TMC EXAM B KETTERING
60 QUESTIONS
Smartprep Examinations
Since 2010
After a patient undergoes a thoracentesis, the respiratory therapist notes that the
obtained pleural fluid is clear with a slight straw color. This fluid is most likely the result
of
A. empyema.
B. congestive heart failure.
C. lung carcinoma.
D. hemothorax. - correct answer B. congestive heart failure.
Which of the following would be most important to evaluate for a patient who is entering
a smoking cessation program?
A. Height
B. Smoking history
C. Weight
D. Diet - correct answer B. Smoking history
The respiratory therapist is calibrating a spirometer and checking the volume with a 3.0
liter super syringe. The volumes recorded are: 2.85 L, 2.8 L, and 2.8 L. Based upon the
information obtained which of the following is a correct statement?
A. Another syringe needs to be used
B. Spirometer is accurate
C. The plunger was advanced too slowly
D. Spirometer may have a leak - correct answer D. Spirometer may have a leak
Which of the following is an indication for high frequency jet ventilation?
, A. Bronchopleural fistula
B. Wilson Mikity syndrome
C. Necrotizing lesion of right lung
D. Centrilobular emphysema - correct answer A. Bronchopleural fistula
A 43-year-old female patient has just undergone a total abdominal hysterectomy. The
patient arrives in the post anesthesia care unit obtunded with minimal response to
painful stimulus. What treatment should the respiratory therapist recommend for this
patient?
A. Initiate assisted ventilation
B. Insert oropharyngeal airway
C. Obtain positron emission tomography
D. Initiate noninvasive capnography - correct answer B. Insert oropharyngeal airway
A 44 week gestational age infant has just been 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 5. The infant is most likely suffering from
A. transient tachypnea of the newborn.
B. meconium aspiration.
C. bronchopulmonary dysplasia.
D. apnea of prematurity. - correct answer B. meconium aspiration.
What is the normal VD/VT ratio for a patient breathing room air?
A. 5 - 15%
B. 20 - 40%
C. 45 - 55%
D. 65 - 75% - correct answer B. 20 - 40%
A heat moisture exchanger is indicated for humidification in which of the following
situations?
A. Mechanical ventilation in a long-term care facility.
B. Transport to a tertiary care center.
C. Patient with tenacious secretions.
D. Delivery of aerosolized bronchodilators. - correct answer B. Transport to
care center. a tertiary
All of the following could cause a patient's right-hemidiaphragm to be elevated,
EXCEPT
, ..
, .
A. right lower lobe atelectasis.
B. right side hyperlucency, absent vascular markings.
C. hepatomegaly.
D. right lower lobe consolidation with air bronchograms. - correct answer B. right side
hyperlucency, absent vascular markings
A 64-year-old, 70 kg (154 lb) man with severe COPD is receiving independent
(differential) lung ventilation following thoracotomy and right lower lobectomy. Which of
the following setting combinations would be most appropriate for this patient?
A. Right lung 50 mL; left lung 650 mL
B. Right lung 150 mL; left lung 550 mL
C. Right lung 350 mL; left lung 350 mL
D. Right lung 550 mL; left lung 150 mL - correct answer B. Right lung 150 mL; left lung
550 mL
A patient in the intensive care unit has the following hemodynamic measurements:
CVP (mm Hg) 5
PAP (mm Hg) 29/8
PCWP (mm Hg) 8
BP (mm Hg) 130/70
Cardiac output (L/min) 5.1
Cardiac index (L/min/m2) 2.7
What is the pulse pressure?
A. 15 mm Hg
B. 21 mm Hg
C. 60 mm Hg
D. 90 mm Hg - correct answer C. 60 mm Hg
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
60 QUESTIONS
Smartprep Examinations
Since 2010
After a patient undergoes a thoracentesis, the respiratory therapist notes that the
obtained pleural fluid is clear with a slight straw color. This fluid is most likely the result
of
A. empyema.
B. congestive heart failure.
C. lung carcinoma.
D. hemothorax. - correct answer B. congestive heart failure.
Which of the following would be most important to evaluate for a patient who is entering
a smoking cessation program?
A. Height
B. Smoking history
C. Weight
D. Diet - correct answer B. Smoking history
The respiratory therapist is calibrating a spirometer and checking the volume with a 3.0
liter super syringe. The volumes recorded are: 2.85 L, 2.8 L, and 2.8 L. Based upon the
information obtained which of the following is a correct statement?
A. Another syringe needs to be used
B. Spirometer is accurate
C. The plunger was advanced too slowly
D. Spirometer may have a leak - correct answer D. Spirometer may have a leak
Which of the following is an indication for high frequency jet ventilation?
, A. Bronchopleural fistula
B. Wilson Mikity syndrome
C. Necrotizing lesion of right lung
D. Centrilobular emphysema - correct answer A. Bronchopleural fistula
A 43-year-old female patient has just undergone a total abdominal hysterectomy. The
patient arrives in the post anesthesia care unit obtunded with minimal response to
painful stimulus. What treatment should the respiratory therapist recommend for this
patient?
A. Initiate assisted ventilation
B. Insert oropharyngeal airway
C. Obtain positron emission tomography
D. Initiate noninvasive capnography - correct answer B. Insert oropharyngeal airway
A 44 week gestational age infant has just been 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 5. The infant is most likely suffering from
A. transient tachypnea of the newborn.
B. meconium aspiration.
C. bronchopulmonary dysplasia.
D. apnea of prematurity. - correct answer B. meconium aspiration.
What is the normal VD/VT ratio for a patient breathing room air?
A. 5 - 15%
B. 20 - 40%
C. 45 - 55%
D. 65 - 75% - correct answer B. 20 - 40%
A heat moisture exchanger is indicated for humidification in which of the following
situations?
A. Mechanical ventilation in a long-term care facility.
B. Transport to a tertiary care center.
C. Patient with tenacious secretions.
D. Delivery of aerosolized bronchodilators. - correct answer B. Transport to
care center. a tertiary
All of the following could cause a patient's right-hemidiaphragm to be elevated,
EXCEPT
, ..
, .
A. right lower lobe atelectasis.
B. right side hyperlucency, absent vascular markings.
C. hepatomegaly.
D. right lower lobe consolidation with air bronchograms. - correct answer B. right side
hyperlucency, absent vascular markings
A 64-year-old, 70 kg (154 lb) man with severe COPD is receiving independent
(differential) lung ventilation following thoracotomy and right lower lobectomy. Which of
the following setting combinations would be most appropriate for this patient?
A. Right lung 50 mL; left lung 650 mL
B. Right lung 150 mL; left lung 550 mL
C. Right lung 350 mL; left lung 350 mL
D. Right lung 550 mL; left lung 150 mL - correct answer B. Right lung 150 mL; left lung
550 mL
A patient in the intensive care unit has the following hemodynamic measurements:
CVP (mm Hg) 5
PAP (mm Hg) 29/8
PCWP (mm Hg) 8
BP (mm Hg) 130/70
Cardiac output (L/min) 5.1
Cardiac index (L/min/m2) 2.7
What is the pulse pressure?
A. 15 mm Hg
B. 21 mm Hg
C. 60 mm Hg
D. 90 mm Hg - correct answer C. 60 mm Hg
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
