NBRC THERAPIST EXAM NEWEST 2024 ACTUAL EXAM 2
LATEST VERSIONS (VERSION A AND B) COMPLETE 240
QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) |ALREADY GRADED A+
Weakening and permanent enlargement of the air spaces distal to the terminal
bronchioles, often accompanied by hypertrophy of the goblet cells and mucus
glands. Characterized by dyspnea on exertion with significant hypercapnea -
ANSWER: Emphysema/ Chronic Bronchitis
What are 5 terms/phrases that are used to describe a patient with COPD - ANSWER:
1. Chronic Ventilatory Failure
2. Chronic Hypercapnea
3. Increased lung compliance
4. Loss of elastic recoil
5. Chronic CO2 retention
What would the general appearance of someone with COPD/ Chronic bronchiectasis
look like - ANSWER: Barrel chested, Clubbing and cyanosis
What would the respiratory pattern of someone with COPD/ Chronic bronchiectasis
be - ANSWER: Dyspnea, accessory muscle use, pursed-lip breathing
What would the breath sounds of someone with COPD/ Chronic bronchiectasis
sound like - ANSWER: Diminished aeration with bilateral expiratory wheeze
During patient assessment what would be a fast easy diagnostic test for someone
with COPD/ Chronic bronchiectasis - ANSWER: Diagnostic chest percussion -
tympanic or hyper resonant
What would the cough of someone with COPD/ Chronic bronchiectasis consist of -
ANSWER: Congested, Productive of thick sputum
What would be 3 diagnostic tests used to diagnose COPD/ Chronic bronchiectasis -
ANSWER: 1. Chest X-ray
2. ABG
3. PFT
What would the X-ray of someone with COPD/ Chronic bronchiectasis look like -
ANSWER: Hyperlucency, hyperinflation, increased A-P diameter, flattened diaphragm
What would be effected in a PFT for a patient with COPD/ Chronic bronchiectasis -
ANSWER: Decreased flows
,What SpO2 do you want for a patient with COPD/ Chronic bronchiectasis - ANSWER:
88-92% (Treat with Low O2)
What kind of aerosolized bronchodilators can be used for patients with COPD/
Chronic bronchiectasis - ANSWER: SABA- Albuterol or Levalbuterol
LABA- Salmeterol, formoterol (Must be given with corticosteroid- budesonide,
Fluticasone)
Anticholinergic- Ipratropium, Tiotropium
For an acute exacerbation of ventilatory failure in a patient with COPD/ Chronic
bronchiectasis what should be done to support them - ANSWER: NPPV
A chronic inflammatory, obstructive, non-contagious airway disease with varying
levels of severity, characterized by exacerbations of wheezing and coughing -
ANSWER: Asthma
What would the general appearance of someone with an asthma exacerbation look
like - ANSWER: Pursed-lip breathing, chest tightness, increased A-P diameter during
episode, Diaphoresis
What would the breathing pattern of someone with an asthma exacerbation look
like - ANSWER: Accessory muscle usage, Retractions (especially in children)
What would diagnostic Chest percussion sound like in someone with an asthma
exacerbation - ANSWER: Hyperresonant/tympanic note
What would breath sounds be in someone with an asthma exacerbation- ANSWER:
Diffuse wheeze, diminished breath sounds, prolonged expiration
What would the vital signs be in someone with an asthma exacerbation - ANSWER:
Tachycardia, Tachypnea, pulsus paradoxus during severe episode (Drop in BP when
breathing in)
What 3 diagnostic tests would help diagnosis someone with asthma - ANSWER: 1. X-
ray
2. ABG
3. PFT
What would the x-ray of someone with asthma look like - ANSWER: During acute
episode increased A-P diameter, translucent (dark) lung fields, depressed or
flattened diaphragms
What would the PFT of someone with asthma look like - ANSWER: 1. Spirometry
shows reduced flow rates
2. Post bronchodilator spirometry increases FEV1 at least 12% and 200 ml
3. Bronchial provocation test: FEV1 decreases significantly when provocation agent,
such as methacholine is inhaled
