Question 1

What will typically happen to the end-expiratory lung volume during exercise in subjects with COPD?

Accepted Answer

A)  Remain the same 
B)  Decrease 
C)  Increase 
D)  Initially increase and then decrease 
A)  Remain the same 
B)  Decrease 
C)  Increase 
D)  Initially increase and then decrease C

Question 2

In a healthy adult subject with a resting BP of 120/80,which of the following responses would be expected during a maximal incremental exercise test?

Accepted Answer

A)  Systolic pressure increases to 210,diastolic pressure increases to 95. 
B)  Systolic pressure increases to 300,diastolic pressure increases to 130. 
C)  Systolic pressure increases to 160,diastolic pressure increases to 130. 
D)  Systolic pressure remains at 120,diastolic pressure decreases to 60. 
A)  Systolic pressure increases to 210,diastolic pressure increases to 95. 
B)  Systolic pressure increases to 300,diastolic pressure increases to 130. 
C)  Systolic pressure increases to 160,diastolic pressure increases to 130. 
D)  Systolic pressure remains at 120,diastolic pressure decreases to 60. A

Question 3

Which of the following gas mixtures would be most appropriate for calibrating the analyzers used for exhaled gas analysis during exercise?

Accepted Answer

A)  100% O2,room air 
B)  40% O2, 5% CO2 
C)  Room air,24% O2, 7% CO2 
D)  Room air,12% O2, 5% CO2 
A)  100% O2,room air 
B)  40% O2, 5% CO2 
C)  Room air,24% O2, 7% CO2 
D)  Room air,12% O2, 5% CO2 D

Question 4

Which of the following are contraindications for performing an exercise test?

Accepted Answer

A)  PaO2 less than 40 mm Hg on room air 
B)  FEV1 less than 70% of predicted 
C)  Sinus tachycardia 
D)  Dyspnea when lying flat in bed 
A)  PaO2 less than 40 mm Hg on room air 
B)  FEV1 less than 70% of predicted 
C)  Sinus tachycardia 
D)  Dyspnea when lying flat in bed

Question 5

At high workloads,increasing cardiac output is achieved by:

Accepted Answer

A)  Increasing stroke volume 
B)  Increasing vascular resistance 
C)  Increasing heart rate 
D)  Decreasing the VD/VT ratio 
A)  Increasing stroke volume 
B)  Increasing vascular resistance 
C)  Increasing heart rate 
D)  Decreasing the VD/VT ratio

Question 6

A 65-year-old female presents with a complaint of shortness of breath.The subject performs a cardiopulmonary exercise test,and the following data are obtained:   What is the subject's ventilatory reserve?

Accepted Answer

A)  81% 
B)  15 L 
C)  300 ml 
D)  65 L 
A)  81% 
B)  15 L 
C)  300 ml 
D)  65 L

Question 7

What does the term phase delay pertain to?

Accepted Answer

A)  Heart rate R to R intervals 
B)  Response time of the analyzer 
C)  Alignment of the gas analyzer with the flow signal 
D)  Amount of time the tidal volume exceeds flow limitation 
A)  Heart rate R to R intervals 
B)  Response time of the analyzer 
C)  Alignment of the gas analyzer with the flow signal 
D)  Amount of time the tidal volume exceeds flow limitation

Question 8

A 45-year-old female has a predicted   O2 of 2.8 L.She does not have any identified abnormalities other than being short of breath with exercise.What would be the most appropriate cycle incremental or ramp protocol to use for her study?

Accepted Answer

A)  35 watts 
B)  30 watts 
C)  25 watts 
D)  15 watts 
A)  35 watts 
B)  30 watts 
C)  25 watts 
D)  15 watts

Question 9

The following image shows the subject's tidal volume plotted against the maximal flow-volume loop during exercise:   Which of the following clinical conditions is most consistent with these findings?

