Question 1

Which of the following is a direct bronchoprovocation test?

Accepted Answer

A)   Methacholine
B)   Mannitol
C)   Adenosine
D)   ExerciseE) C) and D)
F) A) and D) A

Question 2

Which of the following should be withheld for 48 hours before bronchial challenge testing?

Accepted Answer

A)   Theophylline
B)    β\betaβ -Adrenergic agents
C)   Anticholinergic preparations
D)   Beverages containing caffeine E) All of the above
F) B) and C)

Question 3

When multiple methods of bronchoprovocation are ordered on the same day,how many hours after an exercise test should elapse before another test is performed?

Accepted Answer

A)   1
B)   2
C)   3
D)   4E) A) and B)
F) All of the above

Question 4

An exercise bronchoprovocation test was completed on a 45-year-old male.The FEV1 decreased 18% post-exercise.The technologist should explain that this change is related to:

Accepted Answer

A)   Release of mediators from inflammatory cells
B)   A direct response of the airway smooth muscle to exercise
C)   An exercise-induced increase in the number of inflammatory cells
D)   A decrease in water loss from the airwaysE) C) and D)
F) B) and C) A

Question 5

A 15-year-old subject performs an exercise challenge test on a treadmill to a heart rate of 180 beats per minute for 5 minutes and has the following reproducible results:  The technologist should do which of the following?

Accepted Answer

A)   The workload was not significant enough to elicit a response.
B)   The duration was not significant enough to elicit a response.
C)   The results were negative for exercise-induced bronchospasm.
D)   The results were positive for exercise-induced bronchospasm.E) All of the above
F) A) and B)

Question 6

A patient presents with a history of cough after playing ice hockey.Spirometry and lung volume results are normal.Which of the following tests is indicated?

Accepted Answer

A)   Diffusing capacity
B)   Mannitol
C)   Maximum inspiratory pressure
D)   Arterial blood gasE) None of the above
F) All of the above

Question 7

What is the typical inspiratory gas mixture when performing a eucapnic voluntary hyperventilation study?

Accepted Answer

A)   5% CO2,21% O2,balance N2
B)   10% CO2,balance O2
C)   5% CO2,balance O2
D)   10% CO2,21% O2,balance N2E) B) and D)
F) All of the above

Question 8

When preparing methacholine dilutions for the doubling protocol from 100 mg of dry powder,which of the following would yield a dilution of 4.0 mg/ml?

Accepted Answer

A)   3 ml of 16.0 mg/ml
B)   3 ml of 8.0 mg/ml
C)   3 ml of 4.0 mg/ml
D)   3 ml of 2.0 mg/mlE) C) and D)
F) B) and D)

Question 9

Anticholinergic agents should be withheld for 24 hours.

Accepted Answer

A)   1 and 2
B)   3 and 4
C)   1 and 3
D)   2 and 4E) A) and B)
F) A) and C)

Question 10

A mannitol challenge is performed with the following results:  What should the technologist do next?

Accepted Answer

A)   Proceed to the next level.
B)   Deliver a bronchodilator.
C)   Terminate the test.
D)   Repeat the maneuver.E) A) and D)
F) A) and C)

Question 11

A subject performing a methacholine challenge test has the following reproducible results:  The technologist should do which of the following?

Accepted Answer

A)   Repeat methacholine 0.25 mg/ml dose.
B)   Administer methacholine 1.0 mg/ml.
C)   Give 10 breaths of the next dose.
D)   Stop-the test is positive.E) A) and B)
F) A) and C)

Question 12

What does the acronym PC20  represent?

Accepted Answer

A)   The repeatability has to be 20% when performing a methacholine challenge.
B)   The dose that yields a 20% decline in FEV1
C)   A 20% decline in specific conductance
D)   A 20% increase in specific resistanceE) C) and D)
F) A) and B)

Question 13

A subject performing a methacholine challenge test has the following repeatable results:  The technologist should do which of the following?

