Author: Anonymous

Use this scenario to answer the next few questions: A 35-year-old male presents with shoulder pain after a fall while playing basketball. He reports pain on the lateral aspect of the shoulder, difficulty lifting his arm, and a feeling of instability. On examination, there is tenderness over the acromioclavicular (AC) joint, limited range of motion, and weakness in abduction.   What special test would you perform to assess the integrity of the AC joint?

The sternoclavicular joint is often injured due to lack of equipment protection and an ATC should not be extremely concerned with a dislocation of this joint because no vital structures can be damaged.

A positive Yergason’s test indicates what pathology?

What are the gases normally used to measure the diffusing capacity of the lung?  CO2 and O2     CO2 and He  CO and He  CO and O2

Which of the following statements are true regarding measurement of the patient’s forced vital capacity (FVC)?1.  The patient can be sitting or standing.2.  Nose clips are not required.3.  It is an effort-dependent test.4.  Accurate results can be obtained without patient cooperation.    

What type of obstruction is present below?  

Which of the following factors could result to a decreased DLCO? (Multiple Answers) 

Which of the following measurements in a FVC maneuver can determine problems involving the large airways?  FEF200-1200  FEF25%-75%  PEFR  FIF50%

The following patient is a 55-year-old male that has smoked for 30 pack/yrs.  What is the interpretation of his pulmonary function study based on the information below?       TESTS                   ACTUAL             PREDICTED             %PREDICTED       FVC                         2.17                       4.1                              53%       SVC                         2.62                       4.1                              64%       FEV1                       1.O4                      3.1                               34%       FEV3                        2.0                        3.9                               51%       FEV1/FVC%           48%                      76%                             ——       MVV                        1.6                        3.5                               46%       RV                            1.34                      0.82                            163%       FRC                         2.32                       1.64                            141%       TLC                         7.48                       4.92                            152%       DLCO                       4.4                        8.6                               51%

Which of the following describes the flow-volume loop (purple line) shown above?  Variable intrathoracic upper airway obstruction.  Fixed upper airway obstruction.  Unilateral main-stem obstruction.  Variable extrathoracic upper airway obstruction.