Kettering TMC Exam Questions With All Correct Answers (Verified Answer
1. Which of the following statements is consistent with a high-quality radi-
ographic image?
1. Head of clavicles are level.
2. Spaces between vertebrae are distinct.
3. Lung parenchyma appear black and without blood vessels.
4. Cervical vertebral spaces are smaller than thoracic vertebral
spaces.ANSWER 1 and 2 only
2. An elevated brain natriuretic protein (BNP) level would be consistent with a
diagnosis of....ANSWER Congestive Heart Failure
3. While monitoring the pressure waveform during insertion of a Swan-Ganz
catheter, the RT notes the presence of a dicrotic notch. This finding indicates
that the tip of the catheter is inside the....ANSWER Pulmonary Artery
4. The RT has measured the exhaled nitric oxide concentration (FENO) of a
patient with asthma. The therapist notes a decrease in the patient's FENO
levels from his last visit one month ago. These results would be consistent
with increased use of .....Corticosteroids
5. The RT discovers that a patient has dyspnea and diminished breath sounds
with a flat percussion note on the left. The chest radiograph indicates a
tracheal shift to the right. What disease state should the therapist suspect is
affecting the patient?ANSWER Pleural Effusion
6. A patient is being monitored with a pulmonary artery catheter. The following
measurements are recordedANSWER
CVPANSWER 4 mmHg
Mean PAPANSWER 18
mmHg MAPANSWER 84
mmHg
Cardiac OutputANSWER 4 L/min
What is the patient's systemic vascular resistance?ANSWER (MAP-CVP) /
Cardiac Output
(84 - 4) / 4
80/4 = 20
Convert to dynesANSWER multiply
answer by 80 20 x 80 = 1,600
dynes/s/cm
7. A 32-week gestation age infant is receiving mechanical ventilation with a
time-cycled, pressure-limited ventilator at the following settingsANSWER
SIMV
, Kettering TMC Exam Questions With All Correct Answers (Verified Answer
PIPANSWER 28 cmH2O
, Kettering TMC Exam Questions With All Correct Answers (Verified Answer
RRANSWE
R 22/min
FiO2ANS
WER 60%
PEEPANSWER 6
FlowANSWER 6 l/min
I-timeANSWER 0.6 seconds
The RT notices the TcPO2 reading suddenly drops 39 torr. There have been no
changes in the vent settings, however the patient is cyanotic, the trachea is
deviated to the right and the breath sounds are absent on the left. A tympanic
percussion note is detected over the left thorax. The RT should recommend
what?ANSWER Transillumination to detect a pneumothorax
8. Following insertion of a nasal endotracheal tube, the RT should inflate the
cuff toANSWERANSWER 22 mmHg
9. Which suction catheter would be most appropriate to use for a patient with
a size 7.5 mm ID ETT?ANSWER (ID size / 2) x 3
7.5/2= 3.75 x 3 = 11.25
Round down to 10 Fr
10. While manually ventilating a 42-year-old woman following endotracheal
intubation, the RT notices that the manual resuscitation bag fills rapidly and
collapses with minimal pressure. The therapist also observes that the patient's
chest has limited bilateral movement. The therapist should...ANSWER Use
another form of ventilation.
11. What is the most appropriate position for an obese patient with dyspnea?-
ANSWER Lateral Fowlers
12. While administering IPPB therapy to a 58-year-old man who recently under-
went a colon resection, the RT notes that the peak inspiratory pressure is not
reaching the set value. This is most likely the result of insufficient inspiratory
flow
13. After attaching a bubble humidifier to an O2 flowmeter, setting the flow at
5 L/min, and occluding the humidifier outlet, the RT hears a whistling sound
from the humidifier. This would indicate....ANSWER proper function of the
humidifier
14. A patient suffering from carbon monoxide poisoning is receiving 100% O2
via non-rebreather mask at a set O2 flow of 15 L/min. Each time the patient
inhales, the reservoir bag on the mask remains fully inflated. The therapist
shouldANSWER seal the mask against the patient's face
15. What value for oxygenation index would indicate the need for ECMO in a
newborn?ANSWER 44
1. Which of the following statements is consistent with a high-quality radi-
ographic image?
