Pulmonary Function Tests Flashcards

(32 cards)

1
Q

What is the difference between volumes and capacities?

A

Volumes can be measured, while capacities have to be summed from two or more volumes.

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2
Q

What are tidal volumes?

A

Normal inspiratory and expiratory breaths at rest

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3
Q

What is expiratory reserve volume?

A

The amount of air remaining in the lungs after a normal expiration that can be forcefully expired

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4
Q

What is inspiratory reserve volume?

A

The amount of air that can be inhaled after a normal inspiration has taken place

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5
Q

Functional residual capacity is ___________.

A

residual volume plus expiratory reserve volume

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6
Q

Inspiratory capacity is ______________.

A

inspiratory reserve volume plus tidal volume

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7
Q

Vital capacity is ________________.

A

inspiratory reserve volume plus tidal volume plus expiratory reserve volume

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8
Q

In terms of spirometry, the hallmark finding of obstructive diseases is ___________.

A

reduced FEV/FVC ratio

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9
Q

__________ diseases cannot be diagnosed with spirometry.

A

Restrictive

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10
Q

The latter 2/3 of expiration is ___________.

A

effort independent; it is determined by the elastic recoil of the lungs

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11
Q

The _______ side of the flow-volume loops is symmetric.

A

inspiratory

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12
Q

TGV is another term for __________.

A

functional residual capacity (FRC)

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13
Q

Name six causes of restrictive lung disease.

A

(1) pulmonary fibrosis
(2) pulmonary edema
(3) obesity
(4) neuromuscular disorders
(5) interstitial lung disease
(6) pleural disease

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14
Q

During resting breathing, _______ requires effort, but _______ happens spontaneously.

A

inspiration; expiration

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15
Q

Residual volume cannot be ________, it must be estimated.

A

measured

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16
Q

____________ represents the volume at which the elastic recoil of the lungs is balanced with the outward force of the chest wall.

A

Functional residual capacity

17
Q

Inspiratory reserve volume is the volume that can be inspired after ___________.

A

a resting inspiration

18
Q

The accepted “normal” range for % predicted is ______________.

19
Q

In a flow-volume loop, obstructive diseases will be ______________.

A

left-shifted and have a “coving” of the expiratory rate

20
Q

The “flow-volume loop points to the obstruction” only works for __________.

A

variable obstructions; fixed obstructions (such as tracheal stenosis) are flattened on both sides

21
Q

Helium volume tests are less accurate in those who have ____________.

A

obstructive diseases with air trapping

22
Q

The only PFT whose predicted value can be >120% and still be considered normal is _________.

A

residual volume (which can go up to 140% and still be considered normal)

23
Q

TLC and FRC will be low in _________.

A

restrictive disorders

24
Q

What can decrease DLCO?

A

Emphysema, anemia, pulmonary edema, pulmonary vascular disease, and interstitial lung disease

25
DLCO corrected with helium volume tests can ___________.
determine if diffusion is appropriate given volume limitations
26
A bronchodilator test is considered positive when __________.
FEV and/or FVC increase by greater than 12%
27
FRC (aka TGV) is determined by _________.
lung compliance and chest-wall compliance
28
A flow-volume loop in a person with restrictive lung disease will also show _________, much like in obstructive disease.
reduced maximum flow (in this case due to increased resistance to air flow)
29
Extra-thoracic variable obstructions include ___________.
laryngeal edema and vocal-cord paralysis
30
Intra-thoracic variable obstructions include _______.
tracheal tumors
31
P(i[max]) measures ___________.
the maximal inspiratory force (against an occluded aperture)
32
What is the metacholine challenge?
Metacholine induces bronchoconstriction. Those with asthma require orders of magnitude less than those without asthma to induce an asthma attack.