Exam 12: Quality Systems in the Pulmonary Function Laboratory

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Spirometers used to measure FEV1 should be able to measure flows in the range of 0 to 14 L/sec (ATS-ERS,2005).The maximal resistance allowable at all flows is:

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A pulmonary function technologist injects 3-L volumes from a calibration syringe into a spirometer that uses a turbine device to sense flow.The following results are observed: A pulmonary function technologist injects 3-L volumes from a calibration syringe into a spirometer that uses a turbine device to sense flow.The following results are observed:   The pulmonary function technologist should: The pulmonary function technologist should:

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A patient performs spirometry,and the following results are obtained: A patient performs spirometry,and the following results are obtained:   The pulmonary function technologist should conclude which of the following? The pulmonary function technologist should conclude which of the following?

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A patient who is short of breath performs eight FVC maneuvers,and these results from the three best efforts are recorded: A patient who is short of breath performs eight FVC maneuvers,and these results from the three best efforts are recorded:   Which of the following is appropriate to report in the technologist's comments? Which of the following is appropriate to report in the technologist's comments?

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A 3-L syringe is used to calibrate a computerized spirometer;at ATPS the spirometer reads a volume of 2.94 L.The software correction factor for this system is:

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Quality control runs on a PCO2 electrode have produced a mean of 40 mm Hg ± 2 mm Hg (1 SD).What are the chances of obtaining a value of 45 mm Hg on a control run if the electrode is functioning properly?

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A patient whose VC is 3.5 L performs two DLCOsb maneuvers with the following results: A patient whose VC is 3.5 L performs two DLCOsb maneuvers with the following results:   The pulmonary function technologist should do which of the following? The pulmonary function technologist should do which of the following?

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A biologic control subject has an established FVC of 5.00 L with an SD of 0.20 L.After spirometer maintenance,the following values are obtained from the biologic control: A biologic control subject has an established FVC of 5.00 L with an SD of 0.20 L.After spirometer maintenance,the following values are obtained from the biologic control:   On the basis of these findings,the pulmonary function technologist should conclude what? On the basis of these findings,the pulmonary function technologist should conclude what?

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The greatest risk of cross-contamination in the pulmonary function laboratory is associated with:

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According to the current ATS-ERS guidelines,spirometers should be able to measure volumes of at least:

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The calibration gas for a blood gas analyzer contains 20.1% O2 and 4.99% CO2.If the barometric pressure is 744 mm Hg,what is the partial pressure of gas used to calibrate the PCO2 electrode?

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The technologist is following a procedure for measuring the correct height of a patient.This step is from which portion of the path of workflow?

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Multiple injections from a 3-L syringe into a flow-based spirometer produce an average reading of 2.92 L.This value indicates:

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According to ATS recommendations,the acceptable "back pressure" (flow resistance)from a spirometer is less than _____ cm H2O at _____ L/sec.

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A pulmonary laboratory has purchased a new plethysmograph.During the installation process,the technologist verifies the data integrity.Which QSE is the technologist following?

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Which of the following control materials would be best suited for quality control of a PO2 electrode used to measure O2 tensions less than 50 mm Hg?

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A helium analyzer is checked using a 3-L syringe;300 ml of He is added to 2.70 L of air in the syringe.If the dead space of the syringe and tubing is 100 ml,what is the expected concentration of He in the syringe?

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Quality control of an automated DLCO system is performed using a 3-L syringe.The syringe is filled to 1.5 L with room air and is then connected to the system.A simulated DLCOsb maneuver is performed with 1.5 L of test gas drawn into the syringe.Acceptable performance of the gas analyzers should produce a DLCO of approximately:

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According to the ATS-ERS recommendations,when using a 3.00-L syringe to check spirometer calibration,which of the following represents an acceptable difference between the expected and actual result?

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An automated blood gas analyzer performs two-point calibrations that match expected values.Subsequent quality control runs show unacceptable values for PO2 and PCO2,but pH is acceptable.Which of the following is the most likely problem?

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