1. Head of clavicles are level.
2. Spaces between vertebrae are distinct.
3. Lung parenchyma appear black and without blood vessels.
4. Cervical vertebral spaces are smaller than thoracic vertebral
spaces.ANSWER 1 and 2 only
2. An elevated brain natriuretic protein (BNP) level would be consistent with a
diagnosis of....ANSWER Congestive Heart Failure
3. While monitoring the pressure waveform during insertion of a Swan-Ganz
catheter, the RT notes the presence of a dicrotic notch. This finding indicates
that the tip of the catheter is inside the....ANSWER Pulmonary Artery
4. The RT has measured the exhaled nitric oxide concentration (FENO) of a
patient with asthma. The therapist notes a decrease in the patient's FENO
levels from his last visit one month ago. These results would be consistent
with increased use of .....Corticosteroids
5. The RT discovers that a patient has dyspnea and diminished breath sounds
with a flat percussion note on the left. The chest radiograph indicates a
tracheal shift to the right. What disease state should the therapist suspect is
affecting the patient?ANSWER Pleural Effusion
6. A patient is being monitored with a pulmonary artery catheter. The following
measurements are recordedANSWER
CVPANSWER 4 mmHg
Mean PAPANSWER 18
mmHg MAPANSWER 84
mmHg
Cardiac OutputANSWER 4 L/min
What is the patient's systemic vascular resistance?ANSWER (MAP-CVP) /
Cardiac Output
(84 - 4) / 4
80/4 = 20
Convert to dynesANSWER multiply
answer by 80 20 x 80 = 1,600
dynes/s/cm
7. A 32-week gestation age infant is receiving mechanical ventilation with a
time-cycled, pressure-limited ventilator at the following settingsANSWER
SIMV
, Kettering TMC Exam Questions With All Correct Answers (Verified Answer
PIPANSWER 28 cmH2O
, Kettering TMC Exam Questions With All Correct Answers (Verified Answer
RRANSWE
R 22/min
FiO2ANS
WER 60%
PEEPANSWER 6
FlowANSWER 6 l/min
I-timeANSWER 0.6 seconds
The RT notices the TcPO2 reading suddenly drops 39 torr. There have been no
changes in the vent settings, however the patient is cyanotic, the trachea is
deviated to the right and the breath sounds are absent on the left. A tympanic
percussion note is detected over the left thorax. The RT should recommend
what?ANSWER Transillumination to detect a pneumothorax
8. Following insertion of a nasal endotracheal tube, the RT should inflate the
cuff toANSWERANSWER 22 mmHg
9. Which suction catheter would be most appropriate to use for a patient with
a size 7.5 mm ID ETT?ANSWER (ID size / 2) x 3
7.5/2= 3.75 x 3 = 11.25
Round down to 10 Fr
10. While manually ventilating a 42-year-old woman following endotracheal
intubation, the RT notices that the manual resuscitation bag fills rapidly and
collapses with minimal pressure. The therapist also observes that the patient's
chest has limited bilateral movement. The therapist should...ANSWER Use
another form of ventilation.
11. What is the most appropriate position for an obese patient with dyspnea?-
ANSWER Lateral Fowlers
12. While administering IPPB therapy to a 58-year-old man who recently under-
went a colon resection, the RT notes that the peak inspiratory pressure is not
reaching the set value. This is most likely the result of insufficient inspiratory
flow
13. After attaching a bubble humidifier to an O2 flowmeter, setting the flow at
5 L/min, and occluding the humidifier outlet, the RT hears a whistling sound
from the humidifier. This would indicate....ANSWER proper function of the
humidifier
14. A patient suffering from carbon monoxide poisoning is receiving 100% O2
via non-rebreather mask at a set O2 flow of 15 L/min. Each time the patient
inhales, the reservoir bag on the mask remains fully inflated. The therapist
shouldANSWER seal the mask against the patient's face
15. What value for oxygenation index would indicate the need for ECMO in a
newborn?ANSWER 44
