• Question: The NP is seeing a patient with chronic bronchitis that needs spirometry on today's visit. What pulmonary function test (PFT) findings are anticipated based on the diagnosis of chronic bronchitis?

• Question: Simple spirometry can be used to measure any of the following EXCEPT:

FEV1/FVC Ratio

• Question: The NP notes that a patient’s FEV1/FVC ratio is severely reduced. Which of the following conditions is most likely the patient’s pulmonary issue?
• Question: The NP reviews the results of a patient’s pulmonary function tests and notes that the FEV1, FVC, and total lung capacity (TLC) are reduced. The FEV1/FVC ratio is normal. Based on interpretation, this reflects:

Forced Vital Capacity

• Question: A patient with normal lungs should be able to exhale of the forced vital capacity within the first second.
• Question: Which of the following would indicate obstructive lung disease?

FEV1/FVC Ratio

• Question: The NP notes that a patient’s FEV1/FVC ratio is normal. Which of the following conditions is most likely the patient’s pulmonary issue?
• Question: Chronic bronchitis will decrease which of the following parameters?

Simple Spirometry

• Question: Simple spirometry includes a measure of residual capacity.

Restrictive Lung Disease

• Question: Which of the following spirometry results indicate restrictive lung disease?
• Question: Which of the following is considered a late effect of emphysema?

Alpha-Antitrypsin 1 Deficiency

• Question: The effects of an Alpha-antitrypsin 1 deficiency is:

Chronic Bronchitis

• Question: A patient with chronic bronchitis is most likely to experience:

Chronic Bronchitis

• Question: The number one cause of chronic bronchitis is ______ .

Pulmonary Function Tests

• Question: Which of the following pulmonary function test results are expected in a patient with chronic bronchitis?

Signs and Symptoms

• Question: The signs and symptoms for chronic bronchitis and emphysema are compared in the table below. Can you identify which is which?

Lung Volume Measurement

• Question: A lung volume measurement that indicates air trapping in a COPD patient is:

X-Ray Findings

• Question: An expected chest x-ray finding for a patient with COPD is

Hyperresonance

• Question: Hyperresonance found on lung percussion with a patient with COPD is primarily due to ______

Cor Pulmonale

• Question: The NP is examining a patient with a longstanding history of chronic bronchitis. Cor pulmonale is expected in the patient that presents with:

Pneumonia Risk

• Question: A patient with chronic bronchitis is at risk for developing pneumonia due to:

Asthma

• Question: Asthma results in:

Gas Exchange

• Question: In normal gas exchange, which of the following is correct?

Asthma

• Question: Asthma is a chronic disease characterized by:

Extrinsic Asthma

• Question: Extrinsic asthma is _______ .

Intrinsic and Extrinsic Symptoms

• Question: Symptoms common to both intrinsic and extrinsic asthma include:

Asthma

• Question: Asthma is a chronic disease characterized by:

Extrinsic and Intrinsic Symptoms

• Question: Symptoms common to both intrinsic and extrinsic asthma include:

Extrinsic Asthma

• Question: Extrinsic asthma is:

Pulmonary Function Test

• Question: Which of the following pulmonary function test results are consistent with asthma?

Asthma

• Question: Asthma results in:

Interstitial Lung Disease

• Question: Choose the drugs that are commonly associated with development of a medication-induced interstitial lung disease (ILD):

Interstitial Lung Disease

• Question: Choose the types of interstitial lung diseases (ILD) that are commonly associated with smoking:

Interstitial Lung Disease

• Question: Interstitial lung disease (ILD) includes infectious and neoplastic lung diseases.

Subjective Findings

• Question: A subjective finding in interstitial lung disease is rhonchi in the upper posterior airways.

Interstitial Lung Disease

• Question: Interstitial lung disease refers to any disease affecting the pulmonary  interstitium and typically excludes infectious and neoplastic diseases

Objective Findings

• Question: An objective finding in a patient with ILD include productive cough.

Diagnostic Tests

• Question: The four key diagnostic tests for interstitial lung disease are pulmonary function tests, high resolution CT scan, bronchoalveolar lavage and lung biopsy.

Common Symptoms

• Question: The symptoms that are common to all types of interstitial lung disease are shortness of breath and non-productive cough.

Interstitial Lung Diseases

• Question: Choose the interstitial lung diseases that are the most diagnosed:

Characteristic Findings

• Question: The characteristic finding of on a chest x-ray of an individual with ILD is a honey-comb pattern