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Pulmonary Function Test

The document contains multiple-choice questions (MCQs) related to pulmonary function tests (PFTs) and their interpretation in various lung diseases. It discusses diagnoses such as idiopathic pulmonary fibrosis, asbestosis, and chronic bronchitis, along with expected findings in PFTs and arterial blood gases (ABGs). Key concepts include airflow limitation, restrictive lung disease, and the differentiation between obstructive and restrictive patterns in lung function tests.

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Siham
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38 views6 pages

Pulmonary Function Test

The document contains multiple-choice questions (MCQs) related to pulmonary function tests (PFTs) and their interpretation in various lung diseases. It discusses diagnoses such as idiopathic pulmonary fibrosis, asbestosis, and chronic bronchitis, along with expected findings in PFTs and arterial blood gases (ABGs). Key concepts include airflow limitation, restrictive lung disease, and the differentiation between obstructive and restrictive patterns in lung function tests.

Uploaded by

Siham
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as PDF, TXT or read online on Scribd
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PFT

MCQs
• A 73 year-old man presents with progressive dyspnea on exertion over the past one year. He reports a dry cough but no
wheezes. He is a non-smoker. His pulmonary function testing is as follows: Which one of the followings is a WRONG
diagnosis?

Select one:
a. kyphoscoliosis
b. Idiopathic pulmonary fibrosis
c. Pulmonary infarction
d. Sarcoidosis
e. Asbestosis

• Which is not a feature of asbestosis?


a. Increased risk of cancer
b. Pleural thickening and effusion
c. Interstitial fibrosis
d. Obstructive pattern on pulmonary function tests
e. Pleural fibrosis

• Which of the following pulmonary function tests most reliably discriminates “pure” chronic bronchitis from emphysema?
a. Total lung capacity
b. Functional residual capacity
c. Residual volume
d. Single breath diffusing capacity
e. Flow at 50% vital capacity

• All the following are causes of low Total gas transfer (TLCO) in respiratory function test Except.
a- pulmonary fibrosis
b- pulmonary oedema
c- emphysema
d- pulmonary emboli
e- asthma*****
• In interstitial lung diseases, lung function tests most often show:
a. Reduced FEV1 and VC xxx
b. Increased total lung capacity (TLC)
c. Airflow obstruction
d. Elevated arterial PCO2.

• Which one of the following pulmonary function values indicates airflow limitation :
a-FEV1 of 60% of predicted .
b-FVC of 60% of predicted .
c-FEV1/FVC of 60% of predicted .
d-DLCO of 60% of predicted .
e- Residual volume of 60% of predicted .
Answer: C. FEV1/FVC of 60%. Total lung capacity (TLC) is used to assess interstitial lung disease. Expiratory flow rate (FEV1/
FVC is used to assess obstructinve lung disease. Airway obstruction is diagnosed when the FEV1/FVC is <0.7 (70%0). (Source:
MedStudy Pulmonology 2013, p. 6)

• man with spondylosis, ratio of fev1\fvc is 95% what is the diagnosis?


Restrictive lung disease

• In patients with idiopathic pulmonary fibrosis (usual interstitial pneumonia) all of the followings are expected patho
physiological changes EXCEPT :
a. Low DLCO .
b. Decreased FEV1/FVC .
c. Severe O2 desaturation on exercise.
d. Reduced vital capacity and total lung capacity .
e. Increased pulmonary artery pressure
Answer: B (increased FEV1/FVC ratio).
Mini-OSCE
Q10 - What test best investigates this finding
initially?

a. PFT's
b. ABG's
c. Bronchoscpy with
biopsy
d. High resolution CT
e. sputum cultures
Q13)
Smoking patient for long time
ABGs result : Respiratory acidosis (from Table)

What is presentation of patient in PFTs is wronge?

a) FEV1/FVC ≥ 70%
b) FVC1 changes less than 12%
c) FEV1/FVC ≤ 70%
d) Irreversible condition

‫ كانت‬ABGs ‫نص السؤال غير دقيق ولكن معطيات السؤال ونتائج الـ‬
irreversible changes ‫ و‬COPD ‫تدل على إنه مريض‬

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