Podcast
Questions and Answers
Which of the following is NOT a direct measurement obtained using a spirometer?
Which of the following is NOT a direct measurement obtained using a spirometer?
- Tidal Volume
- Expiratory Reserve Volume
- Inspiratory Capacity
- Residual Volume (correct)
A patient's functional residual capacity (FRC) is determined to be significantly higher than normal. This increase could be attributed to an increase in which of the following?
A patient's functional residual capacity (FRC) is determined to be significantly higher than normal. This increase could be attributed to an increase in which of the following?
- Tidal Volume
- Expiratory Reserve Volume or Residual Volume (correct)
- Inspiratory Reserve Volume
- Inspiratory Capacity
In a pulmonary function test, a patient exhibits a normal vital capacity but a significantly reduced forced expiratory volume in 1 second (FEV1). This pattern is most indicative of which type of respiratory condition?
In a pulmonary function test, a patient exhibits a normal vital capacity but a significantly reduced forced expiratory volume in 1 second (FEV1). This pattern is most indicative of which type of respiratory condition?
- Normal Lung Function
- Obstructive Lung Disease (correct)
- Restrictive Lung Disease
- Combined Restrictive and Obstructive Disease
Which of the following volumes or capacities is the sum of the tidal volume and the inspiratory reserve volume?
Which of the following volumes or capacities is the sum of the tidal volume and the inspiratory reserve volume?
A patient has a pulmonary disorder that affects their ability to fully exhale. Which of the following lung volumes would likely be increased above normal in this patient?
A patient has a pulmonary disorder that affects their ability to fully exhale. Which of the following lung volumes would likely be increased above normal in this patient?
A researcher is using helium dilution to measure a patient's residual volume. If the initial concentration of helium is known, what other measurement is essential for calculating the residual volume using the dilution equation?
A researcher is using helium dilution to measure a patient's residual volume. If the initial concentration of helium is known, what other measurement is essential for calculating the residual volume using the dilution equation?
Which of the following best describes the relationship between airway resistance and surface area within the lungs?
Which of the following best describes the relationship between airway resistance and surface area within the lungs?
A patient presents with shortness of breath and a persistent cough. Pulmonary function tests reveal a FEV1/FVC ratio of 85%, which is considered normal. However, both FEV1 and FVC are below normal limits. Which condition is most consistent with these findings?
A patient presents with shortness of breath and a persistent cough. Pulmonary function tests reveal a FEV1/FVC ratio of 85%, which is considered normal. However, both FEV1 and FVC are below normal limits. Which condition is most consistent with these findings?
In the context of pulmonary function, what does the term 'capacity' refer to?
In the context of pulmonary function, what does the term 'capacity' refer to?
According to the material, approximately how much air remains in the lungs, even after maximum expiration?
According to the material, approximately how much air remains in the lungs, even after maximum expiration?
In a patient with emphysema, which of the following compensatory mechanisms would help to maintain adequate pulmonary blood flow?
In a patient with emphysema, which of the following compensatory mechanisms would help to maintain adequate pulmonary blood flow?
If a patient's FEV1 improves significantly after administration of a bronchodilator, what does this indicate about their airway obstruction?
If a patient's FEV1 improves significantly after administration of a bronchodilator, what does this indicate about their airway obstruction?
In the context of pulmonary function tests, what is the significance of anthropometric variables?
In the context of pulmonary function tests, what is the significance of anthropometric variables?
Which of the following statements is most accurate regarding the relationship between forced expiratory volume in one second (FEV1) and forced vital capacity (FVC) in obstructive and restrictive lung diseases?
Which of the following statements is most accurate regarding the relationship between forced expiratory volume in one second (FEV1) and forced vital capacity (FVC) in obstructive and restrictive lung diseases?
What is the primary reason why helium is used in the gas dilution method for determining residual volume?
What is the primary reason why helium is used in the gas dilution method for determining residual volume?
A patient presents with a history of smoking and is diagnosed with Cor Pulmonale. Which of the following best describes the underlying mechanism leading to this condition?
A patient presents with a history of smoking and is diagnosed with Cor Pulmonale. Which of the following best describes the underlying mechanism leading to this condition?
A person has a tidal volume of 500 ml, an inspiratory reserve volume of 2500 ml, and an expiratory reserve volume of 1000 ml. What is their vital capacity?
