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PFTs
RESP171
| Question | Answer |
|---|---|
| What is the most commonly measured pulmonary mechanic during a PFT? | Forced Vital Capacity |
| Inpiratory Capacitiy and Residual Volume add up to Total Lung Capacity T or F ? | False about 6,000 mL, is the maximum amount of air that can fill the lungs (TLC = TV + IRV + ERV + RV). OR IC + FRC = TLC |
| Indications (or reasons) for assessing a patient's pulmonary status. | -Screen for pulmonary disease- -Evaluate patient's pre-surgical pulmonary risk -Assess for the progress of existing pulmonary illness-Assist in the determination of pulmonary disability-Modify therapeutic approach for the patient |
| What is the American Thoracic Society standard for volumetric accuracy of spirometers? | +/-3% error or within 50mL of the reference value |
| You perform a series of pulmonary functions tests on a patient with a potential infectious disease carried via airbourne route. Choose ALL of the following infection control procedures you should implement | -Wear a close fitting mask or respirator while testing the patient.-Dispose of, sterilize or disinfect the tubing circuit after the testing.***It is NOT necessary to clean the interior of the spirometry unity, since you use a filter. |
| Which of the following choices is typically elevated in patient with restrictive lung disease? | Pressure needed to expand the lungs (decreased compliance) |
| A spirometer is a device that directly collects and measures gas flows. T or F | False measures lung function, specifically the amount (volume) and/or speed (flow) of air that can be inhaled and exhaled |
| What device would you use to determine the accuracy of the spirometer in measuring lung volumes? | A calibrated 3-Liter syringe |
| Accurate test results can be obtained on basic spirometry without patient cooperation. T or F | False They need to be compliant |
| Absolute or relative contraindications for lung volume determinations. | Recent cararact surgery-Unstable cardiac status-Untreated pneumothorax-Child less than 12 years of age-Hemoptysis of unknown origin |
| You are performing a Methacholine Challenge to assess your patient for airway hypersensitivity. Your patient received a 0.3mg/mL dose of methacholine and showed no change from baseline on their PFT. What should you do next? | Double the dose and repeat the FVC test |
| The normal FEV1 is roughly 60% of the forced vital capacity that healthy people can exhale in one second. T or F | False correct answer is 80-90% |
| FEV1 | Volume of air you can forcefully exhale in one second |
| FVC | Amount of air you can forcefully exhale after maximal inspiration. |
| IC | Amount of air you can exhale after normal inhalation |
| ERV | Amount of air you can still exhale after a normal exhalation |
| TLC | Largest amount of air the lungs can hold |
| FEV1/FVC | Ratio of the volume of air exhaled in one second to the total volume exhaled |
| VT | Volume inspired with a normal breath |
| MVV | Greatest amount of air you can breath in 12 to 15 seconds |
| When performing a FVC maneuver pre and post bronchodilator, what percent increase in FEV1 is needed to say the treatment was effective in reversing/reducing the patient's airway obstruction | 15% |
| Testing of pulmonary mechanics (spirometry) include all of the following measurements except: | Residual Volume |
| Capacity refers to a device that measures a certain reference value. | False It is not a device |
| The Functional Residual Capacity is the largest of the normally measured pulmonary capacities. T or F | False Vital Capacity?? |
| To insure you have a valid FVC measurement on your patient, how many attempts should you have the patient perform? | Three acceptable |
| According to ATS standards, how often should a spirometer in continual use undergo volumetric calibration? | at least daily |
| Syncope is one of the possible adverse reactions seen in patients during PFTs. T or F | True |
| What is the primary problem in obstructive lung disease? | Increased airway resistance |
| Residual volume can not be measured by simple spirometry T or F? | True |
| FEV1/FVC of less than ___% is diagnostic for Obstructive Lung Disease. | 70 |