Question 1

What is the MOST likely presentation of lung hyperinflation on physical examination of a person with chronic obstructive pulmonary disease?

Accepted Answer

A) Increased anterior-posterior diameter of the chest with decreased thoracic excursion during breathing 
B) Increased anterior-posterior diameter of the chest with increased thoracic excursion during breathing 
C) Decreased anterior-posterior diameter of the chest with decreased thoracic excursion during breathing 
D) Decreased anterior-posterior diameter of the chest with increased thoracic excursion during breathing 
A) Increased anterior-posterior diameter of the chest with decreased thoracic excursion during breathing 
B) Increased anterior-posterior diameter of the chest with increased thoracic excursion during breathing 
C) Decreased anterior-posterior diameter of the chest with decreased thoracic excursion during breathing 
D) Decreased anterior-posterior diameter of the chest with increased thoracic excursion during breathing A

Question 2

What is the MOST appropriate classification of lung disease for a patient whose spirometry results are FEV1/FVC ratio = 52,FEV1 = 39% predicted,and FVC = 67% predicted?

Accepted Answer

A) Very severe 
B) Severe 
C) Moderate 
D) Mild 
A) Very severe 
B) Severe 
C) Moderate 
D) Mild B

Question 3

What smoking cessation program is MOST appropriate for a 56-year-old female with asthma whose subjective assessment reveals that she is suffering from depression and started smoking 5 years ago following the death of her husband?

Accepted Answer

A) Exercise training 
B) Education and support 
C) Counseling with pharmacological therapy 
D) Acupuncture 
A) Exercise training 
B) Education and support 
C) Counseling with pharmacological therapy 
D) Acupuncture C

Question 4

A patient presents with complaints of shortness of breath and coughing.On auscultation there is extensive wheeze throughout.The chest x-ray the patient had taken yesterday shows mild hyperinflation.What would be the BEST test to aid in diagnosing this patient?

Accepted Answer

A) Pre-bronchodilator spirometry 
B) Post-bronchodilator spirometry 
C) Arterial blood gas 
D) Pre- and post-bronchodilator spirometry 
A) Pre-bronchodilator spirometry 
B) Post-bronchodilator spirometry 
C) Arterial blood gas 
D) Pre- and post-bronchodilator spirometry

Question 5

If a patient with severe cystic fibrosis performs a 10-meter shuttle test before a pulmonary rehabilitation program,what information collected during this test is MOST useful for exercise prescription?

Accepted Answer

A) Submaximal exercise capacity data 
B) Peak exercise capacity data 
C) Rating of perceived exertion at peak exercise 
D) Resting oxygen saturation 
A) Submaximal exercise capacity data 
B) Peak exercise capacity data 
C) Rating of perceived exertion at peak exercise 
D) Resting oxygen saturation

Question 6

By week two of a 3-day-per-week pulmonary rehabilitation program,a patient with moderate chronic obstructive pulmonary dysfunction is performing 15 minutes of cycling exercise with a 1-minute rest period at the 7-minute time-point.The patient's perceived dyspnea rating during cycling exercise was 2.What is the BEST way to progress this patient's exercise program for week three?

Accepted Answer

A) Increase cycle duration to 20 minutes with elimination of the rest period. 
B) Increase cycle duration to 40 minutes with elimination of the rest period. 
C) Increase training frequency to five times per week. 
D) Increase training intensity to a dyspnea rating of 5. 
A) Increase cycle duration to 20 minutes with elimination of the rest period. 
B) Increase cycle duration to 40 minutes with elimination of the rest period. 
C) Increase training frequency to five times per week. 
D) Increase training intensity to a dyspnea rating of 5.

What is the MOST likely presentation of lung hyperinflation on physical examination of a person with chronic obstructive pulmonary disease?

What is the MOST appropriate classification of lung disease for a patient whose spirometry results are FEV₁/FVC ratio = 52,FEV₁ = 39% predicted,and FVC = 67% predicted?

What smoking cessation program is MOST appropriate for a 56-year-old female with asthma whose subjective assessment reveals that she is suffering from depression and started smoking 5 years ago following the death of her husband?

A patient presents with complaints of shortness of breath and coughing.On auscultation there is extensive wheeze throughout.The chest x-ray the patient had taken yesterday shows mild hyperinflation.What would be the BEST test to aid in diagnosing this patient?

If a patient with severe cystic fibrosis performs a 10-meter shuttle test before a pulmonary rehabilitation program,what information collected during this test is MOST useful for exercise prescription?

Clinical Decision Making

Examination of Vital Signs

Examination of Sensory Function

Musculoskeletal Examination

Examination of Motor Function

Examination of Coordination and Balance

Examination of Gait

Examination of Function

Examination of the Environment

Strategies to Improve Motor Function

Locomotor Training

Heart Disease

Vascular Disease, lymphedema, and Integumentary Disorders

Stroke

Multiple Sclerosis

Amyotrophic Lateral Sclerosis

Parkinsons Disease

Traumatic Brain Injury

Traumatic Spinal Cord Injury

Vestibular Disorders

Amputation

Arthritis

Burns

Chronic Pain

Psychosocial Disorders

Cognitive and Perceptual Dysfunction

Neurogenic Disorders of Speech and Language

Promoting Health and Wellness

Orthotics

Prosthetics

The Prescriptive Wheelchair

Filters

Exam 12: Chronic Pulmonary Dysfunction

What is the MOST likely presentation of lung hyperinflation on physical examination of a person with chronic obstructive pulmonary disease?

What is the MOST appropriate classification of lung disease for a patient whose spirometry results are FEV1/FVC ratio = 52,FEV1 = 39% predicted,and FVC = 67% predicted?

What smoking cessation program is MOST appropriate for a 56-year-old female with asthma whose subjective assessment reveals that she is suffering from depression and started smoking 5 years ago following the death of her husband?

A patient presents with complaints of shortness of breath and coughing.On auscultation there is extensive wheeze throughout.The chest x-ray the patient had taken yesterday shows mild hyperinflation.What would be the BEST test to aid in diagnosing this patient?

If a patient with severe cystic fibrosis performs a 10-meter shuttle test before a pulmonary rehabilitation program,what information collected during this test is MOST useful for exercise prescription?

Clinical Decision Making

Examination of Vital Signs

Examination of Sensory Function

Musculoskeletal Examination

Examination of Motor Function

Examination of Coordination and Balance

Examination of Gait

Examination of Function

Examination of the Environment

Strategies to Improve Motor Function

Locomotor Training

Heart Disease

Vascular Disease, lymphedema, and Integumentary Disorders

Stroke

Multiple Sclerosis

Amyotrophic Lateral Sclerosis

Parkinsons Disease

Traumatic Brain Injury

Traumatic Spinal Cord Injury

Vestibular Disorders

Amputation

Arthritis

Burns

Chronic Pain

Psychosocial Disorders

Cognitive and Perceptual Dysfunction

Neurogenic Disorders of Speech and Language

Promoting Health and Wellness

Orthotics

Prosthetics

The Prescriptive Wheelchair

Filters

What is the MOST appropriate classification of lung disease for a patient whose spirometry results are FEV₁/FVC ratio = 52,FEV₁ = 39% predicted,and FVC = 67% predicted?