Accepted Answer

A)  Variable intrathoracic obstruction 
B)  Chronic obstructive pulmonary disease 
C)  Pulmonary fibrosis 
D)  Variable extrathoracic obstruction 
A)  Variable intrathoracic obstruction 
B)  Chronic obstructive pulmonary disease 
C)  Pulmonary fibrosis 
D)  Variable extrathoracic obstruction

Question 10

Which combination of gases would be most appropriate to check the linearity of the oxygen analyzer used for exhaled gas analysis during exercise?

Accepted Answer

A)  100% O2,room air 
B)  40% O2,5% CO2 
C)  Room air,24% O2,7% CO2 
D)  Room air,15% O2,24% O2 
A)  100% O2,room air 
B)  40% O2,5% CO2 
C)  Room air,24% O2,7% CO2 
D)  Room air,15% O2,24% O2

Question 11

A 12-year-old female with a history of prolonged QT syndrome and wheezing has the following exercise test and flow-volume loop data:     Which of the following best describes these findings?

Accepted Answer

A)  Variable intrathoracic obstruction 
B)  Flow limitation 
C)  Asthma 
D)  Variable extrathoracic obstruction 
A)  Variable intrathoracic obstruction 
B)  Flow limitation 
C)  Asthma 
D)  Variable extrathoracic obstruction

Question 12

A subject whose FEV1 is 1.1 L has the following results of an exercise test (values in parentheses are percents of predicted):   Which best describes these results?

Accepted Answer

A)  Mild exercise impairment,poor effort 
B)  Moderate exercise impairment,probably deconditioning 
C)  Severe exercise impairment with cardiovascular limitation 
D)  Moderate to severe exercise impairment with ventilatory limitation 
A)  Mild exercise impairment,poor effort 
B)  Moderate exercise impairment,probably deconditioning 
C)  Severe exercise impairment with cardiovascular limitation 
D)  Moderate to severe exercise impairment with ventilatory limitation

Question 13

Which of the following exercise protocols can be described as a ramp test?

Accepted Answer

A)  Treadmill,2 MPH,grade increase of 5% every 3 minutes 
B)  Treadmill,10% grade,speed increase of 2.5 MPH every 3 minutes 
C)  Cycle ergometer,continuous increase of 10 watts per minute 
D)  Cycle ergometer,increase in resistance of 50 watts every 2 minutes 
A)  Treadmill,2 MPH,grade increase of 5% every 3 minutes 
B)  Treadmill,10% grade,speed increase of 2.5 MPH every 3 minutes 
C)  Cycle ergometer,continuous increase of 10 watts per minute 
D)  Cycle ergometer,increase in resistance of 50 watts every 2 minutes

Question 14

One MET is equal to how many ml/min/kg of O2?

Accepted Answer

A)  3.5 ml O2/min/kg 
B)  3.0 ml O2/min/kg 
C)  2.5 ml O2/min/kg 
D)  2.0 ml O2/min/kg 
A)  3.5 ml O2/min/kg 
B)  3.0 ml O2/min/kg 
C)  2.5 ml O2/min/kg 
D)  2.0 ml O2/min/kg

Question 15

A 62-year-old male presents with a complaint of shortness of breath.His spirometry results are FVC 3.3 L,FEV1 1.5 L,ratio 45.The subject performs a cardiopulmonary exercise test,and the following data are obtained:   Which statement best describes these results?

Accepted Answer

A)  Subject is ventilatory limited. 
B)  Subject has chronotropic insufficiency. 
C)  Subject has an inappropriate breathing strategy. 
D)  The study is submaximal. 
A)  Subject is ventilatory limited. 
B)  Subject has chronotropic insufficiency. 
C)  Subject has an inappropriate breathing strategy. 
D)  The study is submaximal.

Question 16

A 52-year-old male presents with a complaint of chest pain and shortness of breath.His spirometry results are FVC 3.8 L,FEV1 2.9 L,ratio 76.The subject performs a cardiopulmonary exercise test,and the following data are obtained:   Which statement best describes these results?

Accepted Answer

A)  Subject has a reduced ventilatory reserve. 
B)  Subject has a moderate reduction in exercise tolerance. 
C)  Subject has an inappropriate breathing strategy. 
D)  The study is submaximal. 
A)  Subject has a reduced ventilatory reserve. 
B)  Subject has a moderate reduction in exercise tolerance. 
C)  Subject has an inappropriate breathing strategy. 
D)  The study is submaximal.

