TMC Practice Exam B | Most Recent Exam 2026/2027
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A 44 week gestational age infant has just been delivered
via C-section and is gasping, grunting, and has
tachycardia and tachypnea. At one minute his Apgar score
is 4 and at 5 minutes the score is 5. The infant is most
likely suffering from
A. transient tachypnea of the newborn.
B. meconium aspiration.
C. bronchopulmonary dysplasia.
D. apnea of prematurity. - Answer-B
What is the normal VD/VT ratio for a patient breathing
room air?
A. 5 - 15%
B. 20 - 40%
C. 45 - 55%
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D. 65 - 75% - Answer-B.
A heat moisture exchanger is indicated for humidification
in which of the following situations?
A. Mechanical ventilation in a long-term care facility.
B. Transport to a tertiary care center.
C. Patient with tenacious secretions.
D. Delivery of aerosolized bronchodilators. - Answer-B.
All of the following could cause a patient's right-
hemidiaphragm to be elevated, EXCEPT
A. right lower lobe atelectasis.
B. right side hyperlucency, absent vascular markings.
C. hepatomegaly.
D. right lower lobe consolidation with air bronchograms. -
Answer-B.
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A 64-year-old, 70 kg (154 lb) man with severe COPD is
receiving independent (differential) lung ventilation
following thoracotomy and right lower lobectomy. Which of
the following setting combinations would be most
appropriate for this patient?
A. Right lung 50 mL; left lung 650 mL
B. Right lung 150 mL; left lung 550 mL
C. Right lung 350 mL; left lung 350 mL
D. Right lung 550 mL; left lung 150 mL - Answer-B.
After a patient undergoes a thoracentesis, the respiratory
therapist notes that the obtained pleural fluid is clear with
a slight straw color. This fluid is most likely the result of
A. empyema.
B. congestive heart failure.
C. lung carcinoma.
D. hemothorax. - Answer-B.
Which of the following would be most important to
evaluate for a patient who is entering a smoking cessation
program?
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A. Height
B. Smoking history
C. Weight
D. Diet - Answer-B.
The respiratory therapist is calibrating a spirometer and
checking the volume with a 3.0 liter super syringe. The
volumes recorded are: 2.85 L, 2.8 L, and 2.8 L. Based
upon the information obtained which of the following is a
correct statement?
A. Another syringe needs to be used
B. Spirometer is accurate
C. The plunger was advanced too slowly
D. Spirometer may have a leak - Answer-D.
Which of the following is an indication for high frequency
jet ventilation?