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| Section | Weight | Objectives |
|---|---|---|
| Instrumentation and Equipment | 33% | - Setup, Maintenance, Calibration
|
| Data Management and Interpretation | 23% | - Clinical Interpretation
|
| Procedures | 44% | - Result Validity Assessment
|
1. The following blood gas report is questioned by the attending physician:
Which of the following values is INCONSISTENT?
A) BE
B) HCO3
C) pH
D) PaCO2
2. When performing exercise testing on a biologic control, the measurements obtained should be compared with
A) The patient population that will be tested.
B) Previous tests performed on the biologic control.
C) At least two other biologic controls being tested.
D) Predicted values used for the biologic control's height and weight
3. A pulmonary function technologist is performing quality control on a nebulizer used in the 5-breath dosimeter bronchial challenge. The target output of the device is 0.09 mL, plus or minus 10%. After 10 actuations, the nebulizer output was 75 µL with a 2.0 mL initial saline dose in the nebulizer. The technologist should
A) Add an exhalation filter and proceed with testing patients.
B) Accept the results and begin using the device.
C) Clean and reevaluate this nebulizer.
D) Open the vent before starting the bronchial challenge.
4. A body plethysmograph box pressure transducer fails the electronic calibration check after multiple attempts.
Which of the following should a pulmonary function technologist do?
1. Perform a biologic control test
2. Inspect the door seal.
3. Re-zero the box pressure transducer.
4. Perform a physical pressure calibration.
A) 1, 2, and 3 only
B) 1, 2, and 4 only
C) 1, 3, and 4 only
D) 2, 3, and 4 only
5. A helium dilution test has just been performed on a patient. The following results are obtained:
FRC 5.0 L
VC 4.0 L
ERV 1.5 L
TLC was calculated to be 6.0 L by plethysmography. From this information, a pulmonary function technologist should conclude that the patient
A) Was turned into the helium dilution circuit at a lung volume considerably above FRC.
B) Did not remain in the helium dilution breathing circuit long enough for equilibration.
C) Did not perform the slow vital capacity properly, resulting in too low an FRC by helium dilution.
D) Had inadequate intrapulmonary mixing of inspired gas, resulting in an erroneous FRC.
Solutions:
| Question # 1 Answer: A | Question # 2 Answer: B | Question # 3 Answer: B | Question # 4 Answer: A | Question # 5 Answer: D |
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