Question 17

Which of the following is true concerning exercise testing performed with a cycle ergometer?

Accepted Answer

A)  A higher maximum O2 can be achieved than with a treadmill. 
B)  Workload can be changed in 1-minute intervals only. 
C)  O2 can be estimated from pedaling speed and resistance. 
D)  Work performed depends on the subject's height and weight. 
A)  A higher maximum O2 can be achieved than with a treadmill. 
B)  Workload can be changed in 1-minute intervals only. 
C)  O2 can be estimated from pedaling speed and resistance. 
D)  Work performed depends on the subject's height and weight.

Question 18

A 54-year-old female with a history of hypertension has the following exercise test results:   Which statement best describes these findings?

Accepted Answer

A)  Subject has a reduced ventilatory reserve. 
B)  Subject has a moderate reduction in exercise tolerance. 
C)  Subject has chronotropic insufficiency. 
D)  The study is submaximal. 
A)  Subject has a reduced ventilatory reserve. 
B)  Subject has a moderate reduction in exercise tolerance. 
C)  Subject has chronotropic insufficiency. 
D)  The study is submaximal.

Question 19

A subject has the following results of an exercise test:   Which of the following best describes these findings?

Accepted Answer

A)  Coronary artery disease 
B)  Chronic obstructive pulmonary disease 
C)  Mild deconditioning 
D)  Poor subject effort 
A)  Coronary artery disease 
B)  Chronic obstructive pulmonary disease 
C)  Mild deconditioning 
D)  Poor subject effort

Question 20

A subject has the following results of an exercise test:   Which of the following clinical conditions is most consistent with these findings?

Accepted Answer

A)  Cardiomyopathy 
B)  Chronic obstructive pulmonary disease 
C)  Marked deconditioning 
D)  Acute pulmonary embolism 
A)  Cardiomyopathy 
B)  Chronic obstructive pulmonary disease 
C)  Marked deconditioning 
D)  Acute pulmonary embolism

What will typically happen to the end-expiratory lung volume during exercise in subjects with COPD?

In a healthy adult subject with a resting BP of 120/80,which of the following responses would be expected during a maximal incremental exercise test?

Which of the following gas mixtures would be most appropriate for calibrating the analyzers used for exhaled gas analysis during exercise?

Which of the following are contraindications for performing an exercise test?

At high workloads,increasing cardiac output is achieved by:

A 65-year-old female presents with a complaint of shortness of breath.The subject performs a cardiopulmonary exercise test,and the following data are obtained: What is the subject's ventilatory reserve?

What does the term phase delay pertain to?

A 45-year-old female has a predicted O₂ of 2.8 L.She does not have any identified abnormalities other than being short of breath with exercise.What would be the most appropriate cycle incremental or ramp protocol to use for her study?

The following image shows the subject's tidal volume plotted against the maximal flow-volume loop during exercise: Which of the following clinical conditions is most consistent with these findings?

Which combination of gases would be most appropriate to check the linearity of the oxygen analyzer used for exhaled gas analysis during exercise?

A 12-year-old female with a history of prolonged QT syndrome and wheezing has the following exercise test and flow-volume loop data: Which of the following best describes these findings?

A subject whose FEV₁ is 1.1 L has the following results of an exercise test (values in parentheses are percents of predicted): Which best describes these results?

Which of the following exercise protocols can be described as a ramp test?

One MET is equal to how many ml/min/kg of O₂?

A 62-year-old male presents with a complaint of shortness of breath.His spirometry results are FVC 3.3 L,FEV₁ 1.5 L,ratio 45.The subject performs a cardiopulmonary exercise test,and the following data are obtained: Which statement best describes these results?

A 52-year-old male presents with a complaint of chest pain and shortness of breath.His spirometry results are FVC 3.8 L,FEV₁ 2.9 L,ratio 76.The subject performs a cardiopulmonary exercise test,and the following data are obtained: Which statement best describes these results?

