Deck 12: Chronic Pulmonary Dysfunction

Question 1

A patient presents with complaints of shortness of breath and coughing.On auscultation there is extensive wheeze throughout.The chest x-ray the patient had taken yesterday shows mild hyperinflation.What would be the BEST test to aid in diagnosing this patient?

A)Pre-bronchodilator spirometry
B)Post-bronchodilator spirometry
C)Arterial blood gas
D)Pre- and post-bronchodilator spirometry

Answer 1

D

Question 2

By week two of a 3-day-per-week pulmonary rehabilitation program,a patient with moderate chronic obstructive pulmonary dysfunction is performing 15 minutes of cycling exercise with a 1-minute rest period at the 7-minute time-point.The patient's perceived dyspnea rating during cycling exercise was 2.What is the BEST way to progress this patient's exercise program for week three?

A)Increase cycle duration to 20 minutes with elimination of the rest period.
B)Increase cycle duration to 40 minutes with elimination of the rest period.
C)Increase training frequency to five times per week.
D)Increase training intensity to a dyspnea rating of 5.

Answer 2

A

Question 3

What is the MOST likely presentation of lung hyperinflation on physical examination of a person with chronic obstructive pulmonary disease?

A)Increased anterior-posterior diameter of the chest with decreased thoracic excursion during breathing
B)Increased anterior-posterior diameter of the chest with increased thoracic excursion during breathing
C)Decreased anterior-posterior diameter of the chest with decreased thoracic excursion during breathing
D)Decreased anterior-posterior diameter of the chest with increased thoracic excursion during breathing

Answer 3

A

Question 4

If a patient with severe cystic fibrosis performs a 10-meter shuttle test before a pulmonary rehabilitation program,what information collected during this test is MOST useful for exercise prescription?

A)Submaximal exercise capacity data
B)Peak exercise capacity data
C)Rating of perceived exertion at peak exercise
D)Resting oxygen saturation

Question 5

What smoking cessation program is MOST appropriate for a 56-year-old female with asthma whose subjective assessment reveals that she is suffering from depression and started smoking 5 years ago following the death of her husband?

A)Exercise training
B)Education and support
C)Counseling with pharmacological therapy
D)Acupuncture

Question 6

What is the MOST appropriate classification of lung disease for a patient whose spirometry results are FEV₁/FVC ratio = 52,FEV₁ = 39% predicted,and FVC = 67% predicted?

A)Very severe
B)Severe
C)Moderate
D)Mild