CHAPTER 50 PULMONARY FUNCTIONS

Most commonly used method of oxygen delivery system

Oxygen pressurized cylinders

About ____ % of COPD are caused by smoking

80

Results of spirometry are considered normal if the patient's best result is ____of pretest calculated values

80%

When treating patients who are of _____ descent, it is important for a medical assistant to understand that the patient's culture traditionally has holistic approach to health care

Asian

Not needed by the medical assistant to collect or assess before the spirometry test

BP from last visit

Volume of air that can be forcibly exhaled in one breath

Expiratory reserve volume (ERV)

Residual volume (RV) is the volume of air that can be forcibly inspired after a normal inhale

False, exhale

Maximum volume of air that can be expelled when a patient exhales as deep and as quickly as possible following one maximum inhalation

Forced vital capacity (FVC)

pleuritis (also called pleurisy) is considered as_____

Infectious conditions

A medical assistant should act as both cheerleader and coach to encourage the patient to give the best performance during spirometry testing

True, cheerleader

Spirometry results reflect all of the following :the ability of the patient to breathe air , assess the elasticity of the lungs, their capability to ventilate (breath air out of the lungs) and the strength of the respiratory muscles EXCEPT

ability to breath air into the lungs

accurately measures the amount of oxygen and carbon dioxide in the blood , as well as pH

arterial blood gas (ABG)

Which is true to a baby born to a mother who smokes?

baby may have a low birth weight

Which instruction by the medical assistant be most appropriate when she is explaining peak flow testing to a child

blow really hard into the tube

A drug that reduce the inflammation or relax smooth muscle to improve air flow

bronchodilators

Sites for arterial blood gases test are the following : wrist, groin , arm EXCEPT

buttocks

A hemothorax, a collection of blood in the pleural sac caused by

chest trauma

Which is responsible for the calculation of the pulmonary functions

computer program/ system

blue color around the lips due to lack of oxygen

cyanosis

Not a type of inhaler

delayed reaction

Hay fever is a rapidly spreading viral infection from nose, throat and lungs that causes nasal congestion, runny nose and sneezing

false, aka allergic rhinitis

The maximum amount of air that can be exhaled after a maximum inspiration is called expiratory reserve volume (ERV)

false, expiration

Inspiratory Reserve Volume (IRV) is the volume of air in the lungs after an exhalation around 1200 ml

false, inhalation

Tidal Volume (Vt) is the amount of air remaining in the lung after a normal expiration

false, inspiration

The medical assistant must explain to the patient preparing a spirometry test that there are no dietary restrictions associated with the test

false, should not eat large meal with in the past 4 to 6 hours

An example of ______ is sinusitis, an inflammation of the sinuses caused by a virus, bacteria, or fungus

general respiratory conditions

coughing up blood or blood in the mucus

hemoptysis

Purpose of an extender

improves the delivery and absorption of medication

Inspiratory Reserve Volume (IRV) is the amount of air that can be forcefully inhaled after a normal______

inhalation

A mouthpiece is preferable than a mask because

mask allows the deposit of some medication on the patient's face

A medical assistant should demonstrate use of the metered-dose inhaler _____

only if the patient request the demonstration

2 of the most common PFTs , the medical assistant has to perform are spirometry and _____

peak flow meter

Clinical status refers to the patient's ______at the time of test

physical condition

Inflammation or fluid that fills the alveoli in the lung as a result of infection caused by virus, bacteria or fungus

pneumonia

A physician specializes in lung diseases

pulmonologist

Oxygen supplement is considered a drug and has clear guidelines and indications for use, oxygen therapy are managed by a ____ and a respiratory therapist

pulmonologist

crackling chest sounds heard when listening to the chest

rales

Total Lung Capacity (TLC) is the sum of the four volumes namely : tidal volume (VT), Expiratory reserve volume (ERV), Inspiratory reserve volume (IRV) and ______

residual volume

wheezing or squeaking sounds heard when listening to the chest

rhonchus

Factors that affects the patient's pulmonary functions

scoliosis, fever, poor night's sleep **all of the above

A patient receiving a nebulizer treatment should be in ____ position

semi- Fowler's position

The medical assistant should be aware of

smokers cannot carry pregnancy at full term

The best body's position for peak flow testing

standing

harsh or high-pitched sound

stridor

A nebulizer treatment in the office ends when____

the aerosol stops flowing

Functional Residual Volume (FRV)

the amount of air remaining after a normal expiration

Vital Capacity (VC)

the amount of air that can be exhaled following forced inspiration, including maximum expiration

Which is true for older patients who are undergoing Pulmonary Function Tests

they may not able to perform multiple efforts

Not necessary during spirometry test

tight clothing

The medical assistant must instruct the patient not to use bronchodilators or nebulizers for six hours before the spirometry testing

true, broncho

Cystic fibrosis is a genetic disorder characterized by thick and sticky secretion that obstruct the lungs

true, cf

Medical Assistants may have to teach patients how to use safely and correctly nebulizers and inhalers at home

true, nebulizers

A nose clip is an optional accessory that can be used during nebulizer treatment

true, nose clip

The medical assistant is not allowed to release the results of any spirometry test

true, not allowed

Spirometry is a noninvasive test that measures the capability of the lungs to effectively exhale and how quickly

true, spiro

Spirometry testing can be use to evaluate the effectiveness of the brochodilators or the medication that has been prescribed to treat a patient with respiratory condition

true, st effectiveness

Total Lung Capacity (TLC) is the maximum amount of air that can fill the lungs

true, tlc

A contagious bacterial infection of the lungs that is highly contagious and characterized by fever, fatigue, a mucus-producing cough, and night sweats

tuberculosis (TB)

The following are steps in administering a nebulizer treatment in the medical office : perform hand hygiene, correctly measure the dosage of medication, document the administration of the nebulizing treatment EXCEPT

wash the tubing and mouthpiece

Statement that is true about nebulizer treatment

when the mist is formed

A good way for a medical assistant to stay current and aware of advances include : attending special classes , seminars, and manufacturer's representative EXCEPT

wikipedia

A metered-dose inhaler (MDI) can hold about ___ of prescribed medication in a pressurized container with attached mouthpiece

200 doses

Before spirometry testing, the medical assistant should inform the patient with asthma that the test would need to be successfully repeated _____

3 times

The pH of blood must be stable between the ranges of ____

7.35 & 7.45

An FEV1/FVC ratio of less than ____may have obstructive lung disease

70%