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A 65 kg spinal cord injured patient has developed
atelectasis. His inspiratory capacity is 30% of his predicted
value. What bronchial hygiene therapy would be most
appropriate initially?
A. IS / SMI
B. IPPB with normal saline
C. postural drainage and percussion
D. PEP therapy - Answer-IPPB with normal saline
A patient on VC ventilation has demonstrated auto-PEEP
on ventilator graphics. Which of the following controls,
when adjusted independently, would increase expiratory
time?
1. Tidal volume
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2. Respiratory Rate
3. Inspiratory flow
4. Sensitivity - Answer-1, 2, and 3 only
Which of the following would be the most appropriate
therapy for a dyspneic patient who has crepitus with
tracheal deviation to the left and absent breath sounds on
the right?
A. Perform chest physiotherapy
B. Administer an IPPB treatment
C. Insert an endotracheal tube
D. Insert a chest tube - Answer-Insert a chest tube
A 55 year-old post cardiac surgery patient has the
following ABG results: pH 7.50, PaCO2 30 torr, PaO2 62
torr, HCO3 25 mEq/L, SaO2 92%, HB 14 g/dL, BE +2.
Venous blood gas results are pH 7.39, PvCO2 43 torr,
PvO2 37 torr, and SvO2 66%. Calculate the patient's C(a-
v)O2.
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A. 2.5 vol%
B. 4.0 vol%
C. 5.0 vol%
D. 5.5 vol% - Answer-5.0 vol%
A patient on VC, SIMV with a VT of 500 mL has a PIP of
25 cm H2O, Pplat of 15 cm H2O and PEEP of 5 cm H2O.
What is the patient's static lung compliance
A. 25 mL/cm H2O
B. 35 mL/cm H2O
C. 45 mL/cm H2O
D. 50 mL/cm H2O - Answer-50 mL/cm H2O
A 48 year-old female is admitted to the ED with
diaphoresis, jugular venous distension, and 3+ pitting
edema in the ankles. These findings are consistent with
A. liver failure.
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B. pulmonary embolism.
C. heart failure.
D. electrolyte imbalances - Answer-Heart failure
A patient is admitted to the ED following a motor vehicle
accident. On physical exam, the respiratory therapist
discovers that breath sounds are absent in the left chest
with a hyperresonant percussion note. The trachea is
shifted to the right. The patient's heart rate is 45/min,
respiratory rate is 30/min, and blood pressure is 60/40 mm
Hg. What action should the therapist recommend first?
A. Call for a STAT chest x-ray.
B. Insert a chest tube into the left chest.
C. Needle aspirate the 2nd left intercostal space.
D. Activate the medical emergency team to intubate the
patient. - Answer-Needle aspirate the 2nd left intercostal
space.
All of the following strategies are likely to decrease the
likelihood of damage to the tracheal mucosa EXCEPT