Calculating % Decrease in FEV1 Levels Quiz
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Questions and Answers

What is the recommended timing method for conducting the single-breath DLCO maneuver?

  • Smith and Johnson method
  • Jones and Meade method (correct)
  • Brown and Miller method
  • Taylor and Clark method

What is the acceptable timeframe for rapid inspiration to TLC from RV during the DLCO maneuver?

  • 5-8 seconds
  • > 15 seconds
  • 10-12 seconds
  • < 4 seconds (correct)

How much volume should be inspired during the DLCO maneuver relative to VC?

  • ~50% of VC
  • ~70% of VC
  • ~85% of VC (correct)
  • ~100% of VC

What is the recommended dead space washout volume during the DLCO maneuver?

<p>0.75 - 1.0 L (C)</p> Signup and view all the answers

What is the acceptable timeframe for collecting the alveolar gas sample during the DLCO maneuver?

<p>&lt; 3 seconds (D)</p> Signup and view all the answers

How much time should be allowed between DLCO tests?

<p>4 minutes (A)</p> Signup and view all the answers

What is the formula to calculate % decrease in FEV1?

<p>(X-Y)/X * 100 (B)</p> Signup and view all the answers

What is an indicator to stop the test during bronchial challenge testing?

<p>35%-45% decrease in sGaw (B)</p> Signup and view all the answers

Which value is used to calculate the fraction of medication delivered to the lower airways?

<p>SVN output per minute (D)</p> Signup and view all the answers

What should be monitored if FEV1 is not sensitive in some asthmatics?

<p>sGaw (B)</p> Signup and view all the answers

Which parameter requires knowledge of TI/Ttot for its calculation?

<p>sGaw (D)</p> Signup and view all the answers

What does a decrease in sGaw of 35%-45% indicate during a test?

<p>Patient has large airway changes (C)</p> Signup and view all the answers

How is the FRC calculated in the Open Circuit Multiple Breath N2 Washout test?

<p>FRC = FEN2final x (Expired Volume – N2tissue) (C)</p> Signup and view all the answers

What is the purpose of correcting for 'N2tissue' in the FRC calculation?

<p>To adjust for the volume of nitrogen washed out of blood and tissues (A)</p> Signup and view all the answers

What assumption is made in the Closed-Circuit/Multiple-Breath Helium (He) Dilution test?

<p>Equilibration of helium can occur between the spirometer and the lungs (B)</p> Signup and view all the answers

What is added to the spirometer initially in the Closed-Circuit/Multiple-Breath Helium (He) Dilution test?

<p>Air and then helium (D)</p> Signup and view all the answers

Why is oxygen added to the system in the Closed-Circuit/Multiple-Breath Helium (He) Dilution test?

<p>To maintain FiO2 near or above 0.21 (C)</p> Signup and view all the answers

How long does it usually take for equilibration of helium concentration between the lungs and rebreathing system in the Closed-Circuit/Multiple-Breath Helium (He) Dilution test?

<p>~3 minutes (D)</p> Signup and view all the answers

What can cause an overestimation of FRC using dilutional techniques?

<p>Leakage in breathing circuits (C)</p> Signup and view all the answers

Which element is crucial for accurately measuring FRC using dilutional techniques?

<p>End expiratory level (B)</p> Signup and view all the answers

In pulmonary function testing, which value indicates the severity of obstruction?

<p>FEV1/FVC ratio (A)</p> Signup and view all the answers

Which step is recommended in the evaluation process of pulmonary function testing following the review of graphs?

<p>Evaluate FEV1/FVC ratio (A)</p> Signup and view all the answers

What can a 20% - 30% increase in FEF25%-75% indicate during pulmonary function testing?

<p>Positive response (A)</p> Signup and view all the answers

What is the significance of a decrease in FEV1/FVC ratio?

<p>Suggestive of severe obstruction (A)</p> Signup and view all the answers

In obstructive lung diseases affecting medium and smaller airways, what shape does the expiratory limb of the flow volume loop take?

<p>Concave (C)</p> Signup and view all the answers

Which type of obstruction is characterized by decreased flow rates on both inhalation and exhalation with a square-like appearance in the flow volume loop?

<p>Fixed obstruction (D)</p> Signup and view all the answers

What causes the intrathoracic variable obstruction to have normal inspiratory flows but flattened expiratory flows?

<p>High pleural pressures during expiration (A)</p> Signup and view all the answers

Which condition is an example of a fixed obstruction?

<p>Tracheal stenosis (D)</p> Signup and view all the answers

What mnemonic is used to differentiate variable extrathoracic and variable intrathoracic obstruction?

<p>&quot;What's in is out, and what's out is in.&quot; (A)</p> Signup and view all the answers

What effect does obstructive lung disease have on expiratory flow rates?

<p>Decreases them (A)</p> Signup and view all the answers

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