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| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Respiratory Muscle Strength | 5% | - MIP and MEP Measurements
|
| Topic 2: Equipment Operation and Calibration | 30% | - Calibration Procedures
|
| Topic 3: Data Quality, Analysis, and Reporting | 5% | - Reporting
|
| Topic 4: Diffusion Capacity (DLCO) | 10% | - Test Performance
|
| Topic 5: Spirometry | 15% | - Measurement and Calculation
|
| Topic 6: Patient Preparation and Assessment | 25% | - Patient Interview and History
|
| Topic 7: Body Plethysmography | 10% | - Lung Volume Measurement
|
Question 1
A pulmonary function technologist is performing an exercise (stress) test on a patient with severe COPD. As the test progresses, the patient shows signs of increasing dyspnea. Measurements of inspiratory capacity decreased from 2.0 L to 1.5 L. Which of the following most likely occurred?
A. disconnected gas sampling line
B. acute decrease in FRC
C. dynamic hyperinflation
D. drift in the flow transducer
Question 2
A patient with severe airflow limitation pants too rapidly (> 3 breaths/second) against a closed shutter in a body plethysmograph. Which of the following will occur?
A. VTGoverestimation
B. RAWoverestimation
C. RAWunderestimation
D. VTGunderestimation
Question 3
While reviewing exercise data, a pulmonary function technologist notes that the patient's anaerobic threshold occurred at 35% of the patient's VO2MAX. This indicates the patient has
A. ventilatory limitation
B. a normal response to exercise
C. given a submaximal effort
D. cardiac limitation
Question 4
The following data were obtained from a bronchial challenge test:
APC20of 2 mg/mL was obtained the next day in another laboratory. Which of the following is the most likely explanation for these data?
A. The patient's effort was inconsistent.
B. The two test results are within day-to-day variability.
C. The spirometer accuracy drifted during the test.
D. Incorrect doses of methacholine were administered.
Question 5
At maximum exercise, a 24-year-old patient's heart rate is 150/min with a VO2of 750 mUmin. The calculated
02 pulse is most consistent with which of the following?
A. achievement of anaerobic threshold
B. deconditioning
C. cystic fibrosis
D. cardiomyopathy
Solutions:
| Question 1 Answer: B | Question 2 Answer: B | Question 3 Answer: D | Question 4 Answer: C | Question 5 Answer: C |
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