Kettering TMC Questions and Answers |
2026 Updated Practice Questions |
Grade A+
• Ventilation. CORRECT ANSWER: moving air in and out of the lungs
• Oxygenation. CORRECT ANSWER: Getting Oxygen into the blood
• Advanced Directives. CORRECT ANSWER: Set of instructions documenting what
treatment a patient would want if he/she was unable to make medical decisions
• Normal urine output. CORRECT ANSWER: 40 ml/hr (appx 1 liter/day)
• Central Venous Pressure (CVP) normal value. CORRECT ANSWER: 2-6mmHg or 4-
12cmH20
• Decreased CVP(<2mmHg) can indicate.... CORRECT ANSWER: hypovolemia
-treat with fluid therapy
• Increased CVP (>2mmHg) can indicate.... CORRECT ANSWER: Hypervolemia
-treat with diuretics
• Coma. CORRECT ANSWER: does not respond to painful stimuli
• Obtunded. CORRECT ANSWER: Drowsy state, may have decreased cough or gag
reflex, risk of aspiration
• Semicomatose. CORRECT ANSWER: responds only to painful stimuli
• Stuporous. CORRECT ANSWER: Confused, responds inappropriately, drug overdose,
intoxication
• Lethargic. CORRECT ANSWER: Somnolent, sleepy, consider sleep apnea or
excessive o2 therapy in patients with COPD
• Katz scoring system. CORRECT ANSWER: 0-6
• Orthopnea. CORRECT ANSWER: Difficult breathing except in the upright position.
-think CHF patients
• venous distention. CORRECT ANSWER: -Occurs with CHF
-Seen during exhalation in patients with obstructive lung disease and air trapping
• Kyphosis. CORRECT ANSWER: convex curvature of the spine (Hunchback)
, • pectus excavatum. CORRECT ANSWER: Depression of part of or the entire sternum
• pectus carinatum. CORRECT ANSWER: pigeon chest
-anterier protrusion of the sternum
• Asymmetrical chest rise may indicate. CORRECT ANSWER: -atelectasis
-flail chest
-pnemothorax
-ett in right mainstem bronchi
-post pnemonectomy
• Cheyne Stokes. CORRECT ANSWER: gradually increasing then decreasing rate and
depth with periods of apnea.
-caused by increased ICP, brainstem injury, drug overdose
• Kussmaul breathing. CORRECT ANSWER: increased rate and depth , labored
breathing
-caused by hypoxemia, metabolic acidosis, renal failure, diabetic ketoacidosis.
• Biot's breathing. CORRECT ANSWER: increased rate and depth with irregular periods
of apnea. Each breath has the same depth
• Mallampati classification. CORRECT ANSWER: Class 1.) soft palate, uvula, fauces,
pillars visible
Class 2) soft palate uvula, fauces
Class 3) soft palate, base of uvula
Class 4) Hard palate only
• Croup (Laryngotracheobronchitis). CORRECT ANSWER: "Steeple sign"
-tracheal narrowing with subglottic swelling
• Epiglottitis. CORRECT ANSWER: "Thumb Sign"
-supraglottic narrowing with an enlarged and flattened epiglottis and aryepiglottic folds
• vascular markings. CORRECT ANSWER: Lymphatics, vessels, lung tissue
-increased with CHF
-absent with pnemothorax
• ICP monitoring. CORRECT ANSWER: recommend treatment with ICP >20mmHG
-Hyperventilation : Co2 target 25-30mmHg
-lower jugular venous pressure
-minimize PEEP
-osmotic agents to remove fluid from brain (Manitol)
-Keep head elavated >30 degrees
2026 Updated Practice Questions |
Grade A+
• Ventilation. CORRECT ANSWER: moving air in and out of the lungs
• Oxygenation. CORRECT ANSWER: Getting Oxygen into the blood
• Advanced Directives. CORRECT ANSWER: Set of instructions documenting what
treatment a patient would want if he/she was unable to make medical decisions
• Normal urine output. CORRECT ANSWER: 40 ml/hr (appx 1 liter/day)
• Central Venous Pressure (CVP) normal value. CORRECT ANSWER: 2-6mmHg or 4-
12cmH20
• Decreased CVP(<2mmHg) can indicate.... CORRECT ANSWER: hypovolemia
-treat with fluid therapy
• Increased CVP (>2mmHg) can indicate.... CORRECT ANSWER: Hypervolemia
-treat with diuretics
• Coma. CORRECT ANSWER: does not respond to painful stimuli
• Obtunded. CORRECT ANSWER: Drowsy state, may have decreased cough or gag
reflex, risk of aspiration
• Semicomatose. CORRECT ANSWER: responds only to painful stimuli
• Stuporous. CORRECT ANSWER: Confused, responds inappropriately, drug overdose,
intoxication
• Lethargic. CORRECT ANSWER: Somnolent, sleepy, consider sleep apnea or
excessive o2 therapy in patients with COPD
• Katz scoring system. CORRECT ANSWER: 0-6
• Orthopnea. CORRECT ANSWER: Difficult breathing except in the upright position.
-think CHF patients
• venous distention. CORRECT ANSWER: -Occurs with CHF
-Seen during exhalation in patients with obstructive lung disease and air trapping
• Kyphosis. CORRECT ANSWER: convex curvature of the spine (Hunchback)
, • pectus excavatum. CORRECT ANSWER: Depression of part of or the entire sternum
• pectus carinatum. CORRECT ANSWER: pigeon chest
-anterier protrusion of the sternum
• Asymmetrical chest rise may indicate. CORRECT ANSWER: -atelectasis
-flail chest
-pnemothorax
-ett in right mainstem bronchi
-post pnemonectomy
• Cheyne Stokes. CORRECT ANSWER: gradually increasing then decreasing rate and
depth with periods of apnea.
-caused by increased ICP, brainstem injury, drug overdose
• Kussmaul breathing. CORRECT ANSWER: increased rate and depth , labored
breathing
-caused by hypoxemia, metabolic acidosis, renal failure, diabetic ketoacidosis.
• Biot's breathing. CORRECT ANSWER: increased rate and depth with irregular periods
of apnea. Each breath has the same depth
• Mallampati classification. CORRECT ANSWER: Class 1.) soft palate, uvula, fauces,
pillars visible
Class 2) soft palate uvula, fauces
Class 3) soft palate, base of uvula
Class 4) Hard palate only
• Croup (Laryngotracheobronchitis). CORRECT ANSWER: "Steeple sign"
-tracheal narrowing with subglottic swelling
• Epiglottitis. CORRECT ANSWER: "Thumb Sign"
-supraglottic narrowing with an enlarged and flattened epiglottis and aryepiglottic folds
• vascular markings. CORRECT ANSWER: Lymphatics, vessels, lung tissue
-increased with CHF
-absent with pnemothorax
• ICP monitoring. CORRECT ANSWER: recommend treatment with ICP >20mmHG
-Hyperventilation : Co2 target 25-30mmHg
-lower jugular venous pressure
-minimize PEEP
-osmotic agents to remove fluid from brain (Manitol)
-Keep head elavated >30 degrees