, What would the treatment be for someone with an acute asthma exacerbation -
ANSWER: -O2
-Aerosol Therapy with SABA and anticholinergic agents (Albuterol or Levalbuterol,
Ipratropium or Tiotropium) consider continuous aerosol Therapy
-Corticosteroids (Oral or IV)
-Intubation and mechanical ventilation if ventilatory or respiratory arrest occur
-Consider adjunct therapies: Heliox therapy, magnesium sulfate, subcutaneous
epinephrine
What are control medications for asthma - ANSWER: LABA: Salmeterol, formoterol
(Must be given with corticosteroid- budesonide, Fluticasone)
Mast cell stabilizers: Cromolyn
Leukotriene inhibitors: montelukast
In an asthma action plan what peak flow indicates you are in the green zone -
ANSWER: 80-100%
In an asthma action plan what peak flow indicates you are in the yellow zone -
ANSWER: 50-80%
In an asthma action plan what peak flow indicates you are in the red zone - ANSWER:
Less than 50%
Chronic dilation and distortion of one or more bronchi as a result of excessive
inflammation and destruction of bronchial walls, blood vessels, elastic tissue and
smooth muscle - ANSWER: Bronchiectasis
Results in impaired mucociliary clearance causing accumulation of copious amounts
of bronchial secretions, one or both lungs may be involved, commonly limited to a
lobe or segment - ANSWER: Bronchiectasis
A patient with Bronchiectasis is likely to have a history of - ANSWER: pulmonary
infections or cystic fibrosis
What would the general appearance of someone with Bronchiectasis be - ANSWER:
Cyanosis, barrel chest, clubbing
What would the Respiratory pattern be for someone with Bronchiectasis - ANSWER:
Tachypnea, dyspnea, accessory muscle use, pursed-lip breathing
What would breath sounds be for someone with Bronchiectasis - ANSWER:
Wheezing, diminished breath sounds
What would diagnostic chest percussion sound like for someone with Bronchiectasis
- ANSWER: Hypperresonant or tympanic notes
LATEST VERSIONS (VERSION A AND B) COMPLETE 240
QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) |ALREADY GRADED A+
Weakening and permanent enlargement of the air spaces distal to the terminal
bronchioles, often accompanied by hypertrophy of the goblet cells and mucus
glands. Characterized by dyspnea on exertion with significant hypercapnea -
ANSWER: Emphysema/ Chronic Bronchitis
What are 5 terms/phrases that are used to describe a patient with COPD - ANSWER:
1. Chronic Ventilatory Failure
2. Chronic Hypercapnea
3. Increased lung compliance
4. Loss of elastic recoil
5. Chronic CO2 retention
What would the general appearance of someone with COPD/ Chronic bronchiectasis
look like - ANSWER: Barrel chested, Clubbing and cyanosis
What would the respiratory pattern of someone with COPD/ Chronic bronchiectasis
be - ANSWER: Dyspnea, accessory muscle use, pursed-lip breathing
What would the breath sounds of someone with COPD/ Chronic bronchiectasis
sound like - ANSWER: Diminished aeration with bilateral expiratory wheeze
During patient assessment what would be a fast easy diagnostic test for someone
with COPD/ Chronic bronchiectasis - ANSWER: Diagnostic chest percussion -
tympanic or hyper resonant
What would the cough of someone with COPD/ Chronic bronchiectasis consist of -
ANSWER: Congested, Productive of thick sputum
What would be 3 diagnostic tests used to diagnose COPD/ Chronic bronchiectasis -
ANSWER: 1. Chest X-ray
2. ABG
3. PFT
What would the X-ray of someone with COPD/ Chronic bronchiectasis look like -
ANSWER: Hyperlucency, hyperinflation, increased A-P diameter, flattened diaphragm
What would be effected in a PFT for a patient with COPD/ Chronic bronchiectasis -
ANSWER: Decreased flows
,What SpO2 do you want for a patient with COPD/ Chronic bronchiectasis - ANSWER:
88-92% (Treat with Low O2)
What kind of aerosolized bronchodilators can be used for patients with COPD/
