TMC Practice
Exam 2022 |
150 Questions
And
Answers
A 48 year-old female is admitted to the ED with diaphoresis,
jugular venous distension, and 3+ pitting edema in the ankles.
These findings are consistent with
A. liver failure.
B. pulmonary embolism.
C. heart failure.
D. electrolyte imbalances Correct Ans ➡ Heart failure
A patient is admitted to the ED following a motor vehicle accident.
On physical exam, the respiratory therapist discovers that breath
sounds are absent in the left chest with a hyperresonant
percussion note. The trachea is shifted to the right. The patient's
heart rate is 45/min, respiratory rate is 30/min, and blood
pressure is 60/40 mm Hg. What action should the therapist
recommend first?
A. Call for a STAT chest x-ray.
B. Insert a chest tube into the left chest.
C. Needle aspirate the 2nd left intercostal space.
D. Activate the medical emergency team to intubate the patient.
Correct Ans ➡
Needle aspirate the 2nd left intercostal space.
All of the following strategies are likely to decrease the likelihood
of damage to the tracheal mucosa EXCEPT
A. maintaining cuff pressures between 20 and 25 mm Hg.
B. using the minimal leak technique for inflation.
,TMC Practice
Exam 2022 |
150 Questions
And
Answers
C. using a low-residual-volume, low-compliance cuff.
D. monitoring intracuff pressures. Correct Ans ➡
monitoring intracuff pressures.
A 52 year-old post-operative cholecystectomy patient's breath
sounds become more coarse upon completion of postural drainage
with percussion. The respiratory therapist should recommend
A. continuing the therapy until breath sounds improve.
B. administering dornase alpha.
C. administering albuterol therapy.
,TMC Practice
Exam 2022 |
150 Questions
And
Answers
D. deep breathing and coughing to clear secretions.
Correct Ans ➡ deep
breathing and coughing to clear secretions.
A 65 kg spinal cord injured patient has developed atelectasis. His
inspiratory capacity is 30% of his predicted value. What bronchial
hygiene therapy would be most appropriate initially?
A. IS / SMI
B. IPPB with normal saline
C. postural drainage and percussion
D. PEP therapy Correct Ans ➡ IPPB with normal saline
A patient on VC ventilation has demonstrated auto-PEEP on
ventilator graphics. Which of the following controls, when adjusted
independently, would increase expiratory time?
1. Tidal volume
2. Respiratory Rate
3. Inspiratory flow
4. Sensitivity Correct Ans➡ 1, 2, and 3 only
Which of the following would be the most appropriate therapy for a
dyspneic patient who has crepitus with tracheal deviation to the
left and absent breath sounds on the right?
A. Perform chest physiotherapy
B. Administer an IPPB treatment
C. Insert an endotracheal tube
, TMC Practice
Exam 2022 |
150 Questions
And
Answers
D. Insert a chest tube Correct Ans➡ Insert a chest tube
A 55 year-old post cardiac surgery patient has the following ABG
results: pH 7.50, PaCO2 30 torr, PaO2 62 torr, HCO3 25 mEq/L,
SaO2 92%, HB 14 g/dL,
BE +2. Venous blood gas results are pH 7.39, PvCO2 43 torr,
PvO2 37 torr, and SvO2 66%. Calculate the patient's C(a-v)O2.
A. 2.5 vol%
B. 4.0 vol%
C. 5.0 vol%
D. 5.5 vol% Correct Ans➡ 5.0 vol%
A patient on VC, SIMV with a VT of 500 mL has a PIP of 25 cm
H2O, Pplat of 15 cm H2O and PEEP of 5 cm H2O. What is the
patient's static lung compliance
Exam 2022 |
150 Questions
And
Answers
A 48 year-old female is admitted to the ED with diaphoresis,
jugular venous distension, and 3+ pitting edema in the ankles.
These findings are consistent with
A. liver failure.
B. pulmonary embolism.
C. heart failure.
D. electrolyte imbalances Correct Ans ➡ Heart failure
A patient is admitted to the ED following a motor vehicle accident.
On physical exam, the respiratory therapist discovers that breath
sounds are absent in the left chest with a hyperresonant
percussion note. The trachea is shifted to the right. The patient's
heart rate is 45/min, respiratory rate is 30/min, and blood
pressure is 60/40 mm Hg. What action should the therapist
recommend first?
A. Call for a STAT chest x-ray.
B. Insert a chest tube into the left chest.
C. Needle aspirate the 2nd left intercostal space.
D. Activate the medical emergency team to intubate the patient.
Correct Ans ➡
Needle aspirate the 2nd left intercostal space.
All of the following strategies are likely to decrease the likelihood
of damage to the tracheal mucosa EXCEPT
A. maintaining cuff pressures between 20 and 25 mm Hg.
B. using the minimal leak technique for inflation.
,TMC Practice
Exam 2022 |
150 Questions
And
Answers
C. using a low-residual-volume, low-compliance cuff.
D. monitoring intracuff pressures. Correct Ans ➡
monitoring intracuff pressures.
A 52 year-old post-operative cholecystectomy patient's breath
sounds become more coarse upon completion of postural drainage
with percussion. The respiratory therapist should recommend
A. continuing the therapy until breath sounds improve.
B. administering dornase alpha.
C. administering albuterol therapy.
,TMC Practice
Exam 2022 |
150 Questions
And
Answers
D. deep breathing and coughing to clear secretions.
Correct Ans ➡ deep
breathing and coughing to clear secretions.
A 65 kg spinal cord injured patient has developed atelectasis. His
inspiratory capacity is 30% of his predicted value. What bronchial
hygiene therapy would be most appropriate initially?
A. IS / SMI
B. IPPB with normal saline
C. postural drainage and percussion
D. PEP therapy Correct Ans ➡ IPPB with normal saline
A patient on VC ventilation has demonstrated auto-PEEP on
ventilator graphics. Which of the following controls, when adjusted
independently, would increase expiratory time?
1. Tidal volume
2. Respiratory Rate
3. Inspiratory flow
4. Sensitivity Correct Ans➡ 1, 2, and 3 only
Which of the following would be the most appropriate therapy for a
dyspneic patient who has crepitus with tracheal deviation to the
left and absent breath sounds on the right?
A. Perform chest physiotherapy
B. Administer an IPPB treatment
C. Insert an endotracheal tube
, TMC Practice
Exam 2022 |
150 Questions
And
Answers
D. Insert a chest tube Correct Ans➡ Insert a chest tube
A 55 year-old post cardiac surgery patient has the following ABG
results: pH 7.50, PaCO2 30 torr, PaO2 62 torr, HCO3 25 mEq/L,
SaO2 92%, HB 14 g/dL,
BE +2. Venous blood gas results are pH 7.39, PvCO2 43 torr,
PvO2 37 torr, and SvO2 66%. Calculate the patient's C(a-v)O2.
A. 2.5 vol%
B. 4.0 vol%
C. 5.0 vol%
D. 5.5 vol% Correct Ans➡ 5.0 vol%
A patient on VC, SIMV with a VT of 500 mL has a PIP of 25 cm
H2O, Pplat of 15 cm H2O and PEEP of 5 cm H2O. What is the
patient's static lung compliance