A person has a tidal volume of 500 ml, an inspiratory reserve volume of 2500 ml, and an expiratory reserve volume of 1000 ml. What is their vital capacity?
A patient exhibits an increased residual volume and a normal total lung capacity. Which of the following is the most likely cause of these findings?
A patient exhibits an increased residual volume and a normal total lung capacity. Which of the following is the most likely cause of these findings?
Following prolonged exposure to cigarette smoke, a patient develops emphysema. What is the primary pathological change that leads to the decreased surface area for gas exchange in this condition?
Following prolonged exposure to cigarette smoke, a patient develops emphysema. What is the primary pathological change that leads to the decreased surface area for gas exchange in this condition?
In a patient with a known respiratory condition, pulmonary function tests show a FEV1/FVC ratio of less than 0.7. Which of the following staging classifications of COPD could the patient potentially have?
In a patient with a known respiratory condition, pulmonary function tests show a FEV1/FVC ratio of less than 0.7. Which of the following staging classifications of COPD could the patient potentially have?
Flashcards
Spirometer
Spirometer
Apparatus for measuring the volume of air inspired/expired by the lungs.
Residual volume
Residual volume
The volume of gas remaining in the lungs after a maximum expiration.
Lung Capacities
Lung Capacities
Lung measurements that are the sum of two or more lung volumes.
Tidal Volume
Tidal Volume
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Functional Residual Capacity (FRC)
Functional Residual Capacity (FRC)
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Inspiratory Reserve Volume (IRV)
Inspiratory Reserve Volume (IRV)
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Inspiratory Capacity (IC)
Inspiratory Capacity (IC)
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Expiratory Reserve Volume
Expiratory Reserve Volume
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Residual Volume (RV)
Residual Volume (RV)
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Vital Capacity (VC)
Vital Capacity (VC)
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Total Lung Capacity (TLC)
Total Lung Capacity (TLC)
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FEV1
FEV1
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FVC
FVC
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Reversible obstruction
Reversible obstruction
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Irreversible obstruction
Irreversible obstruction
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Cor pulmonale
Cor pulmonale
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Study Notes
Lung Diseases and Spirometry
- Spirometer is used for measuring the volume of inspired and expired air
- Before inhaling, there is approximately 2.2L of air already in the lungs
Lung Volumes and Capacities
- Table 16.3 is important to memorise
- Spirometer cannot measure residual volume or capacities requiring residual volume for calculation
- The spirometer only measures inspired and expired air
Capacities
- Capacities consists of two or more volumes
- Tidal Volume (Vt): Air volume per inspiration or expiration; approximately 500ml
- Functional Residual Capacity (FRC): Volume in lungs after normal expiration/before normal inspiration; approximately 2200ml
- Inspiratory Reserve Volume (IRV): Extra air volume forcefully inhaled exceeding tidal volume
- Inspiratory Capacity (IC): Air volume forcefully inhaled after expiration, from 2.2L mark to 6L
- Expiratory Reserve Volume (ERV): Air volume forcefully expired until impossible, residual volume remains
- Residual Volume (RV): Air volume remaining in lungs, approximately 1.1L
- Vital Capacity (VT): All volumes and capacities except residual volume
- Total Lung Capacity: Includes all volumes
- Spirometer is incapable of measuring residual volume, therefore all formulas that include it remain unknown
- Residual volume can be found by using helium gas dilution methods
- The common dilution equation is C1V1=C2V2
Pulmonary Function Tests (PFT)
- Pulmonary Function Test (PFT): Focuses on volumes and capacity
- Kidney Function Test (KFT): Measures urea and creatinine
- Liver Function Test (LFT): Measures enzymes
- PFTs require anthropometric variables (name, age, gender, weight, height) to determine the expected result
- Results depend on these variables; deviations may indicate problems
PFT Test Example
- Here is a PFT test for a 75Kg male, 170cm tall
PREDICTED | OBSERVED | OBSERVED/PREDICTED | |
---|---|---|---|
FEV1.0 | 4 | 4L | 100% |
FEV1.0 (with obstructive diseases, eg: emphysema & COPD) | 4 | 3 | 75% |
FEV1.0 (with constricted lungs, eg: fibrosis & RDS) | 4 | 4.5 | 110% |
FVC | 5 | 5 | 100% |
FEV1.0/FVC | 80% | 70% |
COPD Staging
-
80%= normal
- 60-80%= mild
- 40-60%= moderate
- <40%= severe COPD
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