Accepted Answer

A)   Repeat methacholine 1.0 mg/ml dose.
B)   Administer methacholine 4.0 mg/ml dose.
C)   Give 10 breaths of the next dose.
D)   Stop-the test is positive.E) B) and D)
F) B) and C)

Question 14

When developing an exercise bronchoprovocation test protocol,which of the following should be included?

Accepted Answer

A)   The patient should be free from respiratory infections for 1 week before the test.
B)   The patient should not do vigorous exercise for 4 hours before testing.
C)   The exercise time is planned for 15 to 20 minutes.
D)   A cycle ergometer is used to apply the work for the exercise.E) A) and B)
F) None of the above B

Question 15

A patient has a eucapnic voluntary hyperventilation (EVH) test to evaluate bronchial hyperreactivity.If the subject's FEV1 is 3.3 L and her FVC is 4.0 L,which of the following is the appropriate target ventilation for the test?

Accepted Answer

A)   50 times the FEV1 for 1 minute
B)   30 times the FEV1 for 6 minutes
C)   2 times the FVC for 6 minutes
D)   Cannot be determined without the MVVE) A) and B)
F) B) and C)

Question 16

After 5 minutes of hyperventilation breathing cold air,a subject's FEV1 falls 16% from the pre-test value.The pulmonary function technologist should conclude that:

Accepted Answer

A)   The subject has hyperreactive airways.
B)   The air was not cold enough to provoke a response.
C)   An additional 5 minutes of hyperventilation is required.
D)   Inadequate CO2 was added to the inspired gas.E) C) and D)
F) All of the above

Question 17

What is the highest concentration of methacholine delivered according to the ATS dose-doubling or dose-quadrupling scheme?

Accepted Answer

A)   25 mg/ml
B)   16 mg/ml
C)   8 mg/ml
D)   4 mg/mlE) A) and B)
F) B) and C)

Question 18

A subject performing a methacholine challenge test has the following reproducible results:  The technologist should do which of the following?

Accepted Answer

A)   Administer the first dose of methacholine.
B)   Administer 2.50 mg/ml dose of methacholine.
C)   Stop-the test is positive.
D)   Administer an inhaled bronchodilator.E) B) and C)
F) C) and D)

Exam 9: Bronchoprovocation Testing

Which of the following is a direct bronchoprovocation test?

Correct Answer
verified
A

Which of the following should be withheld for 48 hours before bronchial challenge testing?

Correct Answer
verified

When multiple methods of bronchoprovocation are ordered on the same day,how many hours after an exercise test should elapse before another test is performed?

Correct Answer
verified

An exercise bronchoprovocation test was completed on a 45-year-old male.The FEV₁ decreased 18% post-exercise.The technologist should explain that this change is related to:

Correct Answer
verified
A

A 15-year-old subject performs an exercise challenge test on a treadmill to a heart rate of 180 beats per minute for 5 minutes and has the following reproducible results: The technologist should do which of the following?

Correct Answer
verified

A patient presents with a history of cough after playing ice hockey.Spirometry and lung volume results are normal.Which of the following tests is indicated?

Correct Answer
verified

What is the typical inspiratory gas mixture when performing a eucapnic voluntary hyperventilation study?

Correct Answer
verified

When preparing methacholine dilutions for the doubling protocol from 100 mg of dry powder,which of the following would yield a dilution of 4.0 mg/ml?

Correct Answer
verified

Anticholinergic agents should be withheld for 24 hours.

Correct Answer
verified

A mannitol challenge is performed with the following results: What should the technologist do next?

Correct Answer
verified

A subject performing a methacholine challenge test has the following reproducible results: The technologist should do which of the following?

Correct Answer
verified

What does the acronym PC₂₀represent?

Correct Answer
verified

A subject performing a methacholine challenge test has the following repeatable results: The technologist should do which of the following?

Correct Answer
verified

When developing an exercise bronchoprovocation test protocol,which of the following should be included?

Correct Answer
verified
B

A patient has a eucapnic voluntary hyperventilation (EVH) test to evaluate bronchial hyperreactivity.If the subject's FEV₁ is 3.3 L and her FVC is 4.0 L,which of the following is the appropriate target ventilation for the test?

