Question 1

A subject has the following spirometry results:   What do the results most likely represent?

Accepted Answer

A)  Variable effort 
B)  Maneuver induced bronchospasm 
C)  Unacceptable maneuvers 
D)  Repeatable maneuvers 
A)  Variable effort 
B)  Maneuver induced bronchospasm 
C)  Unacceptable maneuvers 
D)  Repeatable maneuvers A

Question 2

A 63-year-old male complaining of shortness of breath and muscle weakness has the following pulmonary function results:   These findings are consistent with:

Accepted Answer

A)  Normal study 
B)  Borderline obstruction 
C)  Neuromuscular weakness (e.g. ,ALS) 
D)  Mild obstruction 
A)  Normal study 
B)  Borderline obstruction 
C)  Neuromuscular weakness (e.g. ,ALS) 
D)  Mild obstruction A

Question 3

Which answer is consistent with the following flow-volume curve?

Accepted Answer

A)  Normal forced expiratory flow pattern 
B)  Variable intrathoracic obstruction 
C)  Airways obstruction 
D)  Fixed large airway obstruction 
A)  Normal forced expiratory flow pattern 
B)  Variable intrathoracic obstruction 
C)  Airways obstruction 
D)  Fixed large airway obstruction C

Question 4

A patient being evaluated for disability has the following spirometry results:   What do these findings indicate?

Accepted Answer

A)  The patient has moderate obstructive disease. 
B)  The patient has restriction. 
C)  The patient's FEV1 is larger than measured. 
D)  The patient did not make a good effort on the MVV. 
A)  The patient has moderate obstructive disease. 
B)  The patient has restriction. 
C)  The patient's FEV1 is larger than measured. 
D)  The patient did not make a good effort on the MVV.

Question 5

A 17-year-old patient with asthma performs three spirometry trials:   The pulmonary function technologist should do which of the following?

Accepted Answer

A)  Report the values from Trial 3. 
B)  Average the data from Trials 2 and 3. 
C)  Calibrate the spirometer and repeat all three trials. 
D)  Perform at least one more maneuver. 
A)  Report the values from Trial 3. 
B)  Average the data from Trials 2 and 3. 
C)  Calibrate the spirometer and repeat all three trials. 
D)  Perform at least one more maneuver.

Question 6

A 22-year-old patient with dyspnea performs three spirometry trials.   The pulmonary function technologist should do which of the following?

Accepted Answer

A)  Report the values from Trial 3. 
B)  Report the largest sum of FVC and FEV1. 
C)  Average the data from Trials 2 and 3. 
D)  Perform at least one more maneuver. 
A)  Report the values from Trial 3. 
B)  Report the largest sum of FVC and FEV1. 
C)  Average the data from Trials 2 and 3. 
D)  Perform at least one more maneuver.

Question 7

What are the recommended dosages for assessing bronchodilator response,according to the ATS-ERS spirometry guidelines?

Accepted Answer

A)  Four doses of albuterol (100 µg)or ipratropium bromide (40 µg) 
B)  Two doses of albuterol (100 µg)or ipratropium bromide (80 µg) 
C)  Four doses of albuterol (80 µg)or ipratropium bromide (80 µg) 
D)  Two doses of albuterol (80 µg)or ipratropium bromide (40 µg) 
A)  Four doses of albuterol (100 µg)or ipratropium bromide (40 µg) 
B)  Two doses of albuterol (100 µg)or ipratropium bromide (80 µg) 
C)  Four doses of albuterol (80 µg)or ipratropium bromide (80 µg) 
D)  Two doses of albuterol (80 µg)or ipratropium bromide (40 µg)

Question 8

Back extrapolation is the method used to determine "time zero" when measuring which of the following parameters?

Accepted Answer

A)  FVC 
B)  FEV1 
C)  FEF25%-75% 
D)  MVV 
A)  FVC 
B)  FEV1 
C)  FEF25%-75% 
D)  MVV

Question 9

A 50-year-old woman with dyspnea has the following spirometry results:   These findings are consistent with which of the following?

Accepted Answer

A)  Reversible airway obstruction 
B)  Mild obstructive disease 
C)  Normal lung function 
D)  Invalid predicted values 
A)  Reversible airway obstruction 
B)  Mild obstructive disease 
C)  Normal lung function 
D)  Invalid predicted values

Question 10

A subject has spirometry repeated before and after inhaled bronchodilators.The following data are obtained:   Which of the following statements best describes these findings?

