TMC practice questions( 24 PAGES, 100
QUESTIONS) WITH COMPLETE SOLUTIONS(Vi)
A 44 week old gestational age infant is delivered via C-section and is gasping, grunting and has
tachycardia and tachypnea. At one minute his APgar score is 4 and at 5 minutes the score is at 5.
The infant is most likely suffering from
transient tachypnea of the newborn
meconium aspiration
bronchopulmonary dysplasia
apnea of prematurity Correct Answer: meconium aspiration
All of the following could cause a patient's right-hemidiaphragm to be elevated, Except...
right lower lobe atelectasis
right side hyperlucency, absent vascular markings
hepatomegaly
right lower lobe consolidation with air bronchograms Correct Answer: right side hyperlucency,
absent vascular markings
A 64 year old, 70 kg (154 lb) man with severe COPD receives independent (differential) lung
ventilation following thoracotomy and right lower lobectomy. Which of the following setting
combinations would be most appropriate for this patient?
Right Lung 50 mL, left lung 459 mL
Right lung 159 ml, left lung 359 ml
Right lung 250, left lung 250 ml
Right lung 350 ml, left lung 150 ml Correct Answer: Right lung 150, left lung 350 ml
A 2 year old child with croup has been intubated for 4 days with a 4 mm ID uncuffed
endotracheal tube. Heated aerosol at an FiO2 of 0.30 has been delivered to the patient. The
physician asks the respiratory therapist to evaluate the patient for possible extubation. Which of
the following would most likely indicate that the patient is ready for extubation?
The patient is making normal quiet ventilatory efforts
,A negative sputum culture and sensitivity has been reported
The patients ABG are within normal range
Breath sounds are heard around the tube on auscultation Correct Answer: Breath sounds are
heard around the tube on auscultation
When instructing a patient prior to a vital capacity maneuver, the respiratory therapist should
direct the patient to....
exhale to residual volume and inhale to inspiratory capacity
inhale to total lung capacity then exhale to residual volume
exhale normally then inhale to TLC
inhale normally then exhale to FRC Correct Answer: inhale to TLC then exhale to RV
A patient with end-stage pulmonary fibrosis receieves oxygen at 2 L/min via transtracheal
oxygen catheter. The patient complains of increased work of breathing and shortness of breath.
The RT should...
Manually ventilate the patient with a resusitation bag
increase the flow to the transtracheal catheter to 6 lpm
evaluate the SpO2 with a pulse oximeter
flush the transtracheal device with saline Correct Answer: flush the transtracheal device with
saline
During bedside monitoring the respiratory therapist notices a dampened waveform on the arterial
line graphic. To restore the graphic to normal, the therapist should first
A. verify the position of the transducer.
B. check the transducer dome for air bubbles.
C. flush the catheter with heparin solution.
D. attempt to draw blood from the arterial line. Correct Answer: attempt to draw blood from the
arterial line
The RT is in charge of transporting a patient with multiple trauma to a regional trauma center in
a fixed wing aircraft. Which of the following should the therapist be most concerned about
during the transport?
Tissue oxygenation
, pneumothorax
pulmonary embolus
humidification of the inspired gas Correct Answer: tissue oxygenation
Transcutaneous monitoring of PO2 values will correlate well with arterial blood gas PO2 values
in which of the following situations?
1. Hypotension
2. hypothermia
3. pneumonia
1 only
3 only
1 and 2 only
2 and 3 only Correct Answer: 3 only
Following surgery to correct an abdominal aortic aneurysm, a 54 year old female patient
suddenly develops intense substernal chest pain with severe dyspnea. The pain does not appear
to be aggravated by her respirations. Auscultation reveals bilateral, basilar, moist, crepitant rales.
The patient appears pale, cold, and clammy. Which of the following should the respiratory
therapist recommend for initial assessment of this patient?
Serum electrolytes
chest x-ray
CBC
Electrocardiograph Correct Answer: Electrocardiograph
Which of the following would be the most appropriate test to evaluate partial vocal cord
paralysis in a patient complaining of difficulty swallowing?
