TMC (VERIFIED)
1
TMC MOCK EXAM 2024 QUESTIONS AND
ALREADY CORRECT ANSWERS ALREADY
GRADED A+ GUARANTEED SUCCESS
Which of the following would NOT be appropriate for the initial management of a
child during an acute asthmatic attack?
cromolyn sodium (Intal)
terbutaline (Brethaire)
albuterol (Proventil)
epinephrine
cromolyn sodium (Intal)
*If drug management fails, if the ventricular rate exceeds 150/min, or if the patient
becomes hemodynamically unstable, synchronous cardioversion is indicated.
A physician orders intubation and volume-controlled A/C ventilation for a 6-foot,
3-inch tall 190-lb (86-kg) adult male patient with ARDS. Which of the following
ventilator settings would you aim for to support this patient?
rate/min: 10; VT (mL): 800
rate/min: 15; VT (mL): 500
rate/min: 20; VT (mL): 900
rate/min: 8; VT (mL): 1200
rate/min: 15; VT (mL): 500
Tidal volume 6ml/kg IBW
MOCK EXAM
,TMC (VERIFIED)
2
6ft 3= 85kg IBW
Vt= 500
Rate= 10 to 20
Six hours after a confused 71-year-old male is admitted to the emergency
department with dyspnea, diaphoresis, and hypotension, lab results indicate
elevated creatine kinase isoenzyme (CK-MB) and troponin I. These finding are
most consistent with:
-fluid overload
-neurogenic shock
-pulmonary edema
-myocardial infarction
myocardial infarction
*CK-MB and troponin I are biomarkers whose concentrations rise when there is
damage to the myocardium
When reviewing the chart of a patient who presents with evidence of acute
pulmonary infection, which of the following laboratory studies would provide the
most useful information?
-blood culture
MOCK EXAM
,TMC (VERIFIED)
3
-sputum culture and sensitivity
-sputum Gram stain
-sputum acid-fast stain
sputum culture and sensitivity
*Confirms the organisms growing in the lung and the drugs most effective in
controlling the microbe
An echocardiogram on a 64-year-old patient who experiences dyspnea and
palpitations on exertion reveals the following left ventricular data: elevated end-
diastolic pressure, elevated end-diastolic volume, and an ejection fraction of 38%.
There is no evidence of valvular heart disease, intracardiac shunts, cardiac
tamponade, or pericardial constriction. Which of the following is the most likely
problem?
-constrictive cardiomyopathy
-pericardial effusion
-diastolic heart failure
-systolic heart failure
systolic heart failure
*LV ejection fraction is reduced 645% in systolic failure but normal in diastolic
failure.
On reviewing an ECG printout you note widened QRS complexes. Which of the
following is the most likely cause of this problem?
-1st-degree heart block
MOCK EXAM
, TMC (VERIFIED)
4
-bundle branch block
-sinus arrhythmia
-atrial fibrillation
bundle branch block
*Hyperkalemia
*Ventricular pre-excitation [Wolf-Parkinson White pattern]
*Any ventricular rhythm, including those caused by a ventricular pacemaker
Which of the following is indicated by a sound of popping and whistling when the
water bottle of a humidifer is tested by obstructing the gas outlet with the finger?
-broken tubing
-a worn gasket
-no leakage
- a cracked bottle
no leakage
When inspecting the X-ray of a patient with a history of congestive heart failure
being treated in the emergency department, you note patchy densities in the
perihilar areas and in the gravity-dependent lower lung fields, with an increased
CT ratio. Which of the following is the most likely problem?
-atelectasis
-bacterial pneumonia
-pleural effusion
-pulmonary edema
pulmonary edema
MOCK EXAM
1
TMC MOCK EXAM 2024 QUESTIONS AND
ALREADY CORRECT ANSWERS ALREADY
GRADED A+ GUARANTEED SUCCESS
Which of the following would NOT be appropriate for the initial management of a
child during an acute asthmatic attack?
cromolyn sodium (Intal)
terbutaline (Brethaire)
albuterol (Proventil)
epinephrine
cromolyn sodium (Intal)
*If drug management fails, if the ventricular rate exceeds 150/min, or if the patient
becomes hemodynamically unstable, synchronous cardioversion is indicated.
A physician orders intubation and volume-controlled A/C ventilation for a 6-foot,
3-inch tall 190-lb (86-kg) adult male patient with ARDS. Which of the following
ventilator settings would you aim for to support this patient?
rate/min: 10; VT (mL): 800
rate/min: 15; VT (mL): 500
rate/min: 20; VT (mL): 900
rate/min: 8; VT (mL): 1200
rate/min: 15; VT (mL): 500
Tidal volume 6ml/kg IBW
MOCK EXAM
,TMC (VERIFIED)
2
6ft 3= 85kg IBW
Vt= 500
Rate= 10 to 20
Six hours after a confused 71-year-old male is admitted to the emergency
department with dyspnea, diaphoresis, and hypotension, lab results indicate
elevated creatine kinase isoenzyme (CK-MB) and troponin I. These finding are
most consistent with:
-fluid overload
-neurogenic shock
-pulmonary edema
-myocardial infarction
myocardial infarction
*CK-MB and troponin I are biomarkers whose concentrations rise when there is
damage to the myocardium
When reviewing the chart of a patient who presents with evidence of acute
pulmonary infection, which of the following laboratory studies would provide the
most useful information?
-blood culture
MOCK EXAM
,TMC (VERIFIED)
3
-sputum culture and sensitivity
-sputum Gram stain
-sputum acid-fast stain
sputum culture and sensitivity
*Confirms the organisms growing in the lung and the drugs most effective in
controlling the microbe
An echocardiogram on a 64-year-old patient who experiences dyspnea and
palpitations on exertion reveals the following left ventricular data: elevated end-
diastolic pressure, elevated end-diastolic volume, and an ejection fraction of 38%.
There is no evidence of valvular heart disease, intracardiac shunts, cardiac
tamponade, or pericardial constriction. Which of the following is the most likely
problem?
-constrictive cardiomyopathy
-pericardial effusion
-diastolic heart failure
-systolic heart failure
systolic heart failure
*LV ejection fraction is reduced 645% in systolic failure but normal in diastolic
failure.
On reviewing an ECG printout you note widened QRS complexes. Which of the
following is the most likely cause of this problem?
-1st-degree heart block
MOCK EXAM
, TMC (VERIFIED)
4
-bundle branch block
-sinus arrhythmia
-atrial fibrillation
bundle branch block
*Hyperkalemia
*Ventricular pre-excitation [Wolf-Parkinson White pattern]
*Any ventricular rhythm, including those caused by a ventricular pacemaker
Which of the following is indicated by a sound of popping and whistling when the
water bottle of a humidifer is tested by obstructing the gas outlet with the finger?
-broken tubing
-a worn gasket
-no leakage
- a cracked bottle
no leakage
When inspecting the X-ray of a patient with a history of congestive heart failure
being treated in the emergency department, you note patchy densities in the
perihilar areas and in the gravity-dependent lower lung fields, with an increased
CT ratio. Which of the following is the most likely problem?
-atelectasis
-bacterial pneumonia
-pleural effusion
-pulmonary edema
pulmonary edema
MOCK EXAM
