Pulmonary Function Testing

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Questions and Answers

What is the purpose of converting parameters measured at ATPS to BTPS?

  • To automatically correct measurements made by older PFT machines.
  • To correct for the difference in ambient temperature between the room and the body.
  • To account for changes in barometric pressure during measurement.
  • To ensure accurate measurement of lung volumes by correcting for environmental cooling of exhaled gas. (correct)

What factor is required to convert ATPS measurements to BTPS in Vmax equipment?

  • Anatomic site identification
  • Barometric pressure
  • Correction factor (correct)
  • Humidity level

Which of the following is classified as an obstructive lung disease?

  • Cardiovascular disease
  • Asthma (correct)
  • Pulmonary fibrosis
  • Obesity

What kind of lung defect is characterized by lung volumes lower than normal?

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

In pulmonary function tests, what is the purpose of assessing reversible airway obstruction?

<p>To measure the effect of bronchodilator use. (C)</p> Signup and view all the answers

Why might older labs with outdated equipment require RRT to perform calculations?

<p>Because they lack automatic conversion to BTPS. (A)</p> Signup and view all the answers

What is a positive response according to ATS/ERS after administering Albuterol with holding chamber?

<p>10% increase in FVC (D)</p> Signup and view all the answers

Why are patients often prescribed MDIs even if no response is seen on PFT test results?

<p>Because PFT testing may not always detect airway disease (A)</p> Signup and view all the answers

What must patients discontinue prior to Bronchial Challenge Testing?

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

What is the significance of determining the PDâ‚‚â‚’ during Bronchial Challenge Testing?

<p>To determine the concentration required to produce a drop in FEV1 of 20% or greater (B)</p> Signup and view all the answers

What is an essential step in preparing for Pulmonary Function Tests (PFTs) according to the text?

<p>Suspending the use of bronchodilators prior to the test (A)</p> Signup and view all the answers

What does a decreased DLCO indicate during lung diffusion testing?

<p>Impaired gas exchange in the lungs (A)</p> Signup and view all the answers

How is Forced Expiratory Flow 25-75% calculated?

<p>By a computer using the volume-time curve of expiration (B)</p> Signup and view all the answers

What is one reason for patients needing 10-12 seconds to exhale fully during PFTs?

<p>Significant expiratory flow limitations due to COPD (A)</p> Signup and view all the answers

What is the purpose of body plethysmography in pulmonary function testing?

<p>To measure functional residual capacity (C)</p> Signup and view all the answers

During a helium dilution test, what does a failure to equilibrate indicate?

<p>Presence of an air leak in the equipment (D)</p> Signup and view all the answers

Which condition may lead to an increased washout time during a nitrogen washout test?

<p>Obstructive lung disease (C)</p> Signup and view all the answers

According to ATS/ERS standards for pulmonary function testing, what is a key requirement for test reproducibility?

<p>Two FVC measures varying by more than 150 ml (B)</p> Signup and view all the answers

What is the normal range for the Maximum Voluntary Ventilation (MVV) test?

<p>170 L/min (B)</p> Signup and view all the answers

In the Impulse Oscillometry System (IOS), what value indicates abnormal airway resistance?

<p>&gt; 2 cm H20/L/s (D)</p> Signup and view all the answers

What is the purpose of converting parameters measured at ATPS to BTPS?

<p>To ensure accurate volume measurements considering ambient factors (B)</p> Signup and view all the answers

Why might patients need 10-12 seconds to exhale fully during Pulmonary Function Tests (PFTs)?

<p>To allow for complete measurement of lung volumes in all patients (D)</p> Signup and view all the answers

In the context of lung defect classifications, what indicates an Obstructive lung disease?

<p>Expiratory flow greater than normal (C)</p> Signup and view all the answers

What factor is required in Vmax equipment to convert ATPS measurements to BTPS?

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

What does a decreased DLCO indicate during lung diffusion testing?

<p><em>Pulmonary fibrosis (IPF)</em> (B)</p> Signup and view all the answers

What is the significance of determining the PDâ‚‚â‚’ during Bronchial Challenge Testing?

<p><em>To evaluate airway response</em> (A)</p> Signup and view all the answers

What is the purpose of the Helium Dilution test in pulmonary function testing?

<p>To determine the lung volume by diluting helium (C)</p> Signup and view all the answers

During a nitrogen washout test, what does a washout time of over 7 minutes indicate?

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

In the 6-Minute Walk test, what is an indicator for the need of further cardiopulmonary testing?

<p>Increased heart rate post-walk (C)</p> Signup and view all the answers

What does the Maximum Voluntary Ventilation (MVV) test assess in patients?

<p>Ventilatory reserve capacity (C)</p> Signup and view all the answers

What is the normal range of airway resistance measured by the Impulse Oscillometry System (IOS)?

<p>1-2 cm H20/L/s (D)</p> Signup and view all the answers

What criteria need to be met for a Pulmonary Function Test (PFT) to be classified as reproducible according to ATS/ERS standards?

<p>Three largest FRC measurements within 5% of each other (C)</p> Signup and view all the answers

What is the normal value for Forced Expiratory Flow 25-75% in a healthy individual?

<p>4-5 L/sec (D)</p> Signup and view all the answers

Which of the following is NOT a common contraindication for Pulmonary Function Tests (PFTs)?

<p>Recent ankle sprain (C)</p> Signup and view all the answers

Why do some COPD patients need 10-12 seconds to exhale fully during Pulmonary Function Tests?

<p>To achieve complete exhalation as their condition progresses (A)</p> Signup and view all the answers

What does the Forced Expiratory Volume in 1 second (FEV1) measure during a Pulmonary Function Test?

<p>Volume exhaled during the first second of forced exhalation (D)</p> Signup and view all the answers

What is the mechanism by which the Provocative Dose 20 (PDâ‚‚â‚€) is determined in Bronchial Challenge Testing?

<p>Calculating the dose required for a 20% drop in FEV1 (A)</p> Signup and view all the answers

In what sequence are the three tests of lab-based Pulmonary Function Tests typically conducted?

<p>Spirometry, Lung Volumes, Lung Diffusion (B)</p> Signup and view all the answers

What is the primary purpose of bringing a list of all medications when preparing for Pulmonary Function Tests?

<p>To identify any medications that may need to be suspended before the test (A)</p> Signup and view all the answers

What is the purpose of using Nitrogen Washout in measuring lung volumes?

<p>To measure functional residual capacity indirectly (A)</p> Signup and view all the answers

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