SB nitrogen elimination
Max Voluntary Ventilation
Flow volume loop
Diffuse capacity Correct Answer: FVL- flow volume loop
QUESTIONS) WITH COMPLETE SOLUTIONS(Vi)
A 44 week old gestational age infant is delivered via C-section and is gasping, grunting and has
tachycardia and tachypnea. At one minute his APgar score is 4 and at 5 minutes the score is at 5.
The infant is most likely suffering from
transient tachypnea of the newborn
meconium aspiration
bronchopulmonary dysplasia
apnea of prematurity Correct Answer: meconium aspiration
All of the following could cause a patient's right-hemidiaphragm to be elevated, Except...
right lower lobe atelectasis
right side hyperlucency, absent vascular markings
hepatomegaly
right lower lobe consolidation with air bronchograms Correct Answer: right side hyperlucency,
absent vascular markings
A 64 year old, 70 kg (154 lb) man with severe COPD receives independent (differential) lung
ventilation following thoracotomy and right lower lobectomy. Which of the following setting
combinations would be most appropriate for this patient?
Right Lung 50 mL, left lung 459 mL
Right lung 159 ml, left lung 359 ml
Right lung 250, left lung 250 ml
Right lung 350 ml, left lung 150 ml Correct Answer: Right lung 150, left lung 350 ml
A 2 year old child with croup has been intubated for 4 days with a 4 mm ID uncuffed
endotracheal tube. Heated aerosol at an FiO2 of 0.30 has been delivered to the patient. The
physician asks the respiratory therapist to evaluate the patient for possible extubation. Which of
the following would most likely indicate that the patient is ready for extubation?
The patient is making normal quiet ventilatory efforts
,A negative sputum culture and sensitivity has been reported
The patients ABG are within normal range
Breath sounds are heard around the tube on auscultation Correct Answer: Breath sounds are
heard around the tube on auscultation
When instructing a patient prior to a vital capacity maneuver, the respiratory therapist should
direct the patient to....
exhale to residual volume and inhale to inspiratory capacity
inhale to total lung capacity then exhale to residual volume
exhale normally then inhale to TLC
inhale normally then exhale to FRC Correct Answer: inhale to TLC then exhale to RV
A patient with end-stage pulmonary fibrosis receieves oxygen at 2 L/min via transtracheal
oxygen catheter. The patient complains of increased work of breathing and shortness of breath.
The RT should...
Manually ventilate the patient with a resusitation bag
increase the flow to the transtracheal catheter to 6 lpm
evaluate the SpO2 with a pulse oximeter
flush the transtracheal device with saline Correct Answer: flush the transtracheal device with
saline
During bedside monitoring the respiratory therapist notices a dampened waveform on the arterial
line graphic. To restore the graphic to normal, the therapist should first
A. verify the position of the transducer.
B. check the transducer dome for air bubbles.
C. flush the catheter with heparin solution.
D. attempt to draw blood from the arterial line. Correct Answer: attempt to draw blood from the
arterial line
The RT is in charge of transporting a patient with multiple trauma to a regional trauma center in
a fixed wing aircraft. Which of the following should the therapist be most concerned about
during the transport?
Tissue oxygenation
, pneumothorax
pulmonary embolus
humidification of the inspired gas Correct Answer: tissue oxygenation
Transcutaneous monitoring of PO2 values will correlate well with arterial blood gas PO2 values
in which of the following situations?
1. Hypotension
2. hypothermia
3. pneumonia
1 only
3 only
1 and 2 only
2 and 3 only Correct Answer: 3 only
Following surgery to correct an abdominal aortic aneurysm, a 54 year old female patient
suddenly develops intense substernal chest pain with severe dyspnea. The pain does not appear
to be aggravated by her respirations. Auscultation reveals bilateral, basilar, moist, crepitant rales.
The patient appears pale, cold, and clammy. Which of the following should the respiratory
therapist recommend for initial assessment of this patient?
Serum electrolytes
chest x-ray
CBC
Electrocardiograph Correct Answer: Electrocardiograph
Which of the following would be the most appropriate test to evaluate partial vocal cord
paralysis in a patient complaining of difficulty swallowing?
SB nitrogen elimination
Max Voluntary Ventilation
Flow volume loop
Diffuse capacity Correct Answer: FVL- flow volume loop