Which of the following is true concerning exercise testing performed with a cycle ergometer?

A 54-year-old female with a history of hypertension has the following exercise test results: Which statement best describes these findings?

A subject has the following results of an exercise test: Which of the following best describes these findings?

A subject has the following results of an exercise test: Which of the following clinical conditions is most consistent with these findings?

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

Pediatric Pulmonary Function Tests

Bronchoprovocation Testing

Specialized Test Regimens

Pulmonary Function Test Equipment

Quality Systems in the Pulmonary Function Laboratory

Reference Values and Interpretation Strategies

Filters

Exam 7: Cardiopulmonary Exercise Testing

What will typically happen to the end-expiratory lung volume during exercise in subjects with COPD?

In a healthy adult subject with a resting BP of 120/80,which of the following responses would be expected during a maximal incremental exercise test?

Which of the following gas mixtures would be most appropriate for calibrating the analyzers used for exhaled gas analysis during exercise?

Which of the following are contraindications for performing an exercise test?

At high workloads,increasing cardiac output is achieved by:

A 65-year-old female presents with a complaint of shortness of breath.The subject performs a cardiopulmonary exercise test,and the following data are obtained: What is the subject's ventilatory reserve?

What does the term phase delay pertain to?

A 45-year-old female has a predicted O2 of 2.8 L.She does not have any identified abnormalities other than being short of breath with exercise.What would be the most appropriate cycle incremental or ramp protocol to use for her study?

The following image shows the subject's tidal volume plotted against the maximal flow-volume loop during exercise: Which of the following clinical conditions is most consistent with these findings?

Which combination of gases would be most appropriate to check the linearity of the oxygen analyzer used for exhaled gas analysis during exercise?

A 12-year-old female with a history of prolonged QT syndrome and wheezing has the following exercise test and flow-volume loop data: Which of the following best describes these findings?

A subject whose FEV1 is 1.1 L has the following results of an exercise test (values in parentheses are percents of predicted): Which best describes these results?

Which of the following exercise protocols can be described as a ramp test?

One MET is equal to how many ml/min/kg of O2?

A 62-year-old male presents with a complaint of shortness of breath.His spirometry results are FVC 3.3 L,FEV1 1.5 L,ratio 45.The subject performs a cardiopulmonary exercise test,and the following data are obtained: Which statement best describes these results?

A 52-year-old male presents with a complaint of chest pain and shortness of breath.His spirometry results are FVC 3.8 L,FEV1 2.9 L,ratio 76.The subject performs a cardiopulmonary exercise test,and the following data are obtained: Which statement best describes these results?

Which of the following is true concerning exercise testing performed with a cycle ergometer?

A 54-year-old female with a history of hypertension has the following exercise test results: Which statement best describes these findings?

A subject has the following results of an exercise test: Which of the following best describes these findings?

A subject has the following results of an exercise test: Which of the following clinical conditions is most consistent with these findings?

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

Pediatric Pulmonary Function Tests

Bronchoprovocation Testing

Specialized Test Regimens

Pulmonary Function Test Equipment

Quality Systems in the Pulmonary Function Laboratory

Reference Values and Interpretation Strategies

Filters

A 45-year-old female has a predicted O₂ of 2.8 L.She does not have any identified abnormalities other than being short of breath with exercise.What would be the most appropriate cycle incremental or ramp protocol to use for her study?

A subject whose FEV₁ is 1.1 L has the following results of an exercise test (values in parentheses are percents of predicted): Which best describes these results?

One MET is equal to how many ml/min/kg of O₂?

A 62-year-old male presents with a complaint of shortness of breath.His spirometry results are FVC 3.3 L,FEV₁ 1.5 L,ratio 45.The subject performs a cardiopulmonary exercise test,and the following data are obtained: Which statement best describes these results?

A 52-year-old male presents with a complaint of chest pain and shortness of breath.His spirometry results are FVC 3.8 L,FEV₁ 2.9 L,ratio 76.The subject performs a cardiopulmonary exercise test,and the following data are obtained: Which statement best describes these results?