Pulmonary Function Tests (PFTs) Q&A: Comprehensive Review, Exams of Public Health

A comprehensive question and answer review of pulmonary function tests (pfts). It covers key aspects such as the primary function of the lungs, factors affecting lung function, common pfts like spirometry and diffusing capacity, and the interpretation of abnormal values. The material is structured to aid in understanding the physiological principles underlying pfts and their clinical applications in diagnosing and managing respiratory diseases. It also includes information on diffusing capacity and factors affecting its results.

Typology: Exams

2025/2026

Available from 09/16/2025

may-blessed
may-blessed 🇺🇸

4.1

(8)

31K documents

1 / 4

Toggle sidebar

This page cannot be seen from the preview

Don't miss anything!

bg1
Pulmonary Function Tests (PFT) –
Q&A
What is the primary function of the lungs? Ans - 1.
Oxygenation of mixed venous blood.
2. Removal of carbon dioxide from mixed venous blood.
Primary function depends on the integrity of 4 things: Ans
- 1. Airway
2. Pulmonary vasculature
3. Respiratory muscles
4. Respiratory control mechanism
PFTs help determine 7 things: Ans - 1. Presence of
disease or abnormal lung function.
2. Extent of dysfunction.
3. Extent of impairment/disability
4. Progression of disease.
5. Nature of physiological disturbance.
6. Effect or course of therapy.
7. Aid clinical prognosis.
Common PFTs Ans - 1. Spirometry
2. Diffusing capacity
3. Body plethysmography
4. Bronchial provocation
5. Maximal inspiratory/expiratory pressure
6. Exercise testing
7. Arterial blood gasses
Spirometry Ans - Measures air flow and volumes.
Flow/volume relationship Ans - Peak flow reaches its
maximal level somewhere near total lung capacity.
As lung volume decreases, resistance increases due to
intrathoracic airway narrowing.
pf3
pf4

Partial preview of the text

Download Pulmonary Function Tests (PFTs) Q&A: Comprehensive Review and more Exams Public Health in PDF only on Docsity!

Pulmonary Function Tests (PFT) –

Q&A

What is the primary function of the lungs? ✔Ans - 1. Oxygenation of mixed venous blood.

  1. Removal of carbon dioxide from mixed venous blood. Primary function depends on the integrity of 4 things: ✔Ans
    1. Airway
  1. Pulmonary vasculature
  2. Respiratory muscles
  3. Respiratory control mechanism PFTs help determine 7 things: ✔Ans - 1. Presence of disease or abnormal lung function.
  4. Extent of dysfunction.
  5. Extent of impairment/disability
  6. Progression of disease.
  7. Nature of physiological disturbance.
  8. Effect or course of therapy.
  9. Aid clinical prognosis. Common PFTs ✔Ans - 1. Spirometry
  10. Diffusing capacity
  11. Body plethysmography
  12. Bronchial provocation
  13. Maximal inspiratory/expiratory pressure
  14. Exercise testing
  15. Arterial blood gasses Spirometry ✔Ans - Measures air flow and volumes. Flow/volume relationship ✔Ans - Peak flow reaches its maximal level somewhere near total lung capacity. As lung volume decreases, resistance increases due to intrathoracic airway narrowing.

How air flows ✔Ans - Air flows from higher to lower pressure. There is a balance between forces: pressures trying to collapses and structures trying to keep airways open. FVC ✔Ans - Forced Vital Capacity (when person is forcing air out) FEV1 ✔Ans - Forced Expiratory Volume in one second. (Amount of air that can be blown out of lungs in one second) FEV1:FVC ✔Ans - Ratio of Forced Expiratory Volume in one second to Forced Vital Capacity PEFR ✔Ans - Peak Expiratory Flow Rate Normal PFT values ✔Ans - Based on height, age, gender Causes of abnormal values: Obstruction ✔Ans - 1. Narrowing: bronchospasms, inflammation

  1. Material inside airways: mucous, foreign bodies, tumor
  2. Destruction of lung tissue: loss of elasticity or external support of airways.
  3. Atrophy or airway wall: increased collapsibility
  4. External compression of airway: tumor, edema Causes of abnormal values: Restriction ✔Ans - 1. Intrinsic lung disorders: interstitial lung disease, sarcoid
  5. Extrinsic disorders: obesity, spinal deformity, pregnancy
  6. Neuromuscular disease: generalized weakness, diaphragm paralysis, etc.
  7. Poor effort Reasons for decreased FVC ✔Ans - Surgical procedure on lung; areas of collapse; conditions making the lungs less expandable (fibrosis, CHF, thickened pleura); obstructive lung disease; problems with the pleural cavity (enlarged heart, fluid in pleura, tumor); restriction of chest wall; inflation/deflation requires all respiratory and accessory breathing muscles.
  1. Asthmatic during airflow limitation (increase capillary blood volume) T/F: Pulmonary Function Tests are diagnostic tests. ✔Ans - False. They are physiologic tests.