Chronic bronchiectasis - ANSWER: SABA- Albuterol or Levalbuterol
LABA- Salmeterol, formoterol (Must be given with corticosteroid- budesonide,
Fluticasone)
Anticholinergic- Ipratropium, Tiotropium
For an acute exacerbation of ventilatory failure in a patient with COPD/ Chronic
bronchiectasis what should be done to support them - ANSWER: NPPV
A chronic inflammatory, obstructive, non-contagious airway disease with varying
levels of severity, characterized by exacerbations of wheezing and coughing -
ANSWER: Asthma
What would the general appearance of someone with an asthma exacerbation look
like - ANSWER: Pursed-lip breathing, chest tightness, increased A-P diameter during
episode, Diaphoresis
What would the breathing pattern of someone with an asthma exacerbation look
like - ANSWER: Accessory muscle usage, Retractions (especially in children)
What would diagnostic Chest percussion sound like in someone with an asthma
exacerbation - ANSWER: Hyperresonant/tympanic note
What would breath sounds be in someone with an asthma exacerbation- ANSWER:
Diffuse wheeze, diminished breath sounds, prolonged expiration
What would the vital signs be in someone with an asthma exacerbation - ANSWER:
Tachycardia, Tachypnea, pulsus paradoxus during severe episode (Drop in BP when
breathing in)
What 3 diagnostic tests would help diagnosis someone with asthma - ANSWER: 1. X-
ray
2. ABG
3. PFT
What would the x-ray of someone with asthma look like - ANSWER: During acute
episode increased A-P diameter, translucent (dark) lung fields, depressed or
flattened diaphragms
What would the PFT of someone with asthma look like - ANSWER: 1. Spirometry
shows reduced flow rates
2. Post bronchodilator spirometry increases FEV1 at least 12% and 200 ml
3. Bronchial provocation test: FEV1 decreases significantly when provocation agent,
such as methacholine is inhaled
, What would the treatment be for someone with an acute asthma exacerbation -
ANSWER: -O2
-Aerosol Therapy with SABA and anticholinergic agents (Albuterol or Levalbuterol,
Ipratropium or Tiotropium) consider continuous aerosol Therapy
-Corticosteroids (Oral or IV)
-Intubation and mechanical ventilation if ventilatory or respiratory arrest occur
-Consider adjunct therapies: Heliox therapy, magnesium sulfate, subcutaneous
epinephrine
What are control medications for asthma - ANSWER: LABA: Salmeterol, formoterol
(Must be given with corticosteroid- budesonide, Fluticasone)
Mast cell stabilizers: Cromolyn
Leukotriene inhibitors: montelukast
In an asthma action plan what peak flow indicates you are in the green zone -
ANSWER: 80-100%
In an asthma action plan what peak flow indicates you are in the yellow zone -
ANSWER: 50-80%
In an asthma action plan what peak flow indicates you are in the red zone - ANSWER:
Less than 50%
Chronic dilation and distortion of one or more bronchi as a result of excessive
inflammation and destruction of bronchial walls, blood vessels, elastic tissue and
smooth muscle - ANSWER: Bronchiectasis
Results in impaired mucociliary clearance causing accumulation of copious amounts
of bronchial secretions, one or both lungs may be involved, commonly limited to a
lobe or segment - ANSWER: Bronchiectasis
A patient with Bronchiectasis is likely to have a history of - ANSWER: pulmonary
infections or cystic fibrosis
What would the general appearance of someone with Bronchiectasis be - ANSWER:
Cyanosis, barrel chest, clubbing
What would the Respiratory pattern be for someone with Bronchiectasis - ANSWER:
Tachypnea, dyspnea, accessory muscle use, pursed-lip breathing
What would breath sounds be for someone with Bronchiectasis - ANSWER:
Wheezing, diminished breath sounds
What would diagnostic chest percussion sound like for someone with Bronchiectasis
- ANSWER: Hypperresonant or tympanic notes
