Edition Kacmarek | 9780323511124 | All Chapters with Ans
wers and Rationals
In which of the following types of ventilation is alveolar expansion during inspiration due to a decreas
e in pleural pressure?
1. Positive-pressure ventilation (PPV)
2. Negative-pressure ventilation (NPV)
3. Spontaneous ventilation
a. 1 and 2 only
b. 1 and 3 only
c. 2 and 3 only
d. 1, 2, and 3 - ANSWER:ANS: C
Which of the following statements are true about negative-pressure ventilation (NPV)?
1. NPV is similar to spontaneous breathing.
2. Airway (mouth) pressure during NPV is zero.
3. Expiration during NPV is by passive recoil.
4. NPV decreases pressure at the body surface.
a. 2 and 4 only
b. 1, 2, 3, and 4
c. 3 and 4 only
d. 1, 3, and 4 only - ANSWER:ANS: B
In which of the following types of ventilation is alveolar expansion during inspiration due to an increa
se in alveolar pressure?
1. Negative-pressure ventilation
2. Positive-pressure ventilation
3. Spontaneous ventilation
a. 1 and 2 only
,b. 2 and 3 only
c. 2 only
d. 1, 2, and 3 - ANSWER:ANS: C
Which of the following occur with positive-pressure ventilation (PPV)?
1. During inspiration, pleural pressure decreases.
2. During inspiration, pressure in the alveoli increases.
3. The pressure gradients of normal breathing are reversed.
4. During inspiration, alveolar pressure exceeds pleural pressure.
a. 1 and 3 only
b. 1, 2, and 3 only
c. 3 and 4 only
d. 2, 3, and 4 only - ANSWER:ANS: D
In which of the following types of ventilation can pleural pressure become positive during inspiration?
1. Positive-pressure ventilation
2. Spontaneous ventilation
3. Negative-pressure ventilation
a. 2 and 3 only
b. 1 and 2 only
c. 1, 2, and 3
d. 1 only - ANSWER:ANS: D
Which of the following conditions is associated with a lack of response to increased FiO2 in patients r
eceiving positive-pressure ventilation?
a. Dead space
b. Shunt
c. Hypoxemia
d. Hypoventilation - ANSWER:ANS: B
Which of the following strategies are useful in the management of shunt?
, 1. Positive end expiratory pressure
2. Permissive hypercapnia
3. Control of membrane permeability
a. 2 and 3 only
b. 1 and 3 only
c. 1, 2, and 3
d. 1 only - ANSWER:ANS: B
Administration of positive end expiratory pressure (PEEP) or continuous positive airway pressure (CP
AP) is associated with which of the following benefits?
1. Helps maintain open alveoli.
2. Helps with alveoli stability.
3. Helps maintain fluid-filled alveoli open.
4. Ensures surfactant-depleted alveoli remain closed.
a. 1 and 3 only
b. 1, 2, and 3 only
c. 3 and 4 only
d. 2, 3, and 4 only - ANSWER:ANS: B
Which of the following is considered a normal spontaneous tidal volume?
a. 3 to 5 ml/kg
b. 5 to 7 ml/kg
c. 7 to 9 ml/kg
d. 10 to 12 ml/kg - ANSWER:ANS: B
Which of the following is the recommended tidal volume for mechanical ventilation in a patient with
ARDS who is in acute respiratory failure?
a. 4 to 8 ml/kg
b. 3 to 5 ml/kg
c. 6 to 10 ml/kg
d. 10 to 12 ml/kg - ANSWER:ANS: A