -4 & 4 \ 1 & 0 & 2 \ -2 & 2 & -1 \end{pmatrix}$
  • The eigenvalues of $f$ are $\lambda_1 = 1$ and $\lambda_2 = 2$.
  • $f$ is diagonalizable because the sum of the dimensions of the eigenspaces is equal to the dimension of the vector space.
  • A basis of eigenvectors is given by: $B = \left{ \begin{pmatrix} 2 \ 1 \ 0 \end{pmatrix}, \begin{pmatrix} -2 \ 0 \ 1 \end{pmatrix}, \begin{pmatrix} 1 \ 1 \ 0 \end{pmatrix} \right}$
  • $P = \begin{pmatrix} 2 & -2 & 1 \ 1 & 0 & 1 \ 0 & 1 & 0 \end{pmatrix}$ and $D = \begin{pmatrix} 1 & 0 & 0 \ 0 & 1 & 0 \ 0 & 0 & 2 \end{pmatrix}$ such that $A = PDP^{-1}$.

Introduction to C++

  • C++ is a potent and versatile programming language widely used across industries.
  • C++ enables writing high-performance code.
  • It supports various programming styles, including procedural, object-oriented, and generic.
  • C++ offers precise control over hardware resources.
  • It it used in developing operating systems, game engines, browsers, and high-performance applications.

What You Will Learn

  • Setting up a C++ development environment
  • Basic programming concepts: variables, data types, and control structures
  • Writing programs for user interaction
  • Using functions and classes for code organization
  • Working with pointers and dynamic memory
  • Using the C++ Standard Template Library (STL)

Setting up the environment

  • The development environment needs to be set up, including installing a compiler and a text editor.

Installing a Compiler

  • A compiler translates C++ code into machine code.
  • Compilers include GCC, Clang, and Microsoft Visual C++.
  • GCC (GNU Compiler Collection) is a free, open-source compiler available on multiple platforms.
  • Clang, based on LLVM, is known for fast compile times and informative error reporting.
  • Microsoft Visual C++ comes with Visual Studio IDE for Windows.
  • GCC is used in this book.

Installing GCC on Windows

  • Download MinGW (Minimalist GNU for Windows).
  • Select gcc, g++, and make packages during installation.
  • Add the MinGW bin directory to the PATH environment variable.

Installing GCC on macOS

  • Install Xcode from the App Store.
  • Download Command Line Tools from Xcode Preferences > Downloads.
  • Verify GCC installation by running gcc --version in the Terminal.

Installing GCC on Linux

  • Open a terminal window.
  • Install GCC using:
sudo apt update
sudo apt install gcc g++

Installing a Text Editor

  • A text editor is used for writing and editing code.
  • Options include Visual Studio Code, Sublime Text, and Atom.
  • Visual Studio Code is a free, open-source editor with extensive language support and extensions.
  • Sublime Text is a sophisticated text editor known for speed and flexibility.
  • Atom is a customizable, open-source editor with a strong community.
  • Visual Studio Code is used in this book

Installing Visual Studio Code

  • Download Visual Studio Code
  • Run the installer and follow the instructions.

First C++ Program

  • Create a new file named hello.cpp.
  • Write the following code in the file:
#include 

int main() {
  std::cout

Cardiovascular System

Blood Vessels

Arteries

  • Carry blood away from the heart.
  • Possess thick walls, elastic fibers, and smooth muscle.

Capillaries

  • Facilitate exchange between blood and tissues due to thin, porous walls.

Veins

  • Carry blood back to the heart.
  • Have thin walls and valves.

Blood Pressure

Systolic Pressure

  • The pressure exerted when the heart contracts.

Diastolic Pressure

  • The pressure exerted when the heart relaxes.

Factors Affecting Blood Pressure

  • Blood volume
  • Heart rate
  • Blood viscosity
  • Arteriole diameter

Disorders

Hypertension

  • High blood pressure, a risk factor for heart disease, stroke, and kidney disease.

Atherosclerosis

  • Plaque buildup in arteries that can lead to heart attack and stroke.

Stroke

  • Interruption of blood supply to the brain, potentially causing permanent brain damage.

Heart Attack

  • Interruption of blood supply to the heart, potentially causing permanent heart damage.

Diagram of the Heart

  • The right atrium receives deoxygenated blood from the body via the superior and inferior vena cava.
  • Deoxygenated blood flows from the right atrium through the tricuspid valve into the right ventricle.
  • The right ventricle pumps deoxygenated blood through the pulmonary valve into the pulmonary artery.
  • The pulmonary artery carries deoxygenated blood to the lungs.
  • The lungs are where blood becomes oxygenated.
  • The pulmonary veins carry oxygenated blood from the lungs to the left atrium.
  • The left atrium receives oxygenated blood from the pulmonary veins.
  • Oxygenated blood flows from the left atrium through the mitral valve to the left ventricle.
  • The left ventricle then pumps oxygenated blood through the aortic valve into the aorta.
  • The aorta distributes oxygenated blood to the body.
  • The inferior vena cava returns deoxygenated blood from the lower body to the right atrium.
  • The superior vena cava returns deoxygenated blood from the upper body to the right atrium.
  • The left ventricle wall is thicker than the right ventricle wall, reflecting the greater force needed to pump blood throughout the body..

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