Accepted Answer

A)  There is mild obstruction with significant response to bronchodilators. 
B)  There is mild obstruction without significant change after bronchodilators. 
C)  There is a paradoxical response to bronchodilators. 
D)  Spirometry is within normal limits. 
A)  There is mild obstruction with significant response to bronchodilators. 
B)  There is mild obstruction without significant change after bronchodilators. 
C)  There is a paradoxical response to bronchodilators. 
D)  Spirometry is within normal limits.

Question 11

A subject produces the following simple spirometry results:   These findings are consistent with:

Accepted Answer

A)  Combined obstruction and restriction 
B)  Moderate obstructive disease 
C)  Normal lung function 
D)  Incorrectly selected predicted values 
A)  Combined obstruction and restriction 
B)  Moderate obstructive disease 
C)  Normal lung function 
D)  Incorrectly selected predicted values

Question 12

Before bronchodilator studies,inhaled $\beta$-adrenergic agents should be withheld for how long?

Accepted Answer

A)  0.5 to 1.5 hours unless corticosteroids are being used 
B)  4 to 12 hours for regular or long-acting preparations 
C)  24 hours for most inhalers 
D)  24 to 48 hours 
A)  0.5 to 1.5 hours unless corticosteroids are being used 
B)  4 to 12 hours for regular or long-acting preparations 
C)  24 hours for most inhalers 
D)  24 to 48 hours

Question 13

Which answer is consistent with the flow-volume curve shown?

Accepted Answer

A)  Normal forced expiratory flow pattern 
B)  Variable intrathoracic obstruction 
C)  Airway obstruction 
D)  Fixed extrathoracic obstruction 
A)  Normal forced expiratory flow pattern 
B)  Variable intrathoracic obstruction 
C)  Airway obstruction 
D)  Fixed extrathoracic obstruction

Question 14

A 62-year-old female complaining of shortness of breath has the following spirometry results.Ambient temperature is 26$\degree$ C (conversion factor = 1.068).   What is the subject's reportable FEV1 in BTPS conditions?

Accepted Answer

A)  2.10 L 
B)  2.17 L 
C)  2.24 L 
D)  2.65 L 
A)  2.10 L 
B)  2.17 L 
C)  2.24 L 
D)  2.65 L

Question 15

A 69-year-old female complaining of cough and shortness of breath has the following pulmonary function results:   These findings are consistent with:

Accepted Answer

A)  Severe obstruction 
B)  Moderate restriction with no evidence of obstruction 
C)  Severe restriction with concomitant obstruction 
D)  Variable extrathoracic obstruction 
A)  Severe obstruction 
B)  Moderate restriction with no evidence of obstruction 
C)  Severe restriction with concomitant obstruction 
D)  Variable extrathoracic obstruction

Question 16

A subject performed four acceptable FVC maneuvers.   What do the results most likely represent?

Accepted Answer

A)  Variable effort 
B)  Malingering 
C)  Inability to understand the test 
D)  Maneuver-induced bronchospasm 
A)  Variable effort 
B)  Malingering 
C)  Inability to understand the test 
D)  Maneuver-induced bronchospasm

Question 17

Which of the following would be considered key components of the FVC maneuver?

Accepted Answer

A)  Maximal inspiration,blast of expiration,and complete exhalation 
B)  Maximal inspiration and exhalation for at least 6 seconds 
C)  Forceful exhalation,exhalation for at least 6 seconds in adults and 3 seconds in children younger than the age of 10 
D)  No cough in the first second and a fast start (back extrapolation <150 ml) 
A)  Maximal inspiration,blast of expiration,and complete exhalation 
B)  Maximal inspiration and exhalation for at least 6 seconds 
C)  Forceful exhalation,exhalation for at least 6 seconds in adults and 3 seconds in children younger than the age of 10 
D)  No cough in the first second and a fast start (back extrapolation <150 ml)

Question 18

A 47-year-old man with a history of cough has the following spirometry results:   These findings show the presence of which of the following?

Accepted Answer

A)  Reversible airway obstruction 
B)  Moderate obstructive disease 
C)  Normal lung function 
D)  Incorrectly selected predicted values 
A)  Reversible airway obstruction 
B)  Moderate obstructive disease 
C)  Normal lung function 
D)  Incorrectly selected predicted values

Question 19

In addition to the FEV1 and FVC,which of the following is useful in gauging subject effort during spirometry?