Correct Answer
verified

After 5 minutes of hyperventilation breathing cold air,a subject's FEV₁ falls 16% from the pre-test value.The pulmonary function technologist should conclude that:

Correct Answer
verified

What is the highest concentration of methacholine delivered according to the ATS dose-doubling or dose-quadrupling scheme?

Correct Answer
verified

A subject performing a methacholine challenge test has the following reproducible results: The technologist should do which of the following?

Correct Answer
verified

Exam 9: Bronchoprovocation Testing

Which of the following is a direct bronchoprovocation test?

Correct AnswerverifiedA

Which of the following should be withheld for 48 hours before bronchial challenge testing?

Correct AnswerverifiedShow Answer

When multiple methods of bronchoprovocation are ordered on the same day,how many hours after an exercise test should elapse before another test is performed?

Correct AnswerverifiedShow Answer

An exercise bronchoprovocation test was completed on a 45-year-old male.The FEV1 decreased 18% post-exercise.The technologist should explain that this change is related to:

Correct AnswerverifiedA

A 15-year-old subject performs an exercise challenge test on a treadmill to a heart rate of 180 beats per minute for 5 minutes and has the following reproducible results: The technologist should do which of the following?

Correct AnswerverifiedShow Answer

A patient presents with a history of cough after playing ice hockey.Spirometry and lung volume results are normal.Which of the following tests is indicated?

Correct AnswerverifiedShow Answer

What is the typical inspiratory gas mixture when performing a eucapnic voluntary hyperventilation study?

Correct AnswerverifiedShow Answer

When preparing methacholine dilutions for the doubling protocol from 100 mg of dry powder,which of the following would yield a dilution of 4.0 mg/ml?

Correct AnswerverifiedShow Answer

Anticholinergic agents should be withheld for 24 hours.

Correct AnswerverifiedShow Answer

A mannitol challenge is performed with the following results: What should the technologist do next?

Correct AnswerverifiedShow Answer

A subject performing a methacholine challenge test has the following reproducible results: The technologist should do which of the following?

Correct AnswerverifiedShow Answer

What does the acronym PC20 represent?

Correct AnswerverifiedShow Answer

A subject performing a methacholine challenge test has the following repeatable results: The technologist should do which of the following?

Correct AnswerverifiedShow Answer

When developing an exercise bronchoprovocation test protocol,which of the following should be included?

Correct AnswerverifiedB

A patient has a eucapnic voluntary hyperventilation (EVH) test to evaluate bronchial hyperreactivity.If the subject's FEV1 is 3.3 L and her FVC is 4.0 L,which of the following is the appropriate target ventilation for the test?

Correct AnswerverifiedShow Answer

After 5 minutes of hyperventilation breathing cold air,a subject's FEV1 falls 16% from the pre-test value.The pulmonary function technologist should conclude that:

Correct AnswerverifiedShow Answer

What is the highest concentration of methacholine delivered according to the ATS dose-doubling or dose-quadrupling scheme?

Correct AnswerverifiedShow Answer

A subject performing a methacholine challenge test has the following reproducible results: The technologist should do which of the following?

Correct AnswerverifiedShow Answer

Correct Answer
verified
A

Correct Answer
verified

Correct Answer
verified

An exercise bronchoprovocation test was completed on a 45-year-old male.The FEV₁ decreased 18% post-exercise.The technologist should explain that this change is related to:

Correct Answer
verified
A

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

What does the acronym PC₂₀represent?

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified
B

A patient has a eucapnic voluntary hyperventilation (EVH) test to evaluate bronchial hyperreactivity.If the subject's FEV₁ is 3.3 L and her FVC is 4.0 L,which of the following is the appropriate target ventilation for the test?

Correct Answer
verified

After 5 minutes of hyperventilation breathing cold air,a subject's FEV₁ falls 16% from the pre-test value.The pulmonary function technologist should conclude that:

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified