Lecture 4 Pulmonary Function Testing (missed this lecture) Flashcards

1
Q

What is FEV?

A

max volume of air that can be expired in the first second following max inspiration

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2
Q

What is FVC?

A

total volume of air that can be expired following max inspiration

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3
Q

FEV over FVC is usually around ___

A

0.8

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4
Q

In obstructive lung disease, FEV1 _______ dramatically. FVC _____ slightly. Thus, what happens to the FEV1/FVC?

A

decreases, decreases;

decreases below 70%

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5
Q

FEV1 is used to follow severity in _____

A

COPD

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6
Q

COPD is ____ + _____

A

bronchitis + emphysema

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7
Q

asthma, COPD, bronchiectasis, bronchiolitis, and _____ airway obstruction are examples of _____ lung disease

A

upper;

obstructive

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8
Q

In restrictive lung disease, there is ____ FEV1 and ______ FVC. What is the FEV1/FVC?

A

decreased, decreased; normal or greater than 80%

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9
Q

In obstructive lung disease, lung volumes are ____ than normal. In restrictive lung disease, lung volumes are ____ than normal

A

greater; less

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10
Q

bronchodilator response is the degree to which ____ improves with inhaled bronchodilator. it documents _____ airflow obstruction.

A

FEV1; reversible

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11
Q

There is a “significant bronchodilator response” if FEV1 increases by ___ % and ____ mL

A

12, 200

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12
Q

On a flow volume loop curve, the ___ axis describes the FVC. Inspiration is negative on the ___ axis, while expiration is positive

A

x, y

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13
Q

diffusing capacity measures the ability of the lungs to transport inhaled gas from the ____ to the _____. What gas is used?

A

alveoli, pulmonary capillaries; carbon monoxide

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14
Q

diffusion capacity depends on 3 things:

A

alveolar-capillary membrane, Hb concentration, and cardiac output

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15
Q

causes of increased diffusion capacity of CO:

____ (or normal), pulmonary ____, ______, or a __ to ___ shunt

A

asthma, hemorrhage, polycythemia, L to R

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16
Q

Of obstructive and restrictive lung disease, which has a decreased residual volume?

A

restrictive = decreased, obstructive = increased

17
Q

restrictive lung disease is characterized by decreased _____

A

TLC

18
Q

bronchoprovocation:

useful in diagnosis of ____ in the setting of normal pulm function tests. 2 common agents listed?

A

asthma; methacholine, histamine

19
Q

bronchoprovocation is diagnostic of asthma if there is a greater than 20% _____ in ____

A

decrease, FEV1