MRCP UK EXAMINATIONS

RESPIRATORY

PULMONOLOGY

Question [CLICK ON ANY CHOICE TO KNOW THE RIGHT ANSWER]
FEV1=60% FVC=58% FEV1=0.91 DLCO=43% Respiratory function mainly raises suspicion of:
A
asthma
B
COPD
C
Interstitial lung disease
D
Skeletal/muscular disease of the chest
Explanation: 

Detailed explanation-1: -This is a measure of how quickly the lungs can be emptied. • FEV1/FVC: FEV1 expressed as a percentage of the FVC, gives a clinically. useful index of airflow limitation. The ratio FEV1/FVC is between 70% and 80% in normal adults; a value less than 70% indicates airflow limitation and the possibility of COPD.

Detailed explanation-2: -An FEV1/FVC > 70% where FVC is reduced more so than FEV1 is seen in restrictive defects such as interstitial lung diseases (e.g. idiopathic pulmonary fibrosis) and chest wall deformities (Figure 3).

Detailed explanation-3: -In pulmonary function testing, a postbronchodilator FEV1/FVC ratio of <0.70 is commonly considered diagnostic for COPD. The Global Initiative for Chronic Obstructive Lung Disease (GOLD) system categorizes airflow limitation into stages.

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