Accepted Answer

A)  PEF 
B)  FEF50% 
C)  FEF25%-75% 
D)  max25 
A)  PEF 
B)  FEF50% 
C)  FEF25%-75% 
D)  max25

Question 20

What is the calculated bronchodilator response in this subject?

Accepted Answer

A)  39% 
B)  6% 
C)  1.1 L 
D)  71% 
A)  39% 
B)  6% 
C)  1.1 L 
D)  71%

A subject has the following spirometry results: What do the results most likely represent?

A 63-year-old male complaining of shortness of breath and muscle weakness has the following pulmonary function results: These findings are consistent with:

Which answer is consistent with the following flow-volume curve?

A patient being evaluated for disability has the following spirometry results: What do these findings indicate?

A 17-year-old patient with asthma performs three spirometry trials: The pulmonary function technologist should do which of the following?

A 22-year-old patient with dyspnea performs three spirometry trials. The pulmonary function technologist should do which of the following?

What are the recommended dosages for assessing bronchodilator response,according to the ATS-ERS spirometry guidelines?

Back extrapolation is the method used to determine "time zero" when measuring which of the following parameters?

A 50-year-old woman with dyspnea has the following spirometry results: These findings are consistent with which of the following?

A subject has spirometry repeated before and after inhaled bronchodilators.The following data are obtained: Which of the following statements best describes these findings?

A subject produces the following simple spirometry results: These findings are consistent with:

Before bronchodilator studies,inhaled $\beta$ -adrenergic agents should be withheld for how long?

Which answer is consistent with the flow-volume curve shown?

A 69-year-old female complaining of cough and shortness of breath has the following pulmonary function results: These findings are consistent with:

A subject performed four acceptable FVC maneuvers. What do the results most likely represent?

Which of the following would be considered key components of the FVC maneuver?

A 47-year-old man with a history of cough has the following spirometry results: These findings show the presence of which of the following?

In addition to the FEV₁ and FVC,which of the following is useful in gauging subject effort during spirometry?

What is the calculated bronchodilator response in this subject?

Indications for Pulmonary Function Testing

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

Bronchoprovocation Testing

Specialized Test Regimens

Pulmonary Function Test Equipment

Quality Systems in the Pulmonary Function Laboratory

Reference Values and Interpretation Strategies

Filters

Exam 2: Spirometry

A subject has the following spirometry results: What do the results most likely represent?

A 63-year-old male complaining of shortness of breath and muscle weakness has the following pulmonary function results: These findings are consistent with:

Which answer is consistent with the following flow-volume curve?

A patient being evaluated for disability has the following spirometry results: What do these findings indicate?

A 17-year-old patient with asthma performs three spirometry trials: The pulmonary function technologist should do which of the following?

A 22-year-old patient with dyspnea performs three spirometry trials. The pulmonary function technologist should do which of the following?

What are the recommended dosages for assessing bronchodilator response,according to the ATS-ERS spirometry guidelines?

Back extrapolation is the method used to determine "time zero" when measuring which of the following parameters?

A 50-year-old woman with dyspnea has the following spirometry results: These findings are consistent with which of the following?

A subject has spirometry repeated before and after inhaled bronchodilators.The following data are obtained: Which of the following statements best describes these findings?

A subject produces the following simple spirometry results: These findings are consistent with:

Before bronchodilator studies,inhaled β\betaβ -adrenergic agents should be withheld for how long?

Which answer is consistent with the flow-volume curve shown?

A 62-year-old female complaining of shortness of breath has the following spirometry results.Ambient temperature is 26 °\degree° C (conversion factor = 1.068). What is the subject's reportable FEV1 in BTPS conditions?

A 69-year-old female complaining of cough and shortness of breath has the following pulmonary function results: These findings are consistent with:

A subject performed four acceptable FVC maneuvers. What do the results most likely represent?

Which of the following would be considered key components of the FVC maneuver?

A 47-year-old man with a history of cough has the following spirometry results: These findings show the presence of which of the following?

In addition to the FEV1 and FVC,which of the following is useful in gauging subject effort during spirometry?

What is the calculated bronchodilator response in this subject?

Indications for Pulmonary Function Testing

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

Bronchoprovocation Testing

Specialized Test Regimens

Pulmonary Function Test Equipment

Quality Systems in the Pulmonary Function Laboratory

Reference Values and Interpretation Strategies

Filters

Before bronchodilator studies,inhaled $\beta$ -adrenergic agents should be withheld for how long?

In addition to the FEV₁ and FVC,which of the following is useful in gauging subject effort during spirometry?