Chapter # 1, Indications Flashcards Preview

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Flashcards in Chapter # 1, Indications Deck (61):
1

PFT, Purpose

Identify and quantify pulmonary impairments

2

PFT Category tests

1. Airway Function
2. Lung Volumes and Gas Distribution
3. Diffusing Capacity
4. Blood Gas and Exchange Tests
5. Cardiopulmonary Exercise Tests

3

What Test is the most common on PFT?

Spirometry

4

Spirometry Measures?

It measures the amount (volume) and/or speed (flow) of air that can be inhaled and exhaled.

5

Airway Function

It measures how well air moves in and out of the airways

6

Lung Volume test measures?

How big the lungs are

7

Diffusion Capacity test

How well does gas pass through alveolar capillaries

8

The most common Airway Function Test is?

Spirometry

9

Vital Capacity is?

Is the total amount of air that we can exhale after a maximum inspiration

10

Vital Capacity is also known as

Slow vital Capacity

11

Force Vital Capacity (FVC), measures

FVC measures Volume and Flow

12

when we think about obstruction we should think on ...

Airway

13

It may be the fist test to identify pulmonary disease ...

Spirometry

14

Spirometry is the most common PFT test, it measures air flow including:

1. VC (irv, vt, erv)
2. FVC
3. FVL

15

Drugs that are use to induce an Asthmatic Attack?

1. Metacholine
2. Histamine
3. Exercice

16

People who do not have asthma, how they will react to an induce Asthmatic attack?

These people will not have any reaction to these drugs.

17

How we can determine if a patient have Asthma or not?

By inducing an Asthma Attack

18

The Gold standard to Diagnose an Obstructive Lung Disease is?

Spirometry

19

Obstructive Diseases will reduce ...

Airflow in and out of the lungs

20

What does mean CBABE, and what have in common?

CBABE means:
Cystic Fibosis
Bronchiectasis
Asthma
Bronchitis
Empfysema, and they are all OBSTRUCTIVE diseases.

21

Spirometry Indications?

1. Diagnose the presence or Absence of lung diseases.
2. Quantify the extent of known disease on lung
function.
3. Measures the effects of occupational or
environmental exposure.
4. Determine beneficial or negative effects to therapy.
5. Assess risk of surgical procedures.
6. Evaluate disability or impairment.

22

Lung Volume test is the Gold Standard to identify...

RESTRICTIVE lung disease.

23

Indication for lung volume test?

1. Diagnose or assess severity of restrictive lung
disease.
2. Differentiate between restrictive and obstructive
patterns.
3. Make preoperative assessments of patients with
compromise lung function.

24

Indication for Blood Gas analisis

1. Evaluate adequacy of lung function.
2. Determine the need for supplemental Oxygen.
3. Document severity or progression of known
pulmonary disease.

25

Indication for Diffusing Capacity

1. Evaluate or fallow the progress of parenchymal lung
disease.
2. Evaluate pulmonary involvement in systemic
disease.
4. Evaluate cardiovascular disese

26

Previous test, We should stop giving short acting B-Agonist?

4 hours

27

Long acting B- agonist should be stpo

12 hours previous test

28

Atropin like preparation

Ipatropium Bromide (Atrovent), 8 hours before
Cromolyn Sodium, 8-12 hours previous test

29

What is COPD

Is a long standing airway obstruction, caused by Bronchitis, Asthma and Emphysema.
this condition may be present alone or in combination .

30

COPD is characterized by:

- Dyspnea at rest or Exertion
- Productive cough

31

Emphysema

Means air trapping
+ Caused primarily by cigarette Smoking
+ As the disease advances more and more alveolar
wall are destroyed

32

The main Symptom of Emphysema is?

Breathlessness , either at rest or with exertion.

33

In advanced Emphysema, what contribute to Dyspnea?

Hypoxemia

34

On Emphysema DLCo will be

Reduced

35

On Emphysema Chest X-Ray will show

+ Flatted Diaphragms and increased air spaces
+ The lungs appears hyperlucent (Dark)
+ Heart appears to be hanging from the great vessels

36

What Enzyme deficiency causes the gradual destruction of the alveolar wall?

Alpha1 -antitrypsin

37

On Emphysema FEV1 will be?

Reduced

38

It is present when there is excessive mucus production, with a productive cough on most days, for at least 3 months for 2 years or more.

Chronic Bronchitis

39

Chronic Bronchitis main cause

Smoking Cigarettes, also exposure to environmental pollutants

40

What test may be used to distinguishing between Emphysema and Chronic Bronchitis

DLCo, Chronic Bronchitis patients may have preserved DLCo, while Emphysema patients DLCo is reduced

41

Bronchiectasis is:

Is the pathologic dilation of the bronchi

42

The main feature of Bronchiectasis is:

Very productive Cough, the sputum is usually purulent and foul smelling.

43

Treatment of Bronchiectasis?

Bronchial Hygiene
Antibiotic Therapy
Bronchoscopy and surgical resection

44

The most common presentation of Asthma include:

Wheezing
cough
shortness of breath

45

Disease that primarily affects the mucus production apparatus of the lung and pancreas?

Cystic Fibrosis

46

Clinical manifestation of CF include:

+ Chronic Cough and Sinusitis
+ Bronchiectasis
+ Atelectasis

47

The primary management of CF is:

Removal of excess of mucus produced.

48

Symptom of Sarcoidosis include:

Fatigue, muscle weakness, fever and weight loss

49

What disease shows relatively normal flows on PFT?

Sarcoidosis

50

Dyspnea and Dry, nonproductive cough are the most common symptoms for ...

Sarcoidosis

51

+ Under weight
+ Barrel-Chest
+ Use accessory muscles
+ Purse-lip breathing
Is characteristic of what condition?

Emphysema

52

On patient preparation, Smoking cessation should be ceased

24 hour prior test

53

On patient preparation, Eating should be limited to:

2 hours

54

Alcohol consumption should be refrain for:

4 hours before testing

55

DO NOT ask for this information on physical measurements

+ Height in inches or
centimeters
+ Weight in pounds or
kilograms

56

Any disease that causes problem with lung volume will make the patient breath...

Shallow

57

Indication for Spirometry include which of the following?
1. Preoperative evaluation for Pneumonectomy
2. Measurement of exercise capacity.
3. Determination of the beneficial effects of a bronchodilator.
4. Measurements of the effects of working in a dusty enviriment.
A. 1,2 and 3
B. 1,3 and 4
C. 2,3 and 4
D. 2 and 4 only

B. 1,3 and 4

58

What test would you suggest to an adult with suspected shunt?

Blood Gas

59

which of the following diseases often result in an obstructive pattern when Spirometry is done?
1. Asthma
2. Emphysema
3. Bronchiolitis
4. Silicosis
a. 1,2 and 3
b. 1,3 and 4
c. 2,3 and 4
d. 2 and 4

a. 1,2 and 3

60

Which of the following should a pulmonary function technologist do before performing Spirometry?
a. Administer an anticholinergic
b. ask the patient their current height and weight.
c. Demonstrate how correctly perform the test maneuver
d. Explain that they will be require to perform three maneuvers.

c. demonstrate how correctly perform the test maneuver

61

What test would you recommended to a patient whom complain of Dyspnea on exertion and chest tightness

Cardiopulmonary exercise test