Question 1

When developing an exercise bronchoprovocation test protocol,which of the following should be included?

Accepted Answer

A)  The patient should be free from respiratory infections for 1 week before the test. 
B)  The patient should not do vigorous exercise for 4 hours before testing. 
C)  The exercise time is planned for 15 to 20 minutes. 
D)  A cycle ergometer is used to apply the work for the exercise. 
A)  The patient should be free from respiratory infections for 1 week before the test. 
B)  The patient should not do vigorous exercise for 4 hours before testing. 
C)  The exercise time is planned for 15 to 20 minutes. 
D)  A cycle ergometer is used to apply the work for the exercise. B

Question 2

Which of the following is a direct bronchoprovocation test?

Accepted Answer

A)  Methacholine 
B)  Mannitol 
C)  Adenosine 
D)  Exercise 
A)  Methacholine 
B)  Mannitol 
C)  Adenosine 
D)  Exercise A

Question 3

An exercise bronchoprovocation test was completed on a 45-year-old male.The FEV1 decreased 18% post-exercise.The technologist should explain that this change is related to:

Accepted Answer

A)  Release of mediators from inflammatory cells 
B)  A direct response of the airway smooth muscle to exercise 
C)  An exercise-induced increase in the number of inflammatory cells 
D)  A decrease in water loss from the airways 
A)  Release of mediators from inflammatory cells 
B)  A direct response of the airway smooth muscle to exercise 
C)  An exercise-induced increase in the number of inflammatory cells 
D)  A decrease in water loss from the airways A

Question 4

A mannitol challenge is performed with the following results:   What should the technologist do next?

Accepted Answer

A)  Proceed to the next level. 
B)  Deliver a bronchodilator. 
C)  Terminate the test. 
D)  Repeat the maneuver. 
A)  Proceed to the next level. 
B)  Deliver a bronchodilator. 
C)  Terminate the test. 
D)  Repeat the maneuver.

Question 5

When preparing methacholine dilutions for the doubling protocol from 100 mg of dry powder,which of the following would yield a dilution of 4.0 mg/ml?

Accepted Answer

A)  3 ml of 16.0 mg/ml 
B)  3 ml of 8.0 mg/ml 
C)  3 ml of 4.0 mg/ml 
D)  3 ml of 2.0 mg/ml 
A)  3 ml of 16.0 mg/ml 
B)  3 ml of 8.0 mg/ml 
C)  3 ml of 4.0 mg/ml 
D)  3 ml of 2.0 mg/ml

Question 6

What is the highest concentration of methacholine delivered according to the ATS dose-doubling or dose-quadrupling scheme?

Accepted Answer

A)  25 mg/ml 
B)  16 mg/ml 
C)  8 mg/ml 
D)  4 mg/ml 
A)  25 mg/ml 
B)  16 mg/ml 
C)  8 mg/ml 
D)  4 mg/ml

Question 7

A subject performing a methacholine challenge test has the following reproducible results:   The technologist should do which of the following?

Accepted Answer

A)  Repeat methacholine 0.25 mg/ml dose. 
B)  Administer methacholine 1.0 mg/ml. 
C)  Give 10 breaths of the next dose. 
D)  Stop-the test is positive. 
A)  Repeat methacholine 0.25 mg/ml dose. 
B)  Administer methacholine 1.0 mg/ml. 
C)  Give 10 breaths of the next dose. 
D)  Stop-the test is positive.

Question 8

What does the acronym PC20  represent?

Accepted Answer

A)  The repeatability has to be 20% when performing a methacholine challenge. 
B)  The dose that yields a 20% decline in FEV1 
C)  A 20% decline in specific conductance 
D)  A 20% increase in specific resistance 
A)  The repeatability has to be 20% when performing a methacholine challenge. 
B)  The dose that yields a 20% decline in FEV1 
C)  A 20% decline in specific conductance 
D)  A 20% increase in specific resistance

Question 9

Which of the following should be withheld for 48 hours before bronchial challenge testing?

Accepted Answer

A)  Theophylline 
B)  $\beta$-Adrenergic agents 
C)  Anticholinergic preparations 
D)  Beverages containing caffeine 
A)  Theophylline 
B)  $\beta$-Adrenergic agents 
C)  Anticholinergic preparations 
D)  Beverages containing caffeine

Question 10

What is the typical inspiratory gas mixture when performing a eucapnic voluntary hyperventilation study?

