Page 1 of 92
SECURE COMPREHENSIVE THERAPIST SAE TMC EXAM
ACTUAL EXAM ALL 200 QUESTIONS AND CORRECT
ANSWERS LATEST UPDATE THIS YEAR
QUESTION: 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.
D. deep breathing and coughing to clear secretions. - ANSWER-D. deep breathing and coughing
to clear secretions.
QUESTION: 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
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B. IPPB with normal saline
C. postural drainage and percussion
D. PEP therapy - ANSWER-B. IPPB with normal saline
QUESTION: A healthy adult female can exhale what portion of her forced vital capacity in the
first second?
A. 50%
B. 60%
C. 70%
D. 80% - ANSWER-C. 70%
QUESTION: 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
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2. Respiratory Rate
3. Inspiratory flow
4. Sensitivity
A. 1, 2, and 3 only
B. 1, 2, and 4 only
C. 1, 3, and 4 only
D. 2, 3, and 4 only - ANSWER-A. 1, 2, and 3 only
QUESTION: 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
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D. Insert a chest tube - ANSWER-D. Insert a chest tube
QUESTION: 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% - ANSWER-C. 5.0 vol%
QUESTION: 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?
A. 25 mL/cm H2O
B. 35 mL/cm H2O
C. 45 mL/cm H2O
4
SECURE COMPREHENSIVE THERAPIST SAE TMC EXAM
ACTUAL EXAM ALL 200 QUESTIONS AND CORRECT
ANSWERS LATEST UPDATE THIS YEAR
QUESTION: 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.
D. deep breathing and coughing to clear secretions. - ANSWER-D. deep breathing and coughing
to clear secretions.
QUESTION: 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
1
, Page 2 of 92
B. IPPB with normal saline
C. postural drainage and percussion
D. PEP therapy - ANSWER-B. IPPB with normal saline
QUESTION: A healthy adult female can exhale what portion of her forced vital capacity in the
first second?
A. 50%
B. 60%
C. 70%
D. 80% - ANSWER-C. 70%
QUESTION: 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
, Page 3 of 92
2. Respiratory Rate
3. Inspiratory flow
4. Sensitivity
A. 1, 2, and 3 only
B. 1, 2, and 4 only
C. 1, 3, and 4 only
D. 2, 3, and 4 only - ANSWER-A. 1, 2, and 3 only
QUESTION: 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
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D. Insert a chest tube - ANSWER-D. Insert a chest tube
QUESTION: 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% - ANSWER-C. 5.0 vol%
QUESTION: 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?
A. 25 mL/cm H2O
B. 35 mL/cm H2O
C. 45 mL/cm H2O
4
