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spc

Quiz yourself by thinking what should be in each of the black spaces below before clicking on it to display the answer.
        Help!  

Question
Answer
Direct spirometry   show
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Indirect spirometry   show
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show volume  
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show combination of one or more volumes  
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Primary lung volumes?   show
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Lung capacities?   show
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show VT  
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Amount of air that can be forcibly inhaled past a normal VT breath?   show
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Amount of air that can be forcibly exhaled past a normal VT breath?   show
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show RV  
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show IC  
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Amount of air that can be exhaled after a maximal inspiration, VT+ERV+IRV=   show
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Amount of air in the lungs after a maximum inspiration, RV+VT+IRV+ERV=   show
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Amount of air in the lungs after a normal expiration, ERV+RV=   show
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Dont do spirometry when?   show
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SVC > FVC?   show
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show gas dilution(open or closed), body plethysmography  
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SVC and FVC accuracy is?   show
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Indirect spirometry accuracy is?   show
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Gas dilution uses what principle?   show
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By having a known gas concentration at the start and end of a gas dilution test, we can calculate?   show
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If air is trapped in the lungs(emphysema) gas dilution techniques will?   show
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show no difference, nitrogen is more common due to helium requiring a correction factor for tissue helium  
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Open circuit?   show
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What is the clinical significance of a patient who takes a long time to wash out?   show
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show 3-4 minutes  
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Closed circuit?   show
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show long procedure, leaks, slow lung units, non communicating lung units cause an underestimation of FRC  
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Some patients may take longer to reach equilibration with the HE mixture, this may indicate?   show
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Body plethysmography?   show
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The body box measures all the gas in the patients chest, so if higher FRC measured than with a gas dilution technique this indicates?   show
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What is PVM?   show
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What is PFM?   show
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Your pt's FEF 25% 75% is below predicted, what does this indicate?   show
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show medium to small airways, later in expiratory maneuver, normal is 4-5 l/sec,<80% pt on way to developing airway disease  
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FEF 200-1200?   show
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Your pt's FEF 200-1200 is below predicted, what does this indicate?   show
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What is the most negative pressure generated with inspiratory effort called?   show
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MIP/NIF is used for?   show
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show <-60 (-61,-62,-63, etc...)  
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If pt has an abnormal MIP what does this indicate?   show
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What is the greatest positive pressure that can be generated with expiration called?   show
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MEP is used for?   show
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show 80-100  
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A pre and post bronchodilator study is used to asses?   show
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Pre and post studies are indicated when?   show
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Normal % predicted TLC   show
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Normal % predicted FRC   show
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FEV1/FVC < 80% =   show
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FVC < 80% predicted =   show
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show restrictive  
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show air trapping  
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American Thoracic Society (ATS) standards require all lung volumes be reported at?   show
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show obstruction  
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Reduced peak flow=   show
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show restriction  
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show A 3 liter super syringe is normally used, Different flow rates are used, a rotary pump or rotometer may be used, is required by ATS guidelines, done daily  
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What study is indicated for subjects who have normal spirometry but periodic wheezing or SOB?   show
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show causes an acute temporary obstruction via inhalation or methacholine or histamine, determines if pt has hyper reactive airways, decrease in FEV1 of >20%= positive result  
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show pre and post bronchodilater study, an increase in FEV1 > 12% indicates positive response, used to determine if obstructive disease is reversibe  
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Peak flow monitoring is used too?   show
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All PFM's use?   show
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Severe obesity will?   show
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show obstruction  
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Tall & skinny loops indicate   show
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show obstruction, early is larger airways, later in smaller airways  
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show 3 attempts within 5% or 200ml, do not exceed 8 attempts  
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show done by the computer, used to correct for a pt's late start, cannot exceed 5% or 150ml  
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show Pt room, bedside, physician's office, PFT lab, outpatient clinic, hospital  
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