Accepted Answer

A)  5% CO2,21% O2,balance N2 
B)  10% CO2,balance O2 
C)  5% CO2,balance O2 
D)  10% CO2,21% O2,balance N2 
A)  5% CO2,21% O2,balance N2 
B)  10% CO2,balance O2 
C)  5% CO2,balance O2 
D)  10% CO2,21% O2,balance N2

Question 11

After 5 minutes of hyperventilation breathing cold air,a subject's FEV1 falls 16% from the pre-test value.The pulmonary function technologist should conclude that:

Accepted Answer

A)  The subject has hyperreactive airways. 
B)  The air was not cold enough to provoke a response. 
C)  An additional 5 minutes of hyperventilation is required. 
D)  Inadequate CO2 was added to the inspired gas. 
A)  The subject has hyperreactive airways. 
B)  The air was not cold enough to provoke a response. 
C)  An additional 5 minutes of hyperventilation is required. 
D)  Inadequate CO2 was added to the inspired gas.

Question 12

A patient presents with a history of cough after playing ice hockey.Spirometry and lung volume results are normal.Which of the following tests is indicated?

Accepted Answer

A)  Diffusing capacity 
B)  Mannitol 
C)  Maximum inspiratory pressure 
D)  Arterial blood gas 
A)  Diffusing capacity 
B)  Mannitol 
C)  Maximum inspiratory pressure 
D)  Arterial blood gas

Question 13

Anticholinergic agents should be withheld for 24 hours.

Accepted Answer

A)  1 and 2 
B)  3 and 4 
C)  1 and 3 
D)  2 and 4 
A)  1 and 2 
B)  3 and 4 
C)  1 and 3 
D)  2 and 4

Question 14

A subject performing a methacholine challenge test has the following repeatable results:   The technologist should do which of the following?

Accepted Answer

A)  Repeat methacholine 1.0 mg/ml dose. 
B)  Administer methacholine 4.0 mg/ml dose. 
C)  Give 10 breaths of the next dose. 
D)  Stop-the test is positive. 
A)  Repeat methacholine 1.0 mg/ml dose. 
B)  Administer methacholine 4.0 mg/ml dose. 
C)  Give 10 breaths of the next dose. 
D)  Stop-the test is positive.

Question 15

A patient has a eucapnic voluntary hyperventilation (EVH)test to evaluate bronchial hyperreactivity.If the subject's FEV1 is 3.3 L and her FVC is 4.0 L,which of the following is the appropriate target ventilation for the test?

Accepted Answer

A)  50 times the FEV1 for 1 minute 
B)  30 times the FEV1 for 6 minutes 
C)  2 times the FVC for 6 minutes 
D)  Cannot be determined without the MVV 
A)  50 times the FEV1 for 1 minute 
B)  30 times the FEV1 for 6 minutes 
C)  2 times the FVC for 6 minutes 
D)  Cannot be determined without the MVV

Question 16

When multiple methods of bronchoprovocation are ordered on the same day,how many hours after an exercise test should elapse before another test is performed?

Accepted Answer

A)  1 
B)  2 
C)  3 
D)  4 
A)  1 
B)  2 
C)  3 
D)  4

Question 17

A subject performing a methacholine challenge test has the following reproducible results:   The technologist should do which of the following?

Accepted Answer

A)  Administer the first dose of methacholine. 
B)  Administer 2.50 mg/ml dose of methacholine. 
C)  Stop-the test is positive. 
D)  Administer an inhaled bronchodilator. 
A)  Administer the first dose of methacholine. 
B)  Administer 2.50 mg/ml dose of methacholine. 
C)  Stop-the test is positive. 
D)  Administer an inhaled bronchodilator.

Question 18

A 15-year-old subject performs an exercise challenge test on a treadmill to a heart rate of 180 beats per minute for 5 minutes and has the following reproducible results:   The technologist should do which of the following?

Accepted Answer

A)  The workload was not significant enough to elicit a response. 
B)  The duration was not significant enough to elicit a response. 
C)  The results were negative for exercise-induced bronchospasm. 
D)  The results were positive for exercise-induced bronchospasm. 
A)  The workload was not significant enough to elicit a response. 
B)  The duration was not significant enough to elicit a response. 
C)  The results were negative for exercise-induced bronchospasm. 
D)  The results were positive for exercise-induced bronchospasm.

When developing an exercise bronchoprovocation test protocol,which of the following should be included?

Which of the following is a direct bronchoprovocation test?

An exercise bronchoprovocation test was completed on a 45-year-old male.The FEV₁ decreased 18% post-exercise.The technologist should explain that this change is related to:

A mannitol challenge is performed with the following results: What should the technologist do next?

When preparing methacholine dilutions for the doubling protocol from 100 mg of dry powder,which of the following would yield a dilution of 4.0 mg/ml?

What is the highest concentration of methacholine delivered according to the ATS dose-doubling or dose-quadrupling scheme?

A subject performing a methacholine challenge test has the following reproducible results: The technologist should do which of the following?

What does the acronym PC₂₀represent?

Which of the following should be withheld for 48 hours before bronchial challenge testing?

What is the typical inspiratory gas mixture when performing a eucapnic voluntary hyperventilation study?

After 5 minutes of hyperventilation breathing cold air,a subject's FEV₁ falls 16% from the pre-test value.The pulmonary function technologist should conclude that:

A patient presents with a history of cough after playing ice hockey.Spirometry and lung volume results are normal.Which of the following tests is indicated?

Anticholinergic agents should be withheld for 24 hours.

A subject performing a methacholine challenge test has the following repeatable results: The technologist should do which of the following?

A patient has a eucapnic voluntary hyperventilation (EVH)test to evaluate bronchial hyperreactivity.If the subject's FEV₁ is 3.3 L and her FVC is 4.0 L,which of the following is the appropriate target ventilation for the test?

When multiple methods of bronchoprovocation are ordered on the same day,how many hours after an exercise test should elapse before another test is performed?

A subject performing a methacholine challenge test has the following reproducible results: The technologist should do which of the following?

A 15-year-old subject performs an exercise challenge test on a treadmill to a heart rate of 180 beats per minute for 5 minutes and has the following reproducible results: The technologist should do which of the following?

Indications for Pulmonary Function Testing

Spirometry

Diffusing Capacity Tests

Lung Volumes,airway Resistance,and Gas Distribution Tests

Ventilation and Ventilatory Control Tests

Blood Gases and Related Tests

Cardiopulmonary Exercise Testing

Pediatric Pulmonary Function Tests

Specialized Test Regimens

Pulmonary Function Test Equipment

Quality Systems in the Pulmonary Function Laboratory

Reference Values and Interpretation Strategies

Filters

Exam 9: Bronchoprovocation Testing

When developing an exercise bronchoprovocation test protocol,which of the following should be included?

Which of the following is a direct bronchoprovocation test?

An exercise bronchoprovocation test was completed on a 45-year-old male.The FEV1 decreased 18% post-exercise.The technologist should explain that this change is related to:

A mannitol challenge is performed with the following results: What should the technologist do next?

When preparing methacholine dilutions for the doubling protocol from 100 mg of dry powder,which of the following would yield a dilution of 4.0 mg/ml?

What is the highest concentration of methacholine delivered according to the ATS dose-doubling or dose-quadrupling scheme?

A subject performing a methacholine challenge test has the following reproducible results: The technologist should do which of the following?

What does the acronym PC20 represent?

Which of the following should be withheld for 48 hours before bronchial challenge testing?

What is the typical inspiratory gas mixture when performing a eucapnic voluntary hyperventilation study?

After 5 minutes of hyperventilation breathing cold air,a subject's FEV1 falls 16% from the pre-test value.The pulmonary function technologist should conclude that:

A patient presents with a history of cough after playing ice hockey.Spirometry and lung volume results are normal.Which of the following tests is indicated?

Anticholinergic agents should be withheld for 24 hours.

A subject performing a methacholine challenge test has the following repeatable results: The technologist should do which of the following?

A patient has a eucapnic voluntary hyperventilation (EVH)test to evaluate bronchial hyperreactivity.If the subject's FEV1 is 3.3 L and her FVC is 4.0 L,which of the following is the appropriate target ventilation for the test?

When multiple methods of bronchoprovocation are ordered on the same day,how many hours after an exercise test should elapse before another test is performed?

A subject performing a methacholine challenge test has the following reproducible results: The technologist should do which of the following?

A 15-year-old subject performs an exercise challenge test on a treadmill to a heart rate of 180 beats per minute for 5 minutes and has the following reproducible results: The technologist should do which of the following?

Indications for Pulmonary Function Testing

Spirometry

Diffusing Capacity Tests

Lung Volumes,airway Resistance,and Gas Distribution Tests

Ventilation and Ventilatory Control Tests

Blood Gases and Related Tests

Cardiopulmonary Exercise Testing

Pediatric Pulmonary Function Tests

Specialized Test Regimens

Pulmonary Function Test Equipment

Quality Systems in the Pulmonary Function Laboratory

Reference Values and Interpretation Strategies

Filters

An exercise bronchoprovocation test was completed on a 45-year-old male.The FEV₁ decreased 18% post-exercise.The technologist should explain that this change is related to:

What does the acronym PC₂₀represent?

After 5 minutes of hyperventilation breathing cold air,a subject's FEV₁ falls 16% from the pre-test value.The pulmonary function technologist should conclude that:

A patient has a eucapnic voluntary hyperventilation (EVH)test to evaluate bronchial hyperreactivity.If the subject's FEV₁ is 3.3 L and her FVC is 4.0 L,which of the following is the appropriate target ventilation for the test?