CLINICAL SIMULATION
CERTIFICATION EXAM QUESTIONS
AND VERIFIED ANSWERS 2026
▶ appearance of chest in bronchiectasis. Answer: barrel chest, increased
ap diameter
▶ respiratory pattern of bronchiectasis. Answer: accessory muscle usage
▶ color in bronchiectasis patients. Answer: cyanotic
▶ diagnostic chest percussion in bronchiectasis. Answer: hyperresonant/
tympanic note
▶ breath sounds in bronchiectasis patients. Answer: wheezing, diminished
breath sounds
▶ chest xray on bronchiectasis patients. Answer: hyperlucent lung fields,
depressed or flattened diaphragm, enlarged heart
▶ sputum on bronchiectasis patients. Answer: may indicate infection
▶ special diagnostic tests for bronchiectasis. Answer: CT scan
▶ Treatment for bronchiectasis. Answer: 1) bronchopulmonary hygiene
2) lung expansion therapy
3) expectorants
4) aerosolized medication
5) surgical resection of involved segments if necessary
6) oxygen
7) avoid triggers
▶ Sleep apnea definition. Answer: have more than five episodes of apnea
per hour that may occur in rem and/or non rem sleep over a six hour period
, ▶ etiology of sleep disorders. Answer: 1) central - failure of resp center of
brain to communicate with resp muscles
2) obstructive
3) mixed
▶ Past medical history of sleep disorders. Answer: daytime sleepiness,
insomnia at night, loud snoring with periods of apnea, morning headaches,
hypothyroidism, abrupt nighttime awakenings, awakening with dry mouth or
sore throat
▶ physical appearance of sleep disorders. Answer: overweight, short
stocky neck, enlarged tonsils, adenoids and/or tongue
▶ pulmonary function of sleep disorders. Answer: decreased volumes if
patient is obese
▶ special tests for sleep disorders. Answer: sleep study
▶ apnea hypopnea indes. Answer: average number of apneas and
hypopneas per hour of sleep. less than five episodes/hour is normal,
severe is >30 episodes/hour
▶ treatment for sleep apnea disorders. Answer: 1) central apnea - nppv
2) obstructive apnea - nasal cpap, weight loss, oxygen therapy, sleep
posture, oral appliances, surgery
▶ Flail chest definition. Answer: double fractures of at least three or more
adjacent ribs, causing thoracic cage to become unstable
▶ etiology of chest trauma. Answer: 1) industrial accidents
2) vehicle accidents
3) falls
4) violence
5) blast injury
▶ cough of patient with chest trauma. Answer: possible hemoptysis
▶ appearance of the chest area in chest trauma. Answer: bruising over
area involved
CERTIFICATION EXAM QUESTIONS
AND VERIFIED ANSWERS 2026
▶ appearance of chest in bronchiectasis. Answer: barrel chest, increased
ap diameter
▶ respiratory pattern of bronchiectasis. Answer: accessory muscle usage
▶ color in bronchiectasis patients. Answer: cyanotic
▶ diagnostic chest percussion in bronchiectasis. Answer: hyperresonant/
tympanic note
▶ breath sounds in bronchiectasis patients. Answer: wheezing, diminished
breath sounds
▶ chest xray on bronchiectasis patients. Answer: hyperlucent lung fields,
depressed or flattened diaphragm, enlarged heart
▶ sputum on bronchiectasis patients. Answer: may indicate infection
▶ special diagnostic tests for bronchiectasis. Answer: CT scan
▶ Treatment for bronchiectasis. Answer: 1) bronchopulmonary hygiene
2) lung expansion therapy
3) expectorants
4) aerosolized medication
5) surgical resection of involved segments if necessary
6) oxygen
7) avoid triggers
▶ Sleep apnea definition. Answer: have more than five episodes of apnea
per hour that may occur in rem and/or non rem sleep over a six hour period
, ▶ etiology of sleep disorders. Answer: 1) central - failure of resp center of
brain to communicate with resp muscles
2) obstructive
3) mixed
▶ Past medical history of sleep disorders. Answer: daytime sleepiness,
insomnia at night, loud snoring with periods of apnea, morning headaches,
hypothyroidism, abrupt nighttime awakenings, awakening with dry mouth or
sore throat
▶ physical appearance of sleep disorders. Answer: overweight, short
stocky neck, enlarged tonsils, adenoids and/or tongue
▶ pulmonary function of sleep disorders. Answer: decreased volumes if
patient is obese
▶ special tests for sleep disorders. Answer: sleep study
▶ apnea hypopnea indes. Answer: average number of apneas and
hypopneas per hour of sleep. less than five episodes/hour is normal,
severe is >30 episodes/hour
▶ treatment for sleep apnea disorders. Answer: 1) central apnea - nppv
2) obstructive apnea - nasal cpap, weight loss, oxygen therapy, sleep
posture, oral appliances, surgery
▶ Flail chest definition. Answer: double fractures of at least three or more
adjacent ribs, causing thoracic cage to become unstable
▶ etiology of chest trauma. Answer: 1) industrial accidents
2) vehicle accidents
3) falls
4) violence
5) blast injury
▶ cough of patient with chest trauma. Answer: possible hemoptysis
▶ appearance of the chest area in chest trauma. Answer: bruising over
area involved
