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| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Procedures | 44% | - Test Performance
|
| Topic 2: Data Management and Interpretation | 23% | - Clinical Interpretation
|
| Topic 3: Instrumentation and Equipment | 33% | - Troubleshooting and Quality Control
|
1. A physician orders smoking cessation counseling for a 60-year-old male with a new diagnosis of CHF and COPD. The patient has failed several attempts to quit smoking using nicotine gum. Which of the following should a pulmonary function technologist recommend?
A) Switch to a nicotine patch.
B) Use alternative medicine such as acupuncture.
C) Increase the dosage of the nicotine replacement.
D) Add a trial of bupropion (Zyban).
2. While assessing a patient's expired gases at rest prior to exercise, a pulmonary function technologist calculates the RER as 0.6. Which of the following is the most likely explanation?
A) The expired gas is contaminated with air
B) The patient has an elevated VDAVT
C) The patient is hyperventilating
D) A gas analyzer is malfunctioning
3. When using a variable pressure plethysmograph, a leak in the door seal that develops subsequent to calibration will cause underestimation of
A) Raw
B) vital capacity
C) VTG
D) Alveolar pressure
4. A 6-year-old child has a history of repeated episodes of wheezing and shortness of breath. A pulmonary function technologist has difficulty obtaining repeatable spirometry results. Which of the following tests should be performed next?
A) SGaw
B) SpO2
C) MVV
D) DLco
5. An isothermal lung analog has the following specifications:
5-L glass bottle
2000 g of steel wool
Density of steel wool 5 g/cm3
Volume of connectors and bulb 100 mi-Repeated FRC measurements in the plethysmograph result in a volume of 5.5 L.
Which of the following should a pulmonary function technologist do?
A) Take the plethysmograph out of service
B) Remove 500 g of steel wool from the lung analog
C) Recalculate the BTPS correction
D) Begin a biologic control program
Solutions:
| Question # 1 Answer: C | Question # 2 Answer: D | Question # 3 Answer: D | Question # 4 Answer: C | Question # 5 Answer: D |
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