C&S TMC UPDATED EXAMS SCRIPT ALL
QUESTIONS AND ANSWERS SURE A+
✔✔Initiating and maintaining an in hospital respiratory care protocol requires a team
effort among all of the following EXCEPT: - ✔✔Family members of the patient
✔✔Implementation of a respiratory care protocol for neonatal ventilation would most
likely result in which of the following - ✔✔Improve the weaning time and duration of
mechanical ventilation
✔✔A 45 yr old male who was intubation one day prior for airway protection due to an
esophageal varices was found self extubated by his nurse. As his condition appeared
stable, the decision was made not to re-intubate. 4 hrs later, the RT is called to the
patients bedside. The therapist finds the patient in moderate respiratory distress and
with an oxygen saturation of 86% while on 50% air entrainment mask. The therapist
obtains an ABG which shows a PH of 7.28, PaCO2 of 50, PaO2 of 56. The therapist
should recommend? - ✔✔Re-intubation and initiation of mechanical ventilation.
✔✔. A 37 yr old male presents to his physician with complaints of " increasing shortness
of breath and noisy breathing". His history is remarkable for a tracheostomy tube that
was placed due to a 2 month period of mechanical ventilation following a motorcycle
accident. The tracheostomy tube was removed and he stoma closed 2 months after
, discharge from the hospital. Which of the following may help relieve the patients
symptoms? - ✔✔Bronchoscopic tracheal dilation
✔✔A 60 yr old female presents to her physician with complaints of dyspnea and
orthopnea. The physician orders pulmonary function testing and the results show a
moderate restrictive defect. The physician suspects that the lung restriction may be
caused by diaphragmatic weakness and feels this may be caused by her orthopnea.
Which of the following could be done to confirm if diaphragmatic weakness is the cause
of the lung restriction? - ✔✔Repeat the pulmonary function tests with the patient in the
upright and supine positions.
✔✔A 76 yr old patient has a reported DLCO of 63%. Which of the following
classifications is indicative of the finding? - ✔✔Mild reduction.
✔✔A neonate has an APGAR score of 3 and is experiencing prolonged periods of
apnea. Which of the following would be appropriate? - ✔✔Perform orotracheal
intubation.
✔✔A newborn with IRDS is currently receiving nasal CPAP 10 cm H2O with an FiO2 of
0.65. Over the last hour the infant has become increasingly agitated with notable
xiphoid retractions. An SpO2 measurement is obtained which shows a saturation of
86%. Which of the following should the RT recommend? - ✔✔Intubate and initiate
mechanical ventilation.
✔✔Following an excessive dose of furosemide (Lasix), a patient exhibits metabolic
alkalosis. The most appropriate treatment for the patient is: - ✔✔Potassium chloride
supplement and fluid replacement therapy.
✔✔An intubated and mechanically ventilated patient with severe ARDS has been
receiving high levels of PEEP and FIO2s in order to maintain an adequate PaO2. The
patients physician has been concerned regarding oxygen toxicity and writes and order
to maintain the FIO2 at 0.50 and increase PEEP as required. While increasing PEEP
from 20cm to 25cm, the therapist notes a significant drop in CO. Which of the following
should the therapist recommend? - ✔✔Administration of an intravascular volume
expander.
✔✔A 44 yr old male is admitted to the ER complaining of a feeling of tightness in the
center of his chest beginning 2 hrs ago. The tightness radiates to his left shoulder and
has been constant. There is no other significant history other than smoking a pack of
cigs per day for the last 15 yrs. All of the following would be appropriate for the care of
this patient EXCEPT: - ✔✔Insertion of a pulmonary catheter
✔✔A 46 yr old patient has been admitted to the ED complaining of increasing
respiratory distress. An admission CXR is shown. On the basis of this x-ray, which of
QUESTIONS AND ANSWERS SURE A+
✔✔Initiating and maintaining an in hospital respiratory care protocol requires a team
effort among all of the following EXCEPT: - ✔✔Family members of the patient
✔✔Implementation of a respiratory care protocol for neonatal ventilation would most
likely result in which of the following - ✔✔Improve the weaning time and duration of
mechanical ventilation
✔✔A 45 yr old male who was intubation one day prior for airway protection due to an
esophageal varices was found self extubated by his nurse. As his condition appeared
stable, the decision was made not to re-intubate. 4 hrs later, the RT is called to the
patients bedside. The therapist finds the patient in moderate respiratory distress and
with an oxygen saturation of 86% while on 50% air entrainment mask. The therapist
obtains an ABG which shows a PH of 7.28, PaCO2 of 50, PaO2 of 56. The therapist
should recommend? - ✔✔Re-intubation and initiation of mechanical ventilation.
✔✔. A 37 yr old male presents to his physician with complaints of " increasing shortness
of breath and noisy breathing". His history is remarkable for a tracheostomy tube that
was placed due to a 2 month period of mechanical ventilation following a motorcycle
accident. The tracheostomy tube was removed and he stoma closed 2 months after
, discharge from the hospital. Which of the following may help relieve the patients
symptoms? - ✔✔Bronchoscopic tracheal dilation
✔✔A 60 yr old female presents to her physician with complaints of dyspnea and
orthopnea. The physician orders pulmonary function testing and the results show a
moderate restrictive defect. The physician suspects that the lung restriction may be
caused by diaphragmatic weakness and feels this may be caused by her orthopnea.
Which of the following could be done to confirm if diaphragmatic weakness is the cause
of the lung restriction? - ✔✔Repeat the pulmonary function tests with the patient in the
upright and supine positions.
✔✔A 76 yr old patient has a reported DLCO of 63%. Which of the following
classifications is indicative of the finding? - ✔✔Mild reduction.
✔✔A neonate has an APGAR score of 3 and is experiencing prolonged periods of
apnea. Which of the following would be appropriate? - ✔✔Perform orotracheal
intubation.
✔✔A newborn with IRDS is currently receiving nasal CPAP 10 cm H2O with an FiO2 of
0.65. Over the last hour the infant has become increasingly agitated with notable
xiphoid retractions. An SpO2 measurement is obtained which shows a saturation of
86%. Which of the following should the RT recommend? - ✔✔Intubate and initiate
mechanical ventilation.
✔✔Following an excessive dose of furosemide (Lasix), a patient exhibits metabolic
alkalosis. The most appropriate treatment for the patient is: - ✔✔Potassium chloride
supplement and fluid replacement therapy.
✔✔An intubated and mechanically ventilated patient with severe ARDS has been
receiving high levels of PEEP and FIO2s in order to maintain an adequate PaO2. The
patients physician has been concerned regarding oxygen toxicity and writes and order
to maintain the FIO2 at 0.50 and increase PEEP as required. While increasing PEEP
from 20cm to 25cm, the therapist notes a significant drop in CO. Which of the following
should the therapist recommend? - ✔✔Administration of an intravascular volume
expander.
✔✔A 44 yr old male is admitted to the ER complaining of a feeling of tightness in the
center of his chest beginning 2 hrs ago. The tightness radiates to his left shoulder and
has been constant. There is no other significant history other than smoking a pack of
cigs per day for the last 15 yrs. All of the following would be appropriate for the care of
this patient EXCEPT: - ✔✔Insertion of a pulmonary catheter
✔✔A 46 yr old patient has been admitted to the ED complaining of increasing
respiratory distress. An admission CXR is shown. On the basis of